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Found 583703 cases in entire database

Case Details (Sorted by Age)

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VAERS ID:26351 (history)  Vaccinated:1990-05-08
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Oregon  Entered:1990-10-26
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: WAES90051037
Vaccination
Manufacturer
Lot
Dose
Route
Site
MER: MEASLES + RUBELLA (MR-VAX II)MERCK & CO. INC.    
Administered by: Private     Purchased by: Unknown
Symptoms: Vestibular disorder
SMQs:, Vestibular disorders (narrow)
Write-up: Pt vaccinated with MRVAX developed labyrinthitis and was hospitalized. Pt recovered. A consulting otolaryngologist did not attribute the pt experience to vaccination w/MR.

VAERS ID:26447 (history)  Vaccinated:1990-10-23
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:1990-10-29
Location:New York  Entered:1990-11-02, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)PFIZER/WYETH4898258  A
Administered by: Private     Purchased by: Private
Symptoms: Haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)
Write-up: Pt vaccinated with DT developed 7 X 5 CM area there is area of size largly heamous under skin.

VAERS ID:26693 (history)  Vaccinated:1989-01-05
Age:32.0  Onset:1989-01-19, Days after vaccination: 14
Gender:Female  Submitted:0000-00-00
Location:Wisconsin  Entered:1990-11-20
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: no previous problems
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0142P IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Hyperreflexia, Hyporeflexia, Multiple sclerosis, Optic neuritis, Pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Optic nerve disorders (narrow), Demyelination (narrow), Ocular infections (broad)
Write-up: Pt vaccinated with Recombivax developed progressive demyelinizing disease.

VAERS ID:26828 (history)  Vaccinated:1990-06-06
Age:32.0  Onset:1990-06-07, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Massachusetts  Entered:1990-11-27
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: Neg chest x-ray, positive titer
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1667R SC 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Ear pain, Headache, Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt vax /w MMR developed Headache, Earache, Swollen cervical glands, low grade fevers.

VAERS ID:26832 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:North Carolina  Entered:1990-11-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Arteriography OCT90 cerebral vasculitis.
CDC Split Type: WAES90101403
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Headache, Vasculitis
SMQs:, Vasculitis (narrow)
Write-up: Pt vaccinated with Recombivax in 1987 or 88 in Oct90 was hospitalized with headache. Cerebral arteriography revealed diffuse cerebral vasculitis. At the time of the report the pt headache had resolved.

VAERS ID:27010 (history)  Vaccinated:1989-12-22
Age:32.0  Onset:1989-12-30, Days after vaccination: 8
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1990-12-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES90010103
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.42601   
Administered by: Private     Purchased by: Unknown
Symptoms: Asthenia, Headache, Lymphadenopathy, Osteoarthritis, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Arthritis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)
Write-up: Pt vaccinated with Meruvax II developed sore & swollen glands, a slight fever & a feeling of tiredness. Developed palpable but invisible rash. Experienced headache which lasted until the following day, swelling of the fingers & hand joints.

VAERS ID:27017 (history)  Vaccinated:1989-11-28
Age:32.0  Onset:1989-11-30, Days after vaccination: 2
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1990-12-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES90020753
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.42601   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt vaccinated with meruvax II developed rash, generalized arthralgia & joint pain. Serological eval for arthritis negative; Treated w/Naproxen.

VAERS ID:27044 (history)  Vaccinated:1990-06-24
Age:32.0  Onset:1990-06-29, Days after vaccination: 5
Gender:Female  Submitted:0000-00-00
Location:Connecticut  Entered:1990-12-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES90070056
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt vaccinated with Meruvax II developed swollen lymph glands in the area of the injection site & on the occiput and in the posterior cervical region.

VAERS ID:27051 (history)  Vaccinated:1989-07-10
Age:32.0  Onset:1989-07-10, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Wisconsin  Entered:1990-12-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Prophylaxis.
Diagnostic Lab Data:
CDC Split Type: WAES89080454
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.34579   
Administered by: Private     Purchased by: Unknown
Symptoms: Arthralgia, Eye pain, Lymphadenopathy, Malaise, Osteoarthritis, Skin nodule
SMQs:, Extravasation events (injections, infusions and implants) (broad), Glaucoma (broad), Arthritis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt vaccinated developed swollen glands under axilla & generalized malaise. Developed small lumps under her chin, bilateral knee & wrist pain w/swelling of lt knee. Also redness of rt eye w/slight ocular pain.

VAERS ID:27288 (history)  Vaccinated:1990-11-05
Age:32.5  Onset:1990-11-08, Days after vaccination: 3
Gender:Male  Submitted:1990-11-29, Days after onset: 21
Location:Colorado  Entered:1991-01-03, Days after submission: 35
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: CO9003
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.2125R   
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Asthenia, Pain
SMQs:, Guillain-Barre syndrome (broad), Arthritis (broad)
Write-up: Pt vaccinated with MMR developed pain in elbow & weakness of arm. Unable to fully flex or extend limb. Aches 24 hrs a day. Still has deep joint pain.

VAERS ID:27520 (history)  Vaccinated:1990-10-26
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Missouri  Entered:1991-01-22
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: hx of rxn to DTP
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM618A40  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Chills, Nausea, Pharyngitis, Vasodilatation
SMQs:, Acute pancreatitis (broad), Agranulocytosis (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 2 hrs after vax began having hot & cold flashes, mild stomach discomfort & nausea, fatigue & full feeling in throat.

VAERS ID:27898 (history)  Vaccinated:1990-03-11
Age:32.0  Onset:1990-07-11, Days after vaccination: 122
Gender:Female  Submitted:0000-00-00
Location:Iowa  Entered:1991-01-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 11JUL90: Hepatitis B surface antibody test - negative.
CDC Split Type: EBU900494
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM  IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Vaccinee tested negative for Hepatitis B Surface Antibodies p/a series of 3 inject (IM deltoid).

VAERS ID:27960 (history)  Vaccinated:1990-09-28
Age:32.0  Onset:1990-09-28, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:New Jersey  Entered:1991-01-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no illness
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU900461
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM618A4   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Asthenia, Myalgia, Pain, Somnolence, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)
Write-up: 28Sep90 pt (/p 2nd dose in series) developed heaviness in ankles in both feet (1st rt then lt) 10 min /p vax, couple days later developed pain in legs, then felt warm, Next day pain all over body lethargic, pt now "feels better".

VAERS ID:27986 (history)  Vaccinated:1990-08-30
Age:32.0  Onset:1990-08-30, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Vermont  Entered:1991-01-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: EBU900427
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM600A4 IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site reaction, Oedema, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)
Write-up: W/in 12 hrs of receiving Engerix-B in lt deltoid, experienced pain in arms x 3 days, induration, hot, & swelling; Events resolved

VAERS ID:28394 (history)  Vaccinated:1990-12-19
Age:32.0  Onset:1990-12-19, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:Ohio  Entered:1991-02-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NO relevant history
Diagnostic Lab Data: NO relevant data.
CDC Split Type: WAES91020458
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.2213R   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthma, Dizziness, Dysphagia, Dyspnoea, Headache, Malaise, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (broad)
Write-up: 40min p/vax exp a gradual onset of "severe" headache, flushing & dysphagia. Tx unspecified prescription medication. Later recovered. Additional info requested. F/U 1MAR91: BP = 160/90, ALSO HAD THROAT TIGHTNESS, DYSPHAGIA, AUDIBLE BR SOUND

VAERS ID:28475 (history)  Vaccinated:1990-11-02
Age:32.9  Onset:1990-11-23, Days after vaccination: 21
Gender:Female  Submitted:1991-02-15, Days after onset: 84
Location:Washington  Entered:1991-02-25, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WA91510
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1492S0SCRA
Administered by: Unknown     Purchased by: Public
Symptoms: Arthralgia, Arthritis, Neuralgia, Paraesthesia, Pyrexia
SMQs:, Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Arthritis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: had T 99.6, pain in joints, inflammation of joints (redness, swelling, tenderness), Seen by MD, neuritis, neuralgia, paresthesias

VAERS ID:28862 (history)  Vaccinated:1991-01-28
Age:32.7  Onset:1991-01-29, Days after vaccination: 1
Gender:Female  Submitted:1991-02-25, Days after onset: 27
Location:Ohio  Entered:1991-03-07, 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: UNKNOWN
Current Illness: NONE
Preexisting Conditions: allergic to Penicillin
Diagnostic Lab Data: Blood sugar 130; NA -decreased; 1st fainted @ tachycardia.
CDC Split Type: OH91015
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM600840 LA
Administered by: Other     Purchased by: Private
Symptoms: Asthenia, Nausea
SMQs:, Acute pancreatitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Nausea, tired;

VAERS ID:28901 (history)  Vaccinated:1991-02-23
Age:32.9  Onset:1991-02-23, Days after vaccination: 0
Gender:Male  Submitted:1991-02-28, Days after onset: 5
Location:Pennsylvania  Entered:1991-03-08, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Prozac 20 mg qd
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: PA9158
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1897S0 LA
Administered by: Public     Purchased by: Public
Symptoms: Dizziness, Eye pain, Headache, Malaise, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Anticholinergic syndrome (broad), Glaucoma (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad)
Write-up: Dizzy, muscle aches, malaise, headache, eyes hurt.

VAERS ID:28913 (history)  Vaccinated:1991-02-28
Age:32.8  Onset:1991-03-01, Days after vaccination: 1
Gender:Female  Submitted:1991-03-04, Days after onset: 3
Location:Texas  Entered:1991-03-08, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications: Soma for TMJ PRN
Current Illness: NONE
Preexisting Conditions: Erythromycin, PCN, Ampicillin & Codeine
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES0E21103 IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Injection site reaction, Nausea, Vasodilatation
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Lt upper arm - tenderness, redness, warmth noted 1MAR91 area 5" long, 3" wide nausea, 0 vomiting, weakness, fatigue, dizziness,temp. 3MAR91 ER dept Benadryl & Tylenol 4MAR91 dec red, dec swelling, itching all sx less today

VAERS ID:29633 (history)  Vaccinated:1990-01-28
Age:32.0  Onset:1990-01-28, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:New Jersey  Entered:1991-03-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NA
Diagnostic Lab Data: NA
CDC Split Type: WAES90020708
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.  IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chills, Influenza, Nausea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 28jan90 pt vax hepta B. for an accidental needle stick. 6 hrs later, pt ex chills, temp of 101 F., nausea, vomiting, and flu-like sx. 29jan90 vomiting resolved. pt recovered.

VAERS ID:29655 (history)  Vaccinated:1990-02-06
Age:32.0  Onset:1990-02-07, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Virginia  Entered:1991-03-12
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: NONE
Diagnostic Lab Data: NA
CDC Split Type: WAES90030321
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1380R IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: 24hrs p/vax noted facial numbness that persisted for 4 days; Administered 2nd dose of Hep B reported numbness on one side of her nose;

VAERS ID:29660 (history)  Vaccinated:1990-03-05
Age:32.0  Onset:1990-03-05, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:North Carolina  Entered:1991-03-12
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: Allergy sulfa drugs
Diagnostic Lab Data: NA
CDC Split Type: WAES90030398
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0342R IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Angioneurotic oedema, Dysphagia, Dyspnoea, Tongue oedema
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Anticholinergic syndrome (broad), Oropharyngeal allergic conditions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt vaccinated w/Recombinant 1 hr later developed angioneurotic edema of her tongue & neck; Also difficulty w/breathing & swallowing;

VAERS ID:29712 (history)  Vaccinated:1989-06-01
Age:32.0  Onset:1989-07-01, Days after vaccination: 30
Gender:Female  Submitted:0000-00-00
Location:Ohio  Entered:1991-03-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NA
Diagnostic Lab Data: NA
CDC Split Type: WAES90040420
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Gait disturbance, Multiple sclerosis, Myasthenic syndrome, Neuropathy peripheral, Paraesthesia
SMQs:, Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Malignancy related conditions (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Optic nerve disorders (broad), Demyelination (narrow), Hypoglycaemia (broad)
Write-up: jul89 pt vax 2nd hepta B. pt ex paresthesia in extremities and weakness in her gait. MD made provisional dx of multiple sclerosis. susequent info indicated pt was dx w/ peripheral neuropathy. pt recovered.

VAERS ID:29719 (history)  Vaccinated:1990-03-27
Age:32.0  Onset:1990-03-28, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:California  Entered:1991-03-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NA
Diagnostic Lab Data: NA
CDC Split Type: WAES90040548
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1647R IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 27mar90 pt vax hepta B. next day pt vax w/ measles, mumps and rubella virus vax live due to a measles epidemic. same day pt devel aching in joints and back muscles and a fever of 102.9 F. which lasted 8 to 10 hrs. pt recovered.

VAERS ID:30542 (history)  Vaccinated:1990-05-22
Age:32.0  Onset:1990-05-22, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Oklahoma  Entered:1991-03-12
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: No relevant hx
Diagnostic Lab Data: PPD-positive
CDC Split Type: WAES90051206
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1651R1  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Influenza, Malaise, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: W/in 1hrs of receiving vax, pt developed flu-like sx w/malaise, fatigue, nausea & fever; Tx included isonicotinic acid hydrazide; Lab testing revealed PPD positive; Pt rec''d 1st dose w/out adverse experience;

VAERS ID:30573 (history)  Vaccinated:1989-11-10
Age:32.0  Onset:1989-11-11, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Minnesota  Entered:1991-03-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergy codeine
Diagnostic Lab Data: NA
CDC Split Type: WAES90060507
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1595R IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Nausea, Vasodilatation, Vomiting
SMQs:, Acute pancreatitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: 10nov89 pt vax hepta B. pt ex n/v flushing and warm feeling for 24 hrs. 13nov89 pt noted feeling weak.

VAERS ID:30577 (history)  Vaccinated:1990-01-25
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:Virginia  Entered:1991-03-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NA
Diagnostic Lab Data: NA
CDC Split Type: WAES90060522
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Pain
SMQs:, Arthritis (broad)
Write-up: 25jan90 pt vax hepta B. pt ex joint pain in fingers of both hands that persisted for 2 weeks. 20feb90 2nd vax. same sx for 6 weeks.

VAERS ID:30654 (history)  Vaccinated:1990-03-26
Age:32.0  Onset:1990-03-30, Days after vaccination: 4
Gender:Female  Submitted:0000-00-00
Location:New Jersey  Entered:1991-03-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NA
Diagnostic Lab Data: NA
CDC Split Type: WAES90070371
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1595R IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chills, Hyperhidrosis, Pyrexia, Somnolence, Vasodilatation
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: 26mar90 pt vax hepta B. 30mar90 pt ex lethargy, night sweats, chills and hot flashes. 2 week later sx resolved and pt devel low grade fever which lasted 24-48 hrs.

VAERS ID:30772 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:Missouri  Entered:1991-03-12
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: NA
Diagnostic Lab Data: NA
CDC Split Type: WAES90080304
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1801R1  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Chills, Confusional state, Dyspnoea, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: pt vax hepta B. pt ex shortness of breath, chills, fever, disorientation, and weakness. Pt seen in er.

VAERS ID:30784 (history)  Vaccinated:1990-07-25
Age:32.0  Onset:1990-07-29, Days after vaccination: 4
Gender:Female  Submitted:0000-00-00
Location:Maryland  Entered:1991-03-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Na
Diagnostic Lab Data: NA
CDC Split Type: WAES90080513
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1884R   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abdominal pain, Insomnia, Nausea
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: 25jul90 pt vax hepta B. 29jul90 pt ex severe stomach cramps, feelings of nausea, and insomnia. 03sep90 pt vax 2nd hepta B w/o reaction.

VAERS ID:30982 (history)  Vaccinated:1990-07-16
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Maryland  Entered:1991-03-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NA
Diagnostic Lab Data: WBC count - 1500; WBC count - 1800.
CDC Split Type: WAES90080713
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1648R1  
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1022S   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 16jul90 pt vax hepta B. w/ m-m-r II. pt devel flulike illness w/ fatigue, cough, and neutropenia, w/ white blood cell count bet. 1500-1800. sx remitted in 5 days. 17aug90 pt vax 2nd hepta B. pt devel erythematous butterfly rash on face.

VAERS ID:31068 (history)  Vaccinated:1990-07-27
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1991-03-12
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: none
CDC Split Type: WAES90090190
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1884R   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Pain, Pyrexia, Urticaria, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt vax''d w/hepatitis B and developed wheal, arm soreness & fatigue. after 2nd dose pt developed fatigue, fever & wheal, hot to the touch @ injection site.

VAERS ID:31250 (history)  Vaccinated:1990-09-13
Age:32.0  Onset:1990-09-20, Days after vaccination: 7
Gender:Female  Submitted:0000-00-00
Location:Utah  Entered:1991-03-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data.
CDC Split Type: WAES90100570
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0940R   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Diarrhoea, Nausea, Pruritus, Rash, Serum sickness
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 12Sep90 pt vax w/ measles live virus and on 13Sep90 pt vax w/ hepta B. 20Sep90 pt exp itchy rash over entire body. Dx as serum sickness. Pt exp nausea and diarrhea. 5-6 days later; sx resolved.

VAERS ID:31297 (history)  Vaccinated:1990-09-20
Age:32.0  Onset:1990-09-21, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Wisconsin  Entered:1991-03-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: after 1st vax pt ex h/a
Other Medications:
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90100975
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0761S1  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Headache, Migraine
SMQs:
Write-up: 20Sep90 pt vax w/ hepta B; exp moderate bilateral migraine-like h/a. Tx APAP; h/a resolved in 4 days. 16Oct90 vax w/ 2nd hepta B; exp h/a which woke pt out of sleep. Tx w/ APAP + Davron. Sx resolved.

VAERS ID:31301 (history)  Vaccinated:1990-09-07
Age:32.0  Onset:1990-09-07, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1991-03-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90100988
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1886R IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chest pain, Dizziness, Dyspnoea, Influenza, Malaise, Nausea, Palpitations, Rash
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 07Sep90 pt vax w/ hepta B; exp severe chest tightness + dyspnea. next day devel rash on right forearm, exp n/, spinning sensation, malaise, flulike achiness, heart flutter. 4 days sx remitted and recovered.

VAERS ID:31873 (history)  Vaccinated:1990-12-10
Age:32.0  Onset:1990-12-10, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:Massachusetts  Entered:1991-03-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90120579
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 2  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Unevaluable event
SMQs:
Write-up: Pt adm Hep B vax (recombinant) on 4SEP90 & 4OCT90; 10DEC90 recvd third dose of vax which does not follow the six month protocol; @ time of the report there were no other adverse exp; No further details were provided;

VAERS ID:31925 (history)  Vaccinated:1990-11-28
Age:32.0  Onset:1990-11-29, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:Pennsylvania  Entered:1991-03-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: no relevant hx
Diagnostic Lab Data: none
CDC Split Type: WAES90120923
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0359S1  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd 2nd dose of Hep B vax on 28NOV90 & later devel urticaria. Pt tx w/ Epi & DPH

VAERS ID:31928 (history)  Vaccinated:1990-11-03
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:Texas  Entered:1991-03-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: no relevant hx
Diagnostic Lab Data: none
CDC Split Type: WAES90120960
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1256S1  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Dermatitis bullous, Pruritus, Skin discolouration
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd 2 doses of Hep B vax dialysis formulation 1ml instead of Hep B vax 1ml on 03OCT90 & 03NOV90. P/ 2nd dose,pt devel h/a & fever blisters thought to be infection w/ herpes simplex.

VAERS ID:29206 (history)  Vaccinated:1991-02-04
Age:32.0  Onset:1991-02-05, Days after vaccination: 1
Gender:Male  Submitted:1991-03-14, Days after onset: 37
Location:Oregon  Entered:1991-03-19, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE KNOWN
Other Medications: NONE
Current Illness: Puncture wound in foot from nail
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID, ADSORBED (NO BRAND NAME)SCLAVO095A11 RA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity
SMQs:, Hypersensitivity (narrow)
Write-up: TTOX given 4FEB91 w/in 24 hrs dev lg area of erythema on the rt upper arm measuring 11 x 8 cm; Advised rptr that it had come on slowly overnight following the inject; Appeared rxn subsiding & no treatment was given.

VAERS ID:29276 (history)  Vaccinated:1991-02-04
Age:32.1  Onset:1991-02-19, Days after vaccination: 15
Gender:Female  Submitted:0000-00-00
Location:New Jersey  Entered:1991-03-22
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: Na
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.1076S0SCLA
Administered by: Public     Purchased by: Private
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Vaccinated on 4FEB91; Rash onset on 19FEB91;

VAERS ID:29370 (history)  Vaccinated:1991-02-06
Age:32.3  Onset:1991-02-08, Days after vaccination: 2
Gender:Female  Submitted:1991-02-22, Days after onset: 14
Location:Texas  Entered:1991-03-25, Days after submission: 31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4908219 IMRA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Hard-raised lump @ inject site; 2-3CM size noted 8FEB91 minimal reddness 18FEB91 less sore sm amt of swelling - 1cm

VAERS ID:32059 (history)  Vaccinated:1990-05-08
Age:32.0  Onset:1990-06-06, Days after vaccination: 29
Gender:Female  Submitted:0000-00-00
Location:Ohio  Entered:1991-03-28
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: no relevant hx
Diagnostic Lab Data: 06JUN90 Titer - 1.7 RU; 10JUL90 Titer - 10.3
CDC Split Type: EBU900612
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM  IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Unevaluable event
SMQs:
Write-up: pt. recvd. 1st dose of Engerix-B 08NOV89,2nd vax 08DEC89 & 3rd on 08MAY90.Titer indicated pt. non-responder,p/ booster seroconverted.

VAERS ID:32067 (history)  Vaccinated:1990-05-09
Age:32.0  Onset:1990-06-18, Days after vaccination: 40
Gender:Female  Submitted:0000-00-00
Location:Ohio  Entered:1991-03-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: 3 titers - 18Jun90 - 1.5RU, 10Aug90 - 1.4RU, 28Sep90 - 4.5RU.
CDC Split Type: EBU900620
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM587A42IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: 14Nov89, 12Dec89, 09May90 pt vax w/ hepta B; 18Jun90 titer indicated non responder. 27Jun, 14Aug, 1990 recv booster vax . Titer indicated non responder.

VAERS ID:32076 (history)  Vaccinated:1990-11-14
Age:32.0  Onset:1990-11-14, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:New Jersey  Entered:1991-03-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: EBU900629
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM629A41IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Tachycardia, Urticaria, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 14NOV90 pt vax w/2nd hep B; exp gen hives; Sx resolved. Felt warm, had flushed skin on face & arms w/o wheezing, tachycardia, blood pressure of 130/90. Tx w/ benadryl. Sx resolved.

VAERS ID:32088 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:North Carolina  Entered:1991-03-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Titer - 3.9
CDC Split Type: EBU900642
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM591A42IMA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recv 2 doses of Recombivax & 1 dose of Engerix-B; also given booster Engerix-B and titer is still 3.9.

VAERS ID:32108 (history)  Vaccinated:1989-04-17
Age:32.0  Onset:1989-04-17, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Colorado  Entered:1991-03-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: No adverse reaction after 1st 2 vax.
Other Medications:
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES89100013
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1890P2  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 17Apr89 pt vax w/ 3rd hepta B; devel large wheal at inject site, axillary + trunk hives accom. by urticaria that lasted 1 week. Tx w/ Topicort + Chlor-trimeton.

VAERS ID:32120 (history)  Vaccinated:1989-08-24
Age:32.0  Onset:1989-08-24, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1991-03-28
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: Thyroidectomy, allergies to aspirin, pollen, + perfumes.
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES89100867
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0787R   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Headache, Influenza, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 24AUG89 pt vax w/hepta B; exp h/a, flu-like illness, general hives on back & legs w/welts & itching. Hives resolved & reoccurred then resolved again.

VAERS ID:32139 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:Michigan  Entered:1991-03-28
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: no relevant hx
Diagnostic Lab Data: none
CDC Split Type: WAES89120172
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0027R1  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd 2nd vax of Hep B & later exp itching w/ hives under arms & down sides.Pt tx w/ meds & sx abated slightly,w/ recurrences of hives & itching.

VAERS ID:32252 (history)  Vaccinated:1991-02-01
Age:32.0  Onset:1991-02-01, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Michigan  Entered:1991-03-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: none
CDC Split Type: EBU910136
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM631A40IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Amnesia, Dizziness, Headache, Nausea, Palpitations, Tachycardia, Vertigo
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (narrow)
Write-up: Pt recvd 1st dose of Hep B vax 01FEB91 & later exp lightheadedness,dizziness,nausea & tachycardia.

VAERS ID:32473 (history)  Vaccinated:1990-06-14
Age:32.0  Onset:1990-10-01, Days after vaccination: 109
Gender:Female  Submitted:0000-00-00
Location:Minnesota  Entered:1991-03-28
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: No relevant hx
Diagnostic Lab Data: Anti-HBs - borderline/weakly reactive
CDC Split Type: EBU910170
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM597A42IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: In Oct90 10 out of 59 pts were found to have insuff or neg antibody levels during post serology testing for anti HBs. (see EBU910168 - EBU910169 - EBU910171 - EBU910177)

VAERS ID:32957 (history)  Vaccinated:1990-02-09
Age:32.0  Onset:1990-02-10, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Oklahoma  Entered:1991-03-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Hives due to nerves
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: EBU900332
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Oedema, Paraesthesia, Pyrexia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt exp fever< side body swelled following vax;1st&2nd dose given FEB90&MAR90 respectively;SX occurred less than 24 hrs /p vax&resolved; reporter indicated p/2nd vax pt exp tingling&swelling of lt arm fr shoulder to fingertips 2 hrs /p vax

VAERS ID:31063 (history)  Vaccinated:1989-11-01
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:New Jersey  Entered:1991-04-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: none
CDC Split Type: WAES90060499
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Hepatic function abnormal
SMQs:, Liver related investigations, signs and symptoms (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt. vax''d /w 3rd dose of hepatitis B vaccine in Nov ''89, subsequent lab evaluation revealed liver function "twice normal".

VAERS ID:31172 (history)  Vaccinated:1990-08-06
Age:32.0  Onset:1990-08-07, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Virginia  Entered:1991-04-03
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: No relevant history
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90080762
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC. 0IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dysphagia, Dyspnoea, Pruritus, Rash
SMQs:, Anaphylactic reaction (narrow), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: One hr & fifteen min p/vax developed total body rash, difficulty in swallowing, SOB, & itching; Seen in ER tx epinephrine & DPH;

VAERS ID:29832 (history)  Vaccinated:1991-03-25
Age:32.3  Onset:1991-03-25, Days after vaccination: 0
Gender:Female  Submitted:1991-03-27, Days after onset: 2
Location:New York  Entered:1991-04-09, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: In pt: T&T; 9yo; T&T; #1 dose
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergic to Tetanus toxoid
Diagnostic Lab Data: poss allergic rxn vs susceptible response; hypertension prene
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1890S1 LA
Administered by: Military     Purchased by: Public
Symptoms: Amblyopia, Dizziness, Headache, Hypertension
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypertension (narrow), Optic nerve disorders (broad), Vestibular disorders (broad)
Write-up: Approx 10mins p/ vax developed h/a, dizziness, blurring vision, elevated BP;

VAERS ID:29954 (history)  Vaccinated:1991-03-12
Age:32.8  Onset:1991-03-13, Days after vaccination: 1
Gender:Female  Submitted:1991-04-11, Days after onset: 28
Location:Delaware  Entered:1991-04-17, 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:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.2340S0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Back pain, Breast pain, Lymphadenopathy, Paraesthesia, Vasodilatation
SMQs:, Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Lipodystrophy (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Reported that had back pain w/in 24 hrs, episodes of breast tenderness rt w/poss nodes enlarged on lateral aspect of rt breast, facial flushing, pain anticubital areas both arms, & in both knees-no swelling in areas; Also c/o numbness toes;

VAERS ID:30069 (history)  Vaccinated:1991-01-29
Age:32.9  Onset:1991-02-15, Days after vaccination: 17
Gender:Male  Submitted:1991-04-16, Days after onset: 59
Location:Connecticut  Entered:1991-04-22, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1707S0IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Arthralgia, Osteoarthritis, Pharyngitis
SMQs:, Agranulocytosis (broad), Oropharyngeal infections (narrow), Arthritis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 2 1/2 wks p/1st MMR experienced bilateral wrist, finger & knee joint swelling, stiffness, aching; Also mild URI sx;

VAERS ID:30076 (history)  Vaccinated:1988-10-05
Age:32.5  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:Iowa  Entered:1991-04-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Given 2&3 Recombivax 2NOV88 & 21APR89 lots #1893P & 0435P
Current Illness:
Preexisting Conditions: Smoker, extremely thin
Diagnostic Lab Data: Anti-HBs - negative 20MAR91
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1893P0IMLA
Administered by: Public     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt not immune about 2 yrs after vax series;

VAERS ID:30494 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:Ohio  Entered:1991-05-09
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: UNK
Diagnostic Lab Data: NA
CDC Split Type: 900107801
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES247953 IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site pain, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: One of four pt''s who were immun fr the same vial developed local rxn, size of a quarter or fifty cent coin; The site of inject was red, hot to touch & pt c/o tenderness;

VAERS ID:30441 (history)  Vaccinated:1991-03-07
Age:32.7  Onset:1991-04-05, Days after vaccination: 29
Gender:Male  Submitted:0000-00-00
Location:Kansas  Entered:1991-05-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Verapamil
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: Urine RBC - 4+
CDC Split Type: WAES91042028
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0412T0  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood lactate dehydrogenase increased, Haematemesis, Haematuria, Leukopenia, Monocytosis, Pyrexia
SMQs:, Liver related investigations, signs and symptoms (narrow), Haematopoietic leukopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Gastrointestinal haemorrhage (narrow), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)
Write-up: Developed malaise, generalized pain, particularly in the back, & temp of 105F, also developed hematemesis, hematuria, & leukopenia w/monocytosis;

VAERS ID:30628 (history)  Vaccinated:1991-04-07
Age:32.1  Onset:1991-04-17, Days after vaccination: 10
Gender:Female  Submitted:1991-05-13, Days after onset: 26
Location:Missouri  Entered:1991-05-17, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Extra strength APAP, syntocinon
Current Illness: post delivery <6hrs
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC. 0SCRA
Administered by: Public     Purchased by: Other
Symptoms: Unevaluable event
SMQs:
Write-up: Pt was givn immun immediately prior to discharge; Adverse rxn was not reported back to DTP;

VAERS ID:30735 (history)  Vaccinated:1991-03-29
Age:32.4  Onset:1991-04-10, Days after vaccination: 12
Gender:Male  Submitted:1991-04-22, Days after onset: 12
Location:Maryland  Entered:1991-05-21, Days after submission: 29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications:
Current Illness: NA
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: MD91036
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0573T1SC 
Administered by: Public     Purchased by: Public
Symptoms: Chills, Lymphadenopathy, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)
Write-up: Rash first appeared on forehead then generalized; fever 101F, chills, cervical adenopathy;

VAERS ID:33375 (history)  Vaccinated:1990-07-17
Age:32.0  Onset:1990-08-03, Days after vaccination: 17
Gender:Male  Submitted:0000-00-00
Location:New Jersey  Entered:1991-06-03
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: No relevant hx
Diagnostic Lab Data: No relevant data.
CDC Split Type: WAES90080470
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Headache, Lymphadenopathy, Myalgia, Neck pain, Nuchal rigidity, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd vax on 17JUL90 & on 03AUG90 devel T-102,submandibular adenitis,arthralgia,myalgia,h/a w/ neck pain & stiffness.Tx w/ ketoprofen.Lab eval revealed no measle titer.

VAERS ID:33497 (history)  Vaccinated:1990-09-13
Age:32.0  Onset:1990-09-21, Days after vaccination: 8
Gender:Female  Submitted:0000-00-00
Location:New Jersey  Entered:1991-06-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: ear, throat infect, rt cervical adenopathy
Diagnostic Lab Data: X-ray - Chest normal
CDC Split Type: WAES90100092
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Lymphadenopathy, Malaise, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 13Sep90 pt vax; 21Sep90 noted bilateral cervical, axillary & inquinal lymphadenopathy accomp. by malaise & low-grade fever. Seen by Md who saw no infection. Lab tests normal. 08Oct90 cervical & axillary nodes were smaller. See worm....

VAERS ID:33515 (history)  Vaccinated:1990-09-17
Age:32.0  Onset:1990-10-18, Days after vaccination: 31
Gender:Female  Submitted:0000-00-00
Location:North Dakota  Entered:1991-06-03
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: No relevant hx
Diagnostic Lab Data: 18OCT90 Pregnancy tests-positive; 22OCT90 pathology report-endometrium degenerative change
CDC Split Type: WAES90100987
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC. 1  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abortion
SMQs:, Termination of pregnancy and risk of abortion (narrow)
Write-up: Pt recvd 2nd dose of MMR vax 17SEP90; 18OCT90 lab eval revealed pos preg test; 20OCT90 exp heavy bleeding; Pathology report small tissue sample on 22OCT90 revealed decidual tissue & endometrium; Dx intrauterine preg w/spontaneous abortion;

VAERS ID:31091 (history)  Vaccinated:1991-05-23
Age:32.4  Onset:1991-05-23, Days after vaccination: 0
Gender:Female  Submitted:1991-05-29, Days after onset: 6
Location:Washington  Entered:1991-06-07, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: WA91563
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC.2352R0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Diarrhoea, Headache, Laryngitis, Malaise, Nausea
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Generalized malaise p/6 hrs; nausea, diarrhea 36hrs p/; 2 days post vax, nausea, diarrhea, laryngitis, h/a lasting 5 days;

VAERS ID:31375 (history)  Vaccinated:1991-06-06
Age:32.1  Onset:1991-06-06, Days after vaccination: 0
Gender:Female  Submitted:1991-06-07, Days after onset: 1
Location:California  Entered:1991-06-17, Days after submission: 10
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: none
Other Medications: prenatal vits (nursing mother)
Current Illness: none
Preexisting Conditions: erythromycin allergy-$ghives, swelling
Diagnostic Lab Data: measles titer-neg 27Mar90
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEA: MEASLES (ATTENUVAX)MERCK & CO. INC.1079S0SCA
Administered by: Other     Purchased by: Private
Symptoms: Dyspnoea, Hyperkinesia, Nausea, Oedema, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Akathisia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Measles vax @ 1145am; shellfish @ lunch onset 220pm approx of nausea; 245 hands red swollen, felt hyper, SOB. "hives" on arms-to ER. D/C to home w/meds

VAERS ID:31971 (history)  Vaccinated:1991-05-09
Age:32.8  Onset:1991-05-23, Days after vaccination: 14
Gender:Female  Submitted:1991-06-24, Days after onset: 32
Location:California  Entered:1991-07-01, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: CA9162
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (TRI-IMMUNOL)LEDERLE LABORATORIES306929   
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.5340295179 IM 
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Asthenia, Conjunctivitis, Face oedema, Headache, Oedema, Pyrexia, Rash maculo-papular
SMQs:, Cardiac failure (broad), Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Conjunctival disorders (narrow), Ocular infections (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Red, scaly, maculopapular rash on face, neck chest, upper thigh & back; pt also had fever, h/a & arthralgias w/swelling & loss of strength in hands; In addition, eyes became swollen, red & itchy;

VAERS ID:33320 (history)  Vaccinated:1990-10-18
Age:32.0  Onset:1991-01-08, Days after vaccination: 82
Gender:Female  Submitted:0000-00-00
Location:South Carolina  Entered:1991-07-01
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: allergic to PCN
Diagnostic Lab Data: 8JAN91 HBSAB- none detected
CDC Split Type: EBU910200
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM0620A43IMLA
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 4 doses of Hep B vax, 3rd given 22AUG90 & 4th given 18OCT90; It was determined that the pt was not immune to Hep B;

VAERS ID:33321 (history)  Vaccinated:1990-07-25
Age:32.0  Onset:1990-08-14, Days after vaccination: 20
Gender:Male  Submitted:0000-00-00
Location:South Carolina  Entered:1991-07-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: 14SEP90 HBSAB- none detected
CDC Split Type: EBU910201
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1380R2IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Hep B vax; 3rd dose given 25JUL90; It was determined that pt was not immune to Hep B;

VAERS ID:33654 (history)  Vaccinated:1990-07-22
Age:32.0  Onset:1990-09-27, Days after vaccination: 67
Gender:Female  Submitted:0000-00-00
Location:New Hampshire  Entered:1991-07-01
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: 27Sep90 titer neg; HBSAB ratio - .80.
CDC Split Type: EBU910334
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM620A43IMA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: 22Jul90 pt vax 3rd dose; neg titer. 04Oct90 vax 4th dose. titer still neg.

VAERS ID:33740 (history)  Vaccinated:1990-05-17
Age:32.0  Onset:1991-02-13, Days after vaccination: 272
Gender:Female  Submitted:0000-00-00
Location:Alabama  Entered:1991-07-01
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: Allergy to pollen.
Diagnostic Lab Data: Hepatitis B surface antibody test = 0.014 (cutoff value = 0.060)
CDC Split Type: EBU910239
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2IMA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of hep B vax on 0,1 & 6 months schedule.Hepatitis B surface antibody test indicated lack of immunity.

VAERS ID:33769 (history)  Vaccinated:1991-01-03
Age:32.0  Onset:1991-01-03, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1991-07-01
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: Titer drawn p/1st series & p/ 1st vax of 2nd series MAR91 did not reveal antibodies;
CDC Split Type: EBU910270
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2IMGM
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3rd dose of Engerix B & was a non-responder; 4th dose was recvd on 25FEB91 & vax again was a non-responder;started 2nd series of vax.

VAERS ID:33786 (history)  Vaccinated:1991-03-15
Age:32.0  Onset:1991-03-15, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Vermont  Entered:1991-07-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergies pollen, animal hair
Diagnostic Lab Data:
CDC Split Type: EBU910286
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM631A42IMA
Administered by: Private     Purchased by: Private
Symptoms: Injection site oedema, Injection site reaction, Pharyngitis, Pruritus, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Angioedema (narrow), Oropharyngeal infections (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd 3 doses Engerix-B, 3rd given 15MAR91; About 6 hrs p/3rd inject pt exp itching, swelling @ site, erythema 6in diameter, lt palm red, itching, swollen, throat itching & hives on lt thigh & local induration; Pt went to ER & tx DPH;

VAERS ID:33792 (history)  Vaccinated:1991-01-25
Age:32.0  Onset:1991-01-25, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:New Jersey  Entered:1991-07-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: hx of rxn to Demerol
Diagnostic Lab Data:
CDC Split Type: EBU910277
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1IM 
Administered by: Private     Purchased by: Unknown
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd 2nd dose of Engerix-B on 25JAN91 & 3-4 hrs later devel a rash; Visited ER & was treated w/DPH & Decadron;

VAERS ID:33797 (history)  Vaccinated:1990-09-13
Age:32.0  Onset:1990-10-01, Days after vaccination: 18
Gender:Female  Submitted:0000-00-00
Location:Ohio  Entered:1991-07-01
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: Pos for EBV
CDC Split Type: EBU910289
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM618A41IMA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Infection
SMQs:, Guillain-Barre syndrome (broad)
Write-up: 12Oct90 pt vax 2nd dose; exp tiredness. Pt undergoing testing for Epstein-Barr. Results positive.

VAERS ID:33808 (history)  Vaccinated:1990-11-20
Age:32.0  Onset:1991-02-19, Days after vaccination: 91
Gender:Male  Submitted:0000-00-00
Location:New Hampshire  Entered:1991-07-01
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: Allergies to bee stings
Diagnostic Lab Data:
CDC Split Type: EBU910301
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM597A42IMLA
Administered by: Other     Purchased by: Public
Symptoms: Unevaluable event
SMQs:
Write-up: Pt vax 63 doses; titer indicated no seroprotection. Recv 4th dose 22Apr91.

VAERS ID:33814 (history)  Vaccinated:1991-03-18
Age:32.3  Onset:1991-03-19, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Georgia  Entered:1991-07-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergies to PCN
Diagnostic Lab Data: PE-WNL; CBC-WNL
CDC Split Type: EBU910307
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM629A4 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Cellulitis, Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Lymphadenopathy
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd Engerix-B vax on 18MAR91, & on 19MAR91 exp induration, erythema, lymph node enlargement, & tenderness; Pt seen in ER; Considered to be cellulitis;

VAERS ID:33816 (history)  Vaccinated:1991-02-26
Age:32.0  Onset:1991-03-19, Days after vaccination: 21
Gender:Female  Submitted:0000-00-00
Location:Missouri  Entered:1991-07-01
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: NKA
Diagnostic Lab Data: Titer=0.4 MIU/ML
CDC Split Type: EBU910309
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM631A42IMA
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B, 3rd dose given 26FEB91 & it was determined that pt exp non-response;

VAERS ID:33817 (history)  Vaccinated:1990-09-17
Age:32.0  Onset:1990-09-18, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Pennsylvania  Entered:1991-07-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Disalcid, Inderal, Plaquenil
Current Illness:
Preexisting Conditions: Lupus, NKA
Diagnostic Lab Data:
CDC Split Type: EBU910310
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0IM 
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Condition aggravated, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd 1st dose of Engerix-B vax 17SEP90 & exp exacerbation of Lupus the following day 18SEP90; Also exp fever 101, joint pain & muscle aches x 2 days; No treatment given;

VAERS ID:34161 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:1991-07-01
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: EBU910471
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 4  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: 4 doses of Engerix-B required due to negative result;

VAERS ID:34263 (history)  Vaccinated:1991-05-09
Age:32.0  Onset:1991-05-09, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Missouri  Entered:1991-07-01
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:
Preexisting Conditions: functional heart murmur as a child but has never been dx w/any cardiac problems as adult;
Diagnostic Lab Data:
CDC Split Type: EBU910485
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM  IMA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Palpitations, Tachycardia, Ventricular extrasystoles
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Cardiomyopathy (broad)
Write-up: Pt recvd Engerix-B vax 09MAY91; Soon p/exp palpitations, resting tachycardia & PVC''s; As of 20MAY91 no tx had been given; sx are now subsiding & are intermittent;

VAERS ID:34281 (history)  Vaccinated:1990-06-13
Age:32.0  Onset:1990-08-01, Days after vaccination: 49
Gender:Male  Submitted:0000-00-00
Location:California  Entered:1991-07-01
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: Aug 90 serology - non responder.
CDC Split Type: EBU910505
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1651R2IMA
Administered by: Unknown     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: 13Jun90 pt vax; serology indicated non responder. 08Apr91 booster dose given - still non responder.

VAERS ID:32613 (history)  Vaccinated:1991-06-19
Age:32.5  Onset:1991-06-30, Days after vaccination: 11
Gender:Female  Submitted:1991-07-10, Days after onset: 10
Location:Florida  Entered:1991-07-15, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Low WBC unk etiology
Diagnostic Lab Data: WBC dec 2.2 then WBC 3.0
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.009ES1 LA
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.1762S0 RA
Administered by: Public     Purchased by: Other
Symptoms: Leukopenia, Lymphadenopathy, Pain, Somnolence
SMQs:, Haematopoietic leukopenia (narrow), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: Swollen lymph glands behind ears, neck, groin area; pain under both arms; lethargy; pain in both knees, ankles & lt foot;

VAERS ID:35856 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:1990-08-14
Gender:Male  Submitted:0000-00-00
Location:Colorado  Entered:1991-07-29
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: allergies: lactose, mold allergies
Diagnostic Lab Data:
CDC Split Type: BER10002
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD115371A PO 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dyspnoea, Hyperhidrosis, Tachycardia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypoglycaemia (broad)
Write-up: 3 hrs sweating, SOB & pulse 110; duratin was 4 to 5 hrs;

VAERS ID:33191 (history)  Vaccinated:1991-02-14
Age:32.4  Onset:1991-02-15, Days after vaccination: 1
Gender:Female  Submitted:1991-06-13, Days after onset: 117
Location:Michigan  Entered:1991-08-05, Days after submission: 53
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: MI9157
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)MICHIGAN DEPT PUB HLTH0885   
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 10JUN91 pt reports since DT inject c/o joint pain of armpits, elbow, & all joints; inc temp first 2 days p/inject of 101-102; Called MD;

VAERS ID:33142 (history)  Vaccinated:1991-03-14
Age:32.8  Onset:1991-03-21, Days after vaccination: 7
Gender:Female  Submitted:1991-04-12, Days after onset: 21
Location:Florida  Entered:1991-08-28, Days after submission: 138
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: FL91021
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1341S SCLA
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Arthritis, Pain
SMQs:, Systemic lupus erythematosus (broad), Arthritis (narrow)
Write-up: 3 wks post vax pt devel swelling of joint, joint pains, h/a, pain occurring in hands back, knees like true arthritis; pain on ankles;

VAERS ID:34366 (history)  Vaccinated:1991-07-15
Age:32.0  Onset:1991-08-01, Days after vaccination: 17
Gender:Male  Submitted:1991-08-23, Days after onset: 22
Location:Texas  Entered:1991-08-29, 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:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: ALT-2430; AST-1530; Bilirubin-8.2; HIV-neg; Hep A serology-neg; HBS-pos; anti HBS-undetectable;
CDC Split Type: EBU910767
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM638A41IMA
Administered by: Public     Purchased by: Private
Symptoms: Abdominal pain, Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatitis, Hepatitis B surface antigen, Hyperbilirubinaemia, Infection, Jaundice
SMQs:, Liver related investigations, signs and symptoms (narrow), Cholestasis and jaundice of hepatic origin (narrow), Hepatitis, non-infectious (narrow), Acute pancreatitis (narrow), Retroperitoneal fibrosis (broad), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd 2 doses of Engerix-B 15JUN91 & 15JUL91; 01AUG pt exp jaundice & reporter indicated "Hep A serology is negative"; In addition, Hep B surface was positive & anti-Hepa B surface was undetectable; Pt is probably in acute hepatitis;

VAERS ID:34824 (history)  Vaccinated:1991-08-29
Age:32.3  Onset:1991-08-30, Days after vaccination: 1
Gender:Female  Submitted:1991-09-03, Days after onset: 4
Location:Georgia  Entered:1991-09-19, Days after submission: 16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: GA91243
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0045T SCLA
Administered by: Public     Purchased by: Public
Symptoms: Abdominal pain, Ear pain, Headache, Influenza, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: On 30AUG91 awake w/h/a, sore neck; On 2SEP91 had stomache even when drinking H20; c/o h/a, pressure in ears, t101; flu-like virus;

VAERS ID:34877 (history)  Vaccinated:1991-07-24
Age:32.8  Onset:1991-07-24, Days after vaccination: 0
Gender:Male  Submitted:1991-07-25, Days after onset: 1
Location:Arizona  Entered:1991-09-20, Days after submission: 57
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: infected tooth on lt
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: AZ9121
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0767T  LA
Administered by: Public     Purchased by: Public
Symptoms: Facial palsy, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad)
Write-up: 24JUL91 @9PM noticed "couldn''t smoke right", noticed lt side face "droopy"; States has "bad tooth on lt"; "had funny feeling tongue for 2 days" a/received MMR vax; MD felt may have "Bell''s Palsy";

VAERS ID:34901 (history)  Vaccinated:1991-08-09
Age:32.1  Onset:1991-08-09, Days after vaccination: 0
Gender:Female  Submitted:1991-08-12, Days after onset: 3
Location:Iowa  Entered:1991-09-23, Days after submission: 42
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Demulen 1-35
Current Illness:
Preexisting Conditions: One previous seizure age 12-13; no cause found
Diagnostic Lab Data: EEG-normal, Electrolytes, Blood sugar, CA, MG, all WN x/K 3.6; MRI of head w/ & w/o gadolinium-subarachnoid cyst floor of lt ant temporal lobe; no enhance w/gadolinium;
CDC Split Type:
Vaccination
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Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES289908 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Convulsion, Pyrexia, Tinnitus, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hearing impairment (narrow), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: Pt exp 2-witnessed seizures lasting 30sec & 1min about 10min p/DT given (felt hot, ringing in ears, then eyes to lt head down to lt then generalized arms, legs & body shaking; No loss of bowel or bladder continence;

VAERS ID:35059 (history)  Vaccinated:1991-07-19
Age:32.1  Onset:1991-07-19, Days after vaccination: 0
Gender:Female  Submitted:1991-07-19, Days after onset: 0
Location:Alabama  Entered:1991-09-30, Days after submission: 73
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions:
Diagnostic Lab Data: CXR
CDC Split Type: AL91024
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES0K21046 IMLA
Administered by: Public     Purchased by: Public
Symptoms: Convulsion, Dizziness, Hypertonia, Pallor, Pruritus, Stupor, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Parkinson-like events (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), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: 1100AM recd vax; 1101AM c/o dizziness; 1102AM collapsed; 1103AM collapsed again; skin white, flushed cheeks, tonic-clonic activity trunk & arms; returned to alert; suddenly unresponsive; BP 54/12; 1112AM Epi & Benadryl; c/o itching;

VAERS ID:35154 (history)  Vaccinated:1991-05-16
Age:32.0  Onset:1991-05-16, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Alabama  Entered:1991-09-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: allergy to Darvocet
Diagnostic Lab Data: PR 128, Respiration 20 & BP 104/60; WBC-10.3;
CDC Split Type: EBU910557
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM638A42  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abscess, Ecchymosis, Oedema, Pain, Pyrexia, Skin discolouration, Tachycardia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd a 3rd dose of Engerix-B on 16MAY91 & 4th hrs later exp pain in rt arm, swelling, discoloration, t102, abscess, bruising; Pt missed 7 working days, 60 hrs due to rxn; PCN, pain meds, ice & heat were used to treat the events;

VAERS ID:35367 (history)  Vaccinated:1991-07-05
Age:32.0  Onset:1991-07-07, Days after vaccination: 2
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1991-09-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: H-BIG 5JUL91
Current Illness:
Preexisting Conditions: has mild asthma; allergic to sulfa;
Diagnostic Lab Data:
CDC Split Type: EBU910674
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM  IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Pruritus, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd Engerix-B on 05JUL91 & on 07JUL91 & exp hives; tx DPH; sx resolved;

VAERS ID:35389 (history)  Vaccinated:1990-06-15
Age:32.0  Onset:1990-12-02, Days after vaccination: 170
Gender:Male  Submitted:1991-08-05, Days after onset: 245
Location:Unknown  Entered:1991-09-30, Days after submission: 56
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: 02DEC90-no titers;
CDC Split Type: EBU910697
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2IMA
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Hep B vax, the 1st two doses were Heptavax given 02DEC89 & 02JAN90 & the 3rd w/Engerix-B 15JUN90 & it was determined that pt did not have titers; A booster dose of Engerix-B was administered 16JUL91;

VAERS ID:35393 (history)  Vaccinated:1990-10-18
Age:32.5  Onset:1991-06-26, Days after vaccination: 251
Gender:Female  Submitted:1991-08-05, Days after onset: 40
Location:Unknown  Entered:1991-09-30, Days after submission: 56
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: HBSAB-neg;
CDC Split Type: EBU910701
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2IMRA
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt did not convert p/a series of 3 Engerix-B vax on 13MAR90, 13APR90, & 18OCT90, respectively; Each inject recvd was 1 adult dose; Pt was advised of need for further inject & testing;

VAERS ID:35578 (history)  Vaccinated:1991-07-12
Age:32.0  Onset:1991-08-01, Days after vaccination: 20
Gender:Female  Submitted:1991-09-05, Days after onset: 35
Location:Texas  Entered:1991-09-30, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: Anti HBS-neg; Anti HBC-pos; Hepatitis Surface Antigen-pos;
CDC Split Type: EBU910790
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM638A41IM 
Administered by: Private     Purchased by: Other
Symptoms: Abdominal pain, Anorexia, Drug ineffective, Hepatitis, Infection, Jaundice, Urine analysis abnormal
SMQs:, Cholestasis and jaundice of hepatic origin (narrow), Hepatitis, non-infectious (narrow), Acute pancreatitis (broad), Lack of efficacy/effect (narrow), Retroperitoneal fibrosis (broad), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd 1 dose of Engerix-B on 12JUN91 & 12JUL91 for vax against Hep B; 2 wks p/2nd dose pt exp anorexia, dark urine, epigastric pain & jaundice; Pt referred to MD & is under a MD care;

VAERS ID:35753 (history)  Vaccinated:1990-08-21
Age:32.5  Onset:0000-00-00
Gender:Male  Submitted:1990-10-31
Location:Mississippi  Entered:1991-10-07, Days after submission: 340
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: UNK
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC Split Type: 890303003B
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4908020 IM 
Administered by: Private     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Shortly p/receiving a dose of Td, pt exp edema, redness, & soreness @ inject site;

VAERS ID:33097 (history)  Vaccinated:1990-10-23
Age:32.3  Onset:1990-10-23, Days after vaccination: 0
Gender:Male  Submitted:1991-01-28, Days after onset: 97
Location:New Mexico  Entered:1991-10-15, Days after submission: 259
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: 890360001B
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49082080IMRA
Administered by: Other     Purchased by: Other
Symptoms: Anaphylactoid reaction, Convulsion, Cyanosis, Dizziness, Pallor, Stupor
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Convulsions (narrow), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (narrow), Hypoglycaemia (broad)
Write-up: w/in five minutes of receiving a dose of Influenza vax, pt devel an anaphylactic rxn; Became light-headed, pale, unresponsive, cyanotic & began to convulse; tx Epi & regained consciousness immediately; Sent to ER where observed;

VAERS ID:36187 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1991-11-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90101313
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Lymphadenopathy
SMQs:, Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 9 days following vax pt devel lymphadenopathy; 29 days following vax pt began to exp migratory arthralgia;

VAERS ID:36194 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:Michigan  Entered:1991-11-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tenormin
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90120205
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.0379S   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd rubella vax & 10 days later devel rash which remitted in 3 to 7 days;

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