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Case Details (Sorted by Age)

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VAERS ID:519331 (history)  Vaccinated:2013-04-24
Age:37.0  Onset:2013-04-25, Days after vaccination: 1
Gender:Female  Submitted:2013-12-23, Days after onset: 242
Location:Maryland  Entered:2014-01-15, Days after submission: 23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: There were no other vaccinations administered on the same date. At the time of reporting, there were no concomitant medications.
Diagnostic Lab Data: UNK
CDC Split Type: A1024015A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVC104AA0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Eye pruritus, Eye swelling, Eyelid oedema, Joint swelling, Lacrimation increased, Pruritus, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Lacrimal disorders (narrow), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: This case was reported by a healthcare professional (nurse practitioner) and described the occurrence of eye puffiness in a 37-year-old female subject who was vaccinated with ENGERIX B (GlaxoSmithKline). On 24 April 2013 at 09:10 the subject received 1st dose of ENGERIX B (1 ml, unknown details). On the morning of 25 April 2013, 1 day after vaccination with ENGERIX B, the subject experienced eye puffiness, eye pruritus, and watery eye. The nurse practitioner reported that the right eye was puffy, itchy and watery. On 26 April 2013, 2 days after vaccination with ENGERIX B, the subject experienced facial rash, pruritus of knees, swollen knee and hive on eye. The nurse practitioner reported that the subject had a "rash on right knee, itchy and swollen." The subject also experienced "a small amount of swelling in the left eye" and the lower eyelid "had a little hive." The subject was seen in the emergency room but was not kept overnight. The subject was treated with BENADRYL "after symptoms". At the time of reporting the outcome of the events were improved. The nurse practitioner stated that the subject "showed improvement by Monday [29 April 2013]". The vaccination course with ENGERIX B was discontinued. Per the nurse practitioner, the subject''s doctor directed the subject "not to continue with the second and third doses" of ENGERIX B. The healthcare professional considered the events were probably related to vaccination with ENGERIX B. "Symptoms were probably related to the ENERGIX B as reported by the emergency room doctor."

VAERS ID:519761 (history)  Vaccinated:2014-01-16
Age:37.0  Onset:2014-01-16, Days after vaccination: 0
Gender:Female  Submitted:2014-01-19, Days after onset: 3
Location:Connecticut  Entered:2014-01-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamin, iron pill, Protonix
Current Illness: Sore throat
Preexisting Conditions: Avelox, Erythromycin, Nutrasweet, Splenda, Demerol
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEUR 0IDLA
Administered by: Other     Purchased by: Other
Symptoms: Cellulitis, Chest pain, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth, Neck pain, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Pain and itching at injection site (Left Upper Arm). Red, raised, hot to the touch skin. Ended up spreading mare and I was seen in ER on 01/18/2014 with pain radiating down arm and up into left chest and neck regions. Diagnosed with Cellulitis and given a prescription for Bactrim.

VAERS ID:519974 (history)  Vaccinated:2013-11-20
Age:37.0  Onset:2013-12-13, Days after vaccination: 23
Gender:Female  Submitted:2014-01-10, Days after onset: 28
Location:Arizona  Entered:2014-01-21, 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: None
Current Illness: None
Preexisting Conditions: Legally blind
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.J0032210SCRA
Administered by: Private     Purchased by: Private
Symptoms: Blister, Injection site induration, Injection site pain, Injection site warmth, Skin infection, Varicella post vaccine
SMQs:, Severe cutaneous adverse reactions (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad)
Write-up: Three weeks after varicella vaccine she noticed that injection site was painful to touch, was hot and hard. She also had a couple blisters on her neck and scalp. She was diagnosed with a mild case of chickenpox and antibiotics were prescribed for the arm infection.

VAERS ID:520157 (history)  Vaccinated:0000-00-00
Age:37.0  Onset:0000-00-00
Gender:Female  Submitted:2014-01-22
Location:Unknown  Entered:2014-01-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Asplenia; Diabetes mellitus
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1401USA008988
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC. 1SYRUN
Administered by: Other     Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, No adverse event
SMQs:
Write-up: This spontaneous report as received from pharmacy student refers to a 37 year old female patient with diabetes and asplenia. Approximately on an unknown date of 2008 the patient was vaccinated with PNEUMOVAX23 injection (dose number, lot number and expiry date and route unknown). It was reported that patient has been administered PNEUMOVAX23 yearly for the last 6 years. No adverse effect was reported. The outcome of has been administered PNEUMOVAX23 yearly for the last 6 years and no adverse event was unknown. No further information provided. Additional information has been requested.

VAERS ID:520561 (history)  Vaccinated:2014-01-20
Age:37.0  Onset:2014-01-23, Days after vaccination: 3
Gender:Female  Submitted:2014-01-23, Days after onset: 0
Location:Wisconsin  Entered:2014-01-24, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PROVENTIL; Cinnamon bark; ESTRACE; Fish oil; Red yeast; Rice
Current Illness: None
Preexisting Conditions: Enivironmental
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J0043870IMRA
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Induration, Mobility decreased, Musculoskeletal pain, Skin warm
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Parkinson-like events (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad)
Write-up: Redness, 70 mm x 85 mm, warmth, hard to touch - difficulty lifting the (R) arm right shoulder soreness.

VAERS ID:520628 (history)  Vaccinated:2014-01-17
Age:37.0  Onset:2014-01-24, Days after vaccination: 7
Gender:Female  Submitted:2014-01-24, Days after onset: 0
Location:Arizona  Entered:2014-01-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURVV04003A1OTLA
Administered by: Other     Purchased by: Public
Symptoms: Hypoaesthesia, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Presented for post vaccination check and reported numbness and tingling to wrist on arm of vaccination. This progressed to include the hand the following day. 01/24/2014 all symptoms have resolved.

VAERS ID:520745 (history)  Vaccinated:2013-12-04
Age:37.0  Onset:0000-00-00
Gender:Male  Submitted:2014-01-26
Location:Unknown  Entered:2014-01-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions: Asthma
Diagnostic Lab Data:
CDC Split Type: WAES1401USA010312
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR  UNUN
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.H0206051IMAR
HEPA: HEP A (VAQTA)MERCK & CO. INC.J0078001IMAR
Administered by: Other     Purchased by: Other
Symptoms: Hepatitis A antibody positive
SMQs:, Liver infections (narrow)
Write-up: This spontaneous report as received from a physician refers to a male patient of unknown age. The patient''s medical history included asthma with no drug reactions or allergies. The patient was on no concomitant medications. The patient previously had no antibodies to Hepatitis A. On 19-NOV-2013 the patient was vaccinated with VAQTA 25/0.5 U/ML. On 04-DEC-2013, the patient was vaccinated with VAQTA, RECOMBIVAX HB and an unspecified flu shot. The patient later requested testing for sexually transmitted diseases. The physician stated a test for IGM Hepatitis A antibodies were erroneously drawn and the results came back positive. The patient was reported of seeking medical attention. The outcome of IgM Hepatitis A antibodies positive was reported as not recovered. Additional information has been requested.

VAERS ID:520908 (history)  Vaccinated:2014-01-14
Age:37.0  Onset:2014-01-24, Days after vaccination: 10
Gender:Male  Submitted:2014-01-27, Days after onset: 3
Location:Ohio  Entered:2014-01-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB562BB0IMRA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS7GH57 IMLA
YF: YELLOW FEVER (YF-VAX)SANOFI PASTEURUH674AA0SCLA
Administered by: Private     Purchased by: Private
Symptoms: Pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Client developed pins/needles type pain, around waist that traveled to behind knees by PM on 1/25/14. Eased since then with use of Ibuprofen. Was told by friend he had YE-ALD and should go to the ED if developed weakness. Has appt tomorrow with his PCP. Has tingling around ankles now only.

VAERS ID:521134 (history)  Vaccinated:2014-01-23
Age:37.0  Onset:2014-01-23, Days after vaccination: 0
Gender:Male  Submitted:2014-01-29, Days after onset: 6
Location:Missouri  Entered:2014-01-29
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: allergic reaction~Tdap (Boostrix)~~37.50~Patient
Other Medications: Pro Air HFA; Novolin 70/30 insulin; Lisinopril
Current Illness: Approximately an hour after vaccination, I began itching and had hives. Hives completely covered my chest, arms, back, neck, and waistline at about 4:30 PM. I took Benadryl but continued to swell. The swelling was in hands, feet, and tongue on morning of 1/24/14. I went to the emergency room in afternoon and received treatment. An hour after leaving the ER, I began to swell in my upper lip and my throat began to close and swell. I returned to the ER and they administered an emergency Epipe
Preexisting Conditions: Asthma and diabetes
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS  IMLA
Administered by: Public     Purchased by: Public
Symptoms: Lip swelling, Local swelling, Pharyngeal oedema, Pruritus, Swollen tongue, Throat tightness, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Hives and swelling in hands, feet, tongue, lips and throat. Two emergency room visits on day after with Epipen and steroids.

VAERS ID:521184 (history)  Vaccinated:2014-01-10
Age:37.0  Onset:2014-01-11, Days after vaccination: 1
Gender:Female  Submitted:2014-01-11, Days after onset: 0
Location:Unknown  Entered:2014-01-29, 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: Hypothyroidism; fibromyalgia; depression; Pollen; SUDAFED; acetaminophen; CENTRUM multivitamin; B complex
Diagnostic Lab Data: Jan 11, 2014, Temperature 99.8 deg F.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUC3: INFLUENZA (SEASONAL) (FLUCELVAX)NOVARTIS VACCINES AND DIAGNOSTICS  SYRUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Headache, Hyperhidrosis, Musculoskeletal pain, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Tendinopathies and ligament disorders (broad)
Write-up: I received the FLUCELVAX vaccine by injection on Jan 10, 2014. Early in the morning on Jan 11, 2014, I awoke to severe musculoskeletal pain, headache, and sweating. Throughout Jan 11, 2014, I continued to experience severe musculoskeletal pain throughout my body and had a low-grade fever.

VAERS ID:521523 (history)  Vaccinated:2013-10-15
Age:37.0  Onset:2013-10-19, Days after vaccination: 4
Gender:Male  Submitted:2014-02-02, Days after onset: 106
Location:Ohio  Entered:2014-02-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: no
Preexisting Conditions: Phenergan allergy
Diagnostic Lab Data: CT scan (-) on 10/19 (or the early hours of 10/20)
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  UNAR
Administered by: Public     Purchased by: Other
Symptoms: Computerised tomogram normal, VIIth nerve paralysis
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad)
Write-up: On the afternoon of 10/19, the left side of my face began to feel like it wasn''t functioning properly despite appearing to look normal. By evening I was dropping food out of my mouth. I went to the ER late that evening and was diagnosed with Bell''s palsy. The next morning I awoke to find the right side of my face was paralyzed and the left had pretty much returned to normal. I haven''t fully recovered 14 weeks later.

VAERS ID:521625 (history)  Vaccinated:2014-01-13
Age:37.0  Onset:2014-01-14, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:2014-02-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1310101 IMUN
Administered by: Other     Purchased by: Public
Symptoms: Drug administered to patient of inappropriate age
SMQs:
Write-up: None stated.

VAERS ID:522767 (history)  Vaccinated:2014-02-13
Age:37.0  Onset:2014-02-13, Days after vaccination: 0
Gender:Female  Submitted:2014-02-16, Days after onset: 3
Location:California  Entered:2014-02-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Sever stiff neck and flu symptoms which followed a sinus infection~Tdap (no brand name)~UN~34.00~Patient
Other Medications:
Current Illness: None feeling great at the time.
Preexisting Conditions: Sulfa, Latex (used non latex needle)
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
PPV: PNEUMO (NO BRAND NAME)UNKNOWN MANUFACTURER    
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Private
Symptoms: Axillary pain, Chills, Confusional state, Dizziness, Heart rate increased, Nasal congestion, Pain, Pain in extremity, Pyrexia, Rash pruritic, Rhinorrhoea
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)
Write-up: Severe soreness in arm by 9:30 AM, fever, chills, body pain so that I couldn''t get up, stabbing pain under arm of injection, lightheaded, dizzy, rapid heart beat, confusion, plugged nose and drainage even after 800 mg Motrin and full dose of Benadryl. Until 02/15/14. Then itchy rash broke out on upper stomach and arms and legs during the night of 02/15/14 I still have the rash.

VAERS ID:522923 (history)  Vaccinated:0000-00-00
Age:37.0  Onset:0000-00-00
Gender:Female  Submitted:2014-02-18
Location:Unknown  Entered:2014-02-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: Varicella virus test, negative, negative titers to varicella
CDC Split Type: WAES1402USA006888
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Varicella virus test negative
SMQs:
Write-up: This spontaneous report as received from a pharmacist refers to a 37 year old female patient. On an unknown date approximately in 2008 while she was in the military service the patient was vaccinated with dose 1 (oka/merck) VARIVAX (dosage and lot# unspecified). The pharmacist reported that the patient had not received further doses. She currently had negative titers to varicella (date unspecified). Additional information has been requested.

VAERS ID:523056 (history)  Vaccinated:2014-02-17
Age:37.0  Onset:2014-02-18, Days after vaccination: 1
Gender:Female  Submitted:2014-02-19, Days after onset: 1
Location:Wisconsin  Entered:2014-02-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS3D4250IMLA
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Headache, Injection site pain, Muscle twitching, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dyskinesia (broad), Dystonia (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad)
Write-up: Twitching muscles at collar bone for aprox. 10 min followed by onset of fever of 102. Arthralgias, headache, nausea, pain radiating from injection site that grew worse as day went on with most severe pain at ~26-30 hours after injection.

VAERS ID:523106 (history)  Vaccinated:2014-02-05
Age:37.0  Onset:0000-00-00
Gender:Female  Submitted:2014-02-19
Location:Unknown  Entered:2014-02-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Nephrolithiasis
Preexisting Conditions: 02/02/2014, Viral titre decreased; Upper limb fracture, an unspecified time; 12/15/1990, Immunisation
Diagnostic Lab Data: Titer drawn (03-FEB-2014) measles titer was low but the patient was immune to mumps
CDC Split Type: WAES1402USA008421
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.J006995 SCUN
Administered by: Other     Purchased by: Other
Symptoms: Genital rash, Measles antibody negative, Mumps antibody test positive, Rash, Rash pruritic, Rash vesicular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: This spontaneous report as received from a registered nurse refers to a 37 year old female patient. Patient''s concurrent conditions included Kidney stones. The patient''s medical history included unspecified broken arm (on unspecified date) and measles titer resulted low. The patient received a Measles shot on 15-DEC-1990 and Rubella shot on 05-MAR-1997. On 05-FEB-2014, the patient was vaccinated with MMR II, albumin status HSA, 0.5 ml, subcutaneous (lot # J006995, expiration date: 14-JUN-2015). On an unspecified date in February 2014 (also reported as "5-6 days ago") the patient experienced rash on her chest that was "blistery" and itchy". The reporter stated that the rash spread to the patient "back and arms and down to her genitals". On 15-FEB-2014 (also reported as "two days ago"), the patient was treated with VALTREX (manufacturer unknown). The reporter also reported that prior to receiving the MMR II, the patient had a titer drawn on 03-FEB-2014. She stated that the patient''s measles titer results was "low" but that the patient was immune to mumps. No drug reactions and allergies were reported. The outcome of the events were reported as not recovered/not resolved. Additional information has been requested.

VAERS ID:523317 (history)  Vaccinated:2013-09-29
Age:37.0  Onset:0000-00-00
Gender:Female  Submitted:2014-01-30
Location:California  Entered:2014-02-21, Days after submission: 22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: UNK
CDC Split Type: A1046504A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALS3CK5R SYRUN
Administered by: Other     Purchased by: Other
Symptoms: Influenza, Injection site erythema, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: This case was reported by a pharmacist and described the occurrence of injection site redness in a 37-year-old female subject who was vaccinated with FLULAVAL (GlaxoSmithKline). On 29 September 2013 the subject received a dose of FLULAVAL (unknown details). In 2013, less than one month after vaccination with FLULAVAL (described as "right after vaccination"), the subject experienced injection site redness, injection site warmth and influenza. The pharmacist reported that the subject "became sick with the flu right after the vaccination" with FLULAVAL. At the time of reporting the outcome of the events were unspecified. The pharmacist reported other cases with FLULAVAL. See A1047929A and A1047930A for details on the other cases.

VAERS ID:523358 (history)  Vaccinated:2014-02-21
Age:37.0  Onset:2014-02-21, Days after vaccination: 0
Gender:Male  Submitted:2014-02-21, Days after onset: 0
Location:California  Entered:2014-02-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 1IMRA
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Chills, Dizziness, Dyspnoea, Fatigue, Feeling cold, Haemorrhage, Nausea, Pallor, Pruritus, Tremor, Urticaria
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: FIRST HIVES HEAVY ITCHING SECOND DIZZINESS AND WEAKNESS THIRD NAUSEA FOURTH DIFFICULTY BREATHING FIFTH FEVER SIXTH COLD SHAKES OR SHIVERING SEVENTH PALE SKIN LOSS OF BLOOD IN THE FACE EIGHTH FEELING OF FAINTING NINTH EXTREME EXHAUSTION

VAERS ID:523657 (history)  Vaccinated:2013-10-16
Age:37.0  Onset:2013-10-16, Days after vaccination: 0
Gender:Female  Submitted:2013-10-16, Days after onset: 0
Location:Kentucky  Entered:2014-02-24, Days after submission: 131
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Concomitant Drug(s) Not Reported
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 2013SE76520
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT)MEDIMMUNE VACCINES, INC.BH2027 IN 
Administered by: Other     Purchased by: Other
Symptoms: Drug administration error
SMQs:
Write-up: A report has been received from a Pharmacist concerning a 37 year old, Female subject, who had been receiving FLUMIST quadrivalent (intranasal). FLUMIST quadrivalent (intranasal) started on 16-Oct-2013. When pharmacist administered the FLUMIST quadrivalent to a patient today, the patient reported that she thought all of the dose went into the first nostril and none in the second on 16-Oct-2013. The outcome of the event of patient reported that she got all of the dose into the first nostril is unknown. The report was considered to be non-serious.

VAERS ID:523861 (history)  Vaccinated:2014-01-11
Age:37.0  Onset:2014-01-13, Days after vaccination: 2
Gender:Female  Submitted:2014-02-24, Days after onset: 42
Location:California  Entered:2014-02-25, Days after submission: 1
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Gluten
Diagnostic Lab Data: Pt claims her lab indicate high level of copper
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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FLUC3: INFLUENZA (SEASONAL) (FLUCELVAX)NOVARTIS VACCINES AND DIAGNOSTICS9021A IMLA
Administered by: Other     Purchased by: Other
Symptoms: Activities of daily living impaired, Blood copper increased, Malaise, Myalgia, Nausea, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: Pt claims after receiving FLUCELVAX she became ill and missed work. S/S: Muscle ache, N and V.

VAERS ID:524886 (history)  Vaccinated:2014-02-19
Age:37.0  Onset:2014-02-21, Days after vaccination: 2
Gender:Female  Submitted:2014-03-06, Days after onset: 13
Location:New Jersey  Entered:2014-03-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid
Current Illness: None
Preexisting Conditions: Hypothyroidism
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.J008882 SCRA
TDAP: TDAP (ADACEL)SANOFI PASTEURU4837AA IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Rash chest and arms appeared after few days. Pruritus using Benadryl. Rash resolving per patient.

VAERS ID:525258 (history)  Vaccinated:2014-03-05
Age:37.0  Onset:2014-03-06, Days after vaccination: 1
Gender:Female  Submitted:2014-03-07, Days after onset: 1
Location:Tennessee  Entered:2014-03-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: Pregnant
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4506BA1IMRA
Administered by: Military     Purchased by: Military
Symptoms: Cold sweat, Fatigue, Feeling cold, Hyperhidrosis, Pain
SMQs:, Neuroleptic malignant syndrome (broad)
Write-up: About 13 hours after receiving Tdap I had cold sweats. Could not get warm and drenched in sweat. Also had severe body aches. Worse than any flu symptoms I have ever experienced. Extreme exhaustion. Could not get out of bed until 3:45 the day after receiving vaccination.

VAERS ID:525455 (history)  Vaccinated:2014-02-28
Age:37.0  Onset:2014-03-01, Days after vaccination: 1
Gender:Female  Submitted:2014-03-10, Days after onset: 8
Location:New Mexico  Entered:2014-03-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.J0090030SCLA
Administered by: Public     Purchased by: Unknown
Symptoms: Erythema, Hypersensitivity, Skin warm
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Hypersensitivity (narrow)
Write-up: Allergic reaction to (L) arm erythema, warmth, and approximately 2 cm by 2 cm.

VAERS ID:525497 (history)  Vaccinated:2014-02-26
Age:37.0  Onset:2014-02-26, Days after vaccination: 0
Gender:Female  Submitted:2014-03-05, Days after onset: 7
Location:Oregon  Entered:2014-03-11, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: GLUCOPHAGE XR; Aspirin; Progesterone
Current Illness:
Preexisting Conditions: Pregnancy
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)SANOFI PASTEURU4716AA0UNLA
Administered by: Private     Purchased by: Private
Symptoms: Body temperature increased, Injection site erythema, Injection site pain, Injection site swelling
SMQs:, Neuroleptic malignant syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Reddened area, left upper arm, measuring 2" x 2 1/2", area swollen and painful to touch. Patient reports temp of 100.2 on 2/27/14. Temp was 98.1 on 2/28/14.

VAERS ID:525846 (history)  Vaccinated:2014-03-12
Age:37.0  Onset:2014-03-13, Days after vaccination: 1
Gender:Male  Submitted:2014-03-14, Days after onset: 1
Location:Pennsylvania  Entered:2014-03-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PROTONIX
Current Illness: GASTROPARESIS
Preexisting Conditions: ALLERGIES TO COMPAZINE, CODEINE, AMOXICILLIN, PREDNISONE.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AGRIFLU)NOVARTIS VACCINES AND DIAGNOSTICS1347 IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J013345 IMRA
Administered by: Unknown     Purchased by: Other
Symptoms: Body temperature increased, Injection site erythema, Injection site swelling, Injection site warmth
SMQs:, Neuroleptic malignant syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: TEMP 102.5, REDNESS, SWELLING, WARMTH OF RIGHT UPPER ARM INJECTION SITE.

VAERS ID:525860 (history)  Vaccinated:2014-03-06
Age:37.0  Onset:2014-03-15, Days after vaccination: 9
Gender:Male  Submitted:2014-03-16, Days after onset: 1
Location:North Carolina  Entered:2014-03-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: Minor Eczema
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURER 1SYRRA
Administered by: Military     Purchased by: Military
Symptoms: Injection site mass, Injection site reaction, Injection site swelling, Rash erythematous
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Lump at injection site along with swelling of arm from shoulder to elbow. Red raised rash from shoulder to elbow.

VAERS ID:526144 (history)  Vaccinated:2013-09-26
Age:37.0  Onset:2013-09-26, Days after vaccination: 0
Gender:Female  Submitted:2014-03-19, Days after onset: 174
Location:Michigan  Entered:2014-03-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1308701 IMLA
Administered by: Other     Purchased by: Private
Symptoms: Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Participant experienced swelling after vaccination/no epi administered/participant stated they had history of allergies and would self-medicate with Benadryl.

VAERS ID:526551 (history)  Vaccinated:2014-03-20
Age:37.0  Onset:2014-03-20, Days after vaccination: 0
Gender:Male  Submitted:2014-03-24, Days after onset: 4
Location:Arkansas  Entered:2014-03-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Finasteride, Humalog, Famotidine, Alfuzosin, Lantus, Atorvastatin, Lisinopril
Current Illness: No
Preexisting Conditions: Diabetes, Codeine Allergy, Hypercholesterolemia, Fibrosis
Diagnostic Lab Data: X-Ray
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J010396 IMLA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS30425 IMLA
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J007858 SCLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site pain, Nausea, X-ray
SMQs:, Acute pancreatitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Severe upper arm pain of the left arm and nausea; Patient called ambulance to pick her up to take her to ER; Hospital gave prescription for Hydrocodone/APAP and Zofran; Hospital ordered X-Ray.

VAERS ID:526934 (history)  Vaccinated:2014-03-25
Age:37.0  Onset:2014-03-26, Days after vaccination: 1
Gender:Male  Submitted:2014-03-27, Days after onset: 1
Location:Texas  Entered:2014-03-27
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
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J013344 IMLA
TDAP: TDAP (ADACEL)SANOFI PASTEURU4700BA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Injection site swelling, Local swelling, Pyrexia
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Left arm swelling from deltoid to forearm with redness and fever.

VAERS ID:527046 (history)  Vaccinated:2014-03-10
Age:37.0  Onset:2014-03-11, Days after vaccination: 1
Gender:Female  Submitted:2014-03-29, Days after onset: 18
Location:Ohio  Entered:2014-03-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Concerta; Klonopin; multivitamin; vitamin D; Spironolactone; fish oil
Current Illness: No
Preexisting Conditions: Erythromycin and Clindamycin
Diagnostic Lab Data: Chest X-Ray negative; urinalysis culture negative for infection
CDC Split Type:
Vaccination
Manufacturer
Lot
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PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J0069210IMLA
Administered by: Private     Purchased by: Other
Symptoms: Cellulitis, Chest X-ray normal, Chills, Culture urine negative, Influenza like illness, Myalgia, Pain, Pain in extremity, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: High fever (102+) even with Motrin, chills, extreme pain in arm, spreading to surrounding muscles. Cellulitis onset morning of 3/12/14, continued to spread until 3/15/14 after over 48 hours on antibiotics. Flu like symptoms associated with cellulitis, including continued fever, chills, body aches.

VAERS ID:527166 (history)  Vaccinated:2014-03-31
Age:37.0  Onset:0000-00-00
Gender:Male  Submitted:2014-03-31
Location:Unknown  Entered:2014-03-31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV349A2IMLA
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB538BA3IMLA
Administered by: Military     Purchased by: Military
Symptoms: Expired drug administered
SMQs:
Write-up: Hep A Vaccine administered to patient on 31 March 2014 was from a lot that expired on 09 March 2014.

VAERS ID:527394 (history)  Vaccinated:2014-02-22
Age:37.0  Onset:2014-02-23, Days after vaccination: 1
Gender:Female  Submitted:2014-03-25, Days after onset: 29
Location:Minnesota  Entered:2014-04-02, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLULAVAL QUADRIVALENT)GLAXOSMITHKLINE BIOLOGICALST39591IMLA
Administered by: Other     Purchased by: Private
Symptoms: Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad)
Write-up: She received vaccine on 2/22/14 and is still reporting a very sore arm with pain radiating in whole arm (as of 3/18/14).

VAERS ID:527733 (history)  Vaccinated:2014-03-17
Age:37.0  Onset:2014-03-17, Days after vaccination: 0
Gender:Female  Submitted:2014-04-07, Days after onset: 21
Location:Idaho  Entered:2014-04-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Celexa
Current Illness: No
Preexisting Conditions: Anxiety and History of Basal Cell Cancer
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALS2JN4N2IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site coldness, Injection site pain, Neck pain, Pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Arthritis (broad)
Write-up: Patient reported pain at time of Twinrix injection to left deltoid, radiating to neck. Pain has continued at left deltoid and at anterior shoulder. Worsens with certain movements such as abduction and external rotation. Describes "cold" sensation at deltoid since injection. Phone call to patient today (4/7/2014). Continues with pain to left deltoid. Shoulder pain has resolved. Still doing range of motion exercises. To follow-up with primary care provider if pain continues.

VAERS ID:528099 (history)  Vaccinated:2014-04-09
Age:37.0  Onset:2014-04-09, Days after vaccination: 0
Gender:Male  Submitted:2014-04-11, Days after onset: 2
Location:North Carolina  Entered:2014-04-11
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: NKDA
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
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ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV349A10IMLA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURH14817IMLA
Administered by: Military     Purchased by: Military
Symptoms: Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad)
Write-up: My arm started to hurt about 5 min after vaccine. Got a little better after 10 min. Last night the pain to progressed to severe and still very painful.

VAERS ID:528136 (history)  Vaccinated:2014-04-02
Age:37.0  Onset:2014-04-03, Days after vaccination: 1
Gender:Female  Submitted:2014-04-11, Days after onset: 8
Location:Michigan  Entered:2014-04-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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TD: TETANUS DIPHTHERIA (NO BRAND NAME)UNKNOWN MANUFACTURER  UNLA
Administered by: Unknown     Purchased by: Private
Symptoms: Exposure during pregnancy, Insomnia, Pain, Pain in extremity
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Tendinopathies and ligament disorders (broad)
Write-up: Left arm intolerable pain. Inability to lift arm without significant strain/pain. Inability to sleep on left slide due to excruciating pain. Inability to sleep due to inability to sleep on left side (33 weeks pregnant).

VAERS ID:528466 (history)  Vaccinated:2012-12-07
Age:37.0  Onset:2012-12-19, Days after vaccination: 12
Gender:Male  Submitted:0000-00-00
Location:Michigan  Entered:2014-04-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 18 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Lumbar puncture confirmed Guillain-Barre
CDC Split Type:
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH729AB IMUN
TDAP: TDAP (ADACEL)SANOFI PASTEURU4462AA IMUN
Administered by: Private     Purchased by: Public
Symptoms: Guillain-Barre syndrome, Lumbar puncture abnormal, Surgery
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow)
Write-up: Flu and Tdap 12-7-12. Surgery 12-13-12. Admitted Guillain Barre 12-22-12.

VAERS ID:528678 (history)  Vaccinated:2014-04-15
Age:37.0  Onset:2014-04-16, Days after vaccination: 1
Gender:Female  Submitted:2014-04-17, Days after onset: 1
Location:Florida  Entered:2014-04-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE PER HUSBAND
Current Illness: NO
Preexisting Conditions: NO
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
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MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU4658BB IMLA
Administered by: Public     Purchased by: Private
Symptoms: Head injury, Induration, Pain in extremity, Pyrexia, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad)
Write-up: FEVER STARTED FIRST (101), THEN "FAINTED" 04/16/14 AT 08:00 A.M., FOR BRIEF PERIOD, "HIT HEAD AGAINST WALL" PER HUSBAND, RECOVERED QUICKLY. STILL HAS FEVER 04/17/14, 99.9 AT 11:00 A.M. PER HUSBAND. MAIN COMPLAINT IS ARM IS HARD AND SORE, DOES NOT WANT TO TOUCH IT. HAS BEEN TAKING TYLENOL.

VAERS ID:528870 (history)  Vaccinated:2013-10-04
Age:37.0  Onset:2013-10-05, Days after vaccination: 1
Gender:Female  Submitted:2014-04-18, Days after onset: 195
Location:Texas  Entered:2014-04-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH898AD0IMRA
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Grip strength decreased, Hypoaesthesia, Mobility decreased, Musculoskeletal pain, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad)
Write-up: Pain in left arm, shoulder, unable to move arm in any direction, weakness, numbness of hand and fingers, unable to grip.

VAERS ID:528921 (history)  Vaccinated:2013-01-01
Age:37.0  Onset:0000-00-00
Gender:Female  Submitted:2014-04-21
Location:Texas  Entered:2014-04-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: right arm pain/numbness~ ()~~0.00~Patient
Other Medications:
Current Illness:
Preexisting Conditions: Tendonitis
Diagnostic Lab Data: xray ordered, as well as referral to ortho/hand clinic
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER   RA
Administered by: Other     Purchased by: Unknown
Symptoms: Hypoaesthesia, Pain in extremity
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad)
Write-up: Pt reports right arm pain/numbness since receiving Tdap vaccine at outside facility. Previously diagnosed with tendonitis.

VAERS ID:529055 (history)  Vaccinated:2014-04-16
Age:37.0  Onset:2014-04-17, Days after vaccination: 1
Gender:Female  Submitted:2014-04-22, Days after onset: 5
Location:Virginia  Entered:2014-04-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: MRI of brain - struck in (L) eye/head on 4-16-14 by combative pt. and (R) arm weakness/paralysis - normal results.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4472BA0UNRA
Administered by: Private     Purchased by: Private
Symptoms: Eye injury, Head injury, Headache, Muscular weakness, Nuclear magnetic resonance imaging brain normal, Pain, Paralysis, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Corneal disorders (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad)
Write-up: C/O right arm weakness, paralysis, headache, fever, body aches on 4-17-14.

VAERS ID:529098 (history)  Vaccinated:2013-09-16
Age:37.0  Onset:2013-09-16, Days after vaccination: 0
Gender:Female  Submitted:2013-09-17, Days after onset: 1
Location:Ohio  Entered:2014-04-22, Days after submission: 217
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: BCP
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDR536070IMUN
Administered by: Other     Purchased by: Private
Symptoms: Chest discomfort, Sensation of foreign body, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad)
Write-up: Flu vaccine at approximately 1 PM on 9/16/13. At 4:30 PM patient complained of chest tightness, feeling lump in throat and wheezing. States she took a decongestant and it resolved. Full recovery noted.

VAERS ID:529340 (history)  Vaccinated:2012-04-21
Age:37.0  Onset:2014-04-23, Days after vaccination: 732
Gender:Male  Submitted:2014-04-24, Days after onset: 1
Location:Kentucky  Entered:2014-04-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Was taking Naprosin for knee pain
Current Illness: No identified illness at time of vaccination
Preexisting Conditions: No Known allergies, no medical conditions at time of vaccination
Diagnostic Lab Data: No diagnostic tests or lab performed
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.J0097062IMLA
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURVV04063A1IDLA
Administered by: Military     Purchased by: Military
Symptoms: Erythema, Mobility decreased, Pain in extremity, Pruritus, Swelling, Tenderness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Parkinson-like events (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad)
Write-up: Anthrax Vaccination (booster) developed redness, itch and pain Right upper arm spreading distally, reported limitation in ROM. Began after taking hot shower the night of vaccine adm. Phy. exam: Afebrile, erythemia,swelling and tenderness below site of vaccination. No lymphadenopathy. Assessment: Reaction consistent with subcutaneous adm of vaccination. Plan: NSAID''s, antihistamine, elevation of arm. Quarters for 24 hrs. RV for assessment 2 days.

VAERS ID:529629 (history)  Vaccinated:2014-03-25
Age:37.0  Onset:2014-04-05, Days after vaccination: 11
Gender:Female  Submitted:2014-04-29, Days after onset: 24
Location:Unknown  Entered:2014-04-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1404USA004503
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.J0085060IMUN
Administered by: Other     Purchased by: Other
Symptoms: Abdominal pain upper, Chills, Dizziness, Fatigue, Feeling hot, Night sweats, Presbyopia, Vision blurred, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad)
Write-up: This spontaneous report as received from a non pregnant 37 years old female pharmacist refers to herself. The pharmacist had no pertinent medical history, drug reactions or allergies. On 25-MAR-2014 the pharmacist was vaccinated with a dose of RECOMBIVAX HB (therapy type not reported) 0.5 ml, intramuscular (lot # J008506, expiry date 07-FEB-2016, reported as 04-FEB-2016). The pharmacist did not take any concomitant medications. On an unknown date, in 2014 (reported as "a few weeks ago") the pharmacist experienced some initial vomiting, fatigue, stomach cramps all week. The pharmacist stated on an approximately 05-APR-2014 (reported as "this weekend") she had chills, night sweats and problems focusing on near objects, presbyopia, She also stated that gastrointestinal symptoms subsided (date unspecified, in 2014) but the vision was still a concern. The pharmacist also stated that currently she was experiencing dizziness with the difficulty with vision and focus along with periodic waves of heat. The pharmacist was unsure if she should have second dose in series. There were no lab diagnostic studies performed. There was no treatment given for adverse events. The pharmacist did not seek medical attention. The outcome of night sweats, fatigue and chills was not reported. The relatedness between all events and RECOMBIVAX HB was not reported. Additional information has been requested.

VAERS ID:529710 (history)  Vaccinated:2014-04-29
Age:37.0  Onset:2014-04-29, Days after vaccination: 0
Gender:Female  Submitted:2014-04-29, Days after onset: 0
Location:Wisconsin  Entered:2014-04-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS 1SYRLA
Administered by: Unknown     Purchased by: Public
Symptoms: Headache, Neck pain
SMQs:, Arthritis (broad)
Write-up: Headache, neck ache.

VAERS ID:529773 (history)  Vaccinated:2014-03-03
Age:37.0  Onset:2014-03-04, Days after vaccination: 1
Gender:Female  Submitted:2014-04-16, Days after onset: 42
Location:Idaho  Entered:2014-04-30, Days after submission: 14
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:
Current Illness: None
Preexisting Conditions: Penicillin, Aspirin and Tetracycline Allergy; Hx of SVT and palpitations
Diagnostic Lab Data: EKG; Telemetry; Fetal monitoring; Cardiac labs; IVs
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS4LY24 UNLA
Administered by: Private     Purchased by: Private
Symptoms: Atypical pneumonia, Cardiac telemetry, Chest X-ray abnormal, Chest discomfort, Condition aggravated, Cough, Diarrhoea, Electrocardiogram, Exposure during pregnancy, Foetal monitoring, Laboratory test, Nausea, Pyrexia, Supraventricular tachycardia, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Supraventricular tachyarrhythmias (narrow), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Noninfectious diarrhoea (narrow)
Write-up: Day following vaccine patient develops nausea, vomiting, diarrhea and fever. Thursday lungs felt tight and she started coughing - Monday she went to hospital for hydration. Tuesday ER for episode of SVT. ER by ambulance admitted to Telemetry for a day of monitoring. By noon the next day she was in the ER again for another SVT episode - and again back in ER at midnight - chest X-ray and diagnosis of walking pneumonia given. 12 hours later she was back in the ER with SVT and was admitted to Telemetry overnight in SVT. She was treated with antibiotics and symptoms slowly improved. Known Tetanus vaccine approximately 7 years ago.

VAERS ID:529826 (history)  Vaccinated:0000-00-00
Age:37.0  Onset:0000-00-00
Gender:Female  Submitted:2014-04-30
Location:Unknown  Entered:2014-04-30
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Penicillin allergy
Preexisting Conditions: At the time of reporting, it was unknown if there were concomitant medications. It was unknown if the subject had previously received flu shots. Alcohol and tobacco use were unknown.
Diagnostic Lab Data: UNK
CDC Split Type: A1060721A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Rash generalised, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: This case was reported by a healthcare professional (pharmacy technician) and described the occurrence of swollen all over in a 37-year-old female subject who was vaccinated with influenza vaccine unspecified (manufacturer unspecified). Concurrent medical conditions included penicillin allergy. In 2008, "about 5 years ago" the subject received a dose of influenza vaccine unspecified (unknown details). In 2008, 30 minutes after vaccination with influenza vaccine unspecified, the subject experienced swollen all over and rash all over. The subject was taken to the emergency room and subsequently discharged. The subject was not hospitalized. The healthcare professional considered the events were disabling. At the time of reporting the outcome of the events were unspecified. The reporter had limited information to provide at the time of reporting. Follow-up information was received on 29 April 2014 via pharmacy tech who reported the subject experienced the events in 2008 and resolved in 2008; dates not specified. The reporting pharmacy tech did not consider the events serious. Details regarding the flu vaccination were unknown as it was not administered at the reporting technician''s pharmacy. No action was taken with the flu vaccine; it was unknown if it was reintroduced or if symptoms recurred. No other information was provided.

VAERS ID:529933 (history)  Vaccinated:2014-02-26
Age:37.0  Onset:2014-03-02, Days after vaccination: 4
Gender:Female  Submitted:2014-05-01, Days after onset: 59
Location:Oregon  Entered:2014-05-01
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Acyclovir
Current Illness: No
Preexisting Conditions:
Diagnostic Lab Data: CT; Spinal Tap; MRI
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J0110420IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abdominal discomfort, Abdominal pain upper, Activities of daily living impaired, Amnesia, Aphasia, Arthralgia, Asthenia, Chest discomfort, Chest pain, Chronic sinusitis, Clumsiness, Computerised tomogram head abnormal, Decreased appetite, Dizziness, Dry eye, Dyspepsia, Eye pain, Fatigue, Feeling abnormal, Feeling hot, Gait disturbance, Head injury, Headache, Hypoaesthesia, Impaired work ability, Increased upper airway secretion, Joint crepitation, Joint stiffness, Lumbar puncture, Lymph node pain, Middle insomnia, Motion sickness, Nausea, Neck pain, Night sweats, Nuclear magnetic resonance imaging, Ocular hyperaemia, Oral mucosal blistering, Pain, Paraesthesia, Photophobia, Photosensitivity reaction, Piloerection, Pyrexia, Raynaud's phenomenon, Sinusitis, Sleep disorder, Stomatitis, Tremor, Vision blurred
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Accidents and injuries (narrow), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Corneal disorders (broad), Retinal disorders (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Conjunctival disorders (narrow), Lacrimal disorders (narrow), Hypersensitivity (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Symptoms & Timeline 3/02 Sinus infection 3/13 First numbness/electrical feeling Raynaud's-like episode, lose feeling in hands whenever try to work, cannot work until see doctor. 3/20 See doctor--symptoms improve once taking anti-inflammatories (Diclofenac). Treated for Sinus infection with Zithromax. Someóbut not allósinus infection symptoms go away over the next few days. 3/25-3/28 Feverish with extreme fatigue, in bed. 3/29 Numbness/electrical feeling in arms/hands returns very strongly for 2-3 hours until Diclofenac takes effect, then continues low grade symptoms. 3/30 Electrical feeling in calves and feet while kneeling, continues less strong after changing position. Glands are sore. 3/31-4/1 Symptoms slowly increasing, especially noticeable when meds time approaches; also tightness in chest; waking in the middle of the night feeling constricted and overheated. 4/2 Symptoms increase; numbness increases in lower legs and arms, even while on Diclofenac; clumsy feeling--hit head on a bookshelf. 4/3 Symptoms travel further up legs; goose bumps suddenly appear on arms and chest in a warm room. Fever comes and goes. 4/4 Symptoms through entire legs up into the hips and entire arms into the shoulders. Increased pain and stiffness in all joints, especially knees and hips. Difficulty walking. Tightness in chest. Fever. Glands more sore. Goose bumps appear again. 4/5 Slept 10 hours, still exhausted. Electrical feelings lessened, numbness lessened. Short bouts of very sharp pain in joints in various areas of the body. Joints feel weak, lots of small pops. Have to be careful on stairs, walk carefully. Tightness & mild pain in chest. Feeling slightly faint. 4/6 Sharp pain in joints increased, especially shoulders, left hand, and knees. Joints popping. Hand tremors that look like Parkinson's. Stomach upset, don't want to eat. Increased headache. Still exhausted. 4/7 Stomach upset, can only eat small amounts. Electrical feeling comes and goes in arms, legs, head/face, and other areas. Tremors in hands. Skin & eyes feeling very sensitive to the direct sun (even w/sunblock). Fever. 4/8-4/15 ER twice in this period with extreme full body pain (unable to stand), photophobia & photosensitivity. Once hospitalised, still barely able to walk, roller-coaster of bad symptoms. CT Scan showed chronic sinusitis. 4/16 Slightly improved in the morning, walking better. Worse again in pm. 4/17 First morning of real improvement. Walking stairs better. 3pm pressure on chest & headache returning. Blow nose; some blood & dark yellow phlegm, feel dizzy/worse after this. 4/27 Severe pain returns, excruciating bad pain in brain and neck. Hospitalized for two days (released 4/29. MRI and Spinal tap performed while in hospital. Recent Symptoms (since vaccination) -Extreme joint pain all over body, esp shoulders, knees, left arm/hand, head and neck. -Memory loss -Trouble finding words -Joint stiffness -Joints cracking/popping -Parkinson''s-like hand tremors -Loss of feeling in hands, arms, feet, legs -Electrical feelings in hands, arms, feet, legs, and face/head -Cannot walk at times/difficulty walking, esp on stairs -Cannot use/difficulty using hands, esp eating, writing -Severe photophobia & photosensitivity -Blurred vision -Dizziness/nausea/motion sickness -Sensation of motion when still -Sharp stabbing stomach pains -Reduced appetite -Poor digestion -Sores in mouth w/ blisters that burst -Goose bumps suddenly appear on arms and chest in a warm room -Chest pain/tightness -Feeling heavy pressure on chest -Disturbed sleep, night sweats -Glands sore -Dry/painful/bloodshot eyes

VAERS ID:530455 (history)  Vaccinated:2014-05-08
Age:37.0  Onset:2014-05-08, Days after vaccination: 0
Gender:Female  Submitted:2014-05-08, Days after onset: 0
Location:Washington  Entered:2014-05-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Not sure
Current Illness: None
Preexisting Conditions: Hep B vaccine allergy
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS2RY590IMLA
Administered by: Public     Purchased by: Other
Symptoms: Rash, Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow)
Write-up: Rash, throat fullness.

VAERS ID:530607 (history)  Vaccinated:0000-00-00
Age:37.0  Onset:0000-00-00
Gender:Female  Submitted:2014-05-09
Location:Illinois  Entered:2014-05-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1405USA000356
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Exposure during pregnancy
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: This spontaneous prospective pregnancy report as received from a certified medical assistant (C.M.A.) refers to a 37 year old female patient with no pertinent medical history or drug reactions/allergies. On an unspecified date in August 2013, the patient was vaccinated with her first dose of GARDASIL inj (dose, route and lot number not provided). On an unspecified date in October 2013 or November 2013, the patient was vaccinated with her second dose of GARDASIL (dose, route and lot number not provided). No co-suspect therapy was reported. There was no concomitant medication. The reporter stated that the patient became pregnant with last menstrual period (LMP) of 17-FEB-2014 and Estimated Due Date (EDD) of 24-NOV-2014. The vaccine exposure was during the first trimester. The pregnancy outcome was pending and the fetal outcome was unknown. The outcome of vaccine exposure during pregnancy was unknown. The reporter stated that the patient received the first and second doses of GARDASIL from another unspecified facility. No treatment was given for the adverse event. No lab diagnostics studies were performed. The patient sought medical attention by visiting the office. Additional information has been requested.

VAERS ID:530731 (history)  Vaccinated:2013-09-29
Age:37.0  Onset:2013-09-30, Days after vaccination: 1
Gender:Female  Submitted:2014-05-12, Days after onset: 224
Location:Virginia  Entered:2014-05-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS13086010IMLA
Administered by: Other     Purchased by: Private
Symptoms: Injected limb mobility decreased, Injection site pain, Musculoskeletal pain, Neck pain, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Soreness on injection site for a few days, then pain down on arm, difficulty twisting or lifting of arm. After a few months, pain now moved to back of neck and shoulder area. Not seen by MD.

VAERS ID:530932 (history)  Vaccinated:2014-05-07
Age:37.0  Onset:2014-05-12, Days after vaccination: 5
Gender:Female  Submitted:2014-05-15, Days after onset: 3
Location:Utah  Entered:2014-05-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No.
Preexisting Conditions: None.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER  UNRA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Fatigue, Headache, Local swelling, Musculoskeletal stiffness
SMQs:, Angioedema (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)
Write-up: Day 5 - Aching in knee joints, dull headache, more tired than usual; Day 6 - Aching in elbows, wrists and fingers; Day 7 - Aching in hips, stiff and slightly swollen fingers.

VAERS ID:531892 (history)  Vaccinated:2014-03-03
Age:37.0  Onset:2014-03-04, Days after vaccination: 1
Gender:Female  Submitted:2014-05-26, Days after onset: 82
Location:Nevada  Entered:2014-05-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Coumadin, Lovenox. I don''t know how to obtain the manufacturer.
Current Illness: No
Preexisting Conditions: I was exiting the hospital for a pulmonary embolism and had had a D&C for a miscarriage.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 2SYRLA
Administered by: Unknown     Purchased by: Other
Symptoms: Middle insomnia, Mobility decreased, Musculoskeletal pain, Weight bearing difficulty
SMQs:, Rhabdomyolysis/myopathy (broad), Parkinson-like events (broad), Depression (excl suicide and self injury) (broad), Tendinopathies and ligament disorders (broad)
Write-up: From 03/04/14 I began to have shoulder pain and limited movement when raising my arm crossed in front of me. The pain increased up until month 2. By then I couldn''t sleep on my left side, carry things on my left arm, and would wake up with pain. After trying hot compress, cold compress, and mud patches the pain diminished some. Now after 3 months I only have pain when I use my arm to carry or lift.

VAERS ID:532491 (history)  Vaccinated:2014-05-27
Age:37.0  Onset:2014-05-28, Days after vaccination: 1
Gender:Female  Submitted:2014-05-29, Days after onset: 1
Location:Wisconsin  Entered:2014-05-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC442B0IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Left arm from shoulder to elbow red, swollen, tender and hot to touch. Advised BENADRYL 25mg every 6 hrs. Apply iced compress. TYLENOL for pain. Outline redness with pen.

VAERS ID:533366 (history)  Vaccinated:2014-06-06
Age:37.0  Onset:2014-06-07, Days after vaccination: 1
Gender:Female  Submitted:2014-06-09, Days after onset: 2
Location:Alabama  Entered:2014-06-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4875AA0IMRA
Administered by: Private     Purchased by: Unknown
Symptoms: Chest discomfort, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Itching scalp on 6/7/14, hives on 6/8/14 knees, elbows and behind ears. Chest tightness on 6/7/14 and used albuterol inhaler and took OTC BENADRYL.

VAERS ID:533457 (history)  Vaccinated:2014-05-28
Age:37.0  Onset:2014-05-28, Days after vaccination: 0
Gender:Male  Submitted:2014-06-06, Days after onset: 9
Location:Ohio  Entered:2014-06-10, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: WELLBUTRIN
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: X-ray
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER  SYRAR
Administered by: Other     Purchased by: Other
Symptoms: Abscess, Arthropathy, Cellulitis, Mobility decreased, Musculoskeletal pain, X-ray
SMQs:, Rhabdomyolysis/myopathy (broad), Parkinson-like events (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Unable to move arm without severe pain in shoulder; waited 7 days with no improvement; went to clinic - diagnosis abscess cellulitis of axillary arm. Theorized serum went to joint.

VAERS ID:533462 (history)  Vaccinated:2014-05-16
Age:37.0  Onset:2014-05-17, Days after vaccination: 1
Gender:Female  Submitted:2014-06-10, Days after onset: 24
Location:Rhode Island  Entered:2014-06-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Fluoxetine 40mg daily; Heparin 5000 units SC bid; Nicotine patch 21mg daily; Nystatin swish/swallow qid; Aspirin 325mg PO daily; Acetaminophen 650mg PO q4hr prn; Albuterol neb q 2 hrs prn SOB; Maalox 30mL bid prn
Current Illness: TIA, r/o hypertension
Preexisting Conditions: Anxiety, depression, obesity, tobacco dependence
Diagnostic Lab Data: Right upper extremity ultrasound negative for DVT. White blood cell count minimally elevated.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J0050680IMRA
Administered by: Public     Purchased by: Public
Symptoms: Injection site erythema, Injection site swelling, Pain, Ultrasound scan normal, White blood cell count increased
SMQs:, Neuroleptic malignant syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Redness and swelling on Right upper arm, where Pneumococcal vaccine was given previous day (triceps area, about 24hrs prior). Complained of significant pain (10/10).

VAERS ID:534693 (history)  Vaccinated:2014-06-19
Age:37.0  Onset:2014-06-19, Days after vaccination: 0
Gender:Female  Submitted:2014-06-23, Days after onset: 4
Location:Kentucky  Entered:2014-06-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: BP Med (Does not know name); OCELLA
Current Illness: None
Preexisting Conditions: NKDA/HTN
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4565AA0IMRA
Administered by: Other     Purchased by: Other
Symptoms: Lymphadenopathy, Pain
SMQs:
Write-up: Patient c/o feeling achy and glands swelling, under (R) arm. Onset evening of shot (6/19/14). Has been taking TYLENOL. Patient states she had similar rxn to flu shot yrs ago.

VAERS ID:534947 (history)  Vaccinated:2014-06-19
Age:37.0  Onset:2014-06-19, Days after vaccination: 0
Gender:Male  Submitted:2014-06-26, Days after onset: 7
Location:Unknown  Entered:2014-06-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1406USA010076
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  IMUN
Administered by: Other     Purchased by: Other
Symptoms: Drug administered to patient of inappropriate age, No adverse event
SMQs:
Write-up: This spontaneous report as received from healthcare worker refers to a 37 year old male patient. No information on medical history, concurrent conditions or concomitant drugs was provided. On 19-JUN-2014 the patient was intramuscularly vaccinated with a dose of GARDASIL, 0.5ml, dose number, site of injection, lot# and expiration date not reported. The patient was 37 years old at the time of vaccination. No adverse effects were reported. Additional information has been requested.

VAERS ID:535085 (history)  Vaccinated:2013-09-17
Age:37.0  Onset:2013-09-17, Days after vaccination: 0
Gender:Female  Submitted:2014-06-06, Days after onset: 262
Location:Minnesota  Entered:2014-06-27, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin; Prenatal vitamins
Current Illness: Unknown
Preexisting Conditions: At the time of reporting, there was no relevant medical history. The subject had received flu shots previously. There were no reported adverse reactions to previous vaccinations, including flu shots. On follow up, the physician reported no alcohol or tobacco use.
Diagnostic Lab Data: UNK
CDC Split Type: A1043774A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT)GLAXOSMITHKLINE BIOLOGICALS59L37 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Exposure during pregnancy, Fatigue, Hyperhidrosis, Injection site erythema, Injection site mass, Injection site pain, Injection site warmth, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: This case was reported by a physician (subject) and described the occurrence of red around injection site in a 37-year-old female subject who was vaccinated with FLUARIX Quadrivalent (GlaxoSmithKline). Concurrent medications included Vitamins. On 17 September 2013 at 15:00 the subject received a dose of FLUARIX Quadrivalent (.5 ml, unknown route, left arm). On 19 September 2013, 2 days after vaccination with FLUARIX Quadrivalent, the subject experienced red around injection site, injection site lump, injection site warmth (described as "increased warmth" at injection site), injection site tenderness. In September 2013, within days after vaccination with FLUARIX Quadrivalent, the subject experienced low grade fever, diaphoresis (described as "sweating on face") and fatigue. At the time of reporting the events of red around injection site, injection site lump, injection site warmth, low grade fever, diaphoresis, and fatigue were resolved "within 48 to 36 hours after injection." The physician reported that the injection site tenderness was unresolved and "still evident". The physician considered the events were probably related to vaccination with FLUARIX Quadrivalent. This physician mentioned that this case was also reported to GlaxoSmithKline. See case A1042502A for details on the other case. Follow up was received from physician on 31 October 2013. This prospective pregnancy case was reported by the physician on follow up. The physician reported that on 17 September 2013, she received a primary dose of FLUARIX Quadrivalent (intramuscular) and also experienced vaccine exposure during the first trimester of pregnancy. Concurrent medications included prenatal vitamin. The gestational age was calculated to be 3 weeks. The date of last menstrual period was reported as 22 August 2013. The estimated date of delivery was calculated to be 29 May 2014. At the time of reporting, the pregnancy was ongoing. The physician did not consider the events experienced as serious. The physician reported that the events began on 17 September 2013, on the same date as vaccination with FLUARIX Quadrivalent. The physician documented that all events were resolved on 20 September 2013. The diagnosis was "localized vaccine relationship." Per the physician the immunization series was not discontinued or delayed. The following information was received on 31 January 2014 via subject who is also a physician. The subject''s last menstrual period occurred on 22 August 2013 and estimated date of delivery was 29 May 2014. The pregnancy was by normal conception and consisted of a single fetus. The subject was exposed to FLUARIX at 3 5/7 weeks gestation. At the time of the report the outcome of the pregnancy was ongoing and "healthy pregnancy so far".

VAERS ID:535120 (history)  Vaccinated:2013-10-01
Age:37.0  Onset:2013-10-02, Days after vaccination: 1
Gender:Female  Submitted:2014-06-06, Days after onset: 247
Location:North Carolina  Entered:2014-06-27, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: The subject had no concomitant medications and no drug allergies. The subject has received flu shots in the past and the reporter stated the subjct had "15 years of flu shots and no previous reactions."
Diagnostic Lab Data: UNK
CDC Split Type: A1045116A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT)GLAXOSMITHKLINE BIOLOGICALSTP225 UNRA
Administered by: Private     Purchased by: Private
Symptoms: Injection site pruritus, Injection site urticaria, Pruritus generalised, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: This case was reported by a healthcare professional and described the occurrence of itch all over in a 37-year-old female subject who was vaccinated with FLUARIX (GlaxoSmithKline). On 1 October 2013 the subject received a dose of FLUARIX (.5 ml, unknown route, right arm). On 2 October 2013, 1 day after vaccination with FLUARIX, the subject experienced itch all over and hives all over. At the time of reporting the events were unresolved. The healthcare professional considered the events were probably related to vaccination with FLUARIX. Follow-up was received on 09 October 2013. The nurse practitioner documented that the subject was 37 years old not 67 years old as previously documented in the report. The nurse practitioner further documented that the events were partly at the injection site but "it was pretty much all over." Follow-up information was received on 06 November 2013 via healthcare professional who reported the events occurred on 02 October "2014" and resolved on 10 October "2014", although the reporter may have intended the current year of "2013". The reporting healthcare professional did not consider the event serious. No action was taken with FLUARIX.

VAERS ID:535152 (history)  Vaccinated:2013-10-08
Age:37.0  Onset:2013-10-08, Days after vaccination: 0
Gender:Female  Submitted:2014-06-06, Days after onset: 241
Location:Washington  Entered:2014-06-27, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Esomeprazole
Current Illness: Reflux (NOS)
Preexisting Conditions: The subject had not experienced reactions to previous vaccinations, including flu shots.
Diagnostic Lab Data: UNK
CDC Split Type: A1045669A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 0UNUN
Administered by: Public     Purchased by: Other
Symptoms: Dizziness, Heart rate increased, Palpitations, Photophobia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious meningitis (narrow), Glaucoma (broad), Cardiomyopathy (broad), Corneal disorders (broad), Retinal disorders (broad), Vestibular disorders (broad)
Write-up: This case was reported by a consumer (subject) and described the occurrence of rapid heart rate in a 37-year-old female subject who was vaccinated with FLUARIX (manufacturer unspecified). A physician or other health care professional has not verified this report. Concurrent medical conditions included reflux (nos). Concurrent medications included NEXIUM. On 8 October 2013 at 08:45 the subject received 1st dose of influenza vaccine unspecified (unknown details). On 8 October 2013, "within 5 minutes" after vaccination with influenza vaccine unspecified, the subject experienced rapid heart rate, heart palpitation, and dizziness. On 8 October 2013, 6 hours after vaccination with influenza vaccine unspecified, the subject experienced photophobia. At the time of reporting the event of heart palpitations was unresolved. At the time of reporting, the events of rapid heart rate, dizziness and photophobia had resolved.

VAERS ID:535477 (history)  Vaccinated:0000-00-00
Age:37.0  Onset:0000-00-00
Gender:Female  Submitted:2014-06-30
Location:Unknown  Entered:2014-06-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: On an unknown date titers checked and the result was negative for MMR.
CDC Split Type: WAES1406USA013594
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC. 2UNUN
Administered by: Other     Purchased by: Other
Symptoms: Measles antibody negative, Mumps antibody test negative, Rubella antibody negative
SMQs:
Write-up: This spontaneous report as received from a other health professional refers to a 37 year old female patient. On an unknown date the patient received two doses of M-M-R II (lot#, expiration date, dose, route, indication not reported) when the patient was a child. On an unknown date the physician had her titers checked and it was found that her titers were negative for MMR. The physician then decide to administer one dose of M-M-R II to the patient. In May 2014 ("one month ago") the patient was vaccinated with third dose of M-M-R II (lot#, expiration date, dose, route, indication not reported). The patient''s titers had not been checked after it was administered. The outcome of the event was unknown. Additional information has been requested.

VAERS ID:535526 (history)  Vaccinated:2014-06-27
Age:37.0  Onset:2014-06-27, Days after vaccination: 0
Gender:Male  Submitted:2014-07-01, Days after onset: 4
Location:California  Entered:2014-07-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None. Emergent BioDefense was the manufacturer of the vaccine.
Current Illness: None.
Preexisting Conditions: Had a previous adverse reaction to the anthrax vacine.
Diagnostic Lab Data: None.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV370A4SYRRA
Administered by: Military     Purchased by: Military
Symptoms: Muscle twitching, Muscular weakness, Wrong drug administered
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Dyskinesia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad)
Write-up: Weakness in right arm began approximately one hour post-injection. Sporadic twitching in right arm began approximately 4 hours post injection. I previously had an adverse reaction to the anthrax vaccine, and a VAERS report was submitted. I was instructed not to have the anthrax vaccine again; however, the immunization technician mistakenly injected me with the wrong vaccine: she was supposed to administer a Typhoid vaccine, but she gave me anthrax instead.

VAERS ID:535833 (history)  Vaccinated:2014-07-03
Age:37.0  Onset:2014-07-03, Days after vaccination: 0
Gender:Female  Submitted:2014-07-03, Days after onset: 0
Location:Utah  Entered:2014-07-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: IBUPROFEN 800MG
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS592D31IMLA
Administered by: Other     Purchased by: Private
Symptoms: Musculoskeletal discomfort, Nausea, Vision blurred
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad)
Write-up: Employee experienced nausea and blurred vision. Employee was given ice pack for the back of her neck.

VAERS ID:536207 (history)  Vaccinated:2013-11-15
Age:37.0  Onset:2013-11-16, Days after vaccination: 1
Gender:Male  Submitted:2013-11-20, Days after onset: 4
Location:Pennsylvania  Entered:2014-07-09, Days after submission: 230
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS3G93H1SYRRA
Administered by: Other     Purchased by: Other
Symptoms: Rash, Rash papular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Patient experienced a fine papular rash over the trunk the day following his Tdap injection. Patient began taking diphenhydramine over the weekend and symptoms started to clear. Diphenhydramine.

VAERS ID:536686 (history)  Vaccinated:0000-00-00
Age:37.0  Onset:0000-00-00
Gender:Female  Submitted:2014-06-13
Location:North Carolina  Entered:2014-07-15, Days after submission: 32
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PPD
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
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MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURA130641IMLA
Administered by: Military     Purchased by: Military
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Lymphadenopathy
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Left deltoid swollen, red, warm to touch. Pt states swollen nodes in axilla.

VAERS ID:537413 (history)  Vaccinated:2014-07-22
Age:37.0  Onset:2014-07-22, Days after vaccination: 0
Gender:Female  Submitted:2014-07-23, Days after onset: 1
Location:Virginia  Entered:2014-07-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Clindamycin, Tramadol, Benadryl, Senna, Docusate
Current Illness: None
Preexisting Conditions: Penicillins, sulfamethoxazole, trimethoprim, dihydroergocristine, levofloxacin, dye-nonfood
Diagnostic Lab Data: Vitals @ 9:29AM: temp 96.8 BP 154/81 HR 82 Resp easy and unlabored at 18per minute. Vitals @ 10:09am: temp 96.1 BP 145/86 HR 88 Resp 20
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.K0041420IMLA
Administered by: Private     Purchased by: Other
Symptoms: Body temperature decreased, Immediate post-injection reaction, Pruritus generalised, Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow)
Write-up: Patient experienced immediate "throat closing" and generalized itching. Rash not seen. 25mg IV Benadryl given at 9:33 AM and Solumedrol 100mg IV given at 12:20pm.

VAERS ID:537925 (history)  Vaccinated:2014-07-23
Age:37.0  Onset:2014-07-24, Days after vaccination: 1
Gender:Female  Submitted:2014-07-28, Days after onset: 4
Location:Oregon  Entered:2014-07-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Well Butrin 100 mg; Levothrorine 125 mcg; Flexeril; Advair; Verapmil; Melatonin; B vit; D Vit
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: No
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSL7J441IDRA
Administered by: Unknown     Purchased by: Private
Symptoms: Erythema
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: 4.5 cm diameter red spot.

VAERS ID:539684 (history)  Vaccinated:2014-08-06
Age:37.0  Onset:2014-08-07, Days after vaccination: 1
Gender:Female  Submitted:2014-08-13, Days after onset: 6
Location:Pennsylvania  Entered:2014-08-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid, Coreg CR, Vimovo, Cymbalta
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4902BA0IMLA
Administered by: Other     Purchased by: Other
Symptoms: Erythema, Induration, Pain, Pyrexia, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Redness, swelling, hardness, low grade fever, soreness.

VAERS ID:540179 (history)  Vaccinated:2014-03-24
Age:37.0  Onset:2014-03-31, Days after vaccination: 7
Gender:Female  Submitted:2014-08-18, Days after onset: 140
Location:California  Entered:2014-08-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: Blood test, an issue with unspecified mumps and antibodies
CDC Split Type: WAES1408USA003806
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC. 0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Antibody test abnormal, Burning sensation, Rash, Rash erythematous, Rash pruritic, Viral test
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Vasculitis (broad), Hypersensitivity (narrow)
Write-up: This spontaneous report as received from a consumer refers to a 37 year old female patient. The patient had no pertinent medical history and no drug reactions/allergies. Patient was not pregnant. On 24-MAR-2014 the patient was vaccinated with her first dose of M-M-R II (lot #, expiration date, dose, frequency were unknown) as it was mandatory requirement for employment. NO concomitant medication was reported. On 31-MAR-2014 (reported as "a week after vaccination") the patient experienced rash which was first appeared on her back the size of a quarter. There were 2 of them. Once these rashes went away new rashes appeared on her legs, from her knees to her ankles, and then to her arms. Patient also reported that the rashes were red, burning and itching. Prior to receiving the M-M-R II, she reported that she had blood work done. The results showed an issue with unspecified mumps and antibodies (also reported as "no lab diagnostics studies performed"). Patient sought medical attention via doctor visit. An unspecified cortisone cream was given as treatment. The outcome of the events was reported as not recovered/not resolved. Additional information has been requested.

VAERS ID:540409 (history)  Vaccinated:2014-08-09
Age:37.0  Onset:2014-08-14, Days after vaccination: 5
Gender:Male  Submitted:2014-08-19, Days after onset: 5
Location:Florida  Entered:2014-08-19
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, previous URI one week prior
Preexisting Conditions: None
Diagnostic Lab Data: ESR; CRP; UA; CBC w diff
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4886AA IMLA
Administered by: Other     Purchased by: Private
Symptoms: Arthralgia, Differential white blood cell count, Full blood count, Rash erythematous, Red blood cell sedimentation rate, Urine analysis
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Joint pain, red dots all over body which were more around feet and pelvic area.

VAERS ID:540703 (history)  Vaccinated:2014-08-08
Age:37.0  Onset:2014-08-09, Days after vaccination: 1
Gender:Female  Submitted:2014-08-20, Days after onset: 11
Location:Unknown  Entered:2014-08-21, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: flu-like symptoms~Rabies (RabAvert)~1~37.00~Patient
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: PHEH2014US016323
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (RABAVERT)NOVARTIS VACCINES AND DIAGNOSTICS52011A2IMUN
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Back pain, Influenza like illness, Rash, Type II hypersensitivity, Type IV hypersensitivity reaction
SMQs:, Anaphylactic reaction (broad), Retroperitoneal fibrosis (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Case number PHEH2014UD016323, is an initial spontaneous report from a physician received on 13 Aug 2014. This report refers to a 37-year-old female patient. Historical conditions were not reported. No concomitant medication was reported. She was vaccinated with the first dose of RABAVERT (batch number: 52011A) on 01 Aug 2014 and experienced flu-like symptoms (see case: PHHY2014US102563). She was vaccinated with second dose of RABAVERT (batch number: 52011A) on 04 Aug 2014 and third dose of RABAVERT (batch number: 52011A) on 08 Aug 2014 respectively. On 09 Aug 2014, 24 hours after the third dose of RABAVERT was administered, she experienced delayed type II hypersensitivity reactions to RABAVERT in the form of a localized rash, joint, and back pain. The physician insisted the rash was a representative of delayed type II hypersensitivity reaction to RABAVERT. The outcome of the events was unknown. Seriousness and causality was not reported.

VAERS ID:541061 (history)  Vaccinated:2014-03-01
Age:37.0  Onset:2014-03-01, Days after vaccination: 0
Gender:Female  Submitted:2014-08-25, Days after onset: 176
Location:New Mexico  Entered:2014-08-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Other     Purchased by: Other
Symptoms: Hypoaesthesia, Injection site anaesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Numbness progressing from right deltoid (site of injection), down into right flank of abdomen, then up right side of neck, and facial numbness covering all of face. This lasted for three hours, then all numbness went away.

VAERS ID:541071 (history)  Vaccinated:2014-03-26
Age:37.0  Onset:2014-04-20, Days after vaccination: 25
Gender:Female  Submitted:2014-08-25, Days after onset: 127
Location:New Jersey  Entered:2014-08-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO TRI-CYCLEN
Current Illness: Seasonal Allergy
Preexisting Conditions:
Diagnostic Lab Data: UNK
CDC Split Type: A1085740A
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSN3BE2 UNLA
Administered by: Private     Purchased by: Other
Symptoms: Formication, Hypoaesthesia, Immunoglobulin therapy, Laboratory test, Myelitis transverse, Neuropathy peripheral, Paraesthesia, Sensory disturbance
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Demyelination (narrow)
Write-up: This case was reported by a consumer and described the occurrence of transverse myelitis in a 37-year-old female subject who was vaccinated with BOOSTRIX, (GlaxoSmithKline). A physician or other health care professional has not verified this report. Concurrent medical conditions included seasonal allergy (the subject had no allergies to medication). Concurrent medications included ORTHO TRI-CYCLEN. On 26 March 2014, the subject received an unspecified dose of BOOSTRIX (0.5 ml, unknown route, left arm). On 20 April 2014, 25 days after vaccination with BOOSTRIX, the subject experienced constant humming and swimming sensation under the skin, pins and needles sensations, tingling sensation, numbing and stabbing sensation. These symptoms occurred in arms and legs. The subject also experienced complete acute bilateral neuropathy through arms and legs. On 23 April 2014, she was seen by her doctor. She had numerous testing and lab work done over the last 3 months and was diagnosed with post infection vaccine related transverse myelitis. This case was assessed as medically serious by GSK. On 18 August 2014, the subject started treatment with normal immunoglobulin (IVIG). She had 4 infusions so far. She could not pin point whether it was working yet. She was slated for 6 cycles (6 months). At the time of reporting, the events were unresolved.

VAERS ID:541948 (history)  Vaccinated:2014-08-25
Age:37.0  Onset:2014-08-26, Days after vaccination: 1
Gender:Female  Submitted:2014-08-29, Days after onset: 3
Location:Connecticut  Entered:2014-08-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Trazodone; Venlafaxine; Topiramate; Levothyroxine; Alprazolam
Current Illness:
Preexisting Conditions: Asplenia
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS145225 UNLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J004387 UNLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site cellulitis, Injection site erythema, Injection site hypersensitivity, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Site of PNEUMOVAX became red and swollen and painful, patient went to ER. Either cellulitis or allergic rxn - MD unsure (rxn was definitely around PNEUMOVAX site).

VAERS ID:542296 (history)  Vaccinated:2014-08-30
Age:37.0  Onset:2014-08-30, Days after vaccination: 0
Gender:Male  Submitted:2014-09-03, Days after onset: 4
Location:North Dakota  Entered:2014-09-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: BENICAR; FINASTERIDE
Current Illness: NO
Preexisting Conditions: ENVIRONMENTAL ALLERGIES TO TREES, GRASSES, DUST, POLLEN, PETS; HTN, ASTHMA
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1411301 IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.H0117800SCLA
TDAP: TDAP (ADACEL)SANOFI PASTEURC4424AA IMLA
Administered by: Other     Purchased by: Private
Symptoms: Axillary pain, Chest pain, Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling, Painful respiration
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)
Write-up: REDNESS, SWELLING, PAIN, SLIGHT BRUISING AT INJECTION SITE. PAIN UNDERNEATH ARMPIT, SOME CHEST PAINS UPON INHALATIONS.

VAERS ID:542432 (history)  Vaccinated:2014-08-28
Age:37.0  Onset:2014-08-29, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:Massachusetts  Entered:2014-09-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: Penicillin
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.K0048100IMRA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.K0007381SCRA
TDAP: TDAP (ADACEL)SANOFI PASTEURU4965AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Induration, Injection site pain
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad)
Write-up: Tdap given on 8/28, 8/29 noted increased pain (L) upper arm. Seen on 9/2, 9 cm area of erythema with induration started on BACTRIM for possible cellulitis. Re-eval on 9/4 - sx resolved.

VAERS ID:542446 (history)  Vaccinated:2014-08-20
Age:37.0  Onset:2014-08-21, Days after vaccination: 1
Gender:Female  Submitted:2014-09-04, Days after onset: 14
Location:Indiana  Entered:2014-09-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None known
Preexisting Conditions: None known
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.K0044191SCRA
Administered by: Public     Purchased by: Private
Symptoms: Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Patient began itching. Developed what appeared to be hives all over trunk, then arms and neck and thighs. She was seen the next day by physician who prescribed steroid dose pack and gave steroid injection. Areas subsided quickly and reduced to very minimal by the following day.

VAERS ID:542563 (history)  Vaccinated:2014-09-04
Age:37.0  Onset:2014-09-04, Days after vaccination: 0
Gender:Female  Submitted:2014-09-05, Days after onset: 1
Location:Massachusetts  Entered:2014-09-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: N/A
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS145303 IMLA
Administered by: Other     Purchased by: Other
Symptoms: Dyspnoea, Flushing, Tremor, Vision blurred
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalopathy/delirium (broad), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Hypersensitivity (broad)
Write-up: Tremors, flushing, difficulty breathing, blurred vision.

VAERS ID:542725 (history)  Vaccinated:2013-10-08
Age:37.0  Onset:2013-10-21, Days after vaccination: 13
Gender:Male  Submitted:2014-09-06, Days after onset: 320
Location:Connecticut  Entered:2014-09-06
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: Full CNS MRI- negative (with contrast), serology ruled out Lyme or related. Spinal fluid suggested against any clear disease pattern.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEURUH906AC9UNUN
Administered by: Other     Purchased by: Private
Symptoms: Activities of daily living impaired, Asthenia, Borrelia test negative, CSF test normal, Coordination abnormal, Gait disturbance, Meningitis aseptic, Movement disorder, Muscle twitching, Muscular weakness, Neurological symptom, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging spinal normal, Paraesthesia, Sensory disturbance, Viral infection
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Dementia (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow)
Write-up: It began with funny sensations, paresthesias in the saddle area. They were occassional and brief, almost felt like muscle twitches or a buzzing electric shock (hit your funny bone) feeling. That progressed a bit. After several weeks I noticed that it occurred predictably with neck flexion. Also over the time period of late October 2013 to late November, the paresthesias worsened, and I also developed weakness and mild dyscoordination in my legs bilaterally. Overall the symptoms were very disturbing, but I could still walk.The symptoms gradually improved over the next 10 months. Currently I am about 80% better but still notice some dyscoordination and my gait is permanently altered. I can run, but have trouble playing sports as my agility is reduced. The subjective feeling of leg movement is noticeably altered and this is unpleasant. I received a full work up and my neurologist diagnosed me with "post-viral syndrome". He did not think the symptoms were related to the vaccine. I had also had a brief but bad viral infection in early September 2013, which was initially diagnosed as Lyme Disease, but retrospectively as a viral syndrome, probably aseptic menengitis or possibly a mild viral encephalitis. That viral episode resolved withing 1 week though, and there was about 6 weeks between recovery from that and the development of these neurologic symptoms, and I was feeling normal in between. In summary, I think there is a good chance my symptoms are from the vaccine. I am a board certified psychiatrist, and a full-time faculty member at a university.

VAERS ID:542854 (history)  Vaccinated:2014-09-05
Age:37.0  Onset:2014-09-06, Days after vaccination: 1
Gender:Male  Submitted:2014-09-08, Days after onset: 2
Location:Colorado  Entered:2014-09-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: None
Preexisting Conditions: NKDA
Diagnostic Lab Data: Advised patient to see his Doctor for further testing and evaluation.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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Site
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICSM140311IMLA
Administered by: Military     Purchased by: Military
Symptoms: Axillary mass, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Patient said that he developed fever the next day and lump developed under the left arm pit. Advised patient to have provider further evaluate situation.

VAERS ID:543504 (history)  Vaccinated:2014-09-02
Age:37.0  Onset:2014-09-08, Days after vaccination: 6
Gender:Female  Submitted:2014-09-11, Days after onset: 3
Location:Idaho  Entered:2014-09-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Felt onset of odd flu symptoms
Preexisting Conditions: Asthma
Diagnostic Lab Data: Unknown
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS14112010IMLA
Administered by: Other     Purchased by: Private
Symptoms: Anaphylactoid reaction, Dyspnoea, Pharyngeal oedema
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Oropharyngeal allergic conditions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Pt experienced anaphylaxis type rxn on 9/8/14 including difficulty breathing and reported throat swelling which was relieved by administration of epinephrine.

VAERS ID:543600 (history)  Vaccinated:2014-09-10
Age:37.0  Onset:2014-09-11, Days after vaccination: 1
Gender:Female  Submitted:2014-09-12, Days after onset: 1
Location:Ohio  Entered:2014-09-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamins
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: No
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Public     Purchased by: Private
Symptoms: Arthralgia, Headache, Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)
Write-up: Injection sight swelling, redness, itching, burning, hot to touch. Bruising. Swelling area 3x4 inch on upper arm. Head ache and joint aches.

VAERS ID:543860 (history)  Vaccinated:2014-09-08
Age:37.0  Onset:2014-09-08, Days after vaccination: 0
Gender:Female  Submitted:2014-09-09, Days after onset: 1
Location:Arizona  Entered:2014-09-15, 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: Hearing impaired.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.K0035331IMRA
Administered by: Other     Purchased by: Other
Symptoms: Anxiety, Hyperhidrosis, Insomnia, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad)
Write-up: Pt is having sweating, shakey, unable to sleep and anxiety.

VAERS ID:544093 (history)  Vaccinated:2014-09-16
Age:37.0  Onset:2014-09-17, Days after vaccination: 1
Gender:Female  Submitted:2014-09-17, Days after onset: 0
Location:Pennsylvania  Entered:2014-09-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1411001 IMRA
Administered by: Other     Purchased by: Private
Symptoms: Hypoaesthesia, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Numbness/tingling right hand/fingers.

VAERS ID:544459 (history)  Vaccinated:2014-09-18
Age:37.0  Onset:2014-09-18, Days after vaccination: 0
Gender:Female  Submitted:2014-09-18, Days after onset: 0
Location:Arizona  Entered:2014-09-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Diabetes Mellitus Type II
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.J006186 SCAR
Administered by: Private     Purchased by: Private
Symptoms: Dyspnoea, Pruritus, Rash, Wheezing
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Asthma/bronchospasm (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: Itching, rash, shortness of breath, wheezing. Treated with steroids, epinephrine (SQ), antihistamines /w bronchodilators emergently in office with Rxs for steroids and antihistamines.

VAERS ID:544486 (history)  Vaccinated:2014-09-16
Age:37.0  Onset:2014-09-16, Days after vaccination: 0
Gender:Female  Submitted:2014-09-18, Days after onset: 2
Location:Indiana  Entered:2014-09-19, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prednisone
Current Illness:
Preexisting Conditions: RA; Spondiosis
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDT57005 IMAR
Administered by: Public     Purchased by: Private
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Broke out in hives, body wide same day after receiving influenza vaccine. OTC BENADRYL, steroids rec''d.

VAERS ID:544616 (history)  Vaccinated:2014-09-19
Age:37.0  Onset:2014-09-19, Days after vaccination: 0
Gender:Female  Submitted:2014-09-19, Days after onset: 0
Location:Pennsylvania  Entered:2014-09-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDT57906 UNLA
Administered by: Public     Purchased by: Unknown
Symptoms: Dyspnoea, Paraesthesia oral, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypersensitivity (broad)
Write-up: Pt received AFLURIA. After about 5 mins pt started feeling tingling of lips and tightening of throat. Pt was having difficulty breathing. Gave pt one dose of EPIPEN 0.3 mg. Pt breathing improved. Called 911. Pt left clinic in ambulance.

VAERS ID:545170 (history)  Vaccinated:2014-09-10
Age:37.0  Onset:2014-09-10, Days after vaccination: 0
Gender:Female  Submitted:2014-09-24, Days after onset: 14
Location:Unknown  Entered:2014-09-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: KEPRA
Current Illness: Accidental exposure to product; Simple partial seizures
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1409USA005778
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.K003596 UNUN
Administered by: Other     Purchased by: Other
Symptoms: Accidental exposure to product, Eye burns, Ocular hyperaemia
SMQs:, Anaphylactic reaction (broad), Accidents and injuries (narrow), Glaucoma (broad), Corneal disorders (broad)
Write-up: This spontaneous report as received from a 37 year old female pharmacist refers to herself. Patients current condition included simple partial seizures. No relevant medical history has been reported. Her past drug history was unknown. On 10-SEP-2014, the patient was drawing up ZOSTAVAX lot # K003596 expiration date: 12-MAR-2015 (unknown dose, units and frequency) (also reported as accidentally, route left eye). Concomitant therapies included KEPRA. On 10-SEP-2014, patient accidentally squirted in her left eye as she was drawing up ZOSTAVAX and it had a retractable needle. On 10-SEP-2014, she also reported that her eye burned a little but then she flushed it briefly and after flushing, her eye was red. It was unknown if there was any relevant laboratory data. It was reported that as of 10-SEP-2014 it was unknown if she will accidentally get ZOSTAVAX in her eye again. The outcome of the event her eye burned a little was reported as resolved. The outcome of the event after flushing her eye was red was reported as not recovered/not resolved (also reported as her eye continues to be red) and the outcome of the event accidentally squirted in her left eye was not reported. Causality between ZOSTAVAX and the events were not reported. Additional information has been requested.

VAERS ID:545320 (history)  Vaccinated:2014-09-23
Age:37.0  Onset:2014-09-24, Days after vaccination: 1
Gender:Female  Submitted:2014-09-26, Days after onset: 2
Location:New York  Entered:2014-09-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Office visit
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH906AD SYRRA
Administered by: Public     Purchased by: Private
Symptoms: Injection site erythema, Injection site induration
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: 3 cm area of erythema and induration at site of injection 20 hr post injection.

VAERS ID:545343 (history)  Vaccinated:2014-09-08
Age:37.0  Onset:2014-09-08, Days after vaccination: 0
Gender:Male  Submitted:2014-09-26, Days after onset: 18
Location:Alabama  Entered:2014-09-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None reported
Current Illness: None reported
Preexisting Conditions: None reported
Diagnostic Lab Data: None reported
CDC Split Type:
Vaccination
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Site
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT)GLAXOSMITHKLINE BIOLOGICALS3N3Z31IMRA
Administered by: Other     Purchased by: Public
Symptoms: Injection site pain, Neck pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Arthritis (broad)
Write-up: The flu was administered at a school site. The patient reported to the school nurse on 9/18/14 that he had severe pain in his right arm going into his shoulder and neck ever since the injection. The nurse reported this information to me on 9/19/14 and that she advised him to see his physician. I contacted him on 9/22/14. He had not seen a doctor but the pain was not improved.

VAERS ID:545412 (history)  Vaccinated:2014-09-22
Age:37.0  Onset:2014-09-23, Days after vaccination: 1
Gender:Male  Submitted:2014-09-26, Days after onset: 3
Location:Oregon  Entered:2014-09-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Same symptoms as recent event~Influenza (Seasonal) (no brand name)~UN~37.08~Patient
Other Medications: Digestive supplements from Biotics Reaserch: Betaine Plus HP (HCl supplement, 1 per meal)
Current Illness: None
Preexisting Conditions: Astigmatism
Diagnostic Lab Data: None at this time
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  SYRLA
Administered by: Public     Purchased by: Public
Symptoms: Activities of daily living impaired, Dizziness postural, Fatigue, Musculoskeletal pain, Musculoskeletal stiffness, Neck pain, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: General aches and fatigue, most intense around neck and high on shoulders, with stiffness, severe dizziness with change of head position up or down from neutral. Woke with symptoms, they worsened slightly over 24 hours, faded over next 24 hours, (missed work on 2nd day,) by 3rd day only general fatigue and faint achiness remained. After 72 hours no symptoms remain except minor, localized tight spots at neck and shoulder "trigger points."

VAERS ID:545449 (history)  Vaccinated:2014-09-22
Age:37.0  Onset:2014-09-22, Days after vaccination: 0
Gender:Female  Submitted:2014-09-27, Days after onset: 5
Location:Texas  Entered:2014-09-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Hypothyroidism
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDT51508 IMRA
Administered by: Other     Purchased by: Other
Symptoms: Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Severe itching, hives.

VAERS ID:545463 (history)  Vaccinated:2014-09-26
Age:37.0  Onset:2014-09-26, Days after vaccination: 0
Gender:Female  Submitted:2014-09-28, Days after onset: 2
Location:Florida  Entered:2014-09-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: No
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)SANOFI PASTEURU4902BA0IMLA
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.K0066820IMRA
Administered by: Public     Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Painful redness, swelling and itching at site. Patient giver Bactrim ds 800 mg one bid x 7 days and advised to apply moist heat 4-6 times a day. Advised to follow up in 2 days.

VAERS ID:545544 (history)  Vaccinated:2014-09-18
Age:37.0  Onset:2014-09-18, Days after vaccination: 0
Gender:Female  Submitted:2014-09-29, Days after onset: 11
Location:Oklahoma  Entered:2014-09-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Private     Purchased by: Other
Symptoms: Mobility decreased, Musculoskeletal pain
SMQs:, Rhabdomyolysis/myopathy (broad), Parkinson-like events (broad), Tendinopathies and ligament disorders (broad)
Write-up: Severe shoulder pain; difficult to roll over in bed or lift arm over shoulder height; it is not getting any better, but is getting worse.

VAERS ID:545665 (history)  Vaccinated:2014-09-24
Age:37.0  Onset:2014-09-24, Days after vaccination: 0
Gender:Male  Submitted:2014-09-29, Days after onset: 5
Location:Illinois  Entered:2014-09-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS  IMLA
Administered by: Other     Purchased by: Private
Symptoms: Depressed level of consciousness, Dizziness, Dysarthria, Hyperhidrosis
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: Patient experienced dizziness, slurred speech, near loss of consciousness, and extreme sweat within five minutes of administration of the vaccine. Patient lay down and the symptoms faded within another five to ten minutes. A regular dose of an antihistamine was administered when the symptoms were present.

VAERS ID:545667 (history)  Vaccinated:2014-09-19
Age:37.0  Onset:2014-09-27, Days after vaccination: 8
Gender:Male  Submitted:2014-09-30, Days after onset: 3
Location:Unknown  Entered:2014-09-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Foreign traditional medicine prescribed by doctor
Current Illness: None that I am aware of
Preexisting Conditions: None that I have, besides sleep apnea
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Military     Purchased by: Military
Symptoms: Chest discomfort, Cold sweat, Dizziness postural, Erythema, Night sweats, Pain, Rash pustular, Somnolence
SMQs:, Anaphylactic reaction (narrow), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypersensitivity (narrow)
Write-up: Tight chest, sleepy (slept for days), body sore, back especially, dizzy when standing, cold sweets, night sweats, wound looked infected as it was big, full of pus, large red mark around shoulder.

VAERS ID:546019 (history)  Vaccinated:2014-08-29
Age:37.0  Onset:2014-09-25, Days after vaccination: 27
Gender:Female  Submitted:2014-10-01, Days after onset: 6
Location:California  Entered:2014-10-01
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: Migraine headache
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURU47008A0IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Severe, recurrent pain at the injection site, left lower deltoid.

VAERS ID:546264 (history)  Vaccinated:2014-09-16
Age:37.0  Onset:2014-09-17, Days after vaccination: 1
Gender:Female  Submitted:2014-10-02, Days after onset: 15
Location:Texas  Entered:2014-10-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No illness
Preexisting Conditions: No known allergies to medicine - I have received flu shots in years past
Diagnostic Lab Data: All lab/blood results were negative for infection, lupus, thyroid, etc. Per doctor all results were negative leaving him to believe it is an allergy to something in the vaccine.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 0IMRA
Administered by: Other     Purchased by: Private
Symptoms: Laboratory test normal, Thyroid function test normal, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: I began seeing hives on my abdomen, by 09/20/14 I was almost covered in hives from my breast to hips and in the same location on my sides and back. I saw my doctor on 09/22/14 and was given prednisone. The hives faded through the week, however my last prednisone pill was 09/28/14. The very next day 09/29/14 they began to appear again and have progressively gotten worse. I am seeing my doctor again tomorrow.

VAERS ID:547137 (history)  Vaccinated:2014-09-30
Age:37.0  Onset:2014-10-02, Days after vaccination: 2
Gender:Female  Submitted:2014-10-02, Days after onset: 0
Location:California  Entered:2014-10-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abnormal pap LSIL; MALT; Sicca syndrome; Sjogren''s synd
Preexisting Conditions: Lymphoma; MALT cell lymphoma of head, face, neck; Sjogren''s syndrome; Hypothyroid; LSIL on PAP smear
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS998320UNLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.K0050680UNRA
Administered by: Public     Purchased by: Public
Symptoms: Injection site erythema, Vaccination site swelling, Vaccination site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Was given Hep B vaccine on her (L) deltoid on 9/30/14 and develop swelling and redness around the vaccination site and warm to touch. Was given antibiotic KEFLEX 500 mg BID x 7 days. Pt w/ several medical problems lymphoma and receiving radiation.

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