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Case Details (Sorted by Age)

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VAERS ID: 567399 (history)  
Age: 27.0  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2014-10-06
Entered: 2015-02-25
   Days after submission:142
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. - / - - / IN

Administered by: Other       Purchased by: Other
Symptoms: Anaphylactic reaction
SMQs:, Anaphylactic reaction (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypersensitivity (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Concomitant drug(s) not reported
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 2014SE77053

Write-up: A report has been received from a literature source via regulatory authority, vaccine adverse event reporting system (VAERS) concerning a 27 year old female patient enrolled in a study. FLUMIST (intranasal) was administered on an unknown date. The patient experienced anaphylaxis. The outcome of the event of anaphylaxis was unknown. The company physician considered the serious criteria for the event of anaphylaxis as: Important medical event. The company physician considered the causality between Suspect FLUMIST with the event of anaphylaxis to be Yes.


VAERS ID: 567090 (history)  
Age: 27.0  
Gender: Female  
Location: Texas  
Vaccinated:2015-02-19
Onset:2015-02-26
   Days after vaccination:7
Submitted: 2015-02-26
   Days after onset:0
Entered: 2015-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. K010440 / 1 LA / SC

Administered by: Other       Purchased by: Other
Symptoms: Ear swelling, Pruritus, Rash generalised, Swelling face, Varicella virus test
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall; Omeprazole qd for years; multivitamins; topical Benadryl
Current Illness: None
Preexisting Conditions: Migraines, ADHD
Diagnostic Lab Data: Varicella IgG and IgM; temp: 98.2F
CDC Split Type:

Write-up: Woke up and noticed itchy spots on arms and swollen face and ears; applied topical Benadryl; later on noticed rashes to neck, face, upper back, knees, arms/elbows.


VAERS ID: 570148 (history)  
Age: 27.0  
Gender: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2015-02-27
Entered: 2015-02-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - 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
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1502USA011560

Write-up: This spontaneous report as receive from a pharmacist refers to a 27 year old patient of unknown gender. Medical history and concurrent conditions were not reported. On an unknown date, the patient was vaccinated with a dose of GARDASIL. Dose, route, lot number and expiration date were not reported. No adverse effects were reported. Patient want to complete the GARDASIL vaccination series. Additional information has been requested. No allowed to contact physician.


VAERS ID: 567549 (history)  
Age: 27.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2010-09-14
Onset:2010-11-11
   Days after vaccination:58
Submitted: 2015-02-28
   Days after onset:1570
Entered: 2015-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / NOVARTIS VACCINES AND DIAGNOSTICS 111690 / - RA / IM

Administered by: Public       Purchased by: Other
Symptoms: Abortion spontaneous, Exposure during pregnancy, Haemorrhage, Uterine dilation and curettage, Vaginal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow)

Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Antiemetics, prenatal vitamins
Current Illness: Hyperemesis gravidarum (severe morning sickness)
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Noticed that morning sickness subsided about 1 week after 2010 flu shot required by hospital. 11/11/15 experienced spotting in the morning and had a miscarriage by early afternoon. D&C done due to uncontrollable hemorrhaging. Prior to this, I had no difficulty conceiving. After this, it took me one year to conceive my next child. I have been unsuccessfully trying to conceive for 2 years since her birth.


VAERS ID: 567970 (history)  
Age: 27.0  
Gender: Female  
Location: Unknown  
Vaccinated:2014-07-01
Onset:2014-07-01
   Days after vaccination:0
Submitted: 2015-03-02
   Days after onset:244
Entered: 2015-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS - / - UN / SYR

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: US2014GSK025901

Write-up: This case was reported by a pharmacist and described the occurrence of expired vaccine used in a 27-year-old female patient who received BOOSTRIX (batch number unknown, expiry date 21st June 2014). In July 2014, the patient received BOOSTRIX. In July 2014, an unknown time after receiving BOOSTRIX, the patient experienced expired vaccine used. On an unknown date, the outcome of the expired vaccine used was unknown. Additional information: Per HCP: an expired dose of BOOSTRIX was administered to a patient back in July.


VAERS ID: 568385 (history)  
Age: 27.0  
Gender: Male  
Location: Virginia  
Vaccinated:2013-08-12
Onset:2013-09-05
   Days after vaccination:24
Submitted: 2015-03-06
   Days after onset:547
Entered: 2015-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPAB: HEP A + HEP B (TWINRIX) / GLAXOSMITHKLINE BIOLOGICALS - / - LA / SYR

Administered by: Public       Purchased by: Public
Symptoms: Dizziness, Fatigue, Injection site rash, Lip swelling, Mouth swelling, Peripheral swelling, Pyrexia, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal allergic conditions (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None.
Current Illness: No, I''ve never had any illnesses or allergies before I got the Hepatitis B Vaccination.
Preexisting Conditions: None.
Diagnostic Lab Data:
CDC Split Type:

Write-up: Rash on left arm bicep region where shot was given. Weeks later I had a fever, with fatiguing and wooziness. Week after that there was hives on my buttocks, swelling of the hands, feet, and face (Mouth, lips, and jaw line). All symptoms have gone away except for the hives and swelling of the hands, feet, and mouth.


VAERS ID: 568515 (history)  
Age: 27.0  
Gender: Male  
Location: Maryland  
Vaccinated:2015-03-03
Onset:2015-03-04
   Days after vaccination:1
Submitted: 2015-03-06
   Days after onset:2
Entered: 2015-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS FAV341A / 4 LA / IM

Administered by: Military       Purchased by: Military
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No prescription medicines; Denies OTC medications; Pt took Sport suplements: RDX Redline (Thermogenic)
Current Illness: Patient denies illness
Preexisting Conditions: Kansas Tall Grass; No medical conditions at time of vaccination
Diagnostic Lab Data: None to date
CDC Split Type:

Write-up: Patient complains of extreme lightheadedness when rising from a seated or supine position. Symptoms last for a few seconds and then pass. Pt denies being dehydrated. Denies other symptoms.


VAERS ID: 569776 (history)  
Age: 27.0  
Gender: Unknown  
Location: Unknown  
Vaccinated:2014-12-10
Onset:2014-12-10
   Days after vaccination:0
Submitted: 2014-12-24
   Days after onset:14
Entered: 2015-03-09
   Days after submission:74
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR - / - UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Extra dose administered
SMQs:, Medication errors (narrow)

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

Write-up: Pt was given flu vaccine on 12/2/2014 and 12/10/2014.


VAERS ID: 569346 (history)  
Age: 27.0  
Gender: Female  
Location: Oregon  
Vaccinated:2015-03-04
Onset:2015-03-05
   Days after vaccination:1
Submitted: 2015-03-12
   Days after onset:6
Entered: 2015-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / - - / -

Administered by: Other       Purchased by: Other
Symptoms: Abdominal discomfort, Insomnia, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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

Write-up: Nausea and extreme abdominal discomfort lasted 2-3 days. This caused eating to be quite painful and sleeping was also difficult.


VAERS ID: 571170 (history)  
Age: 27.0  
Gender: Female  
Location: Michigan  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2015-03-12
Entered: 2015-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 2 UN / SC

Administered by: Other       Purchased by: Other
Symptoms: No therapeutic response, Seroconversion test negative
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: Seroconversion test (performed twice on unspecified dates): Negative.
CDC Split Type: WAES1503USA005365

Write-up: This spontaneous report was received from a physician refers to his 27 year old female daughter. No medical history or concurrent conditions were reported. On an unknown date, the patient was vaccinated with (Oka/Merck) VARIVAX first dose (dose, strength and lot number were not provided). Co-suspect or concomitant therapies were not reported. On an unknown date, the patient received a second dose of (Oka/Merck) VARIVAX and was tested and did not seroconvert, after that the patient received either one or two more doses of (Oka/Merck) VARIVAX and she still did not seroconvert. Therefore, the reporting physician was figuring out whether to vaccinate her again. Patient sought medical attention through a healthcare provider visit and patient did not received treatment for the events. At the time of the report, the outcome of the events seroconversion test negative and no therapeutic response was not recovered. The causal relationship between the events and vaccination with (Oka/Merck) VARIVAX was unknown. Additional information has been requested.


VAERS ID: 569348 (history)  
Age: 27.0  
Gender: Male  
Location: Unknown  
Vaccinated:2015-03-10
Onset:2015-03-13
   Days after vaccination:3
Submitted: 2015-03-13
   Days after onset:0
Entered: 2015-03-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS FAV390A / 4 LA / IM

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

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

Write-up: Redness and warmth in 10 cm diameter around anthrax injection site on L deltoid.


VAERS ID: 571681 (history)  
Age: 27.0  
Gender: Female  
Location: Maryland  
Vaccinated:2015-03-02
Onset:2015-03-02
   Days after vaccination:0
Submitted: 2015-03-12
   Days after onset:9
Entered: 2015-03-16
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. J014872 / 0 RA / SC

Administered by: Public       Purchased by: Private
Symptoms: Cold sweat, Feeling hot, Headache, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: I had hot and cold sweats. I had body pain all over. It have me a fever and a constant headache.


VAERS ID: 571895 (history)  
Age: 27.0  
Gender: Unknown  
Location: Unknown  
Vaccinated:2015-03-11
Onset:2015-03-11
   Days after vaccination:0
Submitted: 2015-03-18
   Days after onset:7
Entered: 2015-03-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / - UN / SC

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1503USA006375

Write-up: Information has been received from a registered nurse referring to a 27 year old patient of unknown gender. On 11-MAR-2015 the patient was supposed to receive the second dose of VARIVAX (Merck) but instead received a dose of ZOSTAVAX (subcutaneous, lot# and dose were not reported). No symptoms were reported. Additional information has been requested.


VAERS ID: 571954 (history)  
Age: 27.0  
Gender: Unknown  
Location: Unknown  
Vaccinated:2015-03-16
Onset:2015-03-16
   Days after vaccination:0
Submitted: 2015-03-19
   Days after onset:3
Entered: 2015-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1503USA008670

Write-up: This spontaneous report as received from a healthcare worker refers to a patient of unknown age and unknown gender. The patient pertinent medical history was not reported. On an unknown dates, the patient was vaccinated with first two doses of GARDASIL. On an unknown date, the patient turned 27 years old. On 16-MAR-2015, the patient presented to the office for third dose of GARDASIL (Inappropriate schedule of drug administration). No adverse effects were reported. No product quality complaint was reported for GARDASIL. Additional information is not expected as the reporter did not wish to contact.


VAERS ID: 571963 (history)  
Age: 27.0  
Gender: Female  
Location: Washington  
Vaccinated:2015-03-02
Onset:2015-03-03
   Days after vaccination:1
Submitted: 2015-03-12
   Days after onset:8
Entered: 2015-03-19
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K006960 / 2 LA / SYR

Administered by: Private       Purchased by: Unknown
Symptoms: Influenza virus test negative, Injection site warmth, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: (-) influenza
CDC Split Type:

Write-up: Fever 102F, localized warmth at injection site (without) erythema), body aches.


VAERS ID: 570583 (history)  
Age: 27.0  
Gender: Female  
Location: New York  
Vaccinated:2010-02-01
Onset:0000-00-00
Submitted: 2015-03-20
Entered: 2015-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 LA / -

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

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

Write-up: After receiving third Gardasil booster shot, was covered in itchy light-pink bumps all over my body for 2-3 days.


VAERS ID: 570652 (history)  
Age: 27.0  
Gender: Female  
Location: Ohio  
Vaccinated:2015-03-18
Onset:2015-03-20
   Days after vaccination:2
Submitted: 2015-03-20
   Days after onset:0
Entered: 2015-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / - LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Body temperature increased, Injection site erythema, Injection site induration, Injection site nodule, Injection site pain, Injection site swelling, Injection site warmth
SMQs:, Neuroleptic malignant syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Clonidine 0.1mg one tab three times a day; dyazide 37.5/25mg one tab daily
Current Illness: None
Preexisting Conditions: Edema in lower extremities, High blood pressure, anxiety
Diagnostic Lab Data:
CDC Split Type:

Write-up: Left deltoid swollen, red, warm to touch, with a hard knot underneath the redness, painful to touch. temp 99.5.


VAERS ID: 570775 (history)  
Age: 27.0  
Gender: Female  
Location: Minnesota  
Vaccinated:2015-03-17
Onset:2015-03-17
   Days after vaccination:0
Submitted: 2015-03-20
   Days after onset:3
Entered: 2015-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (ADACEL) / SANOFI PASTEUR U5013AA / 2 RA / IM

Administered by: Public       Purchased by: Other
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin warm
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (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
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamin
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient note that she had no side effects until she was sleeping that night, and switched sides, and noted warm, puffy, painfully red arm. Tried Tylenol and ice on affected site with no help. Told patient to go seek care by PCP, or another medical doctor to assess site.


VAERS ID: 570787 (history)  
Age: 27.0  
Gender: Male  
Location: Louisiana  
Vaccinated:2015-01-05
Onset:2015-01-09
   Days after vaccination:4
Submitted: 2015-03-21
   Days after onset:70
Entered: 2015-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 LA / IM

Administered by: Public       Purchased by: Private
Symptoms: Amnesia, Dizziness, Fatigue, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: None~ ()~~0.00~Patient
Other Medications: None
Current Illness: No
Preexisting Conditions: Asthma as a child, no longer symptomatic after middle school.
Diagnostic Lab Data: No baseline memory test to compare to.
CDC Split Type:

Write-up: Progressive short term memory loss beginning 4 days after IM flu shot into the deltoid. Ultra short term memory has been affected the most. Associated symptoms include nausea, dizziness, and continuous tiredness that is not relieved by sleep. Symptoms have fluctuated but, slowly worsened over the last 2 months.


VAERS ID: 571792 (history)  
Age: 27.0  
Gender: Female  
Location: Unknown  
Vaccinated:2015-03-11
Onset:2015-03-11
   Days after vaccination:0
Submitted: 2015-03-21
   Days after onset:10
Entered: 2015-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / - UN / UN

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1503USA005951

Write-up: This spontaneous report as received from a registered nurse refers to a 27 year old female patient. On 11-MAR-2015 the patient was vaccinate with a standard dose of ZOSTAVAX instead of VARIVAX (Merck). Additional information has been requested.


VAERS ID: 571774 (history)  
Age: 27.0  
Gender: Male  
Location: Illinois  
Vaccinated:2014-10-16
Onset:2014-12-20
   Days after vaccination:65
Submitted: 2015-03-29
   Days after onset:98
Entered: 2015-03-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / NOVARTIS VACCINES AND DIAGNOSTICS 1412501 / - LA / SYR

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data: Fluvirin Shot Lot# 1412501
CDC Split Type:

Write-up: Dull pain in area where shot was administered. Not always present, but comes back every week or so for about a day. Is more noticeable with physical exertion.


VAERS ID: 572703 (history)  
Age: 27.0  
Gender: Female  
Location: D.C.  
Vaccinated:2015-03-25
Onset:2015-03-27
   Days after vaccination:2
Submitted: 2015-04-03
   Days after onset:7
Entered: 2015-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 RA / IM
RAB: RABIES (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 LA / SC
YF: YELLOW FEVER (YF-VAX) / SANOFI PASTEUR - / 0 RA / UN

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Dulera, Singulair, Flonase, Zyrtec, omeprazole, microgestin, vit B complex, vit B, magnesium
Current Illness: No
Preexisting Conditions: Asthma
Diagnostic Lab Data:
CDC Split Type:

Write-up: Swelling, redness, warmth, pain at yellow fever injection site diagnosed as cellulitis. Expansion of affected area noted on 3/30/15, borders marked and area markedly increased on 03/31/2015. Augmentin started on 03/30/2015 3 doses completed, discontinued 4/1/2015. Bactrim started 4/1/2015 for 10 days, improvement noted after 4 doses, plan to continue for 10 days.


VAERS ID: 572999 (history)  
Age: 27.0  
Gender: Female  
Location: Illinois  
Vaccinated:2015-04-01
Onset:2015-04-03
   Days after vaccination:2
Submitted: 2015-04-07
   Days after onset:4
Entered: 2015-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UI272AAA / 1 RA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U4923BA / 1 LA / UN
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. K016294 / 1 RA / UN

Administered by: Public       Purchased by: Private
Symptoms: Adverse reaction, Local reaction, Peripheral swelling, Tenderness
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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

Write-up: Pt. in HD for vaccines (HIB, MENACTRA, PNEUMOVAX 23) per her Dr''s orders on 4-1-15. Pt called Friday 4-3-15, having swollen arm (R), told her to make appt with primary Dr, Dr.''s office called said she was having adverse reaction, swollen arm, lg local reaction, tender and swollen. (PNEUMOVAX 23 and HIB) given in this arm.


VAERS ID: 573262 (history)  
Age: 27.0  
Gender: Female  
Location: Missouri  
Vaccinated:2015-03-23
Onset:0000-00-00
Submitted: 2015-04-09
Entered: 2015-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD 3003002 / 0 - / PO
YF: YELLOW FEVER (YF-VAX) / SANOFI PASTEUR UI084AA / 0 RA / SC

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

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

Write-up: Potential adverse event to fetus: vaccines administered before patient knew she was pregnant. Was approximately 6 weeks of gestation on 3/27. Tdap and MENACTRA were administered at the office and Typhoid/Yellow Fever at pharmacy.


VAERS ID: 573511 (history)  
Age: 27.0  
Gender: Male  
Location: New York  
Vaccinated:2015-04-10
Onset:2015-04-10
   Days after vaccination:0
Submitted: 2015-04-13
   Days after onset:3
Entered: 2015-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 RA / SC

Administered by: Military       Purchased by: Military
Symptoms: Peripheral swelling, Pruritus
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Right arm became itchy and swollen after injection.


VAERS ID: 573888 (history)  
Age: 27.0  
Gender: Female  
Location: D.C.  
Vaccinated:2015-04-10
Onset:2015-04-11
   Days after vaccination:1
Submitted: 2015-04-15
   Days after onset:4
Entered: 2015-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. K018961 / 1 LA / SC

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

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

Write-up: Developed swelling, erythema and pain at the site and chest tightness.


VAERS ID: 574044 (history)  
Age: 27.0  
Gender: Female  
Location: Unknown  
Vaccinated:2015-03-30
Onset:2015-03-30
   Days after vaccination:0
Submitted: 2015-04-09
   Days after onset:10
Entered: 2015-04-15
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
JEV1: JAPANESE ENCEPHALITIS (IXIARO) / INTERCELL AG JEV13G42E / - UN / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Exposure during pregnancy, No adverse event, Pregnancy test positive
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 2015-Apr-02 pregnancy test positive
CDC Split Type: USSCRATCHP002057

Write-up: The following information was received from a healthcare professional via distributor on 02 Apr 2015. A 27 year old female received IXIARO (batch number JEV13G42E) on 30 Mar 2015 i.m. On 02 Apr 2015 she had a positive pregnancy test. No adverse drug reaction reported.


VAERS ID: 574139 (history)  
Age: 27.0  
Gender: Female  
Location: Unknown  
Vaccinated:2015-03-17
Onset:2015-03-17
   Days after vaccination:0
Submitted: 2015-04-16
   Days after onset:30
Entered: 2015-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Laceration, Scar, Syringe issue
SMQs:, Accidents and injuries (narrow), Hostility/aggression (broad), Medication errors (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PROZAC
Current Illness: Drug hypersensitivity
Preexisting Conditions: Amoxicillin, Drug hypersensitivity
Diagnostic Lab Data:
CDC Split Type: WAES1504USA004935

Write-up: This spontaneous report as received from a 27 year old female certified medical assistant with allergy to amoxicillin and no relevant medical history, refers to herself. Around 17-MAR-2015 or 18-MAR-2015, the reporter administered RECOMBIVAX HB (pre-filled syringe, 0.5 ml, route, lot#, expiration date and therapy type were not reported) to an unspecified patient. The reporter''s concomitant medication included PROZAC. While administering the RECOMBIVAX HB, the reporter noted that "on the bottom of the RECOMBIVAX HB syringe, one side of the glass was broken, where you would hold, when administering the vaccine". The reporter stated that the unspecified patient was administered a full dose of RECOMBIVAX HB however during the actual administration of the RECOMBIVAX HB, the "broken glass" cut the reporter''s middle finger on her right hand. The reporter stated that she immediately rinsed the cut out with hydrogen peroxide, put an unspecified triple antibiotic on the cut and then applied a Band-Aid. The reporter stated that the cut healed on an unspecified date, in 2015 and that she currently (at the time of the report) had a scar (onset date unspecified, in 2015). The reporter did not have any laboratory test performed and did not seek any medical attention. No adverse effect was reported for the unspecified patient that received the RECOMBIVAX HB. At the time of the report, the outcome of the scar was not recovered/not resolved. The relatedness between the events of scar and the "broken glass" cut the reporter''s middle finger on her right hand and RECOMBIVAX HB was not reported. PQC (product quality complaint) was filed. Additional information has been requested.


VAERS ID: 574193 (history)  
Age: 27.0  
Gender: Male  
Location: California  
Vaccinated:2015-04-08
Onset:2015-04-09
   Days after vaccination:1
Submitted: 2015-04-16
   Days after onset:7
Entered: 2015-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
JEV1: JAPANESE ENCEPHALITIS (IXIARO) / INTERCELL AG JEV13G42E / 0 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR K12001 / 0 LA / IM
YF: YELLOW FEVER (YF-VAX) / SANOFI PASTEUR UI091A / 0 LA / SC

Administered by: Military       Purchased by: Military
Symptoms: Arthralgia, Erythema, Localised oedema
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Pt states approx. 24 hours after recieving Yellow Fever vaccine in outer aspect of Left Arm, local erythema and edema was noted approx 40mm in diameter. Pt states he also noted joint aches around the same time and still reports these symptoms. Pt states he is unsure if his joint aches are related to the vaccine.


VAERS ID: 574199 (history)  
Age: 27.0  
Gender: Female  
Location: Ohio  
Vaccinated:2015-04-14
Onset:2015-04-14
   Days after vaccination:0
Submitted: 2015-04-16
   Days after onset:2
Entered: 2015-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (NO BRAND NAME) / UNKNOWN MANUFACTURER C4774AA / 0 LA / UN

Administered by: Unknown       Purchased by: Other
Symptoms: Abdominal discomfort, Chills, Decreased appetite, Dizziness, Hyperhidrosis, Impaired work ability, Injection site pain, Injection site reaction, Muscle swelling, Nausea, Pain in extremity
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

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

Write-up: Arm started to hurt at site of injection. Next morning, arm still hurting, vomiting, upset stomach, not able to eat much. Next morning, chills and sweats, dizziness, arm hurts worse and muscle swollen around injection site. Still very nauseous, not able to eat much. Still very tired. Unable to work.


VAERS ID: 574230 (history)  
Age: 27.0  
Gender: Female  
Location: Kansas  
Vaccinated:2015-04-16
Onset:2015-04-16
   Days after vaccination:0
Submitted: 2015-04-16
   Days after onset:0
Entered: 2015-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS 9NA32 / - RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Erythema, Feeling hot, Immediate post-injection reaction, Skin warm, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Immediate redness, swelling
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Swelling, redness, warmth within 1 minute of vaccine administration. Improved after 25 mg BENADRYL given and ice pack to site.


VAERS ID: 574396 (history)  
Age: 27.0  
Gender: Female  
Location: Ohio  
Vaccinated:2015-04-14
Onset:2015-04-15
   Days after vaccination:1
Submitted: 2015-04-17
   Days after onset:2
Entered: 2015-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C4765AA / - LA / UN

Administered by: Private       Purchased by: Other
Symptoms: Axillary mass, Erythema, Induration, Peripheral swelling, Skin warm
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: (L) arm redness, swelling, hard lump under arm, hot to touch.


VAERS ID: 574658 (history)  
Age: 27.0  
Gender: Female  
Location: New York  
Vaccinated:2015-04-20
Onset:2015-04-20
   Days after vaccination:0
Submitted: 2015-04-21
   Days after onset:1
Entered: 2015-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RAB: RABIES (IMOVAX) / SANOFI PASTEUR K11112 / 1 LA / IM

Administered by: Public       Purchased by: Private
Symptoms: Lymphadenopathy, Malaise, Pharyngeal oedema, Throat irritation
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Pos. pertussis allergy noted at birth
Diagnostic Lab Data:
CDC Split Type:

Write-up: Swelling of glands, felt rapidly sick, itchy throat, swelling of throat. Took two Benadryl and swelling gradually went down. Took a third Benadryl two hours later.


VAERS ID: 574759 (history)  
Age: 27.0  
Gender: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2015-04-21
Entered: 2015-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, No adverse event
SMQs:, Medication errors (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1504USA018028

Write-up: Information has been received from a registered nurse referring to an unknown number of 27 year old patients. No relevant medical history was reported. On unspecified dates, these patients started the GARDASIL, (lot number, expiry date, route, dose and frequency were not reported) series at the age of 26 years old. But they did not complete the series until they were 27 years old (inappropriate schedule of drug administration). No adverse experiences reported. Additional information has been requested.


VAERS ID: 575042 (history)  
Age: 27.0  
Gender: Male  
Location: California  
Vaccinated:2015-04-15
Onset:0000-00-00
Submitted: 2015-04-22
Entered: 2015-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER 695668 / - LA / ID

Administered by: Military       Purchased by: Military
Symptoms: Cellulitis, Erythema, Induration, Pruritus, Skin warm, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Pt stated he began to itch and swell shortly after injection. The next day Pt came into the clinic: Induration measured 40mm with Pos redness, swelling, and warm to the touch. Pt is Dx with cellulitis and given Rx Keflex. Pt began taking Medication on Fri 17Apr2015. At that point Pt''s swelling and redness had lessened but was still warm to the touch. Pt F/U on Tue 21Apr: Redness, swelling, and warmth are no longer present. Induration is still visible and 2cm.


VAERS ID: 575127 (history)  
Age: 27.0  
Gender: Female  
Location: Alabama  
Vaccinated:2015-04-21
Onset:2015-04-21
   Days after vaccination:0
Submitted: 2015-04-23
   Days after onset:2
Entered: 2015-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. K011804 / 1 LA / SC

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NO ILLNESS AT TIME OF VACCINATION.
Preexisting Conditions: NOTHING PRE-EXISTING.
Diagnostic Lab Data:
CDC Split Type:

Write-up: PT HAS ACQUIRED LARGE LOCALIZED REACTION MEASURING 3 BY 3 INCHES AT SITE OF ADMINISTRATION. PT HAS STATED THAT THE AREA FEELS VERY ITCHY, THE AREA IS TENDER. PT HAS TAKING ANTIHISTIMINE''S TO CONTROL SWELLING AT ITCHING.


VAERS ID: 575145 (history)  
Age: 27.0  
Gender: Unknown  
Location: Texas  
Vaccinated:2015-04-06
Onset:2015-04-06
   Days after vaccination:0
Submitted: 2015-04-23
   Days after onset:17
Entered: 2015-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, No adverse event
SMQs:, Medication errors (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1504USA020724

Write-up: Information has been received from an office manager referring to a 27 year old patient of unknown gender. Information regarding concurrent conditions and medical history was not provided. On 02-MAR-2015 the patient was 26 year old and was vaccinated with the first dose of GARDASIL intramuscularly (dose, lot # and application site were not reported). On 06-APR-2015, the patient was 27 years old and was vaccinated with the second dose of GARDASIL, intramuscularly (dose, lot # and application site were not reported (inappropriate schedule of drug administration). Concomitant therapy was not reported. No adverse effects reported. Additional information has been requested.


VAERS ID: 575388 (history)  
Age: 27.0  
Gender: Female  
Location: Hawaii  
Vaccinated:2015-03-06
Onset:2015-03-06
   Days after vaccination:0
Submitted: 2015-04-25
   Days after onset:49
Entered: 2015-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - LA / SYR

Administered by: Private       Purchased by: Other
Symptoms: Injection site pain, Injection site pruritus, Injection site urticaria, Rash generalised, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Pain and itchiness at site of injection which I was told is normal. Then slowly hives started forming at site of injection and slowly spread down that arm. Over the next week hives spread to other arm. Over the course of 3 weeks rash slowly made it''s way all over my body. I told my doctor who said it was probably just pregnancy hormones and not related to vaccine but went to a dermatologist who said if it was due to pregnancy hormones, then itch would be relieved by the prescribed cream. The cream did nothing to help. I eventually took Allegra and wiped witch hazel to help itching. Hives went away on their own after about 6 weeks.


VAERS ID: 576547 (history)  
Age: 27.0  
Gender: Female  
Location: Colorado  
Vaccinated:2014-06-09
Onset:2014-06-10
   Days after vaccination:1
Submitted: 2015-05-02
   Days after onset:326
Entered: 2015-05-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS TA3ZZ / - RA / UN

Administered by: Other       Purchased by: Private
Symptoms: Exposure during pregnancy, Premature labour, Premature rupture of membranes
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Wellbutrin, prenatal vitamins.
Current Illness: No.
Preexisting Conditions: Pregnant
Diagnostic Lab Data:
CDC Split Type:

Write-up: My water broke and I went into preterm labor at only 35 weeks pregnant. I had a perfectly healthy pregnancy with no signs of anything wrong until I got the Tdap vaccine and 8 hrs later if went into labor. Additionally, I developed a bad egg allergy/intolerance from the date of the shot.


VAERS ID: 576954 (history)  
Age: 27.0  
Gender: Female  
Location: Kansas  
Vaccinated:2015-05-01
Onset:2015-05-02
   Days after vaccination:1
Submitted: 2015-05-05
   Days after onset:3
Entered: 2015-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TETANUS DIPHTHERIA (TENIVAC) / SANOFI PASTEUR U4502AA / - RA / IM

Administered by: Public       Purchased by: Private
Symptoms: Asthenia, Disturbance in attention, Dizziness, Injected limb mobility decreased, Injection site swelling, Insomnia, Myalgia, Pyrexia, Vaccination site pain
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: unknown~DTP (no brand name)~~0.33~Patient
Other Medications: Amitiza; Trinessa
Current Illness: None
Preexisting Conditions: Pertussis Vaccine, Latex
Diagnostic Lab Data: None
CDC Split Type:

Write-up: 5/2/15 @ 10:00 PM Severe pain in deep muscle of right arm. Swelling noted at injection site. Could not lift hand due to pain in upper arm at vaccine administation site. Onset of high fever 102.0 F. Inablility to concentrate, body weakness and fever continued into 5/3/15. Unable to sleep through the night. 5/4/15 fever 100.oF. Less pain in arm. 5/5/15 Fever on and off, body weakness and "woozy" feeling.


VAERS ID: 577919 (history)  
Age: 27.0  
Gender: Female  
Location: Minnesota  
Vaccinated:2015-05-08
Onset:2015-05-11
   Days after vaccination:3
Submitted: 2015-05-12
   Days after onset:1
Entered: 2015-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Other       Purchased by: Other
Symptoms: Abortion spontaneous, Arthralgia, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Termination of pregnancy and risk of abortion (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Miscarriage, muscle pain, joint pain.


VAERS ID: 577970 (history)  
Age: 27.0  
Gender: Male  
Location: Unknown  
Vaccinated:2013-01-28
Onset:0000-00-00
Submitted: 2015-05-11
Entered: 2015-05-13
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
SMALL: SMALLPOX (ACAM2000) / SANOFI PASTEUR - / - UN / ID

Administered by: Other       Purchased by: Other
Symptoms: Blood immunoglobulin G increased, Blood test, Cellulitis, Culture positive, Debridement, Erythema, Exposure to communicable disease, Injection site discharge, Injection site erythema, Injury associated with device, Orthopox virus infection, Orthopoxvirus test positive, Polymerase chain reaction positive, Rash, Rash erythematous, Skin lesion, Skin necrosis, Ultrasound scan abnormal, Vaccination site eschar, Vaccination site reaction, Vaccinia virus infection
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Medication errors (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: Unknown
Diagnostic Lab Data: 23 Nov 2013: ultrasound: collection of fluid at the puncture site (left thumb); 10 Dec 2013: specimen from debrided lesion sent for diagnostic testing to government laboratories - orthopoxvirus infection confirmed using polymerase chain reaction. IgG, 26NOV2013, High
CDC Split Type: 2015SA058835

Write-up: Initial unsolicited case received on 30 April 2015 from literature. A 27-year-old male patient, whose medical history and concomitant medications were not reported, received ACAM2000 (lot number not reported) on 28 January 2013. On 05 February 2013, nine days after vaccination the patient was evaluated and found 0.5 cm white lesion at the center of the vaccination site. Wound edges were pink but intact. Scant yellow/green drainage was present on the dressing. On follow-up a week later, a 0.5-cm brown dry eschar was present at the center of the wound. This was consistent with a major cutaneous reaction or take, "suggesting a successful response to vaccination". Approximately nine months later, on 17 November 2013, he was accidentally exposed to wild type vaccinia virus (VACV) Western Reserve in the left thumb after recapping a 25 gauge needle he was using to inoculate a mouse by scarification at the laboratory where he was working. The following is verbatim from the literature report: "On November 26, 2013, the CDC poxvirus laboratory was notified by the Public Health Commission (PHC) of an inadvertent inoculation of a recently vaccinated (ACAM2000 smallpox vaccine) laboratory worker with wild type vaccinia virus (VACV) Western Reserve. A joint investigation by CDC and PHC confirmed orthopoxvirus infection in the worker, who had reported a needle stick in his thumb while inoculating a mouse with VACV. He experienced a non-tender, red rash on his arm, diagnosed at a local emergency department as cellulitis. He subsequently developed a necrotic lesion on his thumb, diagnosed as VACV infection. Three weeks after the injury, the thumb lesion was surgically debrided and at 2 months post-injury, the skin lesion had resolved. The investigation confirmed that the infection was the first reported VACV infection in a laboratory worker vaccinated according to the Advisory Committee on Immunization Practices (ACIP) recommendations. The incident prompted the academic institution to outline biosafety measures for working with biologic agents, such as biosafety training of laboratory personnel, vaccination (if appropriate), and steps in incident reporting. Though vaccination has been shown to be an effective measure in protecting personnel in the laboratory setting, this case report underscores the importance of proper safety measures and incident reporting." Case Report: "On November 23, 2013, a man aged 27 years who was a laboratory worker at an academic institution went to a local emergency department with a non-tender, erythematous rash on the skin over his left biceps and extending to the antecubital fossa. He reported a needle stick in his left thumb had occurred on November 17 while he was inoculating a mouse by scarification with VACV. He had no fever, chills, or other systemic or neurologic symptoms. An ultrasound of his left thumb revealed a small collection of fluid at the puncture site. No culture was performed. Cellulitis was diagnosed in the patient, and he was admitted to the hospital and given Cefazolin intravenously, 1 g every 6 hours for 18 hours. He was discharged on November 24 with a prescription for cephalexin, 500 mg orally four times a day for 10 days. A dressing was placed over the wound, and he was instructed to change the dressing three times a day and dispose of the contents in a biohazard container provided by the hospital. He was also instructed to report the next day to the occupational health clinic at the institution where he worked. On November 25, the patient went to the institution''s occupational health clinic with a necrotic lesion on the volar surface of the left thumb and erythema over the left biceps extending to the volar forearm. A necrotic VACV infection was diagnosed, and the patient was advised to continue cephalexin. As required by PHC research laboratory regulations, occupational health notified PHC, which notified the state Department of Public Health and CDC. PHC initiated an investigation and


VAERS ID: 578517 (history)  
Age: 27.0  
Gender: Male  
Location: Florida  
Vaccinated:1987-10-07
Onset:0000-00-00
Submitted: 2015-05-18
Entered: 2015-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER UNKNOWN / 0 LA / IM
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. UNKNOWN / 0 RA / SC

Administered by: Public       Purchased by: Other
Symptoms: Erythema, Induration, Peripheral swelling, Pyrexia, White blood cell count increased
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Hydrochlorothiazide 25 mg tablet, morphine 2 mg IV x 1
Current Illness: None documented
Preexisting Conditions: Arthritis
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient reported right arm swelling and induration with redness and fever to 102F. Patient also had increase in WBC to 17,000 thou/mm3.


VAERS ID: 579374 (history)  
Age: 27.0  
Gender: Female  
Location: Georgia  
Vaccinated:2015-05-26
Onset:2015-05-26
   Days after vaccination:0
Submitted: 2015-05-26
   Days after onset:0
Entered: 2015-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. K021930 / 1 RA / SC

Administered by: Unknown       Purchased by: Private
Symptoms: Dyspnoea, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: No known illness
Preexisting Conditions: No known conditions or allergies
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Hives, itching and SOB started within half an hour and progressed. Pt was sent to ED.


VAERS ID: 579607 (history)  
Age: 27.0  
Gender: Female  
Location: Arizona  
Vaccinated:2015-05-26
Onset:2015-05-26
   Days after vaccination:0
Submitted: 2015-05-27
   Days after onset:1
Entered: 2015-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS 25NF2 / 1 RA / IM
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS Y4R59 / 1 LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS 45MH5 / 1 RA / IM

Administered by: Other       Purchased by: Private
Symptoms: Eye movement disorder, Presyncope, Tonic clonic movements
SMQs:, Anticholinergic syndrome (broad), Convulsions (narrow), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

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

Write-up: Pt had vasovagal reaction followed by transient tonic-clonic limb movements, eyes rolling back and lasted for 1.5 minutes.


VAERS ID: 579950 (history)  
Age: 27.0  
Gender: Female  
Location: Virginia  
Vaccinated:2015-06-01
Onset:2015-06-01
   Days after vaccination:0
Submitted: 2015-06-02
   Days after onset:1
Entered: 2015-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. K021487 / 1 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Pharyngeal oedema, Pruritus
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: EPIPEN; ALLEGRA; ADDERALL; NEURONTIN; ZYRTEC; albuterol; XOLAIR; BENADRYL
Current Illness: None
Preexisting Conditions: Idiopathic anaphylaxis; Allergies ?-informed provider after injection
Diagnostic Lab Data:
CDC Split Type:

Write-up: Received varicella vaccine at 2:30 p.m. Denied problems with previous vaccine-went to E.R. at 3:40 p.m. C/O itching and swelling of throat-treated with epinephrine and DECADRON and discharged at 8:30 p.m.


VAERS ID: 581316 (history)  
Age: 27.0  
Gender: Female  
Location: Michigan  
Vaccinated:2015-05-21
Onset:2015-05-24
   Days after vaccination:3
Submitted: 2015-06-10
   Days after onset:17
Entered: 2015-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. K010238 / 3 LA / IM

Administered by: Other       Purchased by: Private
Symptoms: Injection site haematoma, Injection site mass, Liver function test normal, Rash, Yellow nail syndrome
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No illness at the time of vaccine.
Preexisting Conditions: None
Diagnostic Lab Data: Liver function tests run. Results inconclusive.
CDC Split Type:

Write-up: First noticed lump at injection site, was told by phsician that it was hematoma. Three days later notice rash on back, stomach, arms and face and fingernails were yellow. Given prednisone by physician x 8 days. Treatment successful.


VAERS ID: 581567 (history)  
Age: 27.0  
Gender: Male  
Location: Missouri  
Vaccinated:2015-06-09
Onset:2015-06-09
   Days after vaccination:0
Submitted: 2015-06-11
   Days after onset:2
Entered: 2015-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. K010238 / 2 LA / IM

Administered by: Other       Purchased by: Private
Symptoms: Balance disorder, Fatigue, Feeling abnormal, Headache, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

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

Write-up: Approx 2 hours after the shot was given, employee started to feel drain. Felt buzzed. Mind would blank out and lose balance. Slight headaches. Slight nausea. Next day after sleeping, felt better but then started to feel bad again when arrived at work.


VAERS ID: 581731 (history)  
Age: 27.0  
Gender: Female  
Location: Texas  
Vaccinated:2015-06-10
Onset:2015-06-12
   Days after vaccination:2
Submitted: 2015-06-12
   Days after onset:0
Entered: 2015-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

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

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

Write-up: Papular rash on back of neck.


VAERS ID: 582365 (history)  
Age: 27.0  
Gender: Male  
Location: California  
Vaccinated:2015-06-17
Onset:2015-06-17
   Days after vaccination:0
Submitted: 2015-06-17
   Days after onset:0
Entered: 2015-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. K024647 / 0 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR U5189AA / 0 RL / IM
YF: YELLOW FEVER (YF-VAX) / SANOFI PASTEUR UI091AA / 0 LA / SC

Administered by: Other       Purchased by: Private
Symptoms: Eyelid oedema, Pruritus
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Pt called complaining of itchy hands and puffy eyes. No shortness of breath or temp.


VAERS ID: 583619 (history)  
Age: 27.0  
Gender: Female  
Location: Virginia  
Vaccinated:2015-06-18
Onset:2015-06-20
   Days after vaccination:2
Submitted: 2015-06-27
   Days after onset:7
Entered: 2015-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS FAV410A / 3 LA / IM

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

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

Write-up: REDNESS, ABOUT 4/10 PAIN AT INJECTION SITE.


VAERS ID: 583756 (history)  
Age: 27.0  
Gender: Female  
Location: Unknown  
Vaccinated:2015-06-15
Onset:2015-06-15
   Days after vaccination:0
Submitted: 2015-06-29
   Days after onset:14
Entered: 2015-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS 5MG55 / - LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Exposure during pregnancy, Injection site erythema, Injection site induration, Injection site nodule, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: US2015087310

Write-up: This prospective pregnancy case was reported by a nurse via call center representative and described the occurrence of vaccine exposure during pregnancy in a 27-year-old female patient who received BOOSTRIX (batch number 5MG55, expiry date 10th October 2016. On 15th June 2015, the patient received BOOSTRIX (intramuscular) .5 ml. The subject''s estimated date of delivery was 19th July 2015. The subject received BOOSTRIX during the third trimester of pregnancy. On 15th June 2015, an unknown time after receiving BOOSTRIX, the patient experienced vaccine exposure during pregnancy and fever. In June 2015, the patient experienced injection site erythema and injection site induration. On an unknown date, the outcome of the vaccine exposure during pregnancy was unknown and the outcome of the fever and injection site erythema were recovered/resolved and the outcome of the injection site induration was not recovered/not resolved. The pregnancy was ongoing. It was unknown if the reporter considered the fever, injection site erythema and injection site induration to be related to BOOSTRIX. Additional information provided: the nurse reported that the patient received a dose of BOOSTRIX and experienced fever on the same day. Then the subject experienced redness at the injection site and a hard know at injection site (1 1/2 inch from the injection site). Patient went to the doctors office and was recovering. The AEs subsided except the hard knot that was not recovered.


VAERS ID: 584182 (history)  
Age: 27.0  
Gender: Male  
Location: Maine  
Vaccinated:2015-06-23
Onset:2015-06-23
   Days after vaccination:0
Submitted: 2015-06-24
   Days after onset:1
Entered: 2015-07-01
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS 5MG55 / 0 LA / IM

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

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

Write-up: Patient received Tdap vaccine during routine physical exam. At check out, patient felt dizzy and fainted. Assessment was fine after syncopal event.


VAERS ID: 584604 (history)  
Age: 27.0  
Gender: Female  
Location: Connecticut  
Vaccinated:2015-07-06
Onset:2015-07-06
   Days after vaccination:0
Submitted: 2015-07-06
   Days after onset:0
Entered: 2015-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM
VARCEL: VARICELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - RA / UN

Administered by: Unknown       Purchased by: Private
Symptoms: Hyperhidrosis, Vision blurred
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ortho tri cyclen lo
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: I started to lose my vision while driving home (blurry) and became very sweaty.


VAERS ID: 584679 (history)  
Age: 27.0  
Gender: Male  
Location: California  
Vaccinated:2012-11-15
Onset:2012-11-19
   Days after vaccination:4
Submitted: 2013-02-13
   Days after onset:86
Entered: 2015-07-06
   Days after submission:872
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. H010661 / 1 LA / UN
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B094AA / 1 RA / UN

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

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

Write-up: Rash. Diphenhydramine 25 mg prn, ibuprofen 300 mg prn.


VAERS ID: 585026 (history)  
Age: 27.0  
Gender: Female  
Location: Oregon  
Vaccinated:2015-07-06
Onset:2015-07-07
   Days after vaccination:1
Submitted: 2015-07-08
   Days after onset:1
Entered: 2015-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. L004651 / 1 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Erythema, Skin warm, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: PT DENIES
Preexisting Conditions: NO
Diagnostic Lab Data: N/a
CDC Split Type:

Write-up: Raised red area approximately 7cm x 7cm and warm to the touch.


VAERS ID: 585130 (history)  
Age: 27.0  
Gender: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2015-07-09
Entered: 2015-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Incomplete course of vaccination, No adverse event
SMQs:, Medication errors (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1506USA012317

Write-up: This spontaneous report was received from a 27 year old male consumer concerning himself. Pertinent medical history, concurrent conditions, drug reactions or allergies were not reported. On an unknown date the patient started the vaccine series of GARDASIL (doses, dose numbers, schedule, route, anatomical location, lot number and expiration date were unspecified). The reporter stated that he was unable to complete the GARDASIL series because he turned 27 last month. It was not confirmed if or when the patient began the GARDASIL therapy. No adverse event was reported. No concomitant therapies were reported. Additional information is not expected, no contact details were provided.


VAERS ID: 585980 (history)  
Age: 27.0  
Gender: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2015-07-15
Entered: 2015-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Autoimmune disorder, Chronic fatigue syndrome
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: US2015GSK100721

Write-up: This case was reported in a literature article and described the occurrence of autoimmune disorder in a 27-year-old male subject who received Hepatitis B vaccine. On an unknown date, 7 days after receiving Hepatitis B vaccine, the subject developed autoimmune disorder. Serious criteria included GSK medically significant. Additional event(s) included chronic fatigue syndrome. The outcome of autoimmune disorder was unknown. The outcome(s) of the additional event(s) included chronic fatigue syndrome (unknown). The investigator considered that there was a reasonable possibility that the autoimmune disorder and chronic fatigue syndrome may have been caused by Hepatitis B vaccine. Additional information received: This case was reported in a literature article and it described the occurrence of chronic fatigue syndrome in a 27-year-old male patient who had received unspecified hepatitis B virus vaccine (manufacturer unknown). No further information on the patient''s concurrent medical conditions, medical and family history or concomitant medication was provided. On an unspecified date, between 1990 and 2008, the patient received between 1 and 3 doses of an unspecified hepatitis B vaccine (dosages unknown; administration routes and sites unspecified; batch numbers not provided). The authors reported all the patients following the schedule recommended by the Centers for Disease Control and Prevention protocols (0, 1 and 6 months). On an unspecified date, 7 days after the last vaccination, the patient developed chronic fatigue syndrome. The authors did not specify the symptoms that the patient presented; but they mentioned that they included constitutional and systemic, neurological, psychiatric, musculoskeletal, mucocutaneous and ophthalmic symptoms. The authors commented that they thought this was a case of autoimmune (auto-inflammatory) syndrome induced by adjuvants as it complied with 2 of the major suggested criteria for this condition (exposure to an external stimuli and appearance of typical clinical manifestations). Treatment was unknown. Outcome of the events was unspecified at the time of reporting. The authors believed that this was a case of autoimmune (auto-inflammatory) syndrome induced by the adjuvants in the vaccine. The authors concluded that "this study suggests an association between immunizations with hepatitis B vaccines or to one of its components to chronic fatigue syndrome and fibromyalgia, as part of the autoimmune (auto-inflammatory) syndrome induced by adjuvants. Although a causal association could not be proven, a temporal association was clearly evident in this cohort. An important point to stress is that this temporal association may last longer than is usually expected and in our cohort was observed up to a year following immunization. Several risk factors were noted such as the appearance of adverse event during immunization which may imply an increased risk of developing post-immunization diseases or the presence of autoimmune susceptibility documented by personal or family history or the presence of autoantibodies. Last but not least, the between autoimmune (auto-inflammatory) syndrome induced by adjuvants criteria were fulfilled in all patients eluding the plausible link between autoimmune (auto-inflammatory) syndrome induced by adjuvants and chronic fatigue syndrome and fibromyalgia. Further studies are needed to support our observation and possibly shed more light on genetic, autoimmune and vaccine ingredient related risk factors". This case is 1 of the 19 valid cases reported in the same literature article (see case US2015GSK100322).


VAERS ID: 587677 (history)  
Age: 27.0  
Gender: Male  
Location: Unknown  
Vaccinated:2014-10-27
Onset:2014-10-27
   Days after vaccination:0
Submitted: 2015-06-29
   Days after onset:245
Entered: 2015-07-24
   Days after submission:25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (AFLURIA) / CSL LIMITED T50507 / - UN / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Incorrect product storage
SMQs:, Medication errors (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 2014046121

Write-up: This medically confirmed spontaneous report (initial receipt 28-Oct-2041) concerns a 27 year old male patient. On 26-Oct-2014, AFLURIA underwent temperature excursion at 50 degree Fahrenheit. On 27-Oct-2041, AFLURIA again had temperature excursion at 50 degree Fahrenheit for undetermined amount of time. On 27-Oct-2041, the patient received temperature excursioned AFLURIA, (batch number: T50507) via intramuscular route at 0.5 ml. Outcome was reported as unknown. Reporter''s comments: The reporter assessed the event as non-serious.


VAERS ID: 588994 (history)  
Age: 27.0  
Gender: Female  
Location: Texas  
Vaccinated:2010-05-24
Onset:2011-01-18
   Days after vaccination:239
Submitted: 2015-08-01
   Days after onset:1655
Entered: 2015-08-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS FAV236 / 0 UN / UN

Administered by: Military       Purchased by: Military
Symptoms: Amnesia, Arthralgia, Fatigue, Lymphadenopathy, Malaise, Mental status changes, Neurological symptom, Paraesthesia, Rash, Sleep disorder
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Multiple specialists involved in evaluations.
CDC Split Type:

Write-up: Chronic conditions (see below) began in Nov 2012. She is concerned that the anthrax and smallpox immunizations had a causal association. However, there was greater than one year between last anthrax immunization and onset of symptoms. Altered mental status, Disturbance of skin sensation, Disturbance, sleep NOS, Enlargement, lymph nodes, Joint pain, Malaise and fatigue, Rash, other nonspecific skin eruption, Symptom, memory loss, Symptom, nervous/musculoskeletal NEC.


VAERS ID: 588890 (history)  
Age: 27.0  
Gender: Female  
Location: North Carolina  
Vaccinated:2015-07-29
Onset:2015-07-31
   Days after vaccination:2
Submitted: 2015-08-03
   Days after onset:3
Entered: 2015-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. L000455 / 0 LA / SC

Administered by: Public       Purchased by: Unknown
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient has red, raised and painful area at site of administration of varicella vaccine.


VAERS ID: 589380 (history)  
Age: 27.0  
Gender: Female  
Location: Louisiana  
Vaccinated:2015-07-30
Onset:2015-07-30
   Days after vaccination:0
Submitted: 2015-08-03
   Days after onset:4
Entered: 2015-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS 5G943 / 0 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Dizziness, Dry mouth, Dry throat, Headache, Migraine, Muscular weakness, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Lacerated liver 2010; Thyroid; Headache; Depression
Diagnostic Lab Data:
CDC Split Type:

Write-up: C/O dry throat and mouth. C/O headache and nausea. C/O dizziness. C/O arm weakness. ER visit 8-3-15 said gave 3 injections for nausea, migraine and steroid. States rested a little and just feeling a little better 8-3-15 at 3:45 PM.


VAERS ID: 588447 (history)  
Age: 27.0  
Gender: Female  
Location: Michigan  
Vaccinated:2015-07-31
Onset:2015-08-01
   Days after vaccination:1
Submitted: 2015-08-05
   Days after onset:4
Entered: 2015-08-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - LA / IM

Administered by: Public       Purchased by: Private
Symptoms: Bone pain, Injected limb mobility decreased, Injection site pain, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad), Osteonecrosis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: n/a
Current Illness: n/a
Preexisting Conditions: n/a
Diagnostic Lab Data: Unfortunately. I do not have health insurance right now so I am just suffering.
CDC Split Type:

Write-up: My arm is in constant pain. I can not lift it at all or touch in the area where the shot was given. I can not lay on the side where the shot was given. I am experiencing pain all the way from the injection site now up to my collar bone. The pain is at a 7 when resting and at a 10 when raising the arm or touching/applying minimal amounts of pressure.


VAERS ID: 588973 (history)  
Age: 27.0  
Gender: Female  
Location: Florida  
Vaccinated:2015-08-04
Onset:2015-08-06
   Days after vaccination:2
Submitted: 2015-08-07
   Days after onset:1
Entered: 2015-08-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (ADACEL) / SANOFI PASTEUR U5213BA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. L010144 / 0 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pruritus, Pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: None
Preexisting Conditions: Reynauds Syndrome
Diagnostic Lab Data: EMPLOYEE GIVEN 50 MG BENADRYL AND ICE PACK ON 8/5/15 FOR ITCHING AND REDNESS AT INJECTION SITE. ISSUES RESOLVED. ADVISED PATIENT TO GO FOLLOW UP WITH PRIMARY MD. PATIENT DECLINED AT THIS TIME BUT WILL GO SEE AFTER WORK FOR FOLLOW UP/EVAL. ORDERS GIVEN BY MEDICAL DIRECTOR.
CDC Split Type:

Write-up: PER PATIENT: "WOKE UP AT 4:30 COULD BARELY MOVE LEFT ARM AND HAD STABBING PAIN IN LEFT SIDE. PAIN IS CONSTANT LIKE NEEDLE PRICKS BUT WHEN ARM IS LIFTED IT FEELS LIKE SOMETHING IS STABBING ME. TOOK A MUSCLE RELAXER AND IT EASES THE PAIN AND ALLOWS ME TO MOVE MY ARM AROUND."


VAERS ID: 590201 (history)  
Age: 27.0  
Gender: Female  
Location: Texas  
Vaccinated:2015-07-10
Onset:2015-08-10
   Days after vaccination:31
Submitted: 2015-08-11
   Days after onset:1
Entered: 2015-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K009482 / - RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Cellulitis
SMQs:

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

Write-up: Cellulitis, given antibiotic.


VAERS ID: 589932 (history)  
Age: 27.0  
Gender: Male  
Location: Florida  
Vaccinated:2015-08-13
Onset:2015-08-13
   Days after vaccination:0
Submitted: 2015-08-13
   Days after onset:0
Entered: 2015-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS 9937B / - - / -
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS 435P7 / - - / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. L012035 / - - / -

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: BENADRYL 25 MG GIVEN ORALLY AT TIME OF REACTION. WITHIN 30 MINUTES SYMPTOMS DISAPPEARED.
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: REDNESS AND SWELLING AT INJECTION SITE. FEELING OF WARMTH IN FACE.


VAERS ID: 590090 (history)  
Age: 27.0  
Gender: Female  
Location: Colorado  
Vaccinated:2015-08-12
Onset:2015-08-14
   Days after vaccination:2
Submitted: 2015-08-14
   Days after onset:0
Entered: 2015-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. K021581 / 1 LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Asthma, Condition aggravated, Dizziness, Feeling hot, Hyperhidrosis, Nausea, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Asthma/bronchospasm (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No medications taken during the time vaccination was given.
Current Illness: Allergy symptoms and asthma
Preexisting Conditions: Asthma
Diagnostic Lab Data:
CDC Split Type:

Write-up: Woke up with an asthma attack, has not had one in two years. She was sweating, hot, and nauseated. She threw up and felt dizzy and the symptoms last for about an hour. She laid down to relieve any symptoms and took Albuterol for her asthma.


VAERS ID: 590645 (history)  
Age: 27.0  
Gender: Female  
Location: California  
Vaccinated:2015-08-17
Onset:2015-08-17
   Days after vaccination:0
Submitted: 2015-08-18
   Days after onset:1
Entered: 2015-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (AFLURIA) / CSL LIMITED U56406 / 0 LA / IM

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

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

Write-up: Itching sensation on opposite arm; followed by generalized itching particularly both hands. Loratadine and diphenhydramine administered.


VAERS ID: 591093 (history)  
Age: 27.0  
Gender: Female  
Location: Virginia  
Vaccinated:2015-08-14
Onset:2015-08-14
   Days after vaccination:0
Submitted: 2015-08-20
   Days after onset:6
Entered: 2015-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS 7S29F / 1 RA / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR L10011 / 4 RA / SC
JEV1: JAPANESE ENCEPHALITIS (IXIARO) / INTERCELL AG JEV13D38E / 0 LA / IM
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 148901A / 0 RA / IM
RAB: RABIES (IMOVAX) / SANOFI PASTEUR K10791 / 0 LA / IM

Administered by: Other       Purchased by: Private
Symptoms: Headache, Injected limb mobility decreased, Injection site erythema, Injection site warmth, Muscular weakness, Nausea, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Rizatriptan, Gianvi
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data: None - The nurses continued to check on her every few days. After several conversations it became apparent she was reluctant to take any medication of any kind. I then discussed inflammation and pain management with her. She took 600 mg Ibuprofen on 8/19, and 8/20 reports ALL symptoms had resolved fully after the one dose on 8/19. Full range of motion, etc.
CDC Split Type:

Write-up: Patient called that night stating her right arm was very sore, she was unable to make a fist, deltoid immunization site was red and very hot. She also complained of nausea and headache. She stated that her arm was immediately hot and sore after her shots but she went to play Ultimate frisbee. During this game she became nauseous. She was advised to take 600 Ibuprofen if stomach could tolerate it, put hot compresses on arm and rest. A nurse called her back an hour later - her nausea was gone, still had a headache and arm was a little better. She could then make a fist but could not lift her arm above her head. She stated the heat helped a lot. She agreed to call if things get worse.


VAERS ID: 591351 (history)  
Age: 27.0  
Gender: Male  
Location: Texas  
Vaccinated:2015-08-22
Onset:2015-08-22
   Days after vaccination:0
Submitted: 2015-08-22
   Days after onset:0
Entered: 2015-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS FAV427A / 0 RA / IM

Administered by: Military       Purchased by: Military
Symptoms: Aphasia, Eye movement disorder, Hyperhidrosis, Pallor, Posture abnormal
SMQs:, Neuroleptic malignant syndrome (broad), Dementia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: FACEMASK WITH 2 LPM OXYGEN PLACED ON PATIENT, LEANED PATIENT BACK. MD AT PATIENT SIDE IMMEDIATELY, VS TAKEN, PATIENT RECOVERED TO BASELINE.
CDC Split Type:

Write-up: 5 MINUTES AFTER INJECTION, PATIENT NOTED TO SIGH AND LEAN HIS HEAD BACK. PALLOR NOTED WITH EYES ROLLING TO BACK OF HEAD. PATIENT UNABLE TO VERBALLY RESPOND FOR APPROXIMATELY 1 1/2 MINUTES. DIAPHORETIC.


VAERS ID: 592210 (history)  
Age: 27.0  
Gender: Female  
Location: Alabama  
Vaccinated:2015-08-21
Onset:2015-08-22
   Days after vaccination:1
Submitted: 2015-08-24
   Days after onset:2
Entered: 2015-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUARIX) / GLAXOSMITHKLINE BIOLOGICALS 9525T / 0 LA / UN

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

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

Write-up: Sharp pain w/cramping in left hand, mostly from wrist to knuckles. Pain has gone up to elbow & lasted 15 sec & happens throughout the day. Pain has gotten progressively worse in the past 3 days.


VAERS ID: 594203 (history)  
Age: 27.0  
Gender: Female  
Location: Unknown  
Vaccinated:2015-08-21
Onset:2015-08-21
   Days after vaccination:0
Submitted: 2015-08-31
   Days after onset:10
Entered: 2015-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 3 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain, Exposure during pregnancy, Extra dose administered, Headache, Injection site pain, Nausea, Ultrasound antenatal screen, Wrong drug administered
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Medication errors (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medictions
Current Illness: Drug hypersensitivity; Asthma
Preexisting Conditions:
Diagnostic Lab Data: 08/2015, Ultrasound scan, results unknown
CDC Split Type: WAES1508USA011211

Write-up: This spontaneous prospective pregnancy report as received from a consumer refers to a 27 year old female patient. The patient''s concurrent conditions included asthma and drug allergy to unspecified medications. The patient stated had completed the series of GARDASIL vaccinations in 2006. On 21-AUG-2015, the patient was vaccinated with fourth dose of GARDASIL intramuscularly instead of an unspecified Tdap vaccine. Concomitant medication were none. The patient was pregnant with 36 weeks of gestation when received vaccination with GARDASIL. On 21-AUG-2015, (reported as now) the patient was experiencing headaches, site soreness, nausea and abdominal cramping. A sonogram was performed on an unspecified date in August 2015 and the results were not provided. Approximate date of last month period (LMP) was 15-DEC-2014 with expected date of delivery (EDD) of 21-SEP-2015. The pregnancy outcome was pending. No treatment was received in response to the events. The patient sought medical attention and made an office visit. The outcome of the events was unknown. Causality assessment was not provided. There was no product quality complaint involved. Additional information has been requested.


VAERS ID: 592424 (history)  
Age: 27.0  
Gender: Female  
Location: Illinois  
Vaccinated:2015-07-31
Onset:2015-07-31
   Days after vaccination:0
Submitted: 2015-09-02
   Days after onset:33
Entered: 2015-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
VARCEL: VARICELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Public       Purchased by: Unknown
Symptoms: Arthralgia, Body temperature increased, Chills, Myalgia, Rash, Varicella post vaccine
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Slight temperature up to 100.4 began within a couple hours of shots and lasted until approx. a week and a half later; chills began a week later and lasted about a day; severe muscle/joint pains, particularly in the hips, began a week later and lasted a few days, chickenpox rash began a week later and lasted approx. 5 days.


VAERS ID: 592579 (history)  
Age: 27.0  
Gender: Male  
Location: Texas  
Vaccinated:2015-08-28
Onset:2015-08-28
   Days after vaccination:0
Submitted: 2015-09-02
   Days after onset:5
Entered: 2015-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT) / SANOFI PASTEUR UI439AA / - - / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS 9N74F / - - / IM

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

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

Write-up: FAINTING, SWEATING AND PALE IN COLOR.


VAERS ID: 592737 (history)  
Age: 27.0  
Gender: Female  
Location: Kansas  
Vaccinated:2015-09-02
Onset:2015-09-02
   Days after vaccination:0
Submitted: 2015-09-03
   Days after onset:1
Entered: 2015-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PER: PERTUSSIS (NO BRAND NAME) / EMERGENT BIOSOLUTIONS - / - - / -

Administered by: Unknown       Purchased by: Private
Symptoms: Injection site pain, Migraine, Nausea
SMQs:, Acute pancreatitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal Vitamins; Glucose; Rhogam
Current Illness: None
Preexisting Conditions: Pregnant
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pain at injection Site, Nausea, and Severe Migraine.


VAERS ID: 596117 (history)  
Age: 27.0  
Gender: Male  
Location: California  
Vaccinated:2015-09-17
Onset:2015-09-17
   Days after vaccination:0
Submitted: 2015-09-18
   Days after onset:1
Entered: 2015-09-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (ADACEL) / SANOFI PASTEUR U5267AA / 0 LA / IM

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

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

Write-up: Pain along injection arm and down arm and pain to left lateral trunk area.


VAERS ID: 597202 (history)  
Age: 27.0  
Gender: Male  
Location: Colorado  
Vaccinated:2015-09-11
Onset:2015-09-11
   Days after vaccination:0
Submitted: 2015-09-14
   Days after onset:3
Entered: 2015-09-21
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L016428 / 0 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR U5267AA / 0 RA / IM

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

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

Write-up: Syncope approx. 10 minutes after vaccinations. Observed in treatment room for 1 hr. Vital signs, observed for head injury.


VAERS ID: 596786 (history)  
Age: 27.0  
Gender: Female  
Location: Georgia  
Vaccinated:2015-09-21
Onset:2015-09-21
   Days after vaccination:0
Submitted: 2015-09-22
   Days after onset:1
Entered: 2015-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / SYR

Administered by: Public       Purchased by: Other
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Injection site hypoaesthesia, Pain, Paraesthesia, Pharyngeal hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Advil Migraine
Current Illness: No
Preexisting Conditions: PCOS
Diagnostic Lab Data: Paresthesia
CDC Split Type:

Write-up: At injection site, my arm became numb. The numbness spread to the whole right side of my body withing an hour, including my neck, ear, and cheek, as well as my side, breast, leg and foot. During the remainder of the day, the numbness would come in waves, followed by sharp pains on the right side of my body. The numbness would spread further during each wave and eventually made my tongue and throat numb.


VAERS ID: 597367 (history)  
Age: 27.0  
Gender: Female  
Location: Georgia  
Vaccinated:2015-09-18
Onset:2015-09-18
   Days after vaccination:0
Submitted: 2015-09-22
   Days after onset:4
Entered: 2015-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (ADACEL) / SANOFI PASTEUR U5267AA / 0 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Arthralgia, Asthenia, Fatigue, Hand-eye coordination impaired, Rash, Rash pruritic, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: Over several days: On Fri. 09/18/15 had rash in both armpits. Symptoms subsided. On 09/19/15 at 11:00 AM rash returned. At 3 PM rash spread to back. By 4 PM was on neck and wrists. By 4:30 rash spread to left breast and to face. At 5 PM patient went to ER. Rash was extremely itchy. By 5:30 rash had spread to hips. Took one ALLEGRA at 5:30 PM, helped with itching. Rash subsided temporarily, but later spread to more of back and stomach. At 9 PM ER administered PO diphenhydramine 25 mg and prednisone 40 mg. MD examined her at 10:30 PM and prescribed more prednisone and antihistamine shot in left buttock. Discharged at 11 PM. On 09/20/15 minor rash still present on left side of body and both knees. In left leg joints began to ache. And had no energy. At 1 PM rash reappeared on face and neck and palms of hands. At 1 PM took one 25 mg diphenhydramine and one 10 mg loratadine and 3 prednisone 20 mg tabs, as prescribed. Symptoms lessened. New rash appeared on stomach and returned to face at 6:20 PM. At 9 PM rash appeared on soles of feet. At 11 PM reappeared on back, as well as stomach, chest, neck, armpits, hips and continued to spread until 1 AM. Took one of each previously mentioned meds. At 6 AM took one BENADRYL. Rash had disappeared from all parts of body except back of legs and buttocks. At 12 noon took two 20 mg of prednisone, one loratadine and one BENADRYL. At 3:30 saw MD for follow up. Patient is exhausted and concerned. Is shaking and reports low hand-eye coordination.


VAERS ID: 598361 (history)  
Age: 27.0  
Gender: Female  
Location: Colorado  
Vaccinated:2015-09-22
Onset:2015-09-23
   Days after vaccination:1
Submitted: 2015-09-25
   Days after onset:2
Entered: 2015-09-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (ADACEL) / SANOFI PASTEUR U5241AA / - LA / IM

Administered by: Other       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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt received a Tdap and pain swelling and redness L deltoid.


VAERS ID: 597636 (history)  
Age: 27.0  
Gender: Female  
Location: Florida  
Vaccinated:2015-09-24
Onset:2015-09-24
   Days after vaccination:0
Submitted: 2015-09-28
   Days after onset:4
Entered: 2015-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / NOVARTIS VACCINES AND DIAGNOSTICS 15754P / 0 LA / IM

Administered by: Other       Purchased by: Private
Symptoms: Injection site reaction, Injection site vesicles, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Circular reaction around injection site. No redness, blisters formed in a circular formation. Reaction looked similar to ring worm. No fever, normal muscle soreness resolved next day.


VAERS ID: 597816 (history)  
Age: 27.0  
Gender: Female  
Location: Michigan  
Vaccinated:2015-09-26
Onset:2015-09-29
   Days after vaccination:3
Submitted: 2015-09-29
   Days after onset:0
Entered: 2015-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / NOVARTIS VACCINES AND DIAGNOSTICS 157602 / - RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS B4SD9 / - LA / IM

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

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

Write-up: Patient has a red circle around the area of injection on her left arm (from the Boostrix). She said it itches.


VAERS ID: 597825 (history)  
Age: 27.0  
Gender: Female  
Location: Kansas  
Vaccinated:2015-09-28
Onset:2015-09-28
   Days after vaccination:0
Submitted: 2015-09-29
   Days after onset:1
Entered: 2015-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT) / MEDIMMUNE VACCINES, INC. FJ2190 / 1 - / IN

Administered by: Other       Purchased by: Other
Symptoms: Asthenia, Feeling abnormal, Hyperhidrosis, Palpitations, Pruritus
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril 20mg PO daily
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: BP 188/113 P107. Itching on chest and upper arms. States feeling weak and feels funny. States feels like have heart palpations. Diaphoretic.


VAERS ID: 597847 (history)  
Age: 27.0  
Gender: Female  
Location: Texas  
Vaccinated:2015-09-09
Onset:2015-09-12
   Days after vaccination:3
Submitted: 2015-09-29
   Days after onset:17
Entered: 2015-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / NOVARTIS VACCINES AND DIAGNOSTICS 15725P / - LA / IM

Administered by: Other       Purchased by: Private
Symptoms: Injection site pruritus, Injection site rash
SMQs:, Hypersensitivity (narrow)

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

Write-up: Rash and itching at injection site.


VAERS ID: 597958 (history)  
Age: 27.0  
Gender: Female  
Location: California  
Vaccinated:2015-09-27
Onset:2015-09-28
   Days after vaccination:1
Submitted: 2015-09-30
   Days after onset:2
Entered: 2015-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / UN

Administered by: Public       Purchased by: Private
Symptoms: Oropharyngeal pain, Pain, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Sore throat, aches, hive rash on upper back and neck and chest area.


VAERS ID: 598338 (history)  
Age: 27.0  
Gender: Female  
Location: Florida  
Vaccinated:2015-10-02
Onset:2015-10-02
   Days after vaccination:0
Submitted: 2015-10-02
   Days after onset:0
Entered: 2015-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (AFLURIA) / CSL LIMITED U54506 / - LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Dizziness, Dyspnoea, Feeling abnormal, Headache, Vertigo
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Wheat Allergy; May Thurner Syndrome - Stent Placed in groin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Headache, Dizziness, Brain Fog, Vertigo like symptoms. Shortness of breath.


VAERS ID: 601431 (history)  
Age: 27.0  
Gender: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2015-09-21
Entered: 2015-10-02
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
SMALL: SMALLPOX (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / -

Administered by: Other       Purchased by: Other
Symptoms: Adverse event
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unk
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: 2014SA151293

Write-up: Initial report received from a healthcare professional, who was also the patient, via Merck, on 31 October 2014. A 27-year-old male patient received a smallpox vaccine (manufacturer, lot number, and date of administration not reported) "many years ago" and subsequently experienced an unspecified adverse event. No information was reported regarding onset date, type of reaction, treatment, or outcome, and the patient (a physician) did not wish to be contacted for any additional information. The patient outcome is unknown. Documents held by sender: none.


VAERS ID: 598616 (history)  
Age: 27.0  
Gender: Male  
Location: New Jersey  
Vaccinated:2015-09-30
Onset:2015-09-30
   Days after vaccination:0
Submitted: 2015-10-05
   Days after onset:5
Entered: 2015-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Other       Purchased by: Private
Symptoms: Contusion, Pain in extremity
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow), Tendinopathies and ligament disorders (broad)

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

Write-up: Pain in entire arm - large, dark bruise that is still there 5 days later.


VAERS ID: 600713 (history)  
Age: 27.0  
Gender: Female  
Location: Montana  
Vaccinated:2015-09-25
Onset:2015-09-25
   Days after vaccination:0
Submitted: 2015-10-05
   Days after onset:10
Entered: 2015-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT) / SANOFI PASTEUR UI441AA / - LA / UN

Administered by: Private       Purchased by: Private
Symptoms: Chest discomfort, Hypoaesthesia, Pain, Pain in extremity, Pyrexia, Throat tightness, Tremor
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: No
Preexisting Conditions: Hx of Celiac disease; Allergic to sulfa and amoxicillin (gets hives)
Diagnostic Lab Data:
CDC Split Type:

Write-up: (L) arm pain and numbness, felt like "my throat was closing" "my chest was tight." Flushed face and (L) arm. Used ice pack to treat (L) arm pain. Reported to ER on 9/25/15 at 730pm w/c/o "fever (99.8) shaking" and pain all over." Treated with albuterol nebulizer and then sent home. 9/26/15 "felt sore from shaking from fever" had taken TYLENOL x3 (325,g) by mouth.


VAERS ID: 600717 (history)  
Age: 27.0  
Gender: Female  
Location: Maine  
Vaccinated:2015-09-29
Onset:2015-10-05
   Days after vaccination:6
Submitted: 2015-10-05
   Days after onset:0
Entered: 2015-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS A5K3 / - LA / IM

Administered by: Other       Purchased by: Unknown
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
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: local site~Influenza (Seasonal) (no brand name)~UN~26.00~Patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Red, swollen area at site of administration.


VAERS ID: 601280 (history)  
Age: 27.0  
Gender: Female  
Location: California  
Vaccinated:2015-10-06
Onset:2015-10-06
   Days after vaccination:0
Submitted: 2015-10-07
   Days after onset:1
Entered: 2015-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS 2X5YD / 0 RA / IM

Administered by: Other       Purchased by: Private
Symptoms: Anxiety, Headache, Pruritus, Throat irritation
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: SEASONIQUE, WELLBUTRIN
Current Illness: NONE
Preexisting Conditions: SEASONAL ALLERGIES
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: ITCHY THROAT AND ARMS, SUDDEN ONSET OF HEADACHE, ANXIETY.


VAERS ID: 601406 (history)  
Age: 27.0  
Gender: Female  
Location: New York  
Vaccinated:2015-10-05
Onset:2015-10-05
   Days after vaccination:0
Submitted: 2015-10-08
   Days after onset:3
Entered: 2015-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / NOVARTIS VACCINES AND DIAGNOSTICS 157903 / 2 RA / IM

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

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

Write-up: She got the flu shot on 10/5 at pharmacy. She has noted some firmness and tenderness to the site, it is much better today. If she showers and it warms up feels better. NO current redness heat or swelling per pt. No wheeze or SOB or rashes. Plan: Mild reaction which is now improving daily. Continue heat and movement and use Tylenol prn pain. Will do immunization reaction paperwork. Close follow up and RTC if this does not resolve in 7 d.


VAERS ID: 601617 (history)  
Age: 27.0  
Gender: Female  
Location: North Carolina  
Vaccinated:2015-10-06
Onset:2015-10-07
   Days after vaccination:1
Submitted: 2015-10-09
   Days after onset:2
Entered: 2015-10-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUC3: INFLUENZA (SEASONAL) (FLUCELVAX) / NOVARTIS VACCINES AND DIAGNOSTICS 174085 / - LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Swollen tongue, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Tongue began swelling, hives on tongue and face; treated with Pepcid, Solumedrol, Benadryl, Medrol dose pack.


VAERS ID: 601777 (history)  
Age: 27.0  
Gender: Male  
Location: Washington  
Vaccinated:2015-10-08
Onset:2015-10-08
   Days after vaccination:0
Submitted: 2015-10-09
   Days after onset:1
Entered: 2015-10-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / NOVARTIS VACCINES AND DIAGNOSTICS 1514801 / - RA / IM
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. K015368 / - LA / IM

Administered by: Other       Purchased by: Private
Symptoms: Injection site discomfort, Injection site pain, Injection site swelling, Injection site warmth, Local swelling, Peripheral swelling, Rash, Tenderness
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Asplenic (no spleen)
Diagnostic Lab Data:
CDC Split Type:

Write-up: Left deltoid discomfort on 10/8, pt took 800mg that night with no relief. On morning of 10/9 increase tenderness and some local swelling with 2-3 spots rash, swelling and tenderness incrase and spread down to mid-bicep region around arm, up into arm pit and on back side of should. Due to increase and spread of swelling pt presented to pharmacy at approx. 6:55pm. Pt denied any difficulty breathing and no chest tightness. Left deltoid was tender to touch and warm to the extent of swelling as described above. Pt denied a diphenhydramine injection due to the tenderness. She was give and took 50mg diphenhydramine oral liquid and 150mg oral tablet. She was direct to go to ER for further evaluation and agreed she would.


VAERS ID: 603653 (history)  
Age: 27.0  
Gender: Female  
Location: California  
Vaccinated:2015-04-22
Onset:0000-00-00
Submitted: 2015-07-10
Entered: 2015-10-09
   Days after submission:91
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. K020336 / 2 AR / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Arthralgia, Fatigue, Liver function test abnormal, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Diffuse myalgias, fatigue, joint pains, increased LFT''s. Followed at office with Rheumatology consult, GI, ID consult. OTC NSAIDS, increased fluids. Improving.


VAERS ID: 601827 (history)  
Age: 27.0  
Gender: Male  
Location: Kansas  
Vaccinated:2015-10-11
Onset:2015-10-11
   Days after vaccination:0
Submitted: 2015-10-11
   Days after onset:0
Entered: 2015-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (AFLURIA) / CSL LIMITED - / 1 LA / IM

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

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

Write-up: EMPLOYEE STATED FEELING LIGHT HEADED, DIZZY, HEADACHE, AND NAUSEA ABOUT 5 MIN AFTER VACCINATION. EMPLOYEE CONTINUES TO HAVE "WAVES OF DIZZINESS, LIGHT HEADED AND NAUSEA. TEMP AT TIME OF SYMPTOMS 98.1, BP132/84, P82.


VAERS ID: 602011 (history)  
Age: 27.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:2015-10-08
Onset:2015-10-08
   Days after vaccination:0
Submitted: 2015-10-09
   Days after onset:1
Entered: 2015-10-13
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUARIX) / GLAXOSMITHKLINE BIOLOGICALS 7994K / - LA / UN

Administered by: Private       Purchased by: Private
Symptoms: Blood glucose normal, Blood potassium normal, Blood sodium normal, Dysphagia, Dyspnoea, Haematocrit normal, Platelet count normal, Urticaria, White blood cell count normal
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: PCN
Diagnostic Lab Data: See above
CDC Split Type:

Write-up: Diffuse hives, difficulty breathing and swallowing. BP 137/90 HR 90 T 97 O2 100% sat. BENADRYL 25mg IV x2. SOLU MEDROL 125mg IV. PEPCID 40mg. EPIPEN 0.3mg 3x. WBC, 6.5; Hct, 40; Plat, 190; Na, 141; K+, 3.5; Gluc, 97. Admitted. States has hx of unknown "allergy" has seen allergist tests negative.


VAERS ID: 602042 (history)  
Age: 27.0  
Gender: Female  
Location: Alabama  
Vaccinated:2015-10-08
Onset:2015-10-09
   Days after vaccination:1
Submitted: 2015-10-09
   Days after onset:0
Entered: 2015-10-13
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UI433AA / - LA / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Allergy to NSAIDS; High cholesterol; Disorder of my metabolism
Diagnostic Lab Data:
CDC Split Type:

Write-up: Seen at urgent care on 10/9./15. Fever (99.2 with TYLENOL) aches, no cough, congestion or respiratory problems. Advised to continue with TYLENOL for fever and aches. Drink plenty of fluids and cool baths to control temp. Stated fever up to 103.7 at home.


VAERS ID: 602276 (history)  
Age: 27.0  
Gender: Female  
Location: Ohio  
Vaccinated:2015-09-29
Onset:2015-09-29
   Days after vaccination:0
Submitted: 2015-10-14
   Days after onset:15
Entered: 2015-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT) / SANOFI PASTEUR UI431AB / - LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Musculoskeletal pain, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No known illness
Preexisting Conditions: Patient reported being allergic to "some fruits"
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient received her vaccine around 12:30 pm and reported no adverse events at that time. When her shift at work ended she went home. After she arrived at home, she ate some food because she said she had not eaten anything all day. Shortly after eating (around 1:50 pm), she reportedly fainted. The patient said she came to on her floor and assumed she must have fainted. She said she doesn''t believe she hit her head, but may have landed on her shoulder because that hurt a little bit.


VAERS ID: 602687 (history)  
Age: 27.0  
Gender: Male  
Location: Michigan  
Vaccinated:2015-10-13
Onset:2015-10-13
   Days after vaccination:0
Submitted: 2015-10-15
   Days after onset:2
Entered: 2015-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER MI443AA / - LA / -

Administered by: Other       Purchased by: Other
Symptoms: Asthenia, Chills, Headache, Pain, Pyrexia, Testicular pain
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Severe Fever. Fever and shivering. Sharp pain in body. Testicular pain. Headache. Weakness.


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