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Case Details (Sorted by Age)

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VAERS ID:278569 (history)  Vaccinated:2004-06-30
Age:46.0  Onset:2005-06-01, Days after vaccination: 336
Gender:Male  Submitted:2006-05-05, Days after onset: 338
Location:Puerto Rico  Entered:2007-05-14, Days after submission: 374
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Military     Purchased by: Unknown
Symptoms: Amnesia, Arthralgia, Arthropathy
SMQs:, Dementia (broad), Noninfectious encephalopathy/delirium (broad), Arthritis (broad)
Write-up: Pain in joints, loose of joint flexibility, amnesia - non severe.

VAERS ID:278862 (history)  Vaccinated:1999-05-01
Age:46.0  Onset:1999-05-01, Days after vaccination: 0
Gender:Male  Submitted:2007-05-17, Days after onset: 2938
Location:Illinois  Entered:2007-05-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: SEASONAL ALLERGIES, INNER LEFT KNEE PAIN
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV0430IMLA
Administered by: Military     Purchased by: Military
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: PAIN IN ARM WHERE VACCINATION WAS ADMINISTERED, LASTED 72 HOURS

VAERS ID:278905 (history)  Vaccinated:2007-05-01
Age:46.0  Onset:2007-05-02, Days after vaccination: 1
Gender:Male  Submitted:2007-05-04, Days after onset: 2
Location:Ohio  Entered:2007-05-17, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Denies
Preexisting Conditions: Denies
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (RABAVERT)NOVARTIS VACCINES AND DIAGNOSTICS412011A0 LA
Administered by: Other     Purchased by: Private
Symptoms: Nausea, Vomiting projectile
SMQs:, Acute pancreatitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Donor states "violently" vomiting and nausea x 3 days. Did not seek medical attention or take any medications.

VAERS ID:279023 (history)  Vaccinated:2007-05-16
Age:46.0  Onset:2007-05-17, Days after vaccination: 1
Gender:Male  Submitted:2007-05-19, Days after onset: 2
Location:Massachusetts  Entered:2007-05-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV 1101SCLA
Administered by: Military     Purchased by: Military
Symptoms: Influenza like illness, Rash maculo-papular
SMQs:, Hypersensitivity (narrow)
Write-up: flu symptoms macular papular rash anterior and posterior trunk area

VAERS ID:279142 (history)  Vaccinated:2007-05-03
Age:46.0  Onset:0000-00-00
Gender:Female  Submitted:2007-05-08
Location:Nebraska  Entered:2007-05-21, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2690AA IMRA
Administered by: Private     Purchased by: Unknown
Symptoms: Injected limb mobility decreased, Oedema peripheral, Pain in extremity, Tenderness
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: 5-3-07 - Received Adacel vaccine. 5-4-07 - pm right arm swollen, sore, tender to touch. 5-5-07 Right side of neck and right arm very sore with limited ROM.

VAERS ID:279316 (history)  Vaccinated:2006-10-06
Age:46.0  Onset:0000-00-00
Gender:Female  Submitted:2007-04-11
Location:Ohio  Entered:2007-05-23, Days after submission: 42
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: HCTZ, Actonel, Prevacid
Current Illness: Fibromyalgia
Preexisting Conditions: Increased chol, Fibromyalgia, Osteopenia PMH: elevated ANA 1:320 in 2002 w/arthralgias & cold intolerance; hypercholesterolemia & hyperlipidemia; fibromyalgia; insomnia; osteopenia; ocular migraines; kidney stones
Diagnostic Lab Data: Several MRI''s all WNL, See attached labs. LABS: MRI of brain 12/18/06 revealed nonspecifid subcortical white matter changes. CT of brain 12/18/06 was WNL. LP was neg.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2194AA7 RA
Administered by: Private     Purchased by: Private
Symptoms: Balance disorder, Blindness, Coordination abnormal, Diplopia, Ear pain, Eyelid ptosis, Fatigue, Gait disturbance, Guillain-Barre syndrome, Influenza like illness, Lumbar puncture, Migraine, Miller Fisher syndrome, Nuclear magnetic resonance imaging brain abnormal, Nuclear magnetic resonance imaging normal, Paraesthesia, Scan brain, Trigeminal nerve disorder, Visual disturbance, Visual field defect
SMQs:, Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Optic nerve disorders (broad), Demyelination (narrow), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow)
Write-up: Fisher variant of Guillian Barre with ataxia, L6th, L5th, accommodation, also R tract lesion with L periph visual loss L$gR eye. 6/12/07 Received hospital records from provider which included consults, ER records, labs & x-ray reports as well as provider notes & vax record. Returned to office on10/13 w/complaints of right ear pain & tx w/drops but worsened & was placed on antibiotics 10/16/06. Seen 10/23 for med adjustments. Returned on 12/13/06 for left eye visual field deficit for approx 4-5 mos & for last 6 weeks numbness on left cheek. Returned to office 12/19/06 w/worsened vision loss left eye, vision loss comes/goes & occasionally was blinded in left eye. Trigeminal nerve weakness noted. Referred to neuro opthamologist who dx w/fisher variant of GBS. Vision improved. On 4/11/07 returned to office stating had lost vision completely for 90 min approx 1 mo earlier & had been having a lot of double vision & seeing spots. Opth thought ocular migraine (hx ocular migraine). Neuro consult indicates that patient experienced flu-like symptoms for about 3 weeks s/p flu shot & prior to developing vision problems. Continued w/ gait & balance disturbance, fatigue, & resolving droopy left eyelid. Neuro could not provide dx other than possibly early MS. Patient seen in ER on 12/18/06 for severe HA, pressure behind left eye & tingling on left side of face. FINAL DX: Fisher variant of Guillian Barre syndrome.

VAERS ID:279462 (history)  Vaccinated:2007-01-08
Age:46.0  Onset:2007-01-10, Days after vaccination: 2
Gender:Female  Submitted:2006-01-11, Days after onset: 364
Location:North Carolina  Entered:2007-05-24, Days after submission: 497
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions:
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2572AA0IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Two days following administered Tdap, noticed swelling in Left supraclavicular region.

VAERS ID:281832 (history)  Vaccinated:2006-11-29
Age:46.0  Onset:2006-12-01, Days after vaccination: 2
Gender:Female  Submitted:2007-05-16, Days after onset: 165
Location:Unknown  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: serum varicella zoster negative
CDC Split Type: WAES0612USA02683
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Rash, Varicella
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a nurse practitioner concerning a 46 year old female who on an unspecified date had a varicella titer drawn which was negative, then on 29-NOV-2006 was vaccinated with a first dose of Varivax. On an unspecified date post vaccination, the patient developed a rash. It was reported that the client had 35 pox on unspecified locations on her body. Unspecified medical attention was sought. At the time of the report the patient''s recovery status was unknown. There was no product quality complaint involved. No further information is available.

VAERS ID:279802 (history)  Vaccinated:2007-05-16
Age:46.0  Onset:2007-05-16, Days after vaccination: 0
Gender:Male  Submitted:2007-05-25, Days after onset: 9
Location:Massachusetts  Entered:2007-05-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin, Lisinopril
Current Illness: no
Preexisting Conditions: no
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2734AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Left deltoid site became reddened, swollen and indurated, resolved completely

VAERS ID:280039 (history)  Vaccinated:2007-05-14
Age:46.0  Onset:2007-05-14, Days after vaccination: 0
Gender:Female  Submitted:2007-05-23, Days after onset: 9
Location:Texas  Entered:2007-05-30, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Hypertension
Preexisting Conditions: Hypertension
Diagnostic Lab Data:
CDC Split Type: TX07050
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1501F0SCLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site pruritus
SMQs:
Write-up: Upon receiving the injection, cl experienced itching at the site applied ice. Benadryl 25 mg PO monitored vs for 25 minutes.

VAERS ID:280203 (history)  Vaccinated:2007-04-18
Age:46.0  Onset:2007-04-18, Days after vaccination: 0
Gender:Male  Submitted:2007-06-01, Days after onset: 44
Location:Pennsylvania  Entered:2007-06-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Flagyl, Cipro, Morphine, Zofran, lisinopril, metoprolol, phenergan
Current Illness: Sigmoid diverticulitis
Preexisting Conditions: Testicular cancer with lung metastasis, hypertension, GERD, Diabetes, diverticulitis. Allergies to compazine (tongue swelling) and amoxicillin
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.UNKNOWN0IMRA
Administered by: Public     Purchased by: Unknown
Symptoms: Oedema peripheral, Pyrexia
SMQs:, Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Low grade fever; moderate swelling of right arm

VAERS ID:280210 (history)  Vaccinated:2007-04-25
Age:46.0  Onset:2007-04-25, Days after vaccination: 0
Gender:Female  Submitted:2007-06-01, Days after onset: 37
Location:North Carolina  Entered:2007-06-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Pt stated that she had fever, swelling, redness of administration site, also hallucinations, nausea and vomiting~Tetanus Toxoid,
Other Medications:
Current Illness: none per client
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB346BA0IMLA
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB107AA0IMLA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2644AA0IMRA
Administered by: Public     Purchased by: Public
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Nausea, Pyrexia, Skin exfoliation
SMQs:, Severe cutaneous adverse reactions (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: fever of 104degrees,fever lasted 2-3 days but did not remain 104 degrees. Nausea x 2-3 days redness, swelling, peeling of skin, and hardness @ site(right deltoid.

VAERS ID:283719 (history)  Vaccinated:2007-02-08
Age:46.0  Onset:2007-02-18, Days after vaccination: 10
Gender:Female  Submitted:2007-05-30, Days after onset: 100
Location:Massachusetts  Entered:2007-06-04, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Penicillin allergy
Preexisting Conditions:
Diagnostic Lab Data: serum measles Ab - unknown results
CDC Split Type: WAES0703USA02807
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1169F0SCUN
Administered by: Other     Purchased by: Other
Symptoms: Auricular swelling, Local swelling
SMQs:, Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Information has been received from a health professional concerning a 46 year old female with penicillin allergy who on 08-FEB-2007 was vaccinated with MMR. Approximately 10-14 days after vaccination, the patient experienced swelling in her jaw, her left neck and ear. Subsequently, the patient recovered from her experiences. Medical attention was sought. An antibody titer was drawn, but results were not available. Additional information has been requested.

VAERS ID:280878 (history)  Vaccinated:2007-03-31
Age:46.0  Onset:2007-05-20, Days after vaccination: 50
Gender:Male  Submitted:2007-06-07, Days after onset: 18
Location:Oklahoma  Entered:2007-06-07
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None; being treated in ER for a dog bite
Preexisting Conditions: None
Diagnostic Lab Data: Tick diseases ruled out LABS: EMG/NCS was done in office prior to admission & was reported as markedly abnormal. CSF glucose 56, protein 151. Blood WBC 6.1.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)SANOFI PASTEURU1820FA IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Areflexia, Borrelia burgdorferi serology negative, CSF protein increased, Coordination abnormal, Dyspnoea, Electromyogram abnormal, Guillain-Barre syndrome, Hyperaesthesia, Hypoaesthesia, Immunoglobulins, Lumbar puncture, Motor dysfunction, Muscular weakness, Nerve conduction studies abnormal, Paraesthesia, Sensory disturbance, White blood cell count
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Demyelination (narrow)
Write-up: On 5/20/07 patient noted paresthesias in hands and feet, weakness in hands and legs, decreased dexterity. Minimal amount of shortness of breath upon exertion. Some mild skin sensations in weeks before these symptoms, unable to exactly date beginning of those symptoms. Admitted for probable Guillain-Barre syndrome on 06/05/07 and treated with IVIG. 6/8/07 Received partial hospital medical records which reveal patient initially seen in ER on 3/31 for treatment of dog bite on left lower leg received in line of duty (police officer). Received wound care & Td injection. Lot # confirms VAERS report. Patient admitted to hospital 6/4/07 after experienced paresthesias of hands & feet associated w/weakness of legs & decreased dexterity & weakness of hands. Symptoms began abruptly 12 days prior to admission. Neuro exam on admit revealed areflexia throughout. LP done on admission & PICC line placed for IVIG. No D/C summary w/records. Call to med records to request d/c summary. 6/12/07 Received EMG/NCS report from neurologist which reveals very diminished peroneal amplitude & slowed tibial conduction velocity, prolonged motor latency & median sensory latency w/diminished amplitude. F wave latencies prolonged in median & ulnar nerves. Unable to determine clear tibial nerve F wave. Study felt to be c/w GBS. 1/11/2010 Continued weakness and bouts of numbness in hands and feet.

VAERS ID:281542 (history)  Vaccinated:2007-06-04
Age:46.0  Onset:2007-06-04, Days after vaccination: 0
Gender:Female  Submitted:2007-06-12, Days after onset: 8
Location:Indiana  Entered:2007-06-13, Days after submission: 1
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: Chest X-ray, Liver enzymes, CBC, BMP
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2734AA IMLA
Administered by: Military     Purchased by: Other
Symptoms: Asthenia, Body temperature increased, Chest X-ray, Cough, Dizziness, Dyspnoea, Full blood count, Laboratory test, Metabolic function test, Nausea, Pain, Pharyngolaryngeal pain
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad)
Write-up: 6/5/07 - C/O slight nausea. 6/7/07 - C/O cough, sore throat, achy, temp 98.8 refused ER. 6/8/07 - C/O short of breath and weakness. Seen in ER, Chest X-ray and labs - normal. 6/11/07 - C/O nausea, dizzy, weakness, headache, temp over 100. Referred to personal physician.

VAERS ID:281667 (history)  Vaccinated:2007-05-29
Age:46.0  Onset:2007-05-30, Days after vaccination: 1
Gender:Female  Submitted:2007-05-30, Days after onset: 0
Location:Illinois  Entered:2007-06-14, Days after submission: 15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2730AA SC 
Administered by: Public     Purchased by: Unknown
Symptoms: Incorrect route of drug administration
SMQs:
Write-up: Tdap given SQ

VAERS ID:282243 (history)  Vaccinated:2007-06-14
Age:46.0  Onset:2007-06-15, Days after vaccination: 1
Gender:Female  Submitted:2007-06-18, Days after onset: 3
Location:New York  Entered:2007-06-19, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: HCTZ
Current Illness: none
Preexisting Conditions: penicillin
Diagnostic Lab Data: CBCD/ US of Lt upper extremity
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU21550A0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Erythema, Full blood count, Hypokinesia, Pain, Pruritus, Ultrasound scan
SMQs:, Anaphylactic reaction (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad)
Write-up: Vaccinated with Menactra on 6/14/07, 6/15 can''t lift arm due to pain, 6/16 redness/pruritus/pain. 6/18 seen by me, redness/pain decreased.

VAERS ID:282244 (history)  Vaccinated:2007-06-06
Age:46.0  Onset:2007-06-06, Days after vaccination: 0
Gender:Female  Submitted:2007-06-15, Days after onset: 9
Location:Minnesota  Entered:2007-06-19, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Singulair, Nasonex, Tricor, Ortho Novum
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2731AA IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Discomfort, Injected limb mobility decreased, Injection site pain, Injection site reaction, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: Pt called from home received Tdap L deltoid 6/6/07; described that she felt a "zing" when injection given. Pain at injection continues especially at night; pt rated pain a "8" on 1-10 scale. Pt states any ROM intensifies pain. Uses 800 mg Motrin with noc for discomfort. Plans to make appointment with local provider for evaluation; has a prickly sensation in fingers only at NOC when pt awakes her.

VAERS ID:282708 (history)  Vaccinated:2007-06-18
Age:46.0  Onset:2007-06-19, Days after vaccination: 1
Gender:Female  Submitted:2007-06-22, Days after onset: 3
Location:Pennsylvania  Entered:2007-06-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2734AA0IM 
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site swelling, Local reaction
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Local site reaction - swelling

VAERS ID:283112 (history)  Vaccinated:2007-06-25
Age:46.0  Onset:2007-06-26, Days after vaccination: 1
Gender:Female  Submitted:2007-06-28, Days after onset: 2
Location:California  Entered:2007-06-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: Denies
Preexisting Conditions: Denies
Diagnostic Lab Data: Not applicable
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0986F0SCLA
Administered by: Public     Purchased by: Public
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Pyrexia, Skin discolouration
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad)
Write-up: Four days after receiving a TDap in her Left arm, she received an MMR SQ in the outer aspect of her left arm. The next morning her left arm was swollen, throbbing, reddened with blue around the periphery of the reddened area. Stated that she felt feverish but she did not take her temperature. She applied oils to decrease her pain. The client returned to the clinic to have her PPD test read and reported the reaction. At that time the reddened area was approximately six inches covering her outer arm.

VAERS ID:283864 (history)  Vaccinated:2007-06-27
Age:46.0  Onset:0000-00-00
Gender:Female  Submitted:2007-06-29
Location:Georgia  Entered:2007-07-05, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: GA07054
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB367AA0IMRA
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB141AA0IMLA
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURV2058AA0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Incorrect dose administered
SMQs:
Write-up: Patient received a pediatric dose of Hepatitis A vaccine instead of an adult dose.

VAERS ID:284087 (history)  Vaccinated:2007-07-03
Age:46.0  Onset:2007-07-04, Days after vaccination: 1
Gender:Unknown  Submitted:0000-00-00
Location:Georgia  Entered:2007-07-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Pt came in for physical
Preexisting Conditions: Has an allergy to Aspirin
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2632AA3 LA
Administered by: Private     Purchased by: Private
Symptoms: Hypoaesthesia, Influenza like illness, Pain in extremity, Pyrexia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad)
Write-up: On Tuesday 7-3-07 pt came in for a physical - I asked him an 3 different encounters if he wanted a tetanus. The first two times he said no - the 3rd time I informed him he was going to have blood works did he want the shot. He said "OK". I gave him the Tdap vaccine (I tell all pts who came in for a physical if it has been at least 5 yrs since the last tetanus then lets go ahead and update the shot. On Thursday 7-5-07 the pt came in and informed me that he had a reaction to the vaccine. He stated he had a high fever and flu-like symptoms and numbness in his fingers. When asked if he was still experiencing the symptoms he said that his arm was still hurting and he still had some numbness in his fingers. I then gave him the lot# and insert of the Tdap vaccine he was given.

VAERS ID:284240 (history)  Vaccinated:2007-03-28
Age:46.0  Onset:2007-03-29, Days after vaccination: 1
Gender:Male  Submitted:2007-07-10, Days after onset: 103
Location:Virginia  Entered:2007-07-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: n/a
Preexisting Conditions: n/a
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURERFAV1024SCLA
Administered by: Military     Purchased by: Military
Symptoms: Arthralgia, Headache, Pyrexia, Weight decreased
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arthritis (broad)
Write-up: Fever, headache, sore joints, weight loss

VAERS ID:284606 (history)  Vaccinated:2007-05-16
Age:46.0  Onset:2007-05-18, Days after vaccination: 2
Gender:Female  Submitted:2007-07-06, Days after onset: 49
Location:Pennsylvania  Entered:2007-07-13, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2370AA0IM 
Administered by: Public     Purchased by: Private
Symptoms: Axillary mass
SMQs:
Write-up: Left axillary nodes resolved 5/24/07

VAERS ID:284957 (history)  Vaccinated:2007-07-10
Age:46.0  Onset:2007-07-12, Days after vaccination: 2
Gender:Male  Submitted:2007-07-17, Days after onset: 5
Location:Missouri  Entered:2007-07-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: rash~Typhoid Live Oral Ty21a (Vivotif)~3~42~In Patient
Other Medications: Allegra D occassionally
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2759AA0IMLA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURA02210IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Abdominal pain upper, Diarrhoea, Headache, Pain, Rash
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow)
Write-up: Patient reported that approximately 2 days after receiving Typhoid/Typhim-Vi and Tdap/Adacel that he experienced headache, body aches, and a rash on his chest, back, and abdomen, stomach cramps, and an episode of diarrhea, all of which entirely resolved within four days of receiving the injections.

VAERS ID:285145 (history)  Vaccinated:2007-07-10
Age:46.0  Onset:2007-07-13, Days after vaccination: 3
Gender:Female  Submitted:2007-07-16, Days after onset: 3
Location:Illinois  Entered:2007-07-19, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Effexor, Wellbutrin
Current Illness:
Preexisting Conditions: Depression
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (NO BRAND NAME)UNKNOWN MANUFACTURER1278F0IMRA
TDAP: TDAP (ADACEL)SANOFI PASTEURC268AA IMLA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEUR 0IMLA
YF: YELLOW FEVER (YF-VAX)SANOFI PASTEUROFO45AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Pt presented 3 days after vaccines given with sudden onset of LVE erythema and warmth. no fluctuance or edema no tenderness The patch was located on dorsal aspect of distal upper arm measuring approx 4x6 cm triangular shape found site of injection. localized tx if ice prn ibuprofen/Benadryl rec. but pt admits at f/u that she only used ice. All sx resolved 3 days.

VAERS ID:286013 (history)  Vaccinated:2006-07-01
Age:46.0  Onset:2006-07-01, Days after vaccination: 0
Gender:Female  Submitted:2007-04-26, Days after onset: 299
Location:Colorado  Entered:2007-07-19, Days after submission: 84
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: The patient had no illness at the time of the vaccination and no pre-existing medical conditions.
Diagnostic Lab Data:
CDC Split Type: 200700601
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID (NO BRAND NAME)SANOFI PASTEURU1683A IMRA
Administered by: Private     Purchased by: Other
Symptoms: Injection site pain, Muscular weakness, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad)
Write-up: Initial report received from a patient in the USA on 01 March 2007. A female patient (age, date of birth not reported) experienced muscle ache in the arm in which she received an injection of Tetanus Toxoid Absorbed vaccine (lot number U1583AB) in July 2006. She continues to experience the muscle ache. No further information was provided. Follow-up information received on 06 March 2007 from the patient. Tetanus Toxoid Absorbed, lot number U1683AB, was administered intramuscularly in the right arm. Per the reporter, she experienced site soreness with severe muscle aches for four days post-immunization, in July 2006, that was aggravated by flexing her arm. She continues to have muscle aches in the upper and lower right arm. The patient did not receive pain medications for the event. At the time of this report, the patient had not recovered. Follow-up information received on 23 April 2007 from the physician. The event did not require a special visit to the physician''s office but was handled in the context of a patient''s follow-up for a motor vehicle accident. There was no diagnostic testing needed and no treatment was rendered. Her muscle ache was constant for 2 weeks and then was intermittent. The symptoms were confined to the vaccinated arm only. Continuing symptoms include some ongoing weakness with particular movements

VAERS ID:285521 (history)  Vaccinated:2007-06-28
Age:46.0  Onset:2007-06-28, Days after vaccination: 0
Gender:Female  Submitted:2007-07-09, Days after onset: 11
Location:Pennsylvania  Entered:2007-07-23, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2720AA0UNLA
Administered by: Other     Purchased by: Unknown
Symptoms: Dyspnoea, Injected limb mobility decreased, Injection site pain, Injection site swelling, Injection site warmth, Local reaction, Muscle tightness, Musculoskeletal stiffness, Myalgia, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: Tdap, had local reaction, which became worse with swelling and pain, hot to touch, unable to life (L) arm and inability to lift arm freely due to excruciating pain, all muscles in the arm and upper chest became very sore, causing shortness of breath, tightness with some muscle (inflammation and hard/lump. Seen my PCP later, told due to the reaction it caused the muscle to react, reaction lasted

VAERS ID:285609 (history)  Vaccinated:2003-04-17
Age:46.0  Onset:2004-01-01, Days after vaccination: 259
Gender:Male  Submitted:2007-07-23, Days after onset: 1298
Location:Puerto Rico  Entered:2007-07-23
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: PMH: Lateral Epicondylitis.
Diagnostic Lab Data: KNOWN
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV0752UNLA
Administered by: Military     Purchased by: Military
Symptoms: Alopecia, Arthralgia, Arthritis, Depression, Headache, Hyperlipidaemia, Insomnia, Joint swelling, Myalgia, Nervousness, Obsessive-compulsive disorder, Tendonitis
SMQs:, Rhabdomyolysis/myopathy (broad), Dyslipidaemia (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Systemic lupus erythematosus (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (narrow), Lipodystrophy (broad), Arthritis (narrow)
Write-up: ANKLES AND KNEES JOINTS ACHES AND SWOLLEN, MUSCLE PAIN, NERVOUSNESS, HEAD ACHES, DIFFICULTY SLEEPING, HAIR LOSS. 08/06/2007 MR received for multiple OVs between 3/2/2004 and 7/23/2007, including multiple psych evals for Depression and OCD. Primary care visit 9/9/2004 with c/o hip pain, myalgias, arthralgias, and chronic insomnia. PE WNL except (+) joint pain/swelling, myagias, and depression. LE pulses 3+. Assessment: Myalgias, Arthralgias, Hyperlipidemia. Next Primary Care visit for c/o persistant ankle pain with hx of gout w/ normal uric acid values (4.5). Assessment: Tendonitis vs Arthritis. Addendum- Spoke with pt. Language barrier caused misunderstanding of "Life Threatening". Pt. feels condition threatens his life, however there was no event where he was at risk of death.

VAERS ID:285970 (history)  Vaccinated:2006-11-01
Age:46.0  Onset:2006-11-03, Days after vaccination: 2
Gender:Female  Submitted:2007-07-25, Days after onset: 263
Location:Pennsylvania  Entered:2007-07-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec B.C. Pill Ambien
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD30010121PO 
Administered by: Public     Purchased by: Public
Symptoms: Cough, Dyspnoea, Hypersensitivity, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: 9pm hives, general allergy, cough progressing to difficulty breathing. To E.R.-IV Benadryl and steroids. D.C with Prednisone decreasing dose pack.

VAERS ID:286142 (history)  Vaccinated:2000-05-20
Age:46.0  Onset:2000-11-01, Days after vaccination: 165
Gender:Female  Submitted:2007-07-27, Days after onset: 2458
Location:Rhode Island  Entered:2007-07-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Pravastatin sodium; Lorazepam; Atorvastatin calcium
Current Illness: Unknown
Preexisting Conditions: History of "rare" cigarette use in social settings and mild hypertension. in 1997, she received Redux for weight loss. In November 1997, the subject experienced localized swelling in the area of the spine following "hurt back", and was diagnosed with muscle strain with spasm; treatment included Relafen and Norflex. Family history of osteoporosis (mother, taking Fosamax).
Diagnostic Lab Data: Blood pressure 09Mar2002 90/60mmHg; Heart rate 09Mar2002 82/min irreg; Diagnostic results: 02 December 1997: Echocardiogram showed normal left ventricular function without wall motion abnormalities, and trace aortic insufficiency. 27 Octobe
CDC Split Type: A0599577A
Vaccination
Manufacturer
Lot
Dose
Route
Site
LYME: LYME (LYMERIX)GLAXOSMITHKLINE BIOLOGICALS 2IMLA
Administered by: Private     Purchased by: Other
Symptoms: Activities of daily living impaired, Amnesia, Anaemia, Aortic valve incompetence, Arthralgia, Arthropathy, Asthenia, Autoimmune disorder, Barrett's oesophagus, Blood pressure decreased, Bone densitometry, Bone scan normal, Cardiac disorder, Cardiac enzymes normal, Catheterisation cardiac, Chest pain, Coronary arterial stent insertion, Coronary artery disease, Depression, Dizziness, Dyspnoea exertional, Echocardiogram normal, Electrocardiogram normal, Epicondylitis, Fatigue, Gait disturbance, Gastrooesophageal reflux disease, Headache, Heart rate irregular, Hypoaesthesia, Hypokinesia, Hypotension, Influenza like illness, Ischaemia, Mitral valve incompetence, Myalgia, Myocardial infarction, Nerve injury, Osteopenia, Pain, Pain in extremity, Paraesthesia, Scan myocardial perfusion, Scan myocardial perfusion abnormal, Sensation of heaviness, Stent placement, Swelling, Tenosynovitis, Tricuspid valve incompetence, X-ray normal
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (broad), Haematopoietic erythropenia (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Gastrointestinal premalignant disorders (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Parkinson-like events (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Cardiac arrhythmia terms, nonspecific (narrow), Depression (excl suicide and self injury) (narrow), Other ischaemic heart disease (narrow), Vestibular disorders (broad), Osteoporosis/osteopenia (narrow), Hypotonic-hyporesponsive episode (broad), Arthritis (broad)
Write-up: This case was reported by a lawyer and described the occurrence of joint pain in a female subject of unspecified age who was vaccinated with LYMErix for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of LYMErix (unknown). At an unspecified time after vaccination with LYMErix, the subject experienced joint pain, flu-like symptoms, swelling, muscle pain, numbness, shooting pains, headache, weakness, possible nerve injury, possioble autoimmune disease, activities of daily living impaired, heart problems, fatigue and possible memory loss. At the time of reporting the outcome of the events was unspecified. This information was received via a Statement of Injuries. Follow up information was received on 23 July 2007 via medical records. The subject was a 48 year old female who was vaccinated with LYMErix on 25 May 1999, 26 June 1999, and 20 May 2000. In approximately November 2000, the subject developed sudden onset of left knee pain especially when walking. She was evaluated on 07 November 2000, and examination revealed left anterior knee swelling without decreased range of motion. Assessment was of tenosynovitis, and Clinoril was initiated. She continued to experience pain, and Vioxx was prescribed on 20 November 2000. By 28 November 2000, she also began experiencing right knee pain and physical examination showed widened knee joint. Prednisone was initiated for ongoing tenosynovitis. Lyme and rheumatoid titers were negative. She was evaluated by an orthopedist on 12 December 2000, who observed mild varus deformity of both knees resulting in an assessment of early osteoarthritic changes of the knees. Vioxx was continued, and Mobic was prescribed. In approximately September 2001, she experienced numbness and tingling in her left arm, and in October 2001 was evaluated for left arm pain. She was diagnosed with paresthesias. In November 2001, she experienced an anterior myocardial infarction and underwent a cardiac cathe

VAERS ID:286201 (history)  Vaccinated:2007-07-18
Age:46.0  Onset:2007-07-18, Days after vaccination: 0
Gender:Female  Submitted:2007-07-23, Days after onset: 5
Location:Washington  Entered:2007-07-30, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Pt was in for general PE
Preexisting Conditions: Hx: Malign neopl breast NOS
Diagnostic Lab Data: MRSA screen
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2758AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Breast cancer female, Injection site erythema, Injection site pain, Injection site swelling, Methicillin-resistant Staphylococcus aureus test
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Malignant tumours (narrow), Breast malignant tumours (narrow)
Write-up: Patient was c/o redness, pain and swelling on left arm where Tdap injection was given. Patient was seen in ER and was given Keflex 1gm PO and was d/c with Keflex to take at home for 8 more days.

VAERS ID:286230 (history)  Vaccinated:2007-07-27
Age:46.0  Onset:2007-07-27, Days after vaccination: 0
Gender:Female  Submitted:2007-07-30, Days after onset: 3
Location:Ohio  Entered:2007-07-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2769AA0IMUN
Administered by: Private     Purchased by: Private
Symptoms: Headache, Injection site pain, Pyrexia, Stomach discomfort
SMQs:, 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)
Write-up: Patient complained of intense pain to site, fever, upset stomache and headace.

VAERS ID:286832 (history)  Vaccinated:2006-10-09
Age:46.0  Onset:2006-10-09, Days after vaccination: 0
Gender:Male  Submitted:2007-07-30, Days after onset: 294
Location:California  Entered:2007-08-02, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: [therapy unspecified]; albuterol; PULMICORT; calcium (unspecified); INTAL; ACCOLATE
Current Illness: Asthma; Rhinitis allergic; Drug hypersensitivity
Preexisting Conditions: Pneumonia
Diagnostic Lab Data: body temp 10/09/06 38 deg C
CDC Split Type: WAES0610USA10697
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2168BA IMUN
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0619F0IMUN
Administered by: Private     Purchased by: Other
Symptoms: Body temperature increased, Erythema, Local reaction, Pain in extremity, Pyrexia, Sleep disorder, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Information has been received from a registered nurse concerning a 47 year old male respiratory therapist with asthma, allergic rhinitis and allergies to AVELOX, SEPTRA, LEVAQUIN and a history of pneumonia multiple times, who on 09-OCT-2006 was vaccinated IM into the right deltoid with a first 0.5 ml dose of Pneumovax 23 (lot# 651401/0619F). Concomitant therapy included a dose of influenaz virus vaccine (unspecified) (batch# U2168A) into the left arm, ACCOLATE, ("UNIDUR"), INTAL, albuterol, PULMICORT, and calcium (unspecified). That night he had so much pain in his arm that he could not sleep on it. This was followed by a fever, intermittently to 38 degrees C, redness, and swelling. He began to feel a little bit better in the last 24 hours with no fever since 09-OCT-2006. On 13-OCT-2006, the patient woke up the erythema in the arm was descending down th biceps area toward the elbow. The patient was diagnosed with a severe systemic and local reaction. The patient was advised to continue to use an antihistamine and TYLENOL. The physician also gave the patient a prescription for KEFLEX 500 mg to use only if the patient developed shaking chills or a fever. If he did the patient would take one tablet 4 times day for 7 days and call the physician. At the time of this report, the patient had not recovered. No product quality complaint was involved. The nurse requested a lot check since she has never seen a reaction occur with the vaccine. The records of testing prior to release of the lot in question have been rechecked and found to be satisfactory. The lot met the requirements of the standards of the Center for Biologics Evaluation and Research and was released. Additional information is not expected.

VAERS ID:287754 (history)  Vaccinated:2006-10-19
Age:46.0  Onset:2006-10-20, Days after vaccination: 1
Gender:Female  Submitted:2007-07-30, Days after onset: 283
Location:Kentucky  Entered:2007-08-02, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: STAHIST, NEXIUM, ADVAIR. ROBINUL, PRINVIL, PAXIL
Current Illness: Drug hypersensitivity; Arthritis; Environmental allergy
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0706USA00072
Vaccination
Manufacturer
Lot
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Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1004P SCLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site nodule, Injection site pain, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Information has been received from a physician assistant and a certified medical assistant (CMA), concerning a 46 year old female patient with drug hypersensitivities to hydrocodone (Lortab), Percocet and minocycline (manufacturer unspecified), arthritis and environmental allergies, who on 19-OCT-2006 was vaccinated SW in the left arm with a dose of Pneumovax 23. Concomitant therapy included Advair, lisinopril (MSD), Nasonex, Nexium, Paxil, Robinul and Stahist. The day following the vaccination, 20-OCT-2006, the patient developed pain, redness, swelling, and warmth at the injection site; the patient also reported "not feeling quite right." The CMA added that "a few weeks ago," patient was treated with a 10-day course of Keflex. On 31-May-2007, the patient visited the physician''s assistant, who identified a hard nodule of <1cm at the injection site; it was noted that lymphadenopathy was not present. At the time of this report, the patient''s symptoms had not resolved. A follow up visit was planned for 3 weeks. The CMA considered one or more of the events to be significantly disabling/incapacitating. Additional information has been requested.

VAERS ID:286750 (history)  Vaccinated:1999-02-18
Age:46.0  Onset:1999-02-19, Days after vaccination: 1
Gender:Female  Submitted:2007-08-03, Days after onset: 3086
Location:New York  Entered:2007-08-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: multi vitamin
Current Illness: none--in good health.
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALS1440 UNLA
Administered by: Private     Purchased by: Unknown
Symptoms: Vaginal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)
Write-up: received one dose of Hepatitis A Harvix 1440 on 2/16/1999. Experienced heavy vaginal bleeding for 5 days afterward. I telephoned the office to report this experience. I also told my attending Physician as I cointinued to have bleeding problems for the years afterward to date requiring several D&C''s and a surgery.

VAERS ID:287773 (history)  Vaccinated:2006-11-17
Age:46.0  Onset:2006-11-17, Days after vaccination: 0
Gender:Female  Submitted:2007-08-10, Days after onset: 265
Location:Unknown  Entered:2007-08-10
Life Threatening? No
Died? No
Permanent Disability? Yes
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: MA20070767
Vaccination
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Lot
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS70740 IMLA
Administered by: Other     Purchased by: Other
Symptoms: Injected limb mobility decreased, Injection site pain, Injection site reaction
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: We received via Vaccine Information Service in the USA the following information on 30 JUL 2007: A 46-year-old woman, born on 13 NOV 1960, was vaccinated with Fluvirin, batch-no 70740, into the left arm on 17 NOV 2006. Since then, she has experienced severe pain at the injection site, and limited range of motion in her left arm. This has subsided somewhat over time, yet she does still experience pain upon extension of her arm. There is nothing visible at the injection site and the patient feels that the muscle in that area has been affected. Company assessment: Seriousness criterion: permanent disability. Causality: Insufficient data. Expectedness assessment according to SPC: The reported symptoms, except for pain at injection site, are not expected after vaccination with Fluvirin (due to the long duration). No change in benefit-risk-ratio. No measures necessary.

VAERS ID:288200 (history)  Vaccinated:2007-08-13
Age:46.0  Onset:2007-08-13, Days after vaccination: 0
Gender:Male  Submitted:2007-08-15, Days after onset: 2
Location:D.C.  Entered:2007-08-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: generic acetaminophen
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURZ09600IDLA
Administered by: Public     Purchased by: Other
Symptoms: Body temperature increased, Malaise, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: "The night of 8-13-07, I felt sick. I had a low-grad fever and took Tylenol and bed rest, I had the same thing yesterday and went home. I had a temperature of 103.7 last night. I took Tylenol and ibuprofen and used ice. I called my Dr. and he said to go to the E/R or wait a couple of hours to see if I felt better. I did, to I didn''t go.

VAERS ID:288424 (history)  Vaccinated:2007-08-05
Age:46.0  Onset:2007-08-14, Days after vaccination: 9
Gender:Male  Submitted:2007-08-18, Days after onset: 4
Location:California  Entered:2007-08-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: HEALTHY, PT PRE-SCREENED BY FLIGHT PHYSICIAN
Preexisting Conditions: NONE
Diagnostic Lab Data: PT SAW PHYSICIAN, AND WILL BRING IN DOCUMENTATION ON NEXT DUTY DAY.
CDC Split Type:
Vaccination
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SMALL: SMALLPOX (NO BRAND NAME)UNKNOWN MANUFACTURER40200760OTLA
Administered by: Military     Purchased by: Military
Symptoms: Injection site erythema, Injection site pain, Injection site streaking, Malaise, Pain in extremity, Pyrexia, Skin striae
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: PT PHONED SQUADRON ON 08/14/2007, AND AT THAT TIME SPOKE TO SELF. PATIENT AT THAT TIME EXPLAINED ALL SIGNS/SYMPTOMS HE WAS HAVING AT THAT TIME. PT RECIEVED SMALL POX VACCINATION ON 05 AUGUST 2007. ALL PROPER PRE-SCREENING WAS COMPLETED BEFORE VACCINATION, MEMBER QUALIFIED FOR ADMINISTRATION OF VACCINE, AND WAS VACCINATED PER PROTOCOL BEFORE HIS SHCEDULED DEPLOYMENT TO A CLASSIFIED AREA. PT RECEIVED THE VACCINATION IN UPPER LEFT ARM, WITH 2.5 MCL OF SMALLPOX INOCULATION/3 JABS. PT PHONED (SELF) AND EXPLAINED HE WAS HAVING A SLIGHT FEVER (101-102), MALAISE, REDNESS AT SIGHT, MULITPLE RED LINES TRAVELING DOWN HIS LEFT EXTREMITY, AND SEVERE PAIN FROM THE INJECTION SITE ALL THE WAY DOWN TO HIS HANDS. PATIENT HAD A SCHEDULED APPOINTMENT WITH HIS PHYSICIAN IN 2 HOURS WITHIN HIM TALKING TO ME. PT SAW HIS PHYSICIAN, RECEIVED ANTIBIOTICS, AND A CONSULTATION. PT THEN PHONED BACK AT THE CLINIC (SELF), AND REPORTED WHAT THE DOCTOR HAD ORDERED. MEMBER IS NOT ABLE TO COME IN AND SEE OUR FLIGHT SURGEON, SO I INSTRUCTED HIM ON MEDICATION COMPLIANCE, SIGNS/SYMTOMS TO REPORT, AND ANY OTHER CONCERNS TO GO STRAIGHT TO THE EMERGENCY DEPARTMENT. PT UNDERSTOOD, AND WILL BE SEING IN SEPTEMBER RED FLIGHT (SEPTEMBER 14/15). DOCUMENTATION IN THE MEDICAL RECORD HAS BEEN DATED AND RECORDED AWARE OF PATIENTS CONDITION, CHEIF NURSING OFFICER ALSO NOTIFIED.

VAERS ID:288780 (history)  Vaccinated:2007-07-30
Age:46.0  Onset:2007-08-02, Days after vaccination: 3
Gender:Female  Submitted:2007-08-17, Days after onset: 15
Location:Florida  Entered:2007-08-23, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
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TDAP: TDAP (ADACEL)SANOFI PASTEURC2610AA0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Lymphadenopathy
SMQs:
Write-up: 3 days after injection (Tdap), noticed swollen lymph nodes right side of neck, axilla and clavicle. No fever. Took ibuprofen. Swellings have subsided as of 8/15/07.

VAERS ID:290309 (history)  Vaccinated:2007-09-07
Age:46.0  Onset:2007-09-07, Days after vaccination: 0
Gender:Female  Submitted:2007-09-11, Days after onset: 4
Location:Minnesota  Entered:2007-09-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid 01 by mouth once daily Monday-Sat. Synthroid 0.125mg one-half tablet by mouth every other Sunday. Axert 12.5mg by mouth unknown frequency as needed. Naproxen Sodium 550mg by mouth unknown frequency as needed. Zyrtec 10 mg by mo
Current Illness: none
Preexisting Conditions: Eczema/Psoriasis Migraine headache Hepatitis A, age 13. Hyperthyroidism, treated 1998 with radioactive therapy, now on replacement. GERD, resolved. Hernia surgery after pregnancy, 2004 surgically repaired. Blood transfusion - No, Traveled or lived outside US C-section, 1989, stillborn trisomy 18. History of feet fractures in the past Seasonal allergies
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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TD: TD ADSORBED (NO BRAND NAME)UNKNOWN MANUFACTURERAVENTIS U1944DA0IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Swelling, redness, and pain at the site in injection. Low grade fevers up to 101.6 F. Treated with oral prednisone and Zyrtec.

VAERS ID:291333 (history)  Vaccinated:2007-09-20
Age:46.0  Onset:2007-09-20, Days after vaccination: 0
Gender:Female  Submitted:2007-09-25, Days after onset: 5
Location:Michigan  Entered:2007-09-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: zasmin, flonase
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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TD: TETANUS DIPHTHERIA (NO BRAND NAME)UNKNOWN MANUFACTURERUNKNOWN UNLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Headache, Injection site erythema, Injection site pain, Injection site swelling, Pain, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Arthritis (broad)
Write-up: Redness, Swelling,tenderness in area of shot, Severe joint pain, headache, body aches for 3 days after injection. No treatment required. Shot administered Thursday September 20th as of today slight itching and some redness, soreness at injection site.

VAERS ID:291377 (history)  Vaccinated:2007-09-10
Age:46.0  Onset:2007-09-10, Days after vaccination: 0
Gender:Male  Submitted:2007-09-25, Days after onset: 15
Location:Rhode Island  Entered:2007-09-26, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Panniculitis
Preexisting Conditions:
Diagnostic Lab Data: WBC count, blood chemistry
CDC Split Type: WAES0709USA02751
Vaccination
Manufacturer
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VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  SCUN
Administered by: Other     Purchased by: Other
Symptoms: Abdominal pain, Autoimmune disorder, Condition aggravated, Laboratory test, Panniculitis, White blood cell count
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad)
Write-up: Information has been received from a physician concerning a 46-year-old male with omental panniculitis, and no allergies, who on 10-SEP-2007 was vaccinated with a subcutaneous 0.5 milliter dose in the right arm of Varivax. Concomitant therapy included hyoscyamineSO4 (LEVBID) and prednisone, 10 milligrams daily for his omental panniculitis. On 10-SEP-2007, the patient experienced pain in the abdomen, which is a symptom of his autoimmune disease (omental panniculitis). The patient was experiencing rectal symptoms (unspecified) on the day of vaccination. The patient was seen in the doctor''s office on 14-Sep-2007 and 17-Sep-2007. On 14-Sep-2007, prednisone dosage was increased to 30 milligrams daily. On an unspecified date, the patient was hospitalized for symptoms of his disease. Laboratory and diagnostic tests performed included white blood cell count and a chemistry panel. The reporter felt that worsening of omental panniculitis was not related to therapy with Varivax. The outcome is reported as not recovered. No product quality complaint was involved. The reporter considered omental panniculitis disabling. Additional information has been requested.

VAERS ID:295984 (history)  Vaccinated:0000-00-00
Age:46.0  Onset:2007-06-29
Gender:Female  Submitted:2007-09-24, Days after onset: 87
Location:Unknown  Entered:2007-09-27, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: CELEXA; nonsteroidal anti-inflammatory; trazodone hydrochloride
Current Illness: Depression; Tendonitis
Preexisting Conditions: Herpes zoster
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0707USA00356
Vaccination
Manufacturer
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VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Accidental exposure, Rash erythematous, Rash papular, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a 46 year old female registered nurse with no known allergies, depression and tendonitis and a history of herpes zoster who administered Zostavax (Oka/Merck) to multiple patients on 19-JUN-2007, 21-JUN-2007, 26-JUN-2007, and 28-JUN-2007. Concomitant therapy included trazodone HCl, CELEXA and nonsteroidal anti-inflammatory drug (unspecified). The nurse reported that on 29-JUN-2007, she developed a widespread red, raised, itchy rash. The physician prescribed oral prednisone and BENADRYL. On 02-JUL-2007, the nurse was examined at a local emergency room complaining of intense itching and was prescribed ATARAX. The patient''s widespread red raised rash and itchy rash persisted. Additional information has been requested.

VAERS ID:291916 (history)  Vaccinated:2007-09-11
Age:46.0  Onset:2007-09-23, Days after vaccination: 12
Gender:Male  Submitted:2007-09-26, Days after onset: 3
Location:California  Entered:2007-10-02, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
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MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0094F0SCLA
Administered by: Other     Purchased by: Other
Symptoms: Fatigue, Lymphadenopathy, Myalgia, Pyrexia, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: 12 days post vaccination developed fever, truncal rash, axillary lymphadenopathy, posterior cervical lymphadenopathy fatigue muscle pain.

VAERS ID:292551 (history)  Vaccinated:2007-09-10
Age:46.0  Onset:0000-00-00
Gender:Male  Submitted:2007-10-01
Location:Texas  Entered:2007-10-09, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
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DTAP: DTAP (DAPTACEL)SANOFI PASTEURC2607AA0UNLA
Administered by: Public     Purchased by: Public
Symptoms: Wrong drug administered
SMQs:
Write-up: Individual received single dose of DTaP instead of Tdap.

VAERS ID:292959 (history)  Vaccinated:2007-10-13
Age:46.0  Onset:2007-10-13, Days after vaccination: 0
Gender:Female  Submitted:2007-10-13, Days after onset: 0
Location:New York  Entered:2007-10-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Benicar/HCTZ
Current Illness: None
Preexisting Conditions: allergies: Iodine, provera, premarin, amoxicillin Medical History: pituitary tumor, migraines, HTN, GERD
Diagnostic Lab Data:
CDC Split Type:
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2446AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Oxygen supplementation, Pharyngeal oedema
SMQs:, Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Acute central respiratory depression (broad), Hypersensitivity (narrow)
Write-up: 5-10 minutes after receiving influenza (Fluzone) vaccine, pt c/o throat swelling. Epi and Benadry administered. O2 administered. Transferred to ED.

VAERS ID:292966 (history)  Vaccinated:2007-10-02
Age:46.0  Onset:2007-10-02, Days after vaccination: 0
Gender:Female  Submitted:2007-10-14, Days after onset: 12
Location:Massachusetts  Entered:2007-10-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ambien during week prior to vaccination (but not on day of vaccination)
Current Illness: Had been recovering from several concussions sustained during 4 months prior to vaccination, no headaches at the time of vaccina
Preexisting Conditions: cleft lip and palate
Diagnostic Lab Data:
CDC Split Type:
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RUB: RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dizziness, Headache, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: Severe stabbing headaches night of vaccination, sense of brain trauma. Repeated headaches one week late, on 10/10/07, and on subsequent days through today (10/13)/07, with additional symptoms of light-headedness and nausea

VAERS ID:298604 (history)  Vaccinated:2007-09-13
Age:46.0  Onset:2007-09-13, Days after vaccination: 0
Gender:Female  Submitted:2007-10-12, Days after onset: 29
Location:Pennsylvania  Entered:2007-10-15, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Oedema peripheral; Acne
Preexisting Conditions: Papilloma viral infection
Diagnostic Lab Data: diagnostic laboratory, HPV positive
CDC Split Type: WAES0709USA03822
Vaccination
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HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMRA
Administered by: Other     Purchased by: Other
Symptoms: Human papilloma virus test positive, Inappropriate schedule of drug administration, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Information has been received from a pharmacy student concerning a 46 year old (also reported as greater than 26 years of age although exact age unspecified) female physician with oedema peripheral and acne and who was HPV positive prior to vaccination who on 13-SEP-2007 was vaccinated intramuscularly in the right arm with a 0.5 mL first dose of Gardasil. Concomitant therapy included ALDACTONE TABLETS and doxycycline. On 20-SEP-2007 the patient developed large generalized welts on the body. The patient took diphenhydramine 12.5 mg 3 to 4 times for the reaction and stated that the "rash" was less severe as of "14-SEP-2007." It was noted that the patient took the Gardasil at the recommendation of the patient''s gynecologist. At the time of this report, the patient was recovering. No product quality complaint was involved. Additional information has been requested. Additional information is not expected.

VAERS ID:293314 (history)  Vaccinated:2007-10-10
Age:46.0  Onset:2007-10-10, Days after vaccination: 0
Gender:Female  Submitted:2007-10-11, Days after onset: 1
Location:Minnesota  Entered:2007-10-16, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PREMARIN, MINOCYCLINE
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS79241 UNLA
Administered by: Public     Purchased by: Other
Symptoms: Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Received Influenza vaccine at approximately 7:30am on 10/10/07. At approximately 11:00am EHS received call that employee c/o itching all over especially hands and feet. Given Benadryl 25mg which did help. Later that evening took another 50mg of Benadryl. On 10/11/07 report symptoms resolved.

VAERS ID:293436 (history)  Vaccinated:2007-10-04
Age:46.0  Onset:2007-10-04, Days after vaccination: 0
Gender:Female  Submitted:2007-10-05, Days after onset: 1
Location:California  Entered:2007-10-17, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC Split Type:
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2438AA SCUN
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.O0834 SCUN
Administered by: Other     Purchased by: Private
Symptoms: Cold compress therapy, Erythema, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Redness, swelling, near injection site. Tx: cold compress and Ibuprofen.

VAERS ID:294110 (history)  Vaccinated:2007-10-08
Age:46.0  Onset:2007-10-08, Days after vaccination: 0
Gender:Male  Submitted:2007-10-18, Days after onset: 10
Location:Ohio  Entered:2007-10-23, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamins and Green Tea
Current Illness: Little cold
Preexisting Conditions: Hayfever
Diagnostic Lab Data:
CDC Split Type:
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Other     Purchased by: Private
Symptoms: Asthenia, Disorientation, Dizziness, Tinnitus
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hearing impairment (narrow), Vestibular disorders (broad)
Write-up: Extreme dizziness, weakness, disorientation, ringing in ears - for 3 days - no treatment.

VAERS ID:294587 (history)  Vaccinated:2007-10-16
Age:46.0  Onset:2007-10-16, Days after vaccination: 0
Gender:Female  Submitted:2007-10-26, Days after onset: 10
Location:Washington  Entered:2007-10-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: iv STARTED IN ER GIVEN MEDS AND OBSERVED FOR 4 HOURS .
CDC Split Type:
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FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA063AA0IMLA
Administered by: Military     Purchased by: Military
Symptoms: Flushing, Paraesthesia, Pruritus
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypersensitivity (broad)
Write-up: Tingling sensations hands,palms.,Flush face, itching neck area

VAERS ID:294596 (history)  Vaccinated:2007-10-25
Age:46.0  Onset:2007-10-26, Days after vaccination: 1
Gender:Female  Submitted:2007-10-27, Days after onset: 1
Location:Maryland  Entered:2007-10-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURERUNKNOWN0IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Local swelling
SMQs:, Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: significant swelling on right side of neck - from gland up to ear. Have not yet seeked trt.

VAERS ID:294671 (history)  Vaccinated:2007-10-23
Age:46.0  Onset:2007-10-23, Days after vaccination: 0
Gender:Male  Submitted:2007-10-29, Days after onset: 6
Location:Texas  Entered:2007-10-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~Influenza (Fluzone)~~0~In Patient
Other Medications: UNKnown
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2494AA IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Patient went to his HR department and showed his arm area were shot was given. He described it as red, swollen, warm to touch. I myself did not see it.

VAERS ID:294728 (history)  Vaccinated:2007-10-19
Age:46.0  Onset:2007-10-19, Days after vaccination: 0
Gender:Female  Submitted:2007-10-22, Days after onset: 3
Location:Wisconsin  Entered:2007-10-29, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
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TDAP: TDAP (ADACEL)SANOFI PASTEURC2771AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Fatigue, Injection site pain, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: Fatigue, low grade fever, body aches, pain at injection site.

VAERS ID:294806 (history)  Vaccinated:2007-10-23
Age:46.0  Onset:2007-10-24, Days after vaccination: 1
Gender:Female  Submitted:2007-10-30, Days after onset: 6
Location:Texas  Entered:2007-10-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: tylenol for fever
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
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MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.080800SCRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1043F0SCLA
Administered by: Public     Purchased by: Private
Symptoms: Erythema, Injection site erythema, Pain, Palpitations, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Extravasation events (injections, infusions and implants) (broad), Cardiomyopathy (broad), Hypersensitivity (broad)
Write-up: 10/23/07, VARICELLA VACCINE GIVEN LEFT UPPER ARM SUBCUTANEOUS. ON 10-24-07 P.M. DEVELOPED REDNESS AT INJECTION SITE,FEVER 103.AND PAIN WITH PALPITATION. EVALUATED BY ER M.D. ON 10-24-07 P.M. AND GIVEN PRESCRIPTION FOR DOXYCYCLINE AND BACTROBAN. RE-EVALUATED BY ER MD ON 10-27-07 WITH INCREASE PAIN,ONE INCH INDURATION WITH SURROUNDING ERYTHEMA,IMPROVING RASH, AND FEVER 99.1. MEDICATION CHANGE TO CLINDAMYCIN AND RECOMMENDED FOLLOW UP WITH MEDICAL PROVIDER IN 2-3 DAYS. 10-29-07 fever absent $g 24hrs. without medication. Return to full work duties on 10/29/07. sign and symptoms resolving, to return only if do not completely resolve.

VAERS ID:295151 (history)  Vaccinated:2007-10-18
Age:46.0  Onset:2007-10-19, Days after vaccination: 1
Gender:Female  Submitted:2007-10-22, Days after onset: 3
Location:North Carolina  Entered:2007-10-31, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Viral URI
Preexisting Conditions: Robitussin, Ilosone
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0555U0IMRA
Administered by: Military     Purchased by: Unknown
Symptoms: Arthralgia, Erythema, Injection site erythema, Injection site swelling, Joint swelling, Oedema peripheral
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), Arthritis (broad)
Write-up: Local redness/swelling, R elbow pain/redness/swelling, R fingers swelling in DIP''S, red rash on hand, axillary adenopathy.

VAERS ID:295251 (history)  Vaccinated:2007-10-31
Age:46.0  Onset:2007-10-31, Days after vaccination: 0
Gender:Female  Submitted:2007-11-01, Days after onset: 1
Location:Texas  Entered:2007-11-01
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: insomnia
Diagnostic Lab Data:
CDC Split Type:
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2489AA15IMLA
Administered by: Private     Purchased by: Private
Symptoms: Anaphylactic reaction, Swelling face, Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow)
Write-up: anaphylaxis-swollen face, "throat tight" Given Epinephrine by EMS. Seen in ED D/C home on Medrol dose pack.

VAERS ID:295432 (history)  Vaccinated:1991-02-22
Age:46.0  Onset:1996-06-01, Days after vaccination: 1926
Gender:Male  Submitted:0000-00-00
Location:Puerto Rico  Entered:2007-11-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
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ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURER 0UNUN
Administered by: Other     Purchased by: Military
Symptoms: Arthralgia, Myalgia, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Rashes on skin, muscle pain, joint pain, neurological signs

VAERS ID:295538 (history)  Vaccinated:2007-10-24
Age:46.0  Onset:2007-10-24, Days after vaccination: 0
Gender:Female  Submitted:2007-11-05, Days after onset: 12
Location:Illinois  Entered:2007-11-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NA
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:
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FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA031AA0IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Asthenia, Heart rate irregular, Malaise
SMQs:, Guillain-Barre syndrome (broad), Cardiac arrhythmia terms, nonspecific (narrow)
Write-up: Pt. Described a bounding irregular heartbeat, weakness, general malaise, no nausea, no dizziness, no respitory distress approx 1 hour post flu shot. Reported to medical department at work. Rested for approx. one half hour with no improvement. EMS called and transported Pt. to hospital. ER Dr. diagnosed as a "physiological reaction" to the flu shot. Did not DX. an allergic reaction. Sent home from ER With Rx for tylenol prn. Described feeling fully recovered in 48 hours. Has had flu shots in the past without incident. Spoke with Pt. on 11/5 sx''s fully resolved no residual effects.

VAERS ID:295547 (history)  Vaccinated:2007-10-01
Age:46.0  Onset:2007-10-02, Days after vaccination: 1
Gender:Female  Submitted:2007-10-10, Days after onset: 8
Location:Missouri  Entered:2007-11-05, Days after submission: 26
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:
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HIBV: HIB (PEDVAXHIB)MERCK & CO. INC.1013F0UNRA
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU2331AA0UNLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0698U0UNLL
Administered by: Unknown     Purchased by: Private
Symptoms: Burning sensation, Erythema, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Hypersensitivity (broad)
Write-up: 10-2-07 Left thigh achy, burning, no redness, no swelling, not warm to touch. Nurse suggested Tylenol, Physician orders Try Advil or Motrin. Sometimes mild heating pad is comfortable. Just needs few days. 10-2-07 called on call Doctor. Reported swelling better. Physician order Tylenol as directed on bottle call office tomorrow. 12:30 10-3-07 Patient called c/o lot of pain over her shot. Leg no better. This 46 year old female presented because she has been concerned about some redness of her leg. She had a shot on Monday. She had a pneumonia vaccine in her thigh. She has not had any fever or chills, but it has been quite sore. She has been putting very hot packs on it and leaving it on for a long time. She is concerned because it is still so sore. She has been taking some Tylenol. She cannot take anti-inflammatories because it bothers her stomach.

VAERS ID:295552 (history)  Vaccinated:2007-10-22
Age:46.0  Onset:2007-10-23, Days after vaccination: 1
Gender:Female  Submitted:2007-10-25, Days after onset: 2
Location:Minnesota  Entered:2007-11-05, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
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TDAP: TDAP (ADACEL)SANOFI PASTEURC2759AA0IMLA
Administered by: Public     Purchased by: Other
Symptoms: Body temperature increased, Chills, Pain
SMQs:, Neuroleptic malignant syndrome (broad)
Write-up: Elevated temp with chills and body ache took Tylenol and Motrin

VAERS ID:295585 (history)  Vaccinated:2007-10-26
Age:46.0  Onset:2007-10-26, Days after vaccination: 0
Gender:Female  Submitted:2007-10-29, Days after onset: 3
Location:Ohio  Entered:2007-11-05, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Celexa
Current Illness: No
Preexisting Conditions: Allergic to Demeral
Diagnostic Lab Data:
CDC Split Type:
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS79241 IMRA
Administered by: Public     Purchased by: Private
Symptoms: Paraesthesia oral, Skin warm
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad)
Write-up: Lips, tingling, hot - lasting about 24 hours.

VAERS ID:296105 (history)  Vaccinated:2007-10-05
Age:46.0  Onset:2007-10-05, Days after vaccination: 0
Gender:Female  Submitted:2007-11-08, Days after onset: 34
Location:Missouri  Entered:2007-11-08
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:
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
PPV: PNEUMO (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chills, Contusion, Ear pain, Headache, Pain, Pain in extremity, Pyrexia, Tenderness
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Accidents and injuries (narrow)
Write-up: Bruising, aches, fever, chills, severe headache, arm sore and tender (top and bottom - tender to put on deodorant), pain shooting from shoulder to left ear

VAERS ID:296384 (history)  Vaccinated:2007-10-08
Age:46.0  Onset:2007-10-09, Days after vaccination: 1
Gender:Female  Submitted:2007-11-12, Days after onset: 34
Location:Mississippi  Entered:2007-11-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: clarinex
Current Illness: laryngitist/larynx problems and loss of large toe nails. *** no fever,soreness in throat,or drainage.
Preexisting Conditions: allergic to penicillin,many substitutions to penicillin''s erithomyns,sulhur med''s,neosporin oinments,some latex products.
Diagnostic Lab Data:
CDC Split Type:
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURERAF11A042AA0UNRA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Blood pressure decreased, Diarrhoea, Dizziness, Hyperhidrosis, Nausea, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Noninfectious diarrhoea (narrow)
Write-up: profusley sweating,blood presure dropped,faint-dizzy,nausea,diarrhea,weakness.

VAERS ID:296435 (history)  Vaccinated:2007-11-05
Age:46.0  Onset:2007-11-05, Days after vaccination: 0
Gender:Female  Submitted:2007-11-12, Days after onset: 7
Location:Missouri  Entered:2007-11-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR02488AA0IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0963U0IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Injection site pain, Injection site swelling, Malaise, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Soreness and swelling at injection sight ran low grade fever and general feeling of illness

VAERS ID:296444 (history)  Vaccinated:2007-11-07
Age:46.0  Onset:2007-11-07, Days after vaccination: 0
Gender:Male  Submitted:2007-11-12, Days after onset: 5
Location:Michigan  Entered:2007-11-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: bronchitis
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
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PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0888F1IMLA
Administered by: Private     Purchased by: Private
Symptoms: Cellulitis, Erythema, Pain, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: redness, swelling, pain, from shoulder to elbow. began the evening of injection and worsened over next 2 days. treated with levaquin for cellulitis.

VAERS ID:299436 (history)  Vaccinated:2006-10-09
Age:46.0  Onset:2006-10-09, Days after vaccination: 0
Gender:Female  Submitted:2007-01-24, Days after onset: 107
Location:Arizona  Entered:2007-11-14, Days after submission: 294
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: 200603438
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2165DA1IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site pain, Pain in extremity, Sleep disorder
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Initial report received from a nurse on 07 December 2006. A 66 year old, female patient experienced a sore arm, nodule at the injection site and began flu-like signs and symptoms (non-specific) on the evening after she received an injection of Fluzone (lot number U2165DA, route not reported) in the left deltoid on 09 October 2006. She had 1 previous dose of Fluzone in the past and she did not have any illness at the time of vaccination. At the time of the report, she had pain and nodule at the injection site was still persisting; she was unable to sleep on her left arm. She was not recovered. Follow-up information received on 22 January 2007 from a health care professional. The patient was 46-years-old (not 66 as documented in the above narrative). Fluzone No Preservative 2006-2007 had been administered intramuscularly in the left deltoid. The patient had experienced pain at the injection site and entire arm which is worse in the morning and at the end of the day. The patient never had a nodule at the site or flu-like symptoms. She had physical therapy four times "since this report" and has experienced a little relief with "iontophoresis and Advil." At the time of this report. the patient continued to have intermittent pain.

VAERS ID:299509 (history)  Vaccinated:2006-11-07
Age:46.0  Onset:2006-11-08, Days after vaccination: 1
Gender:Female  Submitted:2006-12-20, Days after onset: 42
Location:California  Entered:2007-11-14, Days after submission: 329
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ALDACTONE, CARDIZEM DS, HYDROCHLOROTHIAZIDE, LISINOPRIL, LASIX, REGLAN, COREG, CLARITIN, METFORMIN, SINGULAIR, LAMISIL, NEXIUM, DIOVAN, COLACE, ASTELIN NASAL SPRAY, DURAMACE SMOOTH OIL HYDROCORTISONE CREAM .25%, ASMANEX INHALER, ZOPANEX HS
Current Illness:
Preexisting Conditions: Allergies: Keflex, Ceclor, Septra, vancomycin, Latex tape, milk products. Medical conditions: Asthma, Diabetes, Cardiomyopathy, Hypertension. Follow-up information received on 15 December 2006. The patient did not have any illness at the time of vaccination.
Diagnostic Lab Data:
CDC Split Type: 200603016
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2251AA IMRA
Administered by: Private     Purchased by: Unknown
Symptoms: Blister, Pyrexia, Skin lesion, Upper respiratory tract infection
SMQs:, Severe cutaneous adverse reactions (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (broad)
Write-up: Initial report received from a health care professional on 09 November 2006. A 46 year old, female patient developed "blister-like lesions), 24 hours after she received Fluzone (lot number U2251AA) intramuscularly in the right deltoid on 07 November 2006. The "blister-like lesions" appeared on the opposite forearm, upper arm and trunk. At the time of the report, it was unknown if the patient recovered. Follow-up information received on 15 December 2006. The patient did not have any illness at the time of vaccination. The patient stated the lesions resolved approximately 2 weeks after the vaccine was given, but she did experience moderate URI symptoms with fever for 3 days after the vaccine which also resolved. The patient recovered - approximately 21 November 2006.

VAERS ID:296882 (history)  Vaccinated:2007-10-04
Age:46.0  Onset:2007-10-04, Days after vaccination: 0
Gender:Male  Submitted:2007-11-15, Days after onset: 42
Location:California  Entered:2007-11-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNKNOWN
Current Illness: UNKNOWN
Preexisting Conditions: NONE INDICATED BY PATIENT
Diagnostic Lab Data: N/A
CDC Split Type:
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FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA303AA IMRA
Administered by: Unknown     Purchased by: Private
Symptoms: Hypersensitivity, Rash erythematous, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Hypersensitivity (narrow)
Write-up: Patient received flu shot on October 4, 2007 @ 3pm. That night some red spots apeared on upper rt. shoulder. By Saturday, October 6 red spots appeared on torso, arms, back, legs and most of body. Spots were mildly itchy and slightly sensitive. Patient''s immunologist said "it appears to be an allergic reaction" and was treated with antihistamines. Symptoms stabilized by Tuesday October 9. No further complaints and rash is completely gone.

VAERS ID:297015 (history)  Vaccinated:2007-11-09
Age:46.0  Onset:2007-11-11, Days after vaccination: 2
Gender:Male  Submitted:2007-11-16, Days after onset: 5
Location:Indiana  Entered:2007-11-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: none
Preexisting Conditions: none known
Diagnostic Lab Data: none
CDC Split Type:
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FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA296A IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dermatitis allergic, Erythema multiforme, Rash pruritic
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: puritic rash onset approx. 7am on 11/11/07, seen at Bloomington Hospital ED at 1:20pm 11/11/07, Decadron injection, Medrol Dose pack and Vistaril po. Dx: erythema multifomre and allergic dermatitis

VAERS ID:297195 (history)  Vaccinated:2007-11-07
Age:46.0  Onset:2007-11-07, Days after vaccination: 0
Gender:Female  Submitted:2007-11-16, Days after onset: 9
Location:Connecticut  Entered:2007-11-19, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURERAFFLA082AA0IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Allergy to animal, Cough, Dyspnoea, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad)
Write-up: aprx 2 1/2 hrs later, slight cough turned into, weezing and breathing difficulty. It lasted about 6hrs. I thought I was getting sick, so went to bed early. When I woke following am, I felt better and realized it was an allergy attack. That kind of attack only happens to me when I visit a friend who has a cat.

VAERS ID:297412 (history)  Vaccinated:2007-11-15
Age:46.0  Onset:2007-11-15, Days after vaccination: 0
Gender:Female  Submitted:2007-11-20, Days after onset: 5
Location:Texas  Entered:2007-11-20
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 0 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: The subject''s medical history, concurrent conditions, and concurrent medications were not reported.
Diagnostic Lab Data: Tests: 15 November 2007: The subject''s vital signs were stable.
CDC Split Type: A0695430A
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALS  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Aphasia, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: This case was reported by a physician and described the occurrence of aphasia in a 46-year-old female subject who was vaccinated with Flulaval (GlaxoSmithKline). The subject''s medical history, concurrent medications were not reported. Information regarding previous immunization with influenza virus vaccine was not provided. The reporting physician did not have the subject''s chart with him at the time of the call. On 15 November 2007 at 8:00 a.m., the subject received unspecified dose of Flulaval (.5 ml, unknown). On 15 November 2007, within a few minutes of receipt of Flulaval, the subject became "unresponsive." The physician reported that the subject''s eyes were open but she was no longer able to speak. The physician described the subject was "unresponsiveness or aphaisiac". The subject''s vital signs were stable and the subject did not pass out. Emergency medical services was called and the subject was taken to the hospital. The reporting physician has spoken with the emergency room physician and was told the subject was still in this "state" and they plan to admit her to the hospital. The reporting physician also considered the events to be disabling. At the time of reporting the events were unresolved.

VAERS ID:297784 (history)  Vaccinated:2007-10-20
Age:46.0  Onset:2007-10-21, Days after vaccination: 1
Gender:Female  Submitted:2007-11-21, Days after onset: 31
Location:New York  Entered:2007-11-23, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Topral- Lotrel- Prevacid
Current Illness: NONE
Preexisting Conditions: Hypertension; MVP with Palpitations, PSC, PVC, SVT
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
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TDAP: TDAP (ADACEL)SANOFI PASTEURC2769AA0IMLA
Administered by: Private     Purchased by: Other
Symptoms: Blister, Burning sensation, Erythema, Oedema peripheral
SMQs:, Cardiac failure (broad), Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Edema up to Shoulder of Left Arm with Blistering, Redness, "Fiery" feeling; Axilla. Blistering and Edematous - lasting 19 Days

VAERS ID:297725 (history)  Vaccinated:2007-10-08
Age:46.0  Onset:2007-10-09, Days after vaccination: 1
Gender:Female  Submitted:2007-11-26, Days after onset: 48
Location:Iowa  Entered:2007-11-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
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TDAP: TDAP (ADACEL)SANOFI PASTEURC2825AA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Oedema peripheral, Pain in extremity, Skin warm
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Left arm became warm and swollen and painful/ seen be Medical practitioner

VAERS ID:297785 (history)  Vaccinated:2007-10-19
Age:46.0  Onset:2007-10-19, Days after vaccination: 0
Gender:Female  Submitted:2007-11-21, Days after onset: 33
Location:New York  Entered:2007-11-26, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Altace
Current Illness: None
Preexisting Conditions: Hypertension
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
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TDAP: TDAP (ADACEL)SANOFI PASTEURC2769AA0IMLA
Administered by: Private     Purchased by: Other
Symptoms: Muscular weakness
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad)
Write-up: Left arm weakness for 4 weeks (no redness or edema)

VAERS ID:297827 (history)  Vaccinated:2007-11-15
Age:46.0  Onset:2007-11-16, Days after vaccination: 1
Gender:Female  Submitted:2007-11-20, Days after onset: 4
Location:Georgia  Entered:2007-11-26, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Janel Fe birth control
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.    
Administered by: Other     Purchased by: Private
Symptoms: Arthralgia, Cellulitis, Headache, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)
Write-up: Extreme headache; 102 degree fever; joint pain. Extreme pain in arm at injection site-red, swollen, fever in arm. Treatment: shot of antibiotic & shot of steroid for cellulitis 11/19 pm.

VAERS ID:298190 (history)  Vaccinated:2007-10-12
Age:46.0  Onset:2007-10-14, Days after vaccination: 2
Gender:Female  Submitted:2007-11-02, Days after onset: 19
Location:New Jersey  Entered:2007-11-29, Days after submission: 27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Asthma, Hypothyroidism PMH: allergic reaction to flu shot 10/07. GERD steroid induced. Hypothyroidism. Sleep apnea. Steroid induced anxiety & hyperglycemia. Asthma exacerbations. Allergy: pencillin, sulfa & flu shot.
Diagnostic Lab Data: all (-). LABS 10/16/07: WBC 11.4 (H), lymphs 11% (L), polys 77.7% (H), plts 439 (H). Neck soft tissue x-ray revealed nasopharyngeal fullness/edema. CT scan reported as negative. LABS 10/19/07: CXR WNL. WBC 22.9 (H), plts 459 (H), lymphs 10% (L), polys 86 (H) LABS 11/2/07: WBC 18.2 (H), Chemistry WNL except glucose 144 (H). CT of head done 11/11 WNL. Allergy testing (-).
CDC Split Type:
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2469AA6IMLA
Administered by: Private     Purchased by: Private
Symptoms: Allergy test negative, Angioedema, Arthralgia, Chest X-ray normal, Computerised tomogram normal, Discomfort, Dysphagia, Dyspnoea, Flushing, Hypersensitivity, Hypoaesthesia oral, Laryngoscopy normal, Laryngotracheal oedema, Lip blister, Lymphocyte percentage decreased, Neutrophil percentage increased, Obstructive airways disorder, Oedema mouth, Periorbital oedema, Pharyngeal oedema, Platelet count increased, Rash, Rash erythematous, Rash maculo-papular, Speech disorder, Swollen tongue, Vaccination complication, White blood cell count increased, X-ray abnormal
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (broad), Haematopoietic leukopenia (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Psychosis and psychotic disorders (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), Eosinophilic pneumonia (broad), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Had onset of angioedema throat swelling. seen and treated 2 times in ER. 10-16-07. Admitted 10-16-07 x 48 hr Readmitted x 1 to ER again 11-2-07. 12/11/07 Received hospital medical records of 11/2-11/3/2007 patient experienced recurrence of angioedema, tongue swelling, maculopapular rash & blistering of lips when steroids were tapered. Tx w/IV steroids & admitted overnight for observation after switching to oral steroids. FINAL DX: Allergic reaction. 1/8/08 Received additional hospital medical records for 2 different admissions. 10/16-10/18/2007 patient experienced angioedema w/airway compromise & swelling of tongue & floor of mouth, trouble swallowing, speech difficulty & rash x 4 days. Seen by pcp earlier on 10/16 & tx w/epi & benadryl. Sent to ER, treated w/IV steroids & antibiotics & d/c to home. Returned to ER later same day with same s/s & SOB & difficulty handling oral secretions. Admitted for observation. Oral surgery consult done. Laryngeal scoping done & was WNL as swelling resolved. D/C to home on tapering steroids FINAL DX: angioedema w/airway compromise & swelling of tongue & floor of mouth. 10/19-10/28/2007 patient experienced progressibly worsening SOB, tongue swelling, perioral numbness & paretic erythematous macular papular rash on chest & back angioedema x 1 day. Tx w/IV steroids, benadryl & admitted. Exam revealed facial flushing & periorbital edema. Improved & d/c to home on slow tapering steroids. FINAL DX: angioedema secondary to flu shot, resolved. Annual Follow-up Information 12-DEC-2008: Still residual pain and discomfort in joints. 60 Day Follow-up Information 30-JAN-2008: Still recovering from side effects. Steroid Tx for angioedema/significant myalgias.

VAERS ID:300388 (history)  Vaccinated:2007-01-01
Age:46.0  Onset:2007-02-01, Days after vaccination: 31
Gender:Female  Submitted:2007-11-14, Days after onset: 286
Location:Pennsylvania  Entered:2007-12-04, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: insulin, unknown
Current Illness: Cirrhosis, hypertension, Type II diabetes
Preexisting Conditions: alcohol use, arm fracture
Diagnostic Lab Data: unk
CDC Split Type: A0646260A
Vaccination
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HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALS   LA
Administered by: Private     Purchased by: Private
Symptoms: Hepatitis B antibody negative
SMQs:
Write-up: This case was reported by a consumer and described the occurrence of a 46 year old female subject testing negative for hepatitis B antibody''s following vaccination with Twinrix for prophylaxis. A physician or other health care professional has not verified this report. The subject''s medical history included arm fracture. Concurrent medical conditions included cirrhosis, hypertension and type II diabetes. Concurrent medications included insulin and unknown medications. In January 2007, the subject received a dose of Twinrix, third in the series. Dates of 1st and 2nd administrations of Twinrix were not known. In February 2007, the subject tested negative for hepatitis B antibody''s. At the time of reporting the outcome of the event was unspecified. Follow-up received via physician. The subject received the initial dose approximately June 2006. The reporter considered that the events were serious but did not indicate a serious criteria. The reporter stated that the events could have been associated with the history of cirrhosis. The reporter considered that the events were related to the use of Twinrix. The events were unresolved at the time of reporting.

VAERS ID:298918 (history)  Vaccinated:2007-12-02
Age:46.0  Onset:2007-12-02, Days after vaccination: 0
Gender:Male  Submitted:2007-12-06, Days after onset: 4
Location:Washington  Entered:2007-12-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
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FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE)PFIZER/WYETH    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chills, Disorientation, Eye pruritus, Eye swelling, Pyrexia
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hypersensitivity (narrow)
Write-up: appx 6 hours after immunization given, patient started to feel swelling and itching in eyes which proceeded over the next few hours into high fever (105), chills, disorientation, and other frightening symptoms. Patient will never receive a vaccine again. He is not allergic to eggs.

VAERS ID:299063 (history)  Vaccinated:2007-11-15
Age:46.0  Onset:2007-11-17, Days after vaccination: 2
Gender:Male  Submitted:2007-12-07, Days after onset: 20
Location:Nevada  Entered:2007-12-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: HTN, hyperlipidemia, NKDA
Diagnostic Lab Data: None
CDC Split Type:
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ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1101SCLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Erythema, Oedema peripheral, Pruritus
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Anthrax vax given in left arm. Approx 3 days later, experienced itching and swelling in left arm. Seen 5 days after vaccination in Internal Medicine Clinic -- edema in left arm extending below left elbow, no other lesions, erythema noted. No systemic symptoms. Treated symptomatically -- benadryl for itching, limited activity in arm, ice as needed.

VAERS ID:299208 (history)  Vaccinated:2007-09-05
Age:46.0  Onset:2007-09-05, Days after vaccination: 0
Gender:Female  Submitted:2007-12-05, Days after onset: 91
Location:Ohio  Entered:2007-12-10, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data: No - called doctor while symptoms
CDC Split Type:
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HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB100AA2IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Abdominal pain upper, Hypoaesthesia, Hypoaesthesia facial, Paraesthesia
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: 12pm 9-5-07 received Twinrix - sharp pain in stomach, then L arm & hand tingly, then L side numbness whole body. L arm, leg & face no drooping on face. Symptoms lasted 1 hour, gradual regression.

VAERS ID:299447 (history)  Vaccinated:2007-11-08
Age:46.0  Onset:2007-11-15, Days after vaccination: 7
Gender:Female  Submitted:2007-12-13, Days after onset: 28
Location:Georgia  Entered:2007-12-13
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: CBC and Chem profile were normal;
CDC Split Type:
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FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA316BA4IMLA
Administered by: Public     Purchased by: Public
Symptoms: Full blood count, Laboratory test normal, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: developed malar rash on face on 11-15-07; was prescribed levo-cetirizine by dermatologist which she took for 2 days; rash recurred on 11-19-07; she reported to CDC occ health clinic on 11-27-07; dispensed hydrocortisone cream which she never used; did not continue levo-cetirizine; no recurrence of rash since then;

VAERS ID:299739 (history)  Vaccinated:2007-11-06
Age:46.0  Onset:2007-11-07, Days after vaccination: 1
Gender:Female  Submitted:2007-12-14, Days after onset: 37
Location:Pennsylvania  Entered:2007-12-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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TDAP: TDAP (ADACEL)SANOFI PASTEURC2610AA0IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Erythema, Local swelling, Skin warm
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Local swelling, erethemya, hot to touch.

VAERS ID:299912 (history)  Vaccinated:2007-11-12
Age:46.0  Onset:2007-11-26, Days after vaccination: 14
Gender:Female  Submitted:2007-12-15, Days after onset: 19
Location:Minnesota  Entered:2007-12-15
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 16 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: PMH: Depression, Low back pain, Hx of Bi-polar disorder. NKDA.
Diagnostic Lab Data: Labs and Diagnostics: CSF with protein 176, albumin 157, WBCs 2, IgG 31.6, synthesis rate 48.64. MRI brain, cervical and thoracic spine with no evidence of demyelinating disease, minor degenerative changes. EMG abnormal.
CDC Split Type:
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FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA312CA0  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Anxiety, Areflexia, Asthenia, CSF immunoglobulin increased, CSF protein increased, CSF white blood cell count, Cranial nerve disorder, Electromyogram abnormal, Facial palsy, Fall, Gait disturbance, Guillain-Barre syndrome, Headache, Intensive care, Nuclear magnetic resonance imaging brain normal, Paraesthesia, Plasmapheresis, Sensory loss, Urinary retention
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Demyelination (narrow)
Write-up: Headache, muscle weakness in legs, tingling in fingers and legs, facial paralysis. Physical, occupational, and speech therapy required. Diagnosed as Guillain-Barre Syndrome. 7 sessions of plasma exchange required. Intensive care req., catheter, and iv required. First and only flu shot ever received. 12/26/2007 Vax record received. Info updated in database: GSK AFLUA321CA./pc 01/07/2008 MR received for DOS 11/28-12/06/2007 with Discharge/Transfer DX: Guillain-Barre Syndrome. Depression. Bi-polar disorder. Pt presented to ER with c/o progressive generalized weakness. Sx began 5-6 days prior to admission with lower extremity tingling which progressed up to the tongue. Generalized weakness also progressing from lower extremities upward, resulting in falls. Upon PE DTRs were absent in the LEs with unsteady gait and decreased vibratory sensation. Respiratory status remained stable. Developed 7th cranial nerve involvement with facial droop, difficulty smiling and raising eyebrows. Some urinary retention resulting in Foley cath placement. Txd with plasmapheresis with slow improvement. Pt initially had some anxiety due to psych meds being held, but this improved on resumption. Pt transferred for further rehab. Per 60 day follow up: Some residual speech and facial symptoms related to GULLIAN BARRE felt like due to influenza vaccine approx 2 wk prior to onset of symptoms. Patient continues to have improved resolving symptoms and findings from her GUILLAIN BARRE.

VAERS ID:300037 (history)  Vaccinated:2007-12-03
Age:46.0  Onset:2007-12-04, Days after vaccination: 1
Gender:Female  Submitted:2007-12-17, Days after onset: 13
Location:Pennsylvania  Entered:2007-12-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
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TDAP: TDAP (ADACEL)SANOFI PASTEURC2769AA0IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Cellulitis
SMQs:
Write-up: Cellulitis

VAERS ID:300099 (history)  Vaccinated:2007-10-31
Age:46.0  Onset:2007-10-31, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Pennsylvania  Entered:2007-12-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Rash, Swollen Gland~Rubella (no brand name)~UN~35~In Patient
Other Medications: Protonix; Albuterol MDI
Current Illness: None
Preexisting Conditions: PCN Allergy
Diagnostic Lab Data: N/A
CDC Split Type:
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS804330IMUN
Administered by: Public     Purchased by: Private
Symptoms: Pruritus, Rash, Wheezing
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Asthma/bronchospasm (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: Fluvirin vaccine 10/31/07. Several hours later began to have itch, rash to legs, abd, back. Also noted some wheezing. Began to use Benadryl. Was seen by Employee physician who prescribed Allegra and was off work until 11-6-07.

VAERS ID:300240 (history)  Vaccinated:2000-03-28
Age:46.0  Onset:2000-10-15, Days after vaccination: 201
Gender:Female  Submitted:2007-12-18, Days after onset: 2620
Location:Nevada  Entered:2007-12-18
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: MRI''S, relevant lab testing, spinal tap, follow-up visits 1/8/08-records received-Cervial MRI demonstrates a posterior cord enhancing region.Spinal fluid negative for deymyelinating disease. MRI on 4/19/02 demonstrates nearly complete resolution of enhancing changes that are consistent with resolving myelitis.
CDC Split Type:
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MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.093N SCRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: CSF cell count normal, Epicondylitis, Hypoaesthesia, Laboratory test, Myelitis, Nuclear magnetic resonance imaging abnormal, Paresis anal sphincter, Spinal disorder
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Spinal lesion from C4-C6 that has regressed. It caused numbness of upper & lower extremities and anal spincture 1/8/08-records received-DOS 11/12/01- C/O left hand numbness a month ago, week later developed right lateral elbows and arm numbness and another week later numbness in both legs and buttock and perianal areas. 2/27/02- symptoms improving some sensory symptoms remain in upper extremities. DX: Idiopathic myelitis. 1/15/2010 Residual numbness of 3-5 fingers left hand 4 and 5th fingers right hand, toes bilaterally and some anal spincter numbness. 02/02/2010 Residual numbness of left fingers, toes bilaterally and anal spincture. Servical lesion did not completely resolve.

VAERS ID:301018 (history)  Vaccinated:2007-12-17
Age:46.0  Onset:2007-12-17, Days after vaccination: 0
Gender:Male  Submitted:2007-12-19, Days after onset: 2
Location:California  Entered:2007-12-26, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Mild URI, Asthma
Preexisting Conditions: NKDA, Asthma
Diagnostic Lab Data: N/A
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2863AA0IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Pt developed fever the evening after receiving Tdap vaccine. I could not determine source - but I did Rx with steroid and Abx. He resolved in 24 hrs.

VAERS ID:301047 (history)  Vaccinated:2007-12-09
Age:46.0  Onset:0000-00-00
Gender:Male  Submitted:2007-12-13
Location:California  Entered:2007-12-26, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA316BA0IMUN
TD: TD ADSORBED (NO BRAND NAME)SANOFI PASTEURU19270A0IMUN
Administered by: Military     Purchased by: Military
Symptoms: Incorrect route of drug administration, Medication error
SMQs:
Write-up: IM influenza vaccine was mistaken for "Flu Mist" and administered to the nasal passage as a liquid. Once mistake was determined it was given IM.

VAERS ID:301083 (history)  Vaccinated:2007-10-23
Age:46.0  Onset:2007-11-13, Days after vaccination: 21
Gender:Female  Submitted:2007-12-27, Days after onset: 44
Location:New York  Entered:2007-12-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: Thyroid nodule
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURADACEL C2842AA0IMLA
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS789910IMLA
Administered by: Public     Purchased by: Public
Symptoms: Muscle atrophy
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad)
Write-up: Nickle size muscle wasting left lower deltoid. Patient noticed 11/13/07. No pain or weakness. Treatment - Physical Therapy. 10/23/07 TDap and 11/6/07 Flu vaccine (Both left deltoid)

VAERS ID:301176 (history)  Vaccinated:2007-10-05
Age:46.0  Onset:2007-10-06, Days after vaccination: 1
Gender:Female  Submitted:2007-12-28, Days after onset: 83
Location:Virginia  Entered:2007-12-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: No concomitant medications.
Current Illness: Unknown
Preexisting Conditions: No relevant medical history. The subject had previously received influenza vaccinations without experiencing adverse events.
Diagnostic Lab Data: UNK
CDC Split Type: A0700650A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURERASLLA026AA UNLA
Administered by: Private     Purchased by: Private
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Insomnia, Musculoskeletal pain, Pain in extremity, Paraesthesia, Paraesthesia oral
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad)
Write-up: This case was reported by a consumer, who is also a pharmacist and described the occurrence of pain in a 46-year-old female subject who was vaccinated with Influenza vaccine (manufacturer unspecified). A physician or other health care professional has not verified this report. The subject thought the vaccine was manufactured by GlaxoSmithKline. On 5 October 2007 at 14:00, the subject received unspecified dose of Influenza vaccine (.5 ml, unknown, left arm). On 6 October 2007, 1 day after vaccination with Influenza vaccine, the subject experienced pain, which radiated from her shoulder down to her hand. The pain in her hand was intermediate, but the frequency had increased. In November 2007, the subject experienced numbness and tingling in her arm, leg, and lip on left side. The subject reported she had not slept in three days. The subject considered the events jeopardizing and required intervention at the doctor''s office. The subject was treated with ibuprofen and aspirin. At the time of reporting, the events were worse.

VAERS ID:301523 (history)  Vaccinated:2007-11-07
Age:46.0  Onset:0000-00-00
Gender:Male  Submitted:2007-12-21
Location:Unknown  Entered:2008-01-02, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: PPD converter
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1105SCUN
Administered by: Military     Purchased by: Military
Symptoms: Expired drug administered
SMQs:
Write-up: Anthrax lot #FAV110 administered after expired date due to administrative oversight. No adverse reaction at this time. Report submitted per authority direction.

VAERS ID:301798 (history)  Vaccinated:2007-10-05
Age:46.0  Onset:2007-10-05, Days after vaccination: 0
Gender:Female  Submitted:2008-01-07, Days after onset: 94
Location:California  Entered:2008-01-07
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: Insulin Dependent Diabetes
Diagnostic Lab Data: 1-07-08, seen at facility. No labs or x-rays taken. Diagnosed as soft tissue injury.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA298AA0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site pain, Soft tissue injury
SMQs:, Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad)
Write-up: Pain at site of injection has not gone away. Pain in deltoid area when lifts arm over head.

VAERS ID:301895 (history)  Vaccinated:2007-12-29
Age:46.0  Onset:2007-12-29, Days after vaccination: 0
Gender:Female  Submitted:2008-01-02, Days after onset: 4
Location:Ohio  Entered:2008-01-08, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA319BA IMLA
Administered by: Other     Purchased by: Private
Symptoms: Dizziness, Pruritus
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypersensitivity (broad)
Write-up: Patient became lightheaded and remained in chair for 20-30 minutes. She requested water. She kept her head lowered to help with lightheadedness. She reported itching especially on her head. We gave 50 mg PO Benadryl and symptoms improved in 30-40 min. Her husband took her home. We made a follow up call to patient early afternoon next day and she said she was fine.

VAERS ID:302296 (history)  Vaccinated:2007-12-11
Age:46.0  Onset:0000-00-00
Gender:Female  Submitted:2008-01-10
Location:New York  Entered:2008-01-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexipro
Current Illness: none
Preexisting Conditions: allergic to clams
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)SANOFI PASTEURA020925IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Erythema, Joint swelling, Oedema peripheral, Pyrexia, Swelling face
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Received rabies booster due to low titer. Had post-exposure treatment in 1998. Joint pains within 24 hrs. of administration. 13 days after administration hands and knees were swollen, knees were red. The next day, face was swollen, knees were more swollen and she had a fever of 100 degrees. She was seen in ER, given epinephrine and started on a 5 day course of steroids. Saw her PCP on 1/2/08 with persistent symptoms and was started on another course of steroids.

VAERS ID:302860 (history)  Vaccinated:1999-09-23
Age:46.0  Onset:0000-00-00
Gender:Male  Submitted:2008-01-16
Location:Connecticut  Entered:2008-01-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: The subject had a 20 to 30 year history of Crohn''s disease. History of "heavy" asbestos exposure; possible seafood allergy (reaction to softshell crab, possible reaction to tuna); finger numbness associated with "heavy physical work"; consuming one alcoholic drink per day. In approximately August 1984, the subject was evaluated for a chief complaint of joint pain in addition to a five to six day history of fever, and was diagnosed with ileitis.
Diagnostic Lab Data: Antinuclear antibody 12Aug2002 negative; Erythrocyte sedimentation rate 22Mar1999 9mm/hr; Erythrocyte sedimentation rate 23Apr2001 7mm/hr; Erythrocyte sedimentation rate 15Apr2003 11mm/hr; Erythrocyte sedimentation rate Nov2003 19mm/hr; Diagnostic results: 10 September 2001: Colonoscopy with ileocecal valve biopsy revealed normal findings; biopsy of colon mucosa at 15 cm showed fragments of hyperplastic colonic mucosa; rectal mucosa biopsy showed granulation tissue and acute inflammatory exudates, consistent with inflammatory bowel disease. 12 August 2002: HLA-DR4 not detected. 04 April 2005: Colonoscopy findings were normal; biopsy of terminal ileum showed chronic active ileitis with ulcer consistent with Crohn''s disease; biopsy of rectum
CDC Split Type: a0699352a
Vaccination
Manufacturer
Lot
Dose
Route
Site
LYME: LYME (LYMERIX)GLAXOSMITHKLINE BIOLOGICALS 2IMLA
Administered by: Other     Purchased by: Other
Symptoms: Activities of daily living impaired, Amnesia, Antinuclear antibody negative, Arthralgia, Asthenia, Autoimmune disorder, Back pain, Biopsy anus abnormal, Biopsy intestine abnormal, Blood immunoglobulin G normal, Blood immunoglobulin M, Brachial plexus injury, Cognitive disorder, Colitis, Colonoscopy, Condition aggravated, Contusion, Crohn's disease, Diarrhoea, Eczema, Epicondylitis, Flatulence, Gastroenteritis, Gastrointestinal disorder, Gout, Headache, Hypoaesthesia, Ileitis, Immunology test, Influenza like illness, Intestinal functional disorder, Musculoskeletal pain, Nerve injury, Neurological symptom, Osteoarthritis, Pain in extremity, Rash vesicular, Red blood cell sedimentation rate abnormal, Red blood cell sedimentation rate normal, Sciatica, Synovitis, Tendonitis, Tinea infection, X-ray with contrast upper gastrointestinal tract
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Dementia (broad), Pseudomembranous colitis (broad), Gastrointestinal premalignant disorders (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific inflammation (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Hypersensitivity (narrow), Arthritis (narrow), Noninfectious diarrhoea (narrow)
Write-up: This case was reported by a lawyer and described the occurrence of joint pain in a male subject of unspecified age who was vaccinated with Lymerix for prophylaxis. A physician or other health care professional has not verified this report. The following information was received via a statement of injuries forwarded by the subject''s attorney: On an unspecified date the subject received unspecified dose of Lymerix (unknown). At an unspecified time after vaccination with Lymerix, the subject "suffers and has suffered from joint pain, flu-like symptoms, headaches, gastrointestinal disorders, possible memory loss, and decreased activities of daily life". He also reportedly experienced "rheumatologic, neurologic and/or cognitive impairment of an autoimmune, immune mediated, or other mechanism, all caused by vaccination with LYMErix, including but not limited to those set forth above". At the time of reporting the outcome of the events were unspecified. Follow up information was received on 04 December 2007 via medical records. In October 2001, the subject was evaluated by a chiropractor for complaints including low back pain, pinched nerve in low back, pain in buttocks, hips, and leg, and leg numbness. At that time, the patient was 48 to 49 years old. According to billing records, he remained in chiropractic treatment through as recently as June 2007. Follow up information was received on 07 January 2008 via medical records. The subject had a twenty or more year history of Crohn''s disease/Crohn''s colitis, and had undergone two small bowel resections in the 1980s. He also had a history of abnormal liver function tests "for years", gout, remote joint pain, "profound" allergies, and hypertension. On 20 March 1999, the subject was evaluated for right shoulder pain and Crohn''s disease, and on the same date received his first vaccination with LYMErix. The second dose of LYMErix was administered on 19 April 1999 (0.5 mL in the left deltoid). Concurrent medication included allopurinol for uric acid renolithaisis. On 20 July 1999, three months after administration of LYMErix, the subject presented to a podiatrist for acute pain and swelling of the right great toe. Assessment was synovitis of the right first metatarsophalangeal joint, "probable gouty crystalline synovitis". Treatment included corticosteroid infiltration of the affected joint. The third dose of LYMErix was administered on 23 September 1999 (intramuscular, left deltoid). On 01 April 2000, the subject complained of increased right shoulder pain especially with repetitive motion. He was also noted to be experiencing metatarsal pain associated with gout. Diagnoses include 1) "quiet Crohn''s, 2) possible acromioclavicular separation/osteoarthritis, as well as possible ringworm and/or gout. Treatment included Vioxx. On 07 August 2000, the subject was evaluated by an orthopedist for "difficulty" with his right shoulder including pain which sometimes radiated to his elbow and hand. Examination revealed pain and point tenderness in the shoulder area, and the subject also related some transient nerve symptoms. The subject reported that he was an avid sport, clay, and skeet shooter and used to shoot regularly, but at the time of evaluation had decreased shooting to once or twice weekly. Evaluation showed trace intrinsic weakness consistent with recurrent injury to the brachial plexus, and impression was "anterior choricoid pain from direct trauma and brachial plexus irritation or contusion secondary from direct trauma from skeet shooting". Previous treatment with Vioxx had been unsuccessful, and ibuprofen was recommended. In April 2002, the subject reported that he had been treated for sciatica by a chiropractor; at that time, Crohn''s disease was assessed to be stable. On 18 November 2002, the subject was assessed for complaints of left elbow pain which had been aggravated by recent use of a leaf-blower. Assessment was of tendonitis of the extensor tendons, and treatment included Aleve. O

VAERS ID:302905 (history)  Vaccinated:2000-08-01
Age:46.0  Onset:0000-00-00
Gender:Female  Submitted:2008-01-08
Location:Unknown  Entered:2008-01-16, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: The subject was tested on unspecified ate and found to have a abnormal hepatitis B core antibody. The hepatitis B surface antibody value was less than 3.
CDC Split Type: A0673908A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS 2UNUN
Administered by: Other     Purchased by: Other
Symptoms: Hepatitis B antibody negative, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow)
Write-up: This case was reported by a healthcare professional and described the occurrence of an adult female subject not responding to therapy following vaccination with Hepatitis B vaccine for prophylaxis. On August 2000, May 1999 and April 1999 the subject received 3rd dose, 2nd dose and 1st dose of Hepatitis B vaccine (unknown). At an unspecified time after vaccination with Hepatitis B vaccine, the subject was tested and found to have not responded to therapy. At the time of reporting the outcome of the event was unspecified.

VAERS ID:303279 (history)  Vaccinated:2007-03-03
Age:46.0  Onset:2007-03-06, Days after vaccination: 3
Gender:Female  Submitted:2008-01-08, Days after onset: 308
Location:Georgia  Entered:2008-01-16, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: The subject is a dialysis patient.
Diagnostic Lab Data: Hepatitis B surface antigen, 06Mar2007, positive
CDC Split Type: A0643831A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB2600IMUN
Administered by: Private     Purchased by: Other
Symptoms: Hepatitis B surface antigen positive
SMQs:, Liver infections (narrow)
Write-up: This case was reported by a healthcare professional and described the occurrence of positive serology for hepatitis B surface antigen in a 46-year-old female subject who was vaccinated with Engerix B (GlaxoSmithKline) for prophylaxis. On 3 March 2007 at 11:10 the subject received 1st dose of Engerix B (two lot numbers provided: AHBVB260, AHBVB2878) at 40 mcg, intramuscularly, in the right arm. On 6 March 2007, 3 days after vaccination with Engerix B, the subject experienced positive serology for hepatitis B surface antigen. At the time of reporting the outcome of the event was unspecified.

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