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Found 485503 cases in entire database

Case Details (Sorted by Age)

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VAERS ID:106401 (history)  Vaccinated:1997-12-31
Age:51.4  Onset:1998-01-03, Days after vaccination: 3
Gender:Male  Submitted:1998-01-08, Days after onset: 5
Location:Utah  Entered:1998-01-14, Days after submission: 6
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': UT981001
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES4440690IMRA
Administered by: Public     Purchased by: Public
Symptoms: Chest pain, Myalgia, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad)
Write-up: pt stated that exp pain in center of chest, deltoid of appetite opposite arm for an inj site lt & rt elbow;few ways p/vax lasting for 1 1/2 days;muscles pain;relief w/Ibuprofen;

VAERS ID:106591 (history)  Vaccinated:1997-09-30
Age:51.0  Onset:1997-10-27, Days after vaccination: 27
Gender:Female  Submitted:1998-01-12, Days after onset: 77
Location:New York  Entered:1998-01-15, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: No relevant data;
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Diagnostic Lab Data:
CDC 'Split Type': WAES97102127
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 0SC 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: pt recv vax 30SEP97 & 27OCT97 pt devel a few skin lesion on scalp & back;

VAERS ID:107615 (history)  Vaccinated:1996-10-17
Age:51.2  Onset:1996-10-17, Days after vaccination: 0
Gender:Female  Submitted:1997-11-28, Days after onset: 407
Location:Connecticut  Entered:1998-01-15, 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:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': CO6889
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES6F712160  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Ear disorder, Pain
SMQs:
Write-up: pt devel pain in vax arm, radiating up arm to neck a few hr post vax;some ear discomfort reported 22OCT96;

VAERS ID:107003 (history)  Vaccinated:1997-11-03
Age:51.0  Onset:1997-11-13, Days after vaccination: 10
Gender:Male  Submitted:1998-01-08, Days after onset: 56
Location:Pennsylvania  Entered:1998-01-27, Days after submission: 19
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: allergy PCN
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH49781620IMLA
Administered by: Public     Purchased by: Private
Symptoms: Gastrointestinal disorder, Guillain-Barre syndrome, Infection
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow)
Write-up: pt recv vax 3NOV97 & exp stomach virus 13NOV97;GBS dx 22NOV97;Gamma Globulin tx;physical therapy;

VAERS ID:107182 (history)  Vaccinated:1997-10-15
Age:51.0  Onset:1997-10-16, Days after vaccination: 1
Gender:Female  Submitted:1998-01-15, Days after onset: 91
Location:Montana  Entered:1998-02-02, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Provera;HCTZ;Estorgen;
Current Illness: NONE
Preexisting Conditions: HTN, perimenopausal;NKDA
Diagnostic Lab Data:
CDC 'Split Type': MT98003
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH49781463 LA
Administered by: Other     Purchased by: Public
Symptoms: Hypertonia, Injection site inflammation, Myasthenic syndrome, Oedema peripheral, Pain, Skin nodule
SMQs:, Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Malignancy related conditions (narrow), 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)
Write-up: pt recv vax 15OCT97 in AM lt upper deltoid became severely inflamed;17OCT97 a lump formed under lt axillary w/pain radiating down lt arm;lt wrist swollen & claw-like;painful to flex;extreme muscle weakness;

VAERS ID:107789 (history)  Vaccinated:1997-07-14
Age:51.6  Onset:1997-07-14, Days after vaccination: 0
Gender:Female  Submitted:1998-02-18, Days after onset: 219
Location:Texas  Entered:1998-02-23, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: No relevant data;
Other Medications: Lipitor;Vasotec;Estrace, Lopid, Glynase prestab tablets, Glucophage, viatamins;
Current Illness:
Preexisting Conditions: diabetes mellitus;hypercholesterolemia;HTN
Diagnostic Lab Data:
CDC 'Split Type': WAES98012821
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC. 1IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Chills, Headache, Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: pt recv vax 14JUL97 & devel 2 to 4 inch area of redness, swelling, & hardness @ inj site & pain & soreness @ inj site;following day pt exp a mild h/a;17JUL97 devel mild aches, chills & tiredness;pt recv 2 doses of pneumovax rather than one

VAERS ID:107827 (history)  Vaccinated:1998-01-06
Age:51.3  Onset:1998-01-07, Days after vaccination: 1
Gender:Female  Submitted:1998-01-21, Days after onset: 14
Location:California  Entered:1998-02-24, Days after submission: 34
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: pt recv hep b vax dose 1;
Current Illness: NONE
Preexisting Conditions: no allergies
Diagnostic Lab Data: NA
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0565E2IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Amblyopia
SMQs:, Optic nerve disorders (broad)
Write-up: c/o blurred vision rt eye, 24hr p/vax which lasted 1/2hr then was gone;

VAERS ID:108242 (history)  Vaccinated:0000-00-00
Age:51.0  Onset:0000-00-00
Gender:Female  Submitted:1997-10-01
Location:Unknown  Entered:1998-03-05, Days after submission: 155
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid;Prozac;Glucophage
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': 897293024L
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH 0IM 
Administered by: Other     Purchased by: Other
Symptoms: Euphoric mood, Hypersensitivity, Rash, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Hypersensitivity (narrow)
Write-up: w/in 24hr of vax pt devel a rash on shoulders & arms, flushing of the face & neck & a buzzing feeling in head;tx w/DPH & recovered 2-3 days;pt attributed this event to an allerg rxn to thimerosal;

VAERS ID:108061 (history)  Vaccinated:1997-10-27
Age:51.0  Onset:1997-10-28, Days after vaccination: 1
Gender:Female  Submitted:1998-02-09, Days after onset: 104
Location:Unknown  Entered:1998-03-06, Days after submission: 25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Propranolol;Diabeta;Spironolactone;Phenergan;Prilosec;
Current Illness:
Preexisting Conditions: end stage hepatic function-waiting list for transport;no smokine, no ETOH;NKA;hx of lt pleural effusion;diabetes, astham, partial hypertension;intermittent n/v/d x 3-4wk;
Diagnostic Lab Data: 28OCT97 NA 33 (low) all other chem 7 values WNL;WBC 12.0 (high);segs 72;blood cult negative;UA many bacteria;co2-18( low);CH 1.4;30OCT97 WBC 5.3;
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Blood creatinine increased, Hypernatraemia, Hypotension, Laboratory test abnormal, Leukocytosis, Pleural effusion, Pyrexia, Urinary tract infection
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Chronic kidney disease (broad), Tumour lysis syndrome (broad)
Write-up: pt recv vax 27OCT97 & devel t103.4 & was adm to hosp;pt also found to be hypotensive in ER;blunting of lt costophrenic angle consistent w/lt pleural effusion;UA many bacteria;

VAERS ID:108113 (history)  Vaccinated:1998-02-09
Age:51.3  Onset:1998-02-09, Days after vaccination: 0
Gender:Female  Submitted:1998-02-13, Days after onset: 4
Location:California  Entered:1998-03-09, Days after submission: 24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp arm got red & hot, itchy did not report dose 1 & 2;
Other Medications: arabid for bronchittis;estradid
Current Illness: NONE
Preexisting Conditions: bronchitis/asthma
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1222E2 LA
Administered by: Public     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema, Pruritus, Urticaria, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: 9FEB98 noon site swelling round lump warm (x3);welts down arm;+itching;2-10 small bumps (not vesicles) @ site & hot;deltoid swollen, itching @ site;

VAERS ID:108379 (history)  Vaccinated:1996-12-10
Age:51.0  Onset:1996-12-10, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:1998-03-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp malaise, arthralgia, h/a, somnolence @ 50yr old w/Engerix-b dose 1;
Other Medications: engerix-b;
Current Illness:
Preexisting Conditions: unk
Diagnostic Lab Data:
CDC 'Split Type': WAES97051956
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0338B1IM 
Administered by: Public     Purchased by: Private
Symptoms: Arthralgia, Headache, Malaise, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Arthritis (broad)
Write-up: pt recv vax 10DEC96 & beginning 10DEC96 pt slept for 2 days & exp a h/a, gen malaise & aching in joints;

VAERS ID:108510 (history)  Vaccinated:0000-00-00
Age:51.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Unknown  Entered:1998-03-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: No relevant data;
Other Medications: unk
Current Illness:
Preexisting Conditions: obesity
Diagnostic Lab Data: 1997 serum hepatitis B surface <10;MAY97 serum hepatitis B surface 63;
CDC 'Split Type': WAES97091614A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1642D2IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recv first series of vax & did not seroconvert (titer results less than 10);

VAERS ID:108605 (history)  Vaccinated:1997-06-24
Age:51.2  Onset:1997-06-30, Days after vaccination: 6
Gender:Female  Submitted:0000-00-00
Location:Wisconsin  Entered:1998-03-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unk
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES97111413
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1402D1IM 
Administered by: Public     Purchased by: Private
Symptoms: Injection site hypersensitivity
SMQs:, Hypersensitivity (narrow)
Write-up: pt recv vax 24JUN97 & 30JUN97 pt devel brown blotches on rt arm below inj site from forearm up of inj site;

VAERS ID:108167 (history)  Vaccinated:1997-12-06
Age:51.4  Onset:1997-12-06, Days after vaccination: 0
Gender:Female  Submitted:1997-12-08, Days after onset: 2
Location:Wisconsin  Entered:1998-03-11, Days after submission: 93
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt felt ill, hot, GI pains w/dose #1 typhoid vax;
Other Medications: Fovirax PRN
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)UNKNOWN MANUFACTURER 1  
Administered by: Private     Purchased by: Private
Symptoms: Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: pt recv vax 6DEC97 & reports no GI sx, but devel hives-worse on 7DEC97;tiny pinprick hives;called immed care& stopped the vaccine series;still some itching 8DEC;

VAERS ID:108196 (history)  Vaccinated:1997-11-01
Age:51.0  Onset:1997-11-01, Days after vaccination: 0
Gender:Male  Submitted:1998-03-04, Days after onset: 123
Location:California  Entered:1998-03-12, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: skin test positive to oral typhoid vaccine capsule extract;
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES7J81910   
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD144771A0PO 
Administered by: Military     Purchased by: Unknown
Symptoms: Diarrhoea, Skin disorder, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow)
Write-up: pt recv vax & 2hr later hives all over, diarrhea;no SOB to ER rx w/DPH;resolved by next AM;prev flu shots w/o rxn;prev typhoid shot w/o rxn;

VAERS ID:108206 (history)  Vaccinated:1998-02-27
Age:51.3  Onset:1998-02-27, Days after vaccination: 0
Gender:Female  Submitted:1998-03-05, Days after onset: 6
Location:South Carolina  Entered:1998-03-12, 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: TUberculin purified by Connaught lot# 2467111 given 27FEB98;Premarin;Procardia XL
Current Illness: NONE
Preexisting Conditions: HTN, depression, chronic laryngitis;
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES6L81412  LA
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: pt came in stating that TD site was sore all weekend w/knot and large reddened warm area noted;

VAERS ID:108826 (history)  Vaccinated:1998-01-06
Age:51.0  Onset:1998-01-29, Days after vaccination: 23
Gender:Female  Submitted:1998-03-18, Days after onset: 48
Location:Indiana  Entered:1998-03-23, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp unk rxn to teatnus;
Other Medications:
Current Illness: NONE
Preexisting Conditions: tetnaus, PCN, Naprosyn, mild depression, ?
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH 1IMRA
Administered by: Private     Purchased by: Unknown
Symptoms: Oedema peripheral, Pain, Rash
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: swelling, pain, erythema of rt arm;dx as sympathetic dystrophy;

VAERS ID:109102 (history)  Vaccinated:0000-00-00
Age:51.0  Onset:0000-00-00
Gender:Male  Submitted:1998-03-18
Location:Unknown  Entered:1998-03-23, Days after submission: 5
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': 19980008791
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAM 0  
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia
SMQs:, Arthritis (broad)
Write-up: pt recv vax & approx 3-4wk later pt devel joint pain;the most recent info recv on 7JAN98 reports outcome of the pt as ongoing;

VAERS ID:109233 (history)  Vaccinated:1997-10-30
Age:51.0  Onset:1997-10-30, Days after vaccination: 0
Gender:Female  Submitted:1997-11-03, Days after onset: 4
Location:Missouri  Entered:1998-03-26, Days after submission: 143
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': 897314042L
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES 0IMRA
Administered by: Other     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site mass
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: pt recv vax & devel an inj site rxn characterized by redness & a hard knot;

VAERS ID:109361 (history)  Vaccinated:1997-10-09
Age:51.4  Onset:1997-10-10, Days after vaccination: 1
Gender:Female  Submitted:1997-10-14, Days after onset: 4
Location:Louisiana  Entered:1998-03-26, Days after submission: 163
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': 898035005L
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH49781850IMLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: 1 day p/vax pt exp pain @ the inj site;pt was seen by a MD on 25OCT & treated w/anti-inflammatory med;pain persisted as of 20NOV;this is 1 of 3 pt from this site to devel an inj site rxn p/vax w/lot# 4978185;

VAERS ID:109392 (history)  Vaccinated:1998-03-26
Age:51.9  Onset:1998-03-26, Days after vaccination: 0
Gender:Male  Submitted:1998-03-30, Days after onset: 4
Location:West Virginia  Entered:1998-04-03, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: HTN, hypercholesterolemia;
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID (NO BRAND NAME)UNKNOWN MANUFACTURER   A
Administered by: Private     Purchased by: Private
Symptoms: Malaise, Myalgia, Oedema peripheral, Pain, Pyrexia, Vasodilatation
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)
Write-up: redness-heat-pain;swelling up to shoulder & down to elbow;rash-itching later; low grade fever, chills, malaise, aches;

VAERS ID:109889 (history)  Vaccinated:1997-10-15
Age:51.6  Onset:1998-04-16, Days after vaccination: 183
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1998-04-21
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
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Public     Purchased by: Other
Symptoms: Influenza, Myalgia, Pharyngitis, Pyrexia, Rhinitis
SMQs:, Rhabdomyolysis/myopathy (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Eosinophilic pneumonia (broad)
Write-up: flu sx 24hr later-fever, chills, aches-later congestion in sinus & chest;

VAERS ID:110565 (history)  Vaccinated:1998-04-13
Age:51.1  Onset:1998-04-14, Days after vaccination: 1
Gender:Female  Submitted:1998-04-14, Days after onset: 0
Location:Montana  Entered:1998-05-04, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Synthroid
Current Illness: NONE
Preexisting Conditions: underactive thryorid
Diagnostic Lab Data: NONE
CDC 'Split Type': MT98907
Vaccination
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TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES7591913  LA
Administered by: Public     Purchased by: Public
Symptoms: Convulsion, Dizziness, Hyperhidrosis, Palpitations, Pharyngitis, Rhinitis, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Oropharyngeal infections (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow)
Write-up: awoke feeling sweaty became very diaphoretic, hears flutters, collapsed, ? faint or sz-became incontinent;30sec duration pt feels probably loss of consciousness; & not sz;5-10min felt nl;lightheaded-cold sx;

VAERS ID:110735 (history)  Vaccinated:1998-05-05
Age:51.4  Onset:1998-05-06, Days after vaccination: 1
Gender:Female  Submitted:1998-05-06, Days after onset: 0
Location:New York  Entered:1998-05-11, 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: h/o allergy, asthma
Diagnostic Lab Data: NONE
CDC 'Split Type': NY98013
Vaccination
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TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES442452 IMLA
Administered by: Public     Purchased by: Public
Symptoms: Dizziness, Headache, Injection site reaction
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)
Write-up: lightheadedness, dizziness, h/a, local rxn on the day p/vax;

VAERS ID:110754 (history)  Vaccinated:1998-04-08
Age:51.7  Onset:1998-04-08, Days after vaccination: 0
Gender:Female  Submitted:1998-04-16, Days after onset: 8
Location:Georgia  Entered:1998-05-11, Days after submission: 25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: procer for stomach;vasotec for BP
Current Illness: NONE
Preexisting Conditions: NKA-inc BP, acid reflux;
Diagnostic Lab Data:
CDC 'Split Type': GA98031
Vaccination
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TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES7H91839 IMLA
Administered by: Other     Purchased by: Public
Symptoms: Injection site oedema, Injection site pain, Pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: pt recv vax 8APR98 & approx 1hr later arm began to hurt & hurt x 4 days then on Monday 13APR arm began to swell @ site & began to burn & sting;pt took APAP 8APR98 & 16APR98;

VAERS ID:111236 (history)  Vaccinated:1997-11-03
Age:51.0  Onset:1997-11-03, Days after vaccination: 0
Gender:Female  Submitted:1998-01-05, Days after onset: 63
Location:Michigan  Entered:1998-05-27, Days after submission: 141
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Estrogen replacement therapy
Current Illness: none
Preexisting Conditions:
Diagnostic Lab Data: 11/29/97 : LDH= 847 units/L (normal, 300-618), Antinuclear antibody titer; negative, RA latex: negative
CDC 'Split Type': 898040015L
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FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH49782000IMA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Asthenia, Injection site hypersensitivity, Injection site pain, Malaise, Myasthenic syndrome, Pharyngitis, Pyrexia, Vasodilatation
SMQs:, Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Malignancy related conditions (narrow), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Devel sore throat & inj site rxn of 4inch area erythema,warmth & tenderness.Resolved p/48 hr. 3 days p/vax pt devel malaise, fever ("99+"), left arm weakness & arthralgia. Sx resolved p/1 wk. 01/98 pt exp arthralgia & extreme fatigue

VAERS ID:111261 (history)  Vaccinated:1997-10-08
Age:51.8  Onset:1997-10-08, Days after vaccination: 0
Gender:Female  Submitted:1997-11-26, Days after onset: 49
Location:New York  Entered:1998-05-27, Days after submission: 181
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid
Current Illness: NONE
Preexisting Conditions: hypothroidsim
Diagnostic Lab Data:
CDC 'Split Type': 898117010L
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH49781390IMLA
Administered by: Other     Purchased by: Private
Symptoms: Injection site hypersensitivity, Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: pt recv vax & 5hr p/vax pt devel an inj site rxn characterized by erythema & pruritus;pt recovered p/5 days;this is 1 of 9 pt from this facility to devel an inj site rxn p/flu vax w/lot# 4978139;

VAERS ID:111383 (history)  Vaccinated:1998-04-21
Age:51.6  Onset:1998-04-21, Days after vaccination: 0
Gender:Female  Submitted:1998-04-23, Days after onset: 2
Location:Texas  Entered:1998-06-01, Days after submission: 39
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: Premarin, Synthroid,APAP
Current Illness: NONE
Preexisting Conditions: NKA
Diagnostic Lab Data: NA
CDC 'Split Type': TX98068
Vaccination
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TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES7E91651 IMA
Administered by: Other     Purchased by: Private
Symptoms: Back pain, Headache, Insomnia, Lymphadenopathy, Neck pain, Oedema peripheral, Pain, Pyrexia
SMQs:, Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)
Write-up: c/o pain & swelling in rt arm, neck & underarm;also pain in lower back & shoulders;states had temp but did not take;also bad h/a-unable t sleep on noc of vax;

VAERS ID:111711 (history)  Vaccinated:1997-11-03
Age:51.9  Onset:1997-11-18, Days after vaccination: 15
Gender:Female  Submitted:1998-05-29, Days after onset: 191
Location:Unknown  Entered:1998-06-02, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: No relevant data;
Other Medications: Aspirina;Diazide;Naprosyn
Current Illness:
Preexisting Conditions: allergy PCN
Diagnostic Lab Data:
CDC 'Split Type': WAES97111493
Vaccination
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MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  SC 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Arthritis, Hypertension, Nausea, Osteoarthritis
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Arthritis (narrow)
Write-up: pt recv vax 3NOV97 & 18NOV97 pt exp painful & swollen fingers, knees, wrists & feet;pt also exp nausea;pt was then seen by MD & dx w/arthritis (knee) & HTN;

VAERS ID:112342 (history)  Vaccinated:1998-06-05
Age:51.4  Onset:1998-06-15, Days after vaccination: 10
Gender:Female  Submitted:1998-06-23, Days after onset: 8
Location:Massachusetts  Entered:1998-07-06, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: premarin
Current Illness: NONE
Preexisting Conditions: air borne dust, pollen, A sulfa drugs;
Diagnostic Lab Data: NONE
CDC 'Split Type':
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MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1019E0SCLA
Administered by: Other     Purchased by: Other
Symptoms: Eye disorder, Headache, Malaise, Pharyngitis, Pyrexia, Rash maculo-papular
SMQs:, Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Corneal disorders (broad), Retinal disorders (broad), Hypersensitivity (narrow)
Write-up: mild fever started 15JUN98 followed by tiny papular lesions over trunk, mild h/a w/mild sore throat, gen malaise & irritated eyes;no fever when seen on 18JUN98;

VAERS ID:113259 (history)  Vaccinated:1994-10-01
Age:51.0  Onset:0000-00-00
Gender:Female  Submitted:1998-08-03
Location:Unknown  Entered:1998-08-06, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': MPI981625B
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)MEDEVA PHARMA, LTD.    
Administered by: Other     Purchased by: Other
Symptoms: Amblyopia, Ear pain, Eye disorder, Headache, Myalgia, Pyrexia, Visual disturbance, Visual field defect
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Optic nerve disorders (broad), Lens disorders (broad), Corneal disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad)
Write-up: pt recv influenza vax became febrile with chills and myalgias. 4 wk later devel ear pain, h/a, blurry vision (both eyes). Eye exam acuity of 25/50 OD-20/25 OS visual field defect OD and super nasal defect OS, both optic disc edematous;

VAERS ID:113466 (history)  Vaccinated:1997-10-18
Age:51.9  Onset:0000-00-00
Gender:Male  Submitted:1998-05-29
Location:Washington  Entered:1998-08-11, Days after submission: 74
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: newly diagnosed diabetic
Diagnostic Lab Data:
CDC 'Split Type': 898154004A
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH49781502IMRA
Administered by: Private     Purchased by: Private
Symptoms: Amblyopia, Eye disorder, Infection, Optic neuritis, Visual disturbance
SMQs:, Optic nerve disorders (narrow), Demyelination (narrow), Lens disorders (broad), Corneal disorders (broad), Retinal disorders (broad), Ocular infections (broad)
Write-up: pt recv vax 18OCT97 & pt devel a blind spot in the lt eye & was seen by ophthalmologist;pt reported this event to primary MD in APR98;

VAERS ID:113638 (history)  Vaccinated:1998-08-13
Age:51.2  Onset:1998-08-14, Days after vaccination: 1
Gender:Female  Submitted:1998-08-18, Days after onset: 4
Location:Texas  Entered:1998-08-25, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: thyroid med
Current Illness:
Preexisting Conditions: thyroid condition
Diagnostic Lab Data:
CDC 'Split Type':
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HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0776E2IMRA
Administered by: Public     Purchased by: Private
Symptoms: Dyspnoea, Myalgia, Oedema, Urticaria, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: pt recv vax 13AUG98 & c/o feeling achy all next day;around 4PM on 14AUG98 c/o red, flushed face w/swelling, welts & SOB;Sent to ER for tx;

VAERS ID:113901 (history)  Vaccinated:1998-08-20
Age:51.3  Onset:1998-08-20, Days after vaccination: 0
Gender:Female  Submitted:1998-08-25, Days after onset: 5
Location:Montana  Entered:1998-09-04, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lotensin;Amitirpixillie;Premarin
Current Illness: pre-op physical exam
Preexisting Conditions: chloranphenicol
Diagnostic Lab Data:
CDC 'Split Type':
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TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES0963390  LA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: erythema, induration, discomfort @ inj site over area approx 8cm x 4cm;

VAERS ID:114115 (history)  Vaccinated:1998-08-30
Age:51.2  Onset:1998-08-30, Days after vaccination: 0
Gender:Female  Submitted:1998-09-06, Days after onset: 7
Location:Wisconsin  Entered:1998-09-14, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: unk
Other Medications: HCTZ, Atenolol;Mavik, Estradiol
Current Illness: unk
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
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TD: TD ADSORBED (NO BRAND NAME)UNKNOWN MANUFACTURER   LA
Administered by: Private     Purchased by: Other
Symptoms: Cellulitis, Injection site hypersensitivity, Vasodilatation
SMQs:, Hypersensitivity (narrow)
Write-up: 15x16cm area of erythema & warmth lateral mid upper lt arm;dx cellulitis lt arm secondary to Td;

VAERS ID:114877 (history)  Vaccinated:1996-10-01
Age:51.1  Onset:1996-11-01, Days after vaccination: 31
Gender:Female  Submitted:1998-07-01, Days after onset: 606
Location:Nevada  Entered:1998-10-13, Days after submission: 104
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Hormones;Fosamax
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: CXR, blood test, MRI-brain-tested for MS, lupus;saw 2 neurologists,1 rheumatologist;
CDC 'Split Type': NV98017A
Vaccination
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Lot
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Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES0686P4 RA
Administered by: Private     Purchased by: Private
Symptoms: Amblyopia, Asthenia, Back pain, Malaise, Myasthenic syndrome, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Malignancy related conditions (narrow), Guillain-Barre syndrome (broad), Optic nerve disorders (broad)
Write-up: pt recv vax & 2-3wk later weakness upper arms & chest-intermittent pin prick in finger tips & eyelids intermittent sharp pain lt shoulder blade, vision occasionally blurred-general weakness/malaise;

VAERS ID:115117 (history)  Vaccinated:1998-07-01
Age:51.2  Onset:1998-07-14, Days after vaccination: 13
Gender:Female  Submitted:1998-09-01, Days after onset: 49
Location:Michigan  Entered:1998-10-20, Days after submission: 49
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: BP elevated @ time of preplacement 140/100;placed on med by PMD;
Diagnostic Lab Data: NONE
CDC 'Split Type':
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RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.0204H SCLA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Myalgia, Rash maculo-papular
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: pt recv vax 1JUL98 & devel macular papular, sl erythematous rash noted on lower extremities 16JUL98;states rash began 14JUL98 similar rash also present on trunk but was resolved;also c/o joint soreness, aching in hands;

VAERS ID:115221 (history)  Vaccinated:1998-10-13
Age:51.7  Onset:1998-10-13, Days after vaccination: 0
Gender:Female  Submitted:1998-10-20, Days after onset: 7
Location:Colorado  Entered:1998-10-23, 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 disk problems;
Diagnostic Lab Data: NONE
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH49882161 LA
Administered by: Public     Purchased by: Private
Symptoms: Injection site pain, Laryngospasm, Myalgia, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Dystonia (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: soreness @ site, immed p/vax;no fever, but extreme muscle aches & soreness for 1 wk;no diff w/breathing but throat feels weird as if chocking;

VAERS ID:115266 (history)  Vaccinated:1998-10-15
Age:51.7  Onset:1998-10-15, Days after vaccination: 0
Gender:Female  Submitted:1998-10-18, Days after onset: 3
Location:Indiana  Entered:1998-10-26, Days after submission: 8
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp redness, swelling, joint pain, fever, hives, weakness, not well w/flu vax
Other Medications: 44 pills daily numerous meds
Current Illness:
Preexisting Conditions: fibromyalgia, MS hx arthritis
Diagnostic Lab Data: NONE
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Other     Purchased by: Unknown
Symptoms: Arthralgia, Asthenia, Asthma, Pharyngitis, Pruritus, Pyrexia, Somnolence, Urticaria
SMQs:, Anaphylactic reaction (narrow), Agranulocytosis (broad), Angioedema (narrow), Asthma/bronchospasm (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: immed post vax pt exp redness, itching, swelling, joint pain, went to bed during day (unusual) fever, does not feel well,hoarseness, wheezing, hives, weakness;

VAERS ID:115365 (history)  Vaccinated:1998-10-15
Age:51.0  Onset:1998-10-15, Days after vaccination: 0
Gender:Female  Submitted:1998-10-20, Days after onset: 5
Location:Massachusetts  Entered:1998-10-27, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt xp flu sx x 3 days @ 34yr old w/flu vax dose 1;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: stress test-negative cardiac enymes-negative;ECG negative other bloodwork-negative;
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES09757801 LA
Administered by: Public     Purchased by: Public
Symptoms: Chest pain, Headache, Influenza, Myalgia, Pyrexia, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: 15OCT98 7PM flu sx fever, achy, chills, h/a, rash on cheek subsided 17OCT98 & new sx appeared;c/o chest tightness & feeling like someone was sitting on chest;adm for observation & tests 17OCT98 3PM;

VAERS ID:115524 (history)  Vaccinated:1994-10-01
Age:51.0  Onset:1994-11-01, Days after vaccination: 31
Gender:Female  Submitted:1998-07-16, Days after onset: 1352
Location:Texas  Entered:1998-11-02, Days after submission: 109
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Diagnostic Lab Data: fluorescein angiography: late optic disc staining consistent w/disc edema;
CDC 'Split Type': 898299001L
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH    
Administered by: Other     Purchased by: Other
Symptoms: Amblyopia, Headache, Neuropathy, Optic atrophy, Papilloedema, Vasculitis, Visual disturbance, Visual field defect
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Optic nerve disorders (narrow), Lens disorders (broad), Retinal disorders (broad), Vasculitis (narrow)
Write-up: A lit report described pt who devel fever w/chills & myalgia 1 day p/vax;4wk post vax exp ear pain, h/a, blurry vision rt eye & lt eye;visual acuity 25/50 in rt eye 20/25 in lt eye;optic discs edematous;vasculopathy r/t neuropathy

VAERS ID:115645 (history)  Vaccinated:1997-09-04
Age:51.2  Onset:1997-09-04, Days after vaccination: 0
Gender:Male  Submitted:1998-10-26, Days after onset: 417
Location:Kansas  Entered:1998-11-02, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: UNK
Other Medications: Aerobid(Flunisolide), Entex
Current Illness: UNK
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': 19970209081
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2286A61IMRA
MEN: MENINGOCOCCAL (MENOMUNE-A/C)CONNAUGHT LTD. 0  
Administered by: Other     Purchased by: Other
Symptoms: Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Pt recv vax on 9/4/97; subsequently pt exp numbness in left side of face & jaw to temple.

VAERS ID:115772 (history)  Vaccinated:1997-10-16
Age:51.0  Onset:1997-10-16, Days after vaccination: 0
Gender:Female  Submitted:1998-10-26, Days after onset: 375
Location:Massachusetts  Entered:1998-11-02, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: UNK
Other Medications: Levoxyl
Current Illness: UNK
Preexisting Conditions: NONE
Diagnostic Lab Data: 10/24/97 SGPT-89; 11/3/97 SGPT 36
CDC 'Split Type': 19970263561
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2133A40IM 
Administered by: Other     Purchased by: Other
Symptoms: Abdominal pain, Alanine aminotransferase increased, Arthralgia, Asthenia, Diarrhoea, Dizziness, Hepatic function abnormal
SMQs:, Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Arthritis (broad), Noninfectious diarrhoea (narrow)
Write-up: Pt recv vax on 10/16/97; post vax pt exp dizziness, abdominal pain, diarrhea, joint aches, fatigue; 10/24 pt test showed elevated liver function. Pt imp 11/3/97

VAERS ID:115773 (history)  Vaccinated:1997-10-01
Age:51.0  Onset:1997-10-01, Days after vaccination: 0
Gender:Female  Submitted:1998-10-26, Days after onset: 390
Location:California  Entered:1998-11-02, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Pt recv #1 dose Engerix at age 49; exp rash
Other Medications: NONE
Current Illness: UNK
Preexisting Conditions: NONE
Diagnostic Lab Data: UNK
CDC 'Split Type': 19970266621
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1  
Administered by: Public     Purchased by: Private
Symptoms: Adverse drug reaction, Rash, Similar reaction on previous exposure to drug
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Pt recv vax in 10/97; post vax pt exp rash

VAERS ID:115808 (history)  Vaccinated:1997-12-16
Age:51.0  Onset:1997-12-29, Days after vaccination: 13
Gender:Male  Submitted:1998-10-26, Days after onset: 301
Location:Massachusetts  Entered:1998-11-02, 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: Timoptic
Current Illness:
Preexisting Conditions: glaucoma;no allergies;
Diagnostic Lab Data: 29DEC97 plate 116,000;6JAN98 plate 73,000;9JAN98 plate 53000;12JAN98 137,000;16JAN98 plate 189,000;
CDC 'Split Type': 19980010051
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM229A40IMRA
Administered by: Other     Purchased by: Public
Symptoms: Thrombocytopenia
SMQs:, Haematopoietic thrombocytopenia (narrow), Systemic lupus erythematosus (broad)
Write-up: pt recv vax 16DEC97 & approx 2wk p/later 29DEC97 pt devel thrombocytopenia;

VAERS ID:115630 (history)  Vaccinated:1998-10-06
Age:51.9  Onset:1998-10-07, Days after vaccination: 1
Gender:Male  Submitted:1998-10-22, Days after onset: 15
Location:Tennessee  Entered:1998-11-03, Days after submission: 12
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: 7wk postop up3
Diagnostic Lab Data: NA
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES0968420 IMRA
Administered by: Other     Purchased by: Other
Symptoms: Cough, Hypoaesthesia, Myalgia, Pharyngitis, Rhinitis
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Agranulocytosis (broad), Peripheral neuropathy (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad)
Write-up: exp muscle aches & pains for 2 to 3 days then had very sensitive skin that moved around to various parts of the body for about 1 1/2wk a/it finally disappeared;later exp signs of bad cold, congestion & cough;

VAERS ID:116103 (history)  Vaccinated:1998-10-21
Age:51.8  Onset:1998-10-21, Days after vaccination: 0
Gender:Female  Submitted:1998-11-01, Days after onset: 11
Location:Minnesota  Entered:1998-11-09, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: premarin;tagamet
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Dizziness, Dyspnoea, Myalgia, Nausea, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad)
Write-up: 4hr p/vax very tired;8hr faint, nausea, chills, fever, diff breathing, ache all over;24hr nausea, fever, ache all over;p/6 days sx passed;ASA, bed rest, lots of fluids;

VAERS ID:116122 (history)  Vaccinated:0000-00-00
Age:51.0  Onset:1998-10-22
Gender:Female  Submitted:1998-11-04, Days after onset: 13
Location:Hawaii  Entered:1998-11-10, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: allergic to PCN
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUOGEN)PARKDALE PHARMACEUTICALS02988P   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: severe rash, erythema & edema, localized reaction;

VAERS ID:116185 (history)  Vaccinated:1998-10-29
Age:51.3  Onset:1998-10-29, Days after vaccination: 0
Gender:Female  Submitted:1998-10-29, Days after onset: 0
Location:Louisiana  Entered:1998-11-10, Days after submission: 12
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: post CVA
Diagnostic Lab Data: NONE
CDC 'Split Type': LA981104
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES09882700 LA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: itching over face & trunk & lt arm;mild urticaria below inj site;no wheezing;11AM BP 140/70;DPH given;1120AM BP 128/74 itching less no rash no wheezing;1140sx cleared;

VAERS ID:116503 (history)  Vaccinated:1998-11-10
Age:51.7  Onset:1998-11-11, Days after vaccination: 1
Gender:Female  Submitted:1998-11-12, Days after onset: 1
Location:Oklahoma  Entered:1998-11-18, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Glyburide
Current Illness:
Preexisting Conditions: diabetes
Diagnostic Lab Data: NOne
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)MEDEVA PHARMA, LTD.E20118GA0 LA
Administered by: Other     Purchased by: Private
Symptoms: Abdominal pain, Dizziness, Insomnia, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: pt states awaking between 1-3Am & felt dizzy;states nausea & abd pain;no diarrhea or vomiting; c/o dizziness entire day;

VAERS ID:116576 (history)  Vaccinated:1998-10-24
Age:51.0  Onset:1998-10-24, Days after vaccination: 0
Gender:Female  Submitted:1998-10-29, Days after onset: 5
Location:Massachusetts  Entered:1998-11-20, Days after submission: 22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Pt recv "cortisone vax"; exp numbness
Other Medications: UNK
Current Illness: NONE
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': MA9824
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES097579010IMLA
Administered by: Public     Purchased by: Public
Symptoms: Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Pt recv vax on 10/24/98; 1 hr later pt exp rash over body; tx=Benadryl

VAERS ID:116667 (history)  Vaccinated:1998-10-26
Age:51.7  Onset:1998-10-27, Days after vaccination: 1
Gender:Female  Submitted:1998-10-30, Days after onset: 3
Location:Maine  Entered:1998-11-23, Days after submission: 24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Pt recv flu vax years ago; rx unknown
Other Medications: Clomidine, Lasix & Amytriptiline
Current Illness: NONE
Preexisting Conditions: Hypertension, Allergic rhinitis, COPD
Diagnostic Lab Data: NONE
CDC 'Split Type': ME98030
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES4481900IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Pain, Pyrexia, Vasodilatation
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Pt recv vax on 10/26/98; on 10/27/98 pt exp flushing, fever, chills, vax site pain/red/swelling, pain left axilla; tx=Benadryl

VAERS ID:116847 (history)  Vaccinated:1997-09-05
Age:51.4  Onset:1997-09-18, Days after vaccination: 13
Gender:Female  Submitted:1998-11-23, Days after onset: 431
Location:Illinois  Entered:1998-11-25, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: No relevant data;
Other Medications:
Current Illness:
Preexisting Conditions: hx of neck pain s/p fusion c4-5
Diagnostic Lab Data: 7OCT97 magnetic resonance imaging cervical spine;
CDC 'Split Type': WAES98020108
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.0091E1 LA
Administered by: Other     Purchased by: Other
Symptoms: Immune system disorder, Laboratory test abnormal, Neuropathy, Pruritus, Rash, Sinusitis
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (narrow)
Write-up: pt recv vax 5SEP97 & 18SEP97 pt devel a 6cm diameter erythema w/mild itching or lt arm below the elbow;dx autoimmune lt brachial plexopathy d/t measles;poss sinusitis or cord edema;

VAERS ID:116865 (history)  Vaccinated:1998-08-05
Age:51.0  Onset:1998-08-06, Days after vaccination: 1
Gender:Female  Submitted:1998-11-23, Days after onset: 109
Location:New Jersey  Entered:1998-11-25, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Diagnostic Lab Data:
CDC 'Split Type': WAES98081836
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.1144E   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia
SMQs:, Arthritis (broad)
Write-up: pt recv vax 5AUG98 & w/in 2 days post vax pt exp arthralgia presented to a Md & was treated w/NSAID;arthralgia persisted;

VAERS ID:117334 (history)  Vaccinated:1998-11-29
Age:51.4  Onset:1998-11-29, Days after vaccination: 0
Gender:Female  Submitted:1998-12-02, Days after onset: 3
Location:Illinois  Entered:1998-12-14, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: zoloft
Current Illness: NONE
Preexisting Conditions: psoriasis-see dermatologist
Diagnostic Lab Data:
CDC 'Split Type': IL98089
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES09787701IMLA
Administered by: Other     Purchased by: Other
Symptoms: Ecchymosis, Injection site oedema, Injection site reaction, Pruritus, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: intense itching (unbearable) w/in 1hr;swelling, heat, bruising @ site of inj (w/in 1 day increasing daily);itching disappeared when pt took DPh-never returned;

VAERS ID:117710 (history)  Vaccinated:1998-11-20
Age:51.0  Onset:1998-11-20, Days after vaccination: 0
Gender:Female  Submitted:1998-11-27, Days after onset: 7
Location:West Virginia  Entered:1998-12-28, Days after submission: 31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications: Provera, lotensin
Current Illness: NA
Preexisting Conditions: high blood pressure
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES0975830   
Administered by: Other     Purchased by: Other
Symptoms: Face oedema, Injection site oedema, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt recv vax 20NOV98 in the Am by afternoon site was red & swollen by that evening;pt had hives all over body, face was swollen;pt given rx strength DPh by MD;

VAERS ID:117845 (history)  Vaccinated:1998-10-21
Age:51.5  Onset:1998-10-21, Days after vaccination: 0
Gender:Male  Submitted:1998-11-11, Days after onset: 21
Location:Wisconsin  Entered:1998-12-31, Days after submission: 50
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Buspar
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES0968380 IMRA
Administered by: Private     Purchased by: Private
Symptoms: Myalgia, Myasthenic syndrome
SMQs:, Rhabdomyolysis/myopathy (broad), Malignancy related conditions (narrow), Eosinophilic pneumonia (broad)
Write-up: myalgias, muscle weakness

VAERS ID:117953 (history)  Vaccinated:1998-11-12
Age:51.8  Onset:1998-11-21, Days after vaccination: 9
Gender:Female  Submitted:1998-12-30, Days after onset: 39
Location:Wisconsin  Entered:1999-01-07, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid;Prinivil;Premarin;
Current Illness:
Preexisting Conditions: inc BP-HTN
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.1045H0SCLA
Administered by: Unknown     Purchased by: Private
Symptoms: Arthralgia, Oedema peripheral, Osteoarthritis, Pain
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)
Write-up: pt woke up about 8AM w/severe pain, swelling, stiffness in hands;hand felt like the size of baseball glove;when pt stood up feet, ankles & knees had pain;

VAERS ID:118014 (history)  Vaccinated:1998-11-19
Age:51.2  Onset:1998-11-21, Days after vaccination: 2
Gender:Female  Submitted:1998-11-25, Days after onset: 4
Location:Missouri  Entered:1999-01-11, Days after submission: 47
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Lotensin, HRT
Current Illness: NONE
Preexisting Conditions: High blood pressure
Diagnostic Lab Data: UNK
CDC 'Split Type': MO99001
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES0983310 IMRA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES0967100 IMLA
Administered by: Public     Purchased by: Public
Symptoms: Myalgia, Myasthenic syndrome
SMQs:, Rhabdomyolysis/myopathy (broad), Malignancy related conditions (narrow), Eosinophilic pneumonia (broad)
Write-up: Pt recv vax on 11/19/98; on 11/21/98 pt exp deep muscle fatigue in arm w/ painful aching when arm raised

VAERS ID:118058 (history)  Vaccinated:1998-10-26
Age:51.1  Onset:1998-10-27, Days after vaccination: 1
Gender:Female  Submitted:1998-11-17, Days after onset: 21
Location:Massachusetts  Entered:1999-01-12, Days after submission: 56
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) (FLUSHIELD)PFIZER/WYETH49882210 LA
Administered by: Private     Purchased by: Unknown
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: 5cm x 6.7cm area of localized erythema, swelling, warmth & induration;no lymphadenopathy; pain & swelling 17NOV;mild erythema still present 17NOV98;

VAERS ID:118232 (history)  Vaccinated:1998-11-09
Age:51.4  Onset:1998-11-11, Days after vaccination: 2
Gender:Female  Submitted:1998-11-23, Days after onset: 12
Location:South Carolina  Entered:1999-01-21, Days after submission: 59
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: heart problems
Diagnostic Lab Data: NA
CDC 'Split Type': SC98090
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES0984550  RA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1094H  LA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES0963390  LA
Administered by: Public     Purchased by: Unknown
Symptoms: Dyspnoea, Injection site hypersensitivity, Myalgia, Pruritus, Urticaria
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: pt called 17NOV98 & c/o lt arm soreness/pain that kept getting worse on Wednesday p/vax;c/o welts w/itching from shoulder down to elbow;SOB 1st couple of days-went to ER on Sunday afternoon 15NOV98;lt arm sore;

VAERS ID:118277 (history)  Vaccinated:1998-11-23
Age:51.3  Onset:1998-11-23, Days after vaccination: 0
Gender:Female  Submitted:1998-11-24, Days after onset: 1
Location:Texas  Entered:1999-01-22, Days after submission: 59
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: UNK
Other Medications: Premarin, Diazide, Doltarin, Lotensin, Plaquevin, Colchicine
Current Illness: NONE
Preexisting Conditions: Rheumatoid arthritis, High blood pressure
Diagnostic Lab Data: Aplisol test supposed to be given
CDC 'Split Type': FLU90231198
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUOGEN)PARKDALE PHARMACEUTICALS00408P0SCLA
Administered by: Private     Purchased by: Private
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: Pt recv vax on 11/23/98; on same day pt exp raised, red, edematous, warm area of LA; vax supposed to be given IM

VAERS ID:118302 (history)  Vaccinated:1998-11-13
Age:51.1  Onset:1998-11-20, Days after vaccination: 7
Gender:Female  Submitted:1999-01-05, Days after onset: 46
Location:Ohio  Entered:1999-01-25, 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:
Current Illness: unk
Preexisting Conditions: unk
Diagnostic Lab Data: cerebrospinal fluid analysis of MIR of C-spine
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER02888P1IMLA
Administered by: Other     Purchased by: Other
Symptoms: Hypertonia, Myasthenic syndrome, Myelitis
SMQs:, Neuroleptic malignant syndrome (broad), Malignancy related conditions (narrow), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad)
Write-up: transverse myelitis;onset of weakness in rt lower extremity on 20NOV98, peaking by 21NOV-22NOV, then improving;milder sx in lt lower extremity clonus at both ankles;

VAERS ID:118325 (history)  Vaccinated:1998-11-18
Age:51.1  Onset:1998-11-18, Days after vaccination: 0
Gender:Female  Submitted:1998-11-20, Days after onset: 2
Location:New York  Entered:1999-01-25, Days after submission: 66
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp bodyache, congestion, sore throat @ age 40 w/flu 1st dose;
Other Medications: minocycline
Current Illness: NA
Preexisting Conditions: allergy PCn, rosacea
Diagnostic Lab Data:
CDC 'Split Type': NY98036
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES098457010IMLA
Administered by: Public     Purchased by: Public
Symptoms: Adverse drug reaction, Back pain, Conjunctivitis, Cough, Headache, Pyrexia
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Conjunctival disorders (narrow), Ocular infections (broad), Hypersensitivity (broad)
Write-up: dry cough, low grade fever, h/a, backache, conjunctivitis;

VAERS ID:118716 (history)  Vaccinated:1998-11-05
Age:51.5  Onset:1998-11-06, Days after vaccination: 1
Gender:Female  Submitted:1999-01-25, Days after onset: 80
Location:Nebraska  Entered:1999-02-09, Days after submission: 15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: UNK
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Allergic to Sulfa; small indented area on LA
Diagnostic Lab Data: 1/25/99: X-rays
CDC 'Split Type':
Vaccination
Manufacturer
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Site
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES4513950 LA
Administered by: Public     Purchased by: Private
Symptoms: Bone pain, Ecchymosis, Muscle atrophy, Myalgia, Necrosis, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Eosinophilic pneumonia (broad), Osteonecrosis (broad)
Write-up: Pt recv vax on 11/5/98; on 11/6/98 pt exp left arm soreness x 1 wk, dull ache w/ movement; 12/98 pt exp feeling of bruise on heel of left palm (burning) up left arm; loss of muscle tissue in left arm-necrosis of fat cells

VAERS ID:118834 (history)  Vaccinated:1998-11-30
Age:51.0  Onset:1999-01-19, Days after vaccination: 50
Gender:Female  Submitted:1999-02-08, Days after onset: 20
Location:Kansas  Entered:1999-02-10, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Recv shot 1 Oct 98 and exp hair loss
Other Medications: Prem PRO;Ziac;
Current Illness:
Preexisting Conditions: allergic to wasps;sensitive to darvon, sensitive to minocin;
Diagnostic Lab Data:
CDC 'Split Type': 19990029061
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM258A61IMLA
Administered by: Public     Purchased by: Public
Symptoms: Alopecia, Similar reaction on previous exposure to drug, Visual field defect, Vitreous disorder
SMQs:, Noninfectious encephalitis (broad), Optic nerve disorders (broad), Retinal disorders (narrow)
Write-up: pt recv vax NOV98 & hair loss cont;11DEC98 pt noticed a grayish cloud in vision lt eye for several hr; examined by ophthalmologist and found to be ok;18JAN99 exp distortion in peripheral vision of lt eye, dx:vein occlusion near optic nerve

VAERS ID:118954 (history)  Vaccinated:1998-10-19
Age:51.0  Onset:1998-10-20, Days after vaccination: 1
Gender:Female  Submitted:1998-10-21, Days after onset: 1
Location:New York  Entered:1999-02-11, Days after submission: 113
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:
Diagnostic Lab Data:
CDC 'Split Type': 898300110A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH49882123IMLA
Administered by: Other     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt recv vax 19OCT98 & devel an inj site rxn characterized by redness, swelling & warmth;

VAERS ID:118920 (history)  Vaccinated:1999-01-22
Age:51.2  Onset:1999-01-22, Days after vaccination: 0
Gender:Female  Submitted:1999-02-08, Days after onset: 17
Location:Washington  Entered:1999-02-12, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Estradiol, Blood pressure medicine
Current Illness: NONE
Preexisting Conditions: Hypertension, Allergic to Sulfa
Diagnostic Lab Data: Chest X-ray, Bloodwork-WNL
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH49882005 RA
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES4559360 LA
Administered by: Public     Purchased by: Public
Symptoms: Dizziness, Rash, Tachycardia, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: Pt recv vax on 1/22/99; approx 4 1/2 hr post vax pt exp lightheaded, warm from chest up, red face &neck, increased heart rate, dizzy, hot flashes; tx=Benadryl, cortisone

VAERS ID:118927 (history)  Vaccinated:1999-01-20
Age:51.3  Onset:1999-01-21, Days after vaccination: 1
Gender:Female  Submitted:1999-02-08, Days after onset: 18
Location:Nevada  Entered:1999-02-12, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: UNK
Other Medications: Relafin, Vitrin, Estrace, Voparin
Current Illness: NONE
Preexisting Conditions: Seasonal allergies, Hives when stressed
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAM    
Administered by: Public     Purchased by: Private
Symptoms: Hypokinesia, Influenza, Injection site pain, Myalgia, Myopathy, Pain
SMQs:, Rhabdomyolysis/myopathy (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Pt recv vax on 1/20/99; on 1/21/99 pt exp sore arm, muscle pain, elbow difficult to move, tender vax site; 1/22 pt exp flu-like sx x 1 wk & shoulder pain; dx=torn rotator cuff

VAERS ID:119387 (history)  Vaccinated:1999-02-08
Age:51.8  Onset:1999-02-09, Days after vaccination: 1
Gender:Female  Submitted:1999-02-11, Days after onset: 2
Location:Wisconsin  Entered:1999-02-25, Days after submission: 14
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: NONE
CDC 'Split Type':
Vaccination
Manufacturer
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Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH49780740IMLA
Administered by: Other     Purchased by: Other
Symptoms: Ecchymosis, Headache, Myalgia, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Eosinophilic pneumonia (broad)
Write-up: black & blue to red, hot, ache-hot all the time;

VAERS ID:119517 (history)  Vaccinated:1997-09-30
Age:51.6  Onset:1997-09-30, Days after vaccination: 0
Gender:Female  Submitted:1997-10-01, Days after onset: 1
Location:California  Entered:1999-02-26, Days after submission: 513
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': 7507
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES7F81749   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chills, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad)
Write-up: pt recv vax 30SEP97 & 10hr p/vax pt exp chills for a duration of three hr & myalgia;

VAERS ID:119550 (history)  Vaccinated:1997-10-13
Age:51.6  Onset:1997-10-13, Days after vaccination: 0
Gender:Male  Submitted:1998-11-13, Days after onset: 396
Location:Texas  Entered:1999-02-26, Days after submission: 105
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': 7635
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES7F81852   
Administered by: Other     Purchased by: Other
Symptoms: Chills, Headache, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad)
Write-up: Pt recv vax on 10/13/97; 6 hr post vax pt exp shaking chills, fever (102.2F), body aches, rigors & headache

VAERS ID:119687 (history)  Vaccinated:1997-05-28
Age:51.6  Onset:1997-08-01, Days after vaccination: 65
Gender:Male  Submitted:1999-02-22, Days after onset: 570
Location:New York  Entered:1999-03-03, Days after submission: 9
Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Norvasc
Current Illness: None
Preexisting Conditions: HTN
Diagnostic Lab Data:
CDC 'Split Type': U199900115
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID, ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES    
Administered by: Private     Purchased by: Private
Symptoms: Guillain-Barre syndrome, Hypokinesia, Myasthenic syndrome
SMQs:, Peripheral neuropathy (narrow), Malignancy related conditions (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Demyelination (narrow), Hypotonic-hyporesponsive episode (broad)
Write-up: pt recv vax 28MAY97 & some time following vax pt reportedly exp GBS;reportedly, sx have cont to 28JAN99;

VAERS ID:119713 (history)  Vaccinated:1999-01-15
Age:51.8  Onset:1999-01-16, Days after vaccination: 1
Gender:Unknown  Submitted:1999-02-18, Days after onset: 33
Location:Michigan  Entered:1999-03-03, Days after submission: 13
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':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH49781191 LA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Myasthenic syndrome, Neuropathy, Oedema peripheral, Pain, Paraesthesia, Vasodilatation
SMQs:, Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (narrow), Malignancy related conditions (narrow), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: 16JAN99 pt deltoid area started to swell, turn red & become painful;18JAN99 redness & swelling;22JAN99 swelling in lt hand & fingers;lt arm weakness & tiredness;25JAN99 hardness @ site, tingling lt fingers;sore thumb;

VAERS ID:120634 (history)  Vaccinated:1999-03-04
Age:51.5  Onset:1999-03-05, Days after vaccination: 1
Gender:Female  Submitted:1999-03-19, Days after onset: 14
Location:New Mexico  Entered:1999-03-26, 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: Benadryl PRN
Current Illness: NONE
Preexisting Conditions: Allergic to Sulfa, Codeine
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES0989580 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site atrophy, Injection site hypersensitivity, Injection site pain, Lymphadenopathy
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Pt recv vax on 3/4/99; on 3/5/99 pt exp sore LA, swollen axillary node below vax site, macular patch at vax site w/ tissue atrophy

VAERS ID:120680 (history)  Vaccinated:1998-04-16
Age:51.9  Onset:1998-04-16, Days after vaccination: 0
Gender:Female  Submitted:1998-07-13, Days after onset: 88
Location:D.C.  Entered:1999-03-29, Days after submission: 259
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp syncope w//Td;
Other Medications:
Current Illness: mild anemia;hyperlipidemai hx colitis;
Preexisting Conditions: hx colitis;hx basal cell carcinoma, pt reported had probably at least 2, prev doses of Td;
Diagnostic Lab Data: ANA 1:80;Feritin 9.7;choles 242;%SAT 14.3;HDL 52;FE 47;LDL52;TIBC 329;
CDC 'Split Type': U199800287
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES7H918392IMLA
Administered by: Other     Purchased by: Other
Symptoms: Hyperhidrosis, Nausea, Somnolence, Stupor, Syncope, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: pt became nauseated, diaphoretic, faint, unconscious for 1min, vomited, had BP 118/70;was sleepy rest of day;

VAERS ID:120764 (history)  Vaccinated:1999-03-11
Age:51.2  Onset:1999-03-17, Days after vaccination: 6
Gender:Female  Submitted:1999-03-23, Days after onset: 6
Location:North Carolina  Entered:1999-03-30, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications: PPD by Connaught lot# 249511 given 11MAR99;
Current Illness: 8cm erythematous hive
Preexisting Conditions: NA
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES0939440  LA
Administered by: Other     Purchased by: Other
Symptoms: Injection site hypersensitivity
SMQs:, Hypersensitivity (narrow)
Write-up: urticaria @ inj site;

VAERS ID:120936 (history)  Vaccinated:1998-11-02
Age:51.0  Onset:1998-11-05, Days after vaccination: 3
Gender:Female  Submitted:1999-01-07, Days after onset: 63
Location:North Carolina  Entered:1999-04-05, Days after submission: 87
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Prilosec
Current Illness: NONE
Preexisting Conditions: Sinus problems
Diagnostic Lab Data: NONE
CDC 'Split Type': NC99004
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)MEDEVA PHARMA, LTD.E20158HD0IMLA
Administered by: Public     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Pt recv vax on 11/2/98; on 11/5/99 pt exp knot/ red/ sore vax site w/ movement pain

VAERS ID:121003 (history)  Vaccinated:1999-03-05
Age:51.0  Onset:1999-03-07, Days after vaccination: 2
Gender:Male  Submitted:1999-03-11, Days after onset: 4
Location:California  Entered:1999-04-06, Days after submission: 25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: 24hr prior had root canal w/local anesthesia;2hr prior had biopsy of skin lesion
Preexisting Conditions: 24hr prior had root canal w/local anesthesia;2hr prior had biopsy of skin lesion w/local anesthesia;
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAM605A40IMLA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0790M3PO 
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD0150911B0PO 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Influenza, Myalgia, Pharyngitis, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Eosinophilic pneumonia (broad)
Write-up: onset of flu like sx (fever, aches & sore throat) 7 hr p/oral vax & approx 48hr p/other injectable vaccines;reporter thinks its the same illness seen in other recently;

VAERS ID:121127 (history)  Vaccinated:1999-04-05
Age:51.7  Onset:1999-04-06, Days after vaccination: 1
Gender:Female  Submitted:1999-04-06, Days after onset: 0
Location:Washington  Entered:1999-04-12, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Pt recv #2 Hep B, exp arm myalgia
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
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Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 3 LA
Administered by: Other     Purchased by: Other
Symptoms: Adverse drug reaction, Myalgia, Similar reaction on previous exposure to drug
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad)
Write-up: Pt recv vax on 4/5/99; on 4/6/99 pt exp myalgia of right upper arm

VAERS ID:121234 (history)  Vaccinated:1998-10-16
Age:51.1  Onset:1998-12-02, Days after vaccination: 47
Gender:Female  Submitted:1999-04-01, Days after onset: 120
Location:Illinois  Entered:1999-04-15, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: sulfa allergy
Diagnostic Lab Data: CBC;Chem screen;
CDC 'Split Type':
Vaccination
Manufacturer
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Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES09728703IMLA
Administered by: Other     Purchased by: Private
Symptoms: Dysgeusia, Dysphagia, Eye disorder, Facial palsy, Headache, Malaise, Nausea
SMQs:, Acute pancreatitis (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Corneal disorders (broad), Retinal disorders (broad)
Write-up: p/vax pt did not feel well, had waves of nausea until 2DEC lt eye weak;had difficulty w/drinking, h/a;5DEC Bell''s palsy dx, tx w/pred; as of 1APR cont w/altered taste & lt eye vague weakness;

VAERS ID:121298 (history)  Vaccinated:1999-02-13
Age:51.2  Onset:1999-02-15, Days after vaccination: 2
Gender:Unknown  Submitted:0000-00-00
Location:Pennsylvania  Entered:1999-04-19
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':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH49782430IMLA
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Injection site hypersensitivity, Injection site oedema, Malaise
SMQs:, Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Pt recv vax on 2/13/99; on 2/15/99 pt exp swollen/ red vax site, sick feeling, tired in bed x 2 days

VAERS ID:121357 (history)  Vaccinated:1999-03-09
Age:51.5  Onset:1999-03-09, Days after vaccination: 0
Gender:Female  Submitted:1999-03-12, Days after onset: 3
Location:California  Entered:1999-04-20, Days after submission: 38
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Progesterine/caclium, vit C;prenatal vits;vit E;
Current Illness: NA
Preexisting Conditions: NA
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER0984H0IMRA
Administered by: Private     Purchased by: Unknown
Symptoms: Headache, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: nausea several hr p/vax & h/a x 2 days;

VAERS ID:121491 (history)  Vaccinated:1999-03-15
Age:51.5  Onset:1999-03-16, Days after vaccination: 1
Gender:Female  Submitted:1999-04-20, Days after onset: 34
Location:Georgia  Entered:1999-04-26, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Estrace
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES0977220 IMA
Administered by: Private     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema, Pruritus, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: <24hr p/vax arm became red, warm, swollen & itchy;resolved w/ OTC tx p/48hr;no systemic sx;

VAERS ID:121861 (history)  Vaccinated:1999-01-28
Age:51.3  Onset:1999-01-31, Days after vaccination: 3
Gender:Female  Submitted:0000-00-00
Location:Nevada  Entered:1999-04-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: No relevant data;
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Diagnostic Lab Data:
CDC 'Split Type': WAES99020458
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC. 1  
Administered by: Other     Purchased by: Other
Symptoms: Hypokinesia, Myalgia, Myasthenic syndrome, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Malignancy related conditions (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: pt recv vax 28JAN99 & 31JAN99 pt exp muscle aches & weakness & pain when trying to lift the arm;

VAERS ID:122048 (history)  Vaccinated:1998-08-25
Age:51.0  Onset:1998-08-25, Days after vaccination: 0
Gender:Female  Submitted:1999-03-19, Days after onset: 206
Location:California  Entered:1999-05-11, Days after submission: 52
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Amlodipine for HTN
Current Illness: HTN
Preexisting Conditions: HTN;allergy sulfa - hives;
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTH 0SCA
Administered by: Military     Purchased by: Military
Symptoms: Dizziness, Headache, Hypokinesia, Injection site hypersensitivity, Injection site mass, Injection site pain, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: n,v, h/a, tenderness @ inj site;systemic sx for 3 days;3" x 3" induration; sick for 3 days;

VAERS ID:122086 (history)  Vaccinated:1998-11-03
Age:51.7  Onset:1998-11-25, Days after vaccination: 22
Gender:Female  Submitted:1999-04-27, Days after onset: 152
Location:Hawaii  Entered:1999-05-12, Days after submission: 15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: APAP;Synthroid;Calcium;Estratest
Current Illness: NONE
Preexisting Conditions: hypothyrodiism controlled w/ synthroid;hysteretomy d/t dsysfunctional bleeding;
Diagnostic Lab Data: elbow radiogrpahs-nl
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0171SCLA
Administered by: Military     Purchased by: Military
Symptoms: Myasthenic syndrome, Pain
SMQs:, Malignancy related conditions (narrow)
Write-up: pt recv vax 3NOV98 & began to exp lt & rt arm pain & distal weakness that persists;tennis elbow strap & PT recommended;

VAERS ID:122114 (history)  Vaccinated:1999-05-02
Age:51.9  Onset:1999-05-02, Days after vaccination: 0
Gender:Female  Submitted:1999-05-07, Days after onset: 5
Location:California  Entered:1999-05-13, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Pt recv tetanus vax age 47; exp unspecified rxn
Other Medications: Allegra, Prinivit: Pt forgot to take day of vax
Current Illness: NONE
Preexisting Conditions: Allergic to grasses, trees, weeds, molds, house dust; Prolapsing mitral valve
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0871H0IMA
Administered by: Other     Purchased by: Private
Symptoms: Asthenia, Hypokinesia, Myalgia, Oedema peripheral, Pain, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Angioedema (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Pt recv vax on 5/2/99; 1 hr post vax pt exp painful/ swollen/ pink/ warm/ limited movement of upper arm, tired, sore feeling

VAERS ID:122167 (history)  Vaccinated:1992-08-12
Age:51.0  Onset:1992-08-20, Days after vaccination: 8
Gender:Female  Submitted:1999-05-13, Days after onset: 2457
Location:New York  Entered:1999-05-17, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: 2SEP92 elevated liver function;1992 MRI of brain negative;
CDC 'Split Type': 19990107191
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM876A41IM 
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Asthenia, Headache, Hepatic function abnormal, Infection, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (narrow), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: 7-10 days post vax exp fatigue & h/a;2SEP92 pt had elevated liver function tests; 4-6wk post vax pt had joint pain & fatigue;MD stated pt had acute viral type illness, poss rxn to hep b vax;pt still has residual arthralgia, myalgia, fatigue

VAERS ID:122299 (history)  Vaccinated:1999-04-14
Age:51.2  Onset:1999-04-29, Days after vaccination: 15
Gender:Female  Submitted:1999-05-17, Days after onset: 18
Location:New York  Entered:1999-05-21, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications:
Current Illness: GERD
Preexisting Conditions: GERD
Diagnostic Lab Data: NA
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
LYME: LYME (LYMERIX)SMITHKLINE BEECHAM 0 RA
Administered by: Private     Purchased by: Private
Symptoms: Ear pain, Headache, Neuralgia, Pain
SMQs:, Peripheral neuropathy (narrow)
Write-up: neuralgia type pain lt side of face;had dull to sharp pain in upper jaw (lt side), cheek, lt sided of nasal passage up through lt forehead;also exp pain behind lt side of ear;to dentist, no relation to dental problem;pain cont x 10 days;

VAERS ID:124393 (history)  Vaccinated:0000-00-00
Age:51.0  Onset:0000-00-00
Gender:Female  Submitted:1999-05-14
Location:Massachusetts  Entered:1999-05-21, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: no relevant data
Other Medications: synthroid, methotrexate, naprosyn, prednisone
Current Illness:
Preexisting Conditions: throid disorder
Diagnostic Lab Data:
CDC 'Split Type': WAES98121968
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 1SC 
Administered by: Other     Purchased by: Other
Symptoms: Dermatitis bullous, Dysphagia, Myasthenic syndrome
SMQs:, Severe cutaneous adverse reactions (narrow), Anticholinergic syndrome (broad), Malignancy related conditions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypersensitivity (narrow)
Write-up: it was rpt fr HCP concerning pt who was vax & subsequently exp muscle weakness, difficult swallowing & a varicella like rash on arms. addl info requested.

VAERS ID:122719 (history)  Vaccinated:1999-05-12
Age:51.7  Onset:1999-05-12, Days after vaccination: 0
Gender:Male  Submitted:1999-05-15, Days after onset: 3
Location:Virginia  Entered:1999-05-26, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp systemic rxn @ age 44w/typhoid #4;
Other Medications: Motrin PRN
Current Illness: NONE
Preexisting Conditions: allergy to typhoid vaccine
Diagnostic Lab Data: NONe
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0412 LA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Similar reaction on previous exposure to drug
SMQs:, Arthritis (broad)
Write-up: c/o arthralgias in bilat 1st metacarpals, bilat 1st metatarsals & lt hip several hr p/vax;spontaneously resolve p/7-10 days;has occurred p/all 3 vaccinations w/anthrax;negative fever, chills, malaise, N&V; no tx needed;

VAERS ID:124871 (history)  Vaccinated:1998-10-14
Age:51.0  Onset:0000-00-00
Gender:Female  Submitted:1999-05-27
Location:D.C.  Entered:1999-06-07, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: none rpt
Diagnostic Lab Data: none rpt
CDC 'Split Type': MPI981954
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)MEDEVA PHARMA, LTD.E20218HC   
Administered by: Other     Purchased by: Other
Symptoms: Injection site reaction, Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: p/recv vax pt exp local react in arm described as 1.5'''' in diameter & itchy.

VAERS ID:124775 (history)  Vaccinated:1998-02-02
Age:51.1  Onset:1998-04-01, Days after vaccination: 58
Gender:Female  Submitted:1999-04-19, Days after onset: 382
Location:Wyoming  Entered:1999-06-15, Days after submission: 57
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt sibling devel swelling & lost of consciousness @ age 40 w/sulfa product;
Other Medications: cold f/u OTC periodically as needed;
Current Illness: NONe
Preexisting Conditions: glaucoma checked regularly-not sure dx a/but was monitored regular;
Diagnostic Lab Data: 12/3/98 VDRL serum, antinuclear Ab (ANA), dsDNAAb, nRNP (UIRNp/snRNP) IgG Ab.55-B (LA) IgG, Ab, SCL-70 IgG Ab, thyroid peroxidase, C3,C4,Rheumatoid factor, Mitochondral
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER 1  
Administered by: Private     Purchased by: Private
Symptoms: Amnesia, Antinuclear antibody, Arrhythmia, Arthralgia, Arthritis, Asthenia, Chest pain, Collagen disorder, Depression, Dizziness, Dry mouth, Dyspnoea, Headache, Hypokinesia, Influenza, Insomnia, Laboratory test abnormal, Myositis, Nervousness, Oedema, Osteoarthritis, Pain, Pyrexia, Rash, Rheumatoid arthritis, Systemic lupus erythematosus, Thyroid disorder
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (narrow), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypothyroidism (broad), Hyperthyroidism (broad), Cardiac arrhythmia terms, nonspecific (narrow), Depression (excl suicide and self injury) (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Arthritis (narrow)
Write-up: 4/98 fatigue, insomnia, skin rash, frequent flu sx, irregular heart beat, chest tension & pain, SOB (*feverish, h/a, dizzy), edema;7/98 joint pain (unable to walk upon awakening by 10/98);nervousness, depression, memory loss, dry mouth;

VAERS ID:124985 (history)  Vaccinated:1999-03-01
Age:51.7  Onset:1999-04-01, Days after vaccination: 31
Gender:Male  Submitted:1999-06-09, Days after onset: 68
Location:Delaware  Entered:1999-06-18, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp burning, swelling, tender muscle x 2wk w/#2 anthrax;
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: NA
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTH 2 A
Administered by: Military     Purchased by: Military
Symptoms: Adverse drug reaction, Injection site reaction, Skin discolouration
SMQs:, Hypotonic-hyporesponsive episode (broad)
Write-up: pt c/o rxn to anthrax inj;pt stated n rxn p/first shot;burning, swelling, tender muscle for 2 wk p/2nd shot;arm turned black & blue @ inj site (lt arm) p/3rd shot;no sx now;

VAERS ID:124993 (history)  Vaccinated:1999-06-10
Age:51.1  Onset:1999-06-11, Days after vaccination: 1
Gender:Male  Submitted:1999-06-15, Days after onset: 4
Location:Washington  Entered:1999-06-18, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zocor x 1yr
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2888A44IMLA
Administered by: Private     Purchased by: Public
Symptoms: Rash maculo-papular, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: pt reported macular papular rash started 24hr p/vax;urticaria as well;took DPH w/same relief;rash greatly dec by 6/15/99;rash on trunk & upper extremities;

VAERS ID:125149 (history)  Vaccinated:1999-05-25
Age:51.3  Onset:1999-05-30, Days after vaccination: 5
Gender:Male  Submitted:1999-06-15, Days after onset: 16
Location:Illinois  Entered:1999-06-24, Days after submission: 9
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Glipizide;Glucophage
Current Illness:
Preexisting Conditions: Diabetes Mellitus type2;non smoker, non drinker;no allergies;
Diagnostic Lab Data: 6/4/99 carotid duplex scan,Ct scan brain,2-D Echocardiogram all tests neg
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
LYME: LYME (LYMERIX)SMITHKLINE BEECHAM104A20IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Cerebrovascular accident, Facial palsy, Myasthenic syndrome, Paraesthesia, Speech disorder, Tongue disorder
SMQs:, Peripheral neuropathy (broad), Ischaemic cerebrovascular conditions (narrow), Haemorrhagic cerebrovascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Malignancy related conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad)
Write-up: pt exp sudden loss of sensation to lt side of face, w/facial droop, lt side of mouth,lips, & tongue partially paralyzed, slurred speech;pt hosp 6/4/99 tx w/heparin therapy; dx poss rt CVA w/lt side facial weakness;

VAERS ID:125465 (history)  Vaccinated:1999-06-07
Age:51.0  Onset:1999-06-07, Days after vaccination: 0
Gender:Female  Submitted:1999-07-02, Days after onset: 25
Location:California  Entered:1999-07-09, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unasyn, APAP, Ativan, & Rabies Ig (Bayrab or Imogam Rabies HT)
Current Illness: bit by a fox 6/3/99
Preexisting Conditions: fox bite 6/3/99; hx of hyperlipidemia, HTN & hypothyrodism, pt ethnicity is white, does not smoke or drink
Diagnostic Lab Data: 7jun99: pulmonary function tests rpt were indeterminate showing reactive airways.
CDC 'Split Type': U199900463
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST. 1IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Paraesthesia, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: pt bitten by fox; tx w/ rabies vax, Td, ATB, ativan & immune globulin w/ AE (see box 21); p/ 2nd vax 6/7/99- arm & rt leg numbness, nausea & vomiting

VAERS ID:125483 (history)  Vaccinated:1999-05-21
Age:51.0  Onset:1999-05-26, Days after vaccination: 5
Gender:Female  Submitted:1999-06-17, Days after onset: 22
Location:Georgia  Entered:1999-07-12, Days after submission: 25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: was on Diovorot for inc cholesterol given 1wk PO;clorizepate;
Current Illness: sinus problems
Preexisting Conditions: diabetic-tubes insulin & glucopage on med HBP;
Diagnostic Lab Data:
CDC 'Split Type': GA99069
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0430H0IMLA
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAM564B60IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Condition aggravated, Hyperglycaemia, Infection, Pain, Pruritus, Sinusitis, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad)
Write-up: p/vax pt started vomiting for 3 days;rt side hurt, & had a sinus infect;stomach & pain inside got better & started itching all over;states no rash but itched;blood sugar went up;n/v;

VAERS ID:125507 (history)  Vaccinated:1999-03-03
Age:51.4  Onset:0000-00-00
Gender:Female  Submitted:1999-07-01
Location:Georgia  Entered:1999-07-12, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: hyperlipidemia, osteopenia,elevated GGT;not sick @ time;annual physical
Preexisting Conditions: hyperlipidemia, osteopenia, elevated GGT;
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES0977220 IMA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema, Lymphadenopathy, Oedema, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: swollen axillary nodes & supraclavicular puffiness-deltoid red, swollen & hot;pt used warm soaks, took claritin & was advised to watch for fever;

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