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Case Details (Sorted by Age)

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VAERS ID:303082 (history)  Vaccinated:2008-01-09
Age:38.0  Onset:2008-01-09, Days after vaccination: 0
Gender:Male  Submitted:2008-01-09, Days after onset: 0
Location:Michigan  Entered:2008-01-18, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Healthy
Preexisting Conditions: Asthma, HIV +
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.AHBVB412AA1IMLA
Administered by: Public     Purchased by: Public
Symptoms: Chills, Diarrhoea, Hyperhidrosis, Nausea, Pain, Pyrexia, Vomiting, Wheezing
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow)
Write-up: Rec. vaccines (Hep B) at 4:30 pm. 6-6:30 pm - achy, feverish, sweating, chills, wheezing more than normal. Soup eaten. 715 pm nausea and vomiting x3, diarrhea 230 AM 1/10/08 x 4.5. Used inhaler x1 - helped with wheezing. T-97.

VAERS ID:303335 (history)  Vaccinated:2008-01-18
Age:38.0  Onset:2008-01-19, Days after vaccination: 1
Gender:Male  Submitted:2008-01-23, Days after onset: 4
Location:Virginia  Entered:2008-01-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: allergy to PCN, oak and wine
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB443BA1IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Erythema, Lip swelling, Oedema peripheral, Oral pruritus, Swelling face
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Itching in mouth, facial redness and swelling. Swelling of lips and hands.

VAERS ID:303534 (history)  Vaccinated:2008-01-22
Age:38.0  Onset:2008-01-23, Days after vaccination: 1
Gender:Female  Submitted:2008-01-25, Days after onset: 2
Location:Minnesota  Entered:2008-01-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: unknown
Preexisting Conditions: NKA
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2864AA0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Nausea, Oedema peripheral, Pain
SMQs:, Cardiac failure (broad), Acute pancreatitis (broad), Angioedema (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Swollen deltoid muscle with extreme pain to point of immobility lasting almost 2 days. Some nausea.

VAERS ID:303783 (history)  Vaccinated:2008-01-10
Age:38.0  Onset:2008-01-10, Days after vaccination: 0
Gender:Male  Submitted:2008-01-28, Days after onset: 18
Location:Michigan  Entered:2008-01-28
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:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLU319BA IMUN
Administered by: Other     Purchased by: Private
Symptoms: Hypokinesia, Pain in extremity
SMQs:, Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad)
Write-up: Pain in arm and limited movement of shoulder.

VAERS ID:304085 (history)  Vaccinated:2007-05-02
Age:38.0  Onset:2007-05-03, Days after vaccination: 1
Gender:Female  Submitted:2007-12-07, Days after onset: 218
Location:New York  Entered:2008-01-29, Days after submission: 53
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: unknown~ ()~~0~In Patient
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type: AE0716
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB346BA UNUN
TD: TD ADSORBED (NO BRAND NAME)MASS. PUB HLTH BIOL LABTD-166 UNUN
Administered by: Other     Purchased by: Private
Symptoms: Erythema, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Moderate swelling and redness -- within normal limits

VAERS ID:304088 (history)  Vaccinated:2007-05-01
Age:38.0  Onset:2007-05-03, Days after vaccination: 2
Gender:Male  Submitted:2007-12-07, Days after onset: 218
Location:New York  Entered:2008-01-29, Days after submission: 53
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: unknown~ ()~~0~In Patient
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type: AE0717
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB107AA UNUN
TD: TD ADSORBED (NO BRAND NAME)MASS. PUB HLTH BIOL LABTD-166 UNUN
Administered by: Other     Purchased by: Private
Symptoms: Erythema, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Mild swelling and redness -- within normal limits

VAERS ID:304175 (history)  Vaccinated:2007-12-06
Age:38.0  Onset:2007-12-07, Days after vaccination: 1
Gender:Female  Submitted:2007-12-21, Days after onset: 14
Location:Florida  Entered:2008-01-29, Days after submission: 39
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: None~ ()~~0~In Patient
Other Medications:
Current Illness: None-Routine Booster
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: AE0733
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)MASS. PUB HLTH BIOL LABTD149 IMRL
Administered by: Other     Purchased by: Other
Symptoms: Abdominal distension, Injection site pain, Injection site swelling, Local reaction
SMQs:, Acute pancreatitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: The patient received Td vaccination in her right hip area on 12/06/07. Approximately 24 hours later, she developed a local site reaction consisting of pain and swelling at the injection site. She also complained of swelling in her right upper thigh/lower abdominal area. The doctor prescribed the antibiotic, cephalosporin. Additional information received 12/21/07: The patient''s adverse reactions have completely resolved.

VAERS ID:304146 (history)  Vaccinated:2008-02-01
Age:38.0  Onset:2008-02-02, Days after vaccination: 1
Gender:Male  Submitted:2008-02-03, Days after onset: 1
Location:New York  Entered:2008-02-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Urgent Care referral
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1636SCLA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURZ05722IMRA
Administered by: Military     Purchased by: Military
Symptoms: Erythema, Oedema peripheral
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Presented with left arm redness, swelling and erythema that occurred within the last 24 hours. Evaluated by Physician.

VAERS ID:304382 (history)  Vaccinated:2008-01-08
Age:38.0  Onset:2008-01-08, Days after vaccination: 0
Gender:Male  Submitted:2008-01-18, Days after onset: 10
Location:California  Entered:2008-02-05, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Lyme. Ab (-)
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB449AA2IMLA
Administered by: Public     Purchased by: Public
Symptoms: Facial palsy, Hypoaesthesia oral, Neck pain
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (broad)
Write-up: Severe pain neck under occipital bone and left Trapezoid 8 hours after shot. 3 days in numbness to left side of mouth and tongue, 5 days in numbness radiating up to left eye. Diagnosis Bells'' Palsy and prescribed Prednisone and acyclovir (Valtrex) (Vaccine shot given 01/08/08)

VAERS ID:304444 (history)  Vaccinated:2008-01-18
Age:38.0  Onset:2008-01-19, Days after vaccination: 1
Gender:Female  Submitted:2008-02-01, Days after onset: 13
Location:Georgia  Entered:2008-02-06, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2904AA0IMLA
Administered by: Private     Purchased by: Other
Symptoms: Chills, Oedema peripheral, Pain, Pyrexia
SMQs:, Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Saturday 1-19-08 developed chills and low grade fever, arm swollen and sore dull ache.

VAERS ID:304525 (history)  Vaccinated:2008-01-31
Age:38.0  Onset:2008-02-01, Days after vaccination: 1
Gender:Female  Submitted:2008-02-07, Days after onset: 6
Location:Missouri  Entered:2008-02-07
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:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2731AA2IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Lymphadenopathy, Nausea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Reddened hard knot to injection site, Lymph nodes under left arm swollen, fever 2nd day after injection, nausea & vomiting 1st day after injection.

VAERS ID:304772 (history)  Vaccinated:2006-09-21
Age:38.0  Onset:2006-09-21, Days after vaccination: 0
Gender:Male  Submitted:2007-10-16, Days after onset: 390
Location:Virginia  Entered:2008-02-12, Days after submission: 119
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: denied~ ()~~0.00~Patient
Other Medications: none
Current Illness: denied
Preexisting Conditions: hx cold sores using prn acyclovir
Diagnostic Lab Data: allergy referral f/u 2/2008
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.500434P0IN 
Administered by: Military     Purchased by: Military
Symptoms: Herpes zoster, Immediate post-injection reaction, Lip swelling, Oral herpes, Paraesthesia oral, Throat irritation
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal infections (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (narrow)
Write-up: Referred by immunizations following Vaccine medical exemption from Clinic marking Allergy to vaccine component - Flumist and hx hypersensitivity, anaphylaxis to LAIV or eggs. History of present illness. Denied any food, egg, fish, seafood allergy; no chemical, latex, drug or vaccine related reactions; no seasonal allergies. DID c/o milk causing diarrhea when eaten with eggs but no problems with eggs....unknown if hx lactose intolerance. Hx tinia versicolor, pseudo folliculitis, roseolla and childhood colds. Denied any CV/resp, GI, neuro, MS disorders Medication list reviewed None taken Encounter Background Information: Pt reported receipt of FluMIst vac 11/30/2006. Within a few seconds/moments he felt tingling to back of throat and to right upper lip. He worked rest of day, went home, awoke next moring with swelling to right upper lip (cold sore). He denied SOB, difficulty swallowing, facial edema, lower/left side lip swelling, chest pain, rash/hives/itching or any distress except for right upper lip. Swelling resolved in 1 week w/use of Acyclovir. No reoccurrence since ... has hx of cold sores, no not "that severe" DX: suspect herpes zoster.

VAERS ID:304773 (history)  Vaccinated:2008-02-10
Age:38.0  Onset:2008-02-10, Days after vaccination: 0
Gender:Female  Submitted:2008-02-12, Days after onset: 2
Location:Wisconsin  Entered:2008-02-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2476GA5IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Erythema, Headache, Local reaction, Local swelling, Pain, Pain of skin, Pharyngolaryngeal pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Arthritis (broad)
Write-up: SEVERE HEADACHE AND BODY AND JOINT PAIN, SKIN HURTS, SORE THROAT, LOW GRADE FEVER-100F, LOCALIZED REACTION INITIALLY-REDNESS & SWELLING.

VAERS ID:304894 (history)  Vaccinated:2007-11-19
Age:38.0  Onset:2007-11-23, Days after vaccination: 4
Gender:Female  Submitted:2008-02-01, Days after onset: 70
Location:New Jersey  Entered:2008-02-14, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Concomitant Drug(s) Not Reported
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: MEDI0006514
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.  OTUN
Administered by: Private     Purchased by: Other
Symptoms: Glomerulonephritis
SMQs:, Chronic kidney disease (broad)
Write-up: Medical history and concomitant medications were not reported. The patient received FluMist vaccine on 19-Nov-2007. On 23-Nov-2007, four days after receiving FluMist vaccine, the patient developed glomerunephritis. No additional information was reported. The event of glomerulonephritis subsequently resolved on an unreported date. The patient did not experience a rechallenge while receiving the suspect product. The reporter did not provide a statement of causality. The sponsor considered the glomerulonephritis an important medical event. The reporting source of this case is spontaneous, thus the reporter''s comment is not applicable.

VAERS ID:305073 (history)  Vaccinated:2008-02-12
Age:38.0  Onset:2008-02-13, Days after vaccination: 1
Gender:Female  Submitted:2008-02-14, Days after onset: 1
Location:Ohio  Entered:2008-02-15, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: None~ ()~~0~In Patient|UNK~ ()~~0~In Sibling
Other Medications: Vicodin daily; Zantac daily; Phenergan as needed
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)SANOFI PASTEURA0257-23IMLA
Administered by: Other     Purchased by: Private
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: 4th of 5 scheduled Rabies Immunizations given 02/12/08 at 1611. Approx 2000 on 02/13/08 donor noticed area of injection slightly firm, red, warm. No other complaints reported. Denies any pain or other complaints. Came to plasma center on 02/14/08 to donate plasma and reported symptoms. 2 "diameter area of red warm, slightly firm.

VAERS ID:305080 (history)  Vaccinated:2008-02-16
Age:38.0  Onset:2008-02-16, Days after vaccination: 0
Gender:Female  Submitted:2008-02-18, Days after onset: 2
Location:D.C.  Entered:2008-02-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD30012611PO 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abdominal pain upper, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: I took the first of four doses on Thurs, Feb 14 at about 5 pm, with no adverse effects. I took the second of four doses at about 11:30 am on 2/16. About 4 hours, around 4:00 pm that afternoon I experienced periodic stomach cramps and feeling of mild nausea. I did not take the third and fourth dose.

VAERS ID:305844 (history)  Vaccinated:2007-12-12
Age:38.0  Onset:2007-12-12, Days after vaccination: 0
Gender:Female  Submitted:2008-02-14, Days after onset: 64
Location:Unknown  Entered:2008-02-19, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Oedema
Diagnostic Lab Data: None
CDC Split Type: WAES0801USA03196
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Local swelling, Lymphadenopathy, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Information has been received from a 38 year old female with a history of swollen glands every 4-8 years who on 12-DEC-2007 was vaccinated intramuscularly in the buttocks with her first dose of Gardasil (lot # unspecified). There was no concomitant medication. On 12-DEC-2007 the patient experienced swollen glands on her face and neck. The patient reported that she was treated with antibiotics for her symptoms. Subsequently, the patient recovered from swollen glands on face and neck. No further information was provided. Additional information has been requested.

VAERS ID:305469 (history)  Vaccinated:2003-10-22
Age:38.0  Onset:2003-11-06, Days after vaccination: 15
Gender:Female  Submitted:2008-02-22, Days after onset: 1569
Location:Arizona  Entered:2008-02-22
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none 3/4/08-records received-PMH: frequent sinus congestion. Mitral valve prolapse. Hashimoto''s thyroiditis.
Diagnostic Lab Data: MRIs show lesions on the brain stem and optic nerve (not previously there). Final diagnosis after more than three years of testing is ADEM 3/4/08-records received-MRI one small area of abnormality in midbrain. Lyme titer negative. EMG normal.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER?????????????1UNRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Anorexia, Blindness, Chills, Diplopia, Electromyogram normal, Eye pain, Fatigue, Headache, Hyperhidrosis, Hypoaesthesia, Hypokinesia, Insomnia, Lumbar puncture, Muscle twitching, Nuclear magnetic resonance imaging abnormal, Optic nerve disorder, Optic neuritis, Pain in extremity, Paraesthesia, Photophobia, Pyrexia, Sedation, Tremor, Trigeminal neuralgia, Vision blurred, Visual acuity reduced, Weight decreased, Weight increased
SMQs:, Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Glaucoma (broad), Optic nerve disorders (narrow), Demyelination (narrow), Lens disorders (broad), Corneal disorders (broad), Retinal disorders (broad), Ocular infections (broad), Ocular motility disorders (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad)
Write-up: Two weeks after receiving the flu vaccine, I lost feeling in my right leg, had severe headaches above my right eye, tremors, fatige. After three (confirmed) years of tests, I was diagnosed with ADEM. I had NO prior problems before the vacination. I now have a lesion on my optic nerve, and my vision in my right eye is 20/100 (and was perfect before the shot). My left eye/side of my body remain "normal". I underwent three years of MRI''s, spinal taps, dozens of eye tests/ coordination tests/etc... I was unable to continue with my teaching career and have only worked (substituted) a few days since the vaccine was given to me. I take pain medication as needed for eye/leg/pain. I am unable to springboard dive (my sport of choice since I was nine). I was the diving coach for the local high-school prior to getting ADEM. My treatment is: Live with it. 3/5/08-records received-2/11/04-C/O fatigue, chills, fevers, sweats, loss of appetitie, sedation, weight gain/loss, insommis. Blurring, double vision, vision loss, eye pain, light sensitivity. 3/11/04-C/O tremor left hand, twitching of eye, mild numbness and tingling in legs. Assessment:optic neuritis. 10/29/04-loss of vision right eye. 5/9/05-neurologic exam unable to identify localizing symptoms. Testing negative. 6/14/05-Impression right trigeminal neuropathy. 02/05/2010 Dx: ADEM (Accute Dissemenating Encephalomyelitis). Eye pain, loss of vision in right eye, right leg/arm pain, extreme fatigue.

VAERS ID:305739 (history)  Vaccinated:2007-10-24
Age:38.0  Onset:2007-10-24, Days after vaccination: 0
Gender:Female  Submitted:2008-02-26, Days after onset: 125
Location:Utah  Entered:2008-02-26
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: Mild seasonal allergies to molds, mildews and pollens. Atrial Septal Defect repaired with a clamshell device. Stroke due to ASD.
Diagnostic Lab Data: Breathing tests indicate asthma
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURERLL2504AA IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthma, Dyspnoea, Pulmonary function test abnormal, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad)
Write-up: Respiratory Reaction evident a few hours after the flu shot was administered. I received a shot around noon and by the early afternoon I was experiencing wheezing symptoms and difficulty breathing. This lasted through the evening, but did not require hospitalization, nor was treatment sought. By the morning I was back to normal. However, I have had repeated wheezing episodes ever since, which have progressively grown worse. I have sought advice from my primary doctor and a specialist who now inform me I have asthma with no prior symptoms or episodes prior to the flu vaccine.

VAERS ID:306190 (history)  Vaccinated:2008-02-22
Age:38.0  Onset:2008-02-23, Days after vaccination: 1
Gender:Female  Submitted:2008-02-29, Days after onset: 6
Location:New Hampshire  Entered:2008-02-29
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: Ultrasound done, no absess found.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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Site
TD: TD ADSORBED (NO BRAND NAME)SANOFI PASTEURU2017BA0IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site pain, Injection site streaking, Injection site swelling, Injection site warmth, Ultrasound scan normal
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: After recieving tetanus shot site became very red/ swollen, hot to touch, and very tender to touch.Also developed red streaks. Saw MD and put on antibiotics.

VAERS ID:306595 (history)  Vaccinated:2008-02-05
Age:38.0  Onset:2008-02-07, Days after vaccination: 2
Gender:Male  Submitted:2008-03-05, Days after onset: 27
Location:D.C.  Entered:2008-03-06, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Allegra and Benicar
Current Illness: None
Preexisting Conditions: Hayfever - takes Allegra and Benicar
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA316BA IMUN
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB050AA IMUN
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD3001214 PO 
Administered by: Other     Purchased by: Other
Symptoms: Diarrhoea, Nausea
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: 2 days after 1st oral cap Typhoid: lower GI gurgling liquid diarrhea x 2 wks-$g took one day off work. Occurs late morning and early afternoon 1130-1600, occasional nausea, after the initial 2 week diarrhea progressed to soft stool with continuous abdominal gurgles.

VAERS ID:306844 (history)  Vaccinated:2007-11-15
Age:38.0  Onset:2007-11-15, Days after vaccination: 0
Gender:Male  Submitted:2008-02-15, Days after onset: 92
Location:Washington  Entered:2008-03-11, Days after submission: 24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2769AA IMRA
Administered by: Private     Purchased by: Unknown
Symptoms: Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: Symptoms began approximately 12 hours after injection myalgia.

VAERS ID:307201 (history)  Vaccinated:2008-03-03
Age:38.0  Onset:2008-03-04, Days after vaccination: 1
Gender:Male  Submitted:2008-03-17, Days after onset: 12
Location:Massachusetts  Entered:2008-03-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE 4/7/08-records received-Smoker. Resident of alcohol abuse center for detoxification.
Diagnostic Lab Data: Lab tests I''m waiting on my medical records from my hospital stay, they''re mailing them. Doctors told me it was a "severe infection" 4/7/08-records received-CXR normal. X-ray elbow diffuse soft tissue swelling concerning for cellulitis. Venous duplex study normal. Urine culture no growth. Blood culture no growth. CRP 50.51.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.11324 UNUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Blood culture negative, Bursitis, C-reactive protein increased, Cellulitis, Chest X-ray normal, Culture urine negative, Erythema, Laboratory test, Oedema peripheral, Pyrexia, Ultrasound Doppler normal, X-ray limb abnormal
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Osteonecrosis (broad), Hypersensitivity (broad)
Write-up: After having the shot I complained about my upper arm constricted stared swelling, I was told that was normal?? it would be better the next day!! I was in a detox unit @ hospital, the next morning my upper arm swelled bigger then I ever seen it also I had a huge abscess on my elbow!! and the infection was on the move..after a few more hours it spead down my arm the "swelling" I taking by ambulance to the medical center. I was told I had a severe infection in my arm??? I was admitted from the E.R. and spent 4th, 5th 6th of March 2008 hospitalized!! OH sorry lol for got the name of the vaccine was PNEUMOVAX 23 me/showed me a pamphlet saying only less then 1 percent have allergic reacations??? I GOT INFECTED!!!!!!! How can I find out who is the manufactuter??? 4/7/08-records received for DOS 3/4-3/6/08-DC DX: Cellulitis left upper extremity. Olecranon bursitis. C/O worsening swelling and redness after pneumococcal vaccine 2 days prior to admission. Low grade fever. Erythema over left elbow and left forearm. Follow-up: To whom it may concern: I recently sent you a form about "getting infected" after receiving a vaccine for pneumonia 23. I tried saving the form as is, filled out, before sending it to you, so I hope that you received it properly filled out?? Can you please send me a copy back? via e-mail, and i was also wondering if you knew who the manufacture is for this vaccine?? Pneumococcal Polysaccharide thank you for your help.

VAERS ID:307208 (history)  Vaccinated:2008-03-04
Age:38.0  Onset:2008-03-04, Days after vaccination: 0
Gender:Male  Submitted:2008-03-05, Days after onset: 1
Location:Florida  Entered:2008-03-17, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NKA
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.   UN
TD: TD ADSORBED (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Military     Purchased by: Unknown
Symptoms: Diarrhoea, Nausea, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Fever, nausea, diarrhea, body ache

VAERS ID:308152 (history)  Vaccinated:2007-01-30
Age:38.0  Onset:2007-01-30, Days after vaccination: 0
Gender:Female  Submitted:2008-03-07, Days after onset: 402
Location:New Jersey  Entered:2008-03-19, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0706USA03794
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0904F0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Information has been received from a registered nurse concerning a 39 year old white female with no history of prior drug reactions or allergies, who was vaccinated at 13:15 on 30 JAN 2007, intramuscularly into the left deltoid with a first dose of RECOMBIVAX HB (Lot # 654018/0904F). There was no reported illness at the time of vaccination. On 30-JAN-2007 at 13:45, about one half post-vaccination, the patient broke out in hives on the left arm, but not at the injection site. At the time of reporting the patient was not yet recovered. Unspecified medical attention was sought. There was no product quality complaint. Additional information has been requested.

VAERS ID:308297 (history)  Vaccinated:0000-00-00
Age:38.0  Onset:0000-00-00
Gender:Female  Submitted:2008-03-07
Location:Unknown  Entered:2008-03-19, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0710USA06862
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1IMUN
Administered by: Other     Purchased by: Other
Symptoms: Influenza like illness, Musculoskeletal pain
SMQs:, Rhabdomyolysis/myopathy (broad), Tendinopathies and ligament disorders (broad)
Write-up: Information has been received from a dentist concerning a 38 year old female dental office worker with no pertinent medical history or drug allergies who in 2005 was vaccinated IM with her second 1.0 ml dose of Recombivax HB. There was no concomitant medication. In 2005 the patient experienced shoulder pain and flu-like symptoms. The patient did not see or call a physician when she had the symptoms. No labs or diagnostic studies were performed. Subsequently, the patient recovered several days after vaccination. It was noted that the patient did not have any reaction on her first vaccination. She also did not receive the third dose. There was no product quality complaint. Additional information has been requested.

VAERS ID:308371 (history)  Vaccinated:2007-10-21
Age:38.0  Onset:2007-10-22, Days after vaccination: 1
Gender:Female  Submitted:2007-12-31, Days after onset: 70
Location:California  Entered:2008-03-21, Days after submission: 80
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: The patient had not been ill at then time of vaccination. The patient''s medical history and concurrent medication status was unknown at the time of the report.
Diagnostic Lab Data: None reported.
CDC Split Type: 200704406
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2771A0IMLA
Administered by: Private     Purchased by: Other
Symptoms: Arthralgia, Injection site erythema, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)
Write-up: Initial reported received from a health care professional 24 December 2007. A 30-year old female patient had received an intramuscular left deltoid injection of Adacel, lot number C2771AA on 21 October 2007, and one day later, she developed pain and redness at the injection site. The symptoms progressed to a 10cm x 13cm area of redness, swelling and pain. Joint pain was also reported in the left shoulder and elbow. Corrective treatment consisted of Benadryl and Prednisone. The patient''s past medical history and vaccination history were not provided and it was unknown if the patient was receiving any concomitant medications at the time of vaccination. At the time of the report, the patient had not recovered from the event.

VAERS ID:308270 (history)  Vaccinated:2008-03-12
Age:38.0  Onset:2008-03-21, Days after vaccination: 9
Gender:Male  Submitted:2008-03-26, Days after onset: 5
Location:Wisconsin  Entered:2008-03-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Penicillin
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETHUNKNOWN0IDLA
Administered by: Military     Purchased by: Military
Symptoms: Erythema multiforme, Injection site erythema, Injection site pain, Lymph node pain, Malaise, Oedema peripheral
SMQs:, Cardiac failure (broad), Severe cutaneous adverse reactions (narrow), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Patient presented to ER on 3/23/08 with c/o L arm pain with surrounding redness to his smallpox vaccination site. He also reported malaise and tender lymph node under the arm. MD diagnosed with Erythema Multiforme and prescribed Benadryl and Keflex. He was given quarters and instructed to follow up at the Medical Clinic. Seen at the Medical Clinic on 3/24/08 Continued c/o red swollen arm. Given ice and Tylenol to treat. Quarters continued for 48 hours.

VAERS ID:308628 (history)  Vaccinated:2007-09-03
Age:38.0  Onset:2007-10-05, Days after vaccination: 32
Gender:Female  Submitted:2008-03-31, Days after onset: 178
Location:Unknown  Entered:2008-03-31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: possibly a cold
Preexisting Conditions: asthma, uterine fibroids, environmental allergies
Diagnostic Lab Data: 3/5/08: CRP neg; ESR (H) 38 (1-20); CBC wnl X HCT 11.6 (L) (12.0-16.0); 1/24/08: Vit D, 25-Hydroxy (L) 17.2 (32.0-100.0); CK 115 (26-168); CK/MB 0.1.L (0.3-3.0); 1/16/08: NucAb screen: neg; 1/14/08: HLA-B27 neg; Cyclic Cirtullinated Paptide Ag IgG 1 (0-5); CRP: 9.77 (H) (0.0-8.0); RA factor: <20; Ferritin 6/24 (L) (10-120); ESR 37 (H) (0-20); CK 515 (H) (26-168); 12/18/07 CRP 15.3 (H) (0..0-8.0); ESR 35(H) (0-20); 2/17/08 CXR: wnl; 1/28/08 Nuc Bone Scan "Single small focus of increased activity of the right 3rd MCP area of uncertain clinical significance; otherwise symmetic nonfocal uptake. 1/14/08 Normal radiographs of hands and feet. 1/14/08 transthoracic echo: normal.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURER0432SCUN
Administered by: Unknown     Purchased by: Military
Symptoms: Bone scan abnormal, C-reactive protein increased, Chest discomfort, Chest pain, Eyelid oedema, Full blood count, Haematocrit decreased, Headache, Musculoskeletal pain, Nausea, Red blood cell sedimentation rate increased, Tremor
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Haematopoietic erythropenia (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Periorbital and eyelid disorders (narrow), Osteonecrosis (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)
Write-up: 3Sep07 pt received 3rd anthrax. Oct 5, 07 pt had bulging left eye with puffy upper and lower lid and severe left eye pain. The eyelid puffiness resolved in one week. The bulging left eye decreased in one week and resolved in one month. Pain was constant until Jan09. On Oct 7, 07 pt had total body tremors which lasted about one hour--no LOC, no loss of bowel/bladder control. No SOB, pt was nauseated. BP was high when checked. Continues with intermittent tremors in hands and left leg. Oct 26, 2007 pt had substernal chest pain/pressure (8/10), left arm and bilateral leg tremors, pain left shoulder, radiating to the left arm and left fingers. Pt states her fingers were red. Pt also had "tightness in left side of neck". Oct 31, 2007 pt started with frontal headache. Pt continues with intermittent left eye pain, headaches, chest pain, left arm pain. Symptoms can occur with rest or activity.

VAERS ID:308653 (history)  Vaccinated:2008-03-17
Age:38.0  Onset:2008-03-21, Days after vaccination: 4
Gender:Female  Submitted:2008-03-31, Days after onset: 10
Location:New Hampshire  Entered:2008-03-31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2888AA1IMLA
Administered by: Private     Purchased by: Other
Symptoms: Hypoaesthesia, Induration, Oedema peripheral, Paraesthesia, Peripheral coldness, Skin discolouration
SMQs:, Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad)
Write-up: Arm swollen, hard, numbness, tingling down arm, hand purple and cold.

VAERS ID:308721 (history)  Vaccinated:2008-03-24
Age:38.0  Onset:2008-03-24, Days after vaccination: 0
Gender:Female  Submitted:2008-03-27, Days after onset: 3
Location:Missouri  Entered:2008-04-01, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None listed
Current Illness: None listed
Preexisting Conditions: None listed
Diagnostic Lab Data: Discharge diagnosis acute allergic reaction to: Tetanus.
CDC Split Type:
Vaccination
Manufacturer
Lot
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Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2766AA IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Erythema, Flushing, Hypersensitivity, Vaccination complication
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Hypersensitivity (narrow)
Write-up: Client RTC with complaints of feeling flushed and redness over chest area after leaving the clinic upon receiving the TdaP. Reddened area to chest and back area noted. Advised to go to ER with shot record.

VAERS ID:309257 (history)  Vaccinated:2000-04-01
Age:38.0  Onset:2000-04-01, Days after vaccination: 0
Gender:Male  Submitted:2008-04-07, Days after onset: 2927
Location:Unknown  Entered:2008-04-10, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Seasonal allergies
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0313UNUN
Administered by: Military     Purchased by: Military
Symptoms: Amnesia, Arthralgia, Fatigue, Malaise, Neuropathy peripheral, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (narrow), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: AVA- dermatitis progressing to chronic urticaria, fatigue, arthralgias. Joint pain, multiple joints comment: 719.49, fatigue, malaise greater than 60 days comment: 780.79, urticaria, neuropathy, memory loss, short term comment: 780.93.

VAERS ID:309494 (history)  Vaccinated:0000-00-00
Age:38.0  Onset:0000-00-00
Gender:Unknown  Submitted:0000-00-00
Location:North Carolina  Entered:2008-04-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
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TD: TD ADSORBED (DITANRIX)GLAXOSMITHKLINE BIOLOGICALSAC14B062AA UNLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Induration, Local reaction, Oedema peripheral, Pain, Swelling
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Local pain/swelling/induration. Edema of arm.

VAERS ID:309863 (history)  Vaccinated:2007-07-31
Age:38.0  Onset:2007-07-31, Days after vaccination: 0
Gender:Female  Submitted:2008-03-26, Days after onset: 239
Location:Minnesota  Entered:2008-04-16, Days after submission: 21
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: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0802USA05110
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Wrong drug administered
SMQs:
Write-up: Information has been received from a nurse concerning her daughter, a 38 year old female, who on 31-JUL-2007 was vaccinated with ZOSTAVAX (Oka/Merck) instead of VARIVAX (Oka/Merck). It was reported to have been a mistake, and not product confusion. There were no adverse reactions reported. It was noted that the patient had previously received VARIVAX (Oka/Merck) in October 2007. There was no product quality complaint; Additional information has been requested.

VAERS ID:310052 (history)  Vaccinated:2008-04-05
Age:38.0  Onset:2008-04-16, Days after vaccination: 11
Gender:Male  Submitted:2008-04-18, Days after onset: 2
Location:Pennsylvania  Entered:2008-04-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: NKDA otherwise PMH not known. PMH: GERD s/p Nissan Fundiplication. NKDA.
Diagnostic Lab Data: Awaiting medical records. Labs and Diagnostics: EKG (+) for sinus tach. Echocardiogram WNL. CXR WNL. CPK 122 and 112. CKMB 1.4. Troponin 0.03 x 3. ESR 28.PT and INR WNL. D-Dimer 353.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV1740SCRA
HEP: HEP B (FOREIGN)MERCK & CO. INC.1837U2IMRA
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURVV04003A0IDLA
Administered by: Military     Purchased by: Military
Symptoms: Blood creatine phosphokinase MB, Blood creatine phosphokinase normal, Chest X-ray normal, Chest pain, Dizziness, Echocardiogram normal, Eczema vaccinatum, Electrocardiogram abnormal, Electrocardiogram change, Fibrin D dimer normal, Injection site cellulitis, International normalised ratio, Pericarditis, Prothrombin time normal, Pyrexia, Red blood cell sedimentation rate increased, Sinus tachycardia, Troponin
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Chronic kidney disease (broad), Hypersensitivity (narrow)
Write-up: New onset chest pain. Admitted to hospital on 16 April with anticipated discharge on 18 April. Per pt report, had ECG changes, pericardial effusion, and elevated cardiac enzymes. (Awaiting consent for release of medical records - Follow up VAERS report to follow). Symptom: Chest Pain 07/07/2008 MR received for DOS 4/16-19/2008 with D/C DX: Eczema vaccinatum. Cellulitis Left Deltoid. Post-vaccination pericarditis. Pt presented with sharp, midsternal chest pain-increased with deep breathing and lying flat, improved with sitting. Pt aslo c/o fevers and dizziness. Recent dx of 2'' bacterial infection of smallpox vaccination site on Keflex.

VAERS ID:310088 (history)  Vaccinated:2008-04-11
Age:38.0  Onset:2008-04-12, Days after vaccination: 1
Gender:Male  Submitted:2008-04-18, Days after onset: 6
Location:Washington  Entered:2008-04-18
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: Gluten and casein sensitivities
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2936BA0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Blood pressure increased, Candida infection, Carotidynia, Chest pain, Chills, Coeliac disease, Diarrhoea, Dysphonia, Fatigue, Flank pain, Gastrooesophageal reflux disease, Headache, Lymphadenopathy, Micturition urgency, Myalgia, Neck pain, Oropharyngeal pain, Pain, Pharyngoscopy, Pollakiuria, Pyrexia, Rash, Temperature intolerance, Vaccination complication
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad)
Write-up: Headache, fever, body ache, rash, axillary adenopathy, diarrhea.

VAERS ID:310092 (history)  Vaccinated:2008-03-04
Age:38.0  Onset:2008-03-04, Days after vaccination: 0
Gender:Female  Submitted:2008-04-18, Days after onset: 44
Location:Alaska  Entered:2008-04-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: none known
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC.1609U0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Dizziness, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: Injection given 3/4/08-within 24 hours, she complained of fever, weakness, vomiting, and severe dizziness. Was also given a PPD that day Parkedale Pharmaceuticals Lot # 44608 exp 4/09.

VAERS ID:310425 (history)  Vaccinated:2008-04-04
Age:38.0  Onset:2008-04-17, Days after vaccination: 13
Gender:Female  Submitted:2008-04-21, Days after onset: 4
Location:Illinois  Entered:2008-04-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Takes ASA 81mg daily.
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0287U SCRA
Administered by: Private     Purchased by: Private
Symptoms: Pain, Pyrexia, Rash generalised
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: Received MMR 4-4-08. 4-17-08 developed generalized rash, fever, body aches.

VAERS ID:310502 (history)  Vaccinated:2008-04-07
Age:38.0  Onset:2008-04-07, Days after vaccination: 0
Gender:Female  Submitted:2008-04-14, Days after onset: 7
Location:Minnesota  Entered:2008-04-22, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Epi pen prn
Current Illness: None
Preexisting Conditions: Egg allergy when young - does not receive flu shot. Penicillin; sulfa and erythromycin.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2767AA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Fatigue, Feeling hot, Headache, Injection site erythema, Injection site mass, Injection site pruritus, Injection site swelling, Injection site warmth, Pain, Pruritus, Pyrexia, Rash papular, Stomach discomfort, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: 4/7/08 - Painful, became swollen, redness, bump day of administration (tired and itching). For next 3 days - headache, extreme fatigue, stomach boiling, fever (101), injection site very swollen, itchy, red, and hot to the touch (about soft ball size). One week later - area golf ball size. Lump under skin. Still painful and itchy - HA, fever, fatigue gone. Still has lump. Some pain & itching.

VAERS ID:310587 (history)  Vaccinated:2008-04-19
Age:38.0  Onset:2008-04-22, Days after vaccination: 3
Gender:Female  Submitted:2008-04-22, Days after onset: 0
Location:Georgia  Entered:2008-04-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2770AA0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Injection site is extremely swollen, red, hot, painful, and itchy. The nurse at my work suggested I have the problem noted in my record in case I am asked to get another shot in the future. Condition has worsened in the four days since I got the shot.

VAERS ID:310848 (history)  Vaccinated:2007-11-01
Age:38.0  Onset:2007-11-11, Days after vaccination: 10
Gender:Male  Submitted:2008-04-24, Days after onset: 164
Location:Oklahoma  Entered:2008-04-24
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: Horse Serum
Diagnostic Lab Data: MRI back, labs (do not know what they were or results
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS808220IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Back pain, Impaired work ability, Laboratory test, Muscle fatigue, Nuclear magnetic resonance imaging, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Retroperitoneal fibrosis (broad), Tendinopathies and ligament disorders (broad)
Write-up: On Sun. 11/11/07 in the morning started having pains in tops of feet, then progressed to soles of feet, then up calves to backs of thighs. Continues to have pain in legs, esp. knees and legs feel very fatigued which is making it difficult for him to work. He has had back pain before this so Dr. ordered MRI of back. Saw Neurosurgeon who told him he could not see any reason for his leg problems or his back pain. Had to quit his job due to pain in legs.

VAERS ID:310852 (history)  Vaccinated:2008-04-11
Age:38.0  Onset:2008-04-21, Days after vaccination: 10
Gender:Male  Submitted:2008-04-24, Days after onset: 3
Location:Ohio  Entered:2008-04-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURVV04003A0OTLA
Administered by: Military     Purchased by: Military
Symptoms: Chills, Erythema, Injection site erythema, Injection site swelling, Rash papular
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Patient received smallpox vaccination on 11 Apr 08. On 21 Apr 08 patient developed erythematous papules on chest/back/lower portion of neck. Patient with 1 day of chills, no fever, no chest pain. Patient had been having increasing erythema/swelling at injection site. On follow-up on 24 Apr 08 patient asymptomatic, no new papules-many had decreased in intensity. Inflammation around vaccine site had also decreased.

VAERS ID:311473 (history)  Vaccinated:2008-04-17
Age:38.0  Onset:2008-04-20, Days after vaccination: 3
Gender:Female  Submitted:2008-04-28, Days after onset: 8
Location:Idaho  Entered:2008-05-02, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: acyclovir
Current Illness: Allergic rhinitis
Preexisting Conditions: Allergic to penicillin
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2888AA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Mobility decreased
SMQs:, Parkinson-like events (broad), Tendinopathies and ligament disorders (broad)
Write-up: Patient developed severe decreased mobility - days after Tdap injection.

VAERS ID:311483 (history)  Vaccinated:2008-04-28
Age:38.0  Onset:2008-04-29, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Texas  Entered:2008-05-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2864AA IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Injected limb mobility decreased, Mass, Musculoskeletal pain, Neck pain, Pain, Swelling, Tenderness
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Tdap 4/28. Left arm pain/swelling 4/29 - up to shoulder, neck, 5 cm mass-like swelling - tender, hurts to move.

VAERS ID:311733 (history)  Vaccinated:2008-05-02
Age:38.0  Onset:2008-05-03, Days after vaccination: 1
Gender:Female  Submitted:2008-05-06, Days after onset: 3
Location:California  Entered:2008-05-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (NO BRAND NAME)UNKNOWN MANUFACTURERUNKNOWN IMRA
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURERUNKNOWN IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Headache, Malaise, Pyrexia, Stomach discomfort
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Malaise, low grade fever, upset stomach, headache for 3 days.

VAERS ID:311990 (history)  Vaccinated:2008-04-25
Age:38.0  Onset:2008-04-26, Days after vaccination: 1
Gender:Female  Submitted:2008-05-09, Days after onset: 13
Location:Pennsylvania  Entered:2008-05-09
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: None
Current Illness: None
Preexisting Conditions: Pt has history of ulcerative colitis but it has not been active recently. PMH: Crohn''s disease, allergic rhinitis, seasonal allergies.
Diagnostic Lab Data: Ultrasound of left deltoid, CBC unremarkable, Blood cultures no growth. LABS: WBC 11.4(H), H/H 11.9/34.5(L), neutros 79%(H). Chemistry WNL. UA WNL.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2938AA0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Blood culture negative, Cellulitis, Full blood count normal, Haematocrit decreased, Haemoglobin decreased, Inflammation, Injection site cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Lymphadenopathy, Neutrophil percentage increased, Pyrexia, Ultrasound scan, Urine analysis normal, Vaccination complication, White blood cell count increased
SMQs:, Haematopoietic erythropenia (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Pain and excessive swelling at and near the site of administration. Seen in ER at Hospital. Ultrasound consistent with cellulitis. Pt was admitted x 24 hrs and tx with IV Ancef. Discharged with po Keflex. Signs and symptoms have progressively improved. 8/15/2008 Reviewed hospital medical records of 5/1-5/2/2008. FINAL DX: LUE cellulitis secondary to tetanus shot Records reveal patient experienced increasing inflammation, fever, erythema & pain in LUE x 1 week along w/lymphadenopathy. Tx w/IV antibiotics

VAERS ID:312104 (history)  Vaccinated:2008-04-23
Age:38.0  Onset:0000-00-00
Gender:Male  Submitted:2008-05-07
Location:New York  Entered:2008-05-12, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1774U0SCUN
Administered by: Private     Purchased by: Private
Symptoms: Injection site pain, Injection site swelling, Rash papular
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Small papular on both arms, trunk and legs - resolved by now soreness and swelling on the shot area L deltoid 05/07/2008.

VAERS ID:312110 (history)  Vaccinated:2008-04-18
Age:38.0  Onset:2008-04-18, Days after vaccination: 0
Gender:Female  Submitted:2008-04-22, Days after onset: 4
Location:Idaho  Entered:2008-05-12, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Allergies to Iodine, Codeine, Erythromycin
Diagnostic Lab Data: Unknown
CDC Split Type: ID08023
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)SANOFI PASTEURU2077BA IMLA
Administered by: Public     Purchased by: Public
Symptoms: Headache, Musculoskeletal pain, Radiculitis brachial
SMQs:, Rhabdomyolysis/myopathy (broad), Tendinopathies and ligament disorders (broad)
Write-up: C/O intense pain to shoulders and arm, headaches and muscle spasms. Went to Dr who diagnosed it as brachial neuritis and gave her pain meds - will be going back to Dr for f/u.

VAERS ID:312411 (history)  Vaccinated:2008-05-09
Age:38.0  Onset:2008-05-10, Days after vaccination: 1
Gender:Female  Submitted:2008-05-15, Days after onset: 5
Location:Unknown  Entered:2008-05-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB452AA UNRA
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEUR40289 SCRA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0807U SCLA
TDAP: TDAP (ADACEL)SANOFI PASTEURC286AA UNLA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURA0446 UNLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: 5/12/08 Pt. called to report "bump" w/redness & itching approx size of a quarter at site of Tdap inj. L deltoid given on 5/9/08. Pt. used LIDEX cream with relief.

VAERS ID:312909 (history)  Vaccinated:2008-05-14
Age:38.0  Onset:2008-05-15, Days after vaccination: 1
Gender:Female  Submitted:2008-05-19, Days after onset: 4
Location:Massachusetts  Entered:2008-05-21, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ADVAIR MDI; SINGULAIR 10 mg qhs
Current Illness: None
Preexisting Conditions: hx asthma; hx rosacea
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1229F IMRA
Administered by: Private     Purchased by: Unknown
Symptoms: Arthralgia, Feeling cold, Injection site erythema, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)
Write-up: patient complained of pain, swelling and redness at vaccine injection site at tell us chills/arthralgias starting at 2 am the day after the vaccine was given.

VAERS ID:313019 (history)  Vaccinated:2008-05-13
Age:38.0  Onset:2008-05-13, Days after vaccination: 0
Gender:Female  Submitted:2008-05-22, Days after onset: 9
Location:Georgia  Entered:2008-05-22
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: decreased hearing
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURA0170 SCLA
RAB: RABIES (RABAVERT)NOVARTIS VACCINES AND DIAGNOSTICS6630110IMRA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURZ0922-20IMLA
Administered by: Unknown     Purchased by: Public
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Employee stated she fainted and had never done that before.She attributed it to the vaccines she recieved.

VAERS ID:313857 (history)  Vaccinated:2008-05-17
Age:38.0  Onset:2008-05-18, Days after vaccination: 1
Gender:Male  Submitted:2008-05-28, Days after onset: 10
Location:Wisconsin  Entered:2008-05-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: LABS: CT scan & MRI abnormal & c/w MS. CSF WBC 26, lymphs 92%, monos 3%, oligclonal bands & c/s pending.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1631IDRA
SMALL: SMALLPOX (NO BRAND NAME)UNKNOWN MANUFACTURERUNKNOWN1IDLA
Administered by: Military     Purchased by: Military
Symptoms: CSF lymphocyte count increased, CSF monocyte count decreased, CSF white blood cell count increased, Chills, Computerised tomogram abnormal, Eye pain, Meningitis aseptic, Migraine, Nausea, Nuclear magnetic resonance imaging abnormal, Vaccination complication
SMQs:, Acute pancreatitis (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Malignant lymphomas (broad)
Write-up: Major headache (migraine), Nausea, Eyes hurt. 6/6/08 Reviewed ER medical records for 5/28/2008 FINAL DX: Records reveal patient experienced nausea, chills & HA which he rated as 8.5-9 since 5/18. LP done. 7/4/08 Reviewed neuro consultant medical records of 5/30/08 FINAL DX: mild aseptic meningitis, likely secondary to smallpox vaccine Records reveal patient experienced intermittent nausea s/p vaccination for approx 2 weeks. Then developed severe HA w/o relief until seen in ER & given parenteral pain meds.

VAERS ID:314561 (history)  Vaccinated:2008-03-17
Age:38.0  Onset:2008-03-21, Days after vaccination: 4
Gender:Male  Submitted:2008-06-02, Days after onset: 73
Location:Maryland  Entered:2008-06-02
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
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAABVB437CA1IMLA
Administered by: Public     Purchased by: Private
Symptoms: Neck pain
SMQs:, Arthritis (broad)
Write-up: HAD SEVERE (8-9 SCALE) NECK PAIN 4-5 DAYS POST VACCINATION #2 AND #3 OF HEPATITIS B VACCINE

VAERS ID:314729 (history)  Vaccinated:2008-04-30
Age:38.0  Onset:2008-05-03, Days after vaccination: 3
Gender:Female  Submitted:2008-05-27, Days after onset: 24
Location:New York  Entered:2008-06-03, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions:
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2937BA0UNLA
Administered by: Private     Purchased by: Private
Symptoms: Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Localized swelling, treated with BENADRYL and hydrocortisone cream. Much improvement in 3days.

VAERS ID:314774 (history)  Vaccinated:2008-05-31
Age:38.0  Onset:2008-05-31, Days after vaccination: 0
Gender:Female  Submitted:2008-06-03, Days after onset: 3
Location:Massachusetts  Entered:2008-06-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSAC21B069AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Muscular weakness, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: Redness, pain and swelling at injection site, muscle aches/weakness,

VAERS ID:314983 (history)  Vaccinated:2008-05-30
Age:38.0  Onset:2008-05-30, Days after vaccination: 0
Gender:Female  Submitted:2008-06-04, Days after onset: 5
Location:New York  Entered:2008-06-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Altace, Zoloft, Nexium
Current Illness: none
Preexisting Conditions: HBP
Diagnostic Lab Data: N/A
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER  IMRA
Administered by: Private     Purchased by: Unknown
Symptoms: Dizziness, Fatigue, Injection site erythema, Injection site pain, Injection site swelling, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: dizziness and fatigue 5 hours after immunization received. Swelling, soreness and redness at site. Lasted for four days. 2nd day - facial swelling occurred as well. Ibuprofen and Benadryl taken regularly for 5 days.

VAERS ID:315898 (history)  Vaccinated:2008-06-04
Age:38.0  Onset:0000-00-00
Gender:Male  Submitted:2008-06-10
Location:Texas  Entered:2008-06-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Possible HIV infection
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0238X SCLA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2937BA0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Contraindication to vaccination, No adverse event
SMQs:
Write-up: Client came in to clinic for vaccines and blood work and to see the doctor. When asked if he had any chronic medical problems, client said no. Nurse went over vaccines (Tdap and MMR). After vaccine administration, as blood was about to be drawn, client disclosed that he is a patient at a local HIV clinic. Nurse unsure of HIV status. Client signed medical release form. Letter sent to client''s doctor at HIV clinic informing doctor of vaccines administered. No adverse events.

VAERS ID:316018 (history)  Vaccinated:2008-06-04
Age:38.0  Onset:2008-06-05, Days after vaccination: 1
Gender:Female  Submitted:2008-06-11, Days after onset: 6
Location:Indiana  Entered:2008-06-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None that we are aware of.
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TETANUS DIPHTHERIA (NO BRAND NAME)UNKNOWN MANUFACTURERTD-194 IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Patient was given the Td vaccine on 6/4/08, prior to his leaving work. He returned to the clinic on 6/5/08 complaining of redness,pain and swelling to the injection site. Had a "golf ball" size red area at the site of the injection. At the close of his shift the red area had increase to baseball size. Was sent to the local clinic and given antibiotics and benadryl. Next seen 6/9/08 and reaction has resolved. No residual soreness.

VAERS ID:316107 (history)  Vaccinated:2008-06-03
Age:38.0  Onset:2008-06-04, Days after vaccination: 1
Gender:Male  Submitted:2008-06-11, Days after onset: 7
Location:Indiana  Entered:2008-06-12, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2767AA0UNRA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Injection site erythema, Injection site pain, Musculoskeletal pain, Myalgia, Neck pain
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: 6/3 tenderness at site later in day and then redness later on. 6/4 pain decreased to elbow and that night redness 1 1/2" x 3" around site. 6/5 pain and tenderness into shoulders and neck - antibiotic given (Levaquin 500 mg x 5 d). 6/6 painful muscles right side chest - Prednisone dose pak given (redness resolving). 6/8 tenderness gone, symptoms resolved.

VAERS ID:316251 (history)  Vaccinated:2008-06-10
Age:38.0  Onset:2008-06-11, Days after vaccination: 1
Gender:Male  Submitted:2008-06-14, Days after onset: 3
Location:Georgia  Entered:2008-06-14
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: N/A
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURER  IMRA
Administered by: Military     Purchased by: Military
Symptoms: Erythema, Injection site mass, Injection site pain, Injection site swelling, Injection site warmth, Rash
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Swollen injection site, red/rash skin color from upper arm to elbow. Injection site warm to touch, sore and has a knot under skin. Condition X 4 days (current). Patient advised medical personnel of reaction, no treatment was provided. Patient was instructed that the condition was normal and could last several weeks.

VAERS ID:316328 (history)  Vaccinated:2008-06-06
Age:38.0  Onset:2008-06-15, Days after vaccination: 9
Gender:Male  Submitted:2008-06-16, Days after onset: 1
Location:California  Entered:2008-06-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: N/A
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURVV04003A0IDLA
Administered by: Military     Purchased by: Military
Symptoms: Chest discomfort, Rash, Vaccinia
SMQs:, Anaphylactic reaction (narrow), Hypersensitivity (narrow)
Write-up: Pt complained of tightness in chest, spots/rash on extremities. Dr at Medical Center reported general vaccinia that will be self limiting. Dr provided info from CDC.

VAERS ID:317497 (history)  Vaccinated:0000-00-00
Age:38.0  Onset:0000-00-00
Gender:Female  Submitted:2008-05-30
Location:Unknown  Entered:2008-06-18, Days after submission: 19
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: Unknown
Diagnostic Lab Data: diagnostic laboratory - not showing seroconversion
CDC Split Type: WAES0712USA01170
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Seroconversion test negative
SMQs:
Write-up: Information has been received from a health professional concerning a 38 year old female nurse who was vaccinated with a dose of measles virus vaccine live (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3) as a child. Subsequently the patient was not showing seroconversion. No product quality complaint was involved. No other information was provided. Additional information has been requested.

VAERS ID:317654 (history)  Vaccinated:1999-01-09
Age:38.0  Onset:0000-00-00
Gender:Male  Submitted:2008-06-26
Location:Unknown  Entered:2008-06-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None recalled
Preexisting Conditions: Right shoulder injury 2/2 fall 1980
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV0340SCUN
Administered by: Military     Purchased by: Military
Symptoms: Arthralgia
SMQs:, Arthritis (broad)
Write-up: Per patient history only, he developed intermittent bilateral hip pain following receipt of AVA doses #1-5 from 1999-2000; denied hx trauma or overuse; did not recall whether pain was exacerbated with subsequent doses; did not recall presence of large local injection site reaction or any other systemic symptoms; pain remains intermittent/persistent to date; symptom has not yet been medically evaluated. Symptom: Bilateral Hip Pain (chronic intermittent).

VAERS ID:317742 (history)  Vaccinated:2008-05-14
Age:38.0  Onset:2008-05-15, Days after vaccination: 1
Gender:Male  Submitted:2008-05-16, Days after onset: 1
Location:Texas  Entered:2008-06-27, Days after submission: 42
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Hepatitis C-chronic
Preexisting Conditions:
Diagnostic Lab Data: HCV +; ALT 373
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB530AA1IMRA
Administered by: Other     Purchased by: Public
Symptoms: Alanine aminotransferase normal, Anorexia, Arthralgia, Dizziness, Fatigue, Hepatitis C positive, Hyperhidrosis, Influenza like illness, Malaise, Myalgia, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Liver infections (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Arthralgia, myalgia, dizziness, flu-like symptoms, anorexia, fatigue, malaise, nausea, sweating-onset approx 24 hours after vaccine administration

VAERS ID:318008 (history)  Vaccinated:2008-06-24
Age:38.0  Onset:2008-06-24, Days after vaccination: 0
Gender:Female  Submitted:2008-06-27, Days after onset: 3
Location:Tennessee  Entered:2008-07-01, Days after submission: 4
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: Pancreatic mass
Diagnostic Lab Data: N/A
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HIBV: HIB (ACTHIB)SANOFI PASTEURUF254AC1UNRA
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU2543AA1UNLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.U96241UNRA
Administered by: Public     Purchased by: Other
Symptoms: Injection site erythema, Injection site swelling, Pain, Pyrexia, Skin warm
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Fever of 102.5, redness and swelling at site of injection and full circumference of arm, warm to touch and painful at 9 on scale of 1-10.

VAERS ID:318081 (history)  Vaccinated:2008-05-16
Age:38.0  Onset:2008-05-23, Days after vaccination: 7
Gender:Female  Submitted:2008-05-30, Days after onset: 7
Location:Unknown  Entered:2008-07-01, Days after submission: 32
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: DEPOLUPRAM injection last given 4/20/08
Current Illness: inguinal lymphadenopathy
Preexisting Conditions: fibroid cysts, cryptosporidiosis, diarrhea intermittent
Diagnostic Lab Data: WBC low 2.7
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB116AA1IMLA
YF: YELLOW FEVER (YF-VAX)SANOFI PASTEURUF303AA0SCRA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Nausea, Pain, Pain in extremity, White blood cell count decreased
SMQs:, Acute pancreatitis (broad), Haematopoietic leukopenia (narrow), Systemic lupus erythematosus (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Tendinopathies and ligament disorders (broad)
Write-up: 38 y.o. female previously healthy, received yellow fever vaccine and TWINRIX (Hep A&B) vaccines on May 16, 2008 presents today complaining of generalized muscle aches and weakness. Reports she felt well after the vaccines until 5/21/08 when she developed pain in right arm, and mild achy all over. She contacted me yesterday because she was concerned she was feeling worse, nauseated, and overall not improving. She denies any fever or sweats.

VAERS ID:318230 (history)  Vaccinated:2008-06-20
Age:38.0  Onset:2008-07-03, Days after vaccination: 13
Gender:Male  Submitted:2008-07-05, Days after onset: 2
Location:North Carolina  Entered:2008-07-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: erythema mulitforme
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (NO BRAND NAME)UNKNOWN MANUFACTURER  IDLA
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)UNKNOWN MANUFACTURER  IMRA
Administered by: Military     Purchased by: Military
Symptoms: Erythema multiforme, Pain in extremity, Rash
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)
Write-up: Pt received small pox vac 2 wks ago to L arm. Yesterday he came to see me at ER b/c he had a disseminated erythema multiforme-like rash x 24hs (when he saw me. He had no fever, no nausea, or weakness. His only complaint was that his L arm was very, very sore. The rash initially started on the opposite arm and moved very quickly to his left arm, neck, scalp, and forehead. I called the CDC to see if VIG was necessary but they said that NSAIDs and Benadryl was warrented in this case as well as daily follow up to see if he develops any worsening events.

VAERS ID:318256 (history)  Vaccinated:2007-10-30
Age:38.0  Onset:0000-00-00
Gender:Female  Submitted:2008-07-02
Location:Pennsylvania  Entered:2008-07-07, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Pre-natal vitamins
Current Illness:
Preexisting Conditions: The patient was pregnant at the time of vaccination. She had no illness at the time of vaccination. From new information received on 26 November 2007, the patient denied any past medical history and has no known allergies, but could possibly have a history of environmental allergies. From new information received on 24 June 2008, the patient''s obstetrical history included two pr
Diagnostic Lab Data: Ultrasound (routine): Completed on 08 August 2007, within normal limits. Ultrasound for high risk age: Completed on 30 August 2007 (results not reported). Ultrasound for high risk age: Completed on 31 October 2007 (results not reported).
CDC Split Type: 200703704
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2526A0IMLA
Administered by: Other     Purchased by: Other
Symptoms: Cough, Drug exposure during pregnancy, Dysphagia, Headache, Pharyngolaryngeal pain, Placenta praevia, Ultrasound scan normal
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: Initial report received on 02 November 2007 from a health care professional. A 38-year-old female patient, who was pregnant at the time of vaccination, had received a first dose, left deltoid, intramuscular injection of FLUZONE SV 2007-2008, lot number U2526AA, on 30 October 2007. Two days post-vaccination, the patient experienced a sore throat, and it was uncomfortable to swallow. The event did not require medical examination. The patient experienced no fever or chills and slept well. Last menstrual period and estimated date of delivery were not provided. Other medications included prenatal vitamins. The patient recovered from the event. Follow-up information received on 26 November 2007 from the patient. The patient''s primary care provider, OBGYN, and Maternal Fetal Medicine Center contact information was provided. The patient has no known allergies but could possibly have a history of environmental allergies. The patient experienced symptoms of coughing and headache two days post-vaccination (02/Nov/2007), in addition to the previously reported adverse events of sore throat, and "it was uncomfortable to swallow." The date of the patient''s last menstrual period was reported as "unknown"; but the expected date of delivery was reported as 13 March 2008. Prenatal testing so far includes: ultrasound (routine), completed on 08 August 2007 (within normal limits); ultrasound for high risk age, completed on 30 August 2007 (results not reported); and ultrasound for high risk age, completed on 31 October 2007 (results not reported). The patient is scheduled to see her OBGYN on 03 December 2007, and her next ultrasound is scheduled for 04 January 2007. The recovery status of the coughing and headache was not reported. At the time of this report, the recovery status was amended to "not recovered." Follow-up information received on 24 June 2008 from a health care professional. Per the reporter, the patient''s obstetrical history included two previous pregnancies that resulted in one live birth and one spont

VAERS ID:318398 (history)  Vaccinated:2008-07-03
Age:38.0  Onset:2008-07-04, Days after vaccination: 1
Gender:Female  Submitted:2008-07-07, Days after onset: 3
Location:Washington  Entered:2008-07-07
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: Polycystic Kidney Disease
Diagnostic Lab Data: None(at this point).
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2994BA EXP9/100IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Arthralgia, Discomfort, Fatigue, Malaise, Myalgia, Neck mass, Oedema peripheral, Pain in extremity, Tenderness
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Received Tdap in the afternoon on 7/3/08. Experienced mild Lt deltoid pain, swelling and discomfort. Woke the following morning feeling generally unwell: fatigue, myalgias, arthralgias, tender lump Lt side of neck. Symptoms persisted x 3 days, with mild improvement thereafter.

VAERS ID:318510 (history)  Vaccinated:2008-06-17
Age:38.0  Onset:0000-00-00
Gender:Female  Submitted:2008-07-04
Location:Michigan  Entered:2008-07-08, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth control; AMBIEN
Current Illness:
Preexisting Conditions: History of increased cholesterol, fibrocystic breast disease, degenerative arthritis, and allergic conjunctivitis.
Diagnostic Lab Data:
CDC Split Type: 200802160
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)SANOFI PASTEURA04841IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Hypoaesthesia, Injection site warmth, Oedema peripheral, Pain, Rash erythematous, Rash generalised, Rash macular, Rash pruritic
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: This report was received from a health professional on 01 July 2008. A 39-year-old female patient received her second intramuscular right deltoid injection of IMOVAX RABIES (lot number A0484) on 17 June 2008. Past medical history included increased cholesterol, fibrocystic breast disease, degenerative arthritis, and allergic conjunctivitis. Previously, she had received an intramuscular gluteal injection of IMOGAM (lot number B0886-5) and a first injection of IMOVAX; dates of administration were not provided. Following her second dose of IMOVAX, the patient began experiencing swelling in her hands and feet. She developed a red, blotchy, raised, itchy rash which was generalized over her entire body. The right deltoid was hot to the touch at the injection site. She subsequently complained of generalized body aches, and numbness in her hands "as if they were falling asleep". No relevant laboratory test results were available, and outcome was unknown to the reporter. Concomitant medications included birth control and AMBIEN.

VAERS ID:318584 (history)  Vaccinated:2008-01-08
Age:38.0  Onset:2008-01-08, Days after vaccination: 0
Gender:Female  Submitted:2008-07-09, Days after onset: 182
Location:North Carolina  Entered:2008-07-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: no
Current Illness: no illnesses. actually have documents from that very morning stating my thorough physical is documented as in excellent health
Preexisting Conditions:
Diagnostic Lab Data: have doctor lab work from physical showing all readings normal and in excellent health, then have the hospital and doctor follow-up visit after the vaccine was administered showing labs very high and other readings quite low - can fax lab w
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEUR    
Administered by: Private     Purchased by: Unknown
Symptoms: Abdominal pain upper, Bone pain, Dizziness, Fall, Feeling hot, Headache, Immediate post-injection reaction, Laboratory test abnormal, Moaning, Muscle spasms, Myalgia, Nausea, Neuralgia, Pain in extremity, Pyrexia, Vision blurred, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Vestibular disorders (broad), Osteonecrosis (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)
Write-up: Hot sensation over my entire body Dizzy- nauseous - stomach pain Extreme headache immediately (beyond my common migraines) Felt as though someone was setting off a blowtorch in all openings of my body (i.e. nostrils, ears, anus, vaginal, mouth, eyes) Went immediately to the floor Fever of 101 - immediately following onset of hot sensation(see hospital records for stats/labs/test results) Felt like someone ripped my entire skeletal structure out of my body, crushed it and threw it back in my body My head felt as though there was a 3-inch metal band circled around the circumference of my head and had a notch on it - tightening on the second - I could feel something in my head snapping, popping - I thought something was going to burst in my head My fingernails/fingertips, toenails/toes felt like they were being crushed My muscular system felt like one entire Charlie horse - it felt as though my body was one entire muscle and it was being twisted AND twisted and would not release itself I began moaning and humming to somewhat ease the intensity of what I was going through I couldn''t focus I kept rocking, rolling side to side to somehow ease the pain of the complete body muscle spasm, skeletal-nerve pain The pain became so intense I started vomiting this all occured all at once, after I started vomiting, my husband drove me to the Emergency room

VAERS ID:318787 (history)  Vaccinated:2008-06-08
Age:38.0  Onset:2008-06-22, Days after vaccination: 14
Gender:Male  Submitted:2008-07-13, Days after onset: 21
Location:Pennsylvania  Entered:2008-07-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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Site
SMALL: SMALLPOX (NO BRAND NAME)UNKNOWN MANUFACTURERVV04-003A0IDLA
Administered by: Military     Purchased by: Military
Symptoms: Blister, Rash
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: 2 WEEKS POST ADMINISTRATION OF SMALL POX IMMUNIZATION, PT DELEVOPED BLISTERING RASH ON HANDS, ELBOWS, INSIDE ARMS, ANKLES, AND TORSO.

VAERS ID:318934 (history)  Vaccinated:2008-06-11
Age:38.0  Onset:2008-06-24, Days after vaccination: 13
Gender:Female  Submitted:2008-06-26, Days after onset: 2
Location:California  Entered:2008-07-14, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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Site
DT: DT ADSORBED (NO BRAND NAME)MASS. PUB HLTH BIOL LABTD187 IMRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.152160SCLA
Administered by: Private     Purchased by: Private
Symptoms: Excoriation, Rash papular, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Accidents and injuries (broad), Hypersensitivity (narrow)
Write-up: Itchy rash, excoriated papules on scalp, neck, trunk, extremities.

VAERS ID:320125 (history)  Vaccinated:2008-06-03
Age:38.0  Onset:2008-07-02, Days after vaccination: 29
Gender:Male  Submitted:2008-07-22, Days after onset: 20
Location:North Carolina  Entered:2008-07-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data: ESR, 15 mm/hr; C-Reactive Protein Serum, 7.9 (H) mg/dl; Rheumatoid Factor SERUM <10 IU/mL; WBC BLOOD 8.6x10(3)/mcL; RBC BLOOD 4.72 x 10(6)/mcL; Hemoglobin BLOOD 13.8 g/dL; Hematocrit BLOOD 40.2%; MCV BLOOD 85.2 fL; MCH BLOOD 29.2 pg; MCHC BLOOD 34.3 g/dL; RDW-CV BLOOD 14.3%; Platelets BLOOD 270 x 10 (3)/mcL; MPV BLOOD 10.0 fL; Neutrophils BLOOD 6.0 x 10(3)/mcL; Neutrophils BLOOD 69.5%; Lymphocytes BLOOD 1.9 x 10(3)/mcL; Lymphocytes BLOOD 22.6%; Monocytes BLOOD 0.5x 10 (3)/mcL; Monocytes BLOOD 5.1%; Eosinophils BLOOD 0.1 x10(3)/mcL: Eosinophils BLOOD 1.2%; Basophils BLOOD 1%; Basophils BLOOD 0.1 x10(3)/mcL; Examination: Bilateral hands xray; BILATERAL HANDS: Routine views of both hands demonstrated no evidence of fracture, dislocation, or ar
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB100AA UNUN
SMALL: SMALLPOX (NO BRAND NAME)UNKNOWN MANUFACTURER  IDUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Basophil count normal, Basophil percentage, Dyspnoea, Eosinophil count normal, Eosinophil percentage, Erythema, Fatigue, Haematocrit normal, Haemoglobin normal, Lymphocyte count normal, Lymphocyte percentage, Malaise, Mean cell haemoglobin concentration, Mean cell haemoglobin normal, Mean cell volume, Mean platelet volume normal, Monocyte count normal, Monocyte percentage, Neutrophil count normal, Neutrophil percentage, Platelet count normal, Pruritus, Pyrexia, Rash pruritic, Red blood cell count normal, Red blood cell sedimentation rate increased, Rheumatoid factor increased, Skin lesion, White blood cell count normal, X-ray limb normal
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: SM developed raised, red, itchy lesion on arms, neck, upper legs. A few days later, he noted fatigue and malaise, one episode of SOB on 7/7/08 as well as arthralgias.

VAERS ID:320671 (history)  Vaccinated:2007-12-04
Age:38.0  Onset:2007-12-05, Days after vaccination: 1
Gender:Male  Submitted:2008-07-28, Days after onset: 235
Location:Unknown  Entered:2008-07-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Left knee pain, PTSD
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV158 SCUN
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  IMUN
Administered by: Military     Purchased by: Military
Symptoms: Erythema, Local reaction, Skin nodule, Swelling, Tenderness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Local reaction within few days following anthrax vaccine (red, tender, swollen sub-q knot).

VAERS ID:320908 (history)  Vaccinated:2008-06-27
Age:38.0  Onset:2008-06-29, Days after vaccination: 2
Gender:Female  Submitted:0000-00-00
Location:Virginia  Entered:2008-07-31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Asacol, BCP
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
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HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB530AA IMLA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2904AA0IMRA
Administered by: Public     Purchased by: Public
Symptoms: Cellulitis, Injection site swelling, Lymphadenopathy, Pain in extremity, Skin warm
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad)
Write-up: Client reported arm hurt like a tetanus shot on 6/28. On 6/29, arm hurt worse, lymph nodes under arm were the size of a small apricot, couldn''t place arm down close to side. On 6/29, arm felt hot to the touch, injection site was as large as her hand. Client was seen in an Urgent Care Center and diagnosed with cellulitis or a possible abscess. Client received IV antibiotic 6/29, two doses 6/30, and one dose 6/31; unable to determine name of medication. She also took doxycycline for 10 days. Client reported her arm cleared after treatment.

VAERS ID:320989 (history)  Vaccinated:2008-01-11
Age:38.0  Onset:2008-04-21, Days after vaccination: 101
Gender:Male  Submitted:2008-07-30, Days after onset: 100
Location:Mississippi  Entered:2008-07-31, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Depression; Nicotine addiction
Diagnostic Lab Data: 4/21 - 4/23/2008: ECG-LBBB; serial cardiac enzymes - neg; D-dimer-elevated; CMP, Mg, Phos, CBC, coags, TSH, FT4-normal/neg; CXR-neg; ECHO-septal akinesis, EF 30-35%, no pericradial effusion; card-cath normal. May-Jun 2008: CT chest-negative (no PE); repeat CXRs-neg; repeat cardiac enzymes-negative; ESR/CRP-elevated; BNP, CH50, C3, C4, C3d, C1q binding, ANA, RF, TSH, FT4-normal/negative; serologies: pervovirus B19, Lyme disease, HIB-negative; HSV2, CMV, MHSV6-IgG positive, IgM negative; ECHO virus Ab titers 4, 7, 9, 11-negative; 30-borderline; EBV VCA-IgM/IgG positive; EBV NA titer-positive; May 2008: repeat ECHO-EF 45-50%; septal inferior akinesis, no pericardial effusion. 8/13/08-records received-ECG showed LBBB. Echocardiogram showed low
CDC Split Type:
Vaccination
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ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONS  SCUN
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH4020076   
Administered by: Military     Purchased by: Military
Symptoms: Antinuclear antibody negative, Blood immunoglobulin G increased, Blood magnesium normal, Blood phosphorus normal, Blood thyroid stimulating hormone normal, Borrelia burgdorferi serology negative, Bundle branch block left, C-reactive protein increased, Cardiac enzymes normal, Cardiomyopathy, Catheterisation cardiac normal, Cellulitis, Chest X-ray normal, Chest pain, Coagulation test normal, Complement factor C3, Complement factor C4, Complement factor normal, Computerised tomogram normal, Cytomegalovirus test positive, Dizziness, Echocardiogram abnormal, Ejection fraction decreased, Electrocardiogram abnormal, Epstein-Barr virus antibody positive, Fatigue, Fibrin D dimer increased, Full blood count normal, Herpes simplex serology positive, Hyperhidrosis, Influenza like illness, Injection site erythema, Injection site swelling, Lymphadenopathy, Malaise, Metabolic function test, Metabolic function test normal, Parvovirus B19 serology negative, Red blood cell sedimentation rate increased, Rheumatoid factor negative, Thyroxine free normal, Viral infection
SMQs:, Cardiac failure (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Conduction defects (narrow), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (narrow), Vestibular disorders (broad), Hypersensitivity (broad)
Write-up: 38 y/o pt received primary SPV + AVA #3 1/11/2008; presented acutely with chest pain, diaphoresis, light-headedness on 4/21/2008; abn ECG (LBBB, age indeterminate); hospitalized at medical center 4/22-4/23/2008, diagnosed with non-ischemic cardiomyopathy, discharged to CONUS for continuation of care. Symptoms: Chest Pain, sub-sternal, Diarphoreis Comments: Onset of symptoms not temporally-related to receipt of vaccines listed box 13; vaccine causality assessment, using WHO criteria for AEFI: association with receipt of SPV and AVA is unlikely 8/13/08-records received-on 4/22/08 DX Idiopathic cardiomyopathy and LBBB. In early January C/O feeling tired, flu-like symptoms 2-3 days following vaccinations. Smallpox site erythema mild swelling and swollen tender lymph nodes. 3/08 became ill with viral infection and failed PT test, easy fatigability. Developed cellulitis of toe. On 4/21/08 developed mod-severe left anterior chest pain and diaphoresis and light-headedness. Follow-up: Buf cardiac stable and controlled. Pt received inter cardiac defibrillator 10/2008; was medically boarded out of active Military Service to TDRL. Status effective Aug 2009.

VAERS ID:321837 (history)  Vaccinated:2007-07-25
Age:38.0  Onset:2007-07-25, Days after vaccination: 0
Gender:Female  Submitted:2008-07-30, Days after onset: 371
Location:New York  Entered:2008-08-06, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Asthma
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0707USA04384
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Hot flush, Oxygen supplementation, Pharyngeal oedema
SMQs:, Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Acute central respiratory depression (broad), Hypersensitivity (narrow), Respiratory failure (broad)
Write-up: Information has been received from a physician concerning a 38 year old female with asthma and no history of drug reactions/allergies who on 25-JUL-2007 was vaccinated with PNEUMOVAX injection for prophylaxis against pneumonia. On 25-JUL-2007, after being vaccinated, the patient experienced hot flashes as well as her throat began to swell. Medical attention was sought. She was given oxygen and all symptoms were gone within 7 minutes. The patient was prescribed an epi pen and was told to take BENADRYL if swelling reoccurred. On 25-JUL-2007, the patient recovered. Additional information was received from the physician who reported that the reaction was anaphylaxis. No other information was provided. No further information is expected.

VAERS ID:322147 (history)  Vaccinated:2007-10-01
Age:38.0  Onset:2007-10-02, Days after vaccination: 1
Gender:Female  Submitted:2008-07-30, Days after onset: 302
Location:Michigan  Entered:2008-08-06, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Allergic reaction to antibiotics; Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type: WAES0710USA00799
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0964U0IMUN
Administered by: Private     Purchased by: Other
Symptoms: Body temperature, Dizziness, Fatigue, Feeling hot, Influenza like illness, Injection site pain, Injection site swelling, Pain
SMQs:, Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad)
Write-up: Initial and follow-up information has been received from a licensed practical nurse concerning a 39 year old female homemaker with no medical history and allergies to erythromycin and codeine-GI upset only, who on 01-OCT-2007 was vaccinated intramuscularly in the right arm with a first dose of PNEUMOVAX 23 vaccine (Lot# 658555/0964U). There was no concomitant medication. On 02-OCT-2007 at 08:40 (previously reported as 01-OCT-2007) the patient developed a 100F temperature, experienced generalized body aches, flu-like symptoms, a hot arm, dizziness, fatigue, and the injection site of the right arm became swollen and painful. The patient notified the physician''s office by phone and was instructed to apply ice and to take BENADRYL. No laboratory diagnostics were performed. A follow up examination was scheduled for 04-OCT-2007. The patient recovered on approximately 10-OCT-2007. No product quality complaint was involved. Additional information is not expected.

VAERS ID:324244 (history)  Vaccinated:2008-03-19
Age:38.0  Onset:2008-03-23, Days after vaccination: 4
Gender:Male  Submitted:2008-07-30, Days after onset: 129
Location:Washington  Entered:2008-08-06, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC Split Type: WAES0804USA03485
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1381U IMUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site discomfort, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Information has been received from a physician concerning a 38 year old male who on 19-MAR-2008 was vaccinated intramuscularly with a 0.5 mL dose of pneumococcal 23v polysaccharide vaccine (Lot # 659147/1381U). On 23-MAR-2008 the patient developed swelling and discomfort from the injection site down to his elbow after receiving the pneumococcal 23v polysaccharide vaccine. The patient was evaluated initially at an urgent care clinic and then was seen at the physician''s office and treated with cephalexin (KEFLEX). No diagnostic laboratory testing was performed. The patient recovered on an unspecified date. No product quality complaint was involved. This is one of three cases received by the same source. Additional information has been requested.

VAERS ID:324253 (history)  Vaccinated:2007-12-11
Age:38.0  Onset:0000-00-00
Gender:Female  Submitted:2008-07-30
Location:New York  Entered:2008-08-06, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0802USA02493
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1380U IMLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Information has been received from a registered nurse concerning a 38 year old white female who on 11-DEC-2007 was vaccinated with pneumococcal 23v polysaccharide vaccine (lot# 658450/1380U) IM in the left deltoid at 9 AM. In December 2007, the patient experienced redness, swelling and pain at injection site. The patient was sent to urgent care for treatment and was place on an antibiotic (therapy unspecified), antihistamine (therapy unspecified) and pain (therapy unspecified) medication. On an unspecified date the patient recovered. Additional information is not expected.

VAERS ID:321928 (history)  Vaccinated:2008-08-11
Age:38.0  Onset:2008-08-12, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Pennsylvania  Entered:2008-08-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PPD, Sanofi Pasteur, C2681AA, L arm
Current Illness: No
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
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MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU2657AA UNLA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSC2994AA UNRA
Administered by: Private     Purchased by: Private
Symptoms: Chest discomfort, Chest pain, Palpitations
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)
Write-up: Patient said her heart feels like its racing and minor chest pain & tightness not bad enough that she needed to see the doctor.

VAERS ID:324557 (history)  Vaccinated:2007-11-06
Age:38.0  Onset:2007-11-06, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Unknown  Entered:2008-08-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Concomitant Drug(s) Not Reported
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: MEDI0006150
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.500492P IN 
Administered by: Other     Purchased by: Other
Symptoms: Drug exposure during pregnancy
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: Vaccine exposure during pregnancy (Drug exposure during pregnancy); A non-serious report of vaccine exposure during pregnancy has been received from a nurse concerning a 38-year-old female. No medical history nor concomitant medications were provided. The patient received FluMist on 06-Nov-2007. The patient was pregnant at the time that FluMist was administered. No outcome for the event was provided by the reporter. Dechallenge and rechallenge did not occur. The reporter provided no causality assessment for the event. The reporting source of this case is spontaneous, thus the sponsor''s comment is not applicable.

VAERS ID:324617 (history)  Vaccinated:2008-01-14
Age:38.0  Onset:2008-01-14, Days after vaccination: 0
Gender:Male  Submitted:2008-01-29, Days after onset: 15
Location:Louisiana  Entered:2008-08-15, Days after submission: 198
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Concomitant drug(s) not reported
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: MEDI0006429
Vaccination
Manufacturer
Lot
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FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.500479P IN 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Expired drug administered
SMQs:
Write-up: A non-serious report of expired dose of vaccine administered has been received from a nurse concerning a 38-year-old male patient. Neither medical history nor concomitant medications were provided. The patient received FluMist on 14-Jan-2008. The FluMist had expired on 10-Jan-2008. The reporter indicated that no adverse events have occurred since the time of the report. The patient did not experience a rechallenge while receiving the suspect product. The reporter provided no causality assessment for the event. The reporting source of this case is spontaneous, thus the sponsor''s comment is not applicable. 29-Jan-2008: Follow-up information obtained and incorporated in above narrative: clinical outcome.

VAERS ID:322744 (history)  Vaccinated:2008-08-18
Age:38.0  Onset:0000-00-00
Gender:Female  Submitted:2008-08-20
Location:Michigan  Entered:2008-08-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: hypothyroidism, rheumatoid factor +
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
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TDAP: TDAP (ADACEL)SANOFI PASTEURC2997AA0IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad)
Write-up: Arm red, warm, swollen, and very sore. Treatment-MOTRIN, ice.

VAERS ID:322881 (history)  Vaccinated:2008-08-14
Age:38.0  Onset:2008-08-15, Days after vaccination: 1
Gender:Female  Submitted:2008-08-21, Days after onset: 6
Location:Michigan  Entered:2008-08-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prilosec, , ferrous sulfate, restasis
Current Illness: None
Preexisting Conditions: Anemia, GERD
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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DTAP: DTAP (ACEL-IMUNE)PFIZER/WYETH    
Administered by: Public     Purchased by: Unknown
Symptoms: Asthenia, Dizziness, Dyspnoea, Erythema, Headache, Oedema peripheral, Pyrexia, Wrong drug administered
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (broad)
Write-up: Fever, difficulty breathing, dizziness, headache, weakness, arm swelled and turned red.

VAERS ID:323104 (history)  Vaccinated:2008-08-24
Age:38.0  Onset:2008-08-24, Days after vaccination: 0
Gender:Male  Submitted:2008-08-24, Days after onset: 0
Location:Wisconsin  Entered:2008-08-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV 1741SCRA
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB225BA1IMRA
Administered by: Military     Purchased by: Military
Symptoms: Contraindication to vaccination
SMQs:
Write-up: SERVICE MEMBER RECIEVED THE SMALL POX VACCINE WHEN HE HAD A MEDICAL PERMANENT DEFFERRAL DUE TO HAVING PSORIASIS.

VAERS ID:323979 (history)  Vaccinated:2008-06-03
Age:38.0  Onset:2008-06-03, Days after vaccination: 0
Gender:Male  Submitted:2008-09-03, Days after onset: 92
Location:Texas  Entered:2008-09-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Chronic dermatitis
Preexisting Conditions:
Diagnostic Lab Data: Neg latex skin test and IgE Immune CAP.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV174 SCUN
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB530AA IMUN
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)UNKNOWN MANUFACTURERA0522 IMUN
Administered by: Military     Purchased by: Military
Symptoms: Blood immunoglobulin E, Lacrimation increased, Skin test negative, Throat irritation
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Lacrimal disorders (narrow)
Write-up: Patient reports watery eyes and itchy throat following immunization with AVA # 1, Hep B 1, and typhoid # 3 on 3 Jun 08. He subsequently received Hep B # 2 in July without any problems. Patient reported that he has a history of latex allergy and felt that this reaction was due to latex. After a neg IgE Immune CAP, the patient was administered AVA #2 on 19 Aug, with premeditation of Claritin. He reported no problems with AVA # 2; Symptoms: Watery eyes, Pruritus.

VAERS ID:323988 (history)  Vaccinated:2008-08-21
Age:38.0  Onset:2008-08-24, Days after vaccination: 3
Gender:Male  Submitted:2008-08-26, Days after onset: 2
Location:North Carolina  Entered:2008-09-03, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: CBC normal
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2995AA0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Chills, Full blood count normal, Injection site erythema, Injection site swelling, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Fever, chills within hours - lasted 2-3 days. Severe redness/swelling near injection site right upper arm.

VAERS ID:324143 (history)  Vaccinated:2008-08-22
Age:38.0  Onset:2008-08-23, Days after vaccination: 1
Gender:Female  Submitted:2008-09-04, Days after onset: 12
Location:Pennsylvania  Entered:2008-09-04
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
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALS 1IMRA
TD: TD ADSORBED (NO BRAND NAME)SANOFI PASTEURC2937BA IMLA
Administered by: Public     Purchased by: Public
Symptoms: Fatigue, Injected limb mobility decreased, Injection site erythema, Injection site oedema, Injection site pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Pt reported 48 hrs of fever above (101.6), pain, redness, edema at site of injection. Decreased range of motion with left arm. Fatigue X 3days.

VAERS ID:324405 (history)  Vaccinated:2008-08-31
Age:38.0  Onset:2008-08-31, Days after vaccination: 0
Gender:Male  Submitted:2008-09-05, Days after onset: 5
Location:Oregon  Entered:2008-09-05
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
RAB: RABIES (RABAVERT)NOVARTIS VACCINES AND DIAGNOSTICS439011A0IMRA
Administered by: Other     Purchased by: Private
Symptoms: Dyspnoea, Heart rate increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)
Write-up: Donor states that he noticed that he had a rapid heart beat after receiving the vaccination as well as labored breathing. Donor states that it lasted for a couple of hours. Approx 2 hours. Symptoms started after donor got home. Donor did not return to center until 09-05-08 and that is when he reported his reaction.

VAERS ID:325017 (history)  Vaccinated:2008-09-04
Age:38.0  Onset:2008-09-04, Days after vaccination: 0
Gender:Female  Submitted:2008-09-12, Days after onset: 8
Location:California  Entered:2008-09-12
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: Sulfa, Soy products
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2966AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Bacterial culture negative, Body temperature, Cough, Diarrhoea, Flushing, Headache, Hypersensitivity, Induration, Muscle spasms, Pharyngolaryngeal pain, Pruritus, Rash papular, Skin warm, Urine output increased, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Dystonia (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow)
Write-up: (see attached); 9/4/2008 Thursday, 18:00 small pimple like eruptions on both forearms and left hand (linear arrangement, 2 to 3 in a row), 20:00 diphenhydramine elixer 25 mg orally prior to bed; 9/5/2008 Friday, 7:00 more small eruptions on right upper chest, both upper arms, facial flushing of both cheeks, mild itching, 7:30 loratidine 10 mg orally prior to going to work, 12:30 eruptions on left shoulder, mild joint arthralgia (elbows, hips, knees, ankles), mild headache, 12:30 acetaminophen 500 mg orally, diphenhydramine cream topically to arm and chest rash, 17:30 diphenhydramine elixer 50 mg orally when arrive home; hydrocortisone cream topical, 20:00 loratidine 10 mg orally prior to bed, Increased itchiness along arms and upper chest during night; 9/6/2008 Saturday, 8:30 small eruptions have become nickel and quarter sized raised welts on outer surface of arms, shoulders, upper chest, left neck, both eyelids, right buttock. Upper arms tight, itchy, and hot to touch. Sore throat with cough noticeable. 9:30 call insurance 1-800 number to get authorization to go Urgent Care or Emergency Room, instructed to leave message, 10:15 no call back from insurance line, 10:30 registered at Medical Center Emergency Department, at triage, temperature and blood pressure normal, 11:00 while waiting to be seen by MD/PA, continued hive eruptions on both hands (knuckles and along left side of fingers), leg and inner left ankle area, 11:30 diagnosis: allergic reaction post ADACEL vaccination, 11:45 methylprednisone 125 mg intramuscularly x 1, ranitidine 300 mg orally x 1, hydroxyzine 50 mg orally x 1 Emergency Dept.. Instructed by PA to continue loratidine 10 mg daily and diphenhydramine 50-100 at bedtime. Rapid strep culture negative. 12:40 prescriptions prednisone (60 mg daily x 3 days, 40 mg daily x 2 days, 20 mg daily x 3 days, 10 mg daily x 7 days), ranitidine 300 mg twice, hydroxyzine 25-500 mg every 6 hrs PRN for itching, 13:00 1st dose of prednisone 60 mg taken with lunch along with loratidine 10 mg. Cold towel compresse

VAERS ID:325086 (history)  Vaccinated:2008-09-03
Age:38.0  Onset:2008-09-04, Days after vaccination: 1
Gender:Female  Submitted:2008-09-08, Days after onset: 4
Location:Alabama  Entered:2008-09-15, 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: Mantoux
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Neg
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2631AA0IMRA
Administered by: Private     Purchased by: Other
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Swelling right deltoid, slight redness, knot 4-15mm at site - Restless feeling to arm.

VAERS ID:325349 (history)  Vaccinated:2007-05-30
Age:38.0  Onset:2007-06-01, Days after vaccination: 2
Gender:Male  Submitted:2008-09-12, Days after onset: 469
Location:Unknown  Entered:2008-09-17, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: MRI Cervical Spine: multiple foci of abnormal signal intensity with demyelinating plaques of M.S.; MRI Thoracic Spine: abnormal signal in the thoracic cord at T9-10 with enhancement postcontrast. Compatible with demyelinating plaques of M.S. 9/24/08-records received-Lumbar puncture showed lesions on spinal cord. MRI showed demyelinating plaques consistent with MS.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV108 SCUN
Administered by: Military     Purchased by: Military
Symptoms: Asthenia, Blindness, Constipation, Demyelination, Erectile dysfunction, Gait disturbance, Loss of control of legs, Multiple sclerosis, Muscular weakness, Nuclear magnetic resonance imaging abnormal, Paraesthesia, Urinary retention
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Optic nerve disorders (broad), Demyelination (narrow), Retinal disorders (broad)
Write-up: Developed tingling in the hands and feet in Jul 07. By Sept 07 had decreased rt leg strength and control. Had a limp and toe drag. Rt arm strength also diminished and started dropping things. Now has dark vision on it, bladder emptying problems, erectile dysfunction and constipation. Diagnosed with probable progressive multiple sclerosis. Condition worsening. Had Hep B vaccine 21Apr98, 20May03, and 19 Jan 05. Symptoms: Gait abnormality, Numbness, Weakness, Erectile dysfunction, Constipation, Loss of vision (CN II). 9/24/08-records received-office visit 9/9/08-seen for current demyelinating condition. Tingling in bilateral hands and feet began in June-July 2007 but with stress and activity of returning stateside, ignored symptoms. September 2007 developed decreased right arm strength and loss of control of right leg, began as a limp. Decreased right arm strength.

VAERS ID:325370 (history)  Vaccinated:2008-09-16
Age:38.0  Onset:2008-09-16, Days after vaccination: 0
Gender:Female  Submitted:2008-09-17, Days after onset: 1
Location:Nebraska  Entered:2008-09-17
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: Unknown
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2965AA0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Chills, Headache, Nausea, Oral intake reduced, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Pt. c/o no chills all night, less than AM. (2) nausea. still this am-unable to eat. (3) body aches-all night. (4) Fever-still this AM and all last night. (5) Headache more last night.

VAERS ID:325488 (history)  Vaccinated:2008-08-26
Age:38.0  Onset:2008-08-26, Days after vaccination: 0
Gender:Male  Submitted:2008-09-12, Days after onset: 17
Location:Wisconsin  Entered:2008-09-18, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
HEPA: HEP A (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
SMALL: SMALLPOX (NO BRAND NAME)UNKNOWN MANUFACTURER  IDUN
Administered by: Military     Purchased by: Military
Symptoms: Arthralgia, Chest pain, Dyspnoea, Myalgia, Visual disturbance
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Muscle aches, chest pain, SOB, visual disturbances, arthralgias. Treated with fluids, OTC NSAID''s

VAERS ID:325638 (history)  Vaccinated:2007-12-21
Age:38.0  Onset:2007-12-24, Days after vaccination: 3
Gender:Female  Submitted:2008-09-19, Days after onset: 269
Location:Florida  Entered:2008-09-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Previous ocular irritation following eye drops with Thimerosol. IBD, GAD
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURC2758AA IMRA
Administered by: Military     Purchased by: Private
Symptoms: Abscess, Anal haemorrhage, Anorectal discomfort, Colonoscopy abnormal, Erythema, Pyrexia, Skin warm, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific inflammation (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: To ED (hospital employee) 12/24/2007 reporting low grade fever at home. Temp 98.5, area swollen, red and hot. Diagnosis early sterile abscess. Tylenol and warm compresses recommended. Clindamycin/Lortab prescription given. 1/30/2008 referred to Occ Med due to complaints that Tdap caused anal irritation in patient with history of IBD, GAD. Recent colonoscopy shows anal irritation as source of bleeding. Occ med states undetermine if exacerbation of preexisting. Under care of GI physician.

VAERS ID:326012 (history)  Vaccinated:2008-09-18
Age:38.0  Onset:2008-09-18, Days after vaccination: 0
Gender:Unknown  Submitted:2008-09-24, Days after onset: 6
Location:Hawaii  Entered:2008-09-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Etodolac, Lexapro, Ortho-Cept
Current Illness: no acute illness at time of vaccination
Preexisting Conditions: ankylosing spondylitis, depression; allergies to Remiciade --$g SOB, Flagyl--$g enlarged lymph nodes, sulfasalazine --$g photosensitivity
Diagnostic Lab Data: xray of nose 9/19/08 at ER --$g non-displaced fracture of distal tip of the nasal bone
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLLA184AA IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1383U0IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Back injury, Contusion, Dizziness, Face and mouth X-ray abnormal, Facial bones fracture, Fall, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Osteonecrosis (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: patient reported feeling lightheaded several hours after receiving the pneumococcal vaccine on 9/18/08 and experienced a syncopal episode with a fall upon arising from bed ---$g sustained a nasal fracture and contusion to left knee and strain of LS spine

VAERS ID:326826 (history)  Vaccinated:2008-09-19
Age:38.0  Onset:2008-09-19, Days after vaccination: 0
Gender:Female  Submitted:2008-09-23, Days after onset: 4
Location:Montana  Entered:2008-10-02, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: same as above~Rabies (no brand name)~1~38~In Patient
Other Medications: clonazepam - 1mg, duragesic - 50mcg/hr, tizanidine Hcl - 4mg, klonopin - 1mg, aspirin - 81mg, buspar - 15mg, diazepam - 2mg, phenergan - 25mg, norco - 7.5-325mg, topamax - 100mg, epigen - 0.3mg/0.3, zyrtec - 10mg, nexium - 40mg, detrol La -
Current Illness: None
Preexisting Conditions: bilateral Meniere''s, CVA, CAD, COPD, migraine HA, bee sting allergies
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)SANOFI PASTEURB01821IMRA
Administered by: Public     Purchased by: Private
Symptoms: Abdominal pain upper, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Client reported experience nausea, severe stomach cramps and fever that occurred approx 4 hours after administration of previous RABIES vaccination. Highest temp of 103 degrees F was reported by client after dose #2 on 9-19-08. Client stated stomach cramps lasted approx 2 days then resolved. Recommended client consult with medical provider Re: stomach cramps and to prophylactically self treat with ibuprofen 24-48 hrs after additional RABIES vaccinations to minimize fever side effect.

VAERS ID:327177 (history)  Vaccinated:2008-10-06
Age:38.0  Onset:2008-10-06, Days after vaccination: 0
Gender:Female  Submitted:2008-10-06, Days after onset: 0
Location:Ohio  Entered:2008-10-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lo-ogestrel
Current Illness: None
Preexisting Conditions: Otherwise healthy. Possible allergy (rash) with amoxicillin, but patient had Mononucleosis at the time
Diagnostic Lab Data: EKG performed.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA380CA1IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Agitation, Blood pressure increased, Chest discomfort, Electrocardiogram, Flushing, Hypertension, Injection site irritation, Injection site pruritus, Tachycardia, Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Hostility/aggression (broad), Hypertension (narrow), Hypersensitivity (broad)
Write-up: Patient began to feel chest tightness, tightness in throat, elevated blood pressure, itching in arm with injection, flushing, agitation, burning on administration. Patient was tachycardic (HR=151) and hypertensive (BP=173/125) on presentation to the Emergency Department. PAtient had already taken 50mg oral diphenhydramine prior to admission. Given 125mg IV methylprednisolone and 20 mg IV famotidine in the ED. Monitored until vitals normalized and symptoms improved.

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