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Case Details (Sorted by Age)

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VAERS ID:102728 (history)  Vaccinated:1995-08-03
Age:37.2  Onset:1996-03-01, Days after vaccination: 211
Gender:Female  Submitted:1997-09-23, Days after onset: 570
Location:Michigan  Entered:1997-09-25, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: ultrasound nl;ultrasound nl;
CDC Split Type: WAES95101020
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 1SC 
Administered by: Other     Purchased by: Other
Symptoms: Diabetes mellitus, Pharyngitis, Sinusitis
SMQs:, Agranulocytosis (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Oropharyngeal infections (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 3AUG95 & 6SEP95 pt was found to be pregnant;@ week 16 & 36 ultrasounds were nl;during pregnancy pt devel gestational diabetes;MAR96 devel sinus infect & in APR95 devel URI;

VAERS ID:102722 (history)  Vaccinated:1997-09-11
Age:37.2  Onset:0000-00-00
Gender:Female  Submitted:1997-09-20
Location:Georgia  Entered:1997-09-26, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: pt recv MMR vax lot# 14440 given 31JUL97;
Current Illness: NONE
Preexisting Conditions: unk
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0015E1SC 
Administered by: Private     Purchased by: Other
Symptoms: Myalgia, Otitis media, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: fever, aches, dx ROM 17SEP in ER;

VAERS ID:102867 (history)  Vaccinated:1997-09-04
Age:37.3  Onset:1997-09-04, Days after vaccination: 0
Gender:Female  Submitted:1997-09-08, Days after onset: 4
Location:North Carolina  Entered:1997-09-30, Days after submission: 22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: EKG gallop;inc WBC;inc sed rate;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES7C915746IMRA
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Hypersensitivity, Hypothermia, Leukocytosis, Myalgia, Red blood cell sedimentation rate increased, Serum sickness, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Accidents and injuries (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 4SPE97 9AM;by 1PM pt noticed rt arm & shoulder were very sore;began aching all over by 8PM;had chills & ached all noc;took temp 6AM & it was 97;chilled & ached all day on 5SEP97;saw MD & was told was having allerg rxn;serum sick

VAERS ID:103110 (history)  Vaccinated:1997-06-10
Age:37.3  Onset:0000-00-00
Gender:Male  Submitted:1997-08-15
Location:New York  Entered:1997-10-14, Days after submission: 60
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.L12740IM 
Administered by: Public     Purchased by: Unknown
Symptoms: Condition aggravated, Headache, Malaise, Myalgia, Pharyngitis
SMQs:, Rhabdomyolysis/myopathy (broad), Agranulocytosis (broad), Oropharyngeal infections (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax & had sl malaise, muscle aches, w/malaise, sore throat, h/a;

VAERS ID:103112 (history)  Vaccinated:1997-07-01
Age:37.4  Onset:0000-00-00
Gender:Male  Submitted:1997-08-15
Location:New York  Entered:1997-10-14, Days after submission: 60
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp malaise, muscle aches, sore throat, h/a w/dose 1 & 2 Rabies;
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.L12742IM 
Administered by: Public     Purchased by: Unknown
Symptoms: Headache, Malaise, Myalgia, Similar reaction on previous exposure to drug
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: pt recv vax 1JUL97 & exp malaise, myalgia, pharyngitis, headache;

VAERS ID:103283 (history)  Vaccinated:1997-10-15
Age:37.9  Onset:0000-00-00
Gender:Female  Submitted:1997-10-16
Location:Indiana  Entered:1997-10-20, 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: Synthroid
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES7F81864  A
Administered by: Other     Purchased by: Other
Symptoms: Injection site oedema, Injection site pain, Oedema, Pyrexia, Rash, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: hives-woke up w/hives on chest the next morning;local swelling & pain @ site temp 98.3;17OCT97;had inc swelling & surface erythema;

VAERS ID:103589 (history)  Vaccinated:1997-07-10
Age:37.2  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:D.C.  Entered:1997-10-20
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:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES97070982
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0002E0SC 
Administered by: Other     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema, Pruritus, Pyrexia, Skin discolouration, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 10JUL97 & inj site became itchy shortly thereafter;6 hr later site was red, swollen & raised in a 10cm circle;pt exp a fever & next 24hr which lasted approx 36hr;hot to touch;area still remained discolored;

VAERS ID:103738 (history)  Vaccinated:1997-07-11
Age:37.1  Onset:1997-07-27, Days after vaccination: 16
Gender:Female  Submitted:0000-00-00
Location:Massachusetts  Entered:1997-10-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: AUG97 varicella antibody positive;
CDC Split Type: WAES97081192
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.    
Administered by: Private     Purchased by: Private
Symptoms: Dermatitis bullous, Myalgia, Nuchal rigidity, Pharyngitis, Pruritus, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 11JUL97 & 27JUL97 pt exp itchy varicella-like rash w/15-25 vesicles, fever of 100, sore throat, minimal neck stiffness & myalgia;lab eval in AUG97 revealed positive varicella antibody titer;approx 2wk pt fully recovered;

VAERS ID:103941 (history)  Vaccinated:0000-00-00
Age:37.0  Onset:1997-10-03
Gender:Female  Submitted:1997-10-16, Days after onset: 13
Location:California  Entered:1997-10-27, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Ecchymosis, Oedema, Pain, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)
Write-up: there was pain upon administration, then 2hr later there was swelling & redness, which lasted 4 days;on day 2 a large bruise appeared @ puncture site which lasted about 1wk;

VAERS ID:104059 (history)  Vaccinated:1997-10-24
Age:37.7  Onset:1997-10-24, Days after vaccination: 0
Gender:Female  Submitted:1997-10-29, Days after onset: 5
Location:Washington  Entered:1997-10-30, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp rxn w/HEP B dose 1;
Other Medications: NA
Current Illness: NA
Preexisting Conditions: sulfa allergy
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2399A41IMLA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Diarrhoea, Headache, Myalgia, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad)
Write-up: pt states arm started aching the day of the shot & 3-4 days p/vax having nausea, diarrhea, h/a, fatigue;the nausea, diarrhea etc began 28OCT97 around 6AM until 7PM that evening;majority of sx resolved x/for fatigue;

VAERS ID:105983 (history)  Vaccinated:1996-12-01
Age:37.0  Onset:1996-12-01, Days after vaccination: 0
Gender:Unknown  Submitted:1997-02-03, Days after onset: 64
Location:Texas  Entered:1997-10-30, Days after submission: 269
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: 970023691
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2140A20IMA
Administered by: Military     Purchased by: Military
Symptoms: Arthralgia, Osteoarthritis, Pain
SMQs:, Arthritis (narrow)
Write-up: pt recv vax DEC96 & the following day pt c/o arm pain;later the same day pt suffered pain in all joints;pt also devel fluid around the left elbow joint;the nurses believes gave inj in the rt arm;it is not known whether tx or ER or MD visit

VAERS ID:105991 (history)  Vaccinated:1997-01-13
Age:37.0  Onset:1997-01-20, Days after vaccination: 7
Gender:Male  Submitted:1997-10-20, Days after onset: 272
Location:New York  Entered:1997-10-30, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: 970028991
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0IMA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 13JAN97 & 1wk later pt exp urticarial all over trunk & body which waxed & waned over the next 2 days;ER or MD visit was required;pt was treated w/epi & antihistamines (DPH, claritin) & hydroxyzine & event resolved;

VAERS ID:106016 (history)  Vaccinated:1997-02-17
Age:37.0  Onset:1997-02-17, Days after vaccination: 0
Gender:Female  Submitted:1997-03-14, Days after onset: 25
Location:Alaska  Entered:1997-10-30, Days after submission: 230
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: 970059091
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2128B60IM 
Administered by: Other     Purchased by: Other
Symptoms: Chills, Headache, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 17FEB97 & 20min later devel a h/a, chills & a fever;pt was treated w/2 APAP & the sx resolved;

VAERS ID:106042 (history)  Vaccinated:1997-04-10
Age:37.0  Onset:1997-04-10, Days after vaccination: 0
Gender:Female  Submitted:1997-05-22, Days after onset: 42
Location:Texas  Entered:1997-10-30, Days after submission: 161
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Macrobid;
Current Illness:
Preexisting Conditions: urinary tract infect;
Diagnostic Lab Data:
CDC Split Type: 9700920211
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2166A22IMA
Administered by: Private     Purchased by: Unknown
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 10APR97 & devel gen patchy, itchy dermatitis;pt family was also exp some kind of (unspecified) illness;ER or MD visit was required;the problem was reported to be cont on 11APR97;

VAERS ID:106044 (history)  Vaccinated:1997-03-17
Age:37.0  Onset:1997-03-19, Days after vaccination: 2
Gender:Male  Submitted:1997-04-22, Days after onset: 33
Location:New York  Entered:1997-10-30, Days after submission: 191
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: pt has a family hx of theumatoid arthritis;
Diagnostic Lab Data:
CDC Split Type: 970093971
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2146A40IM 
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Arthritis
SMQs:, Systemic lupus erythematosus (broad), Arthritis (narrow)
Write-up: pt recv vax 17MAR97 & 48hr later devel migratory joint pain (arthritis);the sx still persists;

VAERS ID:106114 (history)  Vaccinated:0000-00-00
Age:37.0  Onset:0000-00-00
Gender:Female  Submitted:1997-07-17
Location:Unknown  Entered:1997-10-30, Days after submission: 105
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: 970170021
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 1996 & in the evening of the same day the vax given pt exp fever of 105;fever resolved w/o addtl tx;

VAERS ID:104121 (history)  Vaccinated:1997-10-21
Age:37.0  Onset:1997-10-22, Days after vaccination: 1
Gender:Unknown  Submitted:0000-00-00
Location:South Carolina  Entered:1997-10-31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Public     Purchased by: Private
Symptoms: Oedema, Skin nodule, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)
Write-up: very swollen 4.5cm by RN;very red, hot to touch, swollen knot 5 days;

VAERS ID:104317 (history)  Vaccinated:1997-10-22
Age:37.4  Onset:1997-10-22, Days after vaccination: 0
Gender:Female  Submitted:1997-10-23, Days after onset: 1
Location:Oklahoma  Entered:1997-11-03, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: OK9734
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)MEDEVA PHARMA, LTD.E3277GA IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0906E0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Chills, Infection, Insomnia, Oedema peripheral, Pain, Pyrexia, Vasodilatation
SMQs:, Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 22OCT97;approx 430-5PM reports lt arm began to swell & become painful 9PM;lt arm more swollen;hot & cold chills;fever;cont through noc;23OCt97 920AM saw pvt MD dx w/bacterial infect;

VAERS ID:104374 (history)  Vaccinated:1997-10-30
Age:37.8  Onset:1997-10-30, Days after vaccination: 0
Gender:Female  Submitted:1997-10-30, Days after onset: 0
Location:Michigan  Entered:1997-11-04, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt mother exp rxn p/flu vax dose 1;
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES7F817610IMRA
Administered by: Other     Purchased by: Private
Symptoms: Dizziness, Dry mouth, Dysgeusia, Nausea, Pain, Pharyngitis, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Agranulocytosis (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: felt pressure in rt hand (fingers);then metallic taste in mouth;sore throat;lightheadedness, nausea (very brief) then red, itchy rash on fore arms, dry mouth, sore throat & metallic taste in mouth;

VAERS ID:104482 (history)  Vaccinated:1997-10-23
Age:37.3  Onset:1997-10-29, Days after vaccination: 6
Gender:Male  Submitted:1997-11-03, Days after onset: 5
Location:Florida  Entered:1997-11-10, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zantc
Current Illness:
Preexisting Conditions: Gastroesophageal reflux
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH49781996 LA
Administered by: Military     Purchased by: Military
Symptoms: Asthenia, Guillain-Barre syndrome, Paraesthesia, Paralysis
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad)
Write-up: tingling in fingers, toes, gen weakness & paralysis presently hosp;dx GBS;tx plasmapheresis

VAERS ID:104808 (history)  Vaccinated:1997-10-29
Age:37.3  Onset:1997-10-30, Days after vaccination: 1
Gender:Female  Submitted:1997-11-04, Days after onset: 5
Location:Ohio  Entered:1997-11-17, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: sinus problems @ time;allergy to bee sting;
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES7F8191710IMLA
Administered by: Public     Purchased by: Private
Symptoms: Hyperhidrosis, Injection site hypersensitivity, Injection site mass, Pruritus, Pyrexia, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: pt recv vax 650Am 29OCT97 @ work site started itching @ inj site approx 10AM arm felt hot by evening;felt hot & sweaty like had fever but did not check temp;redness/warmth in upper arm kept inc;MD felt lump in it;

VAERS ID:104856 (history)  Vaccinated:1997-10-16
Age:37.9  Onset:0000-00-00
Gender:Female  Submitted:1997-10-27
Location:Arizona  Entered:1997-11-18, Days after submission: 22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NA
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH4978142 IM 
Administered by: Other     Purchased by: Other
Symptoms: Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: low grade fever;

VAERS ID:105163 (history)  Vaccinated:1997-10-01
Age:37.3  Onset:1997-10-03, Days after vaccination: 2
Gender:Female  Submitted:1997-10-09, Days after onset: 6
Location:New York  Entered:1997-11-25, Days after submission: 47
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: UNK
Preexisting Conditions: allergic to PCN, sulfa, bees/wasps
Diagnostic Lab Data: NONE
CDC Split Type: NY97049
Vaccination
Manufacturer
Lot
Dose
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Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.L05371IMLA
Administered by: Public     Purchased by: Public
Symptoms: Tinnitus, Urticaria, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hearing impairment (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: hives, nausea, vomit, tinnitus for several days;given po DPH, short course pred;

VAERS ID:105169 (history)  Vaccinated:1997-10-17
Age:37.0  Onset:1997-10-17, Days after vaccination: 0
Gender:Male  Submitted:1997-11-10, Days after onset: 24
Location:Oregon  Entered:1997-11-25, Days after submission: 15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: unk
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER4978721IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0845D1IMRA
Administered by: Public     Purchased by: Unknown
Symptoms: Abdominal pain, Asthenia, Hypotonia, Influenza, Injection site oedema, Injection site pain, Myasthenic syndrome, Somnolence
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Malignancy related conditions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)
Write-up: abd cramping approx 15-30min p/vax;flu like sx x 1wk, next wk tired, lethargic feelings;local stiff, swell, sore-heavy feeling;bilat arm;

VAERS ID:105171 (history)  Vaccinated:1997-10-15
Age:37.4  Onset:1997-10-20, Days after vaccination: 5
Gender:Male  Submitted:1997-11-21, Days after onset: 32
Location:New York  Entered:1997-11-25, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: nONE
Diagnostic Lab Data: MRI negative
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES7F817710 A
Administered by: Other     Purchased by: Other
Symptoms: Neuropathy, Paralysis
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad)
Write-up: paralysis of cranial nerve IX, X, XI, XII on lt;tx w/steroids & IV gamma globulin;

VAERS ID:105561 (history)  Vaccinated:1997-11-27
Age:37.5  Onset:1997-11-28, Days after vaccination: 1
Gender:Female  Submitted:1997-11-30, Days after onset: 2
Location:California  Entered:1997-12-09, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: unk
Other Medications:
Current Illness: NONE
Preexisting Conditions: allergy codeine
Diagnostic Lab Data: CBC, UA, CSF
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES7H91839 IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Headache, Meningitis, Nuchal rigidity, Pyelonephritis, Pyrexia, Tetany
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious meningitis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: h/a, fever, stiff neck;MD dx acute h/a, r/o meningitis;pyelonephritis;poss tetanus rxn;

VAERS ID:105947 (history)  Vaccinated:1997-11-06
Age:37.4  Onset:1997-11-09, Days after vaccination: 3
Gender:Male  Submitted:1997-12-01, Days after onset: 22
Location:Texas  Entered:1998-01-02, Days after submission: 32
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol;Terbutaline
Current Illness: NONE
Preexisting Conditions: asthma
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)MEDEVA PHARMA, LTD.3367HC0IMRA
Administered by: Other     Purchased by: Other
Symptoms: Lymphadenopathy, Rash maculo-papular
SMQs:, Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: macular rash, lymphadenopathy-neck, axillary;decadron 8mg IM;

VAERS ID:105962 (history)  Vaccinated:1997-09-30
Age:37.3  Onset:1997-09-30, Days after vaccination: 0
Gender:Female  Submitted:1997-10-03, Days after onset: 3
Location:Oklahoma  Entered:1998-01-05, Days after submission: 94
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: OK9745
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0285E SCLA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES7E916725IMRA
Administered by: Public     Purchased by: Public
Symptoms: Insomnia, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: c/o extremely sore arm w/high fever;both lasted through noc;did not seek med care;

VAERS ID:106239 (history)  Vaccinated:1997-10-23
Age:37.0  Onset:1997-10-23, Days after vaccination: 0
Gender:Male  Submitted:1997-10-29, Days after onset: 6
Location:Minnesota  Entered:1998-01-07, Days after submission: 70
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES7F817540IMLA
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES4425220IMRA
Administered by: Other     Purchased by: Private
Symptoms: Amblyopia, Injection site oedema, Injection site pain, 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), Haemodynamic oedema, effusions and fluid overload (narrow), Optic nerve disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: c/o blurry vision like a film on eyes;n/v, fever, pain & edema @ rt deltoid inj site;

VAERS ID:107333 (history)  Vaccinated:0000-00-00
Age:37.0  Onset:0000-00-00
Gender:Female  Submitted:1997-12-12
Location:Arizona  Entered:1998-01-08, Days after submission: 27
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: CO6977
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abortion, Foetal disorder, Hypertonia
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Foetal disorders (narrow), Termination of pregnancy and risk of abortion (narrow)
Write-up: pt recv vax & exp muscle spasms in the area of mid back p/vax;also during the course of tx pt became pregnant;pt miscarried at about 8wk into the term;

VAERS ID:106463 (history)  Vaccinated:1995-07-12
Age:37.8  Onset:1997-09-20, Days after vaccination: 801
Gender:Male  Submitted:1998-01-12, Days after onset: 114
Location:Florida  Entered:1998-01-15, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp strange rash w/dose 1 of varicella vax;
Other Medications:
Current Illness:
Preexisting Conditions: unk
Diagnostic Lab Data:
CDC Split Type: WAES97091759
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0415B0SC 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dermatitis bullous, Herpes zoster, Infection, Injection site pain, Pruritus
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 27SEP95 & 20SEP97 pt devel shingles that started on the fingers of the lt hand, went up the lt arm & shoulder & then over to the back;

VAERS ID:106838 (history)  Vaccinated:1996-08-23
Age:37.5  Onset:1997-11-03, Days after vaccination: 437
Gender:Male  Submitted:1998-01-12, Days after onset: 70
Location:Wisconsin  Entered:1998-01-15, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: No relevant data;
Other Medications: NONE
Current Illness:
Preexisting Conditions: unk
Diagnostic Lab Data: 3NOV97 Laboratory test varicella antibody seronegative;DEC96 varicella antibody seropositive;
CDC Split Type: WAES97120135
Vaccination
Manufacturer
Lot
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Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1655B1IM 
Administered by: Public     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recv vax 9JUL96 & initial lab eval in December 1996 revealed a positive test for varicella antibodies;subsequent eval on 3NOV97 revealed a lack of seroconversion;

VAERS ID:107058 (history)  Vaccinated:1998-01-08
Age:37.0  Onset:1998-01-18, Days after vaccination: 10
Gender:Female  Submitted:1998-01-23, Days after onset: 5
Location:New York  Entered:1998-01-28, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp lymphadenopathy, T104, rubella & rubeola @ 14yr old
Other Medications: Birth Control
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: pending
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0538E0SCLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site pain, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: 18JAN98 devel pain lt arm;21JAN97 pimples on lt arm;22NOV98 inc redness & warmth lt arm-no fever;

VAERS ID:107158 (history)  Vaccinated:1998-01-06
Age:37.0  Onset:1998-01-06, Days after vaccination: 0
Gender:Female  Submitted:1998-01-08, Days after onset: 2
Location:Missouri  Entered:1998-01-30, Days after submission: 22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAM553B60IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Headache, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: gen rash over entire body, face & neck;eyes itching-started about 11AM 7JAN98;h/a;to MD 7JAN98 2:30-sent to ER given DPH & steroid;

VAERS ID:109379 (history)  Vaccinated:1997-11-10
Age:37.8  Onset:1997-11-14, Days after vaccination: 4
Gender:Female  Submitted:1998-01-29, Days after onset: 76
Location:New Jersey  Entered:1998-02-02, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: No relevant data;
Other Medications: unk
Current Illness:
Preexisting Conditions: allergy
Diagnostic Lab Data:
CDC Split Type: WAES97111773
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEA: MEASLES (ATTENUVAX)MERCK & CO. INC.1158D0SC 
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective, Infection, Lymphadenopathy, Malaise, Myalgia, Pyrexia, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Lack of efficacy/effect (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)
Write-up: pt recv vax 10NOV97 & 13NOV97 pt exp a prodromal phase w/body aches;22NOV97 pt devel a gen rash;

VAERS ID:107763 (history)  Vaccinated:1998-01-23
Age:37.8  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Massachusetts  Entered:1998-02-19
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:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2361C60IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0989D2SCRA
Administered by: Other     Purchased by: Public
Symptoms: Hyperhidrosis, Hypertension, Laryngospasm, Paraesthesia, Pollakiuria, Tachycardia, Thirst, Tremor
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hypertension (narrow), Hypersensitivity (narrow), Hypoglycaemia (broad)
Write-up: 23JAN98 p/(during dinner) 7PM had adverse allerg rxn, pulse rate inc, BP inc, inc in urination 4x in 1hr, chest pain & burning under lt arm in lymph area;throat & sinuses swelling then severe thirst;numbness & tingling & shaking;h/a

VAERS ID:107855 (history)  Vaccinated:1997-11-07
Age:37.9  Onset:1998-11-08, Days after vaccination: 366
Gender:Female  Submitted:0000-00-00
Location:Florida  Entered:1998-02-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Depakote
Current Illness: NONE
Preexisting Conditions: sz disorder
Diagnostic Lab Data:
CDC Split Type: 897328009L
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2352A21IMRA
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)PFIZER/WYETH49780010SCLA
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Injection site hypersensitivity, Injection site oedema, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)
Write-up: pt recv 3ml of typhoid instead of 0.5ml & 11FEB98 info recv indicated that 1 day post vax pt exp muscle aches, felt faint & devel an inj site rxn characterized by redness & swelling which extended to the elbow;

VAERS ID:107882 (history)  Vaccinated:1998-02-05
Age:37.6  Onset:0000-00-00
Gender:Male  Submitted:1998-02-23
Location:California  Entered:1998-02-27, 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: Keflex/Vicodin
Current Illness: puncture hand/cellulitis
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES7S919131IM 
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Back pain, Chest pain, Injection site pain, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: inj site soreness spread to chest/back then generalized aches & fatigue;

VAERS ID:107961 (history)  Vaccinated:1997-10-14
Age:37.7  Onset:1997-10-14, Days after vaccination: 0
Gender:Female  Submitted:1998-02-22, Days after onset: 131
Location:Tennessee  Entered:1998-03-02, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp local rxn-redness, swelling & Pain w/1cc of flu vax
Other Medications:
Current Illness: asthma
Preexisting Conditions: asthma-inhalant allergies;
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES7F818160 RA
Administered by: Private     Purchased by: Unknown
Symptoms: Chest pain, Dyspnoea, Face oedema, Lacrimal disorder
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Lacrimal disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 1030AM 14OCT97 & 2PM pt was having problems w/eyes swelling & watering;by 3:00 pt was having diff breathing;pt left to go home & by the time pt arrived @ home was having chest pain (mild w/ inc diff in breathing;DPH & Proventil

VAERS ID:108100 (history)  Vaccinated:1998-02-25
Age:37.7  Onset:1998-02-26, Days after vaccination: 1
Gender:Female  Submitted:1998-03-02, Days after onset: 4
Location:Florida  Entered:1998-03-09, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2361C61IMLA
Administered by: Other     Purchased by: Other
Symptoms: Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt reported had welts, raised reddened areas on face & chest;pt is a PE teacher & was outside all day & @ end of day (1 day p/vax) noticed welts;MD called & recommended oral DPH;2MAR stated rash improved;

VAERS ID:108285 (history)  Vaccinated:1997-02-03
Age:37.1  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Pennsylvania  Entered:1998-03-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: No relevant data;
Other Medications: Zerzone;Vitamins
Current Illness:
Preexisting Conditions: unk
Diagnostic Lab Data: chromosomal analysis nl 46 XY male karyotype;
CDC Split Type: WAES97020901
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Laboratory test abnormal, Neurosis, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 3FEB97 & pregnancy confirmed by test 19FEB97;pt exp fever @ 25wk;during pregnancy, labor, or delivery pt exp a lot of psychological problems;a triple screen was positive for inc risk for down''s which was reason for the amnio;

VAERS ID:108165 (history)  Vaccinated:1998-02-23
Age:37.7  Onset:1998-02-27, Days after vaccination: 4
Gender:Female  Submitted:1998-03-03, Days after onset: 4
Location:Massachusetts  Entered:1998-03-11, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0623E0 LA
Administered by: Private     Purchased by: Public
Symptoms: Injection site hypersensitivity, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 4 days p/vax local, pruritic;rxn @ inj site lt deltoid, crusty w/4-7 vesicles;no sx of cellulitis;rash has not changed since onset;

VAERS ID:109271 (history)  Vaccinated:1997-10-16
Age:37.1  Onset:0000-00-00
Gender:Male  Submitted:1997-11-18
Location:Wisconsin  Entered:1998-03-26, Days after submission: 128
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 897336006L
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH4978168 IMLA
Administered by: Public     Purchased by: Other
Symptoms: Hypokinesia, Injection site pain
SMQs:, Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: pt recv vax 16OCT97 & exp pain @ inj site;13NOV pt cont to exp pain w/certain motion;pt has not been seen by healthcare provider & has not tried any tx for pain;this is 1 of 2 pt from this facility to exp pain @ the inj site p/vax

VAERS ID:109316 (history)  Vaccinated:1997-10-28
Age:37.6  Onset:1997-11-08, Days after vaccination: 11
Gender:Female  Submitted:1997-12-08, Days after onset: 30
Location:New York  Entered:1998-03-26, Days after submission: 108
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Atenolol;Unspecifed TB screaning test 20OCT97 to 20OCT97;
Current Illness: NONE
Preexisting Conditions: tachycardia
Diagnostic Lab Data: skin biopsy reportedly consistent w/Well''s synd;
CDC Split Type: 897351026L
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH49781673IM 
Administered by: Other     Purchased by: Other
Symptoms: Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: w/in 11 days p/vax pt devel a line of itchy welts on torso;the welts inc in size & extended to pt hip & back;unspecified blood tests & a skin biopsy were performed, leading to a dx of Well''s synd;tx w/pred, w/some symptomatic improvement;

VAERS ID:109339 (history)  Vaccinated:1997-10-20
Age:37.8  Onset:1997-10-21, Days after vaccination: 1
Gender:Male  Submitted:1997-10-22, Days after onset: 1
Location:Pennsylvania  Entered:1998-03-26, Days after submission: 155
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Non-insulin dependent diabetes mellitus; allergic to penicillin, Bactrim, bee venom
Diagnostic Lab Data:
CDC Split Type: 898007024L
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH4978139 IMLA
Administered by: Private     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Patient developed inject site rxn of redness and swelling. This is 1 of 8 employees of this facility to develop and inject site rxn following vax with lot #4978139.

VAERS ID:108916 (history)  Vaccinated:1998-03-19
Age:37.7  Onset:1998-03-20, Days after vaccination: 1
Gender:Female  Submitted:1998-03-23, Days after onset: 3
Location:Georgia  Entered:1998-03-27, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: Synthroid;Zoloft
Current Illness: NONE
Preexisting Conditions: NKA;hypothyroidism;PMS
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID (NO BRAND NAME)PFIZER/WYETH 2IMLA
Administered by: Private     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Pruritus, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: erythema, local edema, induration around inj site, pain, tenderness, low grade fever 9100), & itching @ inj site;

VAERS ID:108936 (history)  Vaccinated:1997-11-14
Age:37.1  Onset:1998-01-30, Days after vaccination: 77
Gender:Female  Submitted:1998-03-26, Days after onset: 55
Location:Oklahoma  Entered:1998-03-30, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: unk
Other Medications: Tri-Velen;pt recv Td vax DEC97
Current Illness: NONE
Preexisting Conditions: allergic to codeine
Diagnostic Lab Data: platelets DEC97 129, JAN98 120, 30JAN98 119 (N: 150-400), 18FEB98 132;
CDC Split Type: OK988
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1819A11 LA
Administered by: Public     Purchased by: Private
Symptoms: Muscle spasms, Thrombocytopenia
SMQs:, Haematopoietic thrombocytopenia (narrow), Systemic lupus erythematosus (broad), Dystonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: leg cramps;dec platelets;

VAERS ID:109069 (history)  Vaccinated:1998-03-12
Age:37.0  Onset:1998-03-12, Days after vaccination: 0
Gender:Male  Submitted:1998-03-12, Days after onset: 0
Location:South Carolina  Entered:1998-04-02, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness:
Preexisting Conditions: PCN allergy
Diagnostic Lab Data: NONE
CDC Split Type: SC98018
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES7F917001 LA
Administered by: Public     Purchased by: Public
Symptoms: Confusional state, Dizziness, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypoglycaemia (broad)
Write-up: 930AM pt was dizzy & nauseated, disoriented to time & place;walked out to care p/sitting down on bench in main lobby;pt vomited when reached car;pt was @ clinic w/mom;pt did not come back into clinic;mom drove pt to aunts;vomited 3 times;

VAERS ID:110040 (history)  Vaccinated:1997-09-01
Age:37.0  Onset:1997-09-01, Days after vaccination: 0
Gender:Female  Submitted:1998-04-15, Days after onset: 226
Location:Virginia  Entered:1998-04-17, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES98011338A
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Other
Symptoms: Rash maculo-papular
SMQs:, Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Sept97 & Nov97 Pt recvd dose 1&2; Sept97 approx 2 wk p/recvd vax, Pt devel macular erythematous generalized rash, in Nov after recvd 2nd dose;rash "got much worse"; unable to control w/steroids;pt not yet recovered

VAERS ID:110041 (history)  Vaccinated:1997-11-01
Age:37.0  Onset:1997-11-01, Days after vaccination: 0
Gender:Female  Submitted:1998-04-15, Days after onset: 164
Location:Virginia  Entered:1998-04-17, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: in pt - macular erythematous rash after Varivax dose 1
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES98011338B
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 1  
Administered by: Other     Purchased by: Other
Symptoms: Condition aggravated, Rash, Similar reaction on previous exposure to drug
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd dose 1&2-Sept97&Nov97;Sept97 approx 2 wk p/vax Pt devel macular erythematous generalized rash. Nov97 after recvd 2nd dose, Pt rash "got much worse";Unable to control w/steroids; pt not yet recovered

VAERS ID:110270 (history)  Vaccinated:1998-02-20
Age:37.3  Onset:1998-02-21, Days after vaccination: 1
Gender:Female  Submitted:1998-04-15, Days after onset: 52
Location:Unknown  Entered:1998-04-17, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: No relevant data
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES98021896
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 1SC 
Administered by: Other     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recv 1 & 2nd dose vax 24Nov1997 & 20Feb98. 21Feb98 pt exp "burning,itching,redness,tenderness & swelling inj site". There was no rash. "It felt like a bee sting".

VAERS ID:109873 (history)  Vaccinated:1998-04-01
Age:37.8  Onset:1998-04-10, Days after vaccination: 9
Gender:Female  Submitted:1998-04-16, Days after onset: 6
Location:Minnesota  Entered:1998-04-21, 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
Current Illness: NONE
Preexisting Conditions: sulfa allergy
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEA: MEASLES (ATTENUVAX)MERCK & CO. INC.0154E SCRA
Administered by: Other     Purchased by: Private
Symptoms: Anorexia, Lymphadenopathy, Myalgia, Pyrexia, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)
Write-up: 10APR98 body aches, gen, lymphadenopathy, loss of appetite, fever to 104 & gen body rash on 15APR98;

VAERS ID:110380 (history)  Vaccinated:1997-04-17
Age:37.7  Onset:1997-04-22, Days after vaccination: 5
Gender:Male  Submitted:1998-03-26, Days after onset: 338
Location:California  Entered:1998-04-27, Days after submission: 31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Keflex
Current Illness: puncture wound rt hands & cellulitis
Preexisting Conditions: bronchial asthma
Diagnostic Lab Data: NONE
CDC Split Type: CA980045
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID (NO BRAND NAME)UNKNOWN MANUFACTURER  IMRA
Administered by: Private     Purchased by: Public
Symptoms: Face oedema, Hypertonia, Injection site pain, Myasthenic syndrome, Neck pain, Pain, Paraesthesia
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Malignancy related conditions (narrow), Parkinson-like events (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pain on rt arm (where tetanus shot was given) radiating to the neck & face swelling rt side of face;pt recv vax 17APR97 & rt arm still hurts & feels numb;sx do not improve w/med;

VAERS ID:110400 (history)  Vaccinated:1998-03-28
Age:37.6  Onset:1998-03-29, Days after vaccination: 1
Gender:Male  Submitted:1998-04-13, Days after onset: 14
Location:Michigan  Entered:1998-04-27, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp n,flu sx, aching in muscles, h/a, discomfort w/rabies #1, IPV,TD#4;
Other Medications: oral typhoid x 4 caps
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: rabies titer 9APR98
CDC Split Type: MI98030
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (NO BRAND NAME)MICHIGAN DEPT PUB HLTHRV1571IM 
Administered by: Public     Purchased by: Public
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 27MAR98 & next day was working out & broke out in hives described as large elevated blotches on arms & legs lasting 1-2hr;

VAERS ID:110620 (history)  Vaccinated:1998-03-20
Age:37.6  Onset:1998-03-20, Days after vaccination: 0
Gender:Male  Submitted:1998-04-13, Days after onset: 23
Location:Michigan  Entered:1998-04-27, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: oral typhoid x 4;
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: rabies titer 9APR98
CDC Split Type: MI98030A
Vaccination
Manufacturer
Lot
Dose
Route
Site
CHOL: CHOLERA (USP)PFIZER/WYETH49780820SC 
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1222E0IM 
HEPA: HEP A (VAQTA)MERCK & CO. INC.1251E0IM 
MEN: MENINGOCOCCAL (MENOMUNE)CONNAUGHT LABORATORIES74918760SC 
RAB: RABIES (NO BRAND NAME)MICHIGAN DEPT PUB HLTHRV1570IM 
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES7C915563IM 
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD146122B0PO 
YF: YELLOW FEVER (YF-VAX)CONNAUGHT LABORATORIES09157100SC 
Administered by: Public     Purchased by: Public
Symptoms: Headache, Myalgia, Nausea, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: pt recv vax 20MAR98 & exp nausea, aching in muscles, discomfort, h/a;

VAERS ID:110469 (history)  Vaccinated:1998-03-25
Age:37.0  Onset:1998-03-27, Days after vaccination: 2
Gender:Male  Submitted:1998-04-24, Days after onset: 27
Location:Connecticut  Entered:1998-04-29, 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:
Current Illness:
Preexisting Conditions: NKA;non-contributory past medical hx
Diagnostic Lab Data: 2APR98 MRI slowing rt rectus inferior rectus muscle;some proptosis;
CDC Split Type: 19980109571
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1IM 
Administered by: Other     Purchased by: Other
Symptoms: Amblyopia, Diplopia, Exophthalmos, Headache, Hypokinesia, Hypothyroidism, Influenza, Laboratory test abnormal
SMQs:, Parkinson-like events (broad), Guillain-Barre syndrome (broad), Optic nerve disorders (broad), Hypothyroidism (narrow), Hyperthyroidism (narrow), Ocular infections (broad), Ocular motility disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Write-up: 2 days p/vax pt exp h/a & unspecified flu-like sx;sx progressed to blurred vision;pt saw internist who rx ATB & Ibuprofen;dx diplopia & referred to neurologist;MRI showed slowing of inferior rectus muscles & proptosis;

VAERS ID:110643 (history)  Vaccinated:1998-03-31
Age:37.2  Onset:1998-04-02, Days after vaccination: 2
Gender:Female  Submitted:1998-04-17, Days after onset: 14
Location:Georgia  Entered:1998-05-05, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Claritin-D;Vancenase spray;APAP
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: CBC, SMA, ANA, Rheumatoid factor nl results;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Private     Purchased by: Unknown
Symptoms: Arthralgia, Arthropathy, Osteoarthritis
SMQs:, Arthritis (narrow)
Write-up: 2 days p/vax pt exp stiffness, pain & swelling in all joints;got progressively worse on days 3 & 4;used med to relieve sx;minor stiffness & pain lingers in some joints;

VAERS ID:110974 (history)  Vaccinated:1997-10-16
Age:37.7  Onset:1997-10-16, Days after vaccination: 0
Gender:Female  Submitted:1998-03-24, Days after onset: 159
Location:Georgia  Entered:1998-05-07, Days after submission: 43
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: 19970274611
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (NO BRAND NAME)MICHIGAN DEPT PUB HLTHRV1544IMA
Administered by: Other     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema, Lymphangitis, Oedema peripheral, Pain, Pruritus, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 16OCT97 & approx 2hr later exp swelling & itching in arm;two days later sx persisted w/redness, warmth, & enlargement of arm w/tense swelling from the inj site down to 2/3 of the forearm;dx non infect lymphangitis;

VAERS ID:110975 (history)  Vaccinated:1997-10-17
Age:37.7  Onset:1997-10-18, Days after vaccination: 1
Gender:Female  Submitted:1998-03-24, Days after onset: 157
Location:North Carolina  Entered:1998-05-07, Days after submission: 43
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prozac, Trasodone, Klonopin
Current Illness:
Preexisting Conditions: supraventricular tachycardia (surgically corrected)
Diagnostic Lab Data:
CDC Split Type: 19970274801
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (NO BRAND NAME)MICHIGAN DEPT PUB HLTHRV1541IMLA
Administered by: Other     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt recv vax 17OCT97 & starting on the day p/vax pt exp swelling, mild erythema, warmth of the lt deltoid area (inj site);sx which cont over a period of 5 days;responded to symptomatic therapy;

VAERS ID:110723 (history)  Vaccinated:1998-05-01
Age:37.1  Onset:1998-05-01, Days after vaccination: 0
Gender:Female  Submitted:1998-05-04, Days after onset: 3
Location:Massachusetts  Entered:1998-05-08, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: unk
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2429A41IMLA
Administered by: Other     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt recv vax & 12hr later pt reported redness, pain, swelling @ inj site;area cont to expand until Sunday;pt took DPH & iced area;

VAERS ID:111429 (history)  Vaccinated:1996-10-02
Age:37.5  Onset:0000-00-00
Gender:Female  Submitted:1998-05-29
Location:Unknown  Entered:1998-06-02, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: no relevant data
Other Medications: unknown
Current Illness:
Preexisting Conditions: alcohol consumpton; allergy; bronchitis
Diagnostic Lab Data: apgar score - 1min=7. 5 min=9.
CDC Split Type: WAES96112278
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC. 1  
Administered by: Public     Purchased by: Other
Symptoms: Dysphagia
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad)
Write-up: Pt vax w/1st & 2nd doses 28Aug96 & 02Oct96. Pt 1 wk pregnant @time of 2nd dose. Pt delivered boy baby (7lb2oz) 06June97.Birth vaginal & no med. Apgars 7 @1min. & 9 @5min. Baby had some difficulty with the swallowing reflex.

VAERS ID:111447 (history)  Vaccinated:1997-04-22
Age:37.0  Onset:1997-04-22, Days after vaccination: 0
Gender:Female  Submitted:1998-05-29, Days after onset: 402
Location:Unknown  Entered:1998-06-02, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: no relevant data
Other Medications: flexeril
Current Illness:
Preexisting Conditions: unknown
Diagnostic Lab Data:
CDC Split Type: WAES97042062
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Dysphagia, Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (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), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Approx 8 hr p/vax pt exp swollen glands,difficulty swallowing, fever 102f & joint pain. Reporter unsure if pt sx had "anything to do w/MMR vax".

VAERS ID:111587 (history)  Vaccinated:1997-05-29
Age:37.0  Onset:1997-06-17, Days after vaccination: 19
Gender:Female  Submitted:1998-05-29, Days after onset: 346
Location:Unknown  Entered:1998-06-02, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: No relevant data;
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Diagnostic Lab Data:
CDC Split Type: WAES97061817
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Oedema, Sialoadenitis
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal infections (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)
Write-up: pt recv vax 29MAY97 & 17JUN97 pt devel swelling on the side of neck;it is being referred to as parotitis;

VAERS ID:112170 (history)  Vaccinated:1998-05-17
Age:37.4  Onset:0000-00-00
Gender:Female  Submitted:1998-05-27
Location:Idaho  Entered:1998-06-24, Days after submission: 28
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: ID98024
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES7F91700  A
Administered by: Private     Purchased by: Public
Symptoms: Injection site hypersensitivity, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 17MAY98 & returned to clinic 24OCT98 w/a 2" diameter area of erythema @ area of inj;rash elsewhere;

VAERS ID:112179 (history)  Vaccinated:1998-06-16
Age:37.0  Onset:1998-06-16, Days after vaccination: 0
Gender:Female  Submitted:1998-06-22, Days after onset: 6
Location:Tennessee  Entered:1998-06-25, 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: TUbersol by Connaught lot# 246511 given 10JUN98;
Current Illness: patient denies
Preexisting Conditions: codeine allergy;1991 hep C
Diagnostic Lab Data:
CDC Split Type: TN98022
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1948A20 LA
Administered by: Public     Purchased by: Public
Symptoms: Diarrhoea, Headache, Influenza, Myalgia, Palpitations, Paraesthesia, Pyrexia, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 17JUN98 T99, malaise, aches, sweating, chills, n/v, diarrhea, abd pain, cramping, h/a, palpitations, tingling, insomnia, rt sided pain; to MD told not to complete vax series ;18JUN98 flu like sx;19JUN98 T101.4, n/v, severe h/a;

VAERS ID:112438 (history)  Vaccinated:1998-06-03
Age:37.2  Onset:1998-06-30, Days after vaccination: 27
Gender:Male  Submitted:1998-07-03, Days after onset: 3
Location:Wisconsin  Entered:1998-07-10, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: CBC, UA nl;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4978052 IM 
Administered by: Private     Purchased by: Other
Symptoms: Arthralgia, Asthenia, Chills, Myalgia, Paraesthesia, Pruritus, Pyrexia, Urticaria
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax & w/in 3hr chills, sweats, generalized weakness, by 12hr urticaria on legs for 30min duration w/pruritus, followed by severe arthralgias (mainly shoulders), myalgias, intermittent tingling lt fingers & fever 38.5C;

VAERS ID:112509 (history)  Vaccinated:1997-09-11
Age:37.0  Onset:1997-09-12, Days after vaccination: 1
Gender:Female  Submitted:1998-06-11, Days after onset: 272
Location:Michigan  Entered:1998-07-13, 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: Zyban/Bupropion HCL
Current Illness:
Preexisting Conditions: allergies pt has allergies to unspecified environmental factors
Diagnostic Lab Data: NONE
CDC Split Type: MPI97742
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)MEDEVA PHARMA, LTD.    
Administered by: Other     Purchased by: Other
Symptoms: Dyspnoea, Injection site hypersensitivity, Oedema, Rash
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax & noticed red bumps around inj site;2 days p/vax reported a rash starting on the palms of hands & then on foot & chin;called MD who prescribed medrol & DPH;p/2 more day reported hard time breathing & nape of neck swollen;to ER;

VAERS ID:112622 (history)  Vaccinated:1998-07-04
Age:37.2  Onset:1998-07-04, Days after vaccination: 0
Gender:Male  Submitted:1998-07-06, Days after onset: 2
Location:Pennsylvania  Entered:1998-07-14, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: unk
Other Medications:
Current Illness: laceration
Preexisting Conditions: NONE
Diagnostic Lab Data: NOEN
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4978086 IMLA
Administered by: Public     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: immed p/vax in lt deltoid area became swollen (size quarter) w/drop blood;ice & pressure applied & swelling subside;disch w/quarter size area redness;

VAERS ID:113060 (history)  Vaccinated:1997-10-20
Age:37.0  Onset:1997-10-22, Days after vaccination: 2
Gender:Male  Submitted:1998-07-30, Days after onset: 281
Location:California  Entered:1998-08-03, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: No relevant data;
Other Medications: allergenic extract
Current Illness:
Preexisting Conditions: resp condition
Diagnostic Lab Data:
CDC Split Type: WAES97101687
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site oedema, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt recv vax 20OCT97 & 22OCT97 pt devel a local rxn @ the inj site which was described as redness approx 2inches in diameter w/some swelling & warmth;

VAERS ID:113146 (history)  Vaccinated:1998-04-06
Age:37.0  Onset:1998-04-07, Days after vaccination: 1
Gender:Male  Submitted:1998-07-30, Days after onset: 114
Location:Pennsylvania  Entered:1998-08-03, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: No relevant data;
Other Medications: ASA
Current Illness:
Preexisting Conditions: drug allergy
Diagnostic Lab Data:
CDC Split Type: WAES98040610
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Myalgia, Pyrexia, Serum sickness
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 6APR98 & 7APR98 devel a serum sickness like rxn described as achy to the bones & feverish;

VAERS ID:113518 (history)  Vaccinated:1998-07-20
Age:37.6  Onset:1998-07-20, Days after vaccination: 0
Gender:Female  Submitted:1998-07-22, Days after onset: 2
Location:Ohio  Entered:1998-08-19, Days after submission: 28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PTU for hyperthyroid, Topril, Covera has been on
Current Illness: NONE
Preexisting Conditions: hyperthyroid, HTN
Diagnostic Lab Data: NONE
CDC Split Type: OH98054
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1681E0SCRA
Administered by: Public     Purchased by: Public
Symptoms: Hypoaesthesia, Injection site hypersensitivity, Injection site oedema, Vasodilatation
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt recv vax 2 days ago in AM & by evening inj site sl raised, reddened-50mm x 50mm, warm to touch;no c/o itching;states skin is very sensitive;advised to apply cool compressor, ice pack & call if ineffective & can take APAP;

VAERS ID:113526 (history)  Vaccinated:1998-08-12
Age:37.0  Onset:1998-08-13, Days after vaccination: 1
Gender:Female  Submitted:1998-08-14, Days after onset: 1
Location:Kentucky  Entered:1998-08-20, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt sibling recently recv Td & exp rxn;
Other Medications: Rinocort, servent, DPH
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES09413301IMRA
Administered by: Public     Purchased by: Other
Symptoms: Hyperhidrosis, Injection site hypersensitivity, Injection site mass, Injection site oedema, Lymphadenopathy, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: pt recv vax & awoke next day 13AUG98 w/chills, body aches, fever, sweats, swelling, hardness, redness @ inj site;also swelling rt axilla w/o redness;advised DPH, contact PMD;

VAERS ID:113825 (history)  Vaccinated:1998-08-13
Age:37.9  Onset:1998-08-14, Days after vaccination: 1
Gender:Male  Submitted:1998-08-24, Days after onset: 10
Location:Minnesota  Entered:1998-09-02, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)UNKNOWN MANUFACTURER   LA
Administered by: Public     Purchased by: Other
Symptoms: Diarrhoea, Myalgia, Pyrexia, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: fever 100.8, muscle aches, vomiting, diarrhea;all sx appeared 12hr p/vax;duration 36hr;

VAERS ID:114800 (history)  Vaccinated:1998-08-30
Age:37.8  Onset:1998-09-12, Days after vaccination: 13
Gender:Female  Submitted:1998-09-30, Days after onset: 18
Location:New York  Entered:1998-10-08, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: blood sample drawn @ hosp;urine sample collected on 17SEP98 was sent to lab;
CDC Split Type: BAS11
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2597A21 LA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0234H  RA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Cough, Pyrexia, Rash maculo-papular, Rhinitis
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: maculopapular rash x 5 days;fever, cough, coryza & joint pain;

VAERS ID:114980 (history)  Vaccinated:1998-10-02
Age:37.0  Onset:1998-10-02, Days after vaccination: 0
Gender:Female  Submitted:1998-10-07, Days after onset: 5
Location:Indiana  Entered:1998-10-15, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES0969600 IMA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dyspnoea, Face oedema, Pyrexia
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: elevated temp;no local rxn @ site;SOB;swollen face;dx rxn

VAERS ID:115215 (history)  Vaccinated:1998-10-19
Age:37.6  Onset:1998-10-19, Days after vaccination: 0
Gender:Female  Submitted:1998-10-21, Days after onset: 2
Location:Colorado  Entered:1998-10-23, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: healthy, noncontributory til now;husband has CF;
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Hypokinesia, Injection site oedema, Lymphadenopathy, Myalgia, Pyrexia, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)
Write-up: increasing @ site of pneumococcal vax lt arm muscle soreness, rash, swollen @ inj site;underarm (lymph nodes);can''t raise arm completely;possible fever last evening;

VAERS ID:115383 (history)  Vaccinated:1998-09-10
Age:37.6  Onset:1998-10-23, Days after vaccination: 43
Gender:Female  Submitted:1998-10-23, Days after onset: 0
Location:Washington  Entered:1998-10-27, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unk
Current Illness: non apparent
Preexisting Conditions: no known
Diagnostic Lab Data: rubeola titer negative
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1232E0SCLA
Administered by: Public     Purchased by: Private
Symptoms: Influenza, Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: flu like s/s w/itching;DPH;

VAERS ID:115582 (history)  Vaccinated:1998-10-22
Age:37.0  Onset:1998-10-26, Days after vaccination: 4
Gender:Female  Submitted:1998-10-27, Days after onset: 1
Location:Iowa  Entered:1998-11-02, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: cold sx
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: IA98031
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES0978720  LA
Administered by: Public     Purchased by: Public
Symptoms: Rash maculo-papular
SMQs:, Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: noted several small pimples like scattered on abd, 2-3 pimples on arms;no redness around pimples-no itching;

VAERS ID:115797 (history)  Vaccinated:1993-03-08
Age:37.6  Onset:1997-10-01, Days after vaccination: 1668
Gender:Female  Submitted:1998-10-26, Days after onset: 390
Location:North Carolina  Entered:1998-11-02, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: AKA;
Diagnostic Lab Data:
CDC Split Type: 19980000351
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1058A42IMRA
Administered by: Private     Purchased by: Other
Symptoms: Alopecia
SMQs:
Write-up: pt recv vax 8MAR93 & approx 4 1/2yr p/vax 27OCT97 pt noticed hair loss;

VAERS ID:115873 (history)  Vaccinated:1998-03-23
Age:37.0  Onset:1998-03-24, Days after vaccination: 1
Gender:Female  Submitted:1998-10-26, Days after onset: 216
Location:Massachusetts  Entered:1998-11-02, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamins;
Current Illness:
Preexisting Conditions: bee allergy, cat allergy
Diagnostic Lab Data:
CDC Split Type: 19980087431
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2357A20IMRA
Administered by: Public     Purchased by: Public
Symptoms: Pruritus, Rash, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 23MAR98 & 24MAR98 pt devel itchy diffuse red rash over arms, trunk, & feet;

VAERS ID:115639 (history)  Vaccinated:1998-09-21
Age:37.7  Onset:1998-09-21, Days after vaccination: 0
Gender:Female  Submitted:1998-10-19, Days after onset: 28
Location:Massachusetts  Entered:1998-11-03, Days after submission: 15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: UNK
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES0975790 IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.154180IMLA
Administered by: Other     Purchased by: Other
Symptoms: Headache, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recv vax on 9/21/98; on same day pt exp fever (101.6), chills, body aches, headache

VAERS ID:115733 (history)  Vaccinated:1998-10-15
Age:37.9  Onset:1998-10-15, Days after vaccination: 0
Gender:Male  Submitted:1998-10-26, Days after onset: 11
Location:Indiana  Entered:1998-11-04, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: percocet
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES0972870 IMRA
Administered by: Other     Purchased by: Private
Symptoms: Laryngospasm, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Dystonia (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt exp hives w/itching p/vax approx 1hr 15min;hives-face-neck, arms, abd, throat a little tight;DPH given;

VAERS ID:115921 (history)  Vaccinated:1998-10-29
Age:37.5  Onset:1998-10-31, Days after vaccination: 2
Gender:Female  Submitted:1998-11-06, Days after onset: 6
Location:North Carolina  Entered:1998-11-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: NC98070
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0433H0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Back pain, Myalgia, Neck pain, Pyrexia, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 6NOV98 pt called to report 2 days p/vax began having external weakness, chills, low grade temp, n/v, achiness, neck pain & upper back pain;1wk p/vax pt no better;advised to take APAP & call pvt MD;

VAERS ID:116307 (history)  Vaccinated:1998-10-14
Age:37.1  Onset:1998-10-14, Days after vaccination: 0
Gender:Female  Submitted:1998-10-15, Days after onset: 1
Location:Vermont  Entered:1998-11-09, Days after submission: 25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: UNK
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: FLU88131098
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUOGEN)PARKDALE PHARMACEUTICALS02298P1IM 
Administered by: Private     Purchased by: Private
Symptoms: Dysphonia, Laryngospasm, Rash maculo-papular
SMQs:, Anaphylactic reaction (broad), Dystonia (broad), Parkinson-like events (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recv vax on 10/14/98; post vax pt exp tight throat, hoarse, red blotches on neck & chest

VAERS ID:116361 (history)  Vaccinated:1998-09-21
Age:37.2  Onset:0000-00-00
Gender:Female  Submitted:1998-11-06
Location:New York  Entered:1998-11-13, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp reaction prior as a young child;
Other Medications: PPD by Connaught lot# 249011 given 26AUG98;
Current Illness:
Preexisting Conditions: hx of reactive airway disease
Diagnostic Lab Data: NON
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2606A40IMRA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1172H0SCRA
Administered by: Private     Purchased by: Private
Symptoms: Unevaluable event
SMQs:
Write-up: pt recv vax 21SEP98 & given med;

VAERS ID:116414 (history)  Vaccinated:1998-10-27
Age:37.5  Onset:1998-10-28, Days after vaccination: 1
Gender:Female  Submitted:1998-10-29, Days after onset: 1
Location:Ohio  Entered:1998-11-16, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: UNK
Other Medications: Advil, Synthroid
Current Illness: NONE
Preexisting Conditions: Surgical removal of thyroid
Diagnostic Lab Data: NONE
CDC Split Type: OH98086
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES0978670  RL
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Headache, Malaise, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recv vax on 10/27/98; on 10/28/98 pt exp headache, joint pain, malaise, fever (100.1), nausea &vomiting

VAERS ID:116423 (history)  Vaccinated:1998-10-23
Age:37.4  Onset:1998-10-27, Days after vaccination: 4
Gender:Female  Submitted:1998-10-30, Days after onset: 3
Location:Louisiana  Entered:1998-11-16, Days after submission: 17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: UNK
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: UNK
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES09845400IM 
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Chills, Dizziness
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad)
Write-up: Pt recv vax on 10/23/98; on 10/27/98 pt exp weakness, lightheaded & chills

VAERS ID:116497 (history)  Vaccinated:1994-07-19
Age:37.0  Onset:1994-07-21, Days after vaccination: 2
Gender:Male  Submitted:1998-11-11, Days after onset: 1574
Location:California  Entered:1998-11-18, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? Yes
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)SMITHKLINE BEECHAM1329B22  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Gastrointestinal disorder, Influenza, Neuropathy
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad)
Write-up: pt recv vax & exp flu sx, peripheral neuropathy, celiac disease;

VAERS ID:116654 (history)  Vaccinated:1998-10-21
Age:37.9  Onset:1998-10-21, Days after vaccination: 0
Gender:Female  Submitted:1998-11-11, Days after onset: 21
Location:New Mexico  Entered:1998-11-23, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ibuprofen
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: skin testing done 12NOV98 induced a rxn to thimerosal as the suspected reagent as pt showed an adverse response to thimerosal preserved tetanus toxoid fluid (could not find any other thimerosal for skin testing)
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH1965010110  LA
Administered by: Private     Purchased by: Private
Symptoms: Anaphylactoid reaction, Asthma, Dysphonia, Hypersensitivity, Hypotension, Pruritus
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Asthma/bronchospasm (narrow), Neuroleptic malignant syndrome (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Parkinson-like events (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: anaphylaxis w/gen pruritus, hoarseness, wheezing & possible hypotension 20-30min p/vax;tx w/inhaled racemic epi & DPH & kept on oral allegra bid for 3 days;

VAERS ID:116664 (history)  Vaccinated:1998-11-05
Age:37.4  Onset:0000-00-00
Gender:Male  Submitted:1998-11-13
Location:Michigan  Entered:1998-11-23, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Ventolin, Biaxin, Claritin, Zantac, Serevent, Beclovent, Vancenase
Current Illness: Cellulitis of right hand 2FB
Preexisting Conditions: Allergic to Penicillin & Cefzil
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES09721101IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0871H0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Lymphadenopathy
SMQs:, Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recv vax on 11/5/98; post vax pt exp erythema (circular) of LA & left axial lymphadenopathy

VAERS ID:116758 (history)  Vaccinated:1998-11-09
Age:37.6  Onset:1998-11-09, Days after vaccination: 0
Gender:Male  Submitted:1998-11-10, Days after onset: 1
Location:Alabama  Entered:1998-11-24, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: UNK
Other Medications: UNK
Current Illness: NONE
Preexisting Conditions: Allergic to Penicillin
Diagnostic Lab Data: CBC, urinalysis, CK-normal
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)PFIZER/WYETH49780305 RA
Administered by: Military     Purchased by: Military
Symptoms: Vasodilatation, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Pt recv vax on 11/9/98; 5 hr later pt exp flushing, nausea & vomiting

VAERS ID:116808 (history)  Vaccinated:1998-11-04
Age:37.8  Onset:1998-11-04, Days after vaccination: 0
Gender:Female  Submitted:1998-11-13, Days after onset: 9
Location:Wisconsin  Entered:1998-11-25, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: possible fibromyalgia-have sx but not technically dx
Diagnostic Lab Data: NONE
CDC Split Type: FLU90121198
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUOGEN)PARKDALE PHARMACEUTICALS00508P0IMLA
Administered by: Other     Purchased by: Other
Symptoms: Cough, Lacrimal disorder, Malaise, Pruritus, Rhinitis
SMQs:, Anaphylactic reaction (narrow), Lacrimal disorders (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax by noon, first itchy, watery eyes, congestion & cough;felt miserable in afternoon;

VAERS ID:116855 (history)  Vaccinated:1998-03-26
Age:37.0  Onset:1998-04-07, Days after vaccination: 12
Gender:Female  Submitted:1998-11-23, Days after onset: 230
Location:South Carolina  Entered:1998-11-25, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: No relevant data;
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Diagnostic Lab Data:
CDC Split Type: WAES98040976
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 26MAR98 & 7APR98 pt devel a total body rash, approx 2 days later pt exp bilat joint pain primarily in the wrist & ankles;

VAERS ID:117051 (history)  Vaccinated:1997-12-27
Age:37.5  Onset:1997-12-29, Days after vaccination: 2
Gender:Male  Submitted:1998-08-04, Days after onset: 217
Location:Illinois  Entered:1998-12-03, Days after submission: 121
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: UNK
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: IL98087
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)UNKNOWN MANUFACTURERE200986A   
Administered by: Public     Purchased by: Public
Symptoms: Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Pt recv vax on 12/27/97; on 12/29/98 pt exp leg edema; tx=Diphenyldronise

VAERS ID:117069 (history)  Vaccinated:1998-11-10
Age:37.0  Onset:1998-11-18, Days after vaccination: 8
Gender:Female  Submitted:1998-11-20, Days after onset: 2
Location:Ohio  Entered:1998-12-04, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: environmental allergies
Diagnostic Lab Data:
CDC Split Type: OH98102
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES09705201IMLA
Administered by: Public     Purchased by: Private
Symptoms: Hypertonia, Hypokinesia, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: 18NOV98 pt woke w/stiffness in lt arm husband stated that 4AM pt could not raise arm past shoulder level, but w/extended use, it loosened up but could not raise elbow from relaxed state to raise to 90 degree;exp numbness;inc pain w/mobility

VAERS ID:117122 (history)  Vaccinated:1998-04-20
Age:37.9  Onset:1998-04-22, Days after vaccination: 2
Gender:Male  Submitted:1998-05-01, Days after onset: 9
Location:Washington  Entered:1998-12-07, Days after submission: 220
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 (VAQTA)MERCK & CO. INC.0755E0IMRA
Administered by: Military     Purchased by: Military
Symptoms: Hyperhidrosis, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: fever, chills, myalgias, noc sweats for 4-5 days;

VAERS ID:117346 (history)  Vaccinated:1998-10-18
Age:37.4  Onset:1998-10-19, Days after vaccination: 1
Gender:Female  Submitted:1998-11-20, Days after onset: 32
Location:Montana  Entered:1998-12-14, Days after submission: 24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: thyroid
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: MT98028
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUOGEN)PARKDALE PHARMACEUTICALS02298P IMA
Administered by: Private     Purchased by: Private
Symptoms: Cellulitis, Injection site hypersensitivity, Injection site mass, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: warm, reddened, hardened area-cellulitis appearance;softball size still sore on 20NOV98;

VAERS ID:117454 (history)  Vaccinated:1998-11-10
Age:37.4  Onset:1998-11-11, Days after vaccination: 1
Gender:Female  Submitted:1998-12-11, Days after onset: 30
Location:Florida  Entered:1998-12-16, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: UNK
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES0984530  LA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Osteoarthritis, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Arthritis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recv vax on 11/10/98; on 11/11/98 pt exp rash all over & swollen joints

VAERS ID:117511 (history)  Vaccinated:1998-12-15
Age:37.0  Onset:1998-12-18, Days after vaccination: 3
Gender:Female  Submitted:1998-12-18, Days after onset: 0
Location:Mississippi  Entered:1998-12-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: UNK
Other Medications: Buopar
Current Illness: NONE
Preexisting Conditions: Allergic to smoke, caffeine, chocolate, milk, pork
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER   LA
Administered by: Other     Purchased by: Other
Symptoms: Mouth ulceration, Paraesthesia
SMQs:, Severe cutaneous adverse reactions (broad), Peripheral neuropathy (broad), Systemic lupus erythematosus (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recv vax on 12/15/98; on 12/18/98 pt exp numb LA &neck, fever blister on lip

VAERS ID:117572 (history)  Vaccinated:1998-11-13
Age:37.1  Onset:1998-11-30, Days after vaccination: 17
Gender:Male  Submitted:1998-12-03, Days after onset: 3
Location:California  Entered:1998-12-21, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Propuleid PRN
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: CA980132
Vaccination
Manufacturer
Lot
Dose
Route
Site
IPV: POLIO VIRUS, INACT. (POLIOVAX)CONNAUGHT LTD.M12940SC 
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0833H0SC 
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES4528410IM 
YF: YELLOW FEVER (YF-VAX)CONNAUGHT LABORATORIES0971900SC 
Administered by: Public     Purchased by: Public
Symptoms: Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt devel rash on 30NOV98 w/welts on chest;this rash & welts progressed to thighs, legs & today 1DEC98 to face;

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