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Case Details (Sorted by Age)

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VAERS ID: 537522 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Oregon  
Vaccinated:2014-07-17
Onset:2014-07-17
   Days after vaccination:0
Submitted: 2014-07-17
   Days after onset:0
Entered: 2014-07-23
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS 467P2 / 1 UN / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR U4869AA / 1 UN / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR J0513 / 1 UN / IM
YF: YELLOW FEVER (YF-VAX) / SANOFI PASTEUR UH848AA / 1 UN / SC

Administered by: Unknown       Purchased by: Private
Symptoms: Convulsion, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient passed out about 1 minute after shot, she did convulse slightly but regained consciousness after 10-15 seconds.


VAERS ID: 538191 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Unknown  
Vaccinated:2014-07-16
Onset:2014-07-25
   Days after vaccination:9
Submitted: 2014-07-30
   Days after onset:5
Entered: 2014-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 - / SC

Administered by: Public       Purchased by: Public
Symptoms: Erythema, Nodule, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Complains of bilateral knots behind her ear and a small red swollen spot on the left side of face by ear.


VAERS ID: 538532 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Male  
Location: Indiana  
Vaccinated:2014-07-29
Onset:2014-07-30
   Days after vaccination:1
Submitted: 2014-08-01
   Days after onset:2
Entered: 2014-08-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (ADACEL) / SANOFI PASTEUR U4902BA / 1 UN / IM

Administered by: Other       Purchased by: Private
Symptoms: Headache, Injection site pain, Injection site swelling, Pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Headache, body aches, sore/swollen at site.


VAERS ID: 538744 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Male  
Location: Illinois  
Vaccinated:2013-07-17
Onset:0000-00-00
Submitted: 2014-08-04
Entered: 2014-08-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD - / UNK MO / PO

Administered by: Unknown       Purchased by: Private
Symptoms: Rash erythematous, Viral infection
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: After taking Vivotif Live Attenuated Typhoid vaccine, I developed a rose-colored rash across my back. This rash has recurred every time I get a viral illness or am stress or sleep-deprived. I am a physician.


VAERS ID: 538753 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Kansas  
Vaccinated:2014-07-31
Onset:2014-07-31
   Days after vaccination:0
Submitted: 2014-08-05
   Days after onset:5
Entered: 2014-08-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. J013730 / UNK RA / SC

Administered by: Public       Purchased by: Private
Symptoms: Erythema, Injection site bruising, Local swelling, Malaise, Pain, Pyrexia, Rash pruritic, Skin warm, Tenderness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: N
Preexisting Conditions: Food Allergy to Avocado
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt states drove to parents home-town (90min) and went to fair, started feeling feverish et malaise, went home. Fri morning fever et malaise continued with arm becoming puffy with hot, itchy rash et painful to touch. Sat rash continues with pain et malaise increasing. Ibuprofen et Benadryl taken Sat, pt states slept afterwards, unknown if ibuprofen helped fever. Sun pt starts to feel "a little" better, swelling from rash starts to decrease, no longer red in color, now pink. Monday pt continues to recover. Tuesday pt states site looks bruised, half-dollar size, no longer red, itchy, or raised. Pt feels a small lump under skin and is tender to the touch. Highest recorded temperature was 102.4. (Pt agrees to summary)


VAERS ID: 539548 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2014-08-12
Entered: 2014-08-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Abortion spontaneous, Exposure during pregnancy
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: 2008, Primigravida
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES1408USA007202

Write-up: Information has been received regarding a case in litigation for NUVARING (case #1402USA004226) from a physician concerning an approximately 24 year old female, gravida 1. In 2008, the patient was reported to have questionably received a pneumococcal vaccine (unspecified manufacturer) when she was pregnant. The patient subsequently had a spontaneous abortion. No further details of gestation at time of possible vaccination or at the time of the spontaneous abortion were provided. Upon internal review, spontaneous abortion was determined to be medically significant. Additional information is not expected.


VAERS ID: 539741 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Maryland  
Vaccinated:2014-08-08
Onset:2014-08-09
   Days after vaccination:1
Submitted: 2014-08-11
   Days after onset:2
Entered: 2014-08-12
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. K002931 / 1 LA / SC

Administered by: Unknown       Purchased by: Private
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: None
Preexisting Conditions: Celiac; Allergy to Morphine, Codeine, Peanuts
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever. Large area approximately size 1/2 dollar of redness, swelling, induration, excruciating pain to left upper arm - site of injection.


VAERS ID: 540084 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Male  
Location: Florida  
Vaccinated:2013-10-04
Onset:2013-10-14
   Days after vaccination:10
Submitted: 2014-08-18
   Days after onset:308
Entered: 2014-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH899AE / UNK UN / IM

Administered by: Military       Purchased by: Military
Symptoms: Blindness, Headache, Lumbar puncture normal, Nuclear magnetic resonance imaging normal, Optic neuritis, Papilloedema
SMQs:, Guillain-Barre syndrome (broad), Glaucoma (broad), Optic nerve disorders (narrow), Demyelination (narrow), Retinal disorders (broad), Ocular infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: MRI and LP were negative. No elevation of his CRP or ESR.
CDC Split Type:

Write-up: Pt is a 25 yo male who denied any previous problems with immunizations. On 04 Oct 2013 he was vaccinated with inactivated influenza vaccine. He denied any immediate problems. Ten days after vaccination he reported the onset of intermittent headaches and sought medical evaluation on 21 Oct. Headaches persisted and he began to note increasing vision loss. Ophthalmology exam on 24 Oct noted bilateral disc edema concerning for optic neuritis. He was admitted and received IV steroids and was discharged on a tapering dose of oral steroids. MS and Infection was ruled out. DX: bilateral optic papillitis.


VAERS ID: 540159 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Illinois  
Vaccinated:2014-08-14
Onset:2014-08-15
   Days after vaccination:1
Submitted: 2014-08-18
   Days after onset:3
Entered: 2014-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS JA279 / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Rash macular
SMQs:, Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: CONCERTA 54 MG PO DAILY
Current Illness: NO
Preexisting Conditions: DENIES
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: MACULAR RASH ON BOTH ARMS, NECK; DENIES RESPIRATORY SYMPTOMS.


VAERS ID: 540531 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Male  
Location: Idaho  
Vaccinated:2014-08-15
Onset:0000-00-00
Submitted: 2014-08-20
Entered: 2014-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS 25NF2 / 2 LA / ID
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR U4624BA / 2 RA / IM

Administered by: Public       Purchased by: Public
Symptoms: Injection site induration
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt received TD on 8-15-14 on R deltoid, returned to clinic on 8-19-14 with induration on R deltoid approx 6 inches . Seen by medical provider. No fever, no redness - pt advised to F/U if S/S becomes worse.


VAERS ID: 542466 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Male  
Location: Unknown  
Vaccinated:2014-01-14
Onset:2014-01-14
   Days after vaccination:0
Submitted: 2014-01-14
   Days after onset:0
Entered: 2014-08-25
   Days after submission:222
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT) / MEDIMMUNE VACCINES, INC. BH2186 / UNK NS / IN

Administered by: Other       Purchased by: Other
Symptoms: Expired drug administered
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Concomitant drugs not reported
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: 2014SE02987

Write-up: A report has been received from a Health Professional concerning a 24 year old, male subject, who had been receiving nasal FLUMIST QUADRIVALENT. FLUMIST QUADRIVALENT started on 14-Jan-2014. The reporter stated that they inadvertently administered expired FLUMIST (Preferred Term: Expired drug administered) which started on 14-Jan-2014. The outcome of the event expired FLUMIST is unknown. The report was considered to be non-serious by the reporter.


VAERS ID: 542467 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Unknown  
Vaccinated:2014-01-14
Onset:2014-01-14
   Days after vaccination:0
Submitted: 2014-01-14
   Days after onset:0
Entered: 2014-08-25
   Days after submission:222
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT) / MEDIMMUNE VACCINES, INC. BH2186 / UNK NS / IN

Administered by: Other       Purchased by: Other
Symptoms: Expired drug administered
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Concomitant drugs not reported
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: 2014SE03002

Write-up: A report has been received from a Health Professional concerning a 24 year old, female subject, who had been receiving nasal FLUMIST QUADRIVALENT. FLUMIST QUADRIVALENT started on 14-Jan-2014. The Registered Nurse reported that they inadvertently administered expired FLUMIST QUADRIVALENT to the patient (Preferred Term: Expired drug administered) which started on 14-Jan-2014 and not reported any symptoms. The outcome of the event of expired FLUMIST is unknown. The report was considered to be non-serious.


VAERS ID: 541193 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Male  
Location: Unknown  
Vaccinated:2013-09-30
Onset:0000-00-00
Submitted: 2014-08-26
Entered: 2014-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH898AB / UNK LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Immediate post-injection reaction, Spontaneous penile erection
SMQs:, Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient/employee reported today (08/26/2014) that he concerned about receiving the influenza vaccine again this year because last year immediately after he received the vaccine, he experienced a penile erection that lasted approximately 3 minutes and then resolved on its own.


VAERS ID: 541265 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Georgia  
Vaccinated:2014-08-26
Onset:2014-08-26
   Days after vaccination:0
Submitted: 2014-08-26
   Days after onset:0
Entered: 2014-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. J004196 / 1 RA / IM

Administered by: Other       Purchased by: Private
Symptoms: Dysphagia, Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NORTREL
Current Illness: Unknown
Preexisting Conditions: Patient is deaf
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Vaccine given at 4:30pm. Patient first states that her arm is numb; then she starts saying she is having trouble swallowing. Patient did not look like she was having difficulty breathing and no visible swelling. Gauze 25mg BENADRYL. Still no relief. Decided to call 911 at 5:00 pm. Patient returned to pharmacy at 7:30 w/2 scripts for prednisone and BENADRYL.


VAERS ID: 542213 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Unknown  
Vaccinated:2014-08-12
Onset:2014-08-12
   Days after vaccination:0
Submitted: 2014-09-02
   Days after onset:21
Entered: 2014-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J010668 / UNK UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Exposure during pregnancy, No adverse event, Wrong drug administered
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamins (unspecified)
Current Illness: Drug hypersensitivity
Preexisting Conditions: Pregnancy; Penicillin, Drug hypersensitivity
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES1408USA013559

Write-up: This spontaneous prospective pregnancy report as received from a medical assistant refers to a 24 year old female patient. The patient was allergic to penicillin. The patient''s medical history included pregnant. Concomitant therapies included prenatal vitamins. On 12-AUG-2014 the patient was vaccinated with GARDASIL lot # J010668, expiration date: 29-APR-2016, 1 single dose/ as directed, intramuscular by the medical assistant and meant to give a Tetanus shot. The event happened in the medical office. No adverse effect reported. No treatment was given. No labs was performed. It was reported that the patient was pregnant with LMP of 20-FEB-2014 (pregnant gestation was reported as at 26 weeks at the time of reporting) and EDD of 27-NOV-2014. Initial exposure to GARDASIL was at 24 week(s). Additional information has been requested.


VAERS ID: 542736 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Male  
Location: Massachusetts  
Vaccinated:2014-09-06
Onset:2014-09-06
   Days after vaccination:0
Submitted: 2014-09-06
   Days after onset:0
Entered: 2014-09-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (AFLURIA) / CSL LIMITED T59406 / 2 LA / IM

Administered by: Military       Purchased by: Military
Symptoms: Chest discomfort, Paraesthesia oral, Throat irritation, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol 500mg extra strength x2 Multi Vit and Fish oil
Current Illness: Lips tingling, chest tightness, throat tight. No other s/s of any infection.
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Lips tingling, chest tightness, coarse throat. Patient self took 1000mg of Tylenol within an hour of getting the shot. Subsequently after lunch he returned to the clinic and notified staff of his symptoms. He was given 50mg of Benadryl PO. VS stable and monitored on site. Seen by provider.


VAERS ID: 542799 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Delaware  
Vaccinated:2014-09-04
Onset:0000-00-00
Submitted: 2014-09-08
Entered: 2014-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J013324 / 1 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR U4853AA / UNK UN / UN

Administered by: Unknown       Purchased by: Private
Symptoms: Wrong drug administered
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tri-Sprintec 28
Current Illness: None known
Preexisting Conditions: Migraines w/aura
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt was inadvertently given Tdap instead of Gardasil.


VAERS ID: 542825 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Wisconsin  
Vaccinated:2014-08-29
Onset:2014-08-30
   Days after vaccination:1
Submitted: 2014-09-05
   Days after onset:6
Entered: 2014-09-08
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. J008522 / 1 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Allergic to penicillin - caused rash
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: The morning after receiving vaccine pt awoke 6:30 am to red, sore, swollen area at injection site. Area swelled for 5 inches surrounding site, sore, hot, red, itching for 4 days.


VAERS ID: 543354 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2014-08-26
Submitted: 2014-09-10
   Days after onset:15
Entered: 2014-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Accidental exposure to product, Exposure during pregnancy, Exposure via direct contact, Eye irrigation, No adverse event
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES1408USA015557

Write-up: This spontaneous prospective pregnancy report was received form a 23 year old female patient (also nurse) reporting on herself. On 26-AUG-2014 the patient splashed less than 0.1ml of M-M-R II in her face and possibly her eyes when drawing up the vaccine. The patient/nurse immediately washed her face and flushed her eyes with sterile saline. She was concerned since she was pregnant with 28 weeks of gestation. The patient''s last menstrual period (LMP) was 11-FEB-2014 with estimated date of delivery (EDD) of 18-NOV-2014. The pregnancy outcome was outcome pending. Patient contacted her OB/GYN physician. No adverse effects reported. Additional information has been requested.


VAERS ID: 543427 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Utah  
Vaccinated:2014-09-10
Onset:2014-09-10
   Days after vaccination:0
Submitted: 2014-09-11
   Days after onset:1
Entered: 2014-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS 5G943 / 1 RA / IM

Administered by: Other       Purchased by: Private
Symptoms: Dizziness, Fatigue, Feeling hot, Hyperhidrosis, Vision blurred
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: Patient had her vitial signs taken. Pulse 80 bpm, blood pressure 134/80, temperature 99.0 degrees. She still feels tired, feels sweaty and still having blurry vision. She is able to follow all instructions and comply with all requests without any difficulty.
CDC Split Type:

Write-up: Patient became sweating, warm feeling, dizziness, lightheadedness, blurry vision and this lasted up until today at the time of this report. She had to sit down and regain herself but pushed through the day of work. No treatment was provided during the event on 09/10/2014.


VAERS ID: 543474 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Male  
Location: Massachusetts  
Vaccinated:2014-09-08
Onset:2014-09-08
   Days after vaccination:0
Submitted: 2014-09-12
   Days after onset:4
Entered: 2014-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. J005067 / 1 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS C4506AC / 1 LA / IM

Administered by: Other       Purchased by: Public
Symptoms: Erythema, Local swelling, Pain in extremity, Skin warm
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Cyclobenzapine, gabapentin, bupropion, quetiapine
Current Illness: None
Preexisting Conditions: Sulfa, morphine
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Arm was red, warm, swollen, hurt. No SOB/wheezing/systemic rash.


VAERS ID: 543549 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Male  
Location: Illinois  
Vaccinated:2014-08-22
Onset:2014-08-24
   Days after vaccination:2
Submitted: 2014-09-12
   Days after onset:19
Entered: 2014-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS T25EG / UNK RA / SYR

Administered by: Private       Purchased by: Private
Symptoms: Abscess rupture, Injection site abscess, Injection site haemorrhage, Injection site hypersensitivity, Injection site swelling
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: A1088156A

Write-up: This case was reported by a healthcare professional and described the occurrence of injection site abscess in a 24-year-old male subject who was vaccinated with BOOSTRIX (GlaxoSmithKline). On 22 August 2014, the subject received a dose of BOOSTRIX (route unknown, right arm). On 24 August 2014, 2 days after vaccination with BOOSTRIX, the subject experienced bump at injection site which growed and turned into injection site abscess. This was considered as an allergic reaction. This case was assessed as medically serious by GSK. The subject was treated with Antibiotic. On 5 September 2014, the abscess ruptured and it bleed. At the time of reporting, allergic reaction was unresolved. The healthcare professional considered the allergic reaction was probably related to vaccination with BOOSTRIX.


VAERS ID: 543721 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Texas  
Vaccinated:2014-09-05
Onset:2014-09-08
   Days after vaccination:3
Submitted: 2014-09-12
   Days after onset:4
Entered: 2014-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS A14041 / 1 LA / IM

Administered by: Other       Purchased by: Private
Symptoms: Injection site rash, Injection site warmth, Pain in extremity
SMQs:, Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Spreading rash starting about 1 to 2 inches below injection site. Pt states rash is warm and arm hurts and rash is spreading down arm toward elbow.


VAERS ID: 543646 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Indiana  
Vaccinated:2014-09-12
Onset:2014-09-12
   Days after vaccination:0
Submitted: 2014-09-13
   Days after onset:1
Entered: 2014-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (AFLURIA) / CSL LIMITED T57305 / 1 LA / IM

Administered by: Unknown       Purchased by: Private
Symptoms: Convulsion, Face injury, Fall, Heart rate decreased, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient was sitting in chair when she passed out and fell on her face. She was convulsing (head and upper part of body) which ceased after approx. 10 seconds. At that time the patient became conscious. An ambulance arrived to assess patient. She was transported to the hospital for an extremely low heart rate.


VAERS ID: 544139 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Nebraska  
Vaccinated:2014-09-17
Onset:2014-09-17
   Days after vaccination:0
Submitted: 2014-09-17
   Days after onset:0
Entered: 2014-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / NOVARTIS VACCINES AND DIAGNOSTICS 1412001 / 4 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Local reaction
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth control pills, Vitamin D, Wellbutrin
Current Illness: No
Preexisting Conditions: No allergies or medical conditions.
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Egg shaped and egg size local reaction at injection site; red, swollen, warm, tender.


VAERS ID: 544655 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Unknown  
Location: Massachusetts  
Vaccinated:2014-08-29
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2014-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. J008882 / UNK UN / SC

Administered by: Other       Purchased by: Other
Symptoms: Drug administered to patient of inappropriate age
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None per MD
CDC Split Type:

Write-up: No adverse events.


VAERS ID: 544540 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Wisconsin  
Vaccinated:2014-09-20
Onset:2014-09-20
   Days after vaccination:0
Submitted: 2014-09-20
   Days after onset:0
Entered: 2014-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
JEV1: JAPANESE ENCEPHALITIS (IXIARO) / INTERCELL AG JEV13A30E / 1 LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS 74AP3 / 2 LA / IM

Administered by: Unknown       Purchased by: Private
Symptoms: Blindness, Dizziness, Hyperhidrosis, Immediate post-injection reaction
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LOW-OGESTREL-21 (ETHINYL ESTRADIOL; NORGESTREL)
Current Illness: None
Preexisting Conditions: None reported
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Symptoms started within 30 seconds of administration of vaccine, patient became diaphoretic, reported loss of vision and light headedness. Patient given juice, and monitored. Patient''s symptoms resolved within 10 minutes of vaccine administration and left the office under their own power without assistance shortly afterwards.


VAERS ID: 544888 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Missouri  
Vaccinated:2014-09-16
Onset:2014-09-16
   Days after vaccination:0
Submitted: 2014-09-23
   Days after onset:7
Entered: 2014-09-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / NOVARTIS VACCINES AND DIAGNOSTICS 1413301 / UNK RA / IM

Administered by: Other       Purchased by: Private
Symptoms: Cellulitis, Local swelling, Skin warm
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Nurse Pract. dx as cellulitis at healthcare clinic
CDC Split Type:

Write-up: Patient developed swollen arm. NP at healthcare clinic called said arm swollen, treated as cellulitis, hot to the touch. Pt reported no fever.


VAERS ID: 545028 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Virginia  
Vaccinated:2014-09-18
Onset:2014-09-19
   Days after vaccination:1
Submitted: 2014-09-23
   Days after onset:4
Entered: 2014-09-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UI169AA / UNK LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR U4939AA / UNK RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Injection site swelling, Malaise, Pyrexia, Vaccination site erythema, Vaccination site warmth
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: TRI-SPRINTEC; PROAIR; Ibuprofen; ALLEGRA
Current Illness:
Preexisting Conditions: Asthma; allergic rhinitis; ovarian cyst
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Erythema, warmth at vaccine site on (R) arm and associated surrounding erythema/swelling of (R) upper arm; fever, malaise.


VAERS ID: 545081 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Unknown  
Vaccinated:2014-09-09
Onset:2014-09-09
   Days after vaccination:0
Submitted: 2014-09-23
   Days after onset:14
Entered: 2014-09-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. J004204 / 3 LA / SC

Administered by: Other       Purchased by: Other
Symptoms: Incorrect storage of drug, No adverse event
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions: Delivery
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES1409USA007383

Write-up: This spontaneous report as received from a pharmacist refers to a 24 year old female patient. The patient''s medical history included birth of her child (date not specified). In 1991, exact date not specified, the patient was vaccinated with the first dose of M-M-R II. On an unknown date, the patient received the second dose of M-M-R II. On 09-SEP-2014, the patient was vaccinated with the third dose of M-M-R II (HSA) lot number J004204, expiration date 12-APR-2015, 0.5 ml, subcutaneous in the left arm, which was improperly stored. No adverse effects were reported. Concomitant medications were not specified. Additional information is not expected because the reporter did not give consent for follow up.


VAERS ID: 544922 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Arizona  
Vaccinated:2014-09-15
Onset:2014-09-15
   Days after vaccination:0
Submitted: 2014-09-24
   Days after onset:9
Entered: 2014-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RAB: RABIES (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / -

Administered by: Other       Purchased by: Other
Symptoms: Amnesia, Blood test normal, Chest X-ray normal, Chest discomfort, Fatigue, Headache, Hypoaesthesia, Muscular weakness, Pyrexia, Tunnel vision, Urine analysis normal, Vaccination complication, Vision blurred
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Doxycycline and spironolactone, also received flu vaccine 09/16/2014 in right arm.
Current Illness: Received first rabies vaccine 09/15/2014, that is when all the symptoms started. Numbness over entire body including face, tunnel vision, blurred vision, muscle weakness, 103 fever, short term memory loss, extreme fatigue, headaches, tightness in chest. Per my school, they said I was ok to get the second vaccine 09/22. The symptoms got worse after the second dose.
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data: Blood work, urinalysis, chest x-rays all with in normal limits.
CDC Split Type:

Write-up: Received first rabies vaccine 09/15/2014, that is when all the symptoms started. Numbness over entire body including face, tunnel vision, blurred vision, muscle weakness, 103 fever, short term memory loss, extreme fatigue, headaches, tightness in chest. Per my school, they said I was ok to get the second vaccine. The symptoms got worse after the second dose 09/22. Went to the ER 09/22/2014 at 2:40PM. Blood work and chest X-ray completed- WNL. Told me I was having a very bad vaccine reaction and needed to report it as well as follow up with a neurologist. 3/4 of my class has had bad vaccine reactions to the rabies and we are all being asked to come into the school clinic.


VAERS ID: 545195 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2014-09-18
Onset:2014-09-18
   Days after vaccination:0
Submitted: 2014-09-25
   Days after onset:7
Entered: 2014-09-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT) / SANOFI PASTEUR UI196AD / 1 LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Erythema, Skin warm, Tenderness, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NO
Preexisting Conditions: Seasonal allergies
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Red welt appoximately 2 inches wide. Warm to touch and painful to touch.


VAERS ID: 545652 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Texas  
Vaccinated:2014-09-29
Onset:2014-09-29
   Days after vaccination:0
Submitted: 2014-09-29
   Days after onset:0
Entered: 2014-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS 592D3 / UNK LA / IM

Administered by: Other       Purchased by: Private
Symptoms: Dizziness, Feeling hot, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNKNOWN
Current Illness: UNKWOWN
Preexisting Conditions: UNKNOWN
Allergies:
Diagnostic Lab Data: UNKNOWN
CDC Split Type:

Write-up: NAUSEA, WARMNESS, LIGHTHEADEDNESS ALL PRESENTED TO MEDICAL STAFF 2 HOURS LATER. VS 151/75 P 85.


VAERS ID: 545658 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Idaho  
Vaccinated:2014-09-26
Onset:2014-09-26
   Days after vaccination:0
Submitted: 2014-09-29
   Days after onset:3
Entered: 2014-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (AFLURIA) / CSL LIMITED T56905 / 3 LA / IM

Administered by: Other       Purchased by: Private
Symptoms: Feeling abnormal, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Dementia (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: Penicillin allergy
Allergies:
Diagnostic Lab Data: ER Dr thought it was not vaccine related and recommended Benadryl. On 9/27/14 at about 12 PM patient came in to pharmacy and reported that swelling had gone down and she was feeling better.
CDC Split Type:

Write-up: Patient said she had swelling on her left jaw.


VAERS ID: 546144 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:2014-09-28
Onset:2014-09-28
   Days after vaccination:0
Submitted: 2014-09-29
   Days after onset:1
Entered: 2014-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (AFLURIA) / CSL LIMITED TS1708 / 1 LA / SYR

Administered by: Unknown       Purchased by: Unknown
Symptoms: Discomfort, Hypoaesthesia, Injection site erythema, Injection site pruritus, Injection site warmth, Malaise, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: All over uneasy/unwell feeling w/in 2 hours of vaccine. Temp 101.4 degrees. 1 1/2" red, warm, spot at area of injection itchy very bad. Tingling, numbness down arm of injection.


VAERS ID: 546170 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Michigan  
Vaccinated:2014-09-20
Onset:2014-09-20
   Days after vaccination:0
Submitted: 2014-09-24
   Days after onset:4
Entered: 2014-09-30
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / NOVARTIS VACCINES AND DIAGNOSTICS 1412601 / 1 RA / SYR

Administered by: Other       Purchased by: Private
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: None
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient received her flu shot on 9/20/14 and after receiving the vaccine she fainted.


VAERS ID: 546465 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Male  
Location: Unknown  
Vaccinated:2008-07-08
Onset:0000-00-00
Submitted: 2014-09-30
Entered: 2014-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN

Administered by: Military       Purchased by: Military
Symptoms: Extrasystoles, Fatigue
SMQs:, Tachyarrhythmia terms, nonspecific (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Concern that his palpitations he developed during deployment may be related to the AVA vaccines he received. July 09 assessed as having SVT with occas PVC''s. Ablation was attempted in 09 but unsuccessful since sit could not be located. He saw cardiology in Jan 2011 in which a brief history was obtained and a request for records. Next cardiology visit was in Jan 2014 in which he reported fatigue and occasional skipped beat, no chest pain, dizziness, palpitations or SOB. He admitted to smoke 1/2 ppd, drank 24 oz of coffee every am and 2-3 32 oz of tea throughout the day. He had a repeat Holter in July showed occas PVC and PAC''s and he is currently requesting a repeat EP visit. Exact onset date unknown. Only that it was in July 08.


VAERS ID: 546214 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: South Carolina  
Vaccinated:2014-09-30
Onset:2014-09-30
   Days after vaccination:0
Submitted: 2014-10-02
   Days after onset:2
Entered: 2014-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 LA / IM

Administered by: Private       Purchased by: Public
Symptoms: Exposure during pregnancy, Wrong drug administered
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: 26 weeks and 2 days pregnant at time of vaccination
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Was supposed to receive TDAP vaccine for pregnant women. Instead received Gardasil vaccine for HPV prevention due to nurse error. Waiting to determine any birth defects/adverse/congenital defects on baby.


VAERS ID: 546245 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: North Dakota  
Vaccinated:2014-09-30
Onset:2014-10-01
   Days after vaccination:1
Submitted: 2014-10-02
   Days after onset:1
Entered: 2014-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT) / SANOFI PASTEUR UI196AA / UNK LA / IM

Administered by: Other       Purchased by: Private
Symptoms: Rash generalised, Rash pruritic, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ginkgo Biloba, Biotin, Lactobacillus rhanosus, cranberry capsules, ibuprofen, norgestrol-ethyinyl
Current Illness: No
Preexisting Conditions: Seasonal allergies, heart murmur per pt.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient states that friends and acquaintances told her that her face appeared swollen, patient states it was. By evening hours 10/01/2014 patient states she noted itchy rash to neck, and chest which has spread to body.


VAERS ID: 546752 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Arkansas  
Vaccinated:2014-10-04
Onset:2014-10-04
   Days after vaccination:0
Submitted: 2014-10-06
   Days after onset:2
Entered: 2014-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT) / MEDIMMUNE VACCINES, INC. CJ2127 / UNK NS / IN

Administered by: Military       Purchased by: Military
Symptoms: Exposure during pregnancy
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Patient was pregnant and received the flu mist live virus.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient was pregnant and received the flu mist live virus.


VAERS ID: 547607 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: New York  
Vaccinated:2014-10-03
Onset:2014-10-04
   Days after vaccination:1
Submitted: 2014-10-06
   Days after onset:2
Entered: 2014-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUARIX) / GLAXOSMITHKLINE BIOLOGICALS 2KJ3T / UNK RA / IM
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. K009105 / UNK LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Injected limb mobility decreased, Local swelling, Pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: CLARITIN
Current Illness: No
Preexisting Conditions: Allergies: CYMBALTA, seasonal, ZITHROMAX; Asthma; Allergic Rhinits
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Saturday (10/4) - arm swollen (L), couldn''t move it. Seen at urgent care, given MOTRIN. Ice. Sunday (10/5) - high fever, added TYLENOL. Monday (10/6) - fever, swollen arm, pain. Prednisone given at MD visit.


VAERS ID: 547933 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Male  
Location: Mississippi  
Vaccinated:2014-10-03
Onset:2014-10-03
   Days after vaccination:0
Submitted: 2014-10-06
   Days after onset:3
Entered: 2014-10-07
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RAB: RABIES (RABAVERT) / NOVARTIS VACCINES AND DIAGNOSTICS 541011A / 1 LA / IM

Administered by: Military       Purchased by: Military
Symptoms: Local swelling, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient experienced hives and swelling of hands.


VAERS ID: 546986 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Montana  
Vaccinated:2014-10-01
Onset:2014-10-06
   Days after vaccination:5
Submitted: 2014-10-08
   Days after onset:2
Entered: 2014-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
YF: YELLOW FEVER (YF-VAX) / SANOFI PASTEUR U1081AB / UNK LA / SC

Administered by: Public       Purchased by: Private
Symptoms: Erythema, Local swelling, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Red area on arm 1/2 inch by 1.5 inches. Red and swollen, painful.


VAERS ID: 547111 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Tennessee  
Vaccinated:2014-10-03
Onset:2014-10-03
   Days after vaccination:0
Submitted: 2014-10-08
   Days after onset:5
Entered: 2014-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U189AD / 1 RA / IM

Administered by: Public       Purchased by: Public
Symptoms: Headache
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Headache lasting 5 days.


VAERS ID: 548275 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Michigan  
Vaccinated:2014-09-30
Onset:2014-09-30
   Days after vaccination:0
Submitted: 2014-09-30
   Days after onset:0
Entered: 2014-10-08
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UI196AA / UNK LA / IM

Administered by: Other       Purchased by: Unknown
Symptoms: Dizziness, Feeling hot, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None at time of vaccine given
Current Illness: None
Preexisting Conditions: Allergy to penicillin
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: About 10 min after administered, I felt lightheaded, hot, and nauseated.


VAERS ID: 548879 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Unknown  
Vaccinated:2014-10-02
Onset:2014-10-02
   Days after vaccination:0
Submitted: 2014-10-08
   Days after onset:6
Entered: 2014-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J007850 / 1 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Incorrect storage of drug, No adverse event
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES1410USA002178

Write-up: This spontaneous report as received from an unspecified healthcare worker refers to a 24 year old female patient. No concurrent conditions or medical history were provided. On 02-OCT-2014 (reported as: yesterday), the patient was vaccinated with the first dose of GARDASIL injection, administered intramuscularly at a dose of 0.5 ml (lot # J007850 with expiry date: 07-APR-2016), that had been improperly stored at -13C. No concomitant medications were reported. The dose administered on 02-OCT-2014 was intended to be the patient''s first dose of GARDASIL, but the dose would not be counted as valid. The plan of care for this patient was to administer a dose of GARDASIL to her on the day that she was scheduled to receive her second dose of vaccine. The dose administered on that day, on 02-DEC-2014 (reported as "two months from yesterday"), would be counted as the first dose in her GARDASIL series. The patient had not reported or demonstrated any adverse effects. Additional information has been requested.


VAERS ID: 549506 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Kentucky  
Vaccinated:2014-10-06
Onset:2014-10-07
   Days after vaccination:1
Submitted: 2014-10-09
   Days after onset:2
Entered: 2014-10-10
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UI158AA / 1 LA / IM

Administered by: Other       Purchased by: Private
Symptoms: Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: TRI-SPINTEC
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient developed swelling in axillary lymph nodes in arm where vaccine was administered.


VAERS ID: 550436 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Male  
Location: Michigan  
Vaccinated:2014-09-29
Onset:2014-09-29
   Days after vaccination:0
Submitted: 2014-10-01
   Days after onset:2
Entered: 2014-10-10
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR K13211 / UNK RA / SC
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS A54AL / UNK LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR K02481 / UNK RA / IM

Administered by: Other       Purchased by: Other
Symptoms: Headache, Nasal congestion, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: "Sniffles" afebrile
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Became nasally congested - spiked temp. 103 degrees - within 7 hrs after vaccines. C/O headache, body aches.


VAERS ID: 550451 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Missouri  
Vaccinated:2014-10-03
Onset:2014-10-04
   Days after vaccination:1
Submitted: 2014-10-10
   Days after onset:6
Entered: 2014-10-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS 9M9AA / 1 RA / IM

Administered by: Other       Purchased by: Private
Symptoms: Feeling abnormal, Local swelling, Swelling, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Dementia (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Latex allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient feeling poorly and had hives/swelling of arms/back. Went to ER was given EPIPEN and fluids. Reaction occurred over 24 hrs after dose. Pt made full recovery.


VAERS ID: 549614 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Male  
Location: Idaho  
Vaccinated:2014-10-11
Onset:2014-10-11
   Days after vaccination:0
Submitted: 2014-10-11
   Days after onset:0
Entered: 2014-10-12
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / NOVARTIS VACCINES AND DIAGNOSTICS 160234 / UNK UN / UN
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS 59D74 / 1 UN / UN

Administered by: Military       Purchased by: Military
Symptoms: Incorrect dose administered
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: None.


VAERS ID: 550538 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Male  
Location: Idaho  
Vaccinated:2014-10-11
Onset:2014-10-11
   Days after vaccination:0
Submitted: 2014-10-11
   Days after onset:0
Entered: 2014-10-12
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / NOVARTIS VACCINES AND DIAGNOSTICS 160234 / 1 UN / UN
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS N45BR / UNK UN / UN
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS 69D74 / UNK UN / UN

Administered by: Military       Purchased by: Military
Symptoms: Incorrect dose administered
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: None stated.


VAERS ID: 550912 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2014-10-13
Entered: 2014-10-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / UNK UN / SC

Administered by: Other       Purchased by: Other
Symptoms: No adverse event, Wrong drug administered
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES1410USA002667

Write-up: This spontaneous report as received from a pharmacist refers to a 24 year old female patient. Medical history and current conditions were not reported. On an unknown date, the patient who was supposed to received (Oka/Merck) VARIVAX was inadvertently given ZOSTAVAX Vial 19400 PFU via an unknown route (dose was not reported). Concomitant medications were not reported. No adverse effect was reported. Product quality complaint was not reported. Additional information has been requested.


VAERS ID: 547892 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Wyoming  
Vaccinated:2014-10-13
Onset:0000-00-00
Submitted: 2014-10-14
Entered: 2014-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL) / SANOFI PASTEUR UT4982BA / UNK LA / ID

Administered by: Unknown       Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multi-vitamins
Current Illness: No
Preexisting Conditions: Allergic to vancomycin
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient returned to clinic 24 hours after vaccine was administered. Injection site red and swollen approximately 10cm x 10cm. Also with pain at injection site. Patient denies any itching, trouble breathing or mouth/tongue/throat swelling. No intervention required. Patient instructed to use ice and Tylenol or Ibuprofen as needed to help with pain. Patient to return as needed for any new symptoms.


VAERS ID: 548081 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: California  
Vaccinated:2014-10-13
Onset:2014-10-13
   Days after vaccination:0
Submitted: 2014-10-15
   Days after onset:2
Entered: 2014-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT198AC / UNK LA / IM

Administered by: Other       Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Cerebral Palsy. NKA.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Redness, tenderness and warms 10x6cm around injection site.


VAERS ID: 552067 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Unknown  
Vaccinated:2014-09-17
Onset:2014-09-17
   Days after vaccination:0
Submitted: 2014-10-15
   Days after onset:28
Entered: 2014-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain upper, Muscular weakness, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Immunisation
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES1410USA001205

Write-up: This spontaneous report was received from a other health professional refers to a 24 year old female patient. On 17-SEP-2014 the patient was vaccinated with GARDASIL dose 1, 0.5 ml (milliliters), intramuscular (lot # unspecified). On 17-SEP-2014, the same day of vaccination the patient experienced upper abdominal pain, muscle weakness and widespread muscle tenderness. The patient was evaluated at a local emergency room on 17-SEP-2014. No details of the emergency room visit and treatment were provided. The patient was not admitted to the hospital. The outcome of upper abdominal pain, muscle weakness and widespread muscle tenderness was reported as recovered/resolved on 18-SEP-2014. There was no product quality complaint (PQC) involved. Patient sought medical attention visited the emergency room. Causality assessment was not provided. Additional information has been requested.


VAERS ID: 548835 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2014-10-07
Onset:2014-10-08
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2014-10-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U171AC / 1 LA / UN

Administered by: Public       Purchased by: Unknown
Symptoms: Hypoaesthesia, Injection site erythema, Injection site urticaria
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Reddness at site, hives to elbow, numbness to fingers lasted approx 24 hours.


VAERS ID: 548549 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2014-10-15
Onset:2014-10-16
   Days after vaccination:1
Submitted: 2014-10-17
   Days after onset:1
Entered: 2014-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UI191AB / UNK UN / UN

Administered by: Private       Purchased by: Private
Symptoms: Chest pain, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Rash, fever, chest pain, - started 10/16/14 around 9 am.


VAERS ID: 552573 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Unknown  
Vaccinated:2014-10-09
Onset:2014-10-09
   Days after vaccination:0
Submitted: 2014-10-17
   Days after onset:8
Entered: 2014-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. J012379 / UNK UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Exposure during pregnancy, No adverse event
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES1410USA005318

Write-up: This spontaneous prospective pregnancy report was received from a sergeant refers to a 24 years female patient without pertinent medical history, drug reactions or allergies. On 09-OCT-2014 the patient was vaccinated with VARIVAX (Merck), intramuscular, 1 single shot, lot # reported as J012379, expiration date reported as: 03-OCT-2015 (dose was not reported). There were not concomitant medications. On 09-OCT-2014 the patient received VARIVAX (Merck) per requirements but she was pregnant with last menstrual period (LMP) of 29-MAY-2014 and estimated date of delivery (EDD) of 05-MAR-2015. Initial exposure to VARIVAX (Merck) was at 19 week(s). The pregnancy outcome was outcome pending. It was reported that the patient sought medical attention on unknown date. She did not receive any treatment. There were not laboratory diagnostics studies performed. No adverse events were reported. Additional information has been requested.


VAERS ID: 548710 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Arizona  
Vaccinated:2014-10-17
Onset:2014-10-17
   Days after vaccination:0
Submitted: 2014-10-18
   Days after onset:1
Entered: 2014-10-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (AFLURIA) / CSL LIMITED T59907 / 1 LA / IM

Administered by: Other       Purchased by: Private
Symptoms: Erythema, Pain in extremity, Paraesthesia, Skin warm
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: BCP, Nora-BE.
Current Illness: None
Preexisting Conditions: None, per patient
Allergies:
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: Left arm started to feel hot & pain (scale of 5 out of 10) w/onset of sx @ 11:00 PM. Woke up 10/18/14 redness and increased in size to 3" X 2" in size & hot to touch. Tingling to finger tips.


VAERS ID: 548950 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Ohio  
Vaccinated:2014-10-19
Onset:2014-10-20
   Days after vaccination:1
Submitted: 2014-10-20
   Days after onset:0
Entered: 2014-10-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / NOVARTIS VACCINES AND DIAGNOSTICS 146401 / UNK LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Hypoaesthesia, Pain, Pain in extremity
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Citalopram 20mg, lansoprazole 30mg, Abilify 10mg
Current Illness: NO
Preexisting Conditions: NO
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type:

Write-up: The patient stated that her arm went numb and then she developed shooting pains down the limb.


VAERS ID: 549619 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: West Virginia  
Vaccinated:2014-10-17
Onset:2014-10-17
   Days after vaccination:0
Submitted: 2014-10-17
   Days after onset:0
Entered: 2014-10-20
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / NOVARTIS VACCINES AND DIAGNOSTICS 14603P / 1 RA / IM

Administered by: Public       Purchased by: Private
Symptoms: Erythema, Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth control; V B12 injection
Current Illness: None
Preexisting Conditions: None known
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: 1.5 hours post vaccination, developed reddened appearance of arms and face and started to feel "itchy". Has history of receiving FLUZONE in past without reaction.


VAERS ID: 549639 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Illinois  
Vaccinated:2014-10-17
Onset:2014-10-18
   Days after vaccination:1
Submitted: 2014-10-20
   Days after onset:2
Entered: 2014-10-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UI169AB / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Cheilitis, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: NKA; possible allergy to eggs
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Rash behind knees, upper lip, in between eyes, on neck and inner arms.


VAERS ID: 549240 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: California  
Vaccinated:2014-10-10
Onset:2014-10-16
   Days after vaccination:6
Submitted: 2014-10-22
   Days after onset:6
Entered: 2014-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / NOVARTIS VACCINES AND DIAGNOSTICS 14511P / UNK LA / IM

Administered by: Private       Purchased by: Other
Symptoms: Chills, Cough, Pyrexia, Rhinorrhoea, Sneezing
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ibuprofen, Flexeril, salonpas patches
Current Illness: no
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever, chills, runny nose, cough, sneeze 6 days after vaccine received.


VAERS ID: 549273 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Male  
Location: Michigan  
Vaccinated:2014-10-03
Onset:2014-10-03
   Days after vaccination:0
Submitted: 2014-10-22
   Days after onset:19
Entered: 2014-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT) / SANOFI PASTEUR UI192AB / UNK RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR U4955AA / UNK LA / IM

Administered by: Public       Purchased by: Private
Symptoms: Chills, Headache, Muscle tightness, Neck pain, Pain, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: Hi Dr., I wanted to let you know that Friday night after my appointment I came down with a fever, chills, and body aches that lasted until Sunday evening. I had one episode of emesis early Saturday morning. Since about mid Sunday afternoon I''ve had a headache that seems to be originating from my neck with rushes of pain when I sit up or stand up, also with turning my head. It seems to be resolving now, but turning my head still causes pain in my neck that seems to be from muscle tension. My best guess is that this may have been an adverse reaction to the Tdap, since I''ve never had trouble with flu shots before. All I did was take Tylenol to keep the fever under control (it peaked at 102.5). If there is anything else you think I should do, please let me know.


VAERS ID: 549303 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: West Virginia  
Vaccinated:2014-10-07
Onset:2014-10-10
   Days after vaccination:3
Submitted: 2014-10-22
   Days after onset:12
Entered: 2014-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UI89AB / 1 LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Injection site erythema, Injection site reaction, Paraesthesia, Vaccination site bruising
SMQs:, Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: BRUISING, REDNESS, AND TINGLING AT INJECTION SITE~Influenza (Seasonal) (no brand name)~1~24.42~Patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Nurse ststaed guest had bruising, redness and tingling where vaccine was administered.


VAERS ID: 549822 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Unknown  
Location: Virginia  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2014-10-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE) / SANOFI PASTEUR U5023BA / UNK UN / IM

Administered by: Other       Purchased by: Private
Symptoms: No adverse event
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: FLUZONE HD was administered. Pt did not have adverse events on follow up 10/10/14 AM.


VAERS ID: 549857 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2014-10-22
Onset:2014-10-22
   Days after vaccination:0
Submitted: 2014-10-24
   Days after onset:2
Entered: 2014-10-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U1171AC / 1 LA / IM

Administered by: Public       Purchased by: Other
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Injection site reddened, swollen, and very itchy. Happened within 10-15 min. of "injection". Still reddened, swollen and itchy as of 10/24/14.


VAERS ID: 549908 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Male  
Location: Michigan  
Vaccinated:2014-09-18
Onset:2014-09-18
   Days after vaccination:0
Submitted: 2014-10-24
   Days after onset:36
Entered: 2014-10-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / NOVARTIS VACCINES AND DIAGNOSTICS 1410801 / UNK LA / IM

Administered by: Other       Purchased by: Private
Symptoms: Hypoaesthesia, Musculoskeletal pain, Pain in extremity, Peripheral coldness, Sensation of heaviness
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Returned to clinic site. Stated left arm felt numb, heavy. Fingers feel cold. Pain in arm/shoulder.


VAERS ID: 549998 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Colorado  
Vaccinated:2013-10-23
Onset:2014-10-24
   Days after vaccination:366
Submitted: 2014-10-24
   Days after onset:0
Entered: 2014-10-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (AFLURIA) / CSL LIMITED T59907 / 1 LA / UN

Administered by: Other       Purchased by: Private
Symptoms: Erythema, Headache, Hot flush, Injection site warmth, Local swelling, Nausea, Tenderness
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: PCOS, no medications
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Employee woke up with a head ache then began having hot flashes and nausea throughout the day. At 9am the employee also developed localized swelling, redness, tenderness and localized heat to the injection site.


VAERS ID: 550186 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: California  
Vaccinated:2014-10-20
Onset:2014-10-20
   Days after vaccination:0
Submitted: 2014-10-26
   Days after onset:6
Entered: 2014-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / NOVARTIS VACCINES AND DIAGNOSTICS 1411101 / 1 LA / IM

Administered by: Other       Purchased by: Unknown
Symptoms: Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient received FLUVIRIN vaccine and was fine after administration post 10 min. Pt went home and approx 1 hr later called pharmacy stating she passed out. Pt contacted primary care shortly after.


VAERS ID: 550149 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: New Jersey  
Vaccinated:2014-10-24
Onset:2014-10-26
   Days after vaccination:2
Submitted: 2014-10-27
   Days after onset:1
Entered: 2014-10-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / NOVARTIS VACCINES AND DIAGNOSTICS 1411301 / 1 LA / IM

Administered by: Other       Purchased by: Private
Symptoms: Injection site erythema, Injection site rash
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: Recommended cool compress and Benadryl and contacted Immunization advisor.
CDC Split Type:

Write-up: Large Red Round Rash, around injection site about 5-6 inches in diameter. Not raised.


VAERS ID: 551471 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Colorado  
Vaccinated:2014-10-15
Onset:0000-00-00
Submitted: 2014-10-15
Entered: 2014-10-28
   Days after submission:13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT) / SANOFI PASTEUR UI212AA / 1 LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Underdose
SMQs:, Medication errors (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Given decreased dose than recommended by manufacturer


VAERS ID: 550969 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Texas  
Vaccinated:2014-10-24
Onset:2014-10-24
   Days after vaccination:0
Submitted: 2014-10-29
   Days after onset:5
Entered: 2014-10-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / NOVARTIS VACCINES AND DIAGNOSTICS 1411501 / 1 RA / IM

Administered by: Other       Purchased by: Other
Symptoms: Discomfort, Dyspnoea, Throat irritation, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: No
Preexisting Conditions: N/a
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Client stated that she was having some discomfort and a tickle in the back of her throat. She was told to wait another 10 minutes. Approximately 5 minutes later she stated that she felt like the back of her throat was closing and the nurse noticed that while she was talking she seemed short of breath. Epinephrine was administered and 911 was called. The hospital was directly next door to the facility, so they were there quickly, and gave patient IV Benadryl and took her to hospital.


VAERS ID: 551276 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:2014-10-24
Onset:2014-10-29
   Days after vaccination:5
Submitted: 2014-10-30
   Days after onset:1
Entered: 2014-10-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (AFLURIA) / CSL LIMITED T50307 / 1 RA / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Arthralgia, Chest pain, Cough, Malaise, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (broad), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: OCP
Current Illness: None
Preexisting Conditions: Allergy to BACTRIM
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Sudden onset of cough -$g chest pain and feeling of throat constriction -some relief with BENADRYL - sxs continued throughout night. Seen at health services following morning. Currently chief complaint malaise/achy joints - chest pain. Pt is otherwise healthy without meds/med hx.


VAERS ID: 555495 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Unknown  
Vaccinated:2014-10-13
Onset:2014-10-15
   Days after vaccination:2
Submitted: 2014-11-10
   Days after onset:26
Entered: 2014-11-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. K004542 / UNK UN / SYR

Administered by: Other       Purchased by: Other
Symptoms: Cellulitis
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES1410USA011330

Write-up: This spontaneous report as received from a healthcare worker refers to a 24 year old female patient. Pertinent medical history, drug reactions or allergies were unspecified. On 13-OCT-2014 the patient was vaccinated with PNEUMOVAX 23 "1 shot", lot # K004542, expiration date 19-AUG-2015, (dose, dose number, route, anatomical location were unspecified). Concomitant therapies were not reported. On 15-OCT-2014 the patient experienced cellulitis. The patient sought medical attention (unspecified). The patient received an unspecified antibiotic for the treatment of the cellulitis. The outcome of cellulitis was reported as recovering. The relatedness between cellulitis and PNEUMOVAX 23 was not reported. This is one of several reports received from the same reporter. Additional information has been requested.


VAERS ID: 553190 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2014-11-12
Entered: 2014-11-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Public       Purchased by: Other
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES1411USA004788

Write-up: Information had been received from a female for GARDASIL (MARRS# 1410USA006736). The patient reported that in January 2014, she went in for her six-week checkup after giving birth to her son (actual date of birth not reported). This is one of two reports concerning the same patient. No further information is anticipated.


VAERS ID: 553380 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2014-10-24
Onset:2014-10-25
   Days after vaccination:1
Submitted: 2014-11-12
   Days after onset:18
Entered: 2014-11-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT) / SANOFI PASTEUR UI187AA / 1 LA / IM

Administered by: Public       Purchased by: Unknown
Symptoms: Hypoaesthesia, Myalgia, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Diclofenac Pot; Birth control
Current Illness: Not sick
Preexisting Conditions: Migraines
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Received Influenza vaccine 10/24/14 4:07 pm. Had arm muscle pain after vaccine. Saturday at 10 am had numbness from shoulder to fingers lasting till 10/27/14 at 8AM. No meds, no ice/heat. Numbness went away but still with pain in upper. Takes 400mg Ibuprofen daily for migraines. Applying heat.


VAERS ID: 553569 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Maine  
Vaccinated:2014-11-12
Onset:2014-11-12
   Days after vaccination:0
Submitted: 2014-11-13
   Days after onset:1
Entered: 2014-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUC3: INFLUENZA (SEASONAL) (FLUCELVAX) / NOVARTIS VACCINES AND DIAGNOSTICS 014011A / 1 LA / IM

Administered by: Other       Purchased by: Public
Symptoms: Erythema, Paraesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Within a few hours of injection patient developed red spot on left arm about 2-3 inches in length complained of tingling in arm.


VAERS ID: 553572 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: California  
Vaccinated:2014-11-12
Onset:2014-11-13
   Days after vaccination:1
Submitted: 2014-11-13
   Days after onset:0
Entered: 2014-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUARIX) / GLAXOSMITHKLINE BIOLOGICALS A5457 / 1 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS JA279 / UNK LA / IM

Administered by: Public       Purchased by: Private
Symptoms: Balance disorder, Dizziness, Injection site erythema, Injection site pain, Injection site warmth, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Dizzinesss, nausea, off balance, wobbly. (R) arm (Flu shot) hot red spot 30x20 mm. (L) arm (Tdap) hot to touch, sore arm. Rx Loratadine 10 mg tabs.


VAERS ID: 553737 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Texas  
Vaccinated:2014-10-07
Onset:2014-10-07
   Days after vaccination:0
Submitted: 2014-11-14
   Days after onset:38
Entered: 2014-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (AFLURIA) / CSL LIMITED 758106 / UNK LA / IM

Administered by: Public       Purchased by: Other
Symptoms: Axillary pain, Drug administered at inappropriate site, Immediate post-injection reaction, Injection site pain, Pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid, Microgestin
Current Illness: N/a
Preexisting Conditions: N/a
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Immediate sever pain in left shoulder/armpit region after receiving flu shot. (injection was given very high on my arm, about 1 inch toward my back from the top of my shoulder). Painful range of motion in shoulder. As of 11/13/14, pain has not subsided, there is still painful range of motion. Went to doctor on 11/12/14, and he prescribed a steroid and physical therapy type exercises/stretches to perform daily until healed. Instructed to not exercise using my left shoulder until healed.


VAERS ID: 554144 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Male  
Location: New Mexico  
Vaccinated:2014-11-17
Onset:2014-11-17
   Days after vaccination:0
Submitted: 2014-11-17
   Days after onset:0
Entered: 2014-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / NOVARTIS VACCINES AND DIAGNOSTICS 1414201A / 2 LA / IM

Administered by: Unknown       Purchased by: Private
Symptoms: Convulsion, Muscle rigidity, Posture abnormal, Snoring
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Dystonia (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: S/p injection, pt was being in for med about shot; pt ready to leave and all of a sudden slumped in chair, his head drooped to the left, she snored briefly with his eyes open. His wife assisted, asked him to sit up, he struggled then went rigid and briefly seized. Went to ER via EMTs.


VAERS ID: 554158 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Illinois  
Vaccinated:2014-11-01
Onset:2014-11-03
   Days after vaccination:2
Submitted: 2014-11-18
   Days after onset:15
Entered: 2014-11-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / NOVARTIS VACCINES AND DIAGNOSTICS 14554P / 1 LA / IM

Administered by: Other       Purchased by: Private
Symptoms: Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Buproprion 100mg, Effexor xr 37.5mg, Ibuprofen 800mg, Ativan 0.5mg, Seroquel 25mg
Current Illness: None
Preexisting Conditions: Sulfa allergy
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type:

Write-up: Patient reported a sore arm that did not subside as of 11/18. Patient was advised by immunizing pharmacist to take Advil or Tylenol and call back if symptoms persisted. Patient stated she might visit a clinic if her arm was still sore. I tried following up 11/17 in afternoon but was unable to reach pt. Will try make contact again on 11/18.


VAERS ID: 556881 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Virginia  
Vaccinated:2014-11-12
Onset:2014-11-15
   Days after vaccination:3
Submitted: 2014-11-20
   Days after onset:5
Entered: 2014-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. K005177 / 2 LA / SC

Administered by: Private       Purchased by: Other
Symptoms: Skin lesion, Varicella post vaccine
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NOVOLOG
Current Illness: IDDM
Preexisting Conditions: IDDM
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Pt is an insulin dependant female (on an insulin pump) given her 1st varicella vaccine w/o incident after 2nd vaccine she developed a breakthrough mild varicella outbreak and 50 lesions. No fever-mild.


VAERS ID: 554981 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Illinois  
Vaccinated:2014-11-06
Onset:2014-11-07
   Days after vaccination:1
Submitted: 2014-11-21
   Days after onset:14
Entered: 2014-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 LA / SYR

Administered by: Private       Purchased by: Private
Symptoms: Blood test, Fatigue, Injection site injury, Injection site pain, Malaise, Nuclear magnetic resonance imaging, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Gapabentin, Prednisone (5mg taper)
Current Illness: No-- see below
Preexisting Conditions: Behcet''s Disease
Allergies:
Diagnostic Lab Data: Bloodwork, MRI results pending
CDC Split Type:

Write-up: (1) Severe pain in left shoulder and arm, radiating to wrist; (2) fever (99.8F-101.9F); (3) fatigue, malaise. Symptoms have continued with increasing severity for 2+ weeks since vaccination. Possible bursitis in L shoulder resultant from injection site injury to sub-deltoid bursa.


VAERS ID: 555528 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Unknown  
Vaccinated:1995-01-10
Onset:1995-01-11
   Days after vaccination:1
Submitted: 2014-11-25
   Days after onset:7258
Entered: 2014-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD - / UNK MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Chest discomfort, Hypoaesthesia, Palpitations, Paraesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20140907776

Write-up: This case was found during archiving activities and has not previously been entered into the global safety database. The case was processed using procedural documents and current labelling documents. This spontaneous report was received from a consumer or other non health professional and concerns a 25 year old female local ID: VIV 9518. The subject''s weight and medical history were unknown. On 10-JAN-1995 12:00, the subject received typhoid vaccine oral ty21a (capsule, hard) as prophylactic vaccination. Concomitant medications included unspecified hepatitis vaccine, polio booster and tetanus vaccine. On 11-JAN-1995 02:00, after receiving the first pill, subject experienced fast heart palpitations, numbness, tingling in arms and legs and chest cramping. She was taken to the hospital and given Benadryl and an unknown medication. One and a half hours later she felt better. Action taken with TYPHOID VACCINE ORAL TY21A was unknown. The outcome of fast heart palpitations, numbness, tingling in arms and legs and chest cramping was resolved on 11-JAN-1995. This report was serious (medically significant).


VAERS ID: 555954 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Colorado  
Vaccinated:2014-10-31
Onset:2014-10-31
   Days after vaccination:0
Submitted: 2014-10-31
   Days after onset:0
Entered: 2014-11-26
   Days after submission:26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / NOVARTIS VACCINES AND DIAGNOSTICS 1412301A / 1 RA / IM

Administered by: Other       Purchased by: Unknown
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Has passed out previously - no seizure disorder
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Gave pt. inject. at 2:06 pm. Asked pt. to stay at store for 15 minutes. Patient fainted in store. 911 was called. Pt. woke up right away. EMTs arrived and walked out with patient.


VAERS ID: 556001 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Ohio  
Vaccinated:2014-11-14
Onset:2014-11-19
   Days after vaccination:5
Submitted: 2014-11-19
   Days after onset:0
Entered: 2014-11-28
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UI185AB / UNK RA / IM

Administered by: Public       Purchased by: Private
Symptoms: Sensation of heaviness
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt reports diaphoresis associated with leg "heaviness" and arm "heaviness". Denies SOB, hives or urticaria. Vitals: BP 145/83 P92 R16 T 36.5 P.O. 100%. Given BENADRYL 50 mg PO at 0100. Recheck at 0115 with no change in symptoms. Recheck at 0200 continues to deny SOB, hives or urticaria.


VAERS ID: 557963 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Unknown  
Location: Unknown  
Vaccinated:2014-02-01
Onset:2014-02-01
   Days after vaccination:0
Submitted: 2014-11-28
   Days after onset:300
Entered: 2014-11-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. J005849 / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: No adverse event, Wrong drug administered
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES1411USA009885

Write-up: This spontaneous report as received from a pharmacist refers to a 24 year old patient of unknown gender. It was reported that patient inadvertently received ZOSTAVAX dose and route not reported (lot # J005849; expiration date: 17-AUG-2014) in February 2014. The patient was supposed to received VARIVAX (Merck), but ZOSTAVAX was administered in error. The patient then received a first dose of VARIVAX (Merck) (dose, route and lot# were not reported) on 09-JUN-2014 and a second dose of VARIVAX (Merck) (dose, route and lot# were not reported) on 18-JUL-2014. Pharmacist stated that no adverse effects were reported. Additional information has been requested.


VAERS ID: 556732 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Male  
Location: Virginia  
Vaccinated:2014-07-15
Onset:2014-07-25
   Days after vaccination:10
Submitted: 2014-12-01
   Days after onset:129
Entered: 2014-12-03
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN
SMALL: SMALLPOX (ACAM2000) / SANOFI PASTEUR - / UNK UN / ID
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR - / UNK UN / UN

Administered by: Military       Purchased by: Military
Symptoms: Chest pain, Echocardiogram abnormal, Electrocardiogram abnormal, Troponin I
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unk
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: ECG performed on 25 July 2014 showed abnormal results; Echocardiogram performed on 25 July 2014 showed abnormal results; MRI (brain, spinal cord, heart) and lumbar puncture were not performed. Troponin I result were not available.
CDC Split Type: 2014SA163459

Write-up: Initial solicited case was received from the investigator participating in a trial on 25 November 2014. A 24-year-old male subject, with no reported past medical history, had received the following vaccines on 15 July 2014: an injection of ACAM2000 (lot number, route and site of administration not reported), TYPHIM VI (lot number, route and site of administration not reported), and Anthrax vaccine (manufacturer, lot number, route and site of administration not reported). On 25 July 2014, the subject was diagnosed with unspecified chest pain. Abnormal results were found with ECG and echocardiogram performed on 25 July 2014. MRA (brain, spinal cord, heart) and lumbar puncture were not performed and Troponin I levels were not available. The subject''s outcome was not reported. Note: There is no reporter causality assessment as this is a safety surveillance (data mining, non-interventional) study. Documents held by senders: none.


VAERS ID: 557336 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Virginia  
Vaccinated:2014-10-15
Onset:2014-10-16
   Days after vaccination:1
Submitted: 2014-12-08
   Days after onset:53
Entered: 2014-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT) / SANOFI PASTEUR UI173AB / 1 RA / IM

Administered by: Public       Purchased by: Private
Symptoms: Injection site erythema, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None noted
Preexisting Conditions: None noted
Allergies:
Diagnostic Lab Data: None
CDC Split Type: VA14006

Write-up: Complaint of redness, swelling on right deltoid at injection site started 10/16/2014.


VAERS ID: 557407 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Male  
Location: Indiana  
Vaccinated:2014-10-21
Onset:2014-11-22
   Days after vaccination:32
Submitted: 2014-12-09
   Days after onset:17
Entered: 2014-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UI191AB / UNK LA / UN

Administered by: Private       Purchased by: Unknown
Symptoms: Abasia, Hypoaesthesia, Lumbar puncture, Nuclear magnetic resonance imaging brain, Pain in extremity
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Asperger''s disorder
Allergies:
Diagnostic Lab Data: MRI-Brain; LB puncture
CDC Split Type:

Write-up: Leg pain started 11-22-14; not able to feel feet and legs continued with progression to point of not able to ambulate. Current inpatient.


VAERS ID: 557532 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Male  
Location: South Carolina  
Vaccinated:2014-11-29
Onset:2014-12-01
   Days after vaccination:2
Submitted: 2014-12-02
   Days after onset:1
Entered: 2014-12-09
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLULAVAL) / GLAXOSMITHKLINE BIOLOGICALS MJ7A9 / 1 LA / IM

Administered by: Unknown       Purchased by: Private
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: No
Preexisting Conditions: None listed
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient''s mother called pharmacy to report that patient had developed a rash on upper arm and shoulder. Both arms - no bruise or swelling at injection site. Patient leaving for school.


VAERS ID: 558717 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2014-12-09
Entered: 2014-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Drug administered to patient of inappropriate age, No adverse event
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES1411USA012053

Write-up: This spontaneous report as received from a healthcare worker via a field representative refers to a 24 year old female patient. On an unknown date the patient was inadvertently administered a dose of PROQUAD (dose, lot# and route not reported). No adverse effects reported. Additional information is not expected because the physician is not allowed to contact.


VAERS ID: 557756 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: North Carolina  
Vaccinated:2014-12-10
Onset:2014-12-10
   Days after vaccination:0
Submitted: 2014-12-10
   Days after onset:0
Entered: 2014-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K003520 / UNK LA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Eye movement disorder, Feeling abnormal, Injection site pain, Respiratory arrest
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Ocular motility disorders (narrow), Hypersensitivity (broad), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt was nervous about vaccine and reported that she sometimes feels faint when getting any shots. Pt laid down for vaccine. After nurse gave vaccine, pt c/o burning at injection site and started to panic. Pt was assisted by 2 staff to chair and stated she felt bad. Pt''s eyes rolled back, lost all color in face and appeared to stop breathing. Pt eased to floor by 2 staff and NP checked for pulse. No pulse found and code called. NP gave chest compressions x 5 and coworker gave sternal rub. Pt responded, started breathing, became alert to her name, DOB and location. Vitals: BP 118/78, HR 90, RR 18 and NSR. Given 02 and EKG. EMS arrived and transported pt to ED for evaluation. Ed assessed pt and monitored with no new findings. Pt discharged to home.


VAERS ID: 557948 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Michigan  
Vaccinated:2014-10-02
Onset:2014-10-02
   Days after vaccination:0
Submitted: 2014-12-12
   Days after onset:71
Entered: 2014-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / NOVARTIS VACCINES AND DIAGNOSTICS 1410901 / UNK LA / IM

Administered by: Unknown       Purchased by: Private
Symptoms: Injection site erythema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Redness at injection site. Slight tenderness to touch.


VAERS ID: 558990 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Texas  
Vaccinated:2014-12-12
Onset:2014-12-12
   Days after vaccination:0
Submitted: 2014-12-15
   Days after onset:3
Entered: 2014-12-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. K009105 / 1 LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Skin warm, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Significant swelling and warm to touch 24 hours after administration.


VAERS ID: 558702 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Colorado  
Vaccinated:2014-12-03
Onset:2014-12-03
   Days after vaccination:0
Submitted: 2014-12-18
   Days after onset:15
Entered: 2014-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH J49849 / 2 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Dizziness, Dyspnoea, Injection site erythema, Injection site warmth, Nausea, Pyrexia
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: List is too long. Takes maintenance medications for thyroid, asthma, and overactive bladder plus vitamins.
Current Illness: Wheezing and cough
Preexisting Conditions: Asthma, constipation, hypothyroidism
Allergies:
Diagnostic Lab Data: Pt was given Bactrim BID x 7 days and to continue taking Benadryl.
CDC Split Type:

Write-up: Injection site is red and warm to the touch. She felt feverish, SOB, lightheaded, nauseous.


VAERS ID: 558865 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Male  
Location: Unknown  
Vaccinated:2014-12-08
Onset:2014-12-09
   Days after vaccination:1
Submitted: 2014-12-18
   Days after onset:9
Entered: 2014-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 4 RA / -

Administered by: Military       Purchased by: Military
Symptoms: Injection site pain, Injection site swelling, Vaccine positive rechallenge
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe swelling and pain at site of injection x2. Initially received vaccination 1 dose of vaccine in June and developed severe swelling and pain requiring medical attention. Upon second dose on 12/08/2014, patient redeveloped similar symptom of severe swelling and pain which pt described as worse than first. Patient treated with antibiotics and pain medication.


VAERS ID: 559181 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Minnesota  
Vaccinated:2014-09-23
Onset:2014-09-23
   Days after vaccination:0
Submitted: 2014-12-11
   Days after onset:79
Entered: 2014-12-22
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT) / SANOFI PASTEUR UI59AA / 1 LA / IM

Administered by: Private       Purchased by: Other
Symptoms: Discomfort, Joint range of motion decreased, Muscular weakness, Pain, X-ray normal
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Xray negative
CDC Split Type:

Write-up: Sharp pain, "achiness", with discomfort that has not gone away. Muscle weakness with loss of range of motion. Physical therapy with massage.


VAERS ID: 559566 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2014-11-04
Onset:2014-11-06
   Days after vaccination:2
Submitted: 2014-12-24
   Days after onset:48
Entered: 2014-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS J014855 / UNK LA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Arthralgia, Injected limb mobility decreased, Injection site pain, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Nuvaring
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Localized pain at site of injection with difficulty lifting arm. Also, 2 week myalgias and arthralgias throughout body. Symptoms resolved after 2 weeks.


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