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Case Details (Sorted by Age)

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VAERS ID:38229 (history)  Vaccinated:1991-08-19
Age:52.0  Onset:1991-09-24, Days after vaccination: 36
Gender:Female  Submitted:1991-12-11, Days after onset: 78
Location:Illinois  Entered:1991-12-23, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Brother exp anaphylactic rxn w/respiraory distress w/horse serum tetanus vax;
Other Medications: NONE
Current Illness: "possibly mono"
Preexisting Conditions:
Diagnostic Lab Data: 24SEP91 found to be non-reactive;
CDC 'Split Type': EBU910880
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM814A43IMA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Drug ineffective, Infection, Lymphocytosis
SMQs:, Lack of efficacy/effect (narrow), Guillain-Barre syndrome (broad)
Write-up: Pt recvd a series of 3 doses of Engerix-B 15NOV90, 17DEC90 & 11JUN91; 9AUG91 tested for Anti-HBS & found to be non-reactive; pt recvd 4th dose of Engerix-B 19AUG91; APR91 devel viral chronic fatigue synd and/or poss mono;

VAERS ID:38241 (history)  Vaccinated:1991-08-01
Age:52.0  Onset:1991-08-01, Days after vaccination: 0
Gender:Female  Submitted:1991-08-01, Days after onset: 0
Location:Tennessee  Entered:1991-12-23, Days after submission: 144
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': EBU910895
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM    
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Hypertonia, Insomnia, Malaise, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad)
Write-up: Achiness, chronic fatigue type synd, general fatigue general malaise, general tiredness, insomnia, low grade fever muscular leg cramps;

VAERS ID:38284 (history)  Vaccinated:1990-03-30
Age:52.0  Onset:0000-00-00
Gender:Female  Submitted:1991-12-09
Location:Iowa  Entered:1991-12-23, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Pt recvd Recombivax-HB 1MAY89 lot# 0132P & 21JUN89 lot# 0132P
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type': EBU910938
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM597A42IMRA
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd Recombivax HB on 1MAY89, 21JUN89, & 30MAR90 & was a poss non-responder;

VAERS ID:38544 (history)  Vaccinated:1991-04-30
Age:52.0  Onset:1991-09-09, Days after vaccination: 132
Gender:Male  Submitted:1991-11-05, Days after onset: 57
Location:Unknown  Entered:1991-12-23, Days after submission: 48
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: 9SPE91 titer neg;
CDC 'Split Type': EBU911144
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM629A42IMA
Administered by: Other     Purchased by: Other
Symptoms: Unevaluable event
SMQs:
Write-up: Pt recvd 3 doses of Engerix-B 1NOV90, 6DEC90 & 30APR91 & 9SEP91 it was determined that pts titer was neg p/3 doses of Engerix-B;

VAERS ID:38752 (history)  Vaccinated:1991-11-13
Age:52.7  Onset:1991-11-14, Days after vaccination: 1
Gender:Male  Submitted:1991-11-20, Days after onset: 6
Location:South Carolina  Entered:1992-01-13, Days after submission: 54
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': SC91171
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES1F21210 IMLA
Administered by: Public     Purchased by: Public
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Rash on lt arm & lt chest area injection site was left arm occurred 2 hrs p/;

VAERS ID:38793 (history)  Vaccinated:1991-11-14
Age:52.8  Onset:1991-12-20, Days after vaccination: 36
Gender:Female  Submitted:1992-01-02, Days after onset: 13
Location:Arizona  Entered:1992-01-14, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: 1966 @ 27 y/o had rxn to TOPV #1 dose;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: PCN, Iodine, Oral polio, duck eggs,1 kidney;
Diagnostic Lab Data: Neurological-muscle exam, checked hearing;
CDC 'Split Type': AZ9202
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE)LEDERLE LABORATORIES3149630IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Deafness, Dysphagia, Facial palsy, Headache, Lymphadenopathy, Pain
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hearing impairment (narrow)
Write-up: Early pain lt sinus area tx w/Cipro early DEC; On 20DEC91 approx enlarged lymph nodes, difficulty swallowing, sl pain in lt ear area; On 27DEC91 severe pain from lt side of head to lt eye orbit, lt cheek & around ear to jaw; unable to chew;

VAERS ID:39337 (history)  Vaccinated:1991-12-13
Age:52.0  Onset:1991-12-14, Days after vaccination: 1
Gender:Female  Submitted:1991-12-30, Days after onset: 16
Location:Washington  Entered:1992-02-04, Days after submission: 36
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Hormones, Flexeril, Feldene, Advil, Anecin
Current Illness: NONE
Preexisting Conditions: Neck problems for past 25 hrs;
Diagnostic Lab Data: NONE
CDC 'Split Type': WA92674
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES1F212200 LA
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES3049060 RA
Administered by: Public     Purchased by: Public
Symptoms: Myalgia, Neck pain, Nuchal rigidity, Paraesthesia, Skin nodule
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: phone call on 30DEC91 stating that rt arm had been very sore w/some numbness since inject was given; also having problems w/stiff, tight & sore neck; apparently has had hx of neck problems for many yrs; 13JAN92 rt arm has lump;

VAERS ID:39493 (history)  Vaccinated:1991-10-18
Age:52.2  Onset:1991-10-18, Days after vaccination: 0
Gender:Male  Submitted:1991-10-31, Days after onset: 13
Location:Ohio  Entered:1992-02-17, Days after submission: 109
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': OH91117
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUOGEN)PARKE-DAVIS01481P0 LA
Administered by: Public     Purchased by: Public
Symptoms: Anorexia, Asthenia, Chills, Cough, Dyspnoea, Laryngitis, Somnolence, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad)
Write-up: pt c/o becoming ill w/in 1 hr of shot; pt felt weak, hot & cold flashes, loss of appetite, wanted to sleep all weekend; felt a little better, then 3-4 days ago became sick again; c/o croup like cough, vomiting;

VAERS ID:40444 (history)  Vaccinated:1991-04-16
Age:52.1  Onset:1991-06-04, Days after vaccination: 49
Gender:Female  Submitted:0000-00-00
Location:Virginia  Entered:1992-03-02
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: 13JUN91 Segmented neutrophils-77; Bands-1; Lymhocytes-21; Monocytes-1; ESR-60;
CDC 'Split Type': WAES91061059
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0  
Administered by: Private     Purchased by: Unknown
Symptoms: Chills, Malaise, Myalgia, Nausea, Pyrexia, Red blood cell sedimentation rate increased
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad)
Write-up: Pt recvd 1st dose of Hep B vax on 16APR91 & on 4JUN91 devel nausea, malaise, myalgia, & chills w/t101; tx Keflex for the next 7 days; 13JUN91 revealed segmented neutrophils 77, Bands 1, lymphocytes 21, monocytes 1, & ESR of 60;

VAERS ID:40470 (history)  Vaccinated:0000-00-00
Age:52.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Virginia  Entered:1992-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergy environmental
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES91070745
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Other
Symptoms: Lymphadenopathy
SMQs:
Write-up: Pt exp ax lymphadenopathy w/in 1 hr of receiving Hep B vax; w/in 24 hrs pts sx resolved;

VAERS ID:40779 (history)  Vaccinated:1991-06-26
Age:52.0  Onset:1991-06-26, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:Minnesota  Entered:1992-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: none
CDC 'Split Type': WAES91080953
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1  
Administered by: Other     Purchased by: Other
Symptoms: Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Pt was inadvertently stuck by a needle in Feb91 was vax w/ Hep B vax and Hep B immune globulin. Did not receive 2nd dose in Mar91. Restarted series 26Jun91 & following day devel pruritic urticaria & was tx w/ meds.10Jul91 exp 2nd episode.

VAERS ID:40913 (history)  Vaccinated:0000-00-00
Age:52.0  Onset:0000-00-00
Gender:Female  Submitted:1991-10-31
Location:Massachusetts  Entered:1992-03-10, Days after submission: 131
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NA
Current Illness:
Preexisting Conditions: allergic to sulfa & FDC yellow #5; not allergic to eggs; hx of rheumatoid arthritis & asthma; pt had the flu vax in prev yrs;
Diagnostic Lab Data: NA
CDC 'Split Type': 910206901
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE)LEDERLE LABORATORIES    
Administered by: Other     Purchased by: Other
Symptoms: Asthma, Oedema, Pruritus
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (broad), Asthma/bronchospasm (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad)
Write-up: Consumer reports that following vax in 1990, exp a swollen arm (size of 1/2 grapefruit), bronchospasm & itching approx 45 mins p/vax administered; Taken to ER; tx Atarax & cortisone;

VAERS ID:40530 (history)  Vaccinated:1992-02-07
Age:52.8  Onset:1992-02-07, Days after vaccination: 0
Gender:Female  Submitted:1992-02-11, Days after onset: 4
Location:Washington  Entered:1992-03-23, Days after submission: 41
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Lanoxin, Colchine & Vasotec
Current Illness: NONE
Preexisting Conditions: cardio myopathy & primary biliary cirrhosis
Diagnostic Lab Data: NONE
CDC 'Split Type': WA92685
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM837A41IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0817T0IMRA
Administered by: Public     Purchased by: Private
Symptoms: Headache, Hypokinesia, Myalgia, Nausea, Pain, Pruritus, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad)
Write-up: Pt recvd vax approx 830AM arm sore by 10AM by noon induration & strong pain; pt given APAP; pain extremely inc, arm movement limited;

VAERS ID:36815 (history)  Vaccinated:1991-04-24
Age:52.0  Onset:1991-10-01, Days after vaccination: 160
Gender:Female  Submitted:1992-02-28, Days after onset: 150
Location:Virginia  Entered:1992-04-02, Days after submission: 34
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pt recvd Engerix-B vax 24OCT90 & 27NOV90;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 1OCT91 HBSAG titer =1.9;
CDC 'Split Type': EBU920419
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2IMA
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B & 1OCT91 found to be a non-seroconverter;

VAERS ID:36878 (history)  Vaccinated:1991-06-20
Age:52.0  Onset:1991-12-19, Days after vaccination: 182
Gender:Male  Submitted:1992-03-17, Days after onset: 89
Location:Kentucky  Entered:1992-04-02, Days after submission: 16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pt recvd Engerix-B vax 13DEC90 & 16JAN91 & 20JUN91 lot#''s 606A4A & 629A4 & 719B4;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 19DEC91 titer results were neg;
CDC 'Split Type': EBU920483
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM715A43  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 booster doses of Engerix-B vax & was determined to be a non-responder; pt then recvd a 4thh dose;

VAERS ID:42535 (history)  Vaccinated:1991-09-17
Age:52.0  Onset:1991-10-29, Days after vaccination: 42
Gender:Female  Submitted:1992-01-24, Days after onset: 87
Location:West Virginia  Entered:1992-04-02, Days after submission: 69
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': EBU920121
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM719B42  
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B vax on 21MAR91, 18APR91 & 17SEP91 & 29OCT91 titers were checked & a value of 1.2 was obtained;

VAERS ID:42550 (history)  Vaccinated:1990-07-25
Age:52.7  Onset:0000-00-00
Gender:Female  Submitted:1992-02-26
Location:Alabama  Entered:1992-04-02, Days after submission: 36
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pt recvd Engerix-B on 11JAN90, & 12FEB90 lot# 585A4 & 586A4;
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': EBU920137
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM618A42IMA
Administered by: Public     Purchased by: Public
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B vax on 11JAN90, 12FEB90, & 25JUL90 was found to be a non-responder;

VAERS ID:42572 (history)  Vaccinated:1990-09-13
Age:52.8  Onset:0000-00-00
Gender:Female  Submitted:1992-02-26
Location:Alabama  Entered:1992-04-02, Days after submission: 36
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pt recvd Engerix-B vax 13MAR90 & 2MAY90 lot#s 586A4, 591A4;
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': EBU920159
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM600A42IMA
Administered by: Public     Purchased by: Public
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B 13MAR90, 2MAY90, & 13SEP90 & was found to be a non-responder;

VAERS ID:42576 (history)  Vaccinated:1990-04-23
Age:52.3  Onset:0000-00-00
Gender:Female  Submitted:1992-02-26
Location:Alabama  Entered:1992-04-02, Days after submission: 36
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pt recvd 2 doses of Recombivax-HB 27OCT89 & 29NOV89 lot#''s 0342R & 0952R;
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': EBU920163
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM591A42IMA
Administered by: Public     Purchased by: Public
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 2 doses of Recombivax HB on 27OCT89, 29NOV89, & 3rd dose was Engerix-B given 23APR90 & was found to be a non-responder;

VAERS ID:42974 (history)  Vaccinated:1991-04-29
Age:52.0  Onset:1991-10-10, Days after vaccination: 164
Gender:Male  Submitted:1992-02-26, Days after onset: 139
Location:North Carolina  Entered:1992-04-02, Days after submission: 36
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': EBU920288
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM637A42IMA
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B vax & 01OCT91 it was determined that the pt did not respond to the vax series;

VAERS ID:43000 (history)  Vaccinated:1991-04-30
Age:52.0  Onset:1992-01-03, Days after vaccination: 248
Gender:Female  Submitted:1992-02-26, Days after onset: 54
Location:North Carolina  Entered:1992-04-02, Days after submission: 36
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pt recvd Engerix-B vax 30OCT90 & 26NOV90 lot# 618A4 for both;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': EBU920331
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM629A42IMA
Administered by: Other     Purchased by: Other
Symptoms: Unevaluable event
SMQs:
Write-up: Pt recvd 3 doses of Engerix-B & 3JAN92 it was determined that pt did not respond to the vax series;

VAERS ID:43014 (history)  Vaccinated:1991-05-05
Age:52.0  Onset:1991-11-09, Days after vaccination: 188
Gender:Female  Submitted:1992-02-27, Days after onset: 110
Location:North Carolina  Entered:1992-04-02, Days after submission: 35
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pt recvd Engerix-B 5NOV90 & 2DEC90 lot#''s 629A4 & 618A4;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': EBU920345
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM637A42IMA
Administered by: Other     Purchased by: Other
Symptoms: Unevaluable event
SMQs:
Write-up: Pt recvd 3 doses of Engerix-B & 9NOV91 it was determined that pt did not respond to the vax series;

VAERS ID:44424 (history)  Vaccinated:0000-00-00
Age:52.9  Onset:1991-11-06
Gender:Female  Submitted:1992-02-28, Days after onset: 114
Location:Washington  Entered:1992-04-02, Days after submission: 34
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': EBU911377
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: 1988 (?) pt recvd a series of 3 Hep-B vax; reporting nurse is not sure if the pt responded to the original series or if the pt is protected; 6NOV91 tested neg for antibody;

VAERS ID:44447 (history)  Vaccinated:1991-11-15
Age:52.0  Onset:1991-11-15, Days after vaccination: 0
Gender:Male  Submitted:1992-03-10, Days after onset: 116
Location:Texas  Entered:1992-04-02, Days after submission: 23
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: ASA is not tolearted; 5 yrs ago GI bleed;
Diagnostic Lab Data:
CDC 'Split Type': EBU911400
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM719B41IMLA
Administered by: Public     Purchased by: Private
Symptoms: Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Pt recvd vax 15NOV91 & immed tingling sensation of lt arm; resolved w/in 3 hrs w/o tx;

VAERS ID:36940 (history)  Vaccinated:1991-11-20
Age:52.0  Onset:1991-11-21, Days after vaccination: 1
Gender:Unknown  Submitted:1991-11-21, Days after onset: 0
Location:Wisconsin  Entered:1992-04-08, Days after submission: 138
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': 891357028L
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4918135   
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Pt devel redness @ inject site p/receiving flu vax;

VAERS ID:41223 (history)  Vaccinated:1991-12-06
Age:52.8  Onset:1991-12-06, Days after vaccination: 0
Gender:Female  Submitted:1992-04-07, Days after onset: 122
Location:North Carolina  Entered:1992-04-13, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NA
Current Illness: NA
Preexisting Conditions: NA
Diagnostic Lab Data: NA
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM814A41  
Administered by: Public     Purchased by: Private
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Pt c/o pain & burning during inject;

VAERS ID:42185 (history)  Vaccinated:1991-11-04
Age:52.4  Onset:1991-11-15, Days after vaccination: 11
Gender:Female  Submitted:1991-12-15, Days after onset: 30
Location:New York  Entered:1992-05-26, Days after submission: 162
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: substance abuse-in recovery
Diagnostic Lab Data: neurology consultation; nerve conduction studies(nl) labs nl;
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE)LEDERLE LABORATORIES312981   
Administered by: Private     Purchased by: Private
Symptoms: Neuritis, Paraesthesia
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad)
Write-up: Generalized paresthesia of arms, hands, legs; sensation of skin irritation; resolved spontaneously p/2-3 wks of observation; MD felt poss sensory neuritis;

VAERS ID:42190 (history)  Vaccinated:1992-04-24
Age:52.2  Onset:1992-04-30, Days after vaccination: 6
Gender:Female  Submitted:1992-05-07, Days after onset: 7
Location:Virginia  Entered:1992-05-26, Days after submission: 19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: no-finger injury
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES289908  LA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site mass
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: 5 days post inject, pt devel a red nodule @ site of inject 10 x 15 cm it resolved p/3 days;

VAERS ID:42228 (history)  Vaccinated:1992-03-31
Age:52.5  Onset:1992-04-19, Days after vaccination: 19
Gender:Female  Submitted:1992-05-25, Days after onset: 36
Location:New York  Entered:1992-05-28, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.0610T IM 
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Asthenia, Gait disturbance, Neck pain, Oedema peripheral, Photophobia, Pruritus, Rash
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious meningitis (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: pt devel rash which looked like measels; eyes sensitive to light & tender; eyes red & glassy; achy especially hand & wrists; fingers painful & swollen, disfigured purple looking; no strength in hands or wrists; pain, itchy, dry scaly skin;

VAERS ID:44027 (history)  Vaccinated:1992-01-10
Age:52.0  Onset:1992-02-21, Days after vaccination: 42
Gender:Female  Submitted:1992-03-30, Days after onset: 38
Location:West Virginia  Entered:1992-06-29, Days after submission: 90
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pt recvd Engerix-B vax 26APR91, 5JUN91, 31OCT91, 10JAN92 lot#''s 638A4, 826A4;
Current Illness: UNK
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': EBU920675
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM838A43  
Administered by: Private     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B did not respond; recvd 4th dose of Engerix-B 10JAN92; retested 21FEB92 still neg; recvd 5th dose of Engerix-B 10MAY92;

VAERS ID:44943 (history)  Vaccinated:1991-12-11
Age:52.0  Onset:1992-01-17, Days after vaccination: 37
Gender:Female  Submitted:1992-04-13, Days after onset: 86
Location:New York  Entered:1992-06-29, Days after submission: 77
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt non-reactive @ 52 y/o w/Engerix-B #3 dose;
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': EBU920770
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM832A43  
Administered by: Private     Purchased by: Public
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 series of Engerix-B (dates & doses unk) & was considered non-reactive; recvd booster dose of Engerix-B 11DEC91; titer report 17JAN92 titer non-reactive; 19FEB92 elected to have no further boosters on recommendation of family MD;

VAERS ID:45113 (history)  Vaccinated:1991-12-26
Age:52.0  Onset:0000-00-00
Gender:Female  Submitted:1992-04-17
Location:Maryland  Entered:1992-06-29, Days after submission: 73
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pt recvd Engerix-B vax 20JUN91 & 25JUL91 lot# 715A4;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': EBU920856
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM821A42IM 
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B & demonstrated lack of seroconversion; A 4th or booster dose has been made available to pt;

VAERS ID:45179 (history)  Vaccinated:1991-04-16
Age:52.0  Onset:1992-01-20, Days after vaccination: 279
Gender:Female  Submitted:1992-04-21, Days after onset: 91
Location:Mississippi  Entered:1992-06-29, Days after submission: 69
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: pre vax series 24AUG90 Anti-HBS=neg; protective immune status; absent; ratio:below 1:1; post-vax series titer 20JAN92; anti-HBS=neg; protective immune status; absent;
CDC 'Split Type': EBU920905
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM638A42  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B & titer report dated 20JAN92 indicated pt did not respond;

VAERS ID:45384 (history)  Vaccinated:1992-03-23
Age:52.0  Onset:0000-00-00
Gender:Male  Submitted:1992-06-15
Location:Oregon  Entered:1992-06-29, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Titer results: 23OCT91 & 9MAR92 neg;
CDC 'Split Type': EBU921032
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 3  
Administered by: Other     Purchased by: Other
Symptoms: Unevaluable event
SMQs:
Write-up: Did not convert p/5 doses of Engerix-B; to receive 6th dose;

VAERS ID:45491 (history)  Vaccinated:1992-05-05
Age:52.0  Onset:1992-05-05, Days after vaccination: 0
Gender:Male  Submitted:1992-06-11, Days after onset: 37
Location:North Carolina  Entered:1992-06-29, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': EBU921137
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM849A40IMA
Administered by: Private     Purchased by: Private
Symptoms: Abdominal pain, Headache, Nausea
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: pt exp h/a, nausea & abdominal cramping noc of 5MAY92 p/receiving 1st dose of Engerix-B; poss ASA for h/a;

VAERS ID:45617 (history)  Vaccinated:1992-02-27
Age:52.0  Onset:0000-00-00
Gender:Female  Submitted:1992-06-15
Location:Wisconsin  Entered:1992-06-29, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: anti-HB, AG titer drawn 1 month p/last inject;
CDC 'Split Type': EBU921234
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM826A43IMA
Administered by: Public     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 4 doses of Engerix-B & exp failure to convert;

VAERS ID:45623 (history)  Vaccinated:1991-05-28
Age:52.0  Onset:0000-00-00
Gender:Female  Submitted:1992-06-15
Location:Texas  Entered:1992-06-29, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': EBU921240
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2IMA
Administered by: Public     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recvd Engerix-B on 28NOV90, 28DEC90, 28MAY92 & reported as being a nonresponder;

VAERS ID:45651 (history)  Vaccinated:1992-04-22
Age:52.0  Onset:1992-04-23, Days after vaccination: 1
Gender:Male  Submitted:1992-06-15, Days after onset: 53
Location:Unknown  Entered:1992-06-29, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Serum bilirubin=19.3; alk phosphatase=134; SGPT-12; SGOT-12; SGTP-68;
CDC 'Split Type': EBU921370
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM824A4 IMA
Administered by: Private     Purchased by: Other
Symptoms: Hepatic function abnormal, Hyperbilirubinaemia, Laboratory test abnormal, Pyrexia
SMQs:, Liver related investigations, signs and symptoms (narrow), Cholestasis and jaundice of hepatic origin (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow)
Write-up: On approx 22APR92 pt recvd Engerix-B & on approx 23APR92 pt underwent routine PE & was found to have inc liver function tests;

VAERS ID:43457 (history)  Vaccinated:1991-10-08
Age:52.9  Onset:1991-10-28, Days after vaccination: 20
Gender:Female  Submitted:1991-11-12, Days after onset: 15
Location:Michigan  Entered:1992-07-13, Days after submission: 243
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: h/o past sinus infect
Diagnostic Lab Data:
CDC 'Split Type': MI92067
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES1F21207 IML
Administered by: Public     Purchased by: Public
Symptoms: Chest pain, Cough, Dyspnoea, Sinusitis
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)
Write-up: c/o difficulty breathing; seen in ER told infected sinus; ? if related to vax; drain sinus, hard cough, pain in chest;

VAERS ID:45774 (history)  Vaccinated:1992-02-26
Age:52.0  Onset:1992-02-27, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:1992-07-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES92021360
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC. 0  
Administered by: Private     Purchased by: Private
Symptoms: Rash maculo-papular
SMQs:, Hypersensitivity (narrow)
Write-up: Pt recvd pneumococcal vax on 26FEB92 & on 27FEB92 devel a diffuse rash which started on chest & was described as maculopapular; It spread to arms, back & trunk; 28FEB92 seen @ clinic; 2MAR92 pt reported lesions had completely disappeared;

VAERS ID:43912 (history)  Vaccinated:1992-07-28
Age:52.6  Onset:1992-07-29, Days after vaccination: 1
Gender:Female  Submitted:1992-07-30, Days after onset: 1
Location:Virginia  Entered:1992-08-04, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID (NO BRAND NAME)PFIZER/WYETH49080390SCLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Pt recvd booster dose of Tetanus tox 28JUL92 & calleed 30JUL92 c/o reddness, swelling @ site, & warmth;

VAERS ID:44361 (history)  Vaccinated:1992-06-29
Age:52.0  Onset:1992-07-15, Days after vaccination: 16
Gender:Female  Submitted:1992-07-20, Days after onset: 5
Location:Ohio  Entered:1992-08-21, Days after submission: 32
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ISG by Amour lot# H19303
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC 'Split Type': OH92064
Vaccination
Manufacturer
Lot
Dose
Route
Site
CHOL: CHOLERA (USP)PFIZER/WYETH    
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)PFIZER/WYETH4918011   
YF: YELLOW FEVER (YF-VAX)CONNAUGHT LABORATORIES2C310501  
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Diarrhoea, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow)
Write-up: Pt recvd vax & began experiencing diarrhea, muscle aches, weakness on 15JUL92 while traveling in Nigeria; tx self w/anti-diarrheal med;

VAERS ID:44808 (history)  Vaccinated:1992-07-23
Age:52.4  Onset:1992-07-23, Days after vaccination: 0
Gender:Male  Submitted:1992-08-31, Days after onset: 39
Location:Georga  Entered:1992-09-10, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NA
Current Illness: NONE, pt felt fine prior to vax
Preexisting Conditions: NA
Diagnostic Lab Data: NA
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2918A1IMLA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia
SMQs:, Guillain-Barre syndrome (broad)
Write-up: 2nd inject of Hep B vax given 23JUL92 AM that later afternoon felt fatigue, weakness in legs lasted almost a wk; gradually getting better didn''t know if it was from vax or whether was coming down w/something & then recvd vax;

VAERS ID:46172 (history)  Vaccinated:1992-09-24
Age:52.4  Onset:1992-09-26, Days after vaccination: 2
Gender:Female  Submitted:1992-10-08, Days after onset: 12
Location:Montana  Entered:1992-10-13, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM975A42IMLA
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Hypokinesia, Pain
SMQs:, Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad)
Write-up: c/o inc tenderness, arthralgias lt shoulder w/dec ROM 2 days p/3rd inject of Engerix-B; 1st 2 vax were uneventful;

VAERS ID:46298 (history)  Vaccinated:1992-10-01
Age:52.8  Onset:1992-10-06, Days after vaccination: 5
Gender:Female  Submitted:1992-10-13, Days after onset: 7
Location:Wisconsin  Entered:1992-10-19, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: allergies to TCN, EES, Sulfa, Bactrim
Diagnostic Lab Data: NA
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4928215 IMRA
Administered by: Private     Purchased by: Private
Symptoms: Myalgia, Pruritus, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: devel itchy rash 5 days p/receipt of vax; also devel sore arm which was achy & throbbing;

VAERS ID:46662 (history)  Vaccinated:1992-09-11
Age:52.2  Onset:1992-09-21, Days after vaccination: 10
Gender:Female  Submitted:1992-10-27, Days after onset: 36
Location:New York  Entered:1992-11-02, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: HTN, inc cholesterol
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.0160V0SC 
Administered by: Private     Purchased by: Public
Symptoms: Oedema peripheral, Rash
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: 21SEp rash on neck, progressed to face & trunk; 24SEP rash resolved; 27SEP painful swelling in fingers & hands, some relief w/Indocin-duration @ least 4 wks;

VAERS ID:46766 (history)  Vaccinated:1992-06-02
Age:52.8  Onset:1992-06-03, Days after vaccination: 1
Gender:Male  Submitted:1992-06-11, Days after onset: 8
Location:Wisconsin  Entered:1992-11-02, Days after submission: 144
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Zantac
Current Illness: hx of pancreatitis, otherwise healthy
Preexisting Conditions: No known drug allergies;
Diagnostic Lab Data: NONE
CDC 'Split Type': 920240401
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (TRI-IMMUNOL)LEDERLE LABORATORIES318907 IMA
Administered by: Public     Purchased by: Public
Symptoms: Chills, Dizziness, Injection site oedema, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad)
Write-up: pt inadvertently recvd a dose of DTP 2JUN92 & on 3JUN exp a fever, rigors, light-headednedd & swelling @ inject site; on 4JUN was feeling better but chills persisted;

VAERS ID:46772 (history)  Vaccinated:0000-00-00
Age:52.0  Onset:0000-00-00
Gender:Female  Submitted:1992-09-17
Location:Delaware  Entered:1992-11-02, Days after submission: 46
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': 892279001E
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4928221 IM 
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt recvd flu vax & devel redness, pain & swelling @ the site of inject;

VAERS ID:46891 (history)  Vaccinated:0000-00-00
Age:52.0  Onset:1992-05-21
Gender:Female  Submitted:1992-08-27, Days after onset: 98
Location:Tennessee  Entered:1992-11-03, Days after submission: 68
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: BP meds;
Current Illness:
Preexisting Conditions: hx of hypertension;
Diagnostic Lab Data:
CDC 'Split Type': EBU921306
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM    
Administered by: Public     Purchased by: Private
Symptoms: Cystitis, Diarrhoea, Hypersensitivity, Pain, Pharyngitis, Pyrexia, Rhinitis
SMQs:, Agranulocytosis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Oropharyngeal infections (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow)
Write-up: Pt recvd 1 dose of Engerix-B & on 21MAY92 devel sore throat, head colds, fever & diarrhea; pt also devel painful bladder infect; seen by MD for med & UA; MD advised pt against finishing the Engerix-B series; poss allergic;

VAERS ID:46962 (history)  Vaccinated:1992-06-05
Age:52.0  Onset:1992-06-08, Days after vaccination: 3
Gender:Female  Submitted:1992-07-31, Days after onset: 53
Location:Illinois  Entered:1992-11-03, Days after submission: 95
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Hormones, oral diabetic meds;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': EBU921402
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM8814A IMA
Administered by: Private     Purchased by: Private
Symptoms: Diarrhoea, Pruritus, Rash maculo-papular
SMQs:, Anaphylactic reaction (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow)
Write-up: Pt recvd 1 dose of Engerix-B & 3 days later devel raised, red, itchy rash to face & 1 arm; also diarrhea; diarrhea treated w/Kaopectate; sx have partially resolved;

VAERS ID:46971 (history)  Vaccinated:1992-03-30
Age:52.0  Onset:1992-04-27, Days after vaccination: 28
Gender:Unknown  Submitted:1992-09-02, Days after onset: 128
Location:Unknown  Entered:1992-11-03, Days after submission: 62
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': EBU921411
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 4IM 
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recvd 5 doses of Engerix-B & was not seroconverted; most recent titer was drawn 27APR92 & was neg;

VAERS ID:46991 (history)  Vaccinated:1991-12-27
Age:52.0  Onset:0000-00-00
Gender:Female  Submitted:1992-08-12
Location:Indiana  Entered:1992-11-03, Days after submission: 83
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prednisone, methotrexate;
Current Illness:
Preexisting Conditions: rheumatoid arthritis;
Diagnostic Lab Data:
CDC 'Split Type': EBU921434
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 3IMA
Administered by: Public     Purchased by: Public
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt is a nonresponder p/receiving 4 doses of Engerix-B;

VAERS ID:47641 (history)  Vaccinated:1991-02-15
Age:52.0  Onset:0000-00-00
Gender:Female  Submitted:1992-09-10
Location:Texas  Entered:1992-11-03, Days after submission: 54
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': EBU921595
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2IMA
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recvd 3 doses of Engerix-B & had nonresponse;

VAERS ID:47928 (history)  Vaccinated:1992-04-13
Age:52.0  Onset:1992-07-01, Days after vaccination: 79
Gender:Female  Submitted:1992-08-21, Days after onset: 51
Location:North Carolina  Entered:1992-11-03, Days after submission: 74
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': EBU921873
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B & 2 wks ago was discovered to be a non-responder when tested;

VAERS ID:48537 (history)  Vaccinated:1991-12-02
Age:52.0  Onset:0000-00-00
Gender:Female  Submitted:1992-09-08
Location:Kentucky  Entered:1992-11-03, Days after submission: 56
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': EBU921711
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 3  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: nonresponse;

VAERS ID:48898 (history)  Vaccinated:1992-08-13
Age:52.0  Onset:1992-08-13, Days after vaccination: 0
Gender:Male  Submitted:1992-09-02, Days after onset: 20
Location:Ohio  Entered:1992-11-03, Days after submission: 62
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': EBU922022
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM975A41 LA
Administered by: Other     Purchased by: Private
Symptoms: Dermatitis bullous, Pruritus, Rash, Rash maculo-papular
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Pt recvd 2 doses of Engerix-B & exp no reaction following 1st inject but 6 hrs p/2nd dose pt devel itchy rash; seen by MD for tx;

VAERS ID:48964 (history)  Vaccinated:1989-01-23
Age:52.0  Onset:0000-00-00
Gender:Unknown  Submitted:1992-09-01
Location:Ohio  Entered:1992-11-03, Days after submission: 63
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': EBU922093
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2  
Administered by: Public     Purchased by: Public
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recvd 3 doses of Engerix-B & failed to seroconvert;

VAERS ID:48998 (history)  Vaccinated:1991-08-15
Age:52.0  Onset:1992-01-01, Days after vaccination: 139
Gender:Male  Submitted:1992-09-02, Days after onset: 244
Location:South Carolina  Entered:1992-11-03, Days after submission: 62
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: titer reuslts DEc90 neg; MAR91 neg; JUL92 bodereline; DEC91 immunity; JAN92 neg;
CDC 'Split Type': EBU922130
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM715A45IMA
Administered by: Public     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd vax in AUg & SEP 1989 & again in FEB90; had neg titer in DEC90; then recvd 3 doses of Engerix-B; titer showed immunity in DEC91 following last dose of Engerix-B in AUG91; titer in JAN92 was neg again;

VAERS ID:46827 (history)  Vaccinated:1992-10-13
Age:52.8  Onset:1992-10-17, Days after vaccination: 4
Gender:Female  Submitted:1992-10-19, Days after onset: 2
Location:Virginia  Entered:1992-11-09, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NA
Current Illness: NONE
Preexisting Conditions: UNK
Diagnostic Lab Data: NA
CDC 'Split Type': VA92114
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES314951 IMLA
Administered by: Public     Purchased by: Other
Symptoms: Arthralgia, Injection site reaction
SMQs:, Arthritis (broad)
Write-up: local reaction lt arm w/arthralgia, pain in joints;

VAERS ID:47156 (history)  Vaccinated:1992-09-20
Age:52.3  Onset:1992-09-24, Days after vaccination: 4
Gender:Female  Submitted:1992-11-07, Days after onset: 44
Location:Ohio  Entered:1992-11-12, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: TIG by Milex lot# 14V030 given 20SEP92; Augumentin
Current Illness: laceration lt IF
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES2F41082  LA
Administered by: Private     Purchased by: Private
Symptoms: Pharyngitis, Tongue oedema
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Angioedema (narrow), Oropharyngeal infections (narrow), Oropharyngeal allergic conditions (narrow), Hypersensitivity (narrow)
Write-up: 4 days p/receiving Td & TIG pt exp swollen tongue, burning sore throat;

VAERS ID:47481 (history)  Vaccinated:1992-11-05
Age:52.6  Onset:1992-11-05, Days after vaccination: 0
Gender:Female  Submitted:1992-11-16, Days after onset: 11
Location:Delaware  Entered:1992-11-25, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications: HTZ, Concord
Current Illness: angina & hypertension
Preexisting Conditions: heart condition
Diagnostic Lab Data: MRI
CDC 'Split Type': DE929
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4928226  LA
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES328929  RA
Administered by: Public     Purchased by: Public
Symptoms: Back pain, Pain, Paraesthesia, Pyrexia, Subcutaneous nodule
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: devel fever & fell asleep awoke w/severe pain in back; severe pain inthe rt upper extremity; hand & arm are numb; thumb & under finger very numb; now has golf balls in the back of neck (muscles); numerous MD visit;

VAERS ID:48166 (history)  Vaccinated:1992-10-16
Age:52.3  Onset:1992-10-17, Days after vaccination: 1
Gender:Female  Submitted:1992-10-28, Days after onset: 11
Location:Virginia  Entered:1992-12-17, Days after submission: 50
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergy PCN, Sulfa, & Codeine-cyst on kidney
Diagnostic Lab Data: IVP on 26OCT92;
CDC 'Split Type': VA92129
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES2F310030 RA
Administered by: Public     Purchased by: Private
Symptoms: Breast pain, Oedema, Pain, Pyrexia, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Lipodystrophy (broad)
Write-up: on 17NOV92 low grade fever, on 19NOV92 pain under lt arm & across lt breasts-redness & swelling, very sl on 18OCT92;

VAERS ID:49165 (history)  Vaccinated:1992-03-08
Age:52.2  Onset:1992-03-09, Days after vaccination: 1
Gender:Male  Submitted:1992-03-18, Days after onset: 9
Location:West Virginia  Entered:1992-12-17, Days after submission: 274
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': 892116007L
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)PFIZER/WYETH4908074 IMA
Administered by: Military     Purchased by: Military
Symptoms: Chills, Hypertonia, Oedema, Pyrexia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)
Write-up: pt exp chills & fever lasting 2 days p/Typhoid vax; in addition, pt devel edema & stiffness of the injected arm;

VAERS ID:48410 (history)  Vaccinated:1992-10-06
Age:52.7  Onset:1992-10-06, Days after vaccination: 0
Gender:Female  Submitted:1992-10-08, Days after onset: 2
Location:Georga  Entered:1992-12-23, Days after submission: 76
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Estrogen
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type': GA92205
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES3229260IMLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site hypersensitivity, Myalgia, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: pt recvd vax had large red area on upper arm size of a hand; muscular soreness & redness under arm; consulted MD did not see MD took APAP;

VAERS ID:48718 (history)  Vaccinated:1992-11-16
Age:52.9  Onset:1992-11-19, Days after vaccination: 3
Gender:Female  Submitted:1992-12-21, Days after onset: 32
Location:Texas  Entered:1993-01-06, Days after submission: 16
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness:
Preexisting Conditions: back problems
Diagnostic Lab Data: guillain-Barre synd
CDC 'Split Type': TX92257
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4928285  RA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES2D41066  LA
Administered by: Public     Purchased by: Public
Symptoms: Dysphagia, Guillain-Barre syndrome, Influenza, Paraesthesia, Speech disorder
SMQs:, Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Demyelination (narrow)
Write-up: pt recvd vax 16NOV92 & flu sx 18NOV92, numbness in feet 19NOV92; numbness knees & difficulty to speak & swallow 20NOV92 dx;

VAERS ID:49641 (history)  Vaccinated:1992-06-23
Age:52.7  Onset:1992-06-23, Days after vaccination: 0
Gender:Female  Submitted:1992-07-02, Days after onset: 9
Location:New Jersey  Entered:1993-01-29, Days after submission: 211
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': CO4351
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST. 3  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Face oedema, Oedema
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: swelling of face, eyes & neck p/4th dose given on 23JUN92; tx w/Pred, Tagamet & DPH;

VAERS ID:49575 (history)  Vaccinated:1993-01-06
Age:52.7  Onset:1993-01-06, Days after vaccination: 0
Gender:Male  Submitted:1993-01-06, Days after onset: 0
Location:Ohio  Entered:1993-02-01, Days after submission: 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: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1164V2 LA
Administered by: Public     Purchased by: Private
Symptoms: Facial palsy, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad)
Write-up: approx 1 hr p/receiving vax pt c/o numbness @ rt side of mouth & tongue; ? Belles Palsey;

VAERS ID:49684 (history)  Vaccinated:1992-10-30
Age:52.2  Onset:1992-10-30, Days after vaccination: 0
Gender:Male  Submitted:1992-10-30, Days after onset: 0
Location:Massachusetts  Entered:1993-02-04, Days after submission: 97
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: hx of repeated pneumonia & bronchitis
Diagnostic Lab Data: cxr-neg; urine, blood test ?type-all nl; TB test neg;
CDC 'Split Type': MA9316
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49282300 LA
Administered by: Other     Purchased by: Public
Symptoms: Asthenia, Bronchitis, Chest pain, Condition aggravated, Cough, Malaise, Pneumonia, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad)
Write-up: w/in several hrs of vax, vomited x 1, lt work; never felt well but acutely ill w/minimal fatigue, chest "heaviness", non-prod cough; seen by MD 6 wks later tx w/PCN; prob bronchitis & or pneumonia;

VAERS ID:50176 (history)  Vaccinated:1992-11-02
Age:52.7  Onset:0000-00-00
Gender:Female  Submitted:1992-11-09
Location:Massachusetts  Entered:1993-02-18, Days after submission: 101
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': 892338001K
Vaccination
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4928230 IM 
Administered by: Other     Purchased by: Other
Symptoms: Hypokinesia, Oedema, Pain
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: pt exp flu-like sx & muscle edema p/receiving flu vax;

VAERS ID:50215 (history)  Vaccinated:1992-11-24
Age:52.2  Onset:1992-12-02, Days after vaccination: 8
Gender:Female  Submitted:1993-01-04, Days after onset: 33
Location:Texas  Entered:1993-02-18, Days after submission: 45
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': 893011005K
Vaccination
Manufacturer
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4928241 IMLA
Administered by: Public     Purchased by: Public
Symptoms: Dermatitis exfoliative, Face oedema, Pruritus, Rash, Rash maculo-papular, Skin discolouration, Urticaria
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Angioedema (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: pt recvd flu vax 24NOV92 & 2DEC92 pt presented w/ a rash described as tiny red spots which enlarged & thickened over face, neck, behind the ears & on lt hand; pt noted purple discoloration of fingers & desquamation of skin; swelling;

VAERS ID:50465 (history)  Vaccinated:1992-08-01
Age:52.0  Onset:1992-08-04, Days after vaccination: 3
Gender:Female  Submitted:0000-00-00
Location:Unknown  Entered:1993-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: CBC-EOS 81 (1-3_; ESR 32mmHr (0-20), CRP 4.34 (0-0.08); U/A-Traceprotein, Bacteriamod, WBC-occ, RBC 1-3/HPF;
CDC 'Split Type':
Vaccination
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM9866A41  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abdominal pain, Arthralgia, Eosinophilia, Myalgia, Pruritus, Red blood cell sedimentation rate increased, Urine analysis abnormal, Urticaria
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (narrow), Hypersensitivity (narrow), Arthritis (broad)
Write-up: c/o itchy rash, body aches, joint pains mild, abdo discomfort; PE gen macular urticaria; no angioedema;

VAERS ID:50497 (history)  Vaccinated:1992-05-20
Age:52.5  Onset:1992-05-22, Days after vaccination: 2
Gender:Female  Submitted:1992-05-27, Days after onset: 5
Location:Wisconsin  Entered:1993-03-03, Days after submission: 280
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Premarin, Vitamin daily;
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': 892156003L
Vaccination
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TTOX: TETANUS TOXOID, ADSORBED (NO BRAND NAME)PFIZER/WYETH  IMRA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site pain, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: pt recvd vax & devel a 5 square centimeter area of redness w/a larger area of induration, tenderness & warmth @ the inject site; treated w/Dicloxacillin;

VAERS ID:50560 (history)  Vaccinated:1992-10-13
Age:52.5  Onset:1992-10-16, Days after vaccination: 3
Gender:Female  Submitted:1993-02-17, Days after onset: 124
Location:Kentucky  Entered:1993-03-08, Days after submission: 19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49282333IMLA
Administered by: Public     Purchased by: Public
Symptoms: Neuritis, Pain
SMQs:, Peripheral neuropathy (narrow)
Write-up: had severe reaction that caused inflammation to the nerve; pain was unbearable; blockage of nerve, Pred for several weeks-pain meds;

VAERS ID:50826 (history)  Vaccinated:1991-11-25
Age:52.2  Onset:1992-01-21, Days after vaccination: 57
Gender:Female  Submitted:0000-00-00
Location:Illinois  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: in pt, 52 yrs, Recombivax, doses 1 & 2;
Other Medications:
Current Illness:
Preexisting Conditions: allergy, PCN; hypothyroidism;
Diagnostic Lab Data: 21JAN92 Anti-HBs neg;
CDC 'Split Type': WAES92030679
Vaccination
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Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1160T2IM 
Administered by: Public     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3rd dose of Hep B vax on 25NOV91 & lab eval on 21JAN92 showed no detectable Hep B surface antibody; No further details were provided;

VAERS ID:51227 (history)  Vaccinated:1992-06-16
Age:52.3  Onset:1992-06-17, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Ohio  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES92060709
Vaccination
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HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0428V0  
Administered by: Private     Purchased by: Private
Symptoms: Facial palsy, Hypotonia, Speech disorder
SMQs:, Peripheral neuropathy (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: Pt recvd vax on 16JUN92 & on 17JUN92 mouth started to droop; speech became slurred; seen by MD dx condition as Bell''s palsy;

VAERS ID:51856 (history)  Vaccinated:1992-09-01
Age:52.0  Onset:1992-09-01, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergy, PNC; Allergy, horse serum;
Diagnostic Lab Data: CBC nl; SMA nl;
CDC 'Split Type': WAES92090227
Vaccination
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HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0  
Administered by: Private     Purchased by: Private
Symptoms: Abdominal pain, Anorexia, Arthralgia, Chills, Myalgia, Neck pain, Nuchal rigidity, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: pt recvd vax SEP92 & w/in 8 hrs following vax pt exp body aches, neck pain, neck stiffness, moderate chills & a warm sensation; w/in 48 hrs pt exp severe epigastric pain & a dec appetite; w/in 72 hrs exp severe pain in rt upper quad area;

VAERS ID:51869 (history)  Vaccinated:1992-08-20
Age:52.5  Onset:1992-08-20, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Washington  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: allergy, PCN; Allergy, sulfa; Allergy, Demerol
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES92090314
Vaccination
Manufacturer
Lot
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Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0859V0  
Administered by: Other     Purchased by: Other
Symptoms: Headache, Injection site hypersensitivity, Vasodilatation
SMQs:, Hypersensitivity (narrow)
Write-up: Pt recvd vax 20AUG92 & 24 hrs following vax pt devel 3 to 5 little pin-point pimples @ inject site which later scabbed & resolved in 1 wk; also devel some trunk flushing or hot flashes which persisted for approx 2 wks;

VAERS ID:52041 (history)  Vaccinated:1992-08-23
Age:52.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Massachusetts  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Hydrodiuril
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES92090601
Vaccination
Manufacturer
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Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0937V0IM 
Administered by: Private     Purchased by: Private
Symptoms: Influenza
SMQs:
Write-up: Pt recvd vax on 18AUG92 & approx 3 days p/vax exp flu-like synd sx gradually resolved over several days;

VAERS ID:52186 (history)  Vaccinated:1992-09-10
Age:52.9  Onset:1992-09-10, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Iowa  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp flu vax @ 43 y/o w/flu vax #1;
Other Medications: Indocin, CLonidine
Current Illness:
Preexisting Conditions: Hypertension; Diabetes; Obesity; Arthritis;
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES92100204
Vaccination
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Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0685V0IM 
Administered by: Other     Purchased by: Public
Symptoms: Chills, Diarrhoea, Malaise, Nausea, Pyrexia, Vasodilatation
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Pt recvd vax on 10SEP92 & 4 hrs following vax exp fever, nausea, chills, diarrhea & felt ill & hot;

VAERS ID:52189 (history)  Vaccinated:1992-08-29
Age:52.0  Onset:1992-08-30, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Illinois  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergy, tetanus toxoid
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES92100209
Vaccination
Manufacturer
Lot
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Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0IM 
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Erythema multiforme, Influenza, Mouth ulceration, Rash, Skin ulcer
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Pt recvd vax 29AUG92 & 30AUG92 pt devel flu-like synd, joint pain, herpes labialis, round diffuse erythema & skin lesion consistent w/erythema multiforme;

VAERS ID:52441 (history)  Vaccinated:1992-10-14
Age:52.1  Onset:1992-10-14, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Ohio  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES92100679
Vaccination
Manufacturer
Lot
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HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1164V0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Dyspepsia, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: pt recvd vax on 14OCT92 & approx 4 hrs following vax pt exp severe nausea w/an upset stomach; also had a feeling that was going to throw up & a feeling of wanting to have diarrhea; pt did not vomit; pt recovered w/in 4 hrs;

VAERS ID:52785 (history)  Vaccinated:1992-09-26
Age:52.5  Onset:1992-09-26, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Virginia  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Indocin, Periactin, seldane, Antihistaine, nos;
Current Illness:
Preexisting Conditions: allergy, environmental; allergy, PCN; allergy to leaves, trees, grasses, molds, dust;
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES92110183
Vaccination
Manufacturer
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HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1257V0IM 
Administered by: Other     Purchased by: Other
Symptoms: Cough, Influenza, Myalgia, Rhinitis, Sinusitis
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Eosinophilic pneumonia (broad)
Write-up: Pt recvd vax 26SEP92 & shortly following 1st vax devel coughing, sneezing, sinus infection, achiness, & flu-like sx;

VAERS ID:52832 (history)  Vaccinated:1992-08-07
Age:52.4  Onset:1992-11-03, Days after vaccination: 88
Gender:Female  Submitted:0000-00-00
Location:New Jersey  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid, Zantac, Estorgen, Imodium;
Current Illness:
Preexisting Conditions: hypothyroidism; allergy, morphine;
Diagnostic Lab Data: 3NOV92 SGOT 98 inc; SGPT 55 inc; LDH 244 inc; Gamma 66 inc; Serum cholesterol 273; Triglycerides 342; chol/HDL 161; TSH 6.2; serum glocuse 15.3; 20JAN93 156; SGOT 95; SGPT 53; Gamma 65; Serum cholesterol 254; Triglycerides 383; LDH 137;
CDC 'Split Type': WAES92110751
Vaccination
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HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0664V1IM 
Administered by: Other     Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood lactate dehydrogenase increased, Drug interaction, Gamma-glutamyltransferase increased, Hepatic function abnormal, Hyperlipidaemia, Laboratory test abnormal
SMQs:, Liver related investigations, signs and symptoms (narrow), Dyslipidaemia (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Lipodystrophy (broad)
Write-up: Pt recvd vax 1JUL92 & lab eval approx 29OCT92 revealed that liver enzymes were elevated to 1 1/2 times nl & thyroid results required an inc dose of sodium levothroxine; No further detials were provided;

VAERS ID:53051 (history)  Vaccinated:1992-08-01
Age:52.8  Onset:1992-09-17, Days after vaccination: 47
Gender:Male  Submitted:0000-00-00
Location:New Jersey  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES93010209
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Herpes zoster
SMQs:
Write-up: Pt recvd vax & had a reaction; No further details were provided;

VAERS ID:50783 (history)  Vaccinated:1993-01-14
Age:52.5  Onset:1993-01-16, Days after vaccination: 2
Gender:Male  Submitted:1993-01-18, Days after onset: 2
Location:South Carolina  Entered:1993-03-15, Days after submission: 56
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: NA
CDC 'Split Type': SC93017
Vaccination
Manufacturer
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HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1436V0IMLA
Administered by: Public     Purchased by: Other
Symptoms: Dyspepsia, Headache, Nausea, Pharyngitis, Vasodilatation, Vomiting
SMQs:, Acute pancreatitis (broad), Agranulocytosis (broad), Oropharyngeal infections (narrow), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: 2 days p/shot began having nausea, vomiting, h/a & flushed face; no temp over 100-had sore throat that day; sx are better today but still has some flushing of the face & sl upset stomach; did not have to see MD;

VAERS ID:50953 (history)  Vaccinated:1992-10-27
Age:52.4  Onset:1992-10-27, Days after vaccination: 0
Gender:Female  Submitted:1993-02-18, Days after onset: 114
Location:Massachusetts  Entered:1993-03-22, 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: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': MA9330
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4928230 IM 
Administered by: Public     Purchased by: Public
Symptoms: Headache, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: h/a began @ 830 PM day of inject; soreness @ inject site same day;

VAERS ID:51147 (history)  Vaccinated:1993-03-05
Age:52.0  Onset:1993-03-05, Days after vaccination: 0
Gender:Female  Submitted:1993-03-18, Days after onset: 13
Location:Iowa  Entered:1993-03-25, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Seldane
Current Illness:
Preexisting Conditions: has environmental allergies;
Diagnostic Lab Data:
CDC 'Split Type': EBU930467
Vaccination
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Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1062A4 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Chest pain, Dizziness, Laryngospasm
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Dystonia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: Pt recvd vax & 1 hr p/inject flet tightening of throat & chest; took Seldane; exp dizziness; hospitalized for 1 day;

VAERS ID:51538 (history)  Vaccinated:1992-08-18
Age:52.4  Onset:1993-02-23, Days after vaccination: 189
Gender:Female  Submitted:1993-03-30, Days after onset: 35
Location:New York  Entered:1993-04-02, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1016A4 IMA
Administered by: Private     Purchased by: Other
Symptoms: Facial palsy, Iritis
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Ocular infections (broad)
Write-up: Belles Palsey; paralysis rt side of face; rxn given pred; iritis both eyes; 1 week p/Bell''s palsy, Rx given, referred to MD;

VAERS ID:51953 (history)  Vaccinated:1993-01-09
Age:52.0  Onset:1993-01-21, Days after vaccination: 12
Gender:Female  Submitted:1993-04-12, Days after onset: 80
Location:California  Entered:1993-04-19, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications: Vasotec, Premarin, Provera, Elavil
Current Illness: lt knee contusion
Preexisting Conditions: NKDA
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
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DT: DT ADSORBED (NO BRAND NAME)PFIZER/WYETH4928090 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Cellulitis, Injection site abscess, Injection site hypersensitivity, Injection site mass
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: pt recvd vax 9JAN93 & ER visit; dx contusion knee; pt returned to ER 21JAN93 for cellulitis due to inject; hard red area on lt deltoid; MD statement probable acute small subcutaneous abscess;

VAERS ID:53317 (history)  Vaccinated:0000-00-00
Age:52.4  Onset:1992-10-27
Gender:Female  Submitted:1993-03-18, Days after onset: 142
Location:Massachusetts  Entered:1993-05-05, Days after submission: 47
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: UNK
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type': 893083001K
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4928230 IM 
Administered by: Other     Purchased by: Other
Symptoms: Headache, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Pt recvd flu vax & 830PM had a h/a; also had soreness @ inject site;

VAERS ID:53701 (history)  Vaccinated:1993-04-20
Age:52.5  Onset:1993-04-20, Days after vaccination: 0
Gender:Female  Submitted:1993-06-03, Days after onset: 44
Location:California  Entered:1993-06-08, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Premarin
Current Illness:
Preexisting Conditions: hypertension, allergic to sulfa codiene bactrim;
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1039V0IMLA
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Diarrhoea, Dizziness, Headache, Myalgia, Oedema peripheral, Pharyngitis, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Acute pancreatitis (broad), Agranulocytosis (broad), Angioedema (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Noninfectious diarrhoea (narrow)
Write-up: 1st lt arm swelling noc of inject & next days/swelling was severe; n/v, sweats (hot & cold), fatigue, diarrhea, h/a & shoulders ached 3rd day-h/a, sore throat; 11MAY still nausea, h/a, some dizziness, diarrhea off & on;

VAERS ID:54076 (history)  Vaccinated:1991-07-19
Age:52.2  Onset:1991-07-19, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:1993-06-21
Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Premarin, Pamalor
Current Illness: wound
Preexisting Conditions: hayfever
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4908061 IMLA
Administered by: Private     Purchased by: Other
Symptoms: Arthralgia, Breast pain, Neck pain, Oedema peripheral, Pain, Pruritus, Skin nodule, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Lipodystrophy (broad), Hypersensitivity (broad), Arthritis (broad)
Write-up: pt recvd vax 19JUL91 & 10 hrs later had severe pain, sensitive to touch; all joints painful; crack in arms, behind knees, wrists, shoulders, groin; 20JUL91 lt are swollen more, hard, red, itchy, pain radiating to head & up to lt arm pit;

VAERS ID:54596 (history)  Vaccinated:1993-03-12
Age:52.0  Onset:1993-03-15, Days after vaccination: 3
Gender:Female  Submitted:0000-00-00
Location:Washington  Entered:1993-07-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications: Plendil
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': WA93898
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0025W0IMRA
Administered by: Public     Purchased by: Other
Symptoms: Dermatitis bullous, Herpes zoster, Hypokinesia, Injection site hypersensitivity, Injection site pain, Pain
SMQs:, Severe cutaneous adverse reactions (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: 15MAR93 pt began to exp shooting pains down rt arm beginning @ the inject site & cont down to the wrist area; unable to move arm; four small blister appeared approx 2" above the inject site; shingles;

VAERS ID:54675 (history)  Vaccinated:1993-05-30
Age:52.5  Onset:1993-06-11, Days after vaccination: 12
Gender:Male  Submitted:1993-07-01, Days after onset: 20
Location:Nevada  Entered:1993-07-16, Days after submission: 15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamins, bee pollen;
Current Illness: NONE
Preexisting Conditions: ampicillin, hayfever;
Diagnostic Lab Data:
CDC 'Split Type': NV93027
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1469V0 RA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1554T0 LA
Administered by: Private     Purchased by: Other
Symptoms: Asthenia, Insomnia, Myalgia, Paraesthesia, Pruritus, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: 11JUN sensitive skin, itchy rt arm & both feet, rash on face; aching thumbs, tingling fingers, numbness in hands, general weakness; aching pain, wakes up during noc;

VAERS ID:54709 (history)  Vaccinated:1993-06-28
Age:52.9  Onset:1993-06-28, Days after vaccination: 0
Gender:Male  Submitted:1993-07-09, Days after onset: 11
Location:Oregon  Entered:1993-07-19, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1070A42 LA
Administered by: Public     Purchased by: Unknown
Symptoms: Abdominal pain, Anorexia, Cough, Dizziness, Dyspnoea, Headache, Hyperhidrosis, Pneumonia
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad)
Write-up: c/o h/a, abdo pain, sweats, fever, chills, cough, difficulty breathing, dizziness, anorexia, was feeling ill 3 days later still admitted to hosp & was dx as having pneumonia;

VAERS ID:54968 (history)  Vaccinated:1993-07-20
Age:52.1  Onset:1993-07-20, Days after vaccination: 0
Gender:Female  Submitted:1993-07-22, Days after onset: 2
Location:Missouri  Entered:1993-08-02, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Zowr, Kerlone, Premarin
Current Illness: NONE
Preexisting Conditions: high cholesterol, allergic PCN, moc petc takes weekly allergy shots;
Diagnostic Lab Data:
CDC 'Split Type': MO93056
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES356905 IMLA
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Diarrhoea, Myalgia, Oedema, Pruritus, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Arthritis (broad), Noninfectious diarrhoea (narrow)
Write-up: pt recvd vax 20JUL93 AM that PM 8PM itching, swelling, redness; sl diarrhea aching elbow down forearm; site lt deltoid warm; DPH to site-ice;

VAERS ID:54969 (history)  Vaccinated:1993-07-23
Age:52.0  Onset:1993-07-23, Days after vaccination: 0
Gender:Female  Submitted:1993-07-23, Days after onset: 0
Location:Missouri  Entered:1993-08-02, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: nolvadex
Current Illness: NONE
Preexisting Conditions: simplified mastectomy on rt side OCT90, radical mastectomy MAR90;
Diagnostic Lab Data: NONE
CDC 'Split Type': MO93057
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES344914 IMRA
Administered by: Public     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Malaise, Pain, Pruritus, Pyrexia, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt states rt arm started hurting about 5PM & it was swollen from shoulder to elbow 3/4 of cir of arm; arm red, hot & swollen & itching & painful; felt had fever; had malaise;

VAERS ID:55065 (history)  Vaccinated:1990-10-24
Age:52.0  Onset:1990-11-14, Days after vaccination: 21
Gender:Female  Submitted:1993-07-20, Days after onset: 978
Location:Colorado  Entered:1993-08-05, Days after submission: 16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': 893207006K
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4908201   
Administered by: Private     Purchased by: Private
Symptoms: Guillain-Barre syndrome, Neuropathy
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow)
Write-up: pt recvd vax 24OCT90; neurological sx began in early NOV; pt was seen in the hosp ER on 7NOV90; 14NOV90 was admitted to hosp given a dx of GBS;

VAERS ID:55519 (history)  Vaccinated:1992-10-22
Age:52.5  Onset:1993-07-02, Days after vaccination: 253
Gender:Female  Submitted:1993-07-06, Days after onset: 4
Location:Maryland  Entered:1993-08-26, Days after submission: 51
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp small, hard lump under skin w/pus @ 46 y/o w/flu vax;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': MD93027
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49281461IMLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site abscess, Injection site mass
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: small, hard lump under skin p/immun progressively got larger; approx 1 month ago became larger; got head on it & daughter opened it on 2JUL; puss expressed; today raised area approx 10 x 10mm lt arm; lt of smallpox scar;

VAERS ID:55966 (history)  Vaccinated:1992-11-04
Age:52.4  Onset:1992-11-05, Days after vaccination: 1
Gender:Female  Submitted:1992-12-23, Days after onset: 48
Location:Oklahoma  Entered:1993-09-08, Days after submission: 258
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Long term meds;
Current Illness:
Preexisting Conditions: no asthma
Diagnostic Lab Data: NONE
CDC 'Split Type': 920403601
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE)LEDERLE LABORATORIES3389712IMLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt vaxed 4NOV92 & following day devel a fever & local reaction consisting of adenopathy @ inject site; required office visit; 16NOV92-arm sore, swelling & redness resolved;

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