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Case Details (Sorted by Age)

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VAERS ID:114726 (history)  Vaccinated:1998-09-08
Age:39.2  Onset:1998-09-23, Days after vaccination: 15
Gender:Female  Submitted:1998-09-28, Days after onset: 5
Location:New York  Entered:1998-10-05, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: healthy
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: NYS98024
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1304E0SC 
Administered by: Public     Purchased by: Public
Symptoms: Hyperhidrosis, Pharyngitis, Pyrexia, Rash maculo-papular, Rhinitis
SMQs:, Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Hypersensitivity (narrow)
Write-up: fever-hot/cold sweats-fine red rash (generalized UR discomforts;

VAERS ID:114885 (history)  Vaccinated:1998-10-07
Age:39.9  Onset:1998-10-08, Days after vaccination: 1
Gender:Female  Submitted:1998-10-08, Days after onset: 0
Location:California  Entered:1998-10-13, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES09657800IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Diarrhoea, Injection site reaction, Pyrexia, Tremor, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: pt recv flu shot & T102, chills, shaking, n/v, diarrhea noc p/vax;localized rxn lt deltoid;

VAERS ID:114927 (history)  Vaccinated:1998-09-29
Age:39.6  Onset:1998-09-29, Days after vaccination: 0
Gender:Female  Submitted:1998-09-30, Days after onset: 1
Location:Michigan  Entered:1998-10-13, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: hx of asthma
Preexisting Conditions: allergy PCN, ASA, epi (susphrine)
Diagnostic Lab Data: 145PM PDH P88, R34 wheezing;155PM to ER 02 w/staff driving/assisting;
CDC Split Type: MI98111
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES09657600IMLA
Administered by: Public     Purchased by: Public
Symptoms: Asthma, Dizziness, Dyspnoea, Hyperventilation, Hypoxia, Injection site hypersensitivity, Pruritus
SMQs:, Anaphylactic reaction (narrow), Asthma/bronchospasm (narrow), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Respiratory failure (broad)
Write-up: pt recv vax 29SEP98 1PM & 115PM wheezing-inhaled 2 puffs proventil @ work site;130PM c/o wheezing, itchiness @ inj site;130PM DPH given P86, R24;redness noted @ inj site;cont wheezing c/o lightheadedness noted;diff breathing;

VAERS ID:115029 (history)  Vaccinated:1998-09-17
Age:39.0  Onset:1998-09-23, Days after vaccination: 6
Gender:Female  Submitted:1998-09-23, Days after onset: 0
Location:Nebraska  Entered:1998-10-16, Days after submission: 23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: claritin
Current Illness: NONE
Preexisting Conditions: codeine
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES09683700 LA
Administered by: Private     Purchased by: Private
Symptoms: Injection site pain, Insomnia, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: tender discomfort @ inj site immed;1wk later discomfort persists enough to awaken pt & prevent sleep;low grade fever persists 99;no axillary adenopathy or overlying erythema or induration;

VAERS ID:115276 (history)  Vaccinated:1998-10-14
Age:39.3  Onset:1998-10-14, Days after vaccination: 0
Gender:Male  Submitted:1998-10-19, Days after onset: 5
Location:Colorado  Entered:1998-10-26, 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: Depakote
Current Illness: NONE
Preexisting Conditions: epilepsy-controlled
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)MEDEVA PHARMA, LTD.E20118GA IMLA
Administered by: Other     Purchased by: Other
Symptoms: Chest pain, Dizziness, Dyspnoea, Hyperhidrosis, Pallor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: c/o SOB, severe chest pain, pt skin was clammy & pale;pt c/o feeling faint approx 30min p/vax;911 called epi given;

VAERS ID:115335 (history)  Vaccinated:1998-09-23
Age:39.4  Onset:1998-09-26, Days after vaccination: 3
Gender:Female  Submitted:1998-10-19, Days after onset: 23
Location:Hawaii  Entered:1998-10-26, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES09757900IMLA
Administered by: Military     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site mass, Pruritus, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: on 3rd day post vax 2x3" hard, red, itchy area;hot to touch x 2-3 days;

VAERS ID:115662 (history)  Vaccinated:1997-08-21
Age:39.0  Onset:1997-08-22, Days after vaccination: 1
Gender:Female  Submitted:1998-10-26, Days after onset: 430
Location:Alabama  Entered:1998-11-02, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: UNK
Other Medications: Synthroid, Cytomel, Oruvail
Current Illness: UNK
Preexisting Conditions: Umbilical hernia repair, healthy gall bladder removal 5/97, obese
Diagnostic Lab Data: 9/16/97 CT scan of abdomen-spleenomegaly; 9/6/97 Bilirubin-1.4; alkaline phosph-589; 9/15 AST-133; 9/22 ALT-100; 9/7 LDH-483; Hepatitis panel-neg
CDC Split Type: 19970231181
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0  
Administered by: Private     Purchased by: Other
Symptoms: Abdominal pain, Asthenia, Hepatic function abnormal, Hypertonia, Laboratory test abnormal, Oedema, Pyrexia, Splenomegaly
SMQs:, Cardiac failure (broad), Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)
Write-up: Pt recv vax on 8/21/97; on 8/22/97 pt exp fatigue, fever, anorexia, nausea, left upper quadrant pain, elevated liver function, splenomegaly, vomit,headache,stiffness,neck pain,gen swelling; dx=cytomegalovirus &Epstein Barr virus

VAERS ID:115806 (history)  Vaccinated:1997-12-02
Age:39.0  Onset:1997-12-03, Days after vaccination: 1
Gender:Female  Submitted:1998-10-26, Days after onset: 327
Location:Indiana  Entered:1998-11-02, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergy to ASA; MACROBID; MACRODANTIN; NOVAHISTINE; GRAVES disease, kidney stones;
Diagnostic Lab Data:
CDC Split Type: 19980009551
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1UNUN
Administered by: Private     Purchased by: Other
Symptoms: Anorexia, Arthralgia, Asthma, Cough, Gait disturbance, Myasthenic syndrome, Osteoarthritis, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Asthma/bronchospasm (narrow), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Malignancy related conditions (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Arthritis (narrow)
Write-up: Case reference number 98000955-1 is a spontaneous report from a nurse referring to a female (nurse) aged 39 years. The patient has a history of allergy to ASA, NOVAHISTINE, MACROBID, and MARCODANTIN. The patient''s past medical history included GRAVES disease and kidney stones. On 02-Dec-1997, the patient received the second treatment with ENERIX-B at dose unspecified. Approximately 12 hours later, on 03-Dec-1997, the patient developed arthralgia. On 04-Dec-1997, the patient developed nausea and fever (101-103 F). On 05-Dec-1997, the patient developed temperature of 104 F, nausea, vomiting, back and muscle pain, swollen joints, deep cough and wheezing. She was reportedly unable to move her legs without assistance. Treatment with VOLTAREN was reported to be not evvective. Treatment with DAYPRO was discontinued due to an allergic reaction. The patient was also treated with DARVOCET. As of 27-Jan-1998, the patient continues to have joint pain with some swelling, and muscle weakness. She continues ot run a low grade fever on occasion and had no appetite. The patient is reported to have no energy, needs a cane to ambulate, and has difficulty with daily avtivities. She is currently under the care of a rheumatologist. The most recent information receive on 28-Feb-1998 reports the outcome of the patient as ongoing.

VAERS ID:115986 (history)  Vaccinated:1998-04-14
Age:39.0  Onset:1998-04-18, Days after vaccination: 4
Gender:Female  Submitted:1998-10-26, Days after onset: 191
Location:Florida  Entered:1998-11-02, Days after submission: 7
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: ESR 0;ANA 0;X-rays hands;Bone Scan;
CDC Split Type: 19980164421
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2607A22IMRA
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Immune system disorder
SMQs:, Arthritis (broad)
Write-up: pt recv vax 14APR98 & 3 days p/vax 18APR98 pt devel joint pains in hands, ankles, toes, & feet;seen by rheumatologist & neurologist;pt does not have carpal tunnel synd;pt sx sort of autoimmune response;

VAERS ID:115699 (history)  Vaccinated:1998-09-08
Age:39.7  Onset:1998-09-09, Days after vaccination: 1
Gender:Female  Submitted:1998-10-22, Days after onset: 43
Location:Oregon  Entered:1998-11-04, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: 10SEP rt ear infect;17SEP98 rt hearing loss, severe;20SEP MRI;
CDC Split Type: OR9829
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES0944780  RA
Administered by: Public     Purchased by: Public
Symptoms: Deafness transitory, Ear disorder, Tinnitus, Vertigo, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hearing impairment (narrow), Vestibular disorders (narrow)
Write-up: loss of hearing in rt ear, vertigo, tinnitus, nausea, emesis;

VAERS ID:115700 (history)  Vaccinated:1991-11-13
Age:39.0  Onset:1991-11-18, Days after vaccination: 5
Gender:Female  Submitted:1998-10-30, Days after onset: 2538
Location:Minnesota  Entered:1998-11-04, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Excel 500mg;Lodine once a day
Current Illness: NONE
Preexisting Conditions: nONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  IM 
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Osteoarthritis, Pain
SMQs:, Arthritis (narrow)
Write-up: very painful joints-some swelling of joints also;pain in all joints;constant & chronic disabled-unable to work;not informed of vax being given-pain persists;

VAERS ID:116117 (history)  Vaccinated:1998-10-23
Age:39.7  Onset:1998-10-23, Days after vaccination: 0
Gender:Male  Submitted:1998-10-27, Days after onset: 4
Location:Missouri  Entered:1998-11-09, 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: NONE
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC Split Type: MO98066
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES09833100IMLA
Administered by: Other     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site pain, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: pt noticed redness p/a shower 8PM;redness & soreness have diminished but itching & hardness in area persist;

VAERS ID:116178 (history)  Vaccinated:1998-10-30
Age:39.8  Onset:1998-10-30, Days after vaccination: 0
Gender:Female  Submitted:1998-11-02, Days after onset: 3
Location:California  Entered:1998-11-10, 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: NONE
Current Illness:
Preexisting Conditions: NKA
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)MEDEVA PHARMA, LTD.E20298LA1IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Asthenia, Ecchymosis, Injection site hypersensitivity, Injection site inflammation, Injection site mass, Vasodilatation
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: 1 1/2" x 3" reddened site, warm & inflamed;bruised @ site 1/2" x 1/2" induration 1 1/2" x 3";fatigued x 2 days;inflammation x 3 days;

VAERS ID:116189 (history)  Vaccinated:0000-00-00
Age:39.0  Onset:1998-10-28
Gender:Female  Submitted:1998-11-04, Days after onset: 7
Location:Minnesota  Entered:1998-11-10, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dry mouth, Glossitis, Lymphadenopathy, Stomatitis
SMQs:, Severe cutaneous adverse reactions (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad)
Write-up: 1hr to 2hr post vax mouth dry, tongue sensitive, swollen around jaw;small lumps on inside of mouth;

VAERS ID:116190 (history)  Vaccinated:0000-00-00
Age:39.0  Onset:1998-10-30
Gender:Female  Submitted:1998-11-03, Days after onset: 4
Location:Minnesota  Entered:1998-11-10, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: NONe
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Cough, Dizziness, Dyspnoea, Rhinitis
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (broad)
Write-up: 1hr post vax lightheaded, dizzy, problem breathing, loose congestion, cough w/mucus-progressed over weekend;

VAERS ID:116198 (history)  Vaccinated:1998-10-31
Age:39.9  Onset:1998-11-01, Days after vaccination: 1
Gender:Female  Submitted:1998-11-02, Days after onset: 1
Location:Minnesota  Entered:1998-11-10, 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
Lot
Dose
Route
Site
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES4559380  
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: devel localized pain, rash day p/vax;was seen by MD 2NOV98;tx was ice packs;

VAERS ID:116250 (history)  Vaccinated:1998-10-22
Age:39.7  Onset:1998-10-27, Days after vaccination: 5
Gender:Female  Submitted:1998-10-29, Days after onset: 2
Location:Colorado  Entered:1998-11-12, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prozac, stool softener
Current Illness: unk
Preexisting Conditions: pregnancy in twenty-fifth week
Diagnostic Lab Data:
CDC Split Type: 898303002A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH4988216   
Administered by: Public     Purchased by: Public
Symptoms: Abdominal pain, Abnormal labour
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: pt recv vax & was pregnant;pt exp severe abd pain & was hosp w/dx of kidney failure;

VAERS ID:116399 (history)  Vaccinated:1998-10-20
Age:39.2  Onset:1998-10-20, Days after vaccination: 0
Gender:Male  Submitted:1998-11-06, Days after onset: 17
Location:Illinois  Entered:1998-11-16, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: UNK
Other Medications: Lodine
Current Illness: Chronic tonsils
Preexisting Conditions: OA-knee, HTN, Gastritis
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES4519490IMLA
Administered by: Public     Purchased by: Private
Symptoms: Asthenia, Hypokinesia, Influenza, Nausea, Pharyngitis, Pyrexia
SMQs:, Acute pancreatitis (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad)
Write-up: Pt recv vax on 10/20/98; 2 hr later pt exp queasiness, flu-like sx, sore/red/warm/decreased movement arm, sore throat, fever (101), chilled; tx=Benadryl &Tylenol

VAERS ID:116427 (history)  Vaccinated:1998-11-04
Age:39.9  Onset:1998-11-04, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Ohio  Entered:1998-11-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Histade x 1y
Current Illness: Stuffy nose-sinus
Preexisting Conditions: Allergies, Allertic to Sufla
Diagnostic Lab Data: UNK
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Other     Purchased by: Other
Symptoms: Infection, Pruritus, Rash maculo-papular, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Pt recv vax on 11/4/98; on same day pt exp itchy arms w/ red, raised bumps, itchy back & legs; pt tx for scabies

VAERS ID:116531 (history)  Vaccinated:1998-07-31
Age:39.4  Onset:1998-08-14, Days after vaccination: 14
Gender:Female  Submitted:1998-11-16, Days after onset: 94
Location:New Jersey  Entered:1998-11-19, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: No relevant data;
Other Medications: Azelex;Ibuprofen
Current Illness:
Preexisting Conditions: contraception;dust allergy;inhaled steroid therapy;ragweed allergy;sulfa allergy
Diagnostic Lab Data: 18SEP98 laboratory test polymerase chain rxn-positive varicella zoster;
CDC Split Type: WAES98081397
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0495H0SC 
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Dermatitis bullous, Infection, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Severe cutaneous adverse reactions (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: pt recv vax 31JUL98 & 14AUG98 pt devel greater than 50 vesicular & vesiculopapular skin lesions described as a diffuse rash starting posterior auricular, fever of 100.5, chills, muscle aches & joint pain;

VAERS ID:116596 (history)  Vaccinated:1998-10-27
Age:39.6  Onset:1998-10-28, Days after vaccination: 1
Gender:Female  Submitted:1998-11-03, Days after onset: 6
Location:Massachusetts  Entered:1998-11-20, Days after submission: 17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Pt son exp rash as infant post pertussis vax #1 dose
Other Medications: NONE
Current Illness: Getting over sinus allergy
Preexisting Conditions: Hayfever
Diagnostic Lab Data: NONE
CDC Split Type: MA9830
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES09757800IMLA
Administered by: Public     Purchased by: Other
Symptoms: Injection site mass, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Pt recv vax on 10/27/98; on 10/28/98 pt exp sore/hard lump of vax site x 1 day

VAERS ID:116992 (history)  Vaccinated:1998-10-08
Age:39.1  Onset:1998-10-08, Days after vaccination: 0
Gender:Female  Submitted:1998-11-24, Days after onset: 47
Location:Massachusetts  Entered:1998-12-01, 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: Klonopin;Melleril;Zoloft;Tegretol;
Current Illness: NONE
Preexisting Conditions: pt c/o back pain in AUG98 p/being assaulted
Diagnostic Lab Data: 20NOV98 neurology said-has protruding lumbar disc & old herniated cervical disc;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES09757900IMRA
Administered by: Other     Purchased by: Private
Symptoms: Back pain, Condition aggravated, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad)
Write-up: back pain+ numbness in arms/legs since recv vax;

VAERS ID:117048 (history)  Vaccinated:1998-11-04
Age:39.5  Onset:1998-11-04, Days after vaccination: 0
Gender:Male  Submitted:1998-11-29, Days after onset: 25
Location:New York  Entered:1998-12-03, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Grass pollen, dust
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES0981790 IMA
Administered by: Other     Purchased by: Private
Symptoms: Face oedema, Hypersensitivity, Paraesthesia
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow)
Write-up: Pt recv vax on 11/4/98; 7 hr post vax pt exp tingling; swollen eyes

VAERS ID:117086 (history)  Vaccinated:1998-11-09
Age:39.9  Onset:1998-11-11, Days after vaccination: 2
Gender:Male  Submitted:1998-11-13, Days after onset: 2
Location:Maryland  Entered:1998-12-04, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: allergies: bee stings, various pollens/molds, animal dander
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES0972880 IMRA
Administered by: Other     Purchased by: Unknown
Symptoms: Diarrhoea, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad)
Write-up: 2 days p/vax pt devel a low grade fever 99.7, myalgias (esp arms & legs also feet) described as aching & hot, diarrhea;denied nasal congestion or other resp sx;

VAERS ID:117127 (history)  Vaccinated:1998-10-14
Age:39.1  Onset:1998-10-15, Days after vaccination: 1
Gender:Male  Submitted:1998-11-09, Days after onset: 25
Location:Massachusetts  Entered:1998-12-07, Days after submission: 28
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: MRI & x-RAY cerivcal spine & lt arm;
CDC Split Type: MA9845
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES0975790  LA
Administered by: Public     Purchased by: Public
Symptoms: Laboratory test abnormal, Neck pain, Neuropathy, Pain, Paraesthesia
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Arthritis (broad)
Write-up: 15OCT numbness & pain lt arm & numbness of index, middle & third fingers;dx radiculitis;

VAERS ID:117133 (history)  Vaccinated:1998-10-21
Age:39.9  Onset:1998-10-21, Days after vaccination: 0
Gender:Male  Submitted:1998-10-29, Days after onset: 8
Location:Missouri  Entered:1998-12-07, Days after submission: 39
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: NKA
Diagnostic Lab Data:
CDC Split Type: MO98076
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES0984560  LA
Administered by: Other     Purchased by: Private
Symptoms: Rhinitis, Tongue oedema
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Hypersensitivity (narrow)
Write-up: 3hr p/vax lungs felt congested;4hr tongue began to swell;given DPH w/in 1hr problems subsided;

VAERS ID:117323 (history)  Vaccinated:1998-10-30
Age:39.4  Onset:1998-11-08, Days after vaccination: 9
Gender:Female  Submitted:1998-11-19, Days after onset: 11
Location:Maryland  Entered:1998-12-14, Days after submission: 25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: birth control pills
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: MD98019
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES09818400IMLA
Administered by: Public     Purchased by: Public
Symptoms: Facial palsy
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad)
Write-up: pt recv vax 30OCT98 & devel Bells Palsy lt 8NOV98;

VAERS ID:117357 (history)  Vaccinated:1998-07-16
Age:39.6  Onset:1998-07-17, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:Michigan  Entered:1998-12-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: MI98136
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID (NO BRAND NAME)UNKNOWN MANUFACTURER 3 LA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site oedema, Injection site pain, Lymphadenopathy
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: swelling w/some tenderness @ inj site;swelling in lt axilla, approx 20mm tender to touch;

VAERS ID:117957 (history)  Vaccinated:1998-10-23
Age:39.2  Onset:0000-00-00
Gender:Female  Submitted:1998-12-31
Location:Pennsylvania  Entered:1999-01-07, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Ibuprofen;Tribulen
Current Illness: NONE
Preexisting Conditions: med allergies;Emycin, PCN, sulfa
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES0966960  RA
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES 0 LA
Administered by: Private     Purchased by: Other
Symptoms: Asthenia, Chest pain, Myalgia, Pyrexia, Rash, Rash maculo-papular, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)
Write-up: 24-48hr p/vax fatigue, fever 102, lt arm red, sore, achy, chest lightness, lt shoulder soreness rash (fine papular) on neck & trunk;area of erythema lt arm 8x5cm;

VAERS ID:118028 (history)  Vaccinated:1996-01-17
Age:39.3  Onset:0000-00-00
Gender:Female  Submitted:1999-01-07
Location:California  Entered:1999-01-12, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Discogenic disease
Preexisting Conditions: Discogenic disease
Diagnostic Lab Data: MRI''s, spinal puncture, nerve conduction;
CDC Split Type:
Vaccination
Manufacturer
Lot
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Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM   GM
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Multiple sclerosis, Pain, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Demyelination (narrow), Hypotonic-hyporesponsive episode (broad)
Write-up: pain, fatigue, syncope, blackout out for 18hr;multiple sclerosis; Annual follow-up received 09/20/01 provided no additional data.

VAERS ID:118266 (history)  Vaccinated:1998-03-12
Age:39.2  Onset:1998-03-12, Days after vaccination: 0
Gender:Female  Submitted:1998-03-12, Days after onset: 0
Location:Texas  Entered:1999-01-21, Days after submission: 315
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Pt recv #1dose of Typhoid; exp vax site pain & swelling
Other Medications: UNK
Current Illness: NONE
Preexisting Conditions: Severe beef allergy
Diagnostic Lab Data: UNK
CDC Split Type: 898113012L
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (ACETONE INACTIVATED DRIED)PFIZER/WYETH 1SCGM
Administered by: Private     Purchased by: Private
Symptoms: Back pain, Chills, Hyperhidrosis, Pallor, Peripheral vascular disorder
SMQs:, Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Pt recv vax on 3/12/98; 1 hr post vax pt exp cold, clammy, white hands, goosebumps & backache; tx=lie down; pt imp 30 min

VAERS ID:118268 (history)  Vaccinated:1998-02-12
Age:39.1  Onset:0000-00-00
Gender:Female  Submitted:1998-03-12
Location:Texas  Entered:1999-01-21, Days after submission: 315
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: Severe beef allergy
Diagnostic Lab Data: UNK
CDC Split Type: 898117005L
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (ACETONE INACTIVATED DRIED)PFIZER/WYETH 0SC 
Administered by: Private     Purchased by: Private
Symptoms: Injection site oedema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Pt recv vax on 2/12/98; 1 hr post vax pt exp backache

VAERS ID:118293 (history)  Vaccinated:1998-12-03
Age:39.4  Onset:1998-12-09, Days after vaccination: 6
Gender:Male  Submitted:1999-01-04, Days after onset: 26
Location:Massachusetts  Entered:1999-01-22, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: UNK
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES09507402SCLA
Administered by: Private     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Pt recv vax on 12/3/98; on 12/9/98 pt exp vax site red & puffy; tx=ice

VAERS ID:118350 (history)  Vaccinated:1997-07-25
Age:39.0  Onset:1997-07-27, Days after vaccination: 2
Gender:Male  Submitted:1998-10-09, Days after onset: 439
Location:Washington  Entered:1999-01-26, Days after submission: 109
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: 7505
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.L12740  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Headache, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: pt recv vax 25JUL97 & 2 days later 27JUL97 pt exp h/a & myalgia;17FEB98 pt still noticed retro-orbital h/a on 30JUL97 but no myalgias then;

VAERS ID:118968 (history)  Vaccinated:1998-10-10
Age:39.4  Onset:1998-10-11, Days after vaccination: 1
Gender:Female  Submitted:1998-11-06, Days after onset: 26
Location:Pennsylvania  Entered:1999-02-11, Days after submission: 97
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Norethin
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 898313130A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH   LA
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Injection site oedema, Injection site pain, Myalgia, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: pt recv vax 10OCT98 & the next day pt devel an inj site rxn characterized by swelling & tenderness;later, pt exp pain on lt side of body from arm to foot;6NOV98 only lt hip is painful;

VAERS ID:119282 (history)  Vaccinated:0000-00-00
Age:39.6  Onset:1997-10-02
Gender:Male  Submitted:1997-10-07, Days after onset: 5
Location:Massachusetts  Entered:1999-02-23, Days after submission: 504
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PPD by Connaught lot# 245811 given 26SEP97
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: VIV9812
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD 2PO 
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Confusional state, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad)
Write-up: pt recv vax & exp extreme disorientation & fatigue w/fever;did not take any more of vax;

VAERS ID:119626 (history)  Vaccinated:1997-11-12
Age:39.6  Onset:1997-11-19, Days after vaccination: 7
Gender:Male  Submitted:1998-11-19, Days after onset: 365
Location:Connecticut  Entered:1999-02-26, Days after submission: 99
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: 7799
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES7F81863   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Visual disturbance, Visual field defect
SMQs:, Noninfectious encephalitis (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad)
Write-up: pt recv vax 12NOV97 & approx 1wk later pt exp visual disturbances & a narrowed field of vision;clinical exam reported were remarkable for inflammation of the optic nerve;

VAERS ID:119467 (history)  Vaccinated:1998-12-15
Age:39.4  Onset:1998-12-15, Days after vaccination: 0
Gender:Male  Submitted:1999-01-19, Days after onset: 35
Location:Georgia  Entered:1999-03-01, Days after submission: 41
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: GA99005
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2388A10IMLA
Administered by: Public     Purchased by: Public
Symptoms: Malaise, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: pt recv vax 15DEC98 & became back w/excessive vomiting, fever, gen malaise that lasted 1wk;

VAERS ID:119468 (history)  Vaccinated:1999-01-15
Age:39.5  Onset:1999-01-18, Days after vaccination: 3
Gender:Male  Submitted:1999-01-19, Days after onset: 1
Location:Georgia  Entered:1999-03-01, Days after submission: 41
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: 15DEC99 exp rxn 39yr old w/HBV dose 2;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: GA99006
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.2388A11IMLA
Administered by: Public     Purchased by: Public
Symptoms: Diarrhoea, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: pt recv vax & had diarrhea, fever that PM;still sick this AM;

VAERS ID:119965 (history)  Vaccinated:1996-04-01
Age:39.5  Onset:0000-00-00
Gender:Male  Submitted:1999-03-01
Location:Florida  Entered:1999-03-03, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: no relevant data;
Other Medications: unk
Current Illness:
Preexisting Conditions: nephrolithiasis
Diagnostic Lab Data: diagnostic lab test-non-cancerous;
CDC Split Type: WAES98080478
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 2IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Hepatocellular damage, Vascular anomaly
SMQs:, Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Congenital, familial and genetic disorders (narrow)
Write-up: pt recv vax APR96 & pt dx w/hepatic hemangiomas;A nuclear scan revealed that hemangiomas were non-cancerous;

VAERS ID:120200 (history)  Vaccinated:1998-08-12
Age:39.3  Onset:1998-08-14, Days after vaccination: 2
Gender:Female  Submitted:1998-08-18, Days after onset: 4
Location:California  Entered:1999-03-03, Days after submission: 197
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 898232029A
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4978299  A
Administered by: Other     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site pain, Pyrexia, Vasodilatation
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Pt recv vax on 8/12/98; on 8/12/98 pt exp fever, red/warm/ painful vax site; tx=Zyrtec

VAERS ID:120205 (history)  Vaccinated:1998-07-16
Age:39.0  Onset:1998-07-17, Days after vaccination: 1
Gender:Female  Submitted:1998-09-09, Days after onset: 54
Location:New York  Entered:1999-03-03, Days after submission: 175
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Penicillin
Current Illness: UNK
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 898253110A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER   RA
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH49780851IMLA
Administered by: Private     Purchased by: Other
Symptoms: Abscess, Injection site hypersensitivity, Injection site oedema, Injection site pain, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Pt recv vax on 7/16/98; on 7/17/98 pt exp nausea, vomiting, pain/ red/ swollen vax site (2 wk); dx=sterile abscess

VAERS ID:120206 (history)  Vaccinated:1998-09-10
Age:39.0  Onset:1998-09-11, Days after vaccination: 1
Gender:Female  Submitted:1998-09-16, Days after onset: 5
Location:Texas  Entered:1999-03-03, Days after submission: 168
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 898261053A
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH49782371IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema, Lymphadenopathy
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Pt recv vax on 9/10/98; on 9/11/98 pt exp red/ swollen vax site, swollen lymph nodes in neck

VAERS ID:119749 (history)  Vaccinated:1998-03-23
Age:39.8  Onset:1998-03-23, Days after vaccination: 0
Gender:Female  Submitted:1999-02-24, Days after onset: 338
Location:Texas  Entered:1999-03-05, Days after submission: 9
Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp temp 104 @ 40yr old w/hep b vax;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: ''97-pt= health care worker, splashed in eyes w/sputum from Hep B carrier
Diagnostic Lab Data: ANA,ESR, CBC, chem 24, x-ray,CT scan- lungs;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2214841 RA
Administered by: Public     Purchased by: Unknown
Symptoms: Adverse drug reaction, Hypokinesia, Skin disorder, Systemic lupus erythematosus
SMQs:, Systemic lupus erythematosus (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: pt recv vax 23MAR98;pt dx Lupus APR98, devel sores in both legs which made pt bedridden, now pt disabled;pt was perfectly fine until got the vax;

VAERS ID:119768 (history)  Vaccinated:1996-10-07
Age:39.0  Onset:0000-00-00
Gender:Female  Submitted:1999-02-26
Location:Missouri  Entered:1999-03-05, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~~ ~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthritis
SMQs:, Systemic lupus erythematosus (broad), Arthritis (narrow)
Write-up: devel arthritis shortly p/vax;

VAERS ID:120427 (history)  Vaccinated:1999-03-09
Age:39.0  Onset:1999-03-09, Days after vaccination: 0
Gender:Female  Submitted:1999-03-10, Days after onset: 1
Location:Georgia  Entered:1999-03-18, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC.1944H0IMLA
Administered by: Private     Purchased by: Public
Symptoms: Chills, Dizziness, Hyperhidrosis, Somnolence
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad)
Write-up: Pt recv vax on 3/9/99; 3 hr post vax pt exp hot/cold sweats, lethargy, light headed

VAERS ID:120453 (history)  Vaccinated:1999-01-26
Age:39.2  Onset:1999-01-26, Days after vaccination: 0
Gender:Female  Submitted:1999-03-05, Days after onset: 38
Location:South Carolina  Entered:1999-03-19, Days after submission: 14
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: Pt referred to an allergist for a skin test
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0301  
Administered by: Military     Purchased by: Military
Symptoms: Injection site hypersensitivity, Laryngospasm, Muscle spasms, Pruritus, Tongue oedema, Vasodilatation
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Dystonia (broad), Oropharyngeal allergic conditions (narrow), Hypersensitivity (narrow)
Write-up: Pt recv vax on 1/26/99; on same day pt exp itching/ thick tongue & throat, vax site hot & erythemic w/ spasms

VAERS ID:120563 (history)  Vaccinated:1999-02-02
Age:39.0  Onset:1999-02-03, Days after vaccination: 1
Gender:Male  Submitted:1999-03-23, Days after onset: 48
Location:California  Entered:1999-03-24, Days after submission: 1
Life Threatening? Yes
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: Prick skin test to Anthrax vax- neg
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTH 2  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Cough, Dyspnoea, Skin test, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Pt recv vax on 2/2/99; on 2/3/99 pt exp hives, shortness of breath, cough; tx=Benadryl, Zantac, Solumedrol Follow-up: Still going through checkups with respiratory care. Anthrax vaccinations were administered at the pt''s unit, not in the clinic. No other vaccines were administered on the same date as Anthrax vaccines. Vaccines were procured from the clinic by the unit staff. Records were maintained in database but these are deleted when a patient retires and that is the case with this patient.

VAERS ID:120795 (history)  Vaccinated:1999-01-26
Age:39.6  Onset:1999-01-27, Days after vaccination: 1
Gender:Female  Submitted:1999-02-08, Days after onset: 12
Location:Oregon  Entered:1999-03-30, Days after submission: 50
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Tinea pedis
Preexisting Conditions: Hx of abnormal pap resolved (ASCUS)
Diagnostic Lab Data: NONE
CDC Split Type: OR9905
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES09346001IMLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site abscess, Injection site hypersensitivity, Injection site pain, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Pt recv vax on 1/26/99; on 1/27/99 pt exp red/warm/ tender around vax site w/ abscess; tx=Keflex PO, incision & drainage

VAERS ID:120811 (history)  Vaccinated:1997-08-07
Age:39.3  Onset:1997-08-11, Days after vaccination: 4
Gender:Female  Submitted:1999-03-24, Days after onset: 590
Location:West Virginia  Entered:1999-03-31, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: all: codeine, phenothiazines; irritable bowel syndrome & carpal tunnel repair
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2299A42 RA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Headache, Meningitis, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious meningitis (narrow), Arthritis (broad)
Write-up: h/a, joint pain, fever;

VAERS ID:120973 (history)  Vaccinated:1999-01-25
Age:39.0  Onset:1999-01-25, Days after vaccination: 0
Gender:Female  Submitted:1999-03-04, Days after onset: 38
Location:Wisconsin  Entered:1999-04-05, Days after submission: 31
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: WI99003
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2606A42 RA
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAM584A41 LA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Myalgia, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: pt recv vax 19FEB99 c/o aching in lt arm since recv vax 25JAN99;has deep pain in lt arm & joint pain in lt wrist;pain travels down lt arm & lt leg & joint pain in lt ankle;no pain in rt arm;

VAERS ID:121224 (history)  Vaccinated:1999-03-19
Age:39.0  Onset:1999-03-20, Days after vaccination: 1
Gender:Female  Submitted:1999-04-12, Days after onset: 22
Location:D.C.  Entered:1999-04-14, Days after submission: 2
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: Anemia
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH49781143IMRA
Administered by: Public     Purchased by: Private
Symptoms: Hypokinesia, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad)
Write-up: Pt recv vax on 3/19/99; on 3/20/99 pt exp muscle soreness of right shoulder, dec motion-rotator cuff-like syndrome x 3 wk

VAERS ID:121242 (history)  Vaccinated:0000-00-00
Age:39.0  Onset:0000-00-00
Gender:Female  Submitted:1999-03-31
Location:Montana  Entered:1999-04-15, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX ID)PASTEUR MERIEUX INST.N0960 ID 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Rash, Serum sickness
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: serum sickness w/15cm erythematous rash in ? of back;

VAERS ID:121387 (history)  Vaccinated:1999-03-25
Age:39.5  Onset:1999-03-26, Days after vaccination: 1
Gender:Female  Submitted:1999-04-14, Days after onset: 18
Location:Minnesota  Entered:1999-04-22, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES4566930IMRA
Administered by: Other     Purchased by: Private
Symptoms: Asthenia, Dizziness, Dyspnoea, Hallucination, Hypertonia, Myalgia, Oedema peripheral, Pyrexia, Rash, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Parkinson-like events (narrow), Acute central respiratory depression (broad), Psychosis and psychotic disorders (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)
Write-up: Pt recv vax on 3/25/99; on 3/26/99 pt exp lightheaded, dizzy, difficult breathing, fever (101.6), chills, hallucinations, swollen/ stiff/ sore/ warm arm, rash on arm to back, achy, tired; tx=ice, Benadryl cream

VAERS ID:121502 (history)  Vaccinated:1999-04-13
Age:39.4  Onset:1999-04-13, Days after vaccination: 0
Gender:Female  Submitted:1999-04-15, Days after onset: 2
Location:New Jersey  Entered:1999-04-26, 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: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1595H1 LA
Administered by: Military     Purchased by: Military
Symptoms: Somnolence, Speech disorder
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad)
Write-up: drowsiness & slurred speech started p/pt left the clinic;pt called from home;sx started half hr p/vax;slowly improving & completely resolved p/2hr;

VAERS ID:121744 (history)  Vaccinated:1998-10-16
Age:39.0  Onset:1998-10-16, Days after vaccination: 0
Gender:Female  Submitted:1998-10-26, Days after onset: 10
Location:New Jersey  Entered:1999-04-26, Days after submission: 181
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamins, olivex
Current Illness:
Preexisting Conditions: allergic to codeline, allergic to compazine
Diagnostic Lab Data:
CDC Split Type: 19980254861
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAM557C60IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Skin striae
SMQs:, Hypersensitivity (narrow)
Write-up: pt exp red line & 4-5 red blotchy circles at the injection site.

VAERS ID:121746 (history)  Vaccinated:1998-11-22
Age:39.0  Onset:1998-11-24, Days after vaccination: 2
Gender:Female  Submitted:1999-04-16, Days after onset: 142
Location:Washington  Entered:1999-04-26, Days after submission: 10
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: asthma
Diagnostic Lab Data:
CDC Split Type: 19980301131
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAM579A41IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Diarrhoea, Pruritus
SMQs:, Anaphylactic reaction (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad), Noninfectious diarrhoea (narrow)
Write-up: pt recv vax 22NOV98 & 24NOV98 pt devel diarrhea (watery stools 3x daily & generalized itching;

VAERS ID:121632 (history)  Vaccinated:1998-10-22
Age:39.4  Onset:1999-02-13, Days after vaccination: 114
Gender:Unknown  Submitted:0000-00-00
Location:Texas  Entered:1999-04-27
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: TX99064
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES0973930 IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Cough, Influenza, Pyrexia, Rhinitis
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: 13FEB99 nasal congestion, cough, inc temp, dimetapp, robitussin DM; flu dx;

VAERS ID:121641 (history)  Vaccinated:1998-10-25
Age:39.2  Onset:1999-02-19, Days after vaccination: 117
Gender:Unknown  Submitted:0000-00-00
Location:Texas  Entered:1999-04-27
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: TX99074
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES09739305IMRL
Administered by: Other     Purchased by: Public
Symptoms: Influenza
SMQs:
Write-up: flu-like illness;

VAERS ID:121645 (history)  Vaccinated:1998-10-22
Age:39.0  Onset:1999-02-12, Days after vaccination: 113
Gender:Unknown  Submitted:0000-00-00
Location:Texas  Entered:1999-04-27
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: TX99078
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES09739305IMRA
Administered by: Other     Purchased by: Public
Symptoms: Influenza
SMQs:
Write-up: flu-like illness;

VAERS ID:121646 (history)  Vaccinated:1998-10-22
Age:39.1  Onset:1999-02-13, Days after vaccination: 114
Gender:Unknown  Submitted:0000-00-00
Location:Texas  Entered:1999-04-27
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: TX99079
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES09739305IMRA
Administered by: Other     Purchased by: Public
Symptoms: Influenza
SMQs:
Write-up: flu-like illness;

VAERS ID:121837 (history)  Vaccinated:1999-04-16
Age:39.4  Onset:1999-04-17, Days after vaccination: 1
Gender:Female  Submitted:1999-04-22, Days after onset: 5
Location:Georgia  Entered:1999-05-03, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Finger laceration
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES1000560 IMRA
Administered by: Public     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Pt recv vax on 4/16/99; on 4/17/99 pt exp erythema/ edema/ papular rash at vax site

VAERS ID:121994 (history)  Vaccinated:1999-01-04
Age:39.6  Onset:1999-01-20, Days after vaccination: 16
Gender:Female  Submitted:0000-00-00
Location:Mississippi  Entered:1999-05-10
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: diabetes controlled by diet
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR I)MERCK & CO. INC.0514H SCRA
Administered by: Public     Purchased by: Private
Symptoms: Arthralgia, Hypokinesia
SMQs:, Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad)
Write-up: joints hurt so unable to walk, upper leg area worse;

VAERS ID:122039 (history)  Vaccinated:1999-05-04
Age:39.0  Onset:1999-05-04, Days after vaccination: 0
Gender:Female  Submitted:1999-05-07, Days after onset: 3
Location:New Jersey  Entered:1999-05-11, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt throat closing up, flu like sx, red & swollen inj site, aches, fatigue, chill
Other Medications: Calan;
Current Illness:
Preexisting Conditions: allergic to augmentin, allergic to bactrim, allergic to cats, HTN
Diagnostic Lab Data:
CDC Split Type: 19990102091
Vaccination
Manufacturer
Lot
Dose
Route
Site
LYME: LYME (LYMERIX)SMITHKLINE BEECHAM120091  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Adverse drug reaction, Anaphylactoid reaction, Laryngospasm, Pruritus, Similar reaction on previous exposure to drug, Vasodilatation
SMQs:, Anaphylactic reaction (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Dystonia (broad), Hypersensitivity (narrow)
Write-up: pt recv vax 4MAY99 & w/in 1hr post vax pt face reddened & exp itching & throat was closing up;pt thought was exp anaphylaxis & ended up in ER;tx w/med;

VAERS ID:122101 (history)  Vaccinated:1999-05-03
Age:39.0  Onset:1999-05-04, Days after vaccination: 1
Gender:Female  Submitted:1999-05-10, Days after onset: 6
Location:Pennsylvania  Entered:1999-05-13, Days after submission: 3
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamins;Claritin
Current Illness: none
Preexisting Conditions: allergic to codeine (rash);seasonal allergies;previous tick bites
Diagnostic Lab Data:
CDC Split Type: 19990102881
Vaccination
Manufacturer
Lot
Dose
Route
Site
LYME: LYME (LYMERIX)SMITHKLINE BEECHAM120E90IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Anaphylactoid reaction, Anxiety, Chest pain, Chills, Dizziness, Dry mouth, Dyspnoea, Hypersensitivity, Hyperventilation, Laryngospasm, Myalgia, Pruritus, Pyrexia, Tachycardia, Tremor, Urticaria
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Dystonia (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)
Write-up: pt recv vax 3MAY99 & 9hr later 4MAY99 2:00 pt exp itching, hives, chills, dry mouth, myalgia & labored rapid breathing;pt was seen by MD who medicated pt, performed EKG (results unk) & sent to ER;dx anaphylactic rxn according to pt;

VAERS ID:122794 (history)  Vaccinated:1998-04-17
Age:39.5  Onset:1998-06-01, Days after vaccination: 45
Gender:Female  Submitted:1999-05-14, Days after onset: 347
Location:Arizona  Entered:1999-05-21, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: 39 yo pt devel lesions after dose 1 varivax
Other Medications: unknown
Current Illness:
Preexisting Conditions: unknown
Diagnostic Lab Data:
CDC Split Type: WAES98032156
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 1  
Administered by: Other     Purchased by: Other
Symptoms: Adverse drug reaction, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: after pt recv 2nd dose of vax pt devel welts on her feet w/itching.

VAERS ID:122951 (history)  Vaccinated:1998-04-14
Age:39.6  Onset:0000-00-00
Gender:Male  Submitted:1999-05-14
Location:Pennsylvania  Entered:1999-05-21, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: no relevant data
Other Medications: unknown
Current Illness:
Preexisting Conditions: unknown
Diagnostic Lab Data:
CDC Split Type: WAES98041531
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  SC 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Chills, Dermatitis bullous, Headache, Malaise
SMQs:, Severe cutaneous adverse reactions (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (narrow)
Write-up: pt recv 1 dose varivax on 4/14/98 2 wks following pt rpt being exhausted, feelings of malaise, headache & chills. 4/18 pt devel ``a few lesions on right arm, chest/left knee.

VAERS ID:122438 (history)  Vaccinated:1997-11-14
Age:39.5  Onset:1998-09-11, Days after vaccination: 301
Gender:Female  Submitted:1999-05-21, Days after onset: 252
Location:Nevada  Entered:1999-05-24, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: No relevant data;
Other Medications: unk
Current Illness:
Preexisting Conditions: asthma
Diagnostic Lab Data: 4/3/98 amniocentesis nl, 46xy;ultrasound positive preg;1998 ultrasound placenta previa at 16, 22, 26, 30 weeks;amniotic fluid analysis elevated;amniotic fluid analysis elevated, macrosomia;total serum human chrio positive preg;
CDC Split Type: WAES98010572
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Congenital anomaly, Foetal disorder, Hyperbilirubinaemia, Lung disorder, Placental disorder, Respiratory disorder
SMQs:, Liver related investigations, signs and symptoms (narrow), Cholestasis and jaundice of hepatic origin (narrow), Acute pancreatitis (broad), Congenital, familial and genetic disorders (narrow), Acute central respiratory depression (broad), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow), Respiratory failure (broad)
Write-up: pt recv vax 11/14/97 & became pregnant;pregnancy was confirmed by hcg titers;4/3/98 amniocentesis revealed nl results, 46xy;ultrasounds 16, 22, 26, 28 & 30 wk revealed placenta previa;ultrasounds 32, 34 & 39 wk revealed polyhydramnios

VAERS ID:122656 (history)  Vaccinated:1999-03-08
Age:39.0  Onset:1999-03-08, Days after vaccination: 0
Gender:Female  Submitted:1999-05-21, Days after onset: 73
Location:Florida  Entered:1999-05-24, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: no relevant data
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Diagnostic Lab Data:
CDC Split Type: WAES99030790
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Headache, Nausea, Paraesthesia, Rash
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow)
Write-up: p/vax pt exp headache. within 24hrs p/vax pt devel rash as well as numbness on side of head & nausea. recovered fr rash day p/onset

VAERS ID:122690 (history)  Vaccinated:1999-05-10
Age:39.4  Onset:1999-05-17, Days after vaccination: 7
Gender:Female  Submitted:1999-05-18, Days after onset: 1
Location:Georgia  Entered:1999-05-25, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Synthroid;Tomoxifen;Periactin;Calcium;
Current Illness: NONE
Preexisting Conditions: PCn-lincocin, moracaine;
Diagnostic Lab Data: referred to pvt MD for diagnosis;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1543H0SCLA
Administered by: Military     Purchased by: Unknown
Symptoms: Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: pt recv vax 10MAY99 & instructed employee to report to EHS if rash appeared;report to EHS 17MAY99 w/rash on face, upper chest, both arms, underarm & abd & back;T99.0;

VAERS ID:122718 (history)  Vaccinated:1999-01-06
Age:39.2  Onset:1999-01-08, Days after vaccination: 2
Gender:Male  Submitted:1999-02-05, Days after onset: 28
Location:Washington  Entered:1999-05-26, Days after submission: 109
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
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0560SCLA
Administered by: Military     Purchased by: Military
Symptoms: Myasthenic syndrome, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Malignancy related conditions (narrow), Guillain-Barre syndrome (broad)
Write-up: pt recv vax 6JAN & 8JAN started to notice numbness & small amounts of weakness in lt 4th-5th digit; mostly numb along C8 nerve distribution;has been there about a month @ times feeling nl;

VAERS ID:123020 (history)  Vaccinated:1999-04-22
Age:39.6  Onset:1999-05-04, Days after vaccination: 12
Gender:Female  Submitted:1999-05-21, Days after onset: 17
Location:New York  Entered:1999-05-27, 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: ATB amoxil, clindamycin;nasal spray
Current Illness: root canal
Preexisting Conditions: NKDA
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0840H0SC 
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: surrounding area was itching on 5/5/99;pt responded to itch & dug too deep into skin;area became red & swollen;T98.6;+ palpable induration lt arm non tender, no erythema;

VAERS ID:123278 (history)  Vaccinated:1999-01-19
Age:39.2  Onset:1999-01-19, Days after vaccination: 0
Gender:Female  Submitted:1999-05-18, Days after onset: 118
Location:Maryland  Entered:1999-06-03, Days after submission: 16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp rxn w/hep b dose 1&2;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: dust Grass/Codeine, Percocet, HTN
Diagnostic Lab Data: blood work; 4/30/99 chest pain;
CDC Split Type: MD 99-013
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2599A42IMLA
Administered by: Public     Purchased by: Public
Symptoms: Bone pain, Chest pain, Hypokinesia, Injection site inflammation, Injection site oedema, Myalgia, Neck pain, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Osteonecrosis (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: site of inj became swollen & inflamed w/in 2hr;in morning began w/aches & pains bones aching;progressed to becoming unable to walk;it hurt to walk & hurt turning neck;arm stayed swollen for 3mo;

VAERS ID:123294 (history)  Vaccinated:1999-05-18
Age:39.5  Onset:1999-05-20, Days after vaccination: 2
Gender:Male  Submitted:1999-05-21, Days after onset: 1
Location:Florida  Entered:1999-06-04, 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: NA
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: BP 138/79; P 48; T 97.8
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0411SCLA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)CONNAUGHT LABORATORIESP13460IMRA
Administered by: Military     Purchased by: Military
Symptoms: Hypersensitivity, Injection site hypersensitivity, Injection site oedema, Injection site pain, Vasodilatation
SMQs:, Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pruritus, swelling of site affected arm 37cm vs 32cm unaffected arm, erythema of 25 x 25cm area starting 2 days p/2nd dose;tx w/pred, DPH, zantac; dx: allergic rxn to anthrax vax, pt hemodynamically stable; no s/s of systemic rxn

VAERS ID:123880 (history)  Vaccinated:1999-06-01
Age:39.6  Onset:1999-06-02, Days after vaccination: 1
Gender:Female  Submitted:1999-06-03, Days after onset: 1
Location:Maryland  Entered:1999-06-09, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Tegretol
Current Illness: NONE
Preexisting Conditions: sz s/p trauma
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1339H IMRA
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: onset pain, swelling & redness, hot <12hr p/vax at upper & migrating down @ 36hr;

VAERS ID:124945 (history)  Vaccinated:1999-02-05
Age:39.0  Onset:1999-02-06, Days after vaccination: 1
Gender:Male  Submitted:1999-06-09, Days after onset: 122
Location:Delaware  Entered:1999-06-17, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA~~ ~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Amnesia, Tinnitus
SMQs:, Dementia (broad), Noninfectious encephalopathy/delirium (broad), Hearing impairment (narrow)
Write-up: constant ringing in ears, short term memory loss;

VAERS ID:124987 (history)  Vaccinated:1999-06-03
Age:39.4  Onset:1999-06-04, Days after vaccination: 1
Gender:Male  Submitted:1999-06-16, Days after onset: 12
Location:Ohio  Entered:1999-06-18, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ventolin inhaler
Current Illness: NONE
Preexisting Conditions: asthma (mild), migraines
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES09946101IMLA
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Face oedema, Headache, Nausea, Oedema peripheral
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: 12hr p/vax edema from face shoulder-hand;nausea, h/a, fatigue;

VAERS ID:123628 (history)  Vaccinated:1996-03-20
Age:39.0  Onset:1998-06-26, Days after vaccination: 828
Gender:Female  Submitted:1999-05-14, Days after onset: 322
Location:New York  Entered:1999-06-21, Days after submission: 38
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: No Relevant Data
Other Medications: Diovan
Current Illness:
Preexisting Conditions: HTN;inguinal hernia
Diagnostic Lab Data: 6/26/98 lab test 0.29 negative varicella antibody titer;7/6/98 lab test 0.19 negative varicella antibody titer;
CDC Split Type: WAES98070655
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 0SC 
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recv vax & failed to seroconvert;

VAERS ID:125002 (history)  Vaccinated:1999-03-19
Age:39.2  Onset:1999-03-19, Days after vaccination: 0
Gender:Male  Submitted:1999-06-15, Days after onset: 87
Location:Delaware  Entered:1999-06-21, 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: Naprosyn
Current Illness: lower back pain
Preexisting Conditions: +PPD 4/13/93;chronic lower back pain;hx of L-5, S-1 nerve compression 1975;
Diagnostic Lab Data: completed: CBC, Chem 7, bone scan, lumbar spine radiograph;pending MRI 6/17/99
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0300  
Administered by: Military     Purchased by: Military
Symptoms: Arthralgia, Back pain, Condition aggravated, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Arthritis (broad)
Write-up: Chronic lower back pain since 12/98, soreness & tingling in both hands since 12/98;c/o similar problems w/both knees 12/98;

VAERS ID:125010 (history)  Vaccinated:1999-06-07
Age:39.6  Onset:1999-06-07, Days after vaccination: 0
Gender:Female  Submitted:1999-06-10, Days after onset: 3
Location:Florida  Entered:1999-06-21, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergic to PCN
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1668H3IM 
Administered by: Military     Purchased by: Other
Symptoms: Headache, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: pt recv vax 6/7/99 & devel h/a & itching all over body w/hives;took dimetapp & cold shower & felt better;

VAERS ID:125045 (history)  Vaccinated:1999-04-26
Age:39.0  Onset:1999-04-26, Days after vaccination: 0
Gender:Male  Submitted:1999-06-06, Days after onset: 41
Location:Ohio  Entered:1999-06-21, Days after submission: 15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)CONNAUGHT LABORATORIESP091020IMLA
YF: YELLOW FEVER (YF-VAX)CONNAUGHT LABORATORIES7348AA0SCLA
Administered by: Private     Purchased by: Private
Symptoms: Bone pain, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Osteonecrosis (broad), Tendinopathies and ligament disorders (broad)
Write-up: approx 2hr p/vax pt exp fever 101, chills, aching & bone pain;acute phase lasted approx 2hr;

VAERS ID:125089 (history)  Vaccinated:1999-06-08
Age:39.7  Onset:1999-06-08, Days after vaccination: 0
Gender:Female  Submitted:1999-06-11, Days after onset: 3
Location:California  Entered:1999-06-22, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: severe headache
Preexisting Conditions: NONE
Diagnostic Lab Data: no CSF or other lab tests done
CDC Split Type: CA990059
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX ID)PASTEUR MERIEUX INST.N120422IDLA
Administered by: Public     Purchased by: Public
Symptoms: Headache, Infection, Meningitis, Neck pain, Nervousness, Vomiting
SMQs:, Acute pancreatitis (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad)
Write-up: devel h/a 5:30-6:00 6/8/99 throbbing pulsating on top of head-when sitting still-relief but throbbing when moved around-neck was hurting the week a/vax given-vomiting on 6/5/99;dx viral meningitis or tension h/a;

VAERS ID:125117 (history)  Vaccinated:1999-06-17
Age:39.9  Onset:1999-06-17, Days after vaccination: 0
Gender:Female  Submitted:1999-06-21, Days after onset: 4
Location:Maryland  Entered:1999-06-23, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: allegra
Current Illness: hayfever allergies
Preexisting Conditions: hayfever allergies;
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.0888H0IMLA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES0997390 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Laryngospasm
SMQs:, Anaphylactic reaction (broad), Dystonia (broad), Hypersensitivity (narrow)
Write-up: pt noticed swelling in throat & went to ER;there was given IV DPH & cortisone observed for several hours & discharged to home;

VAERS ID:125253 (history)  Vaccinated:1999-06-22
Age:39.8  Onset:1999-06-22, Days after vaccination: 0
Gender:Male  Submitted:1999-06-24, Days after onset: 2
Location:Illinois  Entered:1999-06-30, 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:
CDC Split Type: U199900454
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES7341AA  RA
Administered by: Private     Purchased by: Private
Symptoms: Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: 2hr p/vax pt c/o numbness of entire arm;

VAERS ID:125436 (history)  Vaccinated:1999-05-12
Age:39.4  Onset:1999-05-18, Days after vaccination: 6
Gender:Female  Submitted:1999-05-26, Days after onset: 8
Location:Virginia  Entered:1999-07-08, Days after submission: 43
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt-faint sandpaper rash lt flank/axilla-ANTH #1
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0411 RA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Rash, Similar reaction on previous exposure to drug
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: faint, sandpaper like rash devel on rt flank/axilla 5-7 days p/vax, in rt deltoid; no tx neede

VAERS ID:125628 (history)  Vaccinated:1999-06-12
Age:39.0  Onset:1999-06-13, Days after vaccination: 1
Gender:Male  Submitted:1999-06-16, Days after onset: 3
Location:Washington  Entered:1999-07-13, Days after submission: 27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0410SC 
Administered by: Military     Purchased by: Military
Symptoms: Abdominal pain, Influenza, Nausea
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: nausea & flu like stomachache;felt like throwing up for hours 18-48 p/vax

VAERS ID:126102 (history)  Vaccinated:1999-04-09
Age:39.3  Onset:1999-04-19, Days after vaccination: 10
Gender:Female  Submitted:1999-04-22, Days after onset: 3
Location:Washington  Entered:1999-07-19, Days after submission: 88
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: except vitimans & minerals
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC Split Type: WA991563
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1020E SCLA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES0939440 IMLA
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Asthenia, Headache, Infection, Malaise, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: approx 10 days p/vax pt showed generalized rash all over body. also listlessness, joint pains, slight fever & mild headache. seen in UCC was told viral illness. no meds given.

VAERS ID:126163 (history)  Vaccinated:1999-04-28
Age:39.5  Onset:1999-04-28, Days after vaccination: 0
Gender:Male  Submitted:1999-07-09, Days after onset: 72
Location:Hawaii  Entered:1999-07-20, Days after submission: 11
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: N/A
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0412SCLA
Administered by: Military     Purchased by: Military
Symptoms: Injection site mass
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: p/vax pt has noticed a small (0.5cm diameter) subdermal/dermal firm area where vax given

VAERS ID:126497 (history)  Vaccinated:1999-07-28
Age:39.5  Onset:1999-07-28, Days after vaccination: 0
Gender:Female  Submitted:1999-07-30, Days after onset: 2
Location:Indiana  Entered:1999-07-30
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: seasonal allergies to corn/dust, ASA
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0265J0IMRA
Administered by: Other     Purchased by: Other
Symptoms: Chills, Pyrexia, Vasodilatation
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: p/vax pt was told face looked flushed. later in day c/o chills. next day pt cont''d to c/o of chilling. felt hot, temp 99f, face flushed. given tylenol

VAERS ID:126591 (history)  Vaccinated:1999-04-29
Age:39.0  Onset:1999-04-29, Days after vaccination: 0
Gender:Female  Submitted:1999-05-04, Days after onset: 5
Location:New Jersey  Entered:1999-07-30, Days after submission: 87
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: prem pro
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 1999009992
Vaccination
Manufacturer
Lot
Dose
Route
Site
LYME: LYME (LYMERIX)SMITHKLINE BEECHAM120F90IM 
Administered by: Public     Purchased by: Other
Symptoms: Arthralgia, Chills, Hypokinesia, Insomnia, Myalgia, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: p/vax pt exp myalgia;arthralgia(especially hips;but all joints except elbow per pt); woke up x3 @ night w/chills;sweats; tx: ibuprofen;

VAERS ID:126724 (history)  Vaccinated:1999-06-09
Age:39.0  Onset:1999-06-09, Days after vaccination: 0
Gender:Female  Submitted:1999-06-15, Days after onset: 6
Location:New York  Entered:1999-07-30, Days after submission: 45
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: chronic fatigue synd, has been positive for EBV, Lyme Disease, mold allergy, PCN allergy, seafood allergy;
Diagnostic Lab Data:
CDC Split Type: 1999013857
Vaccination
Manufacturer
Lot
Dose
Route
Site
LYME: LYME (LYMERIX)SMITHKLINE BEECHAM 0IMLA
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Injection site hypersensitivity, Injection site oedema
SMQs:, Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: p/vax pt exp a swollen lt arm from shoulder to just above elbow, a hot 4 inch red circle @ the inj site, & a recurrence of fatigue;pt took own antihistamines;lymerix discontinued;outcome not provided;

VAERS ID:126859 (history)  Vaccinated:1999-07-24
Age:39.9  Onset:1999-07-25, Days after vaccination: 1
Gender:Male  Submitted:1999-07-27, Days after onset: 2
Location:Mississippi  Entered:1999-08-03, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Flonase nasal spray
Current Illness: n/a
Preexisting Conditions: allergic rhinitis otherwise unremarkable
Diagnostic Lab Data: CBC & chemistries-norm
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0431SCLA
Administered by: Military     Purchased by: Military
Symptoms: Injection site hypersensitivity, Myasthenic syndrome, Oedema peripheral, Vasodilatation
SMQs:, Cardiac failure (broad), Angioedema (broad), Malignancy related conditions (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: arm felt tired & weak rest of day, arm became red & hot and began swelling-swelling progressed through hand by 4th day; some weeping and blistering

VAERS ID:126862 (history)  Vaccinated:1999-07-06
Age:39.0  Onset:0000-00-00
Gender:Male  Submitted:1999-07-27
Location:Massachusetts  Entered:1999-08-03, 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: nonr
Diagnostic Lab Data: none rpt
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0410SCLA
Administered by: Military     Purchased by: Military
Symptoms: Ecchymosis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)
Write-up: 7/16/99 rpt via phone several 1/2 dollar sz areas of bruising on upper legs & upper arms.(bilaterally)

VAERS ID:127000 (history)  Vaccinated:1999-07-10
Age:39.2  Onset:1999-07-10, Days after vaccination: 0
Gender:Male  Submitted:1999-07-10, Days after onset: 0
Location:Oregon  Entered:1999-08-09, Days after submission: 30
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: n/a
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0410SC 
Administered by: Other     Purchased by: Military
Symptoms: Pain, Testicular disorder
SMQs:, Fertility disorders (narrow)
Write-up: right testicular pain

VAERS ID:127127 (history)  Vaccinated:1999-06-24
Age:39.0  Onset:1999-07-05, Days after vaccination: 11
Gender:Female  Submitted:1999-08-02, Days after onset: 28
Location:New Hampshire  Entered:1999-08-11, Days after submission: 9
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: pcn; high blood pressure
Diagnostic Lab Data: NONE
CDC Split Type: NH9914
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEA: MEASLES (ATTENUVAX)MERCK & CO. INC.1731H SCLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Back pain, Lymphadenopathy, Nausea, Nuchal rigidity, Pyrexia, Somnolence
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad)
Write-up: pt exp stiff neck w/swollen glands, nausea, back ache + achy joints; fever, 99.9f-100.5f; sx lasted 4-5 days accompanied by lethargy; Per follow-up: No residual effects - symptoms totally resolved. Had positive titer after immu so did not do a 2nd.

VAERS ID:127145 (history)  Vaccinated:1999-08-02
Age:39.6  Onset:1999-08-02, Days after vaccination: 0
Gender:Female  Submitted:1999-08-03, Days after onset: 1
Location:California  Entered:1999-08-12, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: none
Current Illness: none
Preexisting Conditions: allergy to sulfate
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0265J0IMRA
Administered by: Private     Purchased by: Other
Symptoms: Pruritus, Rash maculo-papular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: p/recv vax pt devel itching, red blotches on arms & neck;

VAERS ID:127262 (history)  Vaccinated:1998-11-30
Age:39.6  Onset:1998-11-30, Days after vaccination: 0
Gender:Female  Submitted:1999-08-03, Days after onset: 245
Location:Texas  Entered:1999-08-16, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: 1st 3shots anthax severe burning sensation at inject site; arms red & swollen;
Other Medications: 4/21/99, meningococcal, connngt, #6K81370; havrix #1, smk, #VHA524AG, IPPD, P.Davis, #00417P;
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0203 RA
Administered by: Military     Purchased by: Military
Symptoms: Adverse drug reaction, Asthenia, Condition aggravated, Diarrhoea, Hypersensitivity, Lacrimal disorder, Malaise, Nausea, Pharyngitis, Pyrexia, Rhinitis, Similar reaction on previous exposure to drug
SMQs:, Acute pancreatitis (broad), Agranulocytosis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Lacrimal disorders (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow)
Write-up: p/recv 4th dose of anthrax pt immed exp severe burning sensation that lasted few minutes; area around inject turned red & swollen; unable to touch direct site of vax w/o having severe pain that would bring tears; swelling & pain lasted 5mo

VAERS ID:127296 (history)  Vaccinated:1999-07-11
Age:39.0  Onset:1999-07-11, Days after vaccination: 0
Gender:Male  Submitted:1999-07-23, Days after onset: 12
Location:Washington  Entered:1999-08-17, Days after submission: 25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~~ ~~In patient
Other Medications:
Current Illness: burning in arm for 5 min''s
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURER   RA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Muscle twitching, Pain, Skin nodule
SMQs:, Dyskinesia (broad), Dystonia (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: p/recv vax pt thumb devel a twitch (uncontrollable) 3 to 7 days post vax;day 1 to 14 p/vax pt exp large warm lump in upper forearm, pain in lump;

VAERS ID:127300 (history)  Vaccinated:1999-07-26
Age:39.9  Onset:1999-07-29, Days after vaccination: 3
Gender:Male  Submitted:1999-08-09, Days after onset: 11
Location:Delaware  Entered:1999-08-17, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: CBC; Sed Rate;ANA;LDH;CPK;RF;RS= (pending);
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0410 LA
Administered by: Military     Purchased by: Military
Symptoms: Arthralgia, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: 4 days p/vax rt thumb, then lt thumb began joint aches then moves to knuckles on lt hand, radiates through lt hand, rt hand thumb still aches;

VAERS ID:127451 (history)  Vaccinated:1999-07-30
Age:39.0  Onset:1999-07-30, Days after vaccination: 0
Gender:Unknown  Submitted:0000-00-00
Location:Montana  Entered:1999-08-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp stomach cramps, diarrheaw/dose #1 anthrax;~ ()~~0~In Patient
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0371 LA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abdominal pain, Diarrhoea, Headache, Influenza, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad)
Write-up: p/vax pt exp severe stomach cramps; diarrhea, slowed p/9days; diarrhea continued;also exp h/a, flu like sx, sore arm;

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