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Found 588667 cases in entire database

Case Details (Sorted by Age)

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VAERS ID:67034 (history)  Vaccinated:1994-09-08
Age:31.3  Onset:1994-09-08, Days after vaccination: 0
Gender:Female  Submitted:1994-09-22, Days after onset: 14
Location:South Carolina  Entered:1994-10-03, 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: none;
Preexisting Conditions: none;
Diagnostic Lab Data: none;
CDC Split Type: SC9485
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0443A1IMLA
Administered by: Public     Purchased by: Other
Symptoms: Abdominal pain, Asthenia, Chest pain, Diarrhoea, Hypersensitivity, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax & began feeling weak; pt hands & eyes became itchy; generalized hives w/ stomach pain; diarrhea & intermittent chest pain; PMD thinks pt had hypersensitive rxn to vax;

VAERS ID:67122 (history)  Vaccinated:1994-08-10
Age:31.0  Onset:1994-08-10, Days after vaccination: 0
Gender:Female  Submitted:1994-09-16, Days after onset: 37
Location:Ohio  Entered:1994-10-06, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none;
Current Illness: denies;
Preexisting Conditions: allergies to pcn, bee stings;
Diagnostic Lab Data: none;
CDC Split Type: OH94085
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0443A0IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Dizziness, Hyperhidrosis, Hypotension, Influenza, Myalgia, Myasthenic syndrome, Paraesthesia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Malignancy related conditions (narrow), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: pt recvd vax & exp weakness & tingling in arms & face; 24-48 hrs began dizziness, muscle aches; 4 days later devel flu like symptoms; t 102, diaphoresis; dec in BP; to MD; who advised no more hep-B vax;

VAERS ID:67272 (history)  Vaccinated:1994-10-05
Age:31.7  Onset:1994-10-05, Days after vaccination: 0
Gender:Female  Submitted:1994-10-10, Days after onset: 5
Location:Texas  Entered:1994-10-13, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PPD;
Current Illness: none;
Preexisting Conditions: pcn allergy;
Diagnostic Lab Data: none;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES4F51051IM 
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES4E611681IM 
Administered by: Private     Purchased by: Private
Symptoms: Asthma, Dyspnoea, Laryngospasm
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: pt recvd vax & had S.O.B; mild wheeze; throat tight & sensation of closing; to er, given epi; dph; steroids & other meds;

VAERS ID:67371 (history)  Vaccinated:1994-10-02
Age:31.3  Onset:1994-10-02, Days after vaccination: 0
Gender:Female  Submitted:1994-10-03, Days after onset: 1
Location:Alaska  Entered:1994-10-17, 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: none;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)PFIZER/WYETH49282974SCLA
Administered by: Military     Purchased by: Military
Symptoms: Angioneurotic oedema, Pain
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax & had facial angiodema; pain;

VAERS ID:67523 (history)  Vaccinated:1994-04-20
Age:31.8  Onset:1994-04-20, Days after vaccination: 0
Gender:Female  Submitted:1994-10-18, Days after onset: 181
Location:North Dakota  Entered:1994-10-21, Days after submission: 3
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: streph serum neg; CBC-WBC 3.3; plt 248,000;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES3M511155IMLA
Administered by: Private     Purchased by: Private
Symptoms: Headache, Leukopenia, Myalgia, Oedema peripheral, Osteoarthritis, Petechiae, Pyrexia, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Acute pancreatitis (broad), Angioedema (broad), Haematopoietic leukopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Arthritis (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: w/in 12 hrs of vax pt became ill w/body aches, temp, n&v; this went on for several wks off & on; w/in 1 wk devel petechial type rash mostly dependent w/swelling of lower extremities & mild effusion to knees; tension type h/a x 1 mo;

VAERS ID:67588 (history)  Vaccinated:1994-10-18
Age:31.5  Onset:1994-10-19, Days after vaccination: 1
Gender:Female  Submitted:1994-10-19, Days after onset: 0
Location:Connecticut  Entered:1994-10-24, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: allergies: amoxicillin, E-Mycin, PCn
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES4F511580 LA
Administered by: Other     Purchased by: Private
Symptoms: Chills, Headache, Myalgia, Nausea, Pyrexia, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: h/a, chills, low grade fever (99.0), nausea, vomiting, muscle aches; given APAP remained on bedrest x 3 hrs, felt better; 20OCT93: reports afebrile, overall feels better,sl nauseous;

VAERS ID:68615 (history)  Vaccinated:1993-09-30
Age:31.0  Onset:1993-10-01, Days after vaccination: 1
Gender:Female  Submitted:1994-08-23, Days after onset: 326
Location:Texas  Entered:1994-10-26, Days after submission: 64
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: none;
Other Medications: estrogen injects;
Current Illness: none;
Preexisting Conditions: nka;
Diagnostic Lab Data:
CDC Split Type: CO4997
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES3F41009   
Administered by: Public     Purchased by: Unknown
Symptoms: Skin nodule, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: pt recvd vax; had red, indurated area 29x16mm;

VAERS ID:68657 (history)  Vaccinated:1993-10-18
Age:31.3  Onset:1993-10-18, Days after vaccination: 0
Gender:Female  Submitted:1994-08-23, Days after onset: 309
Location:Kansas  Entered:1994-10-26, Days after submission: 64
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none;
Current Illness:
Preexisting Conditions: nka;
Diagnostic Lab Data:
CDC Split Type: CO5075
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Hypokinesia, Myasthenic syndrome, Pain
SMQs:, Malignancy related conditions (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: pt recvd vax; exp weakness in arm difficulty lifting & doing usual activities; pain also, but not too severe; 17dec93 no response to f/u request;

VAERS ID:68669 (history)  Vaccinated:1993-10-15
Age:31.5  Onset:1993-10-16, Days after vaccination: 1
Gender:Unknown  Submitted:1994-08-23, Days after onset: 311
Location:North Carolina  Entered:1994-10-26, Days after submission: 64
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: in pt, had axillary lymph node swelling;
Other Medications:
Current Illness: none;
Preexisting Conditions: allergy to morphine;
Diagnostic Lab Data:
CDC Split Type: CO5088
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES   LA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax; 3cm axillary lymph node on lt side; no oth sxs; 2feb94 recvd returned form; no info avail;

VAERS ID:68734 (history)  Vaccinated:1993-09-30
Age:31.1  Onset:1993-09-30, Days after vaccination: 0
Gender:Female  Submitted:1994-08-23, Days after onset: 327
Location:Texas  Entered:1994-10-26, Days after submission: 64
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergic to sulfa, strawberries
Diagnostic Lab Data:
CDC Split Type: CO5191
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES3F41003  LA
Administered by: Private     Purchased by: Private
Symptoms: Breast pain
SMQs:, Lipodystrophy (broad)
Write-up: breast tenderness bilateral mammogram, CBC, SMAC, Thyroid, Prolactin testing;

VAERS ID:69096 (history)  Vaccinated:1993-07-02
Age:31.5  Onset:1993-07-04, Days after vaccination: 2
Gender:Female  Submitted:1994-04-06, Days after onset: 276
Location:New York  Entered:1994-10-27, Days after submission: 204
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: bad sunburn;
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: CO4977
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID, ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES 2  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Lymphadenopathy, Oedema peripheral, Pain
SMQs:, Cardiac failure (broad), Angioedema (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax; swelling of arm & axillary lymph nodes; pain & weakness which has cont; had a "bad sunburn" at same time;

VAERS ID:67694 (history)  Vaccinated:1994-07-18
Age:31.9  Onset:1994-07-21, Days after vaccination: 3
Gender:Female  Submitted:1994-08-02, Days after onset: 12
Location:Colorado  Entered:1994-10-28, Days after submission: 87
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: none;
Other Medications: none;
Current Illness: none;
Preexisting Conditions: none;
Diagnostic Lab Data: sed rate; liver punct;
CDC Split Type: CO94055
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD135061A0PO 
Administered by: Public     Purchased by: Private
Symptoms: Abdominal pain, Diarrhoea, Headache, 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: pt recvd vax & exp headache & general achiness 3 days after vax; stomach cramps & diarrhea 7-8 days after vax;

VAERS ID:69115 (history)  Vaccinated:1993-08-19
Age:31.6  Onset:1993-08-20, Days after vaccination: 1
Gender:Male  Submitted:1994-06-28, Days after onset: 312
Location:Massachusetts  Entered:1994-10-31, Days after submission: 125
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: CO4966
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.J02671 A
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abnormal dreams, Nervousness, Pruritus, Pyrexia, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: pt recvd vax; vomited x 2 the am p/ 2nd dose; sl t, not measured;itchy at site; has been "gittery: & having nightmares since then;will check titer, & possibly give last dose;

VAERS ID:70050 (history)  Vaccinated:1993-08-26
Age:31.0  Onset:1993-08-27, Days after vaccination: 1
Gender:Female  Submitted:1993-09-03, Days after onset: 7
Location:Florida  Entered:1994-10-31, Days after submission: 423
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: asthma
Diagnostic Lab Data:
CDC Split Type: 930019581
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2IMA
Administered by: Other     Purchased by: Other
Symptoms: Headache, Oedema peripheral, Rash, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 1 day p/vax pt exp rash, red & swollen arm, & h/a; treated w/Darvocet;

VAERS ID:70108 (history)  Vaccinated:1993-07-20
Age:31.0  Onset:0000-00-00
Gender:Female  Submitted:1993-09-29
Location:Unknown  Entered:1994-10-31, Days after submission: 397
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: seldane
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 930028131
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0IMA
Administered by: Other     Purchased by: Other
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax;following dose 1 exp hives which cont through the next 2 doses;unresolved;

VAERS ID:70116 (history)  Vaccinated:1993-09-01
Age:31.0  Onset:1993-09-01, Days after vaccination: 0
Gender:Female  Submitted:1993-10-11, Days after onset: 40
Location:Unknown  Entered:1994-10-31, Days after submission: 385
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: MRI neg;
CDC Split Type: 930031771
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1IMA
Administered by: Private     Purchased by: Private
Symptoms: Hyporeflexia, Pain, Paraesthesia, Speech disorder
SMQs:, Peripheral neuropathy (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad)
Write-up: pt recvd vax & 4 days p/vax exp paresthesia face, burning lt arm & leg, dec reflexes, slurred speech;

VAERS ID:70183 (history)  Vaccinated:1993-11-09
Age:31.0  Onset:1993-11-11, Days after vaccination: 2
Gender:Female  Submitted:1993-11-12, Days after onset: 1
Location:Pennsylvania  Entered:1994-10-31, Days after submission: 353
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: birth control pills
Current Illness:
Preexisting Conditions: alcoholic liver
Diagnostic Lab Data:
CDC Split Type: 930043681
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0IMA
Administered by: Private     Purchased by: Private
Symptoms: Influenza
SMQs:
Write-up: pt recvd vax; 48 hrs later exp flu-like sxs; unresolved

VAERS ID:70328 (history)  Vaccinated:0000-00-00
Age:31.0  Onset:0000-00-00
Gender:Female  Submitted:1993-12-29
Location:Unknown  Entered:1994-10-31, Days after submission: 306
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: 930054741
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2IMA
Administered by: Private     Purchased by: Private
Symptoms: Hepatic function abnormal
SMQs:, Liver related investigations, signs and symptoms (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax & exp elevated function tests, which were untreated;

VAERS ID:70374 (history)  Vaccinated:1994-01-20
Age:31.0  Onset:1994-01-20, Days after vaccination: 0
Gender:Male  Submitted:1994-03-15, Days after onset: 54
Location:Puerto Rico  Entered:1994-10-31, Days after submission: 230
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: 940006951
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1223A42IMRA
Administered by: Public     Purchased by: Other
Symptoms: Hypersensitivity, Pruritus, Rash, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax & an allergic react (rash, itching, redness of ears & neck) 15 mins p/each dose; react lasted 30 mins on each occasion;

VAERS ID:70406 (history)  Vaccinated:1994-04-19
Age:31.0  Onset:1994-04-20, Days after vaccination: 1
Gender:Female  Submitted:1994-04-25, Days after onset: 5
Location:Michigan  Entered:1994-10-31, Days after submission: 189
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: 940035561
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1098A40IMRA
Administered by: Other     Purchased by: Other
Symptoms: Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: pt recvd vax for prophylaxis;24 hrs p/wards exp musculoskeletal pain in neck & upper torso; resolving;

VAERS ID:70507 (history)  Vaccinated:1994-03-22
Age:31.0  Onset:1994-03-25, Days after vaccination: 3
Gender:Female  Submitted:1994-03-30, Days after onset: 5
Location:Georgia  Entered:1994-10-31, Days after submission: 215
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: 940026401
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1314A40IMA
Administered by: Other     Purchased by: Other
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax & 3 days later exp a rash over entire body;

VAERS ID:70514 (history)  Vaccinated:0000-00-00
Age:31.0  Onset:0000-00-00
Gender:Female  Submitted:1994-04-04
Location:Massachusetts  Entered:1994-10-31, Days after submission: 210
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: 940027861
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0IMA
Administered by: Other     Purchased by: Other
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax & 24-48 hrs p/vax exp bilateral itchy, red rash on legs; sx resolved;

VAERS ID:70831 (history)  Vaccinated:1994-01-06
Age:31.0  Onset:1994-01-06, Days after vaccination: 0
Gender:Female  Submitted:1994-05-25, Days after onset: 138
Location:South Carolina  Entered:1994-10-31, Days after submission: 159
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: 6JAN BP 110/80; pulse 80;
CDC Split Type: 940045241
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1095A40IMLA
Administered by: Other     Purchased by: Other
Symptoms: Dizziness, Dry mouth, Headache, Hyperhidrosis, Hypertension, Nausea, Pallor, Tongue oedema
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: pt recvd vax & 4 hrs later the pt exp inc BP, h/a, swollen tongue, dry mouth, sl unsteady on feet, pale, clammy, nauseous, felt as if could pass out; treated in ER;

VAERS ID:70933 (history)  Vaccinated:1994-07-01
Age:31.0  Onset:1994-07-01, Days after vaccination: 0
Gender:Male  Submitted:1994-08-17, Days after onset: 47
Location:Texas  Entered:1994-10-31, Days after submission: 75
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: 940073541
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1IMA
Administered by: Other     Purchased by: Other
Symptoms: Bronchitis, Cardiomegaly, Chest pain, Influenza, Orchitis, Pharyngitis, Pyrexia
SMQs:, Cardiac failure (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax & 1-2 days p/vax exp flu-like sx, high fever, red throat, bronchitis, chest pain, enlarged heart, orchitis (non-infectious); pt was treated w/Amoxicillin & sx resolved very quickly p/that;

VAERS ID:70948 (history)  Vaccinated:1994-08-23
Age:31.0  Onset:1994-08-23, Days after vaccination: 0
Gender:Female  Submitted:1994-08-26, Days after onset: 3
Location:Arkansas  Entered:1994-10-31, Days after submission: 66
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: 940077911
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1400A43IMA
Administered by: Private     Purchased by: Other
Symptoms: Asthenia, Dizziness, Headache, Hypertension, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Vestibular disorders (broad)
Write-up: pt recvd vax & 45 mins p/vax exp vomiting, nausea, dizziness, h/a, weakness & elevated BP; h/a was treated w/Darvocet;

VAERS ID:68010 (history)  Vaccinated:1994-09-08
Age:31.4  Onset:1994-09-27, Days after vaccination: 19
Gender:Female  Submitted:1994-10-14, Days after onset: 17
Location:California  Entered:1994-11-07, Days after submission: 24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: PPD by Connaught lot# 237011 6SEP94; BC pills
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: CA94133
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0547A IMRA
Administered by: Other     Purchased by: Unknown
Symptoms: Injection site mass, Injection site oedema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: pt c/o tender lump rt deltoid area over area where vax administered; swelling is 1x1 cm nodule w/mild tenderness to palpation; tx Advil, warm compresses;

VAERS ID:68117 (history)  Vaccinated:1994-10-29
Age:31.2  Onset:1994-10-30, Days after vaccination: 1
Gender:Female  Submitted:1994-10-31, Days after onset: 1
Location:Colorado  Entered:1994-11-07, 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: unk
Current Illness: NONE
Preexisting Conditions: unk
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES4F511640IM 
Administered by: Other     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site pain, Rash maculo-papular, Urticaria, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt states discovered raised red rash on lower arms, anterior neck & @ inject site on arrising on 30OCT94; some urticaria; inject site also warm & tender to touch-1" diam; NKA; advised to consult MD;

VAERS ID:68160 (history)  Vaccinated:1994-10-24
Age:31.2  Onset:1994-10-24, Days after vaccination: 0
Gender:Female  Submitted:1994-11-07, Days after onset: 14
Location:Virginia  Entered:1994-11-09, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
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) (FLUSHIELD)PFIZER/WYETH49481251 RA
Administered by: Other     Purchased by: Private
Symptoms: Abdominal pain, Dyspnoea, Urticaria
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax 7PM did not wait the 20 mins observation time; 10-15 mins post inject exp SOB, hives, abdo pain; was treated w/Epi, Solumedrol, & DPH; f/u w/MD again 25OCT & no further sx noted;

VAERS ID:68163 (history)  Vaccinated:1994-11-02
Age:31.9  Onset:1994-11-03, Days after vaccination: 1
Gender:Female  Submitted:1994-11-04, Days after onset: 1
Location:Virginia  Entered:1994-11-09, Days after submission: 5
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:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4948081  LA
Administered by: Public     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema, Pain, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt recvd vax 2NOV94 p/laceration to digit states 3NOV94 arm felt like had been stung by a bee; today entire deltoid is edematous, hot to touch & has 2" x 2" reddened area @ site of inject;

VAERS ID:68488 (history)  Vaccinated:1994-10-20
Age:31.2  Onset:1994-11-01, Days after vaccination: 12
Gender:Female  Submitted:1994-11-04, Days after onset: 3
Location:California  Entered:1994-11-15, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp rash/fever/nodes w/MMR
Other Medications:
Current Illness: NONE
Preexisting Conditions: sulfa, erythro, codeine, hydrocodone, morphine
Diagnostic Lab Data: NONE x/CBC
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES4B61036  LA
FLU3: INFLUENZA (SEASONAL) (FLUOGEN)PARKE-DAVIS01564P  LA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0892A  RA
Administered by: Private     Purchased by: Private
Symptoms: Lymphadenopathy, Myalgia, Pyrexia, Rash maculo-papular
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)
Write-up: posterior occipital adenopathy, fever, myalgias (severe), morbulliform rash;

VAERS ID:68491 (history)  Vaccinated:1994-11-05
Age:31.8  Onset:1994-11-07, Days after vaccination: 2
Gender:Female  Submitted:1994-11-08, Days after onset: 1
Location:Texas  Entered:1994-11-15, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp swelling/reddness @ inject site @ 6 yrs old w/DTP #5;
Other Medications:
Current Illness: bleach burn to rt eye;
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES384903 IMRA
Administered by: Public     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: 3x4 cm area reddness @ inject site; 8cm induration-swelling , warm to touch;

VAERS ID:68534 (history)  Vaccinated:1994-10-10
Age:31.4  Onset:1994-10-11, Days after vaccination: 1
Gender:Female  Submitted:1994-11-04, Days after onset: 24
Location:Florida  Entered:1994-11-17, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: unk
Other Medications: health food Store-vitamins
Current Illness: NONE
Preexisting Conditions: environmental/sl allergy to eggs
Diagnostic Lab Data: NONE
CDC Split Type: FL94090
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.116RW  LA
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Myalgia, Osteoarthritis, Pyrexia, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt returned to clinic c/o general aching all over, fever 104, rash 11OCT94 lasted to13OCT94; knees swollen, ankles, wrists, generalized myalgia & arthralgia which persists; 4NOV93 advised to take Ibuprofen;

VAERS ID:68603 (history)  Vaccinated:1994-10-28
Age:31.6  Onset:1994-10-28, Days after vaccination: 0
Gender:Female  Submitted:1994-11-12, Days after onset: 15
Location:New York  Entered:1994-11-19, 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: Lithium, Zoloft, klonopin, Bromocriptune
Current Illness: major depression
Preexisting Conditions: depressive illness; pituitary adenoma
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 0 LA
Administered by: Public     Purchased by: Other
Symptoms: Asthenia, Myalgia, Pharyngitis, Rhinitis
SMQs:, Rhabdomyolysis/myopathy (broad), Agranulocytosis (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: for approx 2 days p/vax pt exp sore throat, weakness, myalgias, nasal congestion;

VAERS ID:68608 (history)  Vaccinated:1994-10-26
Age:31.2  Onset:1994-10-26, Days after vaccination: 0
Gender:Male  Submitted:1994-11-14, Days after onset: 19
Location:South Dakota  Entered:1994-11-19, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: unk-told had blood test;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES4F51006  RA
Administered by: Other     Purchased by: Other
Symptoms: Arthropathy, Hypokinesia, Injection site pain
SMQs:, Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad)
Write-up: soreness @ site; tenderness @ site; dec mobility in joint; on ATB & pain medication receiving PT treatments;

VAERS ID:68948 (history)  Vaccinated:1994-11-15
Age:31.7  Onset:1994-11-16, Days after vaccination: 1
Gender:Female  Submitted:1994-11-21, Days after onset: 5
Location:Massachusetts  Entered:1994-11-25, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: allergy inject
Current Illness: well
Preexisting Conditions: asthmatic
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES4F510150 LA
Administered by: Public     Purchased by: Unknown
Symptoms: Dyspnoea, Hypertension, Lacrimal disorder, Rhinitis, Vasodilatation, Vertigo
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Hypertension (narrow), Cardiomyopathy (broad), Vestibular disorders (narrow), Lacrimal disorders (narrow)
Write-up: difficulty breathing dec B/S both lungs; BP 130/110-88 c/o vertigo; face flushed; watery eyes & nose; no relief & inhaler & rest taken to ER;

VAERS ID:71662 (history)  Vaccinated:1994-02-28
Age:31.7  Onset:1994-03-01, Days after vaccination: 1
Gender:Female  Submitted:1994-03-07, Days after onset: 6
Location:California  Entered:1994-12-02, Days after submission: 270
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamins
Current Illness: NONE
Preexisting Conditions: no allergies; had sz yrs ago from medication for post nasal drip;
Diagnostic Lab Data: staphylococcus;
CDC Split Type: BER0125
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD130611A   
Administered by: Public     Purchased by: Other
Symptoms: Abdominal pain, Diarrhoea, Dizziness, Nausea, Pain, Rash
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax & devel white dots on trunk area;thought it would go away, cont on VIVOTIF & completed all 4 capsules; on leg got two white dots w/red around that & then pink around the red; burning sensation; nausea, stomach cramps, dizzy & d

VAERS ID:69275 (history)  Vaccinated:1994-11-06
Age:31.9  Onset:1994-11-06, Days after vaccination: 0
Gender:Unknown  Submitted:0000-00-00
Location:Texas  Entered:1994-12-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: none;
Other Medications: none;
Current Illness: none;
Preexisting Conditions: none;
Diagnostic Lab Data: none;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH4948113 IM 
Administered by: Other     Purchased by: Private
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax; had red spot on neck, chest, & legs; itching;

VAERS ID:71716 (history)  Vaccinated:0000-00-00
Age:31.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:1994-12-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES94030849
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recvd vax p/2 pregancies & failed to seroconvert; No further details were provided;

VAERS ID:69442 (history)  Vaccinated:1994-10-06
Age:31.0  Onset:1994-10-14, Days after vaccination: 8
Gender:Female  Submitted:1994-11-22, Days after onset: 39
Location:California  Entered:1994-12-09, Days after submission: 17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: APAP #3; Valium, Donnatal, Phenegen, Extertol, Tagamet, Tobrex, Pyridium, Paxil;
Current Illness: chron''s disease, colon polyp, ovarian tu
Preexisting Conditions: MVP, poss heart block, PUD, cyctitis, migraines, allergic sulfa, TCN, ETN, DPH
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH49481201 LA
Administered by: Other     Purchased by: Private
Symptoms: Diarrhoea
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: 1 1/2 wks p/vax diarrhea 4 stools q day; saw gastroenteologist; MD rxed Donnatal-Lomotil;

VAERS ID:69525 (history)  Vaccinated:1994-10-19
Age:31.5  Onset:1994-10-19, Days after vaccination: 0
Gender:Female  Submitted:1994-12-06, Days after onset: 48
Location:California  Entered:1994-12-12, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUOGEN)PARKE-DAVIS00474P1 LA
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES3769670 LA
Administered by: Other     Purchased by: Other
Symptoms: Cellulitis, Injection site hypersensitivity, Injection site oedema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: began w/pain @ site, rapidly progressing to erythema, & swelling; cellulitis from elbow to shoulder present w/in 36 hrs; treated w/Rocephin & dicloxacillin- resolved w/in 5 days

VAERS ID:69532 (history)  Vaccinated:1994-10-19
Age:31.9  Onset:1994-10-19, Days after vaccination: 0
Gender:Female  Submitted:1994-12-02, Days after onset: 44
Location:California  Entered:1994-12-12, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUOGEN)PARKE-DAVIS00474P0 A
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES3769670 A
Administered by: Private     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Lymphadenopathy, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: devel 3cm area eythema @ site w/ 7/10 tenderness & 3cm swelling; devel lymphadenopathy axillae & groin & medmarked myalgias;

VAERS ID:69744 (history)  Vaccinated:1994-11-22
Age:31.8  Onset:1994-11-23, Days after vaccination: 1
Gender:Male  Submitted:1994-12-15, Days after onset: 22
Location:Illinois  Entered:1994-12-22, 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:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES4B610520 RA
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)PFIZER/WYETH49382530SCLA
Administered by: Public     Purchased by: Private
Symptoms: Chest pain, Pain
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)
Write-up: pt recvd Typhoid vax 22nov & 23nov pt c/o tightness & pain in chest & arms;25nov call MD, better; sxs did last for 2 days; did not seek med help;

VAERS ID:70533 (history)  Vaccinated:1994-12-01
Age:31.5  Onset:1994-12-11, Days after vaccination: 10
Gender:Female  Submitted:0000-00-00
Location:Hawaii  Entered:1995-01-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 14DEC94 urine culture-E.Coli; 16DEC94: CMV,, IgG,AB 2.62H; SGOT 814; SGPT 107H; Alk phos 683H; Reactive lymph 24H; lymphocyte 51H; Neutrophil 14L; GammaGT 358H
CDC Split Type:
Vaccination
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MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0683A  RA
Administered by: Public     Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Blood alkaline phosphatase increased, Encephalitis, Leukopenia, Pyrexia, Rash maculo-papular, Urinary tract infection, Vomiting
SMQs:, Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Haematopoietic leukopenia (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Biliary system related investigations, signs and symptoms (broad), Noninfectious encephalitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)
Write-up: 13DEC 2 wks p/vax pt devel fever up to 103 w/ n,v, cough, non prod, +rash chest-maculopap, faintly erythematous, also on back & neck; then devel dec WBC=2.2 15DEC94 & also transient encephalitis 16DEC94;

VAERS ID:70780 (history)  Vaccinated:1994-11-17
Age:31.9  Onset:1994-11-17, Days after vaccination: 0
Gender:Female  Submitted:1994-11-21, Days after onset: 4
Location:Georgia  Entered:1995-01-25, Days after submission: 65
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type: GA94175
Vaccination
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Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES4F610581IMRA
Administered by: Public     Purchased by: Public
Symptoms: Oedema, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)
Write-up: pt recvd vax; started swelling; cont swelling to size of tennis ball; hot to touch;red in appearance, cont to swell x 3 days; began to dec in size on 4th day

VAERS ID:71812 (history)  Vaccinated:1994-10-26
Age:31.1  Onset:1994-10-26, Days after vaccination: 0
Gender:Male  Submitted:1994-11-10, Days after onset: 15
Location:California  Entered:1995-02-27, Days after submission: 109
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
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FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER4F510600IMLA
Administered by: Private     Purchased by: Public
Symptoms: Arthralgia, Asthma, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: fever 39.5, myalgias, arthralgias, wheezing; tx APAP, rest, albuterol treatment (inhalers); all outpatient tx;

VAERS ID:71836 (history)  Vaccinated:1995-02-09
Age:31.3  Onset:1995-02-14, Days after vaccination: 5
Gender:Male  Submitted:1995-02-22, Days after onset: 8
Location:Virginia  Entered:1995-02-28, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp rash @ 29y/o w/Rabies immunoglobulin & human Diploid cell
Other Medications: ADSOPED
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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RAB: RABIES (NO BRAND NAME)MICHIGAN DEPT PUB HLTHRU1345B1IMRA
Administered by: Other     Purchased by: Public
Symptoms: Headache, Malaise, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: pt recvd vax 9FEB95 & 17FEB95 c/o h/a, nausea & malaise; onset of sx began in the evening of 14FEB95 (5 days post 2nd vax); recommended bedrest APAP & fluids;

VAERS ID:71888 (history)  Vaccinated:1995-02-01
Age:31.9  Onset:1995-02-02, Days after vaccination: 1
Gender:Female  Submitted:1995-02-03, Days after onset: 1
Location:Tennessee  Entered:1995-03-02, 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: Ortho Novum 777
Current Illness: NONE
Preexisting Conditions: ASA
Diagnostic Lab Data:
CDC Split Type: TN95006
Vaccination
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TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES3J51047 IMLA
Administered by: Public     Purchased by: Public
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: today broke out in welts all over body; no meds besides birth control pills;

VAERS ID:71925 (history)  Vaccinated:1995-01-20
Age:31.3  Onset:1995-01-20, Days after vaccination: 0
Gender:Male  Submitted:1995-02-20, Days after onset: 31
Location:Utah  Entered:1995-03-06, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: UT951805
Vaccination
Manufacturer
Lot
Dose
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Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0728A2 LA
Administered by: Other     Purchased by: Other
Symptoms: Malaise, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt devel a rash all over body w/in hrs of obtaining vax; pt also felt general malaise & fever x 24-48 hrs;

VAERS ID:71951 (history)  Vaccinated:1995-02-21
Age:31.3  Onset:1995-02-26, Days after vaccination: 5
Gender:Male  Submitted:1995-03-01, Days after onset: 3
Location:Ohio  Entered:1995-03-07, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1437A41IMRL
Administered by: Private     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt recvd vax;5 days later,noted swelling & redness at site w/ a 1.5 cm cluster of vesicles at inject site point;no systemics sxs;7-8 cm area of induration & erythema;vesicles ruptured & resolved by 29feb;

VAERS ID:71955 (history)  Vaccinated:1995-01-26
Age:31.8  Onset:1995-02-04, Days after vaccination: 9
Gender:Female  Submitted:1995-03-01, Days after onset: 25
Location:New York  Entered:1995-03-07, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Phenobarbital
Current Illness: NONE
Preexisting Conditions: Epilepsy; verbal & written clearance for MMR
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1602W1SCLA
Administered by: Military     Purchased by: Public
Symptoms: Myalgia, Pyrexia, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax 26JAN95 & 4FEB95 exp body aches, elevated temp & rash; pt seen by MD & was advised adverse react to MMR:

VAERS ID:72920 (history)  Vaccinated:1994-03-09
Age:31.2  Onset:1994-03-09, Days after vaccination: 0
Gender:Male  Submitted:1994-03-11, Days after onset: 2
Location:Florida  Entered:1995-03-13, Days after submission: 367
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: 894094001A
Vaccination
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TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH49381941IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt recvd vax;devel severe arm pain above & lateral to inject site; rxn associated w/ redness & swelling at inject site;pain resolved w/in 2 wks;tx w/ Motrin,apap & ice;

VAERS ID:72877 (history)  Vaccinated:1994-01-14
Age:31.9  Onset:1994-01-25, Days after vaccination: 11
Gender:Female  Submitted:1994-06-28, Days after onset: 153
Location:Virginia  Entered:1995-03-14, Days after submission: 259
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: duricef
Current Illness: stepped on nail
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 894200002A
Vaccination
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TTOX: TETANUS TOXOID (NO BRAND NAME)PFIZER/WYETH 1 LA
Administered by: Private     Purchased by: Private
Symptoms: Injection site inflammation, Myositis, Pain, Tendon disorder
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax;devel shoulder area inflam & tendonitis next day;2 days later,worsening of sxs;tx in er w/ ibuprofen;on f/u:pt had extensive inflam of the muscles of lt arm including deltoid,trapezius;to MD 19apr c/o pain;dx as myositis;

VAERS ID:73129 (history)  Vaccinated:1993-08-31
Age:31.2  Onset:1993-09-03, Days after vaccination: 3
Gender:Female  Submitted:0000-00-00
Location:South Carolina  Entered:1995-03-17
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: 8JUL93 Anti-HBs 3 neg; 11NOV93 Anti-HBs 174 pos;
CDC Split Type: WAES93081264
Vaccination
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HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 3IM 
Administered by: Private     Purchased by: Private
Symptoms: Anorexia, Arthritis, Asthenia, Influenza, Myalgia, Pyrexia, Serum sickness
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd 4th dose of vax 31AUG93 & 3SEP93 exp flu-like sx, felt weak, achy, had a diminished appetite & devel a fever of 103; 9SEP93 presented to MD & was dx w/acute arthritis, unspecified site & serum react to the vax;

VAERS ID:73660 (history)  Vaccinated:1993-05-11
Age:31.6  Onset:1994-03-25, Days after vaccination: 318
Gender:Female  Submitted:0000-00-00
Location:Arkansas  Entered:1995-03-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp sore throat @ 32yo w/REcombivax dose 1;
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 25MAR94 Anti-HBs neg;
CDC Split Type: WAES94040591
Vaccination
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HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 2  
Administered by: Private     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recv vax & Anti-HBS testing on 25MAR94 revealed neg results; No further details were provided;

VAERS ID:73815 (history)  Vaccinated:1994-03-16
Age:31.0  Onset:1994-03-22, Days after vaccination: 6
Gender:Female  Submitted:0000-00-00
Location:Connecticut  Entered:1995-03-17
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: yeast-0
CDC Split Type: WAES94071248
Vaccination
Manufacturer
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Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1  
Administered by: Other     Purchased by: Other
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 16MAR94 & 22MAR94 pt devel a rash on face; it was noted that @ the time pt started working w/guinea pig; RAST testing for brewer''s yeast & guinea pig epithelium revealed 0;

VAERS ID:73828 (history)  Vaccinated:1994-07-27
Age:31.7  Onset:1994-07-29, Days after vaccination: 2
Gender:Female  Submitted:0000-00-00
Location:Indiana  Entered:1995-03-17
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: lupus; allergy, bee stings; hay fever; allergy, pollen;
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES94080213
Vaccination
Manufacturer
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Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0IM 
Administered by: Private     Purchased by: Other
Symptoms: Arthralgia, Dyspnoea, Urticaria, Vasodilatation
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax & exp urticaria, SOB, warm skin & joint aches; the experience was felt to be life threatening; No further details were provided;

VAERS ID:74373 (history)  Vaccinated:1994-09-09
Age:31.7  Onset:1994-09-10, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Illinois  Entered:1995-03-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: asthma; scleroderma; lupus; crest synd;
Diagnostic Lab Data:
CDC Split Type: WAES94090527
Vaccination
Manufacturer
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HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0956A2IM 
Administered by: Public     Purchased by: Public
Symptoms: Abdominal pain, Asthenia, Diarrhoea, Headache, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: pt recv vax; exp stomach cramps, diarrhea, v, n, HA & fatigue; recovered

VAERS ID:72829 (history)  Vaccinated:1995-03-24
Age:31.2  Onset:1995-03-25, Days after vaccination: 1
Gender:Female  Submitted:1995-03-27, Days after onset: 2
Location:California  Entered:1995-04-03, 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: finger injury
Preexisting Conditions: NA
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
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TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES4H61118 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)
Write-up: site swollen & red; arm sore;

VAERS ID:73011 (history)  Vaccinated:1994-10-18
Age:31.5  Onset:1994-10-18, Days after vaccination: 0
Gender:Male  Submitted:1994-11-21, Days after onset: 34
Location:Minnesota  Entered:1995-04-07, Days after submission: 136
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- poss undx''d hypertension
Diagnostic Lab Data: BP 156/96, 146/82 poss hypertension;pulse 108-92
CDC Split Type: MN94059
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH49481223IMLA
Administered by: Other     Purchased by: Private
Symptoms: Dizziness, Hyperhidrosis, Hypertension, Hyperventilation, Injection site hypersensitivity, Tachycardia, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Hypoglycaemia (broad)
Write-up: w/in 10 mins p/vax pt exp feeling of change & breathing faster & inc shallow; 15 mins post vax got cold sweats; 20 mins post vax back to RN & dizzy & clammy, face flushed, inj site red & diameter of baseball; monitored for next 30 mins;

VAERS ID:73391 (history)  Vaccinated:1995-03-29
Age:31.5  Onset:1995-04-06, Days after vaccination: 8
Gender:Male  Submitted:1995-04-17, Days after onset: 11
Location:New York  Entered:1995-04-21, 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:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: CBC, xray-arm both WNL;
CDC Split Type:
Vaccination
Manufacturer
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MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0885A1SC 
Administered by: Other     Purchased by: Private
Symptoms: Myalgia, Skin nodule
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: 10APR95 non tender, non erythematous induration of mid lateral aspect lt arm; no streaking, no lymphadeno; 6APR95 sore arm;

VAERS ID:73419 (history)  Vaccinated:1995-01-24
Age:31.5  Onset:1995-01-26, Days after vaccination: 2
Gender:Male  Submitted:1995-02-07, Days after onset: 12
Location:Tennessee  Entered:1995-04-24, Days after submission: 75
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: TN95023
Vaccination
Manufacturer
Lot
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Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1203A60IMLA
Administered by: Other     Purchased by: Public
Symptoms: Dermatitis bullous, Pruritus
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: devel rash (blisters) couple of days p/vax c/o itching; denies pustular progression which might indicate chicken pox; advised to see MD; 8FEB95 saw MD couldn''t determine cause but not related to vax;

VAERS ID:75351 (history)  Vaccinated:1994-09-30
Age:31.2  Onset:1994-10-28, Days after vaccination: 28
Gender:Female  Submitted:0000-00-00
Location:Illinois  Entered:1995-05-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, 8 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergy,pcn
Diagnostic Lab Data: no relevant data
CDC Split Type: WAES94110572
Vaccination
Manufacturer
Lot
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Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Coordination abnormal, Encephalitis, Headache, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: pt recv vax; 1 mo later, exp HA, n, ataxia & fever; was hosp for encephalitis for 8 days;

VAERS ID:75731 (history)  Vaccinated:1995-02-27
Age:31.0  Onset:1995-03-09, Days after vaccination: 10
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1995-05-12
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: No relevant data;
CDC Split Type: WAES95030605
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0698A1SC 
Administered by: Other     Purchased by: Other
Symptoms: Hyperhidrosis, Pruritus, Rash, Rash maculo-papular
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: pt recv vax 27FEB95; 9MAR95 exp a rash; No further details were provided;

VAERS ID:74230 (history)  Vaccinated:1995-05-08
Age:31.1  Onset:1995-05-10, Days after vaccination: 2
Gender:Male  Submitted:1995-05-19, Days after onset: 9
Location:North Carolina  Entered:1995-05-23, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Duricef
Current Illness: cat bite
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4838224 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site pain, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: inc warmth, induration & erythema lt arm extending 5cm from inj site, tender; no nodes;

VAERS ID:74232 (history)  Vaccinated:1991-07-16
Age:31.0  Onset:1995-05-08, Days after vaccination: 1392
Gender:Female  Submitted:1995-05-17, Days after onset: 9
Location:New York  Entered:1995-05-23, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~~ ~~In patient
Other Medications: MOM
Current Illness: delivered infant 16JUL91
Preexisting Conditions: NONE
Diagnostic Lab Data: 9MAY95 IgM rubella titer pos;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURER176250  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Drug ineffective, Infection
SMQs:, Lack of efficacy/effect (narrow)
Write-up: vaccine failure in MAY95 pt devel acute rubella;

VAERS ID:80393 (history)  Vaccinated:1994-09-15
Age:31.0  Onset:1994-09-15, Days after vaccination: 0
Gender:Male  Submitted:1994-10-19, Days after onset: 34
Location:Arkansas  Entered:1995-06-09, Days after submission: 233
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: healthy; finger wound
Preexisting Conditions: no allergies;had mild urti-type infect 1 wk prior to vax;fx hx aunt & grandmother recvd Td vax and had tingling in hands & feet, toes numb
Diagnostic Lab Data: Spinal tab, MRI,blood test;lyme dx performed;CSF-elev protein;EMG delayed NCV''s & L waves;
CDC Split Type: 940218801
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES  IM 
Administered by: Private     Purchased by: Private
Symptoms: CSF test abnormal, Guillain-Barre syndrome, Hypoaesthesia, Laboratory test abnormal, Neuropathy, Paraesthesia, Pollakiuria
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow)
Write-up: pt recvd vax; w/in 72 hrs exp tingling toes;1 wk later,feet numb could not move;hosp;3 days dx w/ GBS;19oct urinary frequency;dx as inflammatory demyelinating polyneuropathy;

VAERS ID:74836 (history)  Vaccinated:1995-03-24
Age:31.6  Onset:1995-05-27, Days after vaccination: 64
Gender:Female  Submitted:1995-06-07, Days after onset: 11
Location:North Dakota  Entered:1995-06-13, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1376A   
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES4H61150   
Administered by: Military     Purchased by: Military
Symptoms: Abortion
SMQs:, Termination of pregnancy and risk of abortion (narrow)
Write-up: spontaneous abortion @ 8 wk on 27MAY95; LMP 19MAR95; vax given 24MAR95

VAERS ID:74995 (history)  Vaccinated:1994-11-08
Age:31.6  Onset:1994-11-08, Days after vaccination: 0
Gender:Female  Submitted:1994-11-10, Days after onset: 2
Location:Wyoming  Entered:1995-06-16, Days after submission: 217
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamins; APAP allergy as needed
Current Illness: NONE
Preexisting Conditions: dust mites; corn tassles; horses; oat
Diagnostic Lab Data: dx pneumonia
CDC Split Type: WY9430
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES4F510240 LA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chest pain, Chills, Cough, Eye pain, Laryngospasm, Myalgia, Pneumonia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Glaucoma (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: by noon achy-not feeling well throat closing up, coughing, above breast ached like filling up w/fluid; pt took allergy pills; that eve severe chills so cold feet were ice, teeth chattering; 10NOV sweaty, clammy, t101; 9NOV eyes burned;

VAERS ID:74997 (history)  Vaccinated:1994-11-12
Age:31.5  Onset:1994-11-12, Days after vaccination: 0
Gender:Female  Submitted:1994-11-14, Days after onset: 2
Location:Wyoming  Entered:1995-06-16, Days after submission: 213
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: hx of multiple allergies, esp to preservatives; x/did not say that when screened;
Diagnostic Lab Data:
CDC Split Type: WY9432
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES4F510720IMRA
Administered by: Other     Purchased by: Public
Symptoms: Asthenia, Confusional state, Dizziness, Hypokinesia, Tachycardia, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Write-up: 10 mins p/flu vax c/o dizziness, shaking, confusion, weakness, progressing to inc pulse, inability to stand or walk; Epi given; In ER DPH & Cortisone were administered;

VAERS ID:75179 (history)  Vaccinated:1995-01-09
Age:31.0  Onset:1995-01-09, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Texas  Entered:1995-06-19
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: TX95098
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES4B61036 IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Headache, Pyrexia, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: red whelp-bigger than softball; sick w/h/a & fever x 2 days; feels like has been run over by a truck

VAERS ID:75247 (history)  Vaccinated:1995-05-12
Age:31.0  Onset:1995-05-15, Days after vaccination: 3
Gender:Female  Submitted:1995-06-10, Days after onset: 26
Location:Pennsylvania  Entered:1995-06-19, 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: Tri-levlin BCP''s;
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
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Dose
Route
Site
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAM427A60IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Pruritus, Rash maculo-papular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Nonerythematous papular rash, pruritic, generalized @ 10 days; began @ 3 d p/immunization; rx: DPH/chlortrimeton;

VAERS ID:80487 (history)  Vaccinated:1995-05-12
Age:31.0  Onset:1995-05-13, Days after vaccination: 1
Gender:Female  Submitted:1995-06-12, Days after onset: 30
Location:Pennsylvania  Entered:1995-06-23, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: 950046611
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAM 0IMA
Administered by: Other     Purchased by: Other
Symptoms: Rash maculo-papular
SMQs:, Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax & 48hrs post vax pt exp a papular non-erythematous rash over extremities & trunk;seen by MD who treated w/DPH;

VAERS ID:75484 (history)  Vaccinated:1995-05-01
Age:31.5  Onset:1995-05-01, Days after vaccination: 0
Gender:Female  Submitted:1995-05-11, Days after onset: 10
Location:Ohio  Entered:1995-06-28, Days after submission: 48
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: OH95073
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES4F610450IMLA
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Chest pain, Chills, Myalgia, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: pt recv vax; onset began almost immed p/ vax; feel n, weak, chills, chest tightness, body aches, too weak to get out of bed;

VAERS ID:75591 (history)  Vaccinated:1995-05-24
Age:31.3  Onset:1995-05-24, Days after vaccination: 0
Gender:Female  Submitted:1995-06-26, Days after onset: 33
Location:Texas  Entered:1995-07-03, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: in pt, pain abd, HA, n & d to 1 rabies vax;
Other Medications:
Current Illness: none
Preexisting Conditions: similar rxn w/ rabies vax;
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
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Dose
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Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.J11551 RA
Administered by: Private     Purchased by: Private
Symptoms: Abdominal pain, Dizziness, Headache, Nausea, Similar reaction on previous exposure to drug
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: pt recv vax; approx 25 mins p/ vax, devel stomach cramps, HA, n, dizziness; resolved p/ emetrol given & slept for 8 hr;

VAERS ID:75660 (history)  Vaccinated:1995-05-24
Age:31.5  Onset:0000-00-00
Gender:Female  Submitted:1995-07-05
Location:Maryland  Entered:1995-07-07, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: APAP; Motrin; Zantac
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: 12JUN95 Hep B ab (quant) 2; CRP <.4; ESR 15; ANA <1:40, RA <20, TFT & FSH WNL; UA neg; CBC neg; SMA 18 neg;
CDC Split Type:
Vaccination
Manufacturer
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Dose
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Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1399A41IMLA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia
SMQs:, Arthritis (broad)
Write-up: diffuse arthralgias (especially knees rt & lt) & lt shoulder & wrists starting shortly p/2nd vax 24MAY95;

VAERS ID:80507 (history)  Vaccinated:1994-05-11
Age:31.8  Onset:1994-05-11, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Pennsylvania  Entered:1995-07-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: naprosyn
Current Illness:
Preexisting Conditions: allergy pcn; allergy erythromycin; arthritis; Raynaud''s synd
Diagnostic Lab Data: no relevant data
CDC Split Type: WAES94060098
Vaccination
Manufacturer
Lot
Dose
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Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1679W0SC 
Administered by: Other     Purchased by: Other
Symptoms: Ecchymosis, Injection site pain
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad)
Write-up: pt recvd vax;devel black & blue mark approx size of a quarter at inject site & mild soreness; sxs resolved w/in 3 days;

VAERS ID:80509 (history)  Vaccinated:1994-05-11
Age:31.9  Onset:1994-05-12, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:Pennsylvania  Entered:1995-07-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: allergy pollen; allergy mildew;
Diagnostic Lab Data: no relevant data
CDC Split Type: WAES94060101
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1679W0SC 
Administered by: Other     Purchased by: Other
Symptoms: Myalgia, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: pt recvd vax;following day exp a sore arm; approx 5 days later exp lymph nodes under lt arm;

VAERS ID:80513 (history)  Vaccinated:1994-06-01
Age:31.5  Onset:1994-06-02, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Pennsylvania  Entered:1995-07-14
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: no relevant data
CDC Split Type: WAES94061222
Vaccination
Manufacturer
Lot
Dose
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Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1679W1SC 
Administered by: Other     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema, Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax; following eve devel large swollen, red area at inject site which was 3" in diam, lasted for 3 days; fever, swollen glands in neck & lt axilla region;

VAERS ID:75906 (history)  Vaccinated:1995-06-22
Age:31.2  Onset:1995-06-22, Days after vaccination: 0
Gender:Female  Submitted:1995-06-28, Days after onset: 6
Location:North Carolina  Entered:1995-07-17, Days after submission: 19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: na
Other Medications: Norplant
Current Illness: none
Preexisting Conditions: allergies to codeine & ASA
Diagnostic Lab Data: none
CDC Split Type: NC95064
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES4H611184IMLA
Administered by: Public     Purchased by: Public
Symptoms: Back pain, Hypertonia, Injection site hypersensitivity, Injection site oedema, Injection site pain, Oedema peripheral, Rash, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax;devel pain,redness,swelling in lt arm around inj site;arm swollen,red down to upper arm;back pain,spasms in upper lt side of back;not resolved w/apap & cold compresses;to MD;on motrin & warm soaks to arm;also rash 6 days p/vax;

VAERS ID:76049 (history)  Vaccinated:1995-07-17
Age:31.5  Onset:1995-07-18, Days after vaccination: 1
Gender:Female  Submitted:1995-07-18, Days after onset: 0
Location:Indiana  Entered:1995-07-21, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
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Dose
Route
Site
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER 0IMA
Administered by: Public     Purchased by: Public
Symptoms: Tongue discolouration
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)
Write-up: tongue has thick black coating; pt was instructed to brush it off and to keep it clean;

VAERS ID:77028 (history)  Vaccinated:1995-05-01
Age:31.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Indiana  Entered:1995-07-21
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: Encephalitis; Lyme disease, questionable
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES95060071
Vaccination
Manufacturer
Lot
Dose
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Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Other
Symptoms: Condition aggravated, Coordination abnormal, Encephalitis, Gait disturbance, Infection, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: pt recv vax in MAY1995 & 1 wk p/vax pt devel an unusual gait while walking & signs of encephalitis; No further details were provided

VAERS ID:76116 (history)  Vaccinated:1995-07-17
Age:31.2  Onset:1995-07-17, Days after vaccination: 0
Gender:Male  Submitted:1995-07-21, Days after onset: 4
Location:South Dakota  Entered:1995-07-24, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: none
Other Medications: midrin
Current Illness: none
Preexisting Conditions: migraines
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0974A SCLA
Administered by: Private     Purchased by: Public
Symptoms: Oedema peripheral, Pain, Paraesthesia, Vasodilatation
SMQs:, Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: pt recv vax; pt states "arm swollen, warm to touch & a burning sensation, arm also numb & tingling" 20jul95; came to clinic; no swelling, redness or warm to touch noted;

VAERS ID:76284 (history)  Vaccinated:1995-04-07
Age:31.6  Onset:1995-05-01, Days after vaccination: 24
Gender:Female  Submitted:1995-06-20, Days after onset: 50
Location:Florida  Entered:1995-07-31, Days after submission: 41
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: NONE
CDC Split Type:
Vaccination
Manufacturer
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TTOX: TETANUS TOXOID, ADSORBED (NO BRAND NAME)PFIZER/WYETH4948164  LA
Administered by: Public     Purchased by: Private
Symptoms: Arthralgia, Back pain, Chest pain, Neuropathy, Pain, Skin nodule
SMQs:, Peripheral neuropathy (narrow), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Arthritis (broad)
Write-up: 7APR95 vax administered; 15MAY95 3cm induration, pain, distal neuropathy; 17MAY95 1.7cm induration, dec pain w/NSAIDS; 20JUN95 3cm induration, pain into chest & upper back & elbow;

VAERS ID:76598 (history)  Vaccinated:1995-08-02
Age:31.1  Onset:1995-08-02, Days after vaccination: 0
Gender:Male  Submitted:1995-08-10, Days after onset: 8
Location:Massachusetts  Entered:1995-08-14, Days after submission: 4
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: BP 108/70; P72, R16; T96.7
CDC Split Type:
Vaccination
Manufacturer
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TD: TD ADSORBED (NO BRAND NAME)MASS. PUB HLTH BIOL LABTD552IMLA
Administered by: Private     Purchased by: Public
Symptoms: Amblyopia, Coordination abnormal, Dizziness, Headache, Nausea, Visual disturbance, Visual field defect
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypoglycaemia (broad)
Write-up: pt recv vax & approx 5 mins later pt sitting in car & noted some visual changes, rt visual field cut;nausea & feeling dizzy & some dysequilibrium;devel a h/a;referred to ER by MD;pt reported feels nauseous & lightheaded w/severe h/a;

VAERS ID:76643 (history)  Vaccinated:1995-06-16
Age:31.2  Onset:1995-07-02, Days after vaccination: 16
Gender:Female  Submitted:1995-08-11, Days after onset: 40
Location:Colorado  Entered:1995-08-15, Days after submission: 4
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
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 0 L
Administered by: Private     Purchased by: Private
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: p/inj 16JUN95 on 15th day began to break out in mosquito like bites (total 27 spots) from head to toes; all broke out in the 15th & 16th day p/1st inj; spots itched but did go away in 5 to 6 days;

VAERS ID:76828 (history)  Vaccinated:1995-08-07
Age:31.4  Onset:1995-08-09, Days after vaccination: 2
Gender:Male  Submitted:1995-08-11, Days after onset: 2
Location:California  Entered:1995-08-25, 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:
Current Illness: NONE
Preexisting Conditions: NKDA
Diagnostic Lab Data:
CDC Split Type: CA95091
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (ACETONE INACTIVATED DRIED)PFIZER/WYETH49482251IMLA
Administered by: Military     Purchased by: Military
Symptoms: Cellulitis, Injection site hypersensitivity, Injection site mass, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: 7AUG recv vax & exp pain, erythema, induration of lt deltoid area;returned to clinic on 9JUL95 dx cellulitis lt deltoid w/2.5cm fluctuance;placed on Dicloxicillin;11AUG95 cellulitis resolving

VAERS ID:76935 (history)  Vaccinated:1995-07-15
Age:31.0  Onset:1995-07-15, Days after vaccination: 0
Gender:Female  Submitted:1995-07-16, Days after onset: 1
Location:Texas  Entered:1995-08-28, Days after submission: 43
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)PFIZER/WYETH4928297   
Administered by: Military     Purchased by: Military
Symptoms: Dyspnoea, Injection site hypersensitivity, Injection site oedema, Lymphadenopathy, Nausea, Oedema, Pain, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax & w/in 45mins became nauseated & SOB- today w/marked nasal hyperemia & SOB & swollen rt arm & armpit; no fever; exam reddened inj site w/swollen upper arm area & quite tender ax adenopathy

VAERS ID:76957 (history)  Vaccinated:1995-07-07
Age:31.0  Onset:1995-07-08, Days after vaccination: 1
Gender:Female  Submitted:1995-07-10, Days after onset: 2
Location:Alaska  Entered:1995-08-29, Days after submission: 50
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Inhaler
Current Illness: NONE
Preexisting Conditions: asthma
Diagnostic Lab Data: NONE
CDC Split Type: AK95030
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES4C610142IMRA
Administered by: Public     Purchased by: Public
Symptoms: Headache, Injection site hypersensitivity, Injection site oedema, Injection site pain, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: localized swelling, redness, pain @ vax site beginning w/in 24 hrs eventually h/a & nausea & temp 101

VAERS ID:77823 (history)  Vaccinated:1995-03-28
Age:31.0  Onset:1995-05-27, Days after vaccination: 60
Gender:Female  Submitted:0000-00-00
Location:North Dakota  Entered:1995-08-29
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: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1376A   
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES4H61150   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abortion
SMQs:, Termination of pregnancy and risk of abortion (narrow)
Write-up: spontaneous abortion p/MMR & Td @ 8wks gest; LMP 17MAR95; vax given 28MAR95

VAERS ID:77196 (history)  Vaccinated:1995-07-18
Age:31.0  Onset:1995-07-18, Days after vaccination: 0
Gender:Female  Submitted:1995-07-24, Days after onset: 6
Location:South Carolina  Entered:1995-09-05, Days after submission: 43
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: PPD by Connaught lot# 238811
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: SC95059
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES4H611180IMRA
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Dizziness, Headache, Injection site mass, Injection site pain, Myalgia, Pyrexia, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 18JUL95 330PM c/o soreness in lt arm @ inj site; 19JUL95 230PM c/o severe arm soreness inj site, h/a, dizziness, lt hip pain/side of leg; T101.3 orally, lt arm inj site hot to touch & hard on palpation; tx ice pack to arm, rest, inc fluids

VAERS ID:81222 (history)  Vaccinated:1994-04-07
Age:31.5  Onset:1994-04-07, Days after vaccination: 0
Gender:Female  Submitted:1994-04-14, Days after onset: 7
Location:Connecticut  Entered:1995-09-06, Days after submission: 510
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Decongestant;nasal steroid
Current Illness: good health;but runny nose (allergic ?)
Preexisting Conditions: no known allergies but documented sickle cell trait
Diagnostic Lab Data: no tests performed
CDC Split Type: 940075701
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES3609590 RA
Administered by: Private     Purchased by: Private
Symptoms: Injection site oedema, Injection site pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt exp swelling, burning & pain in rt arm between elbow & shoulder shortly p/vax 7APR94;had fever of 101.5;seen in clinic dx severe inj site rxn;rx w/antihistamines & codeine for pain;

VAERS ID:81384 (history)  Vaccinated:1995-01-10
Age:31.4  Onset:1995-01-11, Days after vaccination: 1
Gender:Female  Submitted:1995-01-12, Days after onset: 1
Location:Florida  Entered:1995-09-06, Days after submission: 236
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp pain, edema & erythema @ vax site following prior vax
Other Medications: Pred, plaquenil sulfate
Current Illness: lupus
Preexisting Conditions: lupus
Diagnostic Lab Data: no culture taken
CDC Split Type: 950006201
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES3849620IMLA
Administered by: Private     Purchased by: Private
Symptoms: Condition aggravated, Oedema peripheral, Pain, Vasodilatation
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: pt recvd vax 10JAN95;MD visit on 11JAN95 pt''s upper arm from elbow to shoulder was swollen, red, painful & warm to touch;no fever; rx w/Keflex and DPH;MD suspect local rxn to vax;although appears like exacerbation of lupus;recovered

VAERS ID:81450 (history)  Vaccinated:1994-11-14
Age:31.2  Onset:1994-11-15, Days after vaccination: 1
Gender:Male  Submitted:1995-02-24, Days after onset: 101
Location:North Carolina  Entered:1995-09-06, Days after submission: 193
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: unk
Current Illness: flu-like illness in geographical area
Preexisting Conditions: hx of astham & recurrent pneumonias
Diagnostic Lab Data: NONE
CDC Split Type: 950031602
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES380957 IMA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Chills, Influenza, Injection site hypersensitivity, Pyrexia, Rhinitis
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 1 of 3 pts immunized from the same pnu-immune lot# who devel an adverse event;pt immunized 14NOV94;15NOV devel high fever,feeling weak,head congestion,chills,large local redness around inj site;other flu-like sx x 1 wk;recovered

VAERS ID:81456 (history)  Vaccinated:1995-03-23
Age:31.7  Onset:1995-03-24, Days after vaccination: 1
Gender:Female  Submitted:1995-03-24, Days after onset: 0
Location:New Jersey  Entered:1995-09-06, Days after submission: 165
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: no hx of prior pneumococcal vax
Other Medications: AZT/DDE/Antihistamines
Current Illness: HIV
Preexisting Conditions: HIV
Diagnostic Lab Data: NONE
CDC Split Type: 950043901
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES3689580IMA
Administered by: Private     Purchased by: Private
Symptoms: Influenza, Malaise, Myalgia, Oedema peripheral, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax 23MAR95 & pt reported to MD that during the noc (w/in 12hrs) upper arm (immunized arm) became swollen & painful;had low grade fever & flu-like sx described as myalgias & malaise;No MD visit;no prior h/o pneumococcal infect

VAERS ID:77246 (history)  Vaccinated:1995-08-19
Age:31.7  Onset:1995-08-20, Days after vaccination: 1
Gender:Female  Submitted:1995-08-22, Days after onset: 2
Location:Texas  Entered:1995-09-07, Days after submission: 16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES5A710204IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Asthenia, Myalgia, Nausea, Pyrexia, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax next day fever 100, aches, nausea; 2 days nausea, fever 10, weakness, sl rash; 3 days rash over entire body, low grade fever;

VAERS ID:77357 (history)  Vaccinated:1995-06-26
Age:31.0  Onset:1995-06-26, Days after vaccination: 0
Gender:Female  Submitted:1995-06-28, Days after onset: 2
Location:Texas  Entered:1995-09-13, Days after submission: 77
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: pregnancy-3rd trimester
Diagnostic Lab Data:
CDC Split Type: TX95143
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES4J61014 IMRA
Administered by: Public     Purchased by: Unknown
Symptoms: Chills, Dizziness, Headache, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 15mins wait p/vax- mild muscle ache; devel fever & chills about 1-2 hrs later w/muscle ache on entire body, h/a & dizziness lasting through the evening;

VAERS ID:77446 (history)  Vaccinated:1995-07-11
Age:31.9  Onset:1995-07-11, Days after vaccination: 0
Gender:Female  Submitted:1995-09-07, Days after onset: 58
Location:Illinois  Entered:1995-09-18, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: had sat on rusty tack, NKA
Diagnostic Lab Data: referred to neurologist
CDC Split Type: IL950102
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES4L61153 IMRA
Administered by: Public     Purchased by: Public
Symptoms: Hypotonia, Oedema, Pain, Paraesthesia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: 5SEP95 pt called clinic c/o sore lt arm for almost 2months since vax, states muscle is flaccid, tingling sensation when sleeps on arm, swollen & constant pain;MD visit 6SEP95; MD reports no swelling, no inflammation, full ROM, nl neuro exam

VAERS ID:77701 (history)  Vaccinated:1995-08-21
Age:31.3  Onset:1995-08-24, Days after vaccination: 3
Gender:Female  Submitted:1995-09-07, Days after onset: 14
Location:Washington  Entered:1995-09-27, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES5B710740 LA
Administered by: Public     Purchased by: Private
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), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: erythema @ site of vax x 16 days along w/tenderness, warmth & a mild fever of 99

VAERS ID:77816 (history)  Vaccinated:1995-08-22
Age:31.0  Onset:1995-08-22, Days after vaccination: 0
Gender:Female  Submitted:1995-08-22, Days after onset: 0
Location:North Carolina  Entered:1995-09-29, Days after submission: 38
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
TD: TD ADSORBED (NO BRAND NAME)UNKNOWN MANUFACTURER4H61118 IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Hypersensitivity, Injection site reaction, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt had severe allergic rxn large local (8inches x 3 inches) & systemic rxn that lasted 3 days; fever, body aches, fatigue;

VAERS ID:77893 (history)  Vaccinated:1995-05-09
Age:31.5  Onset:1995-08-03, Days after vaccination: 86
Gender:Female  Submitted:1995-09-21, Days after onset: 49
Location:Texas  Entered:1995-10-03, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: unk
Other Medications: NONE
Current Illness: superficial corneal abrasion
Preexisting Conditions: not known
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4948173  LA
Administered by: Other     Purchased by: Private
Symptoms: Abscess
SMQs:
Write-up: 17AUG95 seen in hosp for lt arm abscess

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