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Found 505988 cases in entire database

Case Details (Sorted by Age)

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VAERS ID:35202 (history)  Vaccinated:1991-06-19
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Kentucky  Entered:1991-09-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU910605
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthma, Cough, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad)
Write-up: Pt recvd 1st Engerix-B vax DEC90 & exp diarrhea on unspecified date (can''t remember); 2nd vax JAN91 & exp wheezing, coughing, bronchial spasms that same month; respiratory sx tx w/proventil inhaler; 3rd vax 19JUN91 exp same sx as w/2nd vax

VAERS ID:35311 (history)  Vaccinated:1991-03-10
Age:40.0  Onset:1991-03-30, Days after vaccination: 20
Gender:Unknown  Submitted:1991-06-19, Days after onset: 80
Location:Florida  Entered:1991-09-30, Days after submission: 103
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: 7NOV90 (p/3 doses) titer = 7.0; 30MAY91 (p/2 booster doses) titer = 25.3 (positive)
CDC Split Type: EBU910606
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM637A44  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Unevaluable event
SMQs:
Write-up: PT recd series of 3 Engerix-B vax (20mcg) on 14MAR90, 14APR90, & 16SEP90; 7NOV90 test indicated PT was a low responder; recd 2 more doses on 20JAN91 & 10MAR91; 30MAY91 tested pos for Abs;

VAERS ID:35370 (history)  Vaccinated:1991-07-11
Age:40.0  Onset:1991-07-11, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:West Virginia  Entered:1991-09-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU910677
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM638A40IM 
Administered by: Private     Purchased by: Private
Symptoms: Vasodilatation
SMQs:
Write-up: Pt recvd 1st dose of Engerix-B on 11JUL91; 8 hrs p/inject pt exp burning ears & face; No tx given;

VAERS ID:35380 (history)  Vaccinated:1990-05-30
Age:40.8  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:Idaho  Entered:1991-09-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Also recvd HBIG x 2 doses;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU910688
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2IMA
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd a series of 3 Engerix-B vax on 22NOV89, 15DEC89, 30MAY90; post vax indicated that pt was a non-responder; on 09MAY91 pt recvd a booster dose for post exposure prophylaxis;

VAERS ID:35383 (history)  Vaccinated:1991-06-05
Age:40.0  Onset:1991-06-06, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Indiana  Entered:1991-09-30
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU910691
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0IMA
Administered by: Private     Purchased by: Private
Symptoms: Dyspnoea, Headache, Nausea, Rash, Urticaria
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Pt recvd 1st Engerix-B vax on 05JUN91 & next day had onset of rash (generalized); Seen in ER; given meds & rash resolved;

VAERS ID:35395 (history)  Vaccinated:1991-04-11
Age:40.4  Onset:1991-07-02, Days after vaccination: 82
Gender:Female  Submitted:1991-08-05, Days after onset: 34
Location:Unknown  Entered:1991-09-30, Days after submission: 56
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: HBSAB-neg;
CDC Split Type: EBU910703
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2IMA
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt did not convert p/a series of 3 Engerix-B vax on 11OCT90, 11NOV90, & 11APR91, respectively; each inject recvd was 1 adult dose; pt was instructed that 2 more injects, 1 mo apart are needed;

VAERS ID:35440 (history)  Vaccinated:1991-05-10
Age:40.0  Onset:1991-05-11, Days after vaccination: 1
Gender:Female  Submitted:1991-09-10, Days after onset: 122
Location:New Jersey  Entered:1991-09-30, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Anaprox
Current Illness:
Preexisting Conditions: poss popliteal cyst behind lt knee; full ROM;
Diagnostic Lab Data:
CDC Split Type: EBU910751
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM637A42IMA
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Myasthenic syndrome
SMQs:, Malignancy related conditions (narrow), Arthritis (broad)
Write-up: Pt recvd vax 1st & 2nd dose of Hep B vax (brand unspecified) & recvd 3rd, Engerix-B on 10MAY91; w/in 24 hrs of dose pt exp severe muscle weakness, & joint pain which moves around constantly; Seen by MD;

VAERS ID:35568 (history)  Vaccinated:1991-04-01
Age:40.0  Onset:1991-07-02, Days after vaccination: 92
Gender:Female  Submitted:0000-00-00
Location:Unknown  Entered:1991-09-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: allergic to sulfa;
Diagnostic Lab Data: 2JUL91 HBSAB RIA (radioimmunoassay): 12;
CDC Split Type: EBU910779
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 4  
Administered by: Other     Purchased by: Other
Symptoms: Unevaluable event
SMQs:
Write-up: Pt exp non-response p/a series of 3 doses of Engerix-B given 16APR90, 14MAY90, & 9NOV90; 2 additional doses of vax given on 26FEB91 & 1APR91 & pt seroconverted;

VAERS ID:35600 (history)  Vaccinated:1991-10-04
Age:40.3  Onset:1991-11-11, Days after vaccination: 38
Gender:Female  Submitted:0000-00-00
Location:Florida  Entered:1991-09-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: EBU910812
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM821A42IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Reporter states that approx 1/3 of the employees treated to date w/Engerix-B failed to respond or had borderline titer levels produced (over the past 15 months) p/3rd dose; sixty to seventy employees have been treated to date;

VAERS ID:35626 (history)  Vaccinated:1991-07-26
Age:40.0  Onset:1991-08-01, Days after vaccination: 6
Gender:Female  Submitted:1991-09-04, Days after onset: 34
Location:Tennessee  Entered:1991-09-30, Days after submission: 26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Hx of developing rashes w/soap & deodorants;
Diagnostic Lab Data:
CDC Split Type: EBU910839
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM715A41IMA
Administered by: Private     Purchased by: Private
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Pt recvd 2 doses of Engerix-B on 26JUN91; 1 wk p/each dose, pt devel red itch rash under lt arm pit; pt treated rash w/alcohol, vitamin E & vaseline;

VAERS ID:35756 (history)  Vaccinated:1990-09-25
Age:40.5  Onset:1990-09-27, Days after vaccination: 2
Gender:Female  Submitted:1990-12-11, Days after onset: 75
Location:D.C.  Entered:1991-10-07, Days after submission: 299
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: Td lot# 4898258 was examined & found satisfactory w/no anomalies noted;
CDC Split Type: 890323002B
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4898258 IMLA
Administered by: Public     Purchased by: Private
Symptoms: Injection site mass, Injection site oedema, Injection site reaction, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: w/in 2 days of receiving a dose of Td, pt devel swelling in lt deltoid; w/in 4 days, marked induration & warmth were noted @ inject site; w/in 6 days, bloody, purulent discharge was noted @ site; rxn abated w/in 3 wks of inject;

VAERS ID:32934 (history)  Vaccinated:1990-11-05
Age:40.1  Onset:1990-11-08, Days after vaccination: 3
Gender:Male  Submitted:1990-11-09, Days after onset: 1
Location:Massachusetts  Entered:1991-10-15, Days after submission: 339
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: 890347015B
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49082100IMA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Chills, Myalgia, Pyrexia, Tremor
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: Reporter devel a fever (103F), arthralgia, myalgia, chills, & shaking 3 days p/receiving Influenza vax; tx consisted of aspirin every four hrs & rest; rxn resolved in 24 hrs;

VAERS ID:35168 (history)  Vaccinated:1990-11-26
Age:40.2  Onset:1990-11-27, Days after vaccination: 1
Gender:Female  Submitted:1991-08-01, Days after onset: 246
Location:New Jersey  Entered:1991-10-15, Days after submission: 75
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Pt has a hx of vertigo of unk etiology & duodenitis;
Diagnostic Lab Data:
CDC Split Type: 891059014B
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49081970IMRA
Administered by: Private     Purchased by: Private
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)
Write-up: Pt exp dizziness beginning night following flu vax, & continuing to the present; pt has hx of vertigo, MD did not think the dizziness was caused by flu vax; MD noted pt had chronic dizziness for yrs, which is aggravated by any meds;

VAERS ID:35713 (history)  Vaccinated:1991-08-09
Age:40.7  Onset:1991-08-10, Days after vaccination: 1
Gender:Female  Submitted:1991-10-10, Days after onset: 61
Location:Colorado  Entered:1991-10-21, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0061S0 LA
Administered by: Private     Purchased by: Other
Symptoms: Oedema, Oedema peripheral, Paraesthesia, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)
Write-up: 9AUG91 pt recvd MMR & 23AUG91 pt seen in ER c/o red swollen mass 1 day p/shot & by 1 wk down @ arm into 3-4th fingers w/swelling of these fingers & top of hand w/dec sensation esp in 4th finger;

VAERS ID:36073 (history)  Vaccinated:1991-03-04
Age:40.7  Onset:1991-03-05, Days after vaccination: 1
Gender:Female  Submitted:1991-04-19, Days after onset: 44
Location:Missouri  Entered:1991-10-21, Days after submission: 185
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
    Extended hospital stay? No
Previous Vaccinations: NA
Other Medications: NA
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: WBC (8000 w/90% SEGs, mild elevation of LDH 787 (normal 540); BC-neg;
CDC Split Type: 910085901
Vaccination
Manufacturer
Lot
Dose
Route
Site
HIBV: HIB (HIBTITER)LEDERLE PRAXSIS 0IM 
Administered by: Other     Purchased by: Private
Symptoms: Blood lactate dehydrogenase increased, Chills, Injection site mass, Injection site pain, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Pt exp nausea & chills; Seen in ER t37.5, 2.3 induration w/mild to moderate tenderness over the inject site; Hospitalized for 3 days; t38.5 while in Hosp; pt had previous rxn to Td in 1985;

VAERS ID:35871 (history)  Vaccinated:1991-09-12
Age:40.0  Onset:1991-10-15, Days after vaccination: 33
Gender:Male  Submitted:1991-10-24, Days after onset: 9
Location:New York  Entered:1991-10-28, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91100980
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1251S0  
Administered by: Other     Purchased by: Other
Symptoms: Meningitis
SMQs:, Noninfectious meningitis (narrow)
Write-up: Reporter states pt approx 40 yrs old was vaxed w/1st dose of Hep B vax on 12SEP91; On 15OCT91 pt was hospitalized w/presumptive dx of "meningococcal illness; lab results to confirm dx were pending; MD felt exp not due to vax;

VAERS ID:36518 (history)  Vaccinated:1991-09-19
Age:40.7  Onset:1991-09-27, Days after vaccination: 8
Gender:Female  Submitted:1991-10-01, Days after onset: 4
Location:Washington  Entered:1991-11-19, Days after submission: 49
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Estros
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WA91641
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Amblyopia, Lacrimal disorder, Pruritus
SMQs:, Anaphylactic reaction (broad), Optic nerve disorders (broad), Lacrimal disorders (narrow), Hypersensitivity (broad)
Write-up: 12 days p/the vax devel blurring vision itching & watering eyes;

VAERS ID:38013 (history)  Vaccinated:1990-10-26
Age:40.4  Onset:1990-10-27, Days after vaccination: 1
Gender:Female  Submitted:1990-11-27, Days after onset: 31
Location:Missouri  Entered:1991-12-17, Days after submission: 385
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) (FLUZONE)CONNAUGHT LABORATORIES0F112220IMA
Administered by: Other     Purchased by: Public
Symptoms: Arthralgia, Injection site pain, Paraesthesia, Pyrexia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Arthritis (broad)
Write-up: Temp mesaured to be 100.0F; local rxn; joint pain; paresthesias; as of 9OCT91 pt is partly recovered; when pressure applied to inject site, pt reports soreness;

VAERS ID:38009 (history)  Vaccinated:1991-11-18
Age:40.0  Onset:1991-11-18, Days after vaccination: 0
Gender:Female  Submitted:1991-12-16, Days after onset: 28
Location:Unknown  Entered:1991-12-18, Days after submission: 2
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Donnatal, Inderal, Micronase; Pt recvd flu vax;
Current Illness:
Preexisting Conditions: Diabetic; pt indicated numerous allergies (unspecified); pt has had strange reactions to meds in past; 30 days previously recvd flu vax w/o difficulty
Diagnostic Lab Data:
CDC Split Type: EBU911330
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM832A4 IM 
Administered by: Other     Purchased by: Other
Symptoms: Dyspnoea, Nausea, Rhinitis, Thinking abnormal, Yawning
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Psychosis and psychotic disorders (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad)
Write-up: Pt recvd vax 18NOV91 @ approx 230-3PM & 530PM devel runny nose, SOB, incoherence & queasiness; 19NOV91 was sl SOB on exertion, yawning & sighing;

VAERS ID:38212 (history)  Vaccinated:1991-10-01
Age:40.0  Onset:1991-10-01, Days after vaccination: 0
Gender:Female  Submitted:1991-12-11, Days after onset: 71
Location:Washington  Entered:1991-12-23, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pt recvd Engerix-B on SEP91;
Current Illness: NONE
Preexisting Conditions: NO known allergies
Diagnostic Lab Data:
CDC Split Type: EBU910857
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1IMA
Administered by: Private     Purchased by: Private
Symptoms: Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Pt recvd 1st dose of Engerix-B about 8AUG91; w/in 8 hrs p/inject pt exp an itchiness all over body;

VAERS ID:38276 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:1991-12-09
Location:Iowa  Entered:1991-12-23, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Pt recvd Engerix-B vax 16MAY90 lot#620A4, 29JUN90 lot#597A4, 6NOV90 lot# 618A4;
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: EBU910930
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 3  
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd a series of 3 Engerix-B vax 16MAY90, 29JUN90, & 6NOV90 pt was a non-responder; pt did not seroconvert p/a booster dose;

VAERS ID:38310 (history)  Vaccinated:1991-08-28
Age:40.0  Onset:1991-09-17, Days after vaccination: 20
Gender:Unknown  Submitted:1991-10-10, Days after onset: 23
Location:Unknown  Entered:1991-12-23, Days after submission: 74
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: Pt is hemodialysis pt;
Diagnostic Lab Data: AST & ALT were nl;
CDC Split Type: EBU910966
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM  IM 
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective, Hepatitis, Infection
SMQs:, Hepatitis, non-infectious (narrow), Lack of efficacy/effect (narrow)
Write-up: 28AUG91 pt recvd Engerix-B vax & 10SEP, 14SEP & 17SEP91 pt was Hepatitis Antigen positive; 17SEP91 pt was anti-HBC neg; Reporting MD indicated that Hep antigen, Anti-HBC & total IGM will be repeated in 1-2 wks;

VAERS ID:38350 (history)  Vaccinated:1991-08-29
Age:40.0  Onset:1991-08-29, Days after vaccination: 0
Gender:Female  Submitted:1991-12-04, Days after onset: 97
Location:Arizona  Entered:1991-12-23, Days after submission: 19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU910972
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1IMA
Administered by: Other     Purchased by: Other
Symptoms: Migraine, Nausea, Vertigo
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (narrow)
Write-up: Pt recvd 2nd dose of Engerix-B @ 420PM on 29AUG91 & @ 437PM exp severe vertigo followed by nausea & crushing generalized h/a; treated w/phenergan; nausea & h/a were gone in 1/2 hr;

VAERS ID:38365 (history)  Vaccinated:1990-12-11
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:1991-10-10
Location:Unknown  Entered:1991-12-23, Days after submission: 74
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: EBU910987
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2IM 
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B vax on 20JUN90, 18JUL90, 11DEC90 & failed to convert to protected levels;

VAERS ID:38377 (history)  Vaccinated:1990-10-04
Age:40.0  Onset:1991-04-01, Days after vaccination: 179
Gender:Female  Submitted:1991-10-16, Days after onset: 197
Location:Colorado  Entered:1991-12-23, 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:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU910999
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM826A45IMA
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd series of 3 Engerix-B OCT90, NOV90, APR91 & APR91 titers were found to be neg; pt recvd 2 booster doses of Engerix-B MAY & JUN & SEP91 titers checked again & found to be neg; pt considered non-responder;

VAERS ID:38402 (history)  Vaccinated:1991-10-10
Age:40.0  Onset:1991-10-10, Days after vaccination: 0
Gender:Female  Submitted:1991-12-04, Days after onset: 55
Location:Vermont  Entered:1991-12-23, Days after submission: 19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: Pollens-hayfever sxs;
Diagnostic Lab Data:
CDC Split Type: EBU911024
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM814A41IMA
Administered by: Other     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Pruritus, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Pt recvd 2 doses of Engerix-B & the 1st dose was uneventful; On 10OCT91 p/2nd dose pt exp itching @ site of inject, swollen @ site of inject, induration (3x2) @ site of inject & red warm @ site of inject;

VAERS ID:38472 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:1991-10-30
Location:Maine  Entered:1991-12-23, Days after submission: 54
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU911095
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 3  
Administered by: Public     Purchased by: Public
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Heptavax-B vax in 1988; JUL to AUG91 pt exp non-response; Booster dose of Engerix-B given;

VAERS ID:38500 (history)  Vaccinated:1990-09-13
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:1991-12-05
Location:Tennessee  Entered:1991-12-23, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergy to PCN
Diagnostic Lab Data:
CDC Split Type: EBU911098
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2  
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd a series of 3 Engerix-B vax doses 19MAR90, 13APR90 & 13SEP90 subsequently tested for Hep B antibodies & found not to have converted;

VAERS ID:38560 (history)  Vaccinated:1991-09-29
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:1991-12-04
Location:Unknown  Entered:1991-12-23, Days after submission: 19
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: 21AUG91 HBSAB neg; HBSAB ratio 0.50;
CDC Split Type: EBU911160
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 3  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B 18JAN91, 18FEB91 & 17JUL91 & reporter indicated due to neg HBSAB titer result, 4th dose of vax required 29SEP91;

VAERS ID:38588 (history)  Vaccinated:1991-07-22
Age:40.0  Onset:1991-07-22, Days after vaccination: 0
Gender:Female  Submitted:1991-11-05, Days after onset: 106
Location:Unknown  Entered:1991-12-23, Days after submission: 48
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Iron, Synthroid
Current Illness: Knee surgery, thyroid
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU911189
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM630A42IM 
Administered by: Other     Purchased by: Other
Symptoms: Dizziness, Drug ineffective, Headache, Myalgia, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Lack of efficacy/effect (narrow), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad)
Write-up: Pt recvd 3 doses of Engerix-B 22JAN91, 21FEB91, 22JUL91 & on 22JUL91 exp severe sore arm, nausea, h/a & dizziness; no tx given other than APAP; 48 hrs later sx abated; additionally p/completion of 3 doses pt only achieved a titer of 1.8;

VAERS ID:38648 (history)  Vaccinated:1991-10-25
Age:40.0  Onset:1991-10-27, Days after vaccination: 2
Gender:Female  Submitted:1991-11-22, Days after onset: 26
Location:Illinois  Entered:1991-12-23, Days after submission: 31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NA
Current Illness: NA
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC Split Type: EBU911208
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM   A
Administered by: Public     Purchased by: Public
Symptoms: Pain
SMQs:
Write-up: Pt recvd a dose of Engerix-B 25OCT91 & 27OCT91 2 days later pt exp pain radiating to lt shoulder; Event persisting as 6NOV91;

VAERS ID:38657 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Male  Submitted:1991-12-04
Location:Iowa  Entered:1991-12-23, Days after submission: 19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU911217
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1IMA
Administered by: Public     Purchased by: Public
Symptoms: Diarrhoea
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Pt recvd 2 doses of Engerix-B & 1st dose recvd 6 months ago @ which time pt became deathly ill; reporter unaware of any further description regarding event; 2nd dose recvd recently although pt did not want it; 2nd dose tolerated well;

VAERS ID:38680 (history)  Vaccinated:1991-03-26
Age:40.0  Onset:1991-07-10, Days after vaccination: 106
Gender:Male  Submitted:1991-12-02, Days after onset: 145
Location:Michigan  Entered:1991-12-23, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU911240
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM597A42IMA
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd Engerix-B on 27APR90, 31MAY90, & 24OCT90 subsequently was found neg anti-HBS p/3 doses @ 1mo, 2mo, & 6mo intervals;

VAERS ID:38687 (history)  Vaccinated:1991-07-01
Age:40.0  Onset:1991-07-01, Days after vaccination: 0
Gender:Female  Submitted:1991-12-09, Days after onset: 161
Location:South Dakota  Entered:1991-12-23, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU911247
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 3IMA
Administered by: Private     Purchased by: Private
Symptoms: Unevaluable event
SMQs:
Write-up: In 1988 pt recvd 3 doses of Engerix-B; titers were checked in JUL91 post exposure & pt was found to be non responsive; booster of Engerix-B in JUL91 & pt now is protected;

VAERS ID:38708 (history)  Vaccinated:1991-11-13
Age:40.0  Onset:1991-11-13, Days after vaccination: 0
Gender:Female  Submitted:1991-12-11, Days after onset: 28
Location:South Carolina  Entered:1991-12-23, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC Split Type: EBU911270
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM826A41IMA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Asthenia, Neuropathy, Paraesthesia
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Arthritis (broad)
Write-up: Pt recvd 2 doses Engerix-B 12SEP91 & 13NOV91; 1st dose uneventful; 7 hrs p/2nd vax pt devel pain in elbows & joints; progressed to numbness in hand & upper extremities, weakness- dx reticular neuropathy; dx polyneuropathy secondary to vax;

VAERS ID:39020 (history)  Vaccinated:1990-12-09
Age:40.8  Onset:1990-12-09, Days after vaccination: 0
Gender:Male  Submitted:1992-01-03, Days after onset: 390
Location:California  Entered:1992-01-24, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC Split Type: 892008001H
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)PFIZER/WYETH 1  
Administered by: Military     Purchased by: Military
Symptoms: Asthenia, CSF test abnormal, Guillain-Barre syndrome, Hyporeflexia, Leukocytosis, Myalgia, Pyrexia, Quadriplegia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Eosinophilic pneumonia (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad)
Write-up: Pt devel GBS w/quadriplegia p/recvd Typhoid vax; Pt required tx in intensive care unit for 1mo & has been hospitalized for 11 months;

VAERS ID:39380 (history)  Vaccinated:1992-01-16
Age:40.8  Onset:1992-01-29, Days after vaccination: 13
Gender:Female  Submitted:1992-01-31, Days after onset: 2
Location:Florida  Entered:1992-02-07, 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: PCN allergy;
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.1342T0 LA
Administered by: Public     Purchased by: Private
Symptoms: Arthralgia, Malaise, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: t100, rash face, joint pain, malaise;

VAERS ID:39675 (history)  Vaccinated:1992-02-10
Age:40.3  Onset:1992-02-10, Days after vaccination: 0
Gender:Female  Submitted:1992-02-18, Days after onset: 8
Location:Michigan  Entered:1992-02-24, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0957T2IMLL
Administered by: Public     Purchased by: Other
Symptoms: Chills
SMQs:
Write-up: chills 30" p/inject;

VAERS ID:39719 (history)  Vaccinated:1991-10-29
Age:40.1  Onset:1991-11-02, Days after vaccination: 4
Gender:Female  Submitted:1991-11-11, Days after onset: 9
Location:Illinois  Entered:1992-02-28, Days after submission: 109
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: 891343029L
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4918135 IMA
Administered by: Public     Purchased by: Private
Symptoms: Diarrhoea, Headache, Migraine without aura, Nausea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Pt exp temp elevation 99.2, h/a, nausea, vomiting & diarrhea p/recvd flu vax; pt hospitalized x 2 days due to persistent severe h/a; an MRI & LP were performed; Results are awaited;

VAERS ID:39814 (history)  Vaccinated:1990-12-06
Age:40.0  Onset:1990-12-08, Days after vaccination: 2
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1992-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: no relevant hx
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91011097
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Pt recvd 1st dose of Recomb on 8NOV90 w/o adverse exp; Pt recvd 2nd dose 6DEC90 & devel numbness of rt fingers beginning on 8DEC90;

VAERS ID:39816 (history)  Vaccinated:1991-01-20
Age:40.0  Onset:1991-01-20, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1992-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91011378
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1IM 
Administered by: Other     Purchased by: Other
Symptoms: Hypertonia, Injection site hypersensitivity, Injection site oedema, Injection site pain, Oedema peripheral, Vasodilatation
SMQs:, Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Pt recvd 1st dose of Recomb w/no adverse rxn; Pt recvd 2nd dose of vax & 4 hrs later exp localized redness, heat, pain, & swelling @ inject site; Also had swelling & stiffness of fingers; sx persisted for approx 24 hrs;

VAERS ID:40244 (history)  Vaccinated:1991-02-24
Age:40.0  Onset:1991-02-24, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Pennsylvania  Entered:1992-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Pt recvd vax Hep-B vax & exp profound fatigue & sleepiness x 2 days w/dose #1;
Other Medications: UNK
Current Illness:
Preexisting Conditions: no relevant hx
Diagnostic Lab Data: 4MAR91 ESR-25; WBC Count 14.6, Lymphocytes 36%; Neutrophills 55%; Monocytes 3.8%; EOS 3.7%; Hemoglobin 13.8%;
CDC Split Type: WAES91030354
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1239S1IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Cough, Leukocytosis, Red blood cell sedimentation rate increased, Rhinitis, Somnolence
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad)
Write-up: Pt recvd 2nd dose of Hep B 24FEB91 & again devel severe fatigue & sleepiness, cough & stuffy nose which resolved in two days; sleepiness persisted pt felt could not go to work;

VAERS ID:40260 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Tennessee  Entered:1992-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: no relevant hx
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91030919
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 2  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Pt recvd 2 doses of Hep B vax w/no adverse rxn; Pt recvd 3rd dose of vax ID instead of IM; Pt subsequently devel arthralgia, fever, & a rash;

VAERS ID:40327 (history)  Vaccinated:1991-04-01
Age:40.0  Onset:1991-04-01, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:1992-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: asthma
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91040924
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Other
Symptoms: Condition aggravated
SMQs:
Write-up: Pt recvd 1st dose of Hep B vax in APR91; approx 1/2 hr p/vax pt exp a mild asthma attack which remitted w/the use of bronchodilators; pt recovered;

VAERS ID:40363 (history)  Vaccinated:1991-04-05
Age:40.0  Onset:1991-04-05, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Minnesota  Entered:1992-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91050432
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1238S0IM 
Administered by: Private     Purchased by: Private
Symptoms: Abdominal pain
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Pt recvd 1st dose of Hep B vax 5APR91 & 2 hrs later pt exp severe abd cramps; sx lasted several hrs;

VAERS ID:40439 (history)  Vaccinated:1991-06-07
Age:40.0  Onset:1991-06-08, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Texas  Entered:1992-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: hx of sinus problems;
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91060903
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Other
Symptoms: Chills, Diarrhoea, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Pt recvd 1st dose of Hep B vax on 7JUN91 & approx 24 hrs following the vax pt devel nausea, diarrhea, vomiting, & chills; tx w/meds;

VAERS ID:40450 (history)  Vaccinated:1991-04-25
Age:40.0  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:California  Entered:1992-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: poison oak
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91061175
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Other
Symptoms: Asthma, Condition aggravated
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad)
Write-up: Pt recvd 1st dose of Hep B vax on 25APR91 & on 9MAY91 pt noted a worsening of rash as far as severity & extent; pt devel a bronchial spasm & wheezing;

VAERS ID:40493 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:California  Entered:1992-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91101532
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Other
Symptoms: Injection site reaction, Malaise, Nausea, Pruritus
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad)
Write-up: Pt was inadvertently administered 2 ml of Hep B vax instead of 1.0 ml for 1st dose; following vax pt devel nausea, sensitivity @ inject site, malaise & itching; @ time of report, pts sx had resolved;

VAERS ID:40502 (history)  Vaccinated:1991-04-11
Age:40.8  Onset:1991-04-14, Days after vaccination: 3
Gender:Female  Submitted:0000-00-00
Location:Virginia  Entered:1992-03-02
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Kelp;
Current Illness: DES daughter, celiac disease, cholestero
Preexisting Conditions: DES daughter, anxiety, deviated septum, allergy to compazine, flagyl, yeast, mildew & food; medical hx: endometriosis, seborrheic keratosis, basal cell carcinoma, peritonitis, abortion, fever, weight loss, abdominal pain, EBV IgG positive..
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91110054
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0IM 
Administered by: Other     Purchased by: Other
Symptoms: Antinuclear antibody, Arthralgia, Asthenia, Condition aggravated, Immune system disorder, Infection, Neurosis, Serum sickness
SMQs:, Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Pt recvd 1st dose of Hep B vax in MAY91; a few days following vax pt devel fever over the next 5 months, exp intermittent fevers ranging from 99 to 100.5; dx w/tuboovarian abscess; MD felt fever was not assoc w/vax;

VAERS ID:40621 (history)  Vaccinated:1991-10-22
Age:40.3  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Arkansas  Entered:1992-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Pt exp nausea & vertigo @ 40 w/Recomb #1 dose;
Other Medications: PPD given 11NOV91; Connaught; lot # 2315-32;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 6DEC91 Eng-nl; Audiogram-nl; 11DEC91 Pregnancy tests-neg;
CDC Split Type: WAES91110460
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1IM 
Administered by: Other     Purchased by: Other
Symptoms: Dizziness, Drug ineffective, Nausea
SMQs:, Acute pancreatitis (broad), Lack of efficacy/effect (narrow), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: Pt recvd 2nd dose of Hep B on 22OCT91 & devel dizziness & nausea; On 11NOV91 recvd PPD; @ time of report pt remained under tx;

VAERS ID:40725 (history)  Vaccinated:1991-09-25
Age:40.0  Onset:1991-09-26, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Michigan  Entered:1992-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91100135
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0892T2  
Administered by: Other     Purchased by: Other
Symptoms: Influenza, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Pt recvd 3rd dose of Hep B vax on 25SEP91 & the next day exp flu-like sx including nausea & vomiting; sx persisted for 1 days & then remitted;

VAERS ID:40733 (history)  Vaccinated:1991-10-01
Age:40.0  Onset:1991-10-01, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1992-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91100233
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0956T0  
Administered by: Other     Purchased by: Other
Symptoms: Nausea, Rash, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow)
Write-up: Pt recvd Hep B vax on 1OCT91 & that evening pt had dinner @ ethnic restaurant & exp nausea during meal resulting in vomiting; On 3OCT91 pt exp a generalized rash;

VAERS ID:40745 (history)  Vaccinated:1991-04-15
Age:40.3  Onset:1991-04-29, Days after vaccination: 14
Gender:Male  Submitted:0000-00-00
Location:New York  Entered:1992-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: arthritis
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91100434
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1252S1IM 
Administered by: Private     Purchased by: Other
Symptoms: Condition aggravated
SMQs:
Write-up: Pt recvd 2 doses of Hep B vax on 13MAR91 & 15APR91 approx 2 to 3 wks following 2nd worsening of arthritis;

VAERS ID:40780 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Texas  Entered:1992-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Dilantin
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: none
CDC Split Type: WAES91080911
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1  
Administered by: Other     Purchased by: Other
Symptoms: Abdominal pain, Malaise
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Pt devel severe abdominal pain & generalized malaise a day p/ recving 2nd dose of Hep B. Sxs spontaneously over a period of hours.

VAERS ID:40845 (history)  Vaccinated:1991-08-01
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Illinois  Entered:1992-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91090132
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0342T1  
Administered by: Other     Purchased by: Other
Symptoms: Hyperbilirubinaemia
SMQs:, Liver related investigations, signs and symptoms (narrow), Cholestasis and jaundice of hepatic origin (narrow), Acute pancreatitis (broad), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow)
Write-up: Pt recvd 2 doses of Hep B vax JUL91 & AUG91 following 2nd dose lab eval revealed sl inc in serum bilirubin;

VAERS ID:40846 (history)  Vaccinated:1991-08-26
Age:40.8  Onset:1991-08-27, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:California  Entered:1992-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: pt recvd Recombivax HB by MSD lot# 1886R 26JUL91;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91090127
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1886R1IM 
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: Pt recvd 2nd dose of Hep B on 26AUG91 & the following morning pt awoke w/fever, myalgia, lt deltoid soreness, joint pain & h/a; No further details were provided;

VAERS ID:40860 (history)  Vaccinated:1991-07-18
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Oregon  Entered:1992-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pt recvd Hep B vax 20JUN91 lot# 1251S;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91090293
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1252S1  
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: Pt recvd Hep B vax on 20JUN91 & recvd 2nd dose 18JUL91 & exp generalized muscle & joint pain; No further details were provided;

VAERS ID:40868 (history)  Vaccinated:1991-12-03
Age:40.0  Onset:1991-12-03, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Texas  Entered:1992-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92010028
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1160T0  
Administered by: Private     Purchased by: Public
Symptoms: Injection site pain, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad)
Write-up: Pt recvd 1st dose of Hep B vax 3DEC91 & immediately p/vax exp severe pain @ the inject site which lasted for 30 to 40 minutes; pts arm remained sore x 2 days; pt later recovered;

VAERS ID:39986 (history)  Vaccinated:1991-08-29
Age:40.6  Onset:1991-09-10, Days after vaccination: 12
Gender:Female  Submitted:1991-09-25, Days after onset: 15
Location:Pennsylvania  Entered:1992-03-09, Days after submission: 166
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: PA91319
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0765T  LA
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Influenza, Lymphadenopathy, Myalgia, Osteoarthritis, Paraesthesia, Pyrexia, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (narrow)
Write-up: pt devel flu like sx 10 day p/immun aching, fever, swollen glands in neck, rash; devel joint pain in wrists about 12 days later; 2 wks p/immun devel swelling in wrists, stiffness in hands; now has pain & swelling in knees; also has numbness

VAERS ID:40926 (history)  Vaccinated:1991-07-25
Age:40.0  Onset:1991-08-01, Days after vaccination: 7
Gender:Female  Submitted:1991-08-02, Days after onset: 1
Location:Alabama  Entered:1992-03-11, Days after submission: 222
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: UNK
Preexisting Conditions: pt denied prev local rxn to tetanus toxoid vax;
Diagnostic Lab Data:
CDC Split Type: 891254017K
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4918013 IM 
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: The pt devel a red, warm, raised area 3-4 cm in diameter) @ the inject site p/recvd Td; also noted pain @ the site & the shoulder area; tx APAP & DPH;

VAERS ID:41065 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Georgia  Entered:1992-03-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91101518
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC. 2  
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Infection, Red blood cell sedimentation rate increased
SMQs:, Guillain-Barre syndrome (broad)
Write-up: Pt recvd complete series of Hep B vax in 1986; Over the following yrs pt exp EBS w/sx of fatigue & inc ESR; pt was able to work;

VAERS ID:41068 (history)  Vaccinated:1991-03-01
Age:40.0  Onset:1991-06-01, Days after vaccination: 92
Gender:Female  Submitted:0000-00-00
Location:Kentucky  Entered:1992-03-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: JUN91 EMG-muscle twitching;
CDC Split Type: WAES91110347
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC. 1  
Administered by: Other     Purchased by: Other
Symptoms: Muscle twitching
SMQs:, Dyskinesia (broad), Dystonia (broad)
Write-up: Pt recvd 1st dose of Hep B vax JAN91 & in MAR91 pt recvd 2nd dose Hep B & JUN91 devel muscle twitching which was not observable but was present on an MEG: @ the time of the report pt exp persisted & pt remained under tx;

VAERS ID:40613 (history)  Vaccinated:1991-12-03
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:1992-03-23
Location:Idaho  Entered:1992-03-27, 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: NA
Preexisting Conditions: NA
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES1F21220 IM 
Administered by: Public     Purchased by: Public
Symptoms: Conjunctivitis, Nausea, Pharyngitis
SMQs:, Severe cutaneous adverse reactions (broad), Acute pancreatitis (broad), Agranulocytosis (broad), Oropharyngeal infections (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Conjunctival disorders (narrow), Ocular infections (broad), Hypersensitivity (broad)
Write-up: Sl nausea, throat swelling red eyes w/discharge from eyes;

VAERS ID:40783 (history)  Vaccinated:1991-12-10
Age:40.0  Onset:1992-02-01, Days after vaccination: 53
Gender:Male  Submitted:0000-00-00
Location:Virginia  Entered:1992-03-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: commond cold, 19DEC91 followed by maxillary sinusitis dx 6JAN92 & treated w/TMP/SMX DS 1 BID x 10 days w/resolution of sx;
Diagnostic Lab Data: MRI showed enhancing lesion in lt posterior cord corresponding to neurologic deficit; CSF was normal w/no oligoclonal bands;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM837A4 IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Myasthenic syndrome, Neuropathy, Paraesthesia
SMQs:, Peripheral neuropathy (narrow), Malignancy related conditions (narrow), Guillain-Barre syndrome (broad)
Write-up: Dysesthesia of lt neck & shoulder followed by paresthesia & weakness (proximal & distal( lt arm & lt hand; dyesthesia & weakness began to imporve 1 mo p/onset but have not cleared entirely;

VAERS ID:36778 (history)  Vaccinated:1992-02-06
Age:40.0  Onset:1992-02-06, Days after vaccination: 0
Gender:Female  Submitted:1992-03-16, Days after onset: 39
Location:New York  Entered:1992-04-02, Days after submission: 17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU920380
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM837A4 IMA
Administered by: Public     Purchased by: Public
Symptoms: Abdominal pain, Chills, Diarrhoea, Dizziness, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow)
Write-up: Pt recvd 1st dose of Engerix-B & the evening of 6FEB92 pt exp diarrhea; pt was taken to ER; reporter indicated tha a stool sampling will be taken to determine if pt has a gastrointestinal infection; Immodium will be started p/cult;

VAERS ID:36851 (history)  Vaccinated:1991-04-24
Age:40.0  Onset:1991-10-01, Days after vaccination: 160
Gender:Female  Submitted:1992-03-06, Days after onset: 157
Location:Virginia  Entered:1992-04-02, Days after submission: 27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pt recvd Engerix-B vax 25OCT90 & 28NOV90
Current Illness:
Preexisting Conditions: hx of allergies shot
Diagnostic Lab Data: 1OCT91 HBSAB to surface antigen titer-1.2;
CDC Split Type: EBU920455
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2IMA
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B vax & 1OCT91 found to be a non-seroconverter;

VAERS ID:36852 (history)  Vaccinated:1991-04-24
Age:40.0  Onset:0000-00-00
Gender:Male  Submitted:1992-03-06
Location:Virginia  Entered:1992-04-02, Days after submission: 27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pt recvd Engerix-B vax 24OCT90 & 27NOV90
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: HBSAB titer=1.8;
CDC Split Type: EBU920456
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2IMA
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B vax & was found to be a non-seroconverter;

VAERS ID:42414 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Male  Submitted:1992-01-31
Location:Unknown  Entered:1992-04-02, Days after submission: 62
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: SGPT-91; GTTP-63; SGOT-33;
CDC Split Type: EBU920061
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM    
Administered by: Other     Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatic function abnormal
SMQs:, Liver related investigations, signs and symptoms (narrow)
Write-up: Pt recvd a dose of unk brand Hep B vax; 1 & 1/2 wk post vax devel elevated liver enzymes;

VAERS ID:42516 (history)  Vaccinated:1991-07-11
Age:40.0  Onset:1991-07-11, Days after vaccination: 0
Gender:Male  Submitted:1992-01-21, Days after onset: 194
Location:D.C.  Entered:1992-04-02, Days after submission: 72
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU920101
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM715A41IMA
Administered by: Private     Purchased by: Private
Symptoms: Injection site mass, Pruritus, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad)
Write-up: Pt recvd 2 doses Hep B vax 1st dose Recombivax HB given 5JUN91 & 2nd Engerix-B given 11JUL91 10-12 hrs p/2nd dose of vax pt devel red, hot, 3cm induration & itching; events resolved;

VAERS ID:42696 (history)  Vaccinated:1991-12-10
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:1992-01-28
Location:New York  Entered:1992-04-02, Days after submission: 65
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Pt exp felt sick, throat glands swollen, lymphadenopathy, fever, sore throat;
Other Medications: NONE
Current Illness: poss viral infect
Preexisting Conditions:
Diagnostic Lab Data: 9DEC91 & 7JAN91 titer results were neg;
CDC Split Type: EBU920204
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1IMA
Administered by: Private     Purchased by: Private
Symptoms: Aphthous stomatitis, Lymphadenopathy, Malaise, Pharyngitis, Pyrexia
SMQs:, Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)
Write-up: Pt recvd 2 doses of Engerix-B vax 5NOV91 & 10DEC91 following vax pt exp felt sick, throat glands were swollen, devel aphthous ulcers on tongue, lymphadenopathy, fever, sore throat; sx cont for next few months;

VAERS ID:43007 (history)  Vaccinated:1991-05-09
Age:40.0  Onset:1991-11-16, Days after vaccination: 191
Gender:Male  Submitted:1992-02-27, Days after onset: 103
Location:North Carolina  Entered:1992-04-02, Days after submission: 35
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pt recvd Engerix-B vax 1NOV90 & 27NOV90 lot#''s 618A4 & 629A4;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU920338
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM637A42IMA
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B 16NOV91 & it was determined that pt did not respond to the vax series;

VAERS ID:43009 (history)  Vaccinated:1991-04-29
Age:40.0  Onset:1991-11-19, Days after vaccination: 204
Gender:Female  Submitted:1992-02-27, Days after onset: 100
Location:North Carolina  Entered:1992-04-02, Days after submission: 35
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pt recvd Engerix-B vax 5NOV90 & 7DEC90 lot#''s 618A4 & 629A4;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU920340
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM637A42IMA
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B & 19NOV91 it was determined that pt did not respond to the vax series;

VAERS ID:44256 (history)  Vaccinated:1991-07-10
Age:40.0  Onset:1991-10-10, Days after vaccination: 92
Gender:Male  Submitted:1991-12-20, Days after onset: 71
Location:Virginia  Entered:1992-04-02, Days after submission: 104
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: 10OCT91 HBSAB = 1.5 RU;
CDC Split Type: EBU911299
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM638A42IM 
Administered by: Other     Purchased by: Other
Symptoms: Unevaluable event
SMQs:
Write-up: Pt recvd 3 doses of Engerix-B on 23JAN91, 20FEB91, & 10JUL91 & 10OCT91 post HBSAB was 1.5 which is interpreted as neg (no immunity);

VAERS ID:44258 (history)  Vaccinated:1991-07-10
Age:40.0  Onset:1991-10-31, Days after vaccination: 113
Gender:Male  Submitted:1991-12-20, Days after onset: 50
Location:Virginia  Entered:1992-04-02, Days after submission: 104
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: 31OCT91 HBSAB = 6.6 RU;
CDC Split Type: EBU911301
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM638A42IM 
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B on 23JAN91, 20FEB91 & 10JUL91; 31OCT91 post HBSAB was 6.6 which indicates low titer, immune status questionable;

VAERS ID:44268 (history)  Vaccinated:1991-05-24
Age:40.0  Onset:1991-10-14, Days after vaccination: 143
Gender:Male  Submitted:1992-02-07, Days after onset: 116
Location:Unknown  Entered:1992-04-02, Days after submission: 55
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: EBU911311
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM637A42IMA
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B 30OCT90, 26NOV90 & 24MAY91 & 14OCT91 it was determined that pts titer was neg p/3 doses of Engerix-B;

VAERS ID:44408 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:1991-12-31
Location:Unknown  Entered:1992-04-02, Days after submission: 93
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU911360
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM585A42IMA
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd a series of 3 doses of Engerix-B & exp no adverse exp, however did not convert; plan to revax;

VAERS ID:44412 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:1991-12-31
Location:Unknown  Entered:1992-04-02, Days after submission: 93
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Premarin
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU911364
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM585A42IMA
Administered by: Other     Purchased by: Other
Symptoms: Unevaluable event
SMQs:
Write-up: Pt recvd a series of 3 doses of Engerix & exp no adverse exp, however did not convert plan to revax;

VAERS ID:44839 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:1991-08-15
Gender:Female  Submitted:1992-03-19, Days after onset: 217
Location:Illinois  Entered:1992-04-02, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: 15AUG91 Hep B surface antibody 0.073 (10 RIA ratio units-0.092 pt is not immune); lab record also notes HBS antibody 13:46 reactive;
CDC Split Type: EBU911429
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM814A43IMA
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B 14JAN91, 20FEB91 & it was determined that pt did not respond to vax series; 4th dose of Engerix-B was administered to pt 13SEP91; reporter indicated that pt is unavailable for specific info;

VAERS ID:41086 (history)  Vaccinated:1992-02-25
Age:40.9  Onset:1992-03-03, Days after vaccination: 7
Gender:Female  Submitted:1992-03-09, Days after onset: 6
Location:California  Entered:1992-04-06, Days after submission: 27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: c/o hives p/last TB skin test (PPD) given in 1991;
Other Medications: Pred
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC Split Type: CA9233
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1756T2IMLA
Administered by: Other     Purchased by: Other
Symptoms: Myalgia, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad)
Write-up: Red, sore arm 1 wk-2 wks p/vax administered; warm compresses per MD;

VAERS ID:41168 (history)  Vaccinated:1992-01-13
Age:40.0  Onset:1992-01-14, Days after vaccination: 1
Gender:Female  Submitted:1992-02-06, Days after onset: 23
Location:Colorado  Entered:1992-04-09, Days after submission: 62
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: chronic pain
Diagnostic Lab Data:
CDC Split Type: CO92015
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES285923 IMA
Administered by: Private     Purchased by: Private
Symptoms: Oedema, Pain, Subcutaneous nodule, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)
Write-up: Severe pain, arm redness approx 15cm swelling-leaving indurated SQ mass;

VAERS ID:41180 (history)  Vaccinated:1992-03-09
Age:40.6  Onset:1992-03-10, Days after vaccination: 1
Gender:Female  Submitted:1992-03-11, Days after onset: 1
Location:New York  Entered:1992-04-09, Days after submission: 28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PPD by Connaught lot# 232621 lt forearm, ID;
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4918112 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site mass, Pruritus, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Pt c/o itching @ site of DT inject area 36mm circumference; round indurated, hard, reddened area warm to touch; pt denies pain; MD notified & saw area; instructed to apply ice & return to office in 2 days to recheck;

VAERS ID:41187 (history)  Vaccinated:1991-07-09
Age:40.1  Onset:1991-08-09, Days after vaccination: 31
Gender:Male  Submitted:1992-03-28, Days after onset: 232
Location:Pennsylvania  Entered:1992-04-10, Days after submission: 12
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: bladder carcinoma
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.2352R0IMLA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES0M2107S IMRA
Administered by: Private     Purchased by: Private
Symptoms: Myelitis
SMQs:
Write-up: Transverse myelitis pt hospitalized gradual onset several wks post vax;

VAERS ID:41191 (history)  Vaccinated:1992-04-02
Age:40.4  Onset:1992-04-03, Days after vaccination: 1
Gender:Female  Submitted:1992-04-06, Days after onset: 2
Location:New York  Entered:1992-04-10, 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: Dynacirc
Current Illness: NONE
Preexisting Conditions: PCN
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC.0103V1IMLA
Administered by: Private     Purchased by: Private
Symptoms: Mouth ulceration, Pain, Pruritus, Urticaria
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Angioedema (narrow), Systemic lupus erythematosus (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow)
Write-up: 3APR92 face "burning" followed w/skin blotching; 1PM especially over the eyes, cheeks & neck; 4APR92 body covered w/hives, generalized itching; 2AM no resp distress; fever blister on lip; tx DPH;

VAERS ID:37018 (history)  Vaccinated:1990-12-10
Age:40.9  Onset:1990-12-12, Days after vaccination: 2
Gender:Male  Submitted:1991-01-07, Days after onset: 26
Location:California  Entered:1992-04-13, Days after submission: 461
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Duricef
Current Illness: laceration on finger w/dirty item
Preexisting Conditions: allergy to Septra & Tetracycline
Diagnostic Lab Data:
CDC Split Type: CO3751
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES0G211571IMLA
Administered by: Private     Purchased by: Private
Symptoms: Myalgia, Oedema, Pain, Skin nodule, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad)
Write-up: Swelling, redness lt arm hurt & felt like a bump; returned on 12DEC no problem; pt phoned in 20DEC c/o arm still sore;

VAERS ID:41402 (history)  Vaccinated:1992-03-31
Age:40.3  Onset:1992-04-03, Days after vaccination: 3
Gender:Female  Submitted:1992-04-16, Days after onset: 12
Location:California  Entered:1992-04-22, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: NA
Preexisting Conditions: denies allergies to food or eds
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1370T  LA
Administered by: Public     Purchased by: Unknown
Symptoms: Pruritus, Rash, Rash maculo-papular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Purirtis (itching) on 2nd day p/vax; fine pustule-like rash lt knee; 3rd day p/vax pin-prick like rash to upper aspect of chest & back on 3rd & 4th day p/vax resolved; 9th day p/vax got similar rash to face;

VAERS ID:37226 (history)  Vaccinated:1991-10-28
Age:40.4  Onset:1991-11-11, Days after vaccination: 14
Gender:Female  Submitted:1992-03-17, Days after onset: 127
Location:Wisconsin  Entered:1992-05-20, Days after submission: 63
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 892091002J
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49181351 RA
Administered by: Private     Purchased by: Other
Symptoms: Myasthenic syndrome, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Malignancy related conditions (narrow), Guillain-Barre syndrome (broad)
Write-up: w/in 2 wks of flu vax pt devel numbness & progressive weakness of rt arm (inject site); rxn persisted untill mid JAN92; pt was unable to work for an unspecified length of time due to the severity of this weakness;

VAERS ID:42168 (history)  Vaccinated:1992-04-02
Age:40.7  Onset:1992-04-03, Days after vaccination: 1
Gender:Female  Submitted:1992-05-20, Days after onset: 46
Location:Indiana  Entered:1992-05-26, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 8 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: Synthroid; allergy shots; allergic to tree-grass pollen
Diagnostic Lab Data: Lyme neg; spinal tap neg; EMG pos muscle weakenss; MRI-nl findings/pts conversation
CDC Split Type: IN9230
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1959T SCLA
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Hypoaesthesia, Myasthenic syndrome, Neuritis, Paraesthesia
SMQs:, Peripheral neuropathy (narrow), Malignancy related conditions (narrow), Guillain-Barre syndrome (broad), Arthritis (broad)
Write-up: 3APRAM arthritic like pain fingers & toes; 4APR feet, fingers & tongue numb; 6APR couldn''t write tongue okay but feet numb & tingly; MD ordered cortinsone rx; 7APR muscle weakness adm to hosp; ICU r/o GBS; 15APR dx acute infect polyneuritis

VAERS ID:37271 (history)  Vaccinated:1991-04-08
Age:40.7  Onset:1991-04-23, Days after vaccination: 15
Gender:Female  Submitted:0000-00-00
Location:Florida  Entered:1992-06-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91041797
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  SC 
Administered by: Public     Purchased by: Private
Symptoms: Lymphadenopathy, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: pt recvd MMR vax 8APR91 & devel a generalized pruritic rash & swollen neck nodes; pt presented to MD office & subsequently recovered;

VAERS ID:37303 (history)  Vaccinated:1991-05-07
Age:40.0  Onset:1991-05-20, Days after vaccination: 13
Gender:Female  Submitted:0000-00-00
Location:Pennsylvania  Entered:1992-06-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: no relevant data;
CDC Split Type: WAES91051370
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Lymphadenopathy, Pharyngitis, Pyrexia, Rash maculo-papular
SMQs:, Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Hypersensitivity (narrow)
Write-up: pt recvd MMR vax 7MAY91 & on 20MAY91 devel a rash which was characterized by small 3mm macules on abdomen & extremities; also devel a sore throat, lt posterior cervical adenopathy, & fever; no further details were provided;

VAERS ID:37573 (history)  Vaccinated:1992-01-16
Age:40.3  Onset:1992-01-16, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:1992-06-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92010818
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1150T IM 
Administered by: Other     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Pruritus, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: PT recvd MMR vax on 16JAN92 & on 22JAN92 lt arm was hard, swollen, red & painful; also had facial rash & itching @ inject site; 24JAN92 inject site worsened; t99-100; 31JAN92 large lump was aspirated-clear liquid;

VAERS ID:42639 (history)  Vaccinated:1992-05-29
Age:40.9  Onset:1992-05-29, Days after vaccination: 0
Gender:Female  Submitted:1992-06-02, Days after onset: 4
Location:Kansas  Entered:1992-06-09, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: TB by Parke-David lot# 01291P
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES1K311450 RA
Administered by: Public     Purchased by: Public
Symptoms: Amblyopia, Dizziness, Hyperhidrosis, Pallor, Syncope, Visual field defect
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Pt stated blurred vison, white areas peripheral vision; stated feeling dizzy pt became pale, clammy & lost consciousness; did not respond to verbal or physical stimuli BP 120/80; approx 2-3 mins color returned; pt became verbal & oriented;

VAERS ID:42774 (history)  Vaccinated:1992-03-25
Age:40.2  Onset:1992-03-28, Days after vaccination: 3
Gender:Female  Submitted:1992-05-05, Days after onset: 37
Location:Tennessee  Entered:1992-06-12, Days after submission: 38
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: PCN, Erythromycin, Compazine
Diagnostic Lab Data:
CDC Split Type: TN9261
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM840A40IMRA
Administered by: Public     Purchased by: Unknown
Symptoms: Asthenia, Back pain, Dyspnoea, Headache, Laryngospasm, Lymphadenopathy, Tachycardia, Tinnitus
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hearing impairment (narrow), Hypersensitivity (narrow)
Write-up: 28MAR92 pt exp severe h/a, palpitations, & difficulty breathing; pt exp episodes of rapid heart beat, weakness, lightheadedness, nausea, & SOB; pt exp tight feeling in throat, chills, ached all over, ringing in ears, swollen lymph glands;

VAERS ID:43188 (history)  Vaccinated:1991-10-01
Age:40.0  Onset:1991-10-01, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:Unknown  Entered:1992-06-26
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NA
Current Illness: NA
Preexisting Conditions: NA
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES1J21118 IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Myositis, Neuritis
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow)
Write-up: post vax neuritis; post vax myositis lt deltoid muscle;

VAERS ID:37764 (history)  Vaccinated:1992-01-27
Age:40.0  Onset:1992-02-01, Days after vaccination: 5
Gender:Female  Submitted:1992-06-15, Days after onset: 134
Location:New Jersey  Entered:1992-06-29, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU920601
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM715A41 RA
Administered by: Public     Purchased by: Other
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Pt recvd 2 doses of Engerix-B; pt exp no problems p/1st inject but 2 wks p/2nd inject devel itchy rash on arms; rash faded on arms but then devel all over abdoment & was extremely itchy;

VAERS ID:44003 (history)  Vaccinated:1992-02-19
Age:40.0  Onset:1992-02-19, Days after vaccination: 0
Gender:Female  Submitted:1992-03-25, Days after onset: 35
Location:California  Entered:1992-06-29, Days after submission: 95
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergy PNC & poss tetanus;
Diagnostic Lab Data:
CDC Split Type: EBU920644
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM  IMA
Administered by: Other     Purchased by: Private
Symptoms: Anaphylactoid reaction, Dizziness, Nervousness, Rash, Vasodilatation
SMQs:, Anaphylactic reaction (narrow), Anticholinergic syndrome (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: 2 pts devel anaphylactic-type reactions following Hep B vax;

VAERS ID:44033 (history)  Vaccinated:1992-01-25
Age:40.0  Onset:1992-02-25, Days after vaccination: 31
Gender:Female  Submitted:1992-03-26, Days after onset: 30
Location:Tennessee  Entered:1992-06-29, Days after submission: 94
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Capoten
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU920681
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM  IMA
Administered by: Other     Purchased by: Other
Symptoms: Unevaluable event
SMQs:
Write-up: Pt recvd 3 doses of Engerix-B vax; 25FEB92 no antibody level to Hep B surface antigen were detected;

VAERS ID:44051 (history)  Vaccinated:1992-05-03
Age:40.0  Onset:0000-00-00
Gender:Male  Submitted:1992-06-19
Location:Louisiana  Entered:1992-06-29, 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: Pt recvd Engerix-B vax 17OCT90 & 14NOV90;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU920701
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM638A42  
Administered by: Other     Purchased by: Other
Symptoms: Unevaluable event
SMQs:
Write-up: Pt did not respond to the vax series; 1MAR92 Hep B surface Antibody titer neg;

VAERS ID:44869 (history)  Vaccinated:1991-10-21
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:1992-04-09
Location:Wisconsin  Entered:1992-06-29, Days after submission: 81
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU920731
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 4IMA
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B & did not seroconvert; booster doses were administered; no tx was given;

VAERS ID:44909 (history)  Vaccinated:1991-12-18
Age:40.0  Onset:1992-02-05, Days after vaccination: 49
Gender:Female  Submitted:1992-05-21, Days after onset: 105
Location:Tennessee  Entered:1992-06-29, Days after submission: 39
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt did not respond @ 40y/o w/Engerix-B #3
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU920760
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM849A43  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd booster dose of Engerix-B & did not convert;

VAERS ID:44981 (history)  Vaccinated:1992-03-18
Age:40.0  Onset:1992-03-19, Days after vaccination: 1
Gender:Female  Submitted:1992-06-18, Days after onset: 90
Location:California  Entered:1992-06-29, 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: ASA/Codeine/Caffeine, Cafergot
Current Illness:
Preexisting Conditions: allergic to MSG, PCN, Talwin, Kelflex; allergic to Robitussin; extremely sensitive (migraine h/a to MSG, red wine, chocolate;
Diagnostic Lab Data:
CDC Split Type: EBU920809
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM838A40 LA
Administered by: Other     Purchased by: Private
Symptoms: Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: 18MAR92 pt recvd 1st dose of Engerix-B 19AMR92 devel pruritis; tx w/antihistamine; resolved 20MAR92;

VAERS ID:45093 (history)  Vaccinated:1992-04-03
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:1992-04-13
Location:Kansas  Entered:1992-06-29, Days after submission: 77
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: EBU920832
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM40A4 IMLA
Administered by: Other     Purchased by: Other
Symptoms: Hyperhidrosis
SMQs:, Neuroleptic malignant syndrome (broad)
Write-up: 2 females recvd 1 dose of Engerix-B 5MAR92 from the same lot#; exp night sweats which started w/in 4 days of receiving 1st dose;

VAERS ID:45096 (history)  Vaccinated:1992-03-10
Age:40.0  Onset:1992-03-10, Days after vaccination: 0
Gender:Female  Submitted:1992-06-16, Days after onset: 97
Location:South Dakota  Entered:1992-06-29, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp arthralgia in hands, malaise, aching, flu symptoms @ 40 y/o w/Engerix-B 1
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU920836
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM841A41IM 
Administered by: Other     Purchased by: Other
Symptoms: Dermatitis bullous, Influenza, Malaise, Myalgia, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: Pt recvd 2nd dose of Engerix-B mid MAR92 & exp blisters under feet, rash plus malaise, aching, flu sx;

VAERS ID:45153 (history)  Vaccinated:1991-06-11
Age:40.0  Onset:1992-02-04, Days after vaccination: 238
Gender:Male  Submitted:1992-06-17, Days after onset: 133
Location:Massachusetts  Entered:1992-06-29, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 2FEB92 result neg;
CDC Split Type: EBU920878
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM715A42  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B; titer checked 5 months p/3rd dose; titer was neg;

VAERS ID:45175 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Male  Submitted:1992-06-18
Location:Florida  Entered:1992-06-29, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU920901
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM821A43  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Reporter indicated that 28 pts recvd the Engerix-B series; 8 pts have tested neg; (3 pts tested pso p/1st booster dose, 1 pt borderline p/1st booster dose;

VAERS ID:45188 (history)  Vaccinated:1990-01-27
Age:40.0  Onset:0000-00-00
Gender:Unknown  Submitted:1992-06-16
Location:New Mexico  Entered:1992-06-29, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: all titers were checked between JUN & OCT91; titer was neg;
CDC Split Type: EBU920914
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2IMA
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Reporter indicated that pt recvd Hep B vax & did not respond;

VAERS ID:45375 (history)  Vaccinated:1992-03-03
Age:40.0  Onset:1992-03-03, Days after vaccination: 0
Gender:Female  Submitted:1992-06-11, Days after onset: 99
Location:Nebraska  Entered:1992-06-29, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921023
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1IMA
Administered by: Private     Purchased by: Private
Symptoms: Dyspnoea, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Pt recvd 2 doses of Engerix-B & a few hrs p/2nd dose 3MAR92 devel difficulty breathing & hives;

VAERS ID:45396 (history)  Vaccinated:1992-04-28
Age:40.9  Onset:0000-00-00
Gender:Female  Submitted:1992-06-15
Location:Illinois  Entered:1992-06-29, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp low titer @ 40 w/Engerix-B #3 dose;
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 21APR92 titer result 9.1RU;
CDC Split Type: EBU921044
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 3 A
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B & 21APR92 titer test indicated low titer; 28ARp92 recvd booster dose;

VAERS ID:45398 (history)  Vaccinated:1992-04-22
Age:40.1  Onset:0000-00-00
Gender:Male  Submitted:1992-06-18
Location:Illinois  Entered:1992-06-29, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Pt exp low titer & sinusitis @ 39 or 40 w/Engerix0B doses 2 & 3;
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 17ARP titer=3.5;
CDC Split Type: EBU921046
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 3IMA
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recvd 2 doses of Engerix-B 13 & 14SEP91 & was treated w/Terramycin & Celestone for sinusitis; recvd 3rd dose of Engerix-B 17ARP92 titer result was low; recvd a booster dose; second booster is being considered prior to retesting;

VAERS ID:45464 (history)  Vaccinated:1992-05-04
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:1992-06-15
Location:Iowa  Entered:1992-06-29, 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:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921108
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM841A4 IMA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dizziness, Dysgeusia, Pruritus, Rash maculo-papular, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: Pt exp redness under neck & chin, metallic taste in mouth, & lightheadedness (dizziness) 6 hrs following dose 1; pt then exp red arms & legs; also red on trunk & pruritic on 7MAY92; macular rash;

VAERS ID:45500 (history)  Vaccinated:1992-05-10
Age:40.0  Onset:1992-05-12, Days after vaccination: 2
Gender:Female  Submitted:1992-06-10, Days after onset: 29
Location:Unknown  Entered:1992-06-29, Days after submission: 19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921147
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0 A
Administered by: Private     Purchased by: Private
Symptoms: Abdominal pain, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow)
Write-up: pt exp severe abdominal pain, fever & rash in upper palate of mouth from 12MAY - 13MAY92 p/recvd 1st dose of Engerix-B;

VAERS ID:45504 (history)  Vaccinated:1991-02-06
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:1992-06-09
Location:New York  Entered:1992-06-29, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921151
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2  
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt completed Engerix-B series 16AUG90, 14SEP90, 6FEB91 & titers tested w/in last month (?APR92) & were found to be neg;

VAERS ID:45581 (history)  Vaccinated:1992-01-22
Age:40.0  Onset:1992-04-09, Days after vaccination: 78
Gender:Female  Submitted:1992-06-18, Days after onset: 70
Location:Texas  Entered:1992-06-29, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921189
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM832A43  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recvd Engerix-B & it was determined that pt did not respond; A booster dose of Engerix-B was administered 22JAN92; titer result was neg;

VAERS ID:45609 (history)  Vaccinated:1992-04-08
Age:40.0  Onset:1992-04-15, Days after vaccination: 7
Gender:Female  Submitted:1992-06-12, Days after onset: 58
Location:Tennessee  Entered:1992-06-29, Days after submission: 17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921225
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM  IMA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Malaise
SMQs:, Guillain-Barre syndrome (broad)
Write-up: 8APR92 pt recvd Engerix-B & 1 wk p/vax pt reported felt drained, felt that energy was taken out of her, felt bad (malaise, fatigue);

VAERS ID:45625 (history)  Vaccinated:1992-02-01
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:1992-06-15
Location:Texas  Entered:1992-06-29, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921242
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM813A42IMA
Administered by: Public     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd Engerix-B on AUG91, OCT91, FEB92 & reported as being a nonresponder;

VAERS ID:43517 (history)  Vaccinated:1992-07-06
Age:40.9  Onset:1992-07-08, Days after vaccination: 2
Gender:Male  Submitted:1992-07-09, Days after onset: 1
Location:Massachusetts  Entered:1992-07-13, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications:
Current Illness: NONE
Preexisting Conditions: NA
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
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Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4918116 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: rash, temp, joint achiness

VAERS ID:43568 (history)  Vaccinated:1992-07-06
Age:40.0  Onset:1992-07-06, Days after vaccination: 0
Gender:Male  Submitted:1992-07-07, Days after onset: 1
Location:Arizona  Entered:1992-07-20, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Drixorall
Current Illness: sinus drainage
Preexisting Conditions: allergy PCN
Diagnostic Lab Data: NONE
CDC Split Type: AZ9217
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM950A40IMA
Administered by: Public     Purchased by: Public
Symptoms: Oedema peripheral, Osteoarthritis, Pruritus, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (narrow)
Write-up: pt recvd vax 6JUL92 @ 1620 pt noticed itching 1800; saw hives upper torso 2100 hands & wrists swollen; to ER @ 2200; given DPH; today all clear;

VAERS ID:43578 (history)  Vaccinated:1992-06-11
Age:40.4  Onset:1992-06-11, Days after vaccination: 0
Gender:Female  Submitted:1992-06-11, Days after onset: 0
Location:Washington  Entered:1992-07-20, Days after submission: 39
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Pt exp abd cramping, nausea, diarrhea 40 y/o Hep B #1;
Other Medications:
Current Illness: NONE
Preexisting Conditions: allergies-PCN morphine bees shellfish
Diagnostic Lab Data:
CDC Split Type: WA92725
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM841A41 LA
Administered by: Public     Purchased by: Public
Symptoms: Abdominal pain, Dizziness, Nausea, Pruritus, Rash maculo-papular
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: w/in 15min extremely dizzy, stomach pains cont dizziness & nausea 3 hrs p/ Itching started about 2PM; red macular rash extremities including feet;

VAERS ID:45732 (history)  Vaccinated:1991-10-01
Age:40.0  Onset:1991-10-01, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:New York  Entered:1992-07-24
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: smoker
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91100462
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.2171S0  
Administered by: Other     Purchased by: Other
Symptoms: Injection site mass, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: pt recvd vax 1OCT91 & that afternoon pt exp induration & pain @ inject site; several days later recovered; no further details were provided;

VAERS ID:43752 (history)  Vaccinated:1992-06-03
Age:40.0  Onset:1992-06-10, Days after vaccination: 7
Gender:Female  Submitted:0000-00-00
Location:Unknown  Entered:1992-07-27
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:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)SCLAVO    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site pain, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: delayed rxn to DT; sore/redness, warm 15cm area;

VAERS ID:43787 (history)  Vaccinated:1992-05-01
Age:40.8  Onset:1992-05-01, Days after vaccination: 0
Gender:Female  Submitted:1992-07-20, Days after onset: 80
Location:Florida  Entered:1992-07-28, 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: UNK
Current Illness: NK
Preexisting Conditions: NKA
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM  IMA
Administered by: Military     Purchased by: Other
Symptoms: Arthralgia, Diarrhoea, Malaise, Nausea, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow)
Write-up: pt stated w/in 3 days of receiving vax devel fever, nausea, diarrhea, malaise; sx presented for approx 10 days; also had joint pain, lt shoulder pain; 5-7 days later but this could have been related to other activities;

VAERS ID:43811 (history)  Vaccinated:1992-02-05
Age:40.1  Onset:1992-02-08, Days after vaccination: 3
Gender:Female  Submitted:1992-04-24, Days after onset: 75
Location:Kentucky  Entered:1992-07-29, Days after submission: 96
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: KY920014
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0783T0IMA
Administered by: Public     Purchased by: Public
Symptoms: Abdominal pain, Anorexia, Chills, Diarrhoea, Hyperhidrosis, Nausea
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: abdominal pain, diarrhea x 2 days, sweating, chills, dec appetite, nausea; abdominal discomfort (tenderness) cont for several wks;

VAERS ID:43862 (history)  Vaccinated:1992-05-06
Age:40.9  Onset:1992-05-06, Days after vaccination: 0
Gender:Female  Submitted:1992-07-27, Days after onset: 82
Location:Pennsylvania  Entered:1992-07-31, 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: allergic to PNC, hormones;
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
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HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0238V0IMA
Administered by: Private     Purchased by: Private
Symptoms: Dyspnoea, Headache, Palpitations, Pruritus, Tachycardia
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 (broad)
Write-up: itching (internally & externally), h/a, tachycardia, palpitations, mild SOB; tx w/DPH;

VAERS ID:43865 (history)  Vaccinated:1992-07-18
Age:40.1  Onset:1992-07-20, Days after vaccination: 2
Gender:Female  Submitted:1992-07-27, Days after onset: 7
Location:New Jersey  Entered:1992-07-31, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
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Dose
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Site
HEP: HEP B (FOREIGN)MERCK & CO. INC.877AA   
Administered by: Public     Purchased by: Unknown
Symptoms: Anorexia, Depersonalisation, Lung disorder, Malaise, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: 36 hrs post vax; chest congestion progressed to fever over 101, malaise, anorexia, spacey feeling x 72 hrs;

VAERS ID:43947 (history)  Vaccinated:1992-07-27
Age:40.5  Onset:1992-07-27, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Indiana  Entered:1992-08-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications:
Current Illness: NONE
Preexisting Conditions: allergies-NKA to yeast;
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM973A40IMRA
Administered by: Other     Purchased by: Public
Symptoms: Hyperhidrosis, Pain, Vasodilatation
SMQs:, Neuroleptic malignant syndrome (broad)
Write-up: pt recvd vax & in later Pm c/o rt side pain & sweating & warm of rt arm;

VAERS ID:45667 (history)  Vaccinated:1991-08-27
Age:40.0  Onset:1991-08-27, Days after vaccination: 0
Gender:Female  Submitted:1991-08-29, Days after onset: 2
Location:California  Entered:1992-08-07, Days after submission: 344
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Epogen
Current Illness:
Preexisting Conditions: pt receives Epogen 3 times a wk for kidney failure;
Diagnostic Lab Data: NONE
CDC Split Type: 910161001
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES3009150IMA
Administered by: Private     Purchased by: Private
Symptoms: Injection site oedema, Injection site pain, Oedema, Pain, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)
Write-up: pt exp pain & swelling @ inject site w/in 12 hrs p/vax; following day, arm became very swollen & red; pt c/o severe pain; Epogen inject given @ a different site same day & also 1 wk prior to vax;

VAERS ID:44348 (history)  Vaccinated:1992-07-01
Age:40.5  Onset:1992-07-02, Days after vaccination: 1
Gender:Female  Submitted:1992-08-13, Days after onset: 42
Location:Hawaii  Entered:1992-08-20, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM881A40 LA
Administered by: Public     Purchased by: Private
Symptoms: Rash, Rash maculo-papular, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Pt devel rash x 2 wks, hives x 2 wks; 2mm pink macule & poss urticaria;

VAERS ID:44535 (history)  Vaccinated:1992-07-27
Age:40.3  Onset:1992-07-29, Days after vaccination: 2
Gender:Female  Submitted:1992-08-11, Days after onset: 13
Location:Michigan  Entered:1992-08-25, Days after submission: 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: allergy to sulfa
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM882A41IM 
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema, Paraesthesia, Pruritus
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: lt deltoid swollen & pink to touch 2 1/2" x 3 1/2"; t37.2, tingling in hand, fingers & wrist; rx cool compresses, advil prn; DPH for itching;

VAERS ID:44610 (history)  Vaccinated:1992-08-10
Age:40.7  Onset:1992-08-10, Days after vaccination: 0
Gender:Female  Submitted:1992-08-24, Days after onset: 14
Location:Michigan  Entered:1992-08-31, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)MICHIGAN DEPT PUB HLTH6129B  LA
Administered by: Private     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site mass
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: 5x5 diffuse, mild blanching & erythema distal to site; 4cm indurated area @ inject site; no SOB, no axillary node involvement, no fever;

VAERS ID:44646 (history)  Vaccinated:1992-06-25
Age:40.1  Onset:1992-06-26, Days after vaccination: 1
Gender:Female  Submitted:1992-07-17, Days after onset: 21
Location:North Dakota  Entered:1992-09-01, Days after submission: 46
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lo-estran
Current Illness: NONE
Preexisting Conditions: pollen related allergies-tested neg for yeast
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM922A42IMA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Asthenia, Insomnia, Osteoarthritis, Pain, Serum sickness, Vasodilatation
SMQs:, Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Arthritis (narrow)
Write-up: 26JUN 1 day post vax pt exp painful joints w/swelling, some redness & heat felt eg. feet, ankles, elbows, knees, hands was unable to sleep through the noc because of sx;

VAERS ID:44800 (history)  Vaccinated:1991-11-21
Age:40.3  Onset:1991-12-01, Days after vaccination: 10
Gender:Female  Submitted:1992-09-06, Days after onset: 279
Location:Massachusetts  Entered:1992-09-10, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
    Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications: NONE prior to onset began Nafaralin 1DEc & 14DEc d/c
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: inflammation resolved showed multiple bilat retinal defects;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49181520IMA
MEN: MENINGOCOCCAL (MENOMUNE)CONNAUGHT LABORATORIES0M210740SCA
Administered by: Private     Purchased by: Private
Symptoms: Chorioretinitis, Conjunctivitis, Optic neuritis, Photophobia, Pupillary disorder, Retinal detachment, Retinal disorder, Visual field defect
SMQs:, Severe cutaneous adverse reactions (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (narrow), Accidents and injuries (broad), Glaucoma (broad), Optic nerve disorders (narrow), Demyelination (narrow), Corneal disorders (broad), Retinal disorders (narrow), Conjunctival disorders (narrow), Ocular infections (narrow), Hypersensitivity (broad)
Write-up: 1DEC91 h/a, photophobia; 7DEC91 paralysis of rt pupil, adie''s pupil; pt seen in ER for unequal pupils to r/o aneurysm; inc chemosis; 20DEC91 impaired central vision, bilat, retinas showed mutiple serous detachments, bilat opic disc edema;

VAERS ID:44924 (history)  Vaccinated:1992-08-25
Age:40.5  Onset:1992-08-27, Days after vaccination: 2
Gender:Female  Submitted:1992-08-31, Days after onset: 4
Location:Rhode Island  Entered:1992-09-14, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: RI9206
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES1L310970IMLA
Administered by: Public     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site pain, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: 2 days p/DT pt had red,tender & warm to touch 2" area on lt deltoid site w/o fever;

VAERS ID:45979 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:1992-10-01
Location:Ohio  Entered:1992-10-05, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations: pt exp adverse rxn @40 y/o w/Recombivax #1 dose;
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92090310
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 2  
Administered by: Other     Purchased by: Other
Symptoms: Hepatic failure, Renal failure, Sepsis
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Agranulocytosis (broad), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Chronic kidney disease (narrow), Tumour lysis syndrome (broad)
Write-up: Pt recvd Hep B vax approx 1990; following 1st & 3rd injections, pt devel sepsis & hepatorenal failure; since the time of vax sx have persisted; pt is currently hospitalized in intensive care unit; addtl info has been requested;

VAERS ID:46211 (history)  Vaccinated:1992-10-05
Age:40.7  Onset:1992-10-05, Days after vaccination: 0
Gender:Male  Submitted:1992-10-07, Days after onset: 2
Location:Georgia  Entered:1992-10-13, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: Vasotec
Current Illness: NONE
Preexisting Conditions: Hypertension
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4928133   
Administered by: Private     Purchased by: Private
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: broke out flat red area over chest & stomach; no itching; gone next morning;

VAERS ID:46252 (history)  Vaccinated:1992-07-15
Age:40.0  Onset:1992-07-18, Days after vaccination: 3
Gender:Female  Submitted:1992-10-16, Days after onset: 90
Location:North Dakota  Entered:1992-10-19, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ceclor
Current Illness:
Preexisting Conditions: allergy PCN, allergy Ceclor;
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92100087
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 2IM 
Administered by: Other     Purchased by: Other
Symptoms: Anaphylactoid reaction, Anxiety, Arrhythmia, Hypersensitivity, Oedema peripheral, Pruritus, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Hypersensitivity (narrow)
Write-up: Pt recvd 3rd dose of Hep B vax on 15JUL92 & exp hypersensitivity, pruritus, a feeling of skin crawling, anxiety; 18JUL92 pt stated that had an anaphylactic reaction to Cefaclor that consisted of urticaria, swelling of hands & feet & irreg p

VAERS ID:46558 (history)  Vaccinated:1992-09-04
Age:40.0  Onset:1992-09-04, Days after vaccination: 0
Gender:Female  Submitted:1992-10-24, Days after onset: 50
Location:North Carolina  Entered:1992-10-29, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: CXR & EKG both WNL
CDC Split Type:
Vaccination
Manufacturer
Lot
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1022A40IMA
Administered by: Unknown     Purchased by: Other
Symptoms: Injection site pain, Pleural disorder
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: pleuritis that resolved over 7 days p/taking Indocin; sx onset w/12 hrs of vax; localized tenderness @ inject site that resolved spontaneously in 3 days;

VAERS ID:46642 (history)  Vaccinated:1992-10-27
Age:40.5  Onset:1992-10-27, Days after vaccination: 0
Gender:Female  Submitted:1992-10-30, Days after onset: 3
Location:North Carolina  Entered:1992-11-02, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Orudis
Current Illness: NONE
Preexisting Conditions: allergic to erythromycin
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
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FLU3: INFLUENZA (SEASONAL) (FLUOGEN)PARKE-DAVIS0019295IMLA
Administered by: Other     Purchased by: Private
Symptoms: Chest pain, Laryngospasm, Pruritus, Rhinitis
SMQs:, Anaphylactic reaction (narrow), Dystonia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: nasal congestion & drainage; itching @ eyes & throat; full feeling in larynx & trachea; chest discomfort; sx responded to Epi & DPH;

VAERS ID:46955 (history)  Vaccinated:1992-04-22
Age:40.0  Onset:1992-04-24, Days after vaccination: 2
Gender:Male  Submitted:1992-07-31, Days after onset: 98
Location:New York  Entered:1992-11-03, Days after submission: 95
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: EBU921395
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0IMA
Administered by: Other     Purchased by: Other
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Pt recvd 2 doses of Engerix-B & devel rash & itching 48 hrs p/the 1st dose; resolved;

VAERS ID:46963 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:1992-04-14
Gender:Female  Submitted:1992-09-15, Days after onset: 154
Location:Unknown  Entered:1992-11-03, 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: Catapres, Dynacirc, Moduretic, Vasotec;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Hep B surface antigen titer done 14ARP92
CDC Split Type: EBU921403
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 3  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B & determined to be neg for seroconversion;

VAERS ID:46965 (history)  Vaccinated:1992-06-10
Age:40.0  Onset:1992-06-10, Days after vaccination: 0
Gender:Female  Submitted:1992-09-18, Days after onset: 100
Location:North Carolina  Entered:1992-11-03, Days after submission: 46
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Reglan
Current Illness: NONE
Preexisting Conditions: nervous stomach;
Diagnostic Lab Data:
CDC Split Type: EBU921405
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM841A40IMA
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Chest pain, Dyspnoea, Myalgia, Nervousness
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad)
Write-up: Pt recvd a dose of Engerix-B & devel a cramping sensation in the chest (similar to a spams), SOB, restlessness, extreme fatigue & an achy feeling all over late in the afternoon;

VAERS ID:46972 (history)  Vaccinated:1992-06-02
Age:40.0  Onset:1992-06-02, Days after vaccination: 0
Gender:Female  Submitted:1992-08-03, Days after onset: 62
Location:Unknown  Entered:1992-11-03, Days after submission: 92
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: never eats eggs;
Diagnostic Lab Data:
CDC Split Type: EBU921412
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM843A4 IMA
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Glossitis, Nausea, Somnolence, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (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 (narrow)
Write-up: Pt recvd dose of Engerix-B approx 3 mins p/inject devel nausea & vomiting; tx DPH; became drowsy, lt work early to go home to sleep; missed next work day; said was still tired & tongue felt raw;

VAERS ID:47070 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:1992-09-01
Location:Unknown  Entered:1992-11-03, Days after submission: 63
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp diarrhea @ 40 y/o w/Engerix-B dose #1;
Other Medications:
Current Illness:
Preexisting Conditions: hx tachycardia; allergy sulfa drugs;
Diagnostic Lab Data:
CDC Split Type: EBU921543
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2  
Administered by: Other     Purchased by: Other
Symptoms: Diarrhoea
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: pt recvd 2 doses of Engerix-B & on the morning following each dose exp diarrhea which lasted 2 days;

VAERS ID:47609 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:1992-07-13
Location:California  Entered:1992-11-03, Days after submission: 113
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: 1989 tested non-responder p/initial series & tested non-responder p/2 boosters; 1992 remains non-responder p/3rd booster;
CDC Split Type: EBU921560
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 5  
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recvd series of 3 Engerix-B vax in 1989 & was found to be a non-responder; recvd 2 boosters in 1989 & a 3rd booster in 1992 & remains non-responder;

VAERS ID:47930 (history)  Vaccinated:1992-06-29
Age:40.0  Onset:1992-07-01, Days after vaccination: 2
Gender:Female  Submitted:1992-09-01, Days after onset: 62
Location:Oklahoma  Entered:1992-11-03, Days after submission: 63
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ASA
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921875
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1  
Administered by: Public     Purchased by: Public
Symptoms: Amnesia, Asthenia, Depression, Hypotonia, Paralysis, Pyrexia, Syncope, Thinking abnormal
SMQs:, Torsade de pointes/QT prolongation (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Depression (excl suicide and self injury) (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: Pt recvd 2 doses of Engerix-B & exp no reaction following 1st dose but 2nd day p/dose 2 pt fainted & then had total paralysis for over 3 hrs; also exp memory loss, was extremely tired, had fever & tried to do bodily harm; 30JUN92 seen in ER

VAERS ID:47965 (history)  Vaccinated:1992-07-21
Age:40.0  Onset:1992-07-21, Days after vaccination: 0
Gender:Female  Submitted:1992-09-18, Days after onset: 59
Location:Connecticut  Entered:1992-11-03, Days after submission: 46
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: EBU921805
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM   A
Administered by: Private     Purchased by: Private
Symptoms: Chills, Headache, Vasodilatation
SMQs:
Write-up: Pt recvd 1 dose of Engerix-B & 3 hrs p/receiving vax devel h/a & hot & cold flashes; tx unk;

VAERS ID:48124 (history)  Vaccinated:1992-07-08
Age:40.0  Onset:1992-08-05, Days after vaccination: 28
Gender:Male  Submitted:1992-08-31, Days after onset: 26
Location:Michigan  Entered:1992-11-03, Days after submission: 64
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921876
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM950A42IMA
Administered by: Other     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B & 5AUG92 HBSAB titer was neg; may receive addtl vax doses;

VAERS ID:48130 (history)  Vaccinated:1992-02-01
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:1992-08-28
Location:Arizona  Entered:1992-11-03, Days after submission: 67
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921983
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM813A42  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B & was determined to be a non-responder;

VAERS ID:48318 (history)  Vaccinated:1991-12-04
Age:40.0  Onset:1992-03-13, Days after vaccination: 100
Gender:Female  Submitted:1992-08-20, Days after onset: 159
Location:North Carolina  Entered:1992-11-03, Days after submission: 75
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 13MAR92 titer result neg;
CDC Split Type: EBU921678
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM827A42  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B & exp a neg titer result p/3rd dose;

VAERS ID:48509 (history)  Vaccinated:1991-12-17
Age:40.0  Onset:1992-04-21, Days after vaccination: 126
Gender:Female  Submitted:1992-08-20, Days after onset: 121
Location:North Carolina  Entered:1992-11-03, Days after submission: 75
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 21APR92 titer result neg;
CDC Split Type: EBU921683
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM827A42  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B & exp a neg titer result p/3rd dose;

VAERS ID:48515 (history)  Vaccinated:1991-05-09
Age:40.0  Onset:1991-09-09, Days after vaccination: 123
Gender:Female  Submitted:1992-08-20, Days after onset: 346
Location:North Carolina  Entered:1992-11-03, Days after submission: 75
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 9SEP91 titer result neg;
CDC Split Type: EBU921689
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM637A42  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B & exp a neg titer result p/3rd dose;

VAERS ID:48529 (history)  Vaccinated:1991-04-03
Age:40.0  Onset:1991-10-25, Days after vaccination: 205
Gender:Female  Submitted:1992-09-08, Days after onset: 319
Location:Kentucky  Entered:1992-11-03, Days after submission: 56
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: 25OCT91 Anti HBS 10;
CDC Split Type: EBU921703
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 3  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: nonresponse;

VAERS ID:48565 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:1992-08-24
Location:Florida  Entered:1992-11-03, Days after submission: 71
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vaseretic, Vitamin B6;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921741
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM881A4   
Administered by: Private     Purchased by: Private
Symptoms: Myalgia, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: Pt recvd 1 dose of Engerix-B & following dose exp severe rash head to toe;

VAERS ID:48894 (history)  Vaccinated:1992-08-12
Age:40.0  Onset:1992-08-13, Days after vaccination: 1
Gender:Female  Submitted:1992-08-31, Days after onset: 18
Location:New Jersey  Entered:1992-11-03, Days after submission: 64
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp adverse reaction w/Tetanus shot;
Other Medications: centrum;
Current Illness:
Preexisting Conditions: hx of tetanus shot reaction;
Diagnostic Lab Data:
CDC Split Type: EBU922018
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM973A41IMA
Administered by: Private     Purchased by: Private
Symptoms: Agitation, Headache, Hypertonia, Insomnia, Myalgia, Pruritus, Somnolence
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad)
Write-up: 13AUG92 devel arm stiffness, itching @ inject site, sleepy, irritability, mild h/a, sore arm & sleeping difficulty;

VAERS ID:48958 (history)  Vaccinated:1989-01-24
Age:40.0  Onset:0000-00-00
Gender:Unknown  Submitted:1992-09-01
Location:Ohio  Entered:1992-11-03, Days after submission: 63
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: EBU922087
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2  
Administered by: Public     Purchased by: Public
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recvd 3 doses of Engerix-B & failed to seroconvert;

VAERS ID:48975 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:1992-09-14
Location:Unknown  Entered:1992-11-03, 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: titer result neg;
CDC Split Type: EBU922105
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2IMA
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recvd 3 doses of Engerix-B & did not seroconvert 8 wks p/last dose;

VAERS ID:48988 (history)  Vaccinated:1992-08-10
Age:40.0  Onset:1992-08-20, Days after vaccination: 10
Gender:Female  Submitted:1992-09-03, Days after onset: 14
Location:Ohio  Entered:1992-11-03, Days after submission: 61
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU922120
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1IMA
Administered by: Public     Purchased by: Other
Symptoms: Dizziness, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad)
Write-up: pt recvd 2 doses of vax 2nd dose was administered 10AUG92; 20AUG92 pt exp dizziness & muscle soreness in arm;

VAERS ID:46793 (history)  Vaccinated:1992-10-26
Age:40.8  Onset:1992-10-26, Days after vaccination: 0
Gender:Female  Submitted:1992-11-05, Days after onset: 10
Location:New Mexico  Entered:1992-11-09, Days after submission: 4
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp SOB w/Engerix-B vax dose #1;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU922765
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM986A41IMA
Administered by: Public     Purchased by: Private
Symptoms: Asthenia, Dyspnoea, Pharyngitis
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Oropharyngeal infections (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad)
Write-up: Pt recvd 2nd dose of vax 26OCT92 & devel inc SOB-was admitted to ER & treated w/Solumedrol; 2nd inject was life-threatening;

VAERS ID:47090 (history)  Vaccinated:1992-11-04
Age:40.3  Onset:1992-11-05, Days after vaccination: 1
Gender:Female  Submitted:1992-11-06, Days after onset: 1
Location:Ohio  Entered:1992-11-10, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NA
Current Illness: NA
Preexisting Conditions: NA
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID (NO BRAND NAME)CONNAUGHT LABORATORIES0G21136 IM 
Administered by: Other     Purchased by: Public
Symptoms: Injection site oedema, Myositis
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: local swelling/edema/myositis of lt triceps area;

VAERS ID:47201 (history)  Vaccinated:1992-10-29
Age:40.1  Onset:1992-11-02, Days after vaccination: 4
Gender:Female  Submitted:1992-11-06, Days after onset: 4
Location:California  Entered:1992-11-13, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: PCN
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES2F41082 IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site pain, Pruritus, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: 4 days p/inject, raised, erythematous, warm lesion around inject site; pt states painful & pruritic;

VAERS ID:47379 (history)  Vaccinated:1992-11-05
Age:40.9  Onset:1992-11-05, Days after vaccination: 0
Gender:Male  Submitted:1992-11-06, Days after onset: 1
Location:Tennessee  Entered:1992-11-20, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC Split Type: TN92146
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49282330 A
Administered by: Public     Purchased by: Public
Symptoms: Anorexia, Chills, Myalgia, Nausea, Pharyngitis, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad)
Write-up: chills, t102, muscle aches, nausea, loss of appetite, sore throat; pt''s daughter was dx w/strep throat 2 wks ago;

VAERS ID:47438 (history)  Vaccinated:1992-10-23
Age:40.6  Onset:1992-11-12, Days after vaccination: 20
Gender:Female  Submitted:1992-11-13, Days after onset: 1
Location:California  Entered:1992-11-23, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Calcium Multi vit
Current Illness: NONE
Preexisting Conditions: rheumatoid arthritis
Diagnostic Lab Data: neg Rubella titer prior hx neg serology-Rheumtoid arthritis;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.0222Y0SC 
Administered by: Private     Purchased by: Private
Symptoms: Neck pain, Oedema peripheral, Osteoarthritis, Pain
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (narrow)
Write-up: awoke w/swelling hand, wrists/ankle joint; painful, no redness, some ache in neck; no lymph nor rash;

VAERS ID:47652 (history)  Vaccinated:1992-11-10
Age:40.1  Onset:1992-11-15, Days after vaccination: 5
Gender:Male  Submitted:1992-11-19, Days after onset: 4
Location:Maine  Entered:1992-12-03, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: culture for strep neg;
CDC Split Type: ME92029
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4928115 IMLA
Administered by: Other     Purchased by: Private
Symptoms: Infection, Pharyngitis
SMQs:, Agranulocytosis (broad), Oropharyngeal infections (narrow)
Write-up: went to MD 18NOV; sore throat 15NOV progressive; very red, inflammed throat; poss strep, cultured not strep; viral infect;

VAERS ID:49202 (history)  Vaccinated:1988-01-14
Age:40.8  Onset:1988-02-12, Days after vaccination: 29
Gender:Male  Submitted:1992-12-08, Days after onset: 1761
Location:New York  Entered:1992-12-11, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 12FEB88 anti-HBc-pos; Anti-HBs-pos;
CDC Split Type: WAES88020569
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1590N0IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Infection
SMQs:
Write-up: Pt recvd Recombivax HB vax 14JAN88 & 12FEB88 lab eval revealed Hep B surface Antigen neg, Hep B surface Antibody pos, Hep B core Antibody pos & nl liver function tests; Reporting MD felt pts exp was poss due to vax w/Hep B;

VAERS ID:48150 (history)  Vaccinated:1992-11-10
Age:40.0  Onset:1992-11-12, Days after vaccination: 2
Gender:Male  Submitted:1992-12-10, Days after onset: 28
Location:Florida  Entered:1992-12-17, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU922892
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Cellulitis, Face oedema, Hypersensitivity, Oedema peripheral, Pruritus, Serum sickness, Skin nodule, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Pt recvd 1st dose of Engerix-B & exp a migratory allergic reaction; 12NOV92 noticed red nodule on finger; 13NOV92 hand swollen to elbow & adm to hsop; dx was acute cellulitis secondary to allergic reaction; 16NOV92 devel swelling & soreness

VAERS ID:49178 (history)  Vaccinated:1992-03-08
Age:40.5  Onset:1992-03-08, Days after vaccination: 0
Gender:Male  Submitted:1992-03-18, Days after onset: 10
Location:West Virginia  Entered:1992-12-17, Days after submission: 274
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 892133002L
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)PFIZER/WYETH4908074 IM 
Administered by: Military     Purchased by: Military
Symptoms: Injection site hypersensitivity, Injection site oedema, Nausea
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), Hypersensitivity (narrow)
Write-up: pt recvd Typhoid vax & devel redness & swelling @ inject site; 2 days following inject devel nausea which lasted for 2 to 3 days;

VAERS ID:49241 (history)  Vaccinated:1991-10-31
Age:40.8  Onset:1991-11-21, Days after vaccination: 21
Gender:Male  Submitted:1992-06-19, Days after onset: 210
Location:New Jersey  Entered:1992-12-22, Days after submission: 186
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: 1 epidosemechanical low back pain
Diagnostic Lab Data:
CDC Split Type: CO4339
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES1J21118   
Administered by: Military     Purchased by: Military
Symptoms: Myositis, Neuritis
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow)
Write-up: neuritis, myocytis in the lt deltoid; treated w/physicial therapy & non steroidals;

VAERS ID:48464 (history)  Vaccinated:1992-11-09
Age:40.2  Onset:1992-11-09, Days after vaccination: 0
Gender:Male  Submitted:1992-11-09, Days after onset: 0
Location:Alaska  Entered:1992-12-29, Days after submission: 50
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: hx of alcohalism
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: AK92035
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES3249540 RA
Administered by: Other     Purchased by: Public
Symptoms: Arrhythmia, Chest pain, Cyanosis, Stupor, Syncope, Vasodilatation
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Hypotonic-hyporesponsive episode (broad)
Write-up: pt recvd rt deltoid @ 1400; 3-4 mins p/vax reported feeling blood rushing to head-assisted to exam table; became cyanotic, 30-45 sec non responsive & cyanotic, feet moving then c/o cramping in chest; dx vasovagal response; arrythmias;

VAERS ID:48473 (history)  Vaccinated:1991-12-30
Age:40.2  Onset:1992-01-17, Days after vaccination: 18
Gender:Female  Submitted:1992-10-08, Days after onset: 264
Location:Puerto Rico  Entered:1992-12-29, Days after submission: 82
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: PR9211
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM827A42IMA
Administered by: Public     Purchased by: Private
Symptoms: Neuritis, Purpura, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Hypersensitivity (narrow)
Write-up: purpura, neuritis, urticaria;

VAERS ID:49120 (history)  Vaccinated:1992-07-23
Age:40.2  Onset:1992-07-25, Days after vaccination: 2
Gender:Female  Submitted:1993-01-15, Days after onset: 174
Location:Ohio  Entered:1993-01-19, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt same sx to tet tox @ unk age; pt exp h/a, nausea, malaise @ 40 y/o 1st HEP B
Other Medications: HTZ, vitamins
Current Illness: NONE
Preexisting Conditions: allergy to codeine, Ampicilllin; sensitive to tet tox;
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM989A41IMLA
Administered by: Private     Purchased by: Private
Symptoms: Headache, Malaise, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: h/a, nausea, malaise-began day p/vax lasted 2 days; w/dose #2 same sx-more sever h/a-began 2 days p/vax-lasted 1 wk;

VAERS ID:49307 (history)  Vaccinated:1992-04-03
Age:40.4  Onset:1992-04-17, Days after vaccination: 14
Gender:Female  Submitted:1993-01-21, Days after onset: 279
Location:California  Entered:1993-01-25, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None;
Current Illness:
Preexisting Conditions: Allergy aspirin, tension h/a; medical hx: ulcer, gallstones, GERD, cystocele, gastritis, hyperventilation, hypesthesia;
Diagnostic Lab Data: ESR-72; ANA-1:40 less than; Antithyroid antibody neg; Anti-smooth muscle AB neg; RNP-anti; Anti-SSA-0; ANti-SSB-0; Immune complex-12.5 nl; Raji cell assay 15nl; C-3 level-53 nl; C reactive protein neg; Rheumatoid factor neg;
CDC Split Type: WAES92090368
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1250T1  
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Condition aggravated, Immune system disorder, Myalgia, Neuropathy, Serum sickness, Systemic lupus erythematosus, Vasculitis
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Systemic lupus erythematosus (narrow), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Vasculitis (narrow), Hypersensitivity (narrow), Arthritis (broad)
Write-up: 3APR92 recvd 2nd dose of vax & 17APR92 devel elevated liver enzymes, muscle aches, joint swelling, elevated ESR, a blistering-type rash, chills, fever, post nasal drip, arthritic pain, pharyngitis, tachycardia, fainting, & photosensitivity;

VAERS ID:49781 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:1992-11-10
Location:Wisconsin  Entered:1993-02-03, Days after submission: 85
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: pt is allergic to tetracycline, sulfa, ludiomil, & Tylenol;
Diagnostic Lab Data: NONE
CDC Split Type: 892324003E
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH  IMLA
Administered by: Private     Purchased by: Private
Symptoms: Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: pt recvd flu vax & exp itching around the site of inject;

VAERS ID:49793 (history)  Vaccinated:1992-05-11
Age:40.4  Onset:1992-05-15, Days after vaccination: 4
Gender:Female  Submitted:1992-06-03, Days after onset: 19
Location:Virginia  Entered:1993-02-09, Days after submission: 251
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: no allergy history
Diagnostic Lab Data:
CDC Split Type: CO4270
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES0M21075   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: swelling the size of an orange on 15MAY92, seen on 18MAY92 w/hard nodule approx 3/4-1" in diameter; red area 1 1/2" square; treated w/DPH;

VAERS ID:49821 (history)  Vaccinated:1992-06-04
Age:40.7  Onset:1992-06-06, Days after vaccination: 2
Gender:Female  Submitted:1992-07-09, Days after onset: 33
Location:South Carolina  Entered:1993-02-10, Days after submission: 216
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM881A41IMA
Administered by: Public     Purchased by: Public
Symptoms: Influenza
SMQs:
Write-up: flu-like sx;

VAERS ID:49822 (history)  Vaccinated:1992-05-12
Age:40.2  Onset:1992-05-13, Days after vaccination: 1
Gender:Female  Submitted:1992-07-09, Days after onset: 57
Location:South Carolina  Entered:1993-02-10, Days after submission: 216
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM857A40IMA
Administered by: Public     Purchased by: Public
Symptoms: Influenza
SMQs:
Write-up: flu-like symptoms;

VAERS ID:49929 (history)  Vaccinated:1993-01-20
Age:40.9  Onset:1993-01-26, Days after vaccination: 6
Gender:Female  Submitted:1993-01-29, Days after onset: 3
Location:Texas  Entered:1993-02-16, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: TX93007
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES1C310200IMRA
Administered by: Public     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site pain, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: local reaction red, hot painful deltoid area pink p/vax;

VAERS ID:49937 (history)  Vaccinated:1992-08-17
Age:40.5  Onset:1992-09-11, Days after vaccination: 25
Gender:Male  Submitted:1993-02-01, Days after onset: 143
Location:Washington  Entered:1993-02-16, Days after submission: 15
Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: WA93853
Vaccination
Manufacturer
Lot
Dose
Route
Site
CHOL: CHOLERA (USP)PFIZER/WYETH4918094  A
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)PFIZER/WYETH4928054  A
Administered by: Public     Purchased by: Unknown
Symptoms: Back pain, Dyspnoea, Guillain-Barre syndrome, Myalgia, Pain, Urinary tract infection
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (narrow), Cardiomyopathy (broad), Demyelination (narrow), Eosinophilic pneumonia (broad)
Write-up: On AM of 11SEP rapid onset of low back pain; to ER for UTI; given sulfa; muscle pain progressed up shoulders & arms; also mid back; 12SEP pain in back & shoulders inc & breathing became very labored; dx GBS;

VAERS ID:50099 (history)  Vaccinated:1992-10-20
Age:40.4  Onset:1992-10-20, Days after vaccination: 0
Gender:Female  Submitted:1992-10-20, Days after onset: 0
Location:Georgia  Entered:1993-02-18, Days after submission: 121
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: 892301003K
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49282360IMRA
Administered by: Military     Purchased by: Public
Symptoms: Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: pt recvd flu vax & exp itching 3 hrs later; pruritus affected face, head, back, shoulders, & arms; given DPH;

VAERS ID:50122 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Unknown  Submitted:1992-10-09
Location:New Jersey  Entered:1993-02-18, Days after submission: 132
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 892304016K
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4928113 IM 
Administered by: Other     Purchased by: Other
Symptoms: Dizziness, Neck pain, Pain
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad), Arthritis (broad)
Write-up: pt recvd flu vax & exp immed lt arm pain which radiated to the neck & shoulders & lightheadedness;

VAERS ID:50148 (history)  Vaccinated:1992-10-19
Age:40.2  Onset:1992-10-20, Days after vaccination: 1
Gender:Female  Submitted:1992-10-22, Days after onset: 2
Location:Ohio  Entered:1993-02-18, Days after submission: 119
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: pt is allergic to dust, dust mites, molds & grass;
Diagnostic Lab Data:
CDC Split Type: 892314017K
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4928232 IM 
Administered by: Private     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt recvd flu vax & 16 to 24 hrs later, pt devel pain, swelling, redness, induration, & warmth @ the inject site; reaction lasted 4-5 days;

VAERS ID:50604 (history)  Vaccinated:1991-11-26
Age:40.0  Onset:1991-12-01, Days after vaccination: 5
Gender:Male  Submitted:0000-00-00
Location:Arizona  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Allopurinol
Current Illness:
Preexisting Conditions: gout
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92010405
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 2  
Administered by: Other     Purchased by: Other
Symptoms: Hepatic function abnormal
SMQs:, Liver related investigations, signs and symptoms (narrow)
Write-up: Pt recvd 3 doses Hep B on 2MAY91, 3JUN91 & 26NOV91 & DEC91 lab eval showed elevated liver enzymes; no futher details were provided;

VAERS ID:50612 (history)  Vaccinated:1991-09-20
Age:40.5  Onset:1991-09-28, Days after vaccination: 8
Gender:Female  Submitted:0000-00-00
Location:Wisconsin  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: x-ray indicated that vertebrae of C3-T2 were out of alignment causing pressure on nerve;
CDC Split Type: WAES92010606
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 2IM 
Administered by: Other     Purchased by: Other
Symptoms: Bone disorder, Myasthenic syndrome, Neck pain, Pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Malignancy related conditions (narrow), Guillain-Barre syndrome (broad), Arthritis (broad)
Write-up: pt recvd 3 doses of Hep B vax in FEB91, MAR91, & 20SEP91 & 28SEP91 devel numbness of 4th & 5th fingers; heaviness of the entire arm; pain in the cervical area of the neck that radiated down the lt shoulder to lt arm;

VAERS ID:50809 (history)  Vaccinated:1991-10-04
Age:40.8  Onset:1992-01-15, Days after vaccination: 103
Gender:Female  Submitted:0000-00-00
Location:Michigan  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ortho Novum, Hismanal;
Current Illness:
Preexisting Conditions: bleeding, uterine, dysfunctional;
Diagnostic Lab Data: DEC91 SGOT 35; SGPT 48; 15JAN92 SGOT 46; SGPT 58; LDP 236; MAY92 SGoT 33; SGPT 47;
CDC Split Type: WAES92030452
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)UNKNOWN MANUFACTURER    
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1  
Administered by: Private     Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood lactate dehydrogenase increased, Hepatic function abnormal
SMQs:, Liver related investigations, signs and symptoms (narrow)
Write-up: pt recvd 2nd dose of Hep B vax on 4OCT91 & on 15JAN92 pt noted to have inc liver enzymes however was asymptomatic; in MAY92 repeat lab eval showed SGOT & SGPT nl; No further details were provided;

VAERS ID:50811 (history)  Vaccinated:1992-03-19
Age:40.7  Onset:1992-03-25, Days after vaccination: 6
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp rectal bleeding w/bloody mucous discharge from rectum & diarrhea @ 40 y/o
Other Medications:
Current Illness:
Preexisting Conditions: lupus erythematosus, discoid; Sjogren''s synd
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92030455
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1250T1IM 
Administered by: Private     Purchased by: Private
Symptoms: Pain
SMQs:
Write-up: Pt recvd 1st dose of Hep B vax on 20FEB92 & on 27FEB92 devel rectal bleeding w/ a bloody mucous discharge from rectum; c/o mild diarrhea; p/2nd dose exp cramping;

VAERS ID:50819 (history)  Vaccinated:1992-03-13
Age:40.3  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Wisconsin  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp weakness, chills, fever & dizziness & h/a @ 40 y/o w/Recombivax & TTox #1
Other Medications: Prozac, Klonopin, Nortriptyline; Pt recvd Recombivax HB on 13FEB92 lot# 1198T & TTOX BY Sclavo lot# 099A1 on 13FEB92;
Current Illness:
Preexisting Conditions: allergy, aspirin
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92030601
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1  
Administered by: Private     Purchased by: Private
Symptoms: Asthenia
SMQs:, Guillain-Barre syndrome (broad)
Write-up: Pt recvd 2nd dose of Hep B vax on 13MAR92 & exp sl fatigue for a couple of days; @ the time of report pt had recovered;

VAERS ID:50991 (history)  Vaccinated:1992-03-18
Age:40.0  Onset:1992-04-15, Days after vaccination: 28
Gender:Female  Submitted:0000-00-00
Location:Texas  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: melanoma
Diagnostic Lab Data: 15APR92 LDH-599; SGOT 316; SGPT 332; Serum iron 20; Hemoglobin 9.9; 27APR92 SGOT 48; SGPT 76;
CDC Split Type: WAES92040652
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0230V0IM 
Administered by: Other     Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood lactate dehydrogenase increased, Hypochromic anaemia
SMQs:, Liver related investigations, signs and symptoms (narrow)
Write-up: Pt recvd Hep B vax on 18MAR92 & on 15APR92 & lab eval revealed LDH 599, SGOT 316, SGPT 332, serum iron 20 & HGB 9.9; repeat eval on 27APR92 revealed SGOT 48, SFPT 76 & all other studies nl;

VAERS ID:51000 (history)  Vaccinated:1992-04-22
Age:40.0  Onset:1992-04-22, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Maryland  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 9APR92 Anti-HBs neg; Anti-HBs pos;
CDC Split Type: WAES92040897
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0229V3IM 
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Influenza, Injection site hypersensitivity, Injection site oedema, Injection site pain, Myalgia, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Pt recvd 3 doses of Hep B vax & on 9APR92 lab eval was neg for Hep B surface antibody; 22APR92 recvd booster dose & exp pain in muscle @ inject site & local flare; also myalgia, arthralgia, flu-like synd & nausea, swelling @ inject site;

VAERS ID:51116 (history)  Vaccinated:1991-11-20
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Maine  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92050816
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1IM 
Administered by: Private     Purchased by: Other
Symptoms: Serum sickness
SMQs:, Hypersensitivity (narrow)
Write-up: Pt recvd 2 doses of Hep B vax on 16OCT91 & 20NOV91 & following 2nd dose exp serum sickness;

VAERS ID:51131 (history)  Vaccinated:1992-05-01
Age:40.5  Onset:1992-05-11, Days after vaccination: 10
Gender:Male  Submitted:0000-00-00
Location:Ohio  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92050983
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Other
Symptoms: Back pain, Hypokinesia, Myalgia, Neck pain, Nuchal rigidity, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad)
Write-up: Pt recvd vax on 1MAY92 & on 11MAy92 pt presented to MD c/o myalgia w/neck stiffness & pain in the neck, shoulder, & lower back; pt exp marked dec ROM;

VAERS ID:51136 (history)  Vaccinated:1992-05-19
Age:40.0  Onset:1992-05-19, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Wisconsin  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92060016
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0409V0IM 
Administered by: Other     Purchased by: Private
Symptoms: Injection site pain, Insomnia, Myalgia, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad)
Write-up: Pt recvd vax on 19MAY92 & exp soreness & pain @ the inject site; on 20MAY92 exp numbness & a tingling sensation that radiated down lt arm into lt hand; pt had trouble sleeping because of arm soreness; seen by MD who found sx to be unrelated

VAERS ID:51190 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Virginia  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92060428
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Pharyngitis
SMQs:, Agranulocytosis (broad), Oropharyngeal infections (narrow)
Write-up: Pt recvd Hep B vax in approx 1991 & exp pharyngeal swelling & devel deviated uvula;

VAERS ID:51292 (history)  Vaccinated:1992-05-15
Age:40.8  Onset:1992-05-15, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Iowa  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Phenobarbital
Current Illness:
Preexisting Conditions: seizure disorder; allergy, PCN; allergy, sulfa
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92060722
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0310V0  
Administered by: Other     Purchased by: Private
Symptoms: Convulsion, Headache, Hyperhidrosis, Hypertension, Hyperventilation, Stupor, Tachycardia, Tremor
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypertension (narrow), Eosinophilic pneumonia (broad), Generalised convulsive seizures following immunisation (narrow)
Write-up: Pt recvd vax on 15MAY92 & 1/2 hr later exp h/a, lips felt funny, devel bilateral hand tremors; BP 150/80; inc to 100; devel diaphoresis & shaking; staring spell, pulse was 140 & respiration was 28; had sz; generalized rash;

VAERS ID:51331 (history)  Vaccinated:1991-04-19
Age:40.0  Onset:1991-04-20, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Illinois  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 30JUN92 Hep B Surface Antibody pos;
CDC Split Type: WAES92060907
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.2190S1IM 
Administered by: Public     Purchased by: Public
Symptoms: Hypokinesia, Injection site hypersensitivity, Injection site oedema, Lymphadenopathy, Nuchal rigidity
SMQs:, Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: Pt recvd vax 19APR91 & on 20APR91 devel swelling & redness @ the inject site, dec ROM, & an enlarged lymph node under lt arm; 22APR91 devel stiff neck on the lt side;

VAERS ID:51347 (history)  Vaccinated:1992-06-30
Age:40.8  Onset:1992-06-30, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Maryland  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92070080
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0584V0IM 
Administered by: Private     Purchased by: Private
Symptoms: Abdominal pain, Asthenia, Diarrhoea, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Pt recvd vax on 30JUN92 & w/in 4 hrs of vax devel severe abdo cramps, nausea, vomiting, diarrhea, felt weak & tired; sx persisted for approx 36 hrs then resolved;

VAERS ID:51348 (history)  Vaccinated:1992-06-07
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Texas  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92070130
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1  
Administered by: Other     Purchased by: Other
Symptoms: Hepatitis, Infection, Rash
SMQs:, Hepatitis, non-infectious (narrow), Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Pt recvd vax on 7JUN92 & devel rash behind legs, & lab eval revealed that pt was pos for Hep C & neg in supplemental testing; No further details were provided;

VAERS ID:51349 (history)  Vaccinated:1992-05-13
Age:40.0  Onset:1992-05-13, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92070158
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0103V0  
Administered by: Private     Purchased by: Private
Symptoms: Chills, Diarrhoea, Influenza, Nausea, Pyrexia, Somnolence, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Pt recvd 1st dose of vax 13MAY92 & w/in 24 hrs, exp nausea, w/in 48 hrs devel diarrhea & vomiting; w/in 72 hrs devel fever & chills, flu-like sx cont for 1 wk; also exp lethargy for 2 wks following inject;

VAERS ID:51356 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Colorado  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92070235
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0583V0  
Administered by: Other     Purchased by: Other
Symptoms: Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Pt recvd vax & felt nauseated & queasy following vax;

VAERS ID:51383 (history)  Vaccinated:1992-10-23
Age:40.6  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Pennsylvania  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt recvd vax & h/a, nausea, dry heaves, tingling & numbness of lips, loss of app
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92070436
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1  
Administered by: Other     Purchased by: Other
Symptoms: Headache, Myasthenic syndrome
SMQs:, Malignancy related conditions (narrow)
Write-up: Pt recvd 2nd dose of vax on 23OCT92 & exp heaviness in arms & a sl h/a for 24 hrs; No further details were provided;

VAERS ID:51439 (history)  Vaccinated:1992-06-26
Age:40.6  Onset:1992-06-26, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Ohio  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergy,, tetanus toxoid; allergy, ampicillin; allergy, bee stings;
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92070587
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0268V0IM 
Administered by: Other     Purchased by: Other
Symptoms: Headache, Injection site pain, Nausea, Photosensitivity reaction, Rash maculo-papular, Urticaria, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Systemic lupus erythematosus (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow)
Write-up: Pt recvd vax 26JUN92 & 26JUN92 exp soreness @ the inject site; exp nausea; face seemed warm to touch; devel large, blotchy patches accompanied by hives; facial flushing, h/a & photosensitivity;

VAERS ID:51659 (history)  Vaccinated:1992-08-06
Age:40.3  Onset:1992-08-06, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Pennsylvania  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Vaginitis;
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92080696
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0858V0IMLA
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Dyspepsia, Face oedema, Hypertension, Injection site hypersensitivity, Myalgia, Pruritus, Tachycardia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific dysfunction (narrow), Hypertension (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: Pt recvd vax 6AUG92 & a few hrs later exp malaise, achiness in lt arm;later exp redness @ inject site; tx DPH;7AUG92 exp fatigue & gastrointestinal distress; became diaphoretic & gastrointestinal upset inc;h/a, dizziness & skin felt clammy;

VAERS ID:51675 (history)  Vaccinated:1992-07-17
Age:40.2  Onset:1992-07-18, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:North Carolina  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Antibiotics, nos
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92080811
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0682V0IM 
Administered by: Other     Purchased by: Private
Symptoms: Injection site haemorrhage, Injection site pain
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad)
Write-up: Pt recvd vax on 17JUL92 & w/in 24 hrs of vax pt devel local reaction consisting of hematoma & pain @ the inject site; Did not devel a fever or any systemic complaints; pt recovered in approx 4 days;

VAERS ID:51731 (history)  Vaccinated:1992-08-14
Age:40.0  Onset:1992-08-14, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Massachusetts  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92080855
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0748V0  
Administered by: Other     Purchased by: Other
Symptoms: Headache, Injection site oedema, Myalgia, Pain, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad)
Write-up: Pt recvd vax 14AUG92 & on afternoon of 14AUG92 pt devel fever, generalized aches & pains, h/a, sore arm & swelling @ the inject site;

VAERS ID:51739 (history)  Vaccinated:1992-07-01
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Oklahoma  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92080946
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Other
Symptoms: Pain, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Pt recvd vax in JUL92 & devel an urticarial eruption w/a diffuse burning;

VAERS ID:52046 (history)  Vaccinated:1992-06-17
Age:40.9  Onset:1992-06-18, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: no relevant data;
CDC Split Type: WAES92090636
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0IM 
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Dyspnoea, Influenza, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad)
Write-up: Pt recvd vax & exp SOB; No further details were provided;

VAERS ID:52194 (history)  Vaccinated:1992-08-27
Age:40.2  Onset:1992-09-03, Days after vaccination: 7
Gender:Female  Submitted:0000-00-00
Location:Pennsylvania  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92100361
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0859V0IM 
Administered by: Other     Purchased by: Other
Symptoms: Hypertonia, Pain
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad)
Write-up: Pt recvd vax on 27AUG92 & approx 1 to 2 wks following vax exp stiffness in jaw, pain & stiffness in inject arm;

VAERS ID:52239 (history)  Vaccinated:1992-10-08
Age:40.8  Onset:1992-10-08, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Connecticut  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp h/a w/Recombivax #1 dose;
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 10NOV92 Anti-HBs <10 neg;
CDC Split Type: WAES92100532
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0935V1IM 
Administered by: Other     Purchased by: Other
Symptoms: Headache, Nervousness
SMQs:
Write-up: Pt recvd 2nd dose of vax 24 to 48 hrs later exp severe h/a & flu-like sx in neck & shoulders; No further details were provided;

VAERS ID:52443 (history)  Vaccinated:1992-09-23
Age:40.0  Onset:1992-09-24, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:New Jersey  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92100683
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0858V0IM 
Administered by: Other     Purchased by: Other
Symptoms: Dermatitis exfoliative, Headache, Malaise, Pyrexia, Somnolence
SMQs:, Severe cutaneous adverse reactions (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypersensitivity (narrow)
Write-up: Pt recvd vax on 23SEp92 & the following day pt devel h/a, fever & exp lethargy & malaise; it was subsequently reported that the pt was dx w/pityriasis; pt''s exp was not considered to be related to the vax; No further details were provided;

VAERS ID:52779 (history)  Vaccinated:1992-03-17
Age:40.7  Onset:1992-03-17, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: splenectomy, s/p;
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92110067
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1218T0IM 
Administered by: Public     Purchased by: Public
Symptoms: Chills, Malaise
SMQs:
Write-up: Pt recvd vax 17MAR93 & w/in 24 hrs following vax pt devel cold chills, malaise & was not feeling well;

VAERS ID:52842 (history)  Vaccinated:1992-11-10
Age:40.1  Onset:1992-11-13, Days after vaccination: 3
Gender:Male  Submitted:0000-00-00
Location:Indiana  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92110841
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 2IM 
Administered by: Public     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site pain, Myalgia, Pruritus, Rash maculo-papular
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: Pt recvd vax & 4 days following vax exp soreness & itching @ inject site & devel redness & raised bumps @ the inject site; No further details were provided;

VAERS ID:53015 (history)  Vaccinated:1992-12-02
Age:40.7  Onset:1992-12-02, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Wisconsin  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp some local aching @ 40y/o w/Recombivax #2;
Other Medications: flu shot;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92121235
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0842V2IMLA
Administered by: Other     Purchased by: Other
Symptoms: Ecchymosis, Injection site hypersensitivity, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: Pt recvd vax 2DEC92 & 4 hrs following inject pt exp aching from lt upper arm to shoulder; also devel a bruise about size of a quarter @ inject site & had a blister from where the bandaid covered the inject site;

VAERS ID:53039 (history)  Vaccinated:1992-10-21
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:New Jersey  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: premarin;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 26DEC92 WBC Count 2.9; ESR high;
CDC Split Type: WAES92121425
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1IM 
Administered by: Other     Purchased by: Other
Symptoms: Erythema nodosum, Laboratory test abnormal, Leukopenia, Red blood cell sedimentation rate increased
SMQs:, Haematopoietic leukopenia (narrow), Systemic lupus erythematosus (broad), Hypersensitivity (narrow)
Write-up: Pt recvd vax 21OCT92 & recvd hep B vax 21OCT92 & devel erythema nodosum; Lab eval on 26OCT92 revealed WBC Count 2.9, ESR & stereptozyme were high; No further details were provided;

VAERS ID:66766 (history)  Vaccinated:1988-11-01
Age:40.7  Onset:1988-11-01, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Iowa  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp arthralgia in NOV88 w/1st dose of Hep B vax;
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES89050803
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0140P2IM 
Administered by: Private     Purchased by: Other
Symptoms: Arthralgia, Arthritis, Back pain, Oedema peripheral, Osteoarthritis, Pain
SMQs:, Cardiac failure (broad), Angioedema (broad), Systemic lupus erythematosus (broad), Retroperitoneal fibrosis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (narrow)
Write-up: pt recvd vax MAY89 & exp discomfort (arthritic-type pain) in lower back, hands, rt knee; also exp edema of the rt knee & fingers; pt treated w/ASA;

VAERS ID:50686 (history)  Vaccinated:1992-12-06
Age:40.0  Onset:1992-12-06, Days after vaccination: 0
Gender:Male  Submitted:1993-02-08, Days after onset: 64
Location:Arizona  Entered:1993-03-11, Days after submission: 31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)PFIZER/WYETH 1SCRA
Administered by: Military     Purchased by: Military
Symptoms: Chills, Injection site hypersensitivity, Injection site mass, Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: fever, chills, temp of 6 hrs p/vax; 24 hrs later, large area of erythema w/central induration from site inferior to deltoid; indurated 6 cm, few tender rt axillary nodes;

VAERS ID:50689 (history)  Vaccinated:1993-02-09
Age:40.5  Onset:1993-02-26, Days after vaccination: 17
Gender:Female  Submitted:1993-03-05, Days after onset: 7
Location:Ohio  Entered:1993-03-11, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp 1JUL92 w/#2 Hep vax @ 38 y/o hep B #2;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: had prev hx of reaction w/similar s/s w/2nd hep vax self limiting sx;
Diagnostic Lab Data: gastroenterologist did liver function test & all were okay;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1053A42 LA
Administered by: Other     Purchased by: Private
Symptoms: Abdominal pain, Hyperhidrosis
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Pt recvd vax on 9FEB93 & states that 26FEB93 started to exp sweating @ noc & then a burning sensation in the rt upper abdo area;

VAERS ID:50802 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Male  Submitted:1993-03-03
Location:Ohio  Entered:1993-03-15, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: rash
Preexisting Conditions: allergy PCN
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC.1617V2IMLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site hypersensitivity, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: erythematous areas around inject site; spread to chest & neck area; DPH; rash started 20 mins p/inject; lasted aprox 30 mins p/med;

VAERS ID:53230 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Utah  Entered:1993-03-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: allergy, tetanus; Allergy, TB skin test;
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92020388
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC. 0IM 
Administered by: Other     Purchased by: Other
Symptoms: Arthropathy, Dizziness, Headache, Myalgia, Nausea, Oedema peripheral
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Acute pancreatitis (broad), Angioedema (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Arthritis (broad)
Write-up: Pt recvd vax & 2 day p/vax devel myalgia, h/a, nausea, dizziness & bilateral swelling in feet; also had weakness in knees & difficulty grasping & holding on to items;

VAERS ID:51424 (history)  Vaccinated:1992-10-22
Age:40.8  Onset:1992-10-23, Days after vaccination: 1
Gender:Female  Submitted:1992-11-13, Days after onset: 21
Location:California  Entered:1993-04-01, Days after submission: 139
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: bilateral carpal tunnel under eval
Diagnostic Lab Data: ANA-sl elevation; ASMA (eelvated); LDH 206; EMG abn;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49282450IM 
Administered by: Private     Purchased by: Private
Symptoms: Antinuclear antibody, Arthralgia, Blood lactate dehydrogenase increased, Laboratory test abnormal, Oedema peripheral, Paraesthesia
SMQs:, Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)
Write-up: Approx 1 wk post vax pt had onset joint pain, swelling hands lower legs & tingling both hands; problems intermittent since evaluate w/MD; rx diuretic, Motrin

VAERS ID:51957 (history)  Vaccinated:1992-12-30
Age:40.5  Onset:1993-01-29, Days after vaccination: 30
Gender:Female  Submitted:1993-04-13, Days after onset: 73
Location:Pennsylvania  Entered:1993-04-19, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: UA; Blood chemistry;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1026A42IMLA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Chest pain, Myelitis, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)
Write-up: p/3rd inject numbness rt arm, heavy sensational in chest, weakness, extremely fatigue; seen by MD; myelitis;

VAERS ID:51959 (history)  Vaccinated:1993-04-13
Age:40.3  Onset:1993-04-14, Days after vaccination: 1
Gender:Female  Submitted:1993-04-15, Days after onset: 1
Location:Michigan  Entered:1993-04-19, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp swelling & redness w/Td;
Other Medications:
Current Illness: cut little finger
Preexisting Conditions: Sinusitis
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)UNKNOWN MANUFACTURER4938001 IM 
Administered by: Private     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site mass, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: area around inject became red & severe itching; area in center of redness hard about size of quarter;

VAERS ID:52341 (history)  Vaccinated:1993-04-26
Age:40.5  Onset:1993-04-27, Days after vaccination: 1
Gender:Female  Submitted:1993-04-29, Days after onset: 2
Location:Florida  Entered:1993-05-03, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: UNK
Other Medications: UNK
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: pt recvd vax 26APR93 & 28APR93 lt deltoid w/large reddened area, raised & painful;

VAERS ID:52534 (history)  Vaccinated:1992-08-18
Age:40.9  Onset:1992-08-19, Days after vaccination: 1
Gender:Female  Submitted:1993-05-04, Days after onset: 258
Location:New York  Entered:1993-05-11, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)SCLAVO  IM 
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: redness & swelling & pain @ site of inject;

VAERS ID:52535 (history)  Vaccinated:1992-06-22
Age:40.8  Onset:1992-06-24, Days after vaccination: 2
Gender:Female  Submitted:1993-05-04, Days after onset: 314
Location:New York  Entered:1993-05-11, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)SCLAVO  IM 
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: redness & swelling & pain @ site of inject 3 wks;

VAERS ID:53171 (history)  Vaccinated:1993-04-30
Age:40.7  Onset:1993-05-01, Days after vaccination: 1
Gender:Female  Submitted:1993-05-05, Days after onset: 4
Location:Minnesota  Entered:1993-05-24, Days after submission: 19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ibuporphin
Current Illness: headache
Preexisting Conditions: rectal fistula
Diagnostic Lab Data: NONE
CDC Split Type: MN93026
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1054A40 LA
Administered by: Other     Purchased by: Public
Symptoms: Asthenia, Hyperhidrosis
SMQs:, Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad)
Write-up: fatigue, sweating @ noc lasting 1 wk;

VAERS ID:53560 (history)  Vaccinated:1992-11-01
Age:40.0  Onset:1992-12-01, Days after vaccination: 30
Gender:Female  Submitted:0000-00-00
Location:Georgia  Entered:1993-06-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Estrogen patch; Calcium tablets; multivitamins;
Current Illness:
Preexisting Conditions: pt is MD; pt had 1st dose of Merck''s experimental hepatitis a vax in SEP92; 2nd dose was administered in OCT92;
Diagnostic Lab Data:
CDC Split Type: 22626
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH  IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Neuropathy peripheral, Paraesthesia
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad)
Write-up: Pt recvd vax 1FEB93 & exp peripheral neuropathy & numbness & tingling in hands & feet 1 mo later;

VAERS ID:53695 (history)  Vaccinated:1993-05-17
Age:40.0  Onset:1993-05-17, Days after vaccination: 0
Gender:Female  Submitted:1993-05-28, Days after onset: 11
Location:Indiana  Entered:1993-06-08, 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: NA
Preexisting Conditions: hypoglycemia
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1552V1IMLA
Administered by: Other     Purchased by: Other
Symptoms: Asthenia
SMQs:, Guillain-Barre syndrome (broad)
Write-up: pt recvd vax approx 7AM, noticed tired feeling approx 8 hrs later, fatigue x 2 days, better 3 days post immun, still tired; reported 20MAy93 130PM;

VAERS ID:54262 (history)  Vaccinated:1993-06-16
Age:40.5  Onset:1993-06-17, Days after vaccination: 1
Gender:Female  Submitted:1993-06-22, Days after onset: 5
Location:New York  Entered:1993-06-28, 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: TB by Connaught lot# 233812;
Current Illness: pre emp physical;
Preexisting Conditions:
Diagnostic Lab Data: CBC- glucose;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1692V  RA
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES346949  RA
Administered by: Private     Purchased by: Private
Symptoms: Oedema peripheral, Pain, Vasodilatation
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: lt upper arm swelling & redness involving whole area laterally & posteriorly; no vesicles; tenderness pos;

VAERS ID:54435 (history)  Vaccinated:1993-04-21
Age:40.5  Onset:1993-04-22, Days after vaccination: 1
Gender:Female  Submitted:1993-06-14, Days after onset: 53
Location:West Virginia  Entered:1993-07-01, Days after submission: 17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1558V0 RA
Administered by: Private     Purchased by: Private
Symptoms: Anorexia, Back pain, Diarrhoea, Headache, Influenza, Myalgia, Rash, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow)
Write-up: almost exactly 12 hrs p/injected, had the flu symtoms; symtoms were extreme: vomiting, diarrhea, h/a, backaches, bodyaches; unable to eat for 12-20 hrs, just liquids & crackers; also had a rash on lower back;

VAERS ID:54496 (history)  Vaccinated:1993-06-23
Age:40.3  Onset:1993-06-23, Days after vaccination: 0
Gender:Female  Submitted:1993-06-25, Days after onset: 2
Location:Missouri  Entered:1993-07-06, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: PPD
Current Illness: NONE
Preexisting Conditions: Acne
Diagnostic Lab Data: NONE
CDC Split Type: MO93044
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES344914 IMLA
Administered by: Public     Purchased by: Public
Symptoms: Blindness, Hyperhidrosis, Nausea, Oedema, Oedema peripheral, Paraesthesia, Pyrexia, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Retinal disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: pt recvd vax & 15-20 mins p/shot had numbness in lt arm moving across to shoulder area & down lt side of trunk; sweating & nausea; numbness of lt leg, loss of vision, passed out; fever & swelling of arm & shoulder area;

VAERS ID:54558 (history)  Vaccinated:1993-02-02
Age:40.3  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:Pennsylvania  Entered:1993-07-09
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
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM10484A0IMRA
Administered by: Public     Purchased by: Unknown
Symptoms: Unevaluable event
SMQs:
Write-up:

VAERS ID:54732 (history)  Vaccinated:1992-11-23
Age:40.2  Onset:1992-11-23, Days after vaccination: 0
Gender:Female  Submitted:1993-07-15, Days after onset: 233
Location:Minnesota  Entered:1993-07-20, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1040A21IMA
Administered by: Other     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: c/o stinging when it went in redness x 3" @ site of inject; ice pack applied; no induration, mild tenderness; DPH given;

VAERS ID:54834 (history)  Vaccinated:1993-07-13
Age:40.2  Onset:1993-07-14, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:Missouri  Entered:1993-07-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: MO93053
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES334901 IMLA
Administered by: Public     Purchased by: Public
Symptoms: Headache, Hypertonia, Injection site hypersensitivity, Injection site oedema, Myalgia, Oedema, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: sore & stiff & then evening of 14JUL93 starting swelling @ site of inject then woke up 15JUL93 w/elevated t99.8 & swelling of armpits; redness & swelling @ inject site & under arm; c/o h/a since Tues evening 13JUL93;

VAERS ID:54864 (history)  Vaccinated:1993-05-27
Age:40.8  Onset:1993-05-27, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Texas  Entered:1993-07-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 6 days
    Extended hospital stay? No
Previous Vaccinations: pt exp syncopal episode onsame day w/PPD skin test;
Other Medications: PPD
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: allergic reaction;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1090A40 LA
Administered by: Private     Purchased by: Private
Symptoms: Abdominal pain, Back pain, Hypersensitivity, Nuchal rigidity, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow)
Write-up: 27MAY93 no adverse effect reported or noted @ time of inject; 1JUN93 adm to hosp fever 104 & stomach pain, fever; leg pains, neck stiffness, low back & leg pains;

VAERS ID:55012 (history)  Vaccinated:1993-07-26
Age:40.2  Onset:1993-07-26, Days after vaccination: 0
Gender:Male  Submitted:1993-07-27, Days after onset: 1
Location:Louisiana  Entered:1993-08-02, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp malaise @ 40 w/Hep B #1;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1070A41IMLA
Administered by: Private     Purchased by: Private
Symptoms: Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: pt recvd 2nd dose of vax & c/o n&v x 2; 2 hrs post vax no local reaction to site; t98.1;

VAERS ID:55205 (history)  Vaccinated:1991-08-08
Age:40.2  Onset:1991-09-03, Days after vaccination: 26
Gender:Male  Submitted:1993-08-11, Days after onset: 708
Location:Pennsylvania  Entered:1993-08-13, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations: pt exp numbness & tingling in toes p/Hep B #1 dose;
Other Medications: Septra;
Current Illness:
Preexisting Conditions: Knee surgery, bladder surgery, TIA, low back pain, bladder cancer, bradycardia, blood transfusions, needle stick, tonsillectomy, adenoidectomy;
Diagnostic Lab Data: MRI 08OCT91 lesion from T-1 thru T-7 poster;
CDC Split Type: WAES93071292
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1  
Administered by: Private     Purchased by: Other
Symptoms: Anxiety, Confusional state, Deep vein thrombosis, Depression, Infection, Myelitis, Neuropathy, Paraesthesia
SMQs:, Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (narrow)
Write-up: Pt recvd vax 8AUG91 & on 9SEP91 pt exp episode of presyncope & garbled speech, & was hospitalized; condition was dx as post-vaccination transverse myelitis;

VAERS ID:55285 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:1993-08-10
Location:Minnesota  Entered:1993-08-17, 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: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES344913 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Hypokinesia, Injection site pain, Myalgia, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: pt devel severe pain @ site radiating down to fingers w/cont pain in area & limited ROM 2 wks late; physical exam tenderness;

VAERS ID:55580 (history)  Vaccinated:1993-08-12
Age:40.0  Onset:1993-08-15, Days after vaccination: 3
Gender:Male  Submitted:1993-08-25, Days after onset: 10
Location:New York  Entered:1993-08-30, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID, ADSORBED (NO BRAND NAME)BERNA BIOTECH, LTD1212402 IMRA
Administered by: Other     Purchased by: Other
Symptoms: Oedema peripheral, Pain, Pyrexia, Vasodilatation
SMQs:, Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: 72 hrs p/receiving inject of vax pt devel fever, pain redness & edema of rt arm which required ER treatment & ATB therapy for 3 days p/;

VAERS ID:55699 (history)  Vaccinated:1992-10-26
Age:40.0  Onset:1992-10-26, Days after vaccination: 0
Gender:Male  Submitted:1992-10-28, Days after onset: 2
Location:Pennsylvania  Entered:1993-09-01, Days after submission: 307
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NA
Current Illness:
Preexisting Conditions: egg allergy as a child;
Diagnostic Lab Data: NA
CDC Split Type: 920357101
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  IM 
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES  IM 
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Dizziness, Injection site hypersensitivity, Injection site pain, Thinking abnormal
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: consumer reports that husband was given pnu-imune & flu vax @ the same site about 1 inch apart on the same day; pt exp redness & pain @ inject site; also feels weak, lightheaded w/impaired concentration; Egg allergy as a child;

VAERS ID:55865 (history)  Vaccinated:1993-08-03
Age:40.1  Onset:1993-08-03, Days after vaccination: 0
Gender:Female  Submitted:1993-09-01, Days after onset: 29
Location:Indiana  Entered:1993-09-07, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: PDH
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: IN93030
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1252T0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Anxiety, Dyspnoea, Hyperhidrosis, Hypertension, Palpitations, Paraesthesia, Tachycardia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Hypertension (narrow), Cardiomyopathy (broad)
Write-up: palpitation, tachycardia, elevated BP, sweating, SOB, paresthesia of both legs below knee & inc anxiety;

VAERS ID:55983 (history)  Vaccinated:1993-01-06
Age:40.1  Onset:1993-01-07, Days after vaccination: 1
Gender:Female  Submitted:1993-07-14, Days after onset: 187
Location:California  Entered:1993-09-10, Days after submission: 58
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: CO4641
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.G03302IM 
Administered by: Private     Purchased by: Other
Symptoms: Pruritus, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Rash; full body, puritic & erthymatous; hive like on feet; no SOB; was IV antibiotics in hosp; ampicillin, also DPH; dog attack w/no proof of dog vax; dog now found;

VAERS ID:56012 (history)  Vaccinated:1992-05-19
Age:40.0  Onset:1992-05-19, Days after vaccination: 0
Gender:Female  Submitted:1993-07-15, Days after onset: 422
Location:Washington  Entered:1993-09-10, Days after submission: 57
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Imogam RIG
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: CO4704
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.E07490  
TTOX: TETANUS TOXOID (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Asthma, Dyspnoea, Headache, Malaise, Myalgia, Pruritus
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Asthma/bronchospasm (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Arthritis (broad)
Write-up: wheezing & difficulty breathing for about 1 1/2 hrs p/inject; took Proventil inhaler, 2 puffs, 1 seldane dose; h/a for 4 hrs & itching @ inject site for 2 hrs; muscle aches, joint pains & malaise 4 days;

VAERS ID:56101 (history)  Vaccinated:1993-08-20
Age:40.7  Onset:1993-08-21, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:1993-09-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications:
Current Illness: NA
Preexisting Conditions: sulfa allergy
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1099A41 LA
Administered by: Private     Purchased by: Unknown
Symptoms: Pain, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: 21AUG93 noticed rash on forearms that progressed to trunk, abdo, back, buttocks & legs; none on face; c/o burning & itching @ involved sites; DPH w/some relief; then Atarax; no fever or fatigue exp;

VAERS ID:56272 (history)  Vaccinated:1993-08-25
Age:40.3  Onset:1993-08-30, Days after vaccination: 5
Gender:Female  Submitted:1993-08-30, Days after onset: 0
Location:Minnesota  Entered:1993-09-27, Days after submission: 28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Amoxycillin; Laxal
Current Illness: ear infect 7th day of amoxillcin;
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: MN93047
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1096A40IMLA
Administered by: Public     Purchased by: Public
Symptoms: Face oedema, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: pt recvd vax 25AUG93 & devel following sx pruritus, urticaria worst on abdo area-welts protruded 2", swollen eye lids & scratchy eye lids;

VAERS ID:56363 (history)  Vaccinated:1993-08-31
Age:40.0  Onset:1993-09-01, Days after vaccination: 1
Gender:Male  Submitted:1993-09-01, Days after onset: 0
Location:South Carolina  Entered:1993-09-30, Days after submission: 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: NONE
Preexisting Conditions: allergic to bee-stings (has local reaction severe swelling & itching; no anaphylaxis;
Diagnostic Lab Data: NONE
CDC Split Type: SC93111
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1034A41IMLA
Administered by: Other     Purchased by: Public
Symptoms: Injection site hypersensitivity, Oedema peripheral, Pruritus
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: 24 hrs later pt noticed arm swelling & had red area 3-4" in deltoid area where vax had been administered; swollen area itched & felt tight but did not hurt; no assoc sx;

VAERS ID:56425 (history)  Vaccinated:1993-08-26
Age:40.8  Onset:1993-08-27, Days after vaccination: 1
Gender:Male  Submitted:1993-09-15, Days after onset: 19
Location:Oregon  Entered:1993-10-05, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: UNK
Other Medications: Theodur, Vasotec;
Current Illness: NONE
Preexisting Conditions: multiple environmental allergies & food allergies-(no yeast allergy), hayfever, asthma;
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1158B21IMA
Administered by: Other     Purchased by: Private
Symptoms: Laryngospasm
SMQs:, Anaphylactic reaction (broad), Dystonia (broad), Hypersensitivity (narrow)
Write-up: had immun @ 330 one afternoon & woke up the next AM w/feeling of throat swelling; no interference w/air exchange; gagging feeling w/phlegm per pt;

VAERS ID:56475 (history)  Vaccinated:1993-09-22
Age:40.4  Onset:1993-09-27, Days after vaccination: 5
Gender:Female  Submitted:1993-10-05, Days after onset: 8
Location:Pennsylvania  Entered:1993-10-07, 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: Estrace
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: wound culture neg;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH49380150 LA
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: 4-5 days p/inject, site became swollen, red, tender; no fever; 3cm area of induration & erythema @ inject site lt upper arm; treated w/Duricef;

VAERS ID:56650 (history)  Vaccinated:1993-10-07
Age:40.4  Onset:1993-10-07, Days after vaccination: 0
Gender:Female  Submitted:1993-10-08, Days after onset: 1
Location:Minnesota  Entered:1993-10-18, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUOGEN)PARKE-DAVIS000193P0IMA
Administered by: Private     Purchased by: Unknown
Symptoms: Chills, Conjunctivitis, Dyspnoea, Face oedema, Lung disorder, Pyrexia
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Conjunctival disorders (narrow), Ocular infections (broad), Hypersensitivity (narrow)
Write-up: 4-5 hrs p/receiving vax, eyes became very red, drainage in eyes, eyelids swelled, t101, chills, lungs felt congested, was SOB;

VAERS ID:56946 (history)  Vaccinated:1993-10-25
Age:40.7  Onset:1993-10-27, Days after vaccination: 2
Gender:Female  Submitted:1993-10-28, Days after onset: 1
Location:California  Entered:1993-11-01, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp large induration in 1988 w/Tetanus;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49381880IMLA
Administered by: Military     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site pain, Nausea
SMQs:, Acute pancreatitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow)
Write-up: sl nausea x 1 day, soreness @ inject site; erythema & induration 48 hrs post inject 4x4 cm; rx DPH & ice packs;

VAERS ID:56950 (history)  Vaccinated:1993-10-14
Age:40.3  Onset:1993-10-14, Days after vaccination: 0
Gender:Male  Submitted:1993-10-15, Days after onset: 1
Location:North Carolina  Entered:1993-11-02, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Tagamet
Current Illness: Sinusitis 3 weeks prior to vax;
Preexisting Conditions: Esophageal ulcer;
Diagnostic Lab Data:
CDC Split Type: CO5019
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES3F411231IM 
Administered by: Other     Purchased by: Private
Symptoms: Asthenia, Condition aggravated, Coordination abnormal, Deafness, Dizziness, Nystagmus, Syncope, Vestibular disorder
SMQs:, Torsade de pointes/QT prolongation (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), Cardiomyopathy (broad), Hearing impairment (narrow), Vestibular disorders (narrow), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad)
Write-up: weakness, dizziness, LOC, loss of balance; unable to stand, sit or lay on lt side; only able on rt side w/eyes closed; has had vax in past;

VAERS ID:58431 (history)  Vaccinated:1992-06-19
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:1992-11-09
Location:New York  Entered:1993-11-03, Days after submission: 359
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: EBU922162
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1IMA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Myalgia, Neck pain, Pain, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: Pt recvd vax & 6 wks p/2nd dose of vax pt had extreme generalized muscle pain from neck to legs, numbness, tingling in all extremities, weakness, low energy; seen by MD;

VAERS ID:58461 (history)  Vaccinated:1992-05-01
Age:40.0  Onset:1992-05-01, Days after vaccination: 0
Gender:Female  Submitted:1993-01-13, Days after onset: 257
Location:Massachusetts  Entered:1993-11-03, Days after submission: 294
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: EBU922213
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM9118A40IM 
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Dyspepsia, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific dysfunction (narrow), Eosinophilic pneumonia (broad)
Write-up: pt recvd vax MAY92 & 6 hrs following vax exp severe gastrointestinal upset & was tired & achy; treated w/rest & fluids; reporter indicated that pt was switched to Recombivax for 2nd inject, & that the event did not re-appear;

VAERS ID:58486 (history)  Vaccinated:1992-08-14
Age:40.0  Onset:1992-08-17, Days after vaccination: 3
Gender:Female  Submitted:1993-04-14, Days after onset: 240
Location:West Virginia  Entered:1993-11-03, Days after submission: 203
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Premarin
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: EBU922251
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1021A40IMLA
Administered by: Other     Purchased by: Private
Symptoms: Headache, Influenza
SMQs:
Write-up: Pt recvd vax 14AUG92 & exp h/a for 3 days & flu-like sx; did not receive treatment; sx resolved;

VAERS ID:58606 (history)  Vaccinated:1992-09-11
Age:40.0  Onset:1992-09-11, Days after vaccination: 0
Gender:Female  Submitted:1992-10-05, Days after onset: 24
Location:Tennessee  Entered:1993-11-03, Days after submission: 394
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: EBU922361
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1IM 
Administered by: Public     Purchased by: Private
Symptoms: Chest pain, Cough, Dyspepsia, Face oedema, Nausea, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: pt recvd vax & 11SEP92 w/in 2 hrs of vax devel nausea, indigestion, itching, wheals, urticaria all over; a cough & chest pain; the next day went to ER & was given DPH; face became swollen & itching cont; Seldane & Medrol dospak;

VAERS ID:58622 (history)  Vaccinated:1992-08-01
Age:40.0  Onset:1992-08-01, Days after vaccination: 0
Gender:Female  Submitted:1992-11-25, Days after onset: 116
Location:Pennsylvania  Entered:1993-11-03, Days after submission: 343
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: allergy & other medical problems;
Diagnostic Lab Data:
CDC Split Type: EBU922396
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM    
Administered by: Other     Purchased by: Other
Symptoms: Dizziness, Nausea, Pruritus
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (broad)
Write-up: pt recvd vax & started to itch & had nausea, was lightheaded & dizzy; pt was given DPH; pt recovered;

VAERS ID:58688 (history)  Vaccinated:1992-09-17
Age:40.0  Onset:1992-09-17, Days after vaccination: 0
Gender:Female  Submitted:1993-01-05, Days after onset: 110
Location:New York  Entered:1993-11-03, Days after submission: 302
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: EBU922509
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM974A4 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Headache, Migraine, Myalgia, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad)
Write-up: Pt recvd vax & 15 mins later exp h/a; pt was seen in the ER & was treated w/APAP; Pt exp nausea, dizziness & achiness; pt was prescribed Percocet; exp 1st migraine h/a;

VAERS ID:58984 (history)  Vaccinated:1992-11-06
Age:40.0  Onset:1992-11-06, Days after vaccination: 0
Gender:Female  Submitted:1992-12-03, Days after onset: 27
Location:Tennessee  Entered:1993-11-03, Days after submission: 335
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Mexitil
Current Illness: tachycardia-arrhythmia
Preexisting Conditions: allergic to yeast-pollen, mold; tachycardia-arrhythmia;
Diagnostic Lab Data:
CDC Split Type: EBU922819
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1021A40IMRA
Administered by: Private     Purchased by: Private
Symptoms: Back pain, Ear pain, Epistaxis, Headache, Hypoventilation, Influenza, Neck pain
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Acute central respiratory depression (narrow), Arthritis (broad)
Write-up: pt recvd vax 6NOV92 3Pm & 6PM exp h/a, neck, back ache, shallow breathing; nosebleeds 4 times, flu-like sx & earache;

VAERS ID:58985 (history)  Vaccinated:1992-10-15
Age:40.0  Onset:1992-10-22, Days after vaccination: 7
Gender:Male  Submitted:1993-01-15, Days after onset: 85
Location:Missouri  Entered:1993-11-03, Days after submission: 292
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: had titer taken rsults were neg;
CDC Split Type: EBU922820
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2IMA
Administered by: Private     Purchased by: Private
Symptoms: Anorexia, Asthenia, Diarrhoea, Insomnia, Nervousness, Sinusitis, Somnolence, Weight decreased
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Pt recvd 3rd dose of vax 15OCT92 & 1 wk later exp diarrhea (1 day) & sinus infect; also exp severe malaise, lethargy, weight loss of 10 pounds over 10 day, fatigue, exhaustion, severe insomnia, restlessness, nausea & anorexia;

VAERS ID:58998 (history)  Vaccinated:1992-10-15
Age:40.0  Onset:1992-11-05, Days after vaccination: 21
Gender:Female  Submitted:1993-01-07, Days after onset: 63
Location:Montana  Entered:1993-11-03, Days after submission: 300
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp pain, tingling, swelling @ 40 y/o w/Engerix-B #1 dose;
Other Medications: Erythromycin
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: EBU922846
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1031A41IMRA
Administered by: Private     Purchased by: Private
Symptoms: Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Pt recvd 2nd dose of vax & exp numbness of fingertips of both hands; As of 17DEC92 the numbness of fingertips subsided gradually & the fingertips are no longer sensitive to hot & cold;

VAERS ID:59012 (history)  Vaccinated:1992-10-01
Age:40.0  Onset:1992-10-01, Days after vaccination: 0
Gender:Female  Submitted:1992-12-09, Days after onset: 69
Location:Vermont  Entered:1993-11-03, Days after submission: 329
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU922872
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0IMA
Administered by: Public     Purchased by: Other
Symptoms: Arthropathy, Malaise, Myalgia, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: pt recvd vax & exp general aches & pain, joint stiffness & malaise;

VAERS ID:59028 (history)  Vaccinated:1992-09-05
Age:40.0  Onset:1992-09-05, Days after vaccination: 0
Gender:Female  Submitted:1992-12-14, Days after onset: 100
Location:Georgia  Entered:1993-11-03, Days after submission: 324
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: EBU922898
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1021A42IMA
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Lack of efficacy/effect (narrow), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Pt recvd 3 doses of vax & 4 hrs later pt fainted; pt is also non-responder to vax series;

VAERS ID:59034 (history)  Vaccinated:1992-07-06
Age:40.0  Onset:1992-07-07, Days after vaccination: 1
Gender:Female  Submitted:1992-12-15, Days after onset: 161
Location:Florida  Entered:1993-11-03, Days after submission: 323
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: EBU922905
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM857A40 A
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Asthenia, Headache, Insomnia, Myalgia, Neuropathy,