MedAlerts Home
  Read the MedAlerts Blog Subscribe to the MedAlerts Blog 

Found 511680 cases in entire database

Case Details (Sorted by Age)

This is page 3993 out of 5117

Result pages: prev   3894 3895 3896 3897 3898 3899 3900 3901 3902 3903 3904 3905 3906 3907 3908 3909 3910 3911 3912 3913 3914 3915 3916 3917 3918 3919 3920 3921 3922 3923 3924 3925 3926 3927 3928 3929 3930 3931 3932 3933 3934 3935 3936 3937 3938 3939 3940 3941 3942 3943 3944 3945 3946 3947 3948 3949 3950 3951 3952 3953 3954 3955 3956 3957 3958 3959 3960 3961 3962 3963 3964 3965 3966 3967 3968 3969 3970 3971 3972 3973 3974 3975 3976 3977 3978 3979 3980 3981 3982 3983 3984 3985 3986 3987 3988 3989 3990 3991 3992 3993 3994 3995 3996 3997 3998 3999 4000 4001 4002 4003 4004 4005 4006 4007 4008 4009 4010 4011 4012 4013 4014 4015 4016 4017 4018 4019 4020 4021 4022 4023 4024 4025 4026 4027 4028 4029 4030 4031 4032 4033 4034 4035 4036 4037 4038 4039 4040 4041 4042 4043 4044 4045 4046 4047 4048 4049 4050 4051 4052 4053 4054 4055 4056 4057 4058 4059 4060 4061 4062 4063 4064 4065 4066 4067 4068 4069 4070 4071 4072 4073 4074 4075 4076 4077 4078 4079 4080 4081 4082 4083 4084 4085 4086 4087 4088 4089 4090 4091 4092   next


VAERS ID:105553 (history)  Vaccinated:1997-10-15
Age:45.9  Onset:1997-10-16, Days after vaccination: 1
Gender:Female  Submitted:1997-11-14, Days after onset: 29
Location:Ohio  Entered:1997-12-09, Days after submission: 25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Premarin
Current Illness: NONE
Preexisting Conditions: a yr ago suffered from severe sunburn of both arms that has left arms weak;
Diagnostic Lab Data: NONE
CDC Split Type: OH97092
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES7F81788  LA
Administered by: Public     Purchased by: Other
Symptoms: Dizziness, Headache, Infection, Influenza, Injection site hypersensitivity, Malaise, Meningitis, Vasodilatation
SMQs:, Anticholinergic syndrome (broad), Noninfectious meningitis (narrow), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: the day p/vax devel h/a, red face, dizzy, 4" welt @ inj site;about a wk later became ill & went to MD & was told had the old fashion flu;was checked for bacterial meningitis negative;

VAERS ID:105629 (history)  Vaccinated:1997-10-23
Age:45.0  Onset:0000-00-00
Gender:Female  Submitted:1997-11-25
Location:Texas  Entered:1997-12-12, Days after submission: 17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES7F81885  LA
Administered by: Other     Purchased by: Private
Symptoms: Hypokinesia, Insomnia, Pain
SMQs:, Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: c/o pain lt arm & shoulder upon receiving flu vax;limited movement in arm & cannot sleep on arm;has seen chiropractor, MD & now having physical therapy;

VAERS ID:105734 (history)  Vaccinated:1997-11-17
Age:45.0  Onset:1997-11-18, Days after vaccination: 1
Gender:Female  Submitted:1997-12-02, Days after onset: 14
Location:Washington  Entered:1997-12-16, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH49782024 RA
Administered by: Public     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: 6cm round, hot, red, raised, painful inj site x 6 days;onset 12hr p/vax;

VAERS ID:105736 (history)  Vaccinated:1997-10-30
Age:45.6  Onset:1997-10-30, Days after vaccination: 0
Gender:Male  Submitted:1997-10-30, Days after onset: 0
Location:Rhode Island  Entered:1997-12-16, Days after submission: 47
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: healthy
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES7F81899  LA
Administered by: Public     Purchased by: Private
Symptoms: Asthenia, Bradycardia, Dizziness, Hyperhidrosis, Hypotension, Pallor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: approx 10min p/vax pt became dizzy, weak, very pale, clammy, BP 80/40, P40, R20;pt was alert w/no resp distress;called 911;EMT arrived;did full assessment;pt recovered;

VAERS ID:105813 (history)  Vaccinated:1997-11-19
Age:45.0  Onset:1997-11-19, Days after vaccination: 0
Gender:Female  Submitted:1997-12-11, Days after onset: 22
Location:Vermont  Entered:1997-12-22, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: unk
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: VT97009
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES7E91672 IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Hypokinesia, Injection site pain, Pain
SMQs:, Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: pt c/o pain @ vax site & down lt arm immed;12 days later stated pain cont & had been noting some limits in some ROM in lt arm;pt saw MD p/that time frame;

VAERS ID:105835 (history)  Vaccinated:1997-11-05
Age:45.0  Onset:1997-11-05, Days after vaccination: 0
Gender:Female  Submitted:1997-12-01, Days after onset: 26
Location:Unknown  Entered:1997-12-22, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Cellulitis, Injection site reaction, Pain
SMQs:
Write-up: devel severe local rxn below inj site (poss cellulitis) given ibuprofen for discomfort;

VAERS ID:105836 (history)  Vaccinated:1997-11-05
Age:45.0  Onset:1997-11-05, Days after vaccination: 0
Gender:Male  Submitted:1997-12-01, Days after onset: 26
Location:Unknown  Entered:1997-12-22, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Lymphadenopathy, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: extensive axillary lymph enlargement in arms where inj was given;given ibuprofen for discomfort;

VAERS ID:106162 (history)  Vaccinated:1997-09-10
Age:45.0  Onset:1997-09-11, Days after vaccination: 1
Gender:Female  Submitted:1998-01-02, Days after onset: 113
Location:Utah  Entered:1998-01-08, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: unk
Diagnostic Lab Data: NOV97 laboratory test pneumovax bottle negative;
CDC Split Type: WAES97090997
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0845D   
Administered by: Private     Purchased by: Private
Symptoms: Asthma, Cellulitis, Chills, Condition aggravated, Injection site hypersensitivity, Injection site oedema, Pyrexia, Rash
SMQs:, Anaphylactic reaction (narrow), Asthma/bronchospasm (narrow), 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)
Write-up: pt recv vax 10SEP97 & 11SEP97 pt devel cellulitis;pt exp marked erythema extending from the inj site, a distance of approx 10cm in both proximal directions;devel swelling @ inj site, chills, & fever of 102;pt hosp x 2d;treated for celluliti

VAERS ID:106165 (history)  Vaccinated:1997-11-05
Age:45.1  Onset:1997-11-25, Days after vaccination: 20
Gender:Female  Submitted:1997-12-31, Days after onset: 36
Location:New York  Entered:1998-01-08, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: blood work done by MD
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (NO BRAND NAME)UNKNOWN MANUFACTURER49781440 LA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES7E916570 RA
Administered by: Public     Purchased by: Private
Symptoms: Back pain, Neck pain, Nuchal rigidity, Oedema peripheral, Pain, Paraesthesia
SMQs:, Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)
Write-up: stiff neck-severe arm, shoulder, neck pain swelling in rt arm-severe pain between shoulder blades;pain behind knees, pain across the top of foot;numbness in rt hand & rt arm for 3wk;numbness & pain;

VAERS ID:106328 (history)  Vaccinated:1997-12-03
Age:45.3  Onset:1997-12-03, Days after vaccination: 0
Gender:Female  Submitted:1997-12-12, Days after onset: 9
Location:Idaho  Entered:1998-01-12, Days after submission: 31
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: NONE
CDC Split Type: ID97058
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH49782085 LA
Administered by: Other     Purchased by: Private
Symptoms: Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: persistent paresthesias lt shoulder & forearm x 7-9 days;rx NSAID, soma;

VAERS ID:107522 (history)  Vaccinated:1996-10-21
Age:45.0  Onset:1996-10-22, Days after vaccination: 1
Gender:Male  Submitted:1997-11-28, Days after onset: 402
Location:Pennsylvania  Entered:1998-01-15, Days after submission: 48
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: CO6890
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES6F71236   
Administered by: Other     Purchased by: Private
Symptoms: Chills, Malaise, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad)
Write-up: pt devel chills, fever 102, body aches, just a gen rotten feeling;s/s now beginning to subside, but still feels pretty poor;

VAERS ID:107524 (history)  Vaccinated:1996-10-25
Age:45.0  Onset:1996-10-26, Days after vaccination: 1
Gender:Male  Submitted:1997-11-28, Days after onset: 398
Location:Pennsylvania  Entered:1998-01-15, Days after submission: 48
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergic to bee stings;
Diagnostic Lab Data: UA revealed an inc speciifc gravity other indices were WNL;
CDC Split Type: CO6926
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES6F71236 IMA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chills, Cough, Headache, Malaise, Pyrexia, Urine analysis abnormal
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: pt presented w/ fever 101.5, h/a, chills, dry cough, gen malaise for past 3 days;also had concentrated dark yellow urine (sent out for UA) had taken OTC cold/flu med;

VAERS ID:107534 (history)  Vaccinated:1996-10-30
Age:45.0  Onset:1996-10-30, Days after vaccination: 0
Gender:Female  Submitted:1997-11-28, Days after onset: 394
Location:South Carolina  Entered:1998-01-15, Days after submission: 48
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: CO6940
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES6F71289   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Cough, Pharyngitis, Rash, Vomiting
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Agranulocytosis (broad), Oropharyngeal infections (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow)
Write-up: pt devel nausea, vomiting, sore throat, dry cough & a dime size site erythema, during the day post vax;

VAERS ID:107567 (history)  Vaccinated:1996-11-09
Age:45.6  Onset:1996-11-23, Days after vaccination: 14
Gender:Female  Submitted:1997-11-28, Days after onset: 370
Location:Ohio  Entered:1998-01-15, Days after submission: 48
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: CO7024
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES6F71227   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Diarrhoea, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: pt recv vax 9NOV96 & 14 days later reported nausea, vomiting & diarrhea which left pt incapacitated;

VAERS ID:107577 (history)  Vaccinated:1996-10-23
Age:45.0  Onset:1996-10-23, Days after vaccination: 0
Gender:Female  Submitted:1997-11-28, Days after onset: 401
Location:Unknown  Entered:1998-01-15, Days after submission: 48
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: CO7078
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES6F71246   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Face oedema, Hypersensitivity, Laryngospasm, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Dystonia (broad), Hypersensitivity (narrow)
Write-up: pt recv vax 23OCT96 & approx15min p/vax began to devel sx & was seen in ER;4hr p/vax face, tongue, lips & throat were swollen;30JAN97 has outbreaks of hives w/swelling of throat unless on med;recurrent allerg sx

VAERS ID:107588 (history)  Vaccinated:1996-09-26
Age:45.2  Onset:1996-09-27, Days after vaccination: 1
Gender:Female  Submitted:1997-12-30, Days after onset: 459
Location:Michigan  Entered:1998-01-15, Days after submission: 16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid
Current Illness:
Preexisting Conditions: hx of hyperthyroidism, following ablation tx w/secondary hypothyroidism;no sx of any acute or chronic condiitons otherwise;
Diagnostic Lab Data:
CDC Split Type: CO6831
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES6F712850 RA
Administered by: Private     Purchased by: Private
Symptoms: Conjunctivitis, Immune system disorder, Scleritis
SMQs:, Severe cutaneous adverse reactions (broad), Conjunctival disorders (narrow), Scleral disorders (narrow), Ocular infections (broad), Hypersensitivity (broad)
Write-up: pt exp bilat conjunctivitis & scleritis p/vax;An ophthalmologist believes this to be r/t immune phenomena;eye cult yielded no growth;

VAERS ID:106728 (history)  Vaccinated:1997-12-23
Age:45.4  Onset:1998-01-02, Days after vaccination: 10
Gender:Male  Submitted:1998-01-09, Days after onset: 7
Location:Michigan  Entered:1998-01-21, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Calan SR
Current Illness: NONE
Preexisting Conditions: PCN allergy;hx HTN
Diagnostic Lab Data: CPK pending
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES49780730 LA
Administered by: Private     Purchased by: Private
Symptoms: Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad)
Write-up: bilat intense upper extensor muscle aches & gen myalgias;tx w/ANSAIDS;

VAERS ID:106744 (history)  Vaccinated:1998-01-14
Age:45.5  Onset:1998-01-15, Days after vaccination: 1
Gender:Female  Submitted:1998-01-16, Days after onset: 1
Location:Michigan  Entered:1998-01-23, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: injury
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4978061 IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: local rxn redness & swelling;no hive, no SOB;

VAERS ID:106976 (history)  Vaccinated:1997-11-10
Age:45.9  Onset:1997-12-01, Days after vaccination: 21
Gender:Female  Submitted:1998-01-06, Days after onset: 36
Location:Nevada  Entered:1998-01-26, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: NV98001
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES7F81903  RA
Administered by: Other     Purchased by: Private
Symptoms: Pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: exp pain in rt shoulder still a mon /p inject - numbness in thumb, fingers rt hand. seen by OH and MD at clinic - put on ATB & anti-inflamtory, no change in sx

VAERS ID:107651 (history)  Vaccinated:1993-08-01
Age:45.9  Onset:1997-04-25, Days after vaccination: 1363
Gender:Male  Submitted:1997-10-22, Days after onset: 180
Location:New York  Entered:1998-02-13, Days after submission: 114
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: MD reports permanent Bells Palsey condition/problems;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER 2  
Administered by: Other     Purchased by: Public
Symptoms: Facial palsy, Neuropathy
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad)
Write-up: Bells Palsy;

VAERS ID:107743 (history)  Vaccinated:1998-02-10
Age:45.2  Onset:1998-02-10, Days after vaccination: 0
Gender:Male  Submitted:1998-02-12, Days after onset: 2
Location:Massachusetts  Entered:1998-02-18, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: 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 BEECHAM2198B62IMLA
Administered by: Public     Purchased by: Public
Symptoms: Abdominal pain, Headache, Injection site hypersensitivity, Injection site oedema, Injection site pain, Malaise, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: fever (up to 102), malaise, h/a & abd cramps, pain & swelling & redness of the inj site;lasted 16hr;

VAERS ID:107785 (history)  Vaccinated:1998-02-10
Age:45.1  Onset:1998-02-12, Days after vaccination: 2
Gender:Female  Submitted:1998-02-13, Days after onset: 1
Location:Unknown  Entered:1998-02-20, 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:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES448455 IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt recv vax & inj site became red, swollen, tender;pt devel fever of 100.2;

VAERS ID:108504 (history)  Vaccinated:1997-09-10
Age:45.0  Onset:1997-09-13, Days after vaccination: 3
Gender:Female  Submitted:0000-00-00
Location:Unknown  Entered:1998-03-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: No relevant data;
Other Medications: unk
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: WAES97092110
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0454E IM 
Administered by: Other     Purchased by: Other
Symptoms: Lymphadenopathy
SMQs:
Write-up: pt recv vax 10SEP97 & 13AMY97 pt exp lymphadenopathy;

VAERS ID:108565 (history)  Vaccinated:1997-09-09
Age:45.0  Onset:1997-09-09, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Unknown  Entered:1998-03-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: No relevant data
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Diagnostic Lab Data:
CDC Split Type: WAES97100864
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0384E   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Ecchymosis, Myalgia, Pyrexia, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad)
Write-up: pt recv vax 9SEP97 & w/in min of vax pt devel soreness & redness, w/in 10min of vax;pt devel a fever of 102 & w/in 24hr pt devel bruising;

VAERS ID:109822 (history)  Vaccinated:1995-07-15
Age:45.4  Onset:1995-10-15, Days after vaccination: 92
Gender:Male  Submitted:0000-00-00
Location:Unknown  Entered:1998-03-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: No relevant data
Other Medications: unk
Current Illness:
Preexisting Conditions: HTN
Diagnostic Lab Data: lyme titer positive
CDC Split Type: WAES97061831
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Arthritis, Infection, Myalgia, Pain, Tendon disorder
SMQs:, Rhabdomyolysis/myopathy (broad), Systemic lupus erythematosus (broad), Eosinophilic pneumonia (broad), Arthritis (narrow)
Write-up: pt recv vax 15JUL95 & 15OCT95 pt exp burning sensation over rt knee progressing to bilat knee, elbow, hip paint @ ligaments & tendons, myalgia & periarthritis;lab eval revealed lyme titer positive & western blot negative;

VAERS ID:108736 (history)  Vaccinated:1997-12-03
Age:45.7  Onset:1997-12-04, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Arizona  Entered:1998-03-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES7F916790IMLA
Administered by: Public     Purchased by: Private
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: pain in lt upper arm ( @ inj site) cont 3mo post vax, limiting ROM;

VAERS ID:108840 (history)  Vaccinated:1997-12-10
Age:45.0  Onset:1997-12-13, Days after vaccination: 3
Gender:Female  Submitted:0000-00-00
Location:Washington  Entered:1998-03-23
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: pt denies any 20yr noted pain in knees
Diagnostic Lab Data:
CDC Split Type: WA981422
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAM550A60IMLA
MEN: MENINGOCOCCAL (MENOMUNE)CONNAUGHT LABORATORIES7E916800SCRA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)CONNAUGHT LABORATORIESM08990IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Myasthenic syndrome, Nuchal rigidity, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Malignancy related conditions (narrow), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad)
Write-up: pt recv vax & 2 days p/vax c/o stiff neck which resolved in 2 days & later noted a tremor in both arms & hands;pt denied any visual changes, no rash or resp problems;pt stated legs became tired;

VAERS ID:108845 (history)  Vaccinated:1998-02-11
Age:45.0  Onset:0000-00-00
Gender:Female  Submitted:1998-02-17
Location:Washington  Entered:1998-03-23, Days after submission: 34
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: WA981430
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2356A20 RA
Administered by: Other     Purchased by: Unknown
Symptoms: Unevaluable event
SMQs:
Write-up: pt recv vax teen dose should have recv a stronger dosage;

VAERS ID:108801 (history)  Vaccinated:1997-06-02
Age:45.8  Onset:1997-06-27, Days after vaccination: 25
Gender:Female  Submitted:1998-03-16, Days after onset: 262
Location:Washington  Entered:1998-03-24, Days after submission: 8
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 11 days
    Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications: Premarin, Zoloft
Current Illness: NONE
Preexisting Conditions: hormone replacement therapy;depression
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES7B915186IMLA
Administered by: Private     Purchased by: Other
Symptoms: Guillain-Barre syndrome
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow)
Write-up: pt devel GBS initially sx about 3wk p/vax;severe sx by 9-10wk p/vax required hosp & IV immune globulin & immuno suppressants;pt still under tx;

VAERS ID:109180 (history)  Vaccinated:1997-10-17
Age:45.0  Onset:1997-10-19, Days after vaccination: 2
Gender:Female  Submitted:1997-10-23, Days after onset: 4
Location:New Jersey  Entered:1998-03-26, Days after submission: 154
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ibuprofen
Current Illness: NONE
Preexisting Conditions: recent unspecified surgery
Diagnostic Lab Data:
CDC Split Type: 897310018L
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH  IMA
Administered by: Private     Purchased by: Private
Symptoms: Dyspnoea, Pruritus
SMQs:, Anaphylactic reaction (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (broad)
Write-up: 2 days p/vax pt exp gen itching;no rash was present;pt also exp resp sx similar to seasonal allergy sx;

VAERS ID:109197 (history)  Vaccinated:1997-10-24
Age:45.1  Onset:1997-10-24, Days after vaccination: 0
Gender:Male  Submitted:1997-10-29, Days after onset: 5
Location:New York  Entered:1998-03-26, Days after submission: 148
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt has recv previous flu vax w/o adverse exp;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: PCN allergy
Diagnostic Lab Data:
CDC Split Type: 897311029L
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH497818420IMLA
Administered by: Public     Purchased by: Other
Symptoms: Hypersensitivity, Injection site pain, Myositis, Neuralgia, Pruritus, Rash, Urticaria
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: w/in 1.5hr of vax pt devel an allergic rxn characterized by pain & itching @ the inj site;rash on lt chest, shoulder blade & axilla;and hives, itching & pain of the lt chest;seen by dermatologist 3 days post vax & tx w/DPH, cortisone shot

VAERS ID:109353 (history)  Vaccinated:1997-10-19
Age:45.1  Onset:1997-10-20, Days after vaccination: 1
Gender:Female  Submitted:1997-11-12, Days after onset: 23
Location:Arkansas  Entered:1998-03-26, Days after submission: 134
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:
Diagnostic Lab Data:
CDC Split Type: 898016016L
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH4978216 IM 
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Asthma, Dyspnoea, Myalgia, Serum sickness
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: 1 day p/vax pt exp myalgia;As of 11NOV the myalgia cont & pt was unable to work;this is 1 of 5 pt from this facility to have an adverse exp p/vax w/lot# 4978216;

VAERS ID:109021 (history)  Vaccinated:1997-10-28
Age:45.0  Onset:0000-00-00
Gender:Female  Submitted:1998-03-23
Location:California  Entered:1998-04-01, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: pt tested positive for parvo (virus);AST/SGOT 10;LDH 105;cholesterol 205;LDL chol direct 130;total chol/HDL 5.8;RBC 3.88;MCV 102.2;MCV 102.2;MCH35.3
CDC Split Type: U1998000410
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES7F817410  
Administered by: Other     Purchased by: Private
Symptoms: Accommodation disorder, Anaemia, Arthralgia, Arthropathy, Asthenia, Gastrointestinal disorder, Hypercholesterolaemia, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Dyslipidaemia (narrow), Haematopoietic erythropenia (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Lipodystrophy (broad), Ocular motility disorders (broad), Arthritis (broad)
Write-up: GI sx;w/in a few days c/o neuro signs & sx described as pain, fatigue, sleeplessness, weakness, GI sx;no complaint of erythema or rash;fibromyalgia;exp arthralgia;c/o wide spread joint discomfort;stiffness;misjudging step;

VAERS ID:109541 (history)  Vaccinated:1998-01-30
Age:45.8  Onset:1998-01-30, Days after vaccination: 0
Gender:Female  Submitted:1998-02-10, Days after onset: 11
Location:Virginia  Entered:1998-04-06, Days after submission: 54
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: VA98009
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX ID)PASTEUR MERIEUX INST.M03282  
Administered by: Public     Purchased by: Private
Symptoms: Face oedema, Injection site hypersensitivity, Injection site oedema, Injection site pain, Lymphadenopathy, Pain, Pharyngitis, Rhinitis
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Angioedema (narrow), Oropharyngeal infections (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt recv vax 30JAN98 & w/in hr arm became very red, swollen & painful;the center of area was raised & appeared blistered;axillary lymph nodule enlarged & painful;eyes became swollen & cold like sx began;pt feverish but did not take temp

VAERS ID:110493 (history)  Vaccinated:1998-04-16
Age:45.4  Onset:1998-04-17, Days after vaccination: 1
Gender:Female  Submitted:1998-04-20, Days after onset: 3
Location:Massachusetts  Entered:1998-04-28, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: PCN allergy
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Private     Purchased by: Unknown
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: local pain, swelling & redness @ site x 2 days;

VAERS ID:110621 (history)  Vaccinated:1998-04-22
Age:45.1  Onset:1998-04-24, Days after vaccination: 2
Gender:Female  Submitted:1998-04-29, Days after onset: 5
Location:New York  Entered:1998-05-05, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: B-12 inject;Ibuporfen;
Current Illness: NONE
Preexisting Conditions: states allergy to dye;
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4978017 IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Abscess, 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: 24APR98 c/o redness, soreness & swelling @ the site of inj instructed to ice area & take OTC ibuprofen PRN;28APR98 cont to c/o redness, swelling, soreness & now blistering @ site states did ice area on 25APR98 & 26APR98;pus from blister

VAERS ID:110982 (history)  Vaccinated:1997-10-16
Age:45.3  Onset:1997-11-01, Days after vaccination: 16
Gender:Female  Submitted:1998-04-10, Days after onset: 159
Location:Texas  Entered:1998-05-20, Days after submission: 40
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Premarin & calcium
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: IgG synthesis index on spinal fluid;MIR, spinal tap,
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH4978140  RA
Administered by: Public     Purchased by: Private
Symptoms: CSF test abnormal, Depressed level of consciousness, Immune system disorder, Immunoglobulins increased, Myelitis, Neck pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (broad), Arthritis (broad)
Write-up: NOV97 numbness plantar rt big toe;JAN98 to ball of same foot lt side numbness lt index finger & thumb started;25FEB numbness both legs w/tingling;dx disturbance of sensation & cervical pain;hosp dx post vax autoimmune transverse myelitis;

VAERS ID:110994 (history)  Vaccinated:1998-04-27
Age:45.8  Onset:1998-04-30, Days after vaccination: 3
Gender:Male  Submitted:1998-05-12, Days after onset: 12
Location:Missouri  Entered:1998-05-20, 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: NONE
Current Illness: NONE
Preexisting Conditions: hyperlipidemia, hypertension, obesity
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES09081800IMLA
Administered by: Private     Purchased by: Private
Symptoms: Lymphadenopathy, Oedema
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)
Write-up: swelling in neck & supraclavicular fossae on same side as inj;

VAERS ID:110999 (history)  Vaccinated:1998-04-12
Age:45.5  Onset:1998-04-12, Days after vaccination: 0
Gender:Female  Submitted:1998-04-13, Days after onset: 1
Location:Pennsylvania  Entered:1998-05-20, Days after submission: 37
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:
CDC Split Type: PA9828
Vaccination
Manufacturer
Lot
Dose
Route
Site
IPV: POLIO VIRUS, INACT. (POLIOVAX)CONNAUGHT LTD.M11893 LA
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD148921B2PO 
Administered by: Public     Purchased by: Public
Symptoms: Diarrhoea, Vomiting
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: 12hr p/vax pt devel nausea, vomiting x 1 & diarrhea;sx lasted about 12hr;

VAERS ID:109503 (history)  Vaccinated:1997-04-22
Age:45.9  Onset:1997-04-22, Days after vaccination: 0
Gender:Female  Submitted:1997-05-08, Days after onset: 16
Location:Virginia  Entered:1998-05-22, Days after submission: 379
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 897139025L
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4968236 IMLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema, Pruritus, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt recvd vax & devel inj site rxn of redness,warmth,itching & swelling of area 4 inches diam. Still itching when seen by MD 05/05/97. Tx w/pred. Is 1 of 2 pt this site w/adverse exp p/vax w/different lots of tetanus & diphtheria toxoids.

VAERS ID:111265 (history)  Vaccinated:1997-10-08
Age:45.3  Onset:1997-10-08, Days after vaccination: 0
Gender:Female  Submitted:1997-11-26, Days after onset: 49
Location:New York  Entered:1998-05-27, Days after submission: 181
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Flonase, Decongestants
Current Illness: NONE
Preexisting Conditions: hayfever, sinus arrythmia, allerg to PCN & fluoroquinolones;
Diagnostic Lab Data:
CDC Split Type: 898117015L
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH49781391IMA
Administered by: Other     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site mass, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: approx 5hr p/vax pt devel an inj site rxn characterized by an 80mm by 90mm area of erythema, induration & pruritus;pt applied ice to the area & recovered p/5 days;this is 1 of 9 pt from this facility to devel an inj site rxn p/flu vax;

VAERS ID:111473 (history)  Vaccinated:1997-04-28
Age:45.4  Onset:1997-05-12, Days after vaccination: 14
Gender:Female  Submitted:1998-05-29, Days after onset: 382
Location:Pennsylvania  Entered:1998-06-02, 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: erythromycin allergy;PCN allergy;tetracycline allergy
Diagnostic Lab Data:
CDC Split Type: WAES97051318
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0997D SC 
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia
SMQs:, Arthritis (broad)
Write-up: pt recv vax 28APR97 & 12MAY97 pt exp arthralgia which gradually abated;pt was last eval on 19MAY97 @ which time was treated w/non-steroidal anti-inflammatory med;

VAERS ID:111762 (history)  Vaccinated:1998-03-06
Age:45.1  Onset:0000-00-00
Gender:Female  Submitted:1998-05-29
Location:California  Entered:1998-06-02, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: no relevant data
Other Medications: unknown
Current Illness:
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type: WAES98031590
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0594E SCLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Headache, Influenza, Pruritus, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: Pt recv vax & exp fever,flu-like sx & itchy rash. 18Mar98 pt to ER for itchy rash & fever.

VAERS ID:111770 (history)  Vaccinated:1998-01-30
Age:45.0  Onset:1998-02-13, Days after vaccination: 14
Gender:Female  Submitted:1998-05-29, Days after onset: 104
Location:Unknown  Entered:1998-06-02, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness:
Preexisting Conditions: iritis; prednisone allergy
Diagnostic Lab Data: CBC 02/18/98 - unremarkable; erythrocyte sedimentatio 02/18/98 - unremarkable
CDC Split Type: WAES98032373
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  SC 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Hypertonia, Oedema peripheral, Pain
SMQs:, Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)
Write-up: Pt exp pain right foot & ankle,then stiffness & pain right wrist,pain both hands & swelling right index finger.Then pain both hands & wrist,left foot,left ankle,elbows & knees.Pt to MD & occupational health physician who felt rxn R/T vax.

VAERS ID:111507 (history)  Vaccinated:1998-05-27
Age:45.9  Onset:1998-05-27, Days after vaccination: 0
Gender:Female  Submitted:1998-05-27, Days after onset: 0
Location:Washington  Entered:1998-06-08, 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:
Current Illness: NONE
Preexisting Conditions: no MD dx conditions, but pt states skin on fingers cracked & bled p/being on achromycin
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1222E1IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0991D1SCA
Administered by: Public     Purchased by: Unknown
Symptoms: Anaphylactoid reaction, Bradycardia, Dyspnoea, Hypertension, Hyperventilation, Pruritus
SMQs:, Anaphylactic reaction (narrow), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Hypertension (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: anaphylactoid rxn onset approx 20min p/vax;began w/a pruritus of scalp spread to back & UE''s;diff breathing;returned to clinic BP 156/102, P140, R32;epi & DPH given;02 initiated;

VAERS ID:111801 (history)  Vaccinated:1994-07-15
Age:45.5  Onset:1994-07-15, Days after vaccination: 0
Gender:Female  Submitted:1998-06-10, Days after onset: 1426
Location:Florida  Entered:1998-06-12, Days after submission: 2
Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 9 days
    Extended hospital stay? Yes
Previous Vaccinations: pt exp flu sx (severe) w/hep b dose 1;
Other Medications:
Current Illness: NONE
Preexisting Conditions: coronary heart disease, born w/heart defect
Diagnostic Lab Data: blood tests, liver enzymes elevated;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2  
Administered by: Private     Purchased by: Private
Symptoms: Amenorrhoea, Asthenia, Cholecystitis, Dysgeusia, Gastric dilatation, Hepatocellular damage, Hepatomegaly, Menstrual disorder
SMQs:, Liver related investigations, signs and symptoms (narrow), Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Taste and smell disorders (narrow), Infectious biliary disorders (narrow), Gallbladder related disorders (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific dysfunction (broad), Cardiomyopathy (broad), Fertility disorders (broad)
Write-up: pt recv vax & exp enlarged liver, damaged gall bladder, malfunctioning-swelled so extensively that protrudes;

VAERS ID:111945 (history)  Vaccinated:1998-05-15
Age:45.0  Onset:1998-05-15, Days after vaccination: 0
Gender:Female  Submitted:1998-05-15, Days after onset: 0
Location:Unknown  Entered:1998-06-16, Days after submission: 32
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES7F91679 IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site oedema, Injection site pain, Injection site reaction, Pruritus, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: pt devel severe localized rxn @ site of inj;pain, swelling, pruritus & area hot to touch;Ibuprofen given for pain;

VAERS ID:112967 (history)  Vaccinated:1998-06-25
Age:45.5  Onset:1998-06-26, Days after vaccination: 1
Gender:Female  Submitted:1998-07-27, Days after onset: 31
Location:Washington  Entered:1998-07-31, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES7E91672 IMRA
Administered by: Public     Purchased by: Other
Symptoms: Asthenia, Injection site hypersensitivity, Injection site oedema, Malaise, Pyrexia, Somnolence
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: c/o malaise 1 day p/vax;2 days later had T101.5, drowsiness, fatigue, too wick to get out of bed, extreme local redness, swelling @ site, per pt;to clinic 5 days p/vax entire rt arm red, deltoid area mod swollen;tx ice pack, DPH, APAP;

VAERS ID:113069 (history)  Vaccinated:1997-10-27
Age:45.0  Onset:1997-10-27, Days after vaccination: 0
Gender:Male  Submitted:1998-07-30, Days after onset: 275
Location:New Jersey  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:
Other Medications: Atenolol;Cipro;Glucophage
Current Illness:
Preexisting Conditions: diabetes mellitus;
Diagnostic Lab Data:
CDC Split Type: WAES97101994
Vaccination
Manufacturer
Lot
Dose
Route
Site
HIBV: HIB (NO BRAND NAME)UNKNOWN MANUFACTURER    
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: pt recv vax 27OCT97 & approx 20min p/vax pt exp focal numbness & paresthesia w/no motor deficit noted;

VAERS ID:113104 (history)  Vaccinated:1997-10-27
Age:45.9  Onset:1997-10-28, Days after vaccination: 1
Gender:Male  Submitted:1998-07-30, Days after onset: 274
Location:Oklahoma  Entered:1998-08-03, 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: therapy unspecified thyroid
Current Illness:
Preexisting Conditions: HTN, hypothyroidism;
Diagnostic Lab Data:
CDC Split Type: WAES98010143
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH 0IM 
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0845D0IM 
Administered by: Private     Purchased by: Private
Symptoms: Cellulitis, Injection site hypersensitivity, Injection site mass, Injection site pain, Oedema peripheral, Pyrexia, Vasodilatation
SMQs:, Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt recv vax 27OCT97 & 28OCT97 pt exp cellulitis appearance 14x17cm described as edema in the rt arm extending to rt hand, induration, arm pain & redness & warmth @ the inj site;devel fever;seen in ER;

VAERS ID:113216 (history)  Vaccinated:1998-07-17
Age:45.6  Onset:1998-07-20, Days after vaccination: 3
Gender:Female  Submitted:1998-07-31, Days after onset: 11
Location:Virginia  Entered:1998-08-04, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Melatonin;Begen
Current Illness: NA
Preexisting Conditions: plastic surgery 2 1/2mo before;
Diagnostic Lab Data: blood & urine reported nl to ER;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
YF: YELLOW FEVER (YF-VAX)CONNAUGHT LABORATORIES0925900 SC 
Administered by: Other     Purchased by: Public
Symptoms: Arthralgia, Headache, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: 20JUL98 h/a, knees ached;21JUL98 h/a, aching all over;went to ER early 22JUL;22JUL98 some relief from percodan;23JUL98 improved still some aches;28JUL98 much improved;

VAERS ID:113262 (history)  Vaccinated:1998-06-17
Age:45.3  Onset:1998-07-07, Days after vaccination: 20
Gender:Female  Submitted:1998-08-03, Days after onset: 27
Location:Indiana  Entered:1998-08-06, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: CBC, ANA, sed rate, liver profile;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC. 0IM 
Administered by: Private     Purchased by: Unknown
Symptoms: Arthralgia, Hypokinesia, Osteoarthritis
SMQs:, Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (narrow)
Write-up: swollen knees, effusion in both knees w/pain;needed pain meds & ace wraps;unable to bend either knee for 2wk;nuprin & seen by MD;

VAERS ID:113706 (history)  Vaccinated:1998-08-18
Age:45.5  Onset:1998-08-20, Days after vaccination: 2
Gender:Female  Submitted:1998-08-26, Days after onset: 6
Location:Iowa  Entered:1998-08-28, Days after submission: 2
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;sulfa, codeine allergies;
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES7J91913 IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Injection site mass, Injection site oedema, Injection site pain, Injection site reaction
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: lt arm tender swollen hard base was red;administered 2-3" above elbow not in upper arm;PO antihistamine-prescription per MD localized rxn;now improving not as hard/red;no more tetanus or diphtheria shots per MD;

VAERS ID:114196 (history)  Vaccinated:1996-06-28
Age:45.7  Onset:1996-08-01, Days after vaccination: 34
Gender:Male  Submitted:1998-09-11, Days after onset: 771
Location:Wisconsin  Entered:1998-09-17, 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: NONE
Preexisting Conditions: PCN
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1814A41IMA
Administered by: Other     Purchased by: Other
Symptoms: Alopecia
SMQs:
Write-up: pt recv vax 28JUN96 & 17OCT96 pt removed beard d/t alopecia barbae;15OCT97 pt discovered onset of alopecia areata;10SEP98 alopecia areata covered 90% of scalp;no tx;

VAERS ID:114440 (history)  Vaccinated:1998-08-26
Age:45.8  Onset:0000-00-00
Gender:Female  Submitted:1998-09-04
Location:Oregon  Entered:1998-09-29, Days after submission: 25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: physical exam
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES0934600  RA
Administered by: Unknown     Purchased by: Other
Symptoms: Unevaluable event
SMQs:
Write-up: tx for rxn by MD;

VAERS ID:114502 (history)  Vaccinated:1998-06-17
Age:45.8  Onset:1998-06-17, Days after vaccination: 0
Gender:Female  Submitted:1998-09-22, Days after onset: 97
Location:Minnesota  Entered:1998-10-01, 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: NONE
Current Illness: 6/17/98-Laceration to left hand
Preexisting Conditions: PMH=Bladder cancer
Diagnostic Lab Data: UNK
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4978227 IMLL
Administered by: Private     Purchased by: Public
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)
Write-up: Pt recv vax on 6/17/98; on same day pt exp swelling,sore, itchy, red upper LA. Pt tx= Benadryl 50mg PO.

VAERS ID:114989 (history)  Vaccinated:1998-10-02
Age:45.1  Onset:1998-10-02, Days after vaccination: 0
Gender:Female  Submitted:1998-10-12, Days after onset: 10
Location:Oklahoma  Entered:1998-10-15, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES0968380 IMRA
Administered by: Private     Purchased by: Private
Symptoms: Oedema, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)
Write-up: redness/swelling @ 1inch, warm to touch;

VAERS ID:114993 (history)  Vaccinated:1998-10-02
Age:45.8  Onset:1998-10-02, Days after vaccination: 0
Gender:Female  Submitted:1998-10-08, Days after onset: 6
Location:New York  Entered:1998-10-15, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NA
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES0975850 IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Injection site pain, Lymphadenopathy
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: 12hr p/vax tenderness in lt axilla;24hr p/vax lt axillary lymph glands tender, very swollen lasted 12-18hr;

VAERS ID:115038 (history)  Vaccinated:1998-10-06
Age:45.6  Onset:1998-10-06, Days after vaccination: 0
Gender:Female  Submitted:1998-10-15, Days after onset: 9
Location:Mississippi  Entered:1998-10-16, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES09757700IMLA
Administered by: Public     Purchased by: Other
Symptoms: Asthma, Dyspnoea, Face oedema, Tachycardia
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: pt stated that about 25min p/vax exp wheezing, diff breathing, fast heart beat, & edema of the face;states took DPH & used some prescription nasal spray for asthma;dx rxn to flu vax;

VAERS ID:115094 (history)  Vaccinated:1998-10-07
Age:45.7  Onset:1998-10-07, Days after vaccination: 0
Gender:Female  Submitted:1998-10-13, Days after onset: 6
Location:Missouri  Entered:1998-10-19, Days after submission: 6
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: NONE
Preexisting Conditions: allergic to pollen, mold, trees per client
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)MEDEVA PHARMA, LTD.E20208HA IMRA
Administered by: Unknown     Purchased by: Private
Symptoms: Chest pain, Dizziness, Nausea, Rash maculo-papular, Vasodilatation
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: became hot to touch about 12min p/vax;face flushed, red splotches on shoulders, face, neck & back;not raised;sl tightness in chest-no diff breathing;some nausea no vomiting;observed for about 1 1/2hr & felt better;

VAERS ID:115287 (history)  Vaccinated:0000-00-00
Age:45.0  Onset:1998-10-16
Gender:Female  Submitted:0000-00-00
Location:Unknown  Entered:1998-10-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: 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: Injection site mass, Rash
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: 8cm erythema & induration @ inj site, no current systemic sx;

VAERS ID:115327 (history)  Vaccinated:1998-10-21
Age:45.1  Onset:1998-10-21, Days after vaccination: 0
Gender:Female  Submitted:1998-10-21, Days after onset: 0
Location:New York  Entered:1998-10-26, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: Prevacid;Accupril;Prempro;Colace;propulsid;
Current Illness: NONE
Preexisting Conditions: GERD, IBS, HTN
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES0981800 IMRA
Administered by: Private     Purchased by: Private
Symptoms: Dry mouth, Headache, Hypertension, Injection site hypersensitivity, Injection site oedema
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Hypersensitivity (narrow)
Write-up: c/o local swelling & redness, h/a, dry mouth;pt presented to MD office & was eval;BP 182/108, had h/a;

VAERS ID:115761 (history)  Vaccinated:1997-10-20
Age:45.0  Onset:1997-10-21, Days after vaccination: 1
Gender:Female  Submitted:1998-10-26, Days after onset: 370
Location:New York  Entered:1998-11-02, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Pt recv #1 & #2 dose of Engerix B in 1994; pt exp unknown rx.
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: 19970253611
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2296A43 RA
Administered by: Other     Purchased by: Other
Symptoms: Ecchymosis, Muscle twitching, Neck pain, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Dyskinesia (broad), Dystonia (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Pt recv vax on 10/20/97; on 10/21/97 pt exp ecchymosis around vax site, Rt arm muscle twitching, vax site hives & itching, shooting pain in neck

VAERS ID:115851 (history)  Vaccinated:1997-12-10
Age:45.0  Onset:1997-12-17, Days after vaccination: 7
Gender:Female  Submitted:1998-10-26, Days after onset: 313
Location:Kansas  Entered:1998-11-02, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: UNK
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: Allergic to Sulfa
Diagnostic Lab Data: UNK
CDC Split Type: 19980067801
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2352A1IMLA
Administered by: Other     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: Pt recv vax on 12/10/97; on 12/17/97 pt exp swelling of vax site w/ erythema

VAERS ID:115971 (history)  Vaccinated:1998-04-17
Age:45.3  Onset:1998-05-09, Days after vaccination: 22
Gender:Female  Submitted:1998-10-26, Days after onset: 170
Location:California  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:
Current Illness:
Preexisting Conditions: allergic to morphine, hayfever
Diagnostic Lab Data: 9MAY98 SOGT 204;GGT 193;SGPT 231;ALKPH 166;LDH 255;
CDC Split Type: 19980151691
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2IMA
Administered by: Private     Purchased by: Private
Symptoms: Abdominal pain, Asthenia, Blood alkaline phosphatase increased, Blood lactate dehydrogenase increased, Diarrhoea, Hepatic function abnormal, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Biliary system related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow)
Write-up: pt recv vax 17APR98 & 8MAY98 became tired,sluggish, & exp stomach cramps & diarrhea;the next day pt also devel low grade fever, rt quad soreness, body aches & was found to have elevated liver enzymes;

VAERS ID:115977 (history)  Vaccinated:1998-05-12
Age:45.0  Onset:1998-05-12, Days after vaccination: 0
Gender:Female  Submitted:1998-10-26, Days after onset: 167
Location:Virginia  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: Sudafed;TUMS;Zantac;
Current Illness:
Preexisting Conditions: gastroesophageal reflux disease, sinus congestion
Diagnostic Lab Data:
CDC Split Type: 19980158121
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0IMA
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAM 0IMA
Administered by: Other     Purchased by: Other
Symptoms: Pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: pt recv vax 12MAY98 & 15MAY98 pt devel an intense drawing sensation in fingers of both hands w/numbness & pain;

VAERS ID:115628 (history)  Vaccinated:1998-10-20
Age:45.7  Onset:1998-10-20, Days after vaccination: 0
Gender:Female  Submitted:1998-10-27, Days after onset: 7
Location:Kansas  Entered:1998-11-03, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Premarin
Current Illness: NONE
Preexisting Conditions: reports ome sx w/latex;allergy latex, ASA, codeine, Unicef;
Diagnostic Lab Data:
CDC Split Type: KS98043
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH49882064IMLA
Administered by: Public     Purchased by: Public
Symptoms: Asthma, Laryngospasm, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (narrow), Dystonia (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: approx 1hr p/vax pt devel hives, itching of palms of hands, tightness in throat & wheezing;took DPH & sx gradually resolved in 2hr;

VAERS ID:115632 (history)  Vaccinated:1998-09-01
Age:45.9  Onset:1998-09-01, Days after vaccination: 0
Gender:Female  Submitted:1998-09-03, Days after onset: 2
Location:Minnesota  Entered:1998-11-03, Days after submission: 61
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: TB skin test by connaught lot# 246011 given 1SEP98
Current Illness:
Preexisting Conditions: depression
Diagnostic Lab Data:
CDC Split Type: MN98017
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2565A40IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Diarrhoea, Dyspepsia, Headache
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: about 2hr p/vax got diarrhea, upset stomach & h/a that kept getting worse;

VAERS ID:115908 (history)  Vaccinated:1998-09-21
Age:45.9  Onset:1998-09-23, Days after vaccination: 2
Gender:Male  Submitted:1998-10-26, Days after onset: 33
Location:New York  Entered:1998-11-06, 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: unk
Current Illness: sinus infection
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type: 898300025A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH4988212  A
Administered by: Other     Purchased by: Other
Symptoms: Coordination abnormal, Deafness, Dizziness, Tinnitus
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hearing impairment (narrow), Vestibular disorders (broad)
Write-up: pt recv vax 21SEP98 & w/in 48hr pt exp deafness & a balance disturbance;sx persisted as of 26OCT98;

VAERS ID:116063 (history)  Vaccinated:1998-09-07
Age:45.4  Onset:1998-09-08, Days after vaccination: 1
Gender:Female  Submitted:1998-11-03, Days after onset: 56
Location:Virginia  Entered:1998-11-09, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: negative;
Other Medications: Prisolec
Current Illness: finger lac
Preexisting Conditions: ?raynaud''s synd/esoph dys
Diagnostic Lab Data: cult pending
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Public     Purchased by: Other
Symptoms: Injection site abscess
SMQs:
Write-up: abscess lt deltoid @ 5:05;? sterile;

VAERS ID:116322 (history)  Vaccinated:1998-10-21
Age:45.2  Onset:1998-10-21, Days after vaccination: 0
Gender:Female  Submitted:1998-10-23, Days after onset: 2
Location:New Jersey  Entered:1998-11-09, Days after submission: 17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: UNK
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: FLU89091098
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUOGEN)PARKDALE PHARMACEUTICALS02298P0 A
Administered by: Private     Purchased by: Other
Symptoms: Arthralgia, Conjunctivitis, Dysphagia, Eye pain, Headache
SMQs:, Severe cutaneous adverse reactions (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), Glaucoma (broad), Conjunctival disorders (narrow), Ocular infections (broad), Hypersensitivity (broad), Arthritis (broad)
Write-up: Pt recv vax on 10/21/98; 2 hr post vax pt exp difficulty swallowing, red/burning eyes, headache, joint pain; pt imp 24 hr

VAERS ID:116338 (history)  Vaccinated:0000-00-00
Age:45.0  Onset:0000-00-00
Gender:Male  Submitted:1998-10-29
Location:New Jersey  Entered:1998-11-09, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: no relevant data
Other Medications: unknown
Current Illness:
Preexisting Conditions: unknown
Diagnostic Lab Data: allergy test-normal
CDC Split Type: WAES98090976
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Patient received one dose Hepatitis A vaccine inactivated. Pt developed hives,sought unspecified medical attention. "most allergy tests were normal" Pt''s hives persisted.

VAERS ID:116199 (history)  Vaccinated:1998-09-30
Age:45.5  Onset:1998-10-04, Days after vaccination: 4
Gender:Female  Submitted:1998-11-05, Days after onset: 32
Location:D.C.  Entered:1998-11-10, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: h/o IM doses of IGM on 2 different occasions & devel side effects
Diagnostic Lab Data: hep c antibody positive;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1443E0 LA
Administered by: Private     Purchased by: Private
Symptoms: Anorexia, Arthralgia, Asthenia, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad)
Write-up: pt recv vax 30SEP98 & noted onset of extreme fatigue, nausea gen joint pain (large & small), dec appetite starting 4OCT98;sx remained until 16OCT98;

VAERS ID:116218 (history)  Vaccinated:1998-10-09
Age:45.3  Onset:1998-10-09, Days after vaccination: 0
Gender:Female  Submitted:1998-10-19, Days after onset: 10
Location:Texas  Entered:1998-11-11, Days after submission: 23
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: TX98159
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES0983300   
Administered by: Other     Purchased by: Other
Symptoms: Influenza
SMQs:
Write-up: pt recv vax 9OCT98 around noon & w/in 8hr flu sx developed;w/in 24hr devel full flu sx & has been ill for 9 days;

VAERS ID:116436 (history)  Vaccinated:1998-11-09
Age:45.0  Onset:1998-11-09, Days after vaccination: 0
Gender:Female  Submitted:1998-11-10, Days after onset: 1
Location:California  Entered:1998-11-16, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: UNK
Other Medications: Prempro, Adevan, Sarevent, Flovent
Current Illness: NONE
Preexisting Conditions: Asthma, Allergic to fish & shellfish
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES09833330 IMRA
Administered by: Public     Purchased by: Other
Symptoms: Ear disorder, Hypertension, Laryngospasm, Paraesthesia, Tachycardia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Hypertension (narrow), Hypersensitivity (narrow)
Write-up: Pt recv vax on 11/9/98; on same day pt exp tachycardia, high blood pressure, tingling hands, stuffy ears, tight throat

VAERS ID:116621 (history)  Vaccinated:1998-10-13
Age:45.0  Onset:1998-10-14, Days after vaccination: 1
Gender:Female  Submitted:1998-11-04, Days after onset: 21
Location:New Jersey  Entered:1998-11-23, Days after submission: 19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
    Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: NONE
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type: 898310155A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH4988209  A
Administered by: Other     Purchased by: Other
Symptoms: Facial palsy, Guillain-Barre syndrome, Pain, Paraesthesia, Paralysis
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad)
Write-up: pt recv vax 13OCT98 & exp arm pain, facial paralysis, paresthesia & unspecified paralysis;23OCT98 seen by neurologist dx GBS & hosp;tx w/plasmapheresis;improved & D/C 10/30/98

VAERS ID:116640 (history)  Vaccinated:1998-10-30
Age:45.8  Onset:1998-10-30, Days after vaccination: 0
Gender:Female  Submitted:1998-11-02, Days after onset: 3
Location:Kentucky  Entered:1998-11-23, Days after submission: 21
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: allergy codeine, tetracycline
Diagnostic Lab Data: NONE
CDC Split Type: KY980035
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES09818100 LA
Administered by: Public     Purchased by: Public
Symptoms: Dyspnoea, Oedema peripheral, Skin striae, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)
Write-up: 30OCT98 trouble breathing;pt felt was from asthma;31OCT98 arm swollen w/redness & red streaks down arm;2NOV98 saw PMD d/t same;tx pred, DPH, cephalexin;

VAERS ID:116674 (history)  Vaccinated:1998-10-30
Age:45.5  Onset:1998-10-30, Days after vaccination: 0
Gender:Female  Submitted:1998-11-02, Days after onset: 3
Location:Michigan  Entered:1998-11-23, Days after submission: 21
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: NONE
CDC Split Type: MI98130
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)MEDEVA PHARMA, LTD.E20238KM IMLA
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES4517960SCLA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES9T1220 IMRA
Administered by: Public     Purchased by: Public
Symptoms: Oedema peripheral, Pain, Vasodilatation
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Pt recv vax on 10/30/98; 4 hr later pt exp swelling/red/ pain/ hot LA; tx=Benadryl gel

VAERS ID:116723 (history)  Vaccinated:1998-06-12
Age:45.6  Onset:1998-07-09, Days after vaccination: 27
Gender:Male  Submitted:1998-07-31, Days after onset: 22
Location:Maine  Entered:1998-11-23, Days after submission: 115
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zocor;ASA
Current Illness: NOEn
Preexisting Conditions: no hyperlipidemia
Diagnostic Lab Data:
CDC Split Type: ME98024
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1160E0SCLA
Administered by: Private     Purchased by: Private
Symptoms: Rash maculo-papular, Skin disorder
SMQs:, Hypersensitivity (narrow)
Write-up: pt recv vax 12JUN98 & erupted 9JUL98 started on head went down all over body;maculopapular rash

VAERS ID:116912 (history)  Vaccinated:1998-11-06
Age:45.3  Onset:1998-11-07, Days after vaccination: 1
Gender:Male  Submitted:1998-11-23, Days after onset: 16
Location:Minnesota  Entered:1998-11-27, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUOGEN)PARKDALE PHARMACEUTICALS01698P  LA
Administered by: Private     Purchased by: Unknown
Symptoms: Headache, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: states fever & chills Saturday 1AM 7NOV98;h/a from 7NOV98 11AM-8PM;

VAERS ID:117137 (history)  Vaccinated:1998-11-03
Age:45.9  Onset:1998-11-03, Days after vaccination: 0
Gender:Female  Submitted:1998-11-24, Days after onset: 21
Location:Georgia  Entered:1998-12-07, Days after submission: 13
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: codeine, ery, dilaudid, bees some kind of anti inflam
Diagnostic Lab Data: NONE
CDC Split Type: GA98122
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2708A61IMRA
Administered by: Public     Purchased by: Public
Symptoms: Pruritus, Tongue disorder
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad)
Write-up: p/vax pt stating mouth & tongue were itching;itching all over body;advised pt to to to Er or pvt MD;saw MD who gave DPH IM & PO to take home;

VAERS ID:117172 (history)  Vaccinated:1998-11-20
Age:45.5  Onset:1998-11-20, Days after vaccination: 0
Gender:Female  Submitted:1998-11-23, Days after onset: 3
Location:Ohio  Entered:1998-12-07, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: OH98106
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES0988270  LA
Administered by: Public     Purchased by: Public
Symptoms: Injection site oedema, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: area around lt deltoid became edematous & itchy;hives appeared on deltoid area 7 lt shoulder area;

VAERS ID:117212 (history)  Vaccinated:1998-12-03
Age:45.4  Onset:1998-12-06, Days after vaccination: 3
Gender:Male  Submitted:1998-12-07, Days after onset: 1
Location:California  Entered:1998-12-08, Days after submission: 1
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:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES0978770 IMLA
Administered by: Private     Purchased by: Other
Symptoms: Cellulitis, Injection site hypersensitivity, Oedema, Pain, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Pt recv vax on 12/3/98; on 12/6/98 pt exp red, swollen, painful, hot vax site; cellulitis; tx=Keflex

VAERS ID:117285 (history)  Vaccinated:1998-10-22
Age:45.8  Onset:1998-10-23, Days after vaccination: 1
Gender:Female  Submitted:1998-10-29, Days after onset: 6
Location:Washington  Entered:1998-12-11, 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: NONE
Current Illness:
Preexisting Conditions: sulfa drugs, flagyl
Diagnostic Lab Data:
CDC Split Type: WA981502
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH49882003 RA
Administered by: Other     Purchased by: Private
Symptoms: Paraesthesia, Paraesthesia oral, Tongue oedema
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (narrow)
Write-up: swelling of tongue;numbness of lips & extremities;

VAERS ID:117316 (history)  Vaccinated:1998-10-30
Age:45.5  Onset:1998-10-30, Days after vaccination: 0
Gender:Female  Submitted:1998-11-04, Days after onset: 5
Location:Arkansas  Entered:1998-12-14, Days after submission: 40
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: UNK
Other Medications: Armour
Current Illness: UNK
Preexisting Conditions: Codeine & Penicillin allergy
Diagnostic Lab Data: BP 130/82
CDC Split Type: AR9874
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES09845400IMLA
Administered by: Public     Purchased by: Public
Symptoms: Ecchymosis, Hypersensitivity, Hypertension, Injection site hypersensitivity, Injection site oedema, Pain, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Hypersensitivity (narrow)
Write-up: Pt recv vax on 10/30/98; 10 min post vax pt exp LA swelling (knot)/ sore/ bruising; rash on neck w/itching; tx=cold compress, Prednisone, Atarax

VAERS ID:117336 (history)  Vaccinated:1998-11-10
Age:45.5  Onset:1998-11-10, Days after vaccination: 0
Gender:Male  Submitted:1998-12-09, Days after onset: 29
Location:Illinois  Entered:1998-12-14, 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: unk
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: IL98094
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)MEDEVA PHARMA, LTD.E20168HB IMLA
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES4530700IMRA
Administered by: Public     Purchased by: Public
Symptoms: Hypokinesia, Pain, Rash, Skin nodule
SMQs:, Anaphylactic reaction (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: approx 730PM 11NOV98 recv vax & c/o pain, dec ROM, erythema, firm & tender to touch, pain & tenderness;became so severe by 630AM 11NOV saw MD;MD called local reaction to pneumovax;

VAERS ID:117376 (history)  Vaccinated:1998-07-10
Age:45.7  Onset:1998-07-12, Days after vaccination: 2
Gender:Female  Submitted:1998-12-11, Days after onset: 152
Location:New Mexico  Entered:1998-12-15, Days after submission: 4
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prozac;Immitrex;pt recv hep b vax 2JAN98 & 30JAN98
Current Illness: NONE
Preexisting Conditions: soliac disease in remission
Diagnostic Lab Data: EMG, conductive neuro abnorm/or not;W/I norm limits
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1223E2 RA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Amnesia, Asthenia, Hypotonia, Migraine, Neuropathy, Paraesthesia, Peroneal nerve palsy
SMQs:, Peripheral neuropathy (narrow), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: rt hand wrist drop-polyneuropathy cont for 2 or 3mo then rt foot drop, numbness in both feet & both hands;dx chronic demyelinating polyneuropathy;numerous severe migraine h/a; per follow-up info extreme exhaustion and fatigue, weakness, atrophy, and memory loss.

VAERS ID:117406 (history)  Vaccinated:1998-11-30
Age:45.8  Onset:1998-12-01, Days after vaccination: 1
Gender:Female  Submitted:1998-12-04, Days after onset: 3
Location:Minnesota  Entered:1998-12-15, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: UNK
Other Medications: Vitamin C, Calcium, Prednisone, Folic Acid, Premarin, Tylenol, Methaltrexate
Current Illness: Lupus
Preexisting Conditions: Lupus, Allergic to Penicillin, Sulfa, Codeine
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
PPV: PNEUMO (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Private     Purchased by: Other
Symptoms: Arthralgia, Bronchitis, Dyspepsia, Lymphadenopathy, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad)
Write-up: Pt recv vax on 11/30/98; on 12/1/98 pt exp sore RA, fever (100.9), joints aching, nausea

VAERS ID:117521 (history)  Vaccinated:1998-11-16
Age:45.5  Onset:1998-11-16, Days after vaccination: 0
Gender:Male  Submitted:1998-11-18, Days after onset: 2
Location:Ohio  Entered:1998-12-18, Days after submission: 30
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:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES0984580 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Headache, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: Pt recv vax on 11/16/98; 3 hr post vax pt exp nausea, dizzy, headache

VAERS ID:117625 (history)  Vaccinated:1998-11-30
Age:45.8  Onset:1998-12-07, Days after vaccination: 7
Gender:Male  Submitted:1998-12-11, Days after onset: 4
Location:Kansas  Entered:1998-12-21, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: pt recv flu vax by parkdale lot# 03088P given 15OCT98
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1339H0 RA
Administered by: Other     Purchased by: Unknown
Symptoms: Arthralgia, Osteoarthritis
SMQs:, Arthritis (narrow)
Write-up: fever x 3 days;1wk later devel joint aches & swelling (mild) in hands & feet still has not resolved;

VAERS ID:117905 (history)  Vaccinated:1998-11-02
Age:45.3  Onset:1998-11-02, Days after vaccination: 0
Gender:Female  Submitted:1999-01-04, Days after onset: 63
Location:Minnesota  Entered:1999-01-05, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: zestril, hctz, synthroid, augmentin, cortisone inj
Current Illness: Sinus infection, foot injury
Preexisting Conditions: HTN, hypothyroid, chronic pain both arms x 1 yr (1993)
Diagnostic Lab Data: EMG; Blood pressre 168/95
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER 1 RA
Administered by: Other     Purchased by: Other
Symptoms: Adverse drug reaction, Ageusia, Amblyopia, Arthralgia, Arthritis, Candidiasis, Condition aggravated, Coordination abnormal, Deafness transitory, Gait disturbance, Headache, Hypokinesia, Hyporeflexia, Hypotension, Infection, Injection site pain, Lymphadenopathy, Myasthenic syndrome, Nuchal rigidity, Pain, Paraesthesia, Photosensitivity reaction, Rash, Renal pain, Similar reaction on previous exposure to drug, Tenosynovitis, Visual disturbance
SMQs:, Anaphylactic reaction (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Malignancy related conditions (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Arthritis (narrow)
Write-up: Pt recv vax on 11/2/98;post vax pt exp sore Rt arm x 3 wk w/ tingling, joint &finger pain, headache,stiff neck,sensitive to light, blurred vision,muscle weakness,kidney pain,dec taste,unable to walk, rash,dec hearing;dx=yeast infection,carp Annual follow-up received on 10/25/00 states that the symptoms are slowly disappearing but some neurological damage still exists in right shoulder, armpit and arm. Taste has still remained affected and eyesight has possibly worsened and coular hypertension has been ident

VAERS ID:117970 (history)  Vaccinated:1998-11-24
Age:45.9  Onset:1998-11-25, Days after vaccination: 1
Gender:Female  Submitted:1998-11-25, Days after onset: 0
Location:Alabama  Entered:1999-01-07, Days after submission: 43
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: NA
CDC Split Type: AL9817
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES0978490  LA
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Asthma, Tachycardia
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad)
Write-up: pt recv vax @ approx 2PM 24NOV98 & 6PM had some wheezing, rapid heart beat & felt weak;

VAERS ID:118119 (history)  Vaccinated:1998-11-13
Age:45.5  Onset:1998-11-13, Days after vaccination: 0
Gender:Female  Submitted:1998-12-02, Days after onset: 19
Location:Colorado  Entered:1999-01-14, Days after submission: 43
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations: none
Other Medications: azithromycin, lactase, lomotil, fiorinal, compazine
Current Illness: upper respiratory infection w/ rhinorrhea
Preexisting Conditions: migraines, lactose intolerance, hysterectomy, cholecystectomy, smoker, all:Imitrex, morphine, toradol
Diagnostic Lab Data:
CDC Split Type: CO98057
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)MEDEVA PHARMA, LTD.E20218HA5IMLA
Administered by: Other     Purchased by: Unknown
Symptoms: Angioneurotic oedema, Chest pain, Dyspnoea, Laryngospasm, Respiratory disorder, Tongue oedema
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Dystonia (broad), Oropharyngeal allergic conditions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: 2-3hr p/vax tongue & throat were swelling, EMS called, pt intubated;pt c/o SOB, chest pain;no local reaction noted;

VAERS ID:118260 (history)  Vaccinated:1998-01-20
Age:45.7  Onset:1998-01-20, Days after vaccination: 0
Gender:Male  Submitted:1998-01-22, Days after onset: 2
Location:Illinois  Entered:1999-01-21, Days after submission: 364
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Pt recv #1 & #2 dose of Typhoid; exp vax site redness, swelling & tenderness
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: 898041009L
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (ACETONE INACTIVATED DRIED)PFIZER/WYETH 2SCLA
Administered by: Other     Purchased by: Other
Symptoms: Chills, Headache, Hyperhidrosis, Pyrexia, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad)
Write-up: Pt recv vax on 1/20/98; 30 min post vax pt exp fever, shaking chills, sweating, motor tremors & headache on 1/22/98; tx=Motrin; pt imp 1/23/98

VAERS ID:118262 (history)  Vaccinated:1998-01-26
Age:45.3  Onset:0000-00-00
Gender:Male  Submitted:1998-01-27
Location:New York  Entered:1999-01-21, Days after submission: 359
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: UNK
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: 898041011L
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (ACETONE INACTIVATED DRIED)PFIZER/WYETH 0SCLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Pt recv vax on 1/26/98; post vax in 1/98 pt exp vax site rx of redness & soreness

VAERS ID:118284 (history)  Vaccinated:1999-01-13
Age:45.2  Onset:1999-01-13, Days after vaccination: 0
Gender:Female  Submitted:1999-01-14, Days after onset: 1
Location:Massachusetts  Entered:1999-01-22, 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: APAP
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1389E1IMLA
Administered by: Private     Purchased by: Public
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: erythema, swelling, pain in lt deltoid;

VAERS ID:118367 (history)  Vaccinated:1997-10-21
Age:45.7  Onset:0000-00-00
Gender:Female  Submitted:1998-10-09
Location:California  Entered:1999-01-26, Days after submission: 109
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp muscle soreness, achy joints, malaise, stomach problems,tired, numbness
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: U199800019
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Asthenia, Gastrointestinal disorder, Malaise, Myalgia, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: pt recv vax 21OCT97 & w/each dose felt muscle soreness & achy joints w/malaise & some stomach problems;3wk post vax pt still feels tired;also noticed arms going to sleep more w/numbness & tingling;

VAERS ID:118969 (history)  Vaccinated:1998-10-16
Age:45.8  Onset:1998-10-17, Days after vaccination: 1
Gender:Female  Submitted:1998-11-09, Days after onset: 23
Location:Massachusetts  Entered:1999-02-11, Days after submission: 94
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: UNK
Other Medications: calan, naproxen
Current Illness: NONE
Preexisting Conditions: Hx of breast cancer (right) w/ lumpectomy 6.5 yr ago;hypertension, hemorrhoids, amenorrhea since chemotherapy;
Diagnostic Lab Data: Prolactin level-elevated
CDC Split Type: 898314095A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH4978193 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Laboratory test abnormal, Oedema, Pain
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)
Write-up: Pt recv vax on 10/16/98; on 10/17/98 pt exp swollen & painful breasts

VAERS ID:119071 (history)  Vaccinated:1999-02-09
Age:45.0  Onset:1999-02-09, Days after vaccination: 0
Gender:Female  Submitted:1999-02-09, Days after onset: 0
Location:Colorado  Entered:1999-02-17, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: hep b by SKB lot@ 2702A4 given 6JAN99;
Current Illness: NOE
Preexisting Conditions: asthma, allergic to keflex & sulfa & PCN
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2711A41IMLA
Administered by: Other     Purchased by: Private
Symptoms: Hypertension, Injection site hypersensitivity, Paraesthesia, Respiratory disorder, Skin striae, Somnolence, Vasodilatation, Visual disturbance
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypertension (narrow), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Hypersensitivity (narrow)
Write-up: pt recv vax 3PM & 310PM felt heat radiating down lt arm inj site red, red spots & streaks on lt forearm followed by lethargy, gen tingling & spots before the eyes, BP 170/109;devel resp distress & used inhaler;

VAERS ID:119350 (history)  Vaccinated:0000-00-00
Age:45.0  Onset:0000-00-00
Gender:Female  Submitted:1998-09-14
Location:California  Entered:1999-02-22, Days after submission: 161
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 898260063A
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID, ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES  IM 
Administered by: Other     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: pt recv vax & devel an inj site rxn characterized by erythema, induration & tenderness;

Result pages: prev   3894 3895 3896 3897 3898 3899 3900 3901 3902 3903 3904 3905 3906 3907 3908 3909 3910 3911 3912 3913 3914 3915 3916 3917 3918 3919 3920 3921 3922 3923 3924 3925 3926 3927 3928 3929 3930 3931 3932 3933 3934 3935 3936 3937 3938 3939 3940 3941 3942 3943 3944 3945 3946 3947 3948 3949 3950 3951 3952 3953 3954 3955 3956 3957 3958 3959 3960 3961 3962 3963 3964 3965 3966 3967 3968 3969 3970 3971 3972 3973 3974 3975 3976 3977 3978 3979 3980 3981 3982 3983 3984 3985 3986 3987 3988 3989 3990 3991 3992 3993 3994 3995 3996 3997 3998 3999 4000 4001 4002 4003 4004 4005 4006 4007 4008 4009 4010 4011 4012 4013 4014 4015 4016 4017 4018 4019 4020 4021 4022 4023 4024 4025 4026 4027 4028 4029 4030 4031 4032 4033 4034 4035 4036 4037 4038 4039 4040 4041 4042 4043 4044 4045 4046 4047 4048 4049 4050 4051 4052 4053 4054 4055 4056 4057 4058 4059 4060 4061 4062 4063 4064 4065 4066 4067 4068 4069 4070 4071 4072 4073 4074 4075 4076 4077 4078 4079 4080 4081 4082 4083 4084 4085 4086 4087 4088 4089 4090 4091 4092   next

New Search

Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?EVENTS=ON&PAGENO=3993&PERPAGE=100&ESORT=AGE


Copyright © 2015 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166