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Case Details (Sorted by Age)

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VAERS ID:294559 (history)  Vaccinated:2007-10-23
Age:57.0  Onset:2007-10-24, Days after vaccination: 1
Gender:Female  Submitted:2007-10-24, Days after onset: 0
Location:California  Entered:2007-10-27, 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: MULTIVITAMIN; GLUCOSAMINE; FISH OIL
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Left deltoid warmth erythema 3 x 4cm at injection site
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA075AA4IMLA
Administered by: Other     Purchased by: Other
Symptoms: Abnormal faeces, Chills, Injection site erythema, Injection site warmth, Loss of consciousness, Muscle twitching, Pain, Restlessness, Vision blurred
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Biliary system related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Noninfectious diarrhoea (broad)
Write-up: Flulaval admin 1630 hours (l) deltoid on 10/23/07 10/24/07 00:30 awoke with (l) arm - upper moderate pain muscle twitching left leg to toes, restless got out of bed to get Excedrin - walked 25 feet to get back in - blacked out. Awoke on floor estimate LOC 5- 10 minutes. Then frequent stool, chills, blurry vision x 10 minutes. Then back to bed - this AM feel fine.

VAERS ID:294562 (history)  Vaccinated:2007-10-23
Age:57.0  Onset:2007-10-24, Days after vaccination: 1
Gender:Female  Submitted:2007-10-25, Days after onset: 1
Location:Washington  Entered:2007-10-27, 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: Premarin, Lisinopril, Azmacort, Hydrocodone
Current Illness: None
Preexisting Conditions: Yes-seasonal allergies
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS792412IMLA
Administered by: Public     Purchased by: Private
Symptoms: Erythema, Pain, Skin warm, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Pain, swelling, erythema heat. Rx for anti-inflammation and antibiotics.

VAERS ID:294567 (history)  Vaccinated:2007-10-23
Age:57.0  Onset:2007-10-23, Days after vaccination: 0
Gender:Female  Submitted:2007-10-26, Days after onset: 3
Location:Maryland  Entered:2007-10-27, 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: Avalide
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA064AA0IMUN
Administered by: Private     Purchased by: Other
Symptoms: Lip swelling, Pruritus
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Within 1-11/2 hours of receiving flu vaccine right upper lip became swollen and roof of mouth felt slightly like itching sensation-see progress notes-physician not sure if from vaccine or possibly R/t BP med (lisinopril)

VAERS ID:294618 (history)  Vaccinated:2007-10-22
Age:57.0  Onset:2007-10-22, Days after vaccination: 0
Gender:Male  Submitted:2007-10-23, Days after onset: 1
Location:New York  Entered:2007-10-27, 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: PROVOCHOL; ATENOLOL;PRILOSEC; CLARITIN
Current Illness: None
Preexisting Conditions: Environmental allergies; increase Cholesterol; Hypertension
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.088571SCLA
Administered by: Private     Purchased by: Other
Symptoms: Cellulitis, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: 8 hours after vaccine patient developed body aches, fever 99.6 and cellulitis. Keflex given for cellulitis

VAERS ID:294649 (history)  Vaccinated:2007-10-26
Age:57.0  Onset:2007-10-26, Days after vaccination: 0
Gender:Male  Submitted:2007-10-29, Days after onset: 3
Location:Tennessee  Entered:2007-10-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Xalatan Ophthalmic Drops - one drop left eye at bedtime.
Current Illness: None
Preexisting Conditions: No known allergies, Heart Block - no medications - Pacemaker 2005.
Diagnostic Lab Data: None - did not go to a medical facility or doctor.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2526AA6IMLA
Administered by: Private     Purchased by: Private
Symptoms: Cough, Eye discharge, Hypoaesthesia, Local swelling, Ocular hyperaemia, Pain, Throat irritation
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad)
Write-up: Immunization was on Friday October 26 at about 3:30pm. Around 8pm becane a mild cough with irritation in throat and trachea. By 8:30pm neck felt swollen and some numbness below corners of mouth. Continued coughing, eyes red and yellow substance "oozing" from corners of eyes. General achey feeling in legs. At about 9PM took 50 mg of diphenhydramine. About 40 minutes late began breathing easier, "swelling" seemed to get better. Coughing stopped. Numbness in corners of mouth eased. Slept through the night. Saturday morning about 8am, still had throath "thickness" sensation, took 25mg of diphenhydramine. 10am Saturday morning all symptems were gone. Symptems did not return.

VAERS ID:294694 (history)  Vaccinated:2007-09-11
Age:57.0  Onset:2007-10-22, Days after vaccination: 41
Gender:Male  Submitted:2007-10-29, Days after onset: 7
Location:California  Entered:2007-10-29
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: UNK
CDC 'Split Type': A0690393A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB070BG0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: This case was reported by a healthcare professional and described the occurrence of hives in a 57-year-old male subject who was vaccinated with Twinrix (GlaxoSmithKline) for prophylaxis. On 11 September 2007 the subject received 1st dose of Twinrix (unknown). On 22 October 2007, 41 days after vaccination with Twinrix, the subject, who is an international pilot, and was at 35,000 feet, developed hives. They were mainly on his trunk. The pilot was grounded from flying at that point and was given Benadryl for treatment. The healthcare professional considered the events were disabling and clinically significant (or requiring intervention). It was reported that the hives/rash had improved and were almost resolved. The healthcare professional considered the event of hives was possibly related to vaccination with Twinrix.

VAERS ID:294771 (history)  Vaccinated:2007-08-22
Age:57.0  Onset:2007-08-22, Days after vaccination: 0
Gender:Female  Submitted:2007-10-22, Days after onset: 61
Location:Minnesota  Entered:2007-10-29, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Labs done in ED ---$g results not available
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1004F0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Dehydration, Hypotension, Laboratory test, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Severe vomiting heading to dehydration, hypotension, and weakness

VAERS ID:295414 (history)  Vaccinated:2007-10-31
Age:57.0  Onset:2007-10-31, Days after vaccination: 0
Gender:Female  Submitted:2007-11-02, Days after onset: 2
Location:California  Entered:2007-11-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lotensin; ASA 81mg; HCTZ; Estrogen
Current Illness: None
Preexisting Conditions: hypertension
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS79489 IMUN
Administered by: Public     Purchased by: Unknown
Symptoms: Injection site discolouration, Injection site pain, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Site of injection with swelling to size of a "one ball", purple in color, warm and tender to touch on 11/01/07 after receiving injection on 10/31/07. 11/2/07: states decrease today. Called MD but couldn''t get in.

VAERS ID:295549 (history)  Vaccinated:2007-10-18
Age:57.0  Onset:0000-00-00
Gender:Male  Submitted:2007-10-18
Location:Indiana  Entered:2007-11-05, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR  UNUN
Administered by: Other     Purchased by: Private
Symptoms: Unevaluable event
SMQs:
Write-up: Mild 1) one person vaccination, was writing with pen with gloves on after vaccination, then took off gloves, put on new ones, but picked up pen again before vaccination, patient 2) another person vaccinating - did not gloves off good for a while preparing another patient I reminded him to do so. My suspicion so thus he did not change his gloves before the vaccinations also he of gloves was on his side of the left only on the Flu other side.

VAERS ID:295631 (history)  Vaccinated:2007-10-10
Age:57.0  Onset:2007-10-11, Days after vaccination: 1
Gender:Female  Submitted:2007-10-12, Days after onset: 1
Location:Georga  Entered:2007-11-05, Days after submission: 24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Antidepressant daily; Estace - 2mgm/ 4mg; Donovan daily needed
Current Illness: None
Preexisting Conditions: Allergic to iodine take allergy shots
Diagnostic Lab Data:
CDC 'Split Type': GA07065
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS80957 UNRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0601F0UNLA
Administered by: Public     Purchased by: Unknown
Symptoms: Cold compress therapy, Injection site erythema, Injection site pain, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Had immunization on 10-10-07 - noted redness, tenderness, and warm to touch on 10-11-07 - area around 2" long by 1" wide - adv cool compresses and Tylenol as needed to call MD is worse - left upperarm

VAERS ID:295724 (history)  Vaccinated:2007-11-06
Age:57.0  Onset:2007-11-06, Days after vaccination: 0
Gender:Male  Submitted:2007-11-07, Days after onset: 1
Location:North Carolina  Entered:2007-11-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lipitor
Current Illness: None
Preexisting Conditions: Elevated cholesterol.
Diagnostic Lab Data: Labs - CBC, Sed Rate, CMP, CPK were all within normal limits. Blood culture is pending.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Blood creatine phosphokinase normal, Blood culture, Diarrhoea, Dizziness postural, Full blood count normal, Metabolic function test normal, Myalgia, Pyrexia, Red blood cell sedimentation rate normal
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Noninfectious diarrhoea (narrow)
Write-up: Severe myalgias and arthralgias, fever (101.5) and diarrhea (brief and transient. Myalgias and arthralgias were severe. Orthostasis. Onset of symptoms within a few hours of vaccine. No local reaction at injection site.

VAERS ID:296102 (history)  Vaccinated:2007-11-05
Age:57.0  Onset:2007-11-06, Days after vaccination: 1
Gender:Female  Submitted:2007-11-08, Days after onset: 2
Location:Missouri  Entered:2007-11-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Snythroid
Current Illness: None
Preexisting Conditions: allergy to pencillin
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURERNA IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Abdominal pain upper, Chills, Fatigue, Headache, Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Fevor,chills,Stomach pain, headache, redness and swelling by injection site. These symptoms started apptoximately 24 hours after shot. The intense stomach pains lessened after 8 hours, then the headache started and lasted approximately 8-10 hours. The day after the stomach ache I was extremely tired and had chills. Redness below the injection site was noticed 2 days later. The injection site is sore 3 days after the shot and the redness is also still there after 3 days.

VAERS ID:296325 (history)  Vaccinated:2007-11-05
Age:57.0  Onset:2007-11-05, Days after vaccination: 0
Gender:Male  Submitted:2007-11-10, Days after onset: 5
Location:Missouri  Entered:2007-11-10
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)SANOFI PASTEUR02488AA IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0963U IMRA
Administered by: Unknown     Purchased by: Private
Symptoms: Chills, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Chills and fever, 48 hours

VAERS ID:296328 (history)  Vaccinated:2007-11-01
Age:57.0  Onset:2007-11-02, Days after vaccination: 1
Gender:Female  Submitted:2007-11-11, Days after onset: 9
Location:Colorado  Entered:2007-11-11
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: In Sept. 2003 I had West Nile Virus and was hospitalized for about one month with menengitis, encephalitis and right side partial paralysis. After being released from the hospital I was diagnosed with a right winged scapula. I also have systemic lupus since age 25.
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURERUNKNOWN0UNLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Musculoskeletal pain, Winged scapula
SMQs:, Rhabdomyolysis/myopathy (broad)
Write-up: Severe pain right shoulder and right scapula; beginning to show signs of winged scapula.

VAERS ID:296477 (history)  Vaccinated:2007-10-17
Age:57.0  Onset:2007-10-18, Days after vaccination: 1
Gender:Female  Submitted:2007-11-12, Days after onset: 25
Location:Alaska  Entered:2007-11-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2515AA0IMUN
Administered by: Other     Purchased by: Private
Symptoms: Mobility decreased, Musculoskeletal pain
SMQs:, Rhabdomyolysis/myopathy (broad), Parkinson-like events (broad)
Write-up: Unable to use shoulder with full range without causing severe pain.

VAERS ID:296798 (history)  Vaccinated:2007-10-26
Age:57.0  Onset:2007-10-26, Days after vaccination: 0
Gender:Unknown  Submitted:2007-11-15, Days after onset: 20
Location:Unknown  Entered:2007-11-15
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) (FLUSHIELD)PFIZER/WYETH    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Muscle tightness, Pain in extremity
SMQs:, Dystonia (broad)
Write-up: Can still feel tightness in left shoulder muscle. For 3 weeks - could not use left arm much due to pain upon use of the arm. Attempted to work out with 3 lb weights but did not help.

VAERS ID:297096 (history)  Vaccinated:2007-10-26
Age:57.0  Onset:2007-10-28, Days after vaccination: 2
Gender:Female  Submitted:2007-11-11, Days after onset: 14
Location:Missouri  Entered:2007-11-16, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NARCOLEPSY, HYPOTHYROIDISH; ALLERGIES: CODEINE, MORPHINE, SULFA
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA323AA0UNLA
Administered by: Private     Purchased by: Unknown
Symptoms: Musculoskeletal pain, Pain, Pain in extremity, Paraesthesia, Radiculitis brachial
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Developed signs and symptoms of Brachial Plexus Neuritis: Intense burning pain my right shoulder and upper arm. This began spontaneously after I got up Sunday morning Oct 28th. 2 days later I developed intermittent parathesias in my right hand and upper arm. I consulted with Dr who referred me to a neurologist. I was treated with Prednisone.

VAERS ID:297131 (history)  Vaccinated:2007-11-14
Age:57.0  Onset:2007-11-14, Days after vaccination: 0
Gender:Female  Submitted:2007-11-14, Days after onset: 0
Location:Illinois  Entered:2007-11-16, Days after submission: 2
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)SANOFI PASTEURU2511AA IMUN
Administered by: Other     Purchased by: Private
Symptoms: Injection site haemorrhage, Injection site swelling
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Swellowin at injection site, bleeding told to talk to MD

VAERS ID:297137 (history)  Vaccinated:2007-01-15
Age:57.0  Onset:2007-11-15, Days after vaccination: 304
Gender:Female  Submitted:2007-11-16, Days after onset: 1
Location:Wisconsin  Entered:2007-11-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: None~ ()~~0~In Patient|None~ ()~~0~In Sibling
Other Medications: None
Current Illness: "Sinus problem" afebrile
Preexisting Conditions: None
Diagnostic Lab Data: None - Did not seek medical care
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2511AA IMLA
Administered by: Public     Purchased by: Public
Symptoms: Cough, Eye discharge, Eye pruritus, Eye swelling, Feeling of body temperature change, Headache, Hypoventilation, Lymphadenopathy, Nausea, Ocular hyperaemia, Respiratory rate increased, Throat irritation
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Hypersensitivity (narrow)
Write-up: 6pm - Dry cough with tickle in her throat swollen glands in her neck; 630pm - Eyes became bloodshot , swollen and itchy Breathing was shallow and rapid; 830pm - Developed headache and felt chilled; 200AM - Felt "warm" and eyes were draining and had nausea; 10AM - next day - complained of headache

VAERS ID:297140 (history)  Vaccinated:2007-02-14
Age:57.0  Onset:2007-02-23, Days after vaccination: 9
Gender:Female  Submitted:0000-00-00
Location:Florida  Entered:2007-11-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Not reported (NONE
Preexisting Conditions: alcoholic: hepatitis, Depression
Diagnostic Lab Data:
CDC 'Split Type':
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TD: TD ADSORBED (NO BRAND NAME)SANOFI PASTEURU1U21BA0UNLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Balance disorder, Hypoaesthesia, Joint sprain, Mobility decreased, Pain
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Vestibular disorders (broad)
Write-up: Pain numbness loss of use entire left arm extending to upper back adversely affecting balance/ordinate forking. Then went to right arm with effect. Elbows and both wrists felt sprained. Seemed to travel on both arms

VAERS ID:297457 (history)  Vaccinated:2007-11-13
Age:57.0  Onset:2007-11-16, Days after vaccination: 3
Gender:Female  Submitted:2007-11-19, Days after onset: 3
Location:Massachusetts  Entered:2007-11-20, 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:
Current Illness: No
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2524AA UNRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1229F0IMRA
Administered by: Private     Purchased by: Public
Symptoms: Erythema, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: increased swelling pain given Levaquin 750 11/19/07 better/can use hand slightly/not as red

VAERS ID:297640 (history)  Vaccinated:2007-10-09
Age:57.0  Onset:2007-10-13, Days after vaccination: 4
Gender:Female  Submitted:2007-11-21, Days after onset: 39
Location:Connecticut  Entered:2007-11-23, Days after submission: 2
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: Allergic rhinitis, hyperlipidemia
Diagnostic Lab Data: None
CDC 'Split Type':
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TDAP: TDAP (ADACEL)SANOFI PASTEURC2844AA IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Site red, swollen, indurated. Itchy.

VAERS ID:297696 (history)  Vaccinated:2007-10-22
Age:57.0  Onset:2007-10-22, Days after vaccination: 0
Gender:Female  Submitted:2007-11-24, Days after onset: 33
Location:Florida  Entered:2007-11-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Sulfa
Diagnostic Lab Data: None so far, but I do plan to go when I can afford to.
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2507AA7IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injected limb mobility decreased, Pain
SMQs:
Write-up: Shot was administered very high on the arm, practically in the shoulder socket or ligament. Shot was extremely painful when administered. I still have considerable pain in the shoulder/muscles, radiating down my back. Movement is affected in that shoulder. The pain comes and goes during the day, but is severe enough to wake me several times in the middle of the night. I have continued to excercise and stretch the affected muscles but it is painful to do that. I mentioned it to my doctor approx 2 weeks after the shot, who told me to continue to monitor it and continue stretching. I really can''t afford to go to an orthopedist at this time.

VAERS ID:297847 (history)  Vaccinated:2007-11-09
Age:57.0  Onset:2007-11-10, Days after vaccination: 1
Gender:Female  Submitted:2007-11-19, Days after onset: 9
Location:New York  Entered:2007-11-26, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: NSAIDS
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2441AA UNLA
Administered by: Other     Purchased by: Other
Symptoms: Erythema, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Awoke at 12:30 A.M. 11/10/07 with extreme itching and redness in left arm elbow joint. Itching progressed and spread to both arms, chest, neck and left side of face. 11/11/07 Hives broke out on arms, chest, back, neck and left side of face. Lasted until 11/14/07. Tried Benadryl.

VAERS ID:297930 (history)  Vaccinated:2007-11-19
Age:57.0  Onset:2007-11-19, Days after vaccination: 0
Gender:Female  Submitted:2007-11-21, Days after onset: 2
Location:Wisconsin  Entered:2007-11-27, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol; Calcium with Vit D; Premarin; Prozac; Prilosec; Vit E; MVi
Current Illness: None
Preexisting Conditions: GERD, COPD, chronic cough
Diagnostic Lab Data: None
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2450AA1IMRA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Given influenza vaccine 11/19/07. Noted slight redness and warmth to injection site that evening. Reported to Employee Health on 11/21/07 after no improvement.

VAERS ID:297991 (history)  Vaccinated:2007-09-19
Age:57.0  Onset:2007-10-07, Days after vaccination: 18
Gender:Unknown  Submitted:2007-11-28, Days after onset: 52
Location:Maryland  Entered:2007-11-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: COPD
Preexisting Conditions: 11/30/07-records received-patient with PMH COPD and bipolar disorder.
Diagnostic Lab Data:
CDC 'Split Type':
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PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.  IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chronic obstructive pulmonary disease, Condition aggravated, Convulsion, Intensive care
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow)
Write-up: Subject in pneumococcal vaccine trial (not blinded) was hospitalized with a COPD exacerbation and had 2 seizures while in hospital. Vaccination took place on 9/19/07 and hospital admission was 10/7/07. Relationship to study treatment is ''Unlikely''. We would be happy to forward the Study''s SAE form upon request. Subject ID number is A100099.11/30/07-records received for DOS 10/7-10/11/07-SAE report Presented to ED with COPD exacerbation, while in ED had a seizure. Admitted to MICU where second seizure occurred. The SAE occurred approximately 1.5 weeks before the CO2 visit. Relationship to study vaccine unlikely.

VAERS ID:298029 (history)  Vaccinated:2007-10-18
Age:57.0  Onset:2007-10-19, Days after vaccination: 1
Gender:Female  Submitted:2007-11-28, Days after onset: 40
Location:North Carolina  Entered:2007-11-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2498AA UNLA
Administered by: Private     Purchased by: Private
Symptoms: Throat irritation, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad)
Write-up: 11 hours after receiving vaccine, pt reported a "scratchy" sensation in her throat with sensation of throat closing. Within 5 hours all her symptoms resolved without intervention. She noted no hives/wheezing/angioedema.

VAERS ID:298221 (history)  Vaccinated:2007-10-30
Age:57.0  Onset:2007-10-30, Days after vaccination: 0
Gender:Female  Submitted:2007-11-14, Days after onset: 15
Location:Washington  Entered:2007-11-29, Days after submission: 15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
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HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER0691U2IMUN
Administered by: Public     Purchased by: Private
Symptoms: Contusion, Pain, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Pt reports immediate pain/lump/bruising-. States "quarter" size bruising and pain for 2 wks.

VAERS ID:298503 (history)  Vaccinated:2007-11-05
Age:57.0  Onset:2007-11-05, Days after vaccination: 0
Gender:Female  Submitted:2007-12-03, Days after onset: 28
Location:Missouri  Entered:2007-12-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: benecar
Current Illness: none
Preexisting Conditions: hypertension
Diagnostic Lab Data: NA
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR02488AA IM 
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0963U IM 
Administered by: Unknown     Purchased by: Private
Symptoms: Headache, Injection site pain, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: soreness at site of injection, headache,occasional shooting pains down right arm

VAERS ID:298938 (history)  Vaccinated:2007-11-01
Age:57.0  Onset:2007-11-02, Days after vaccination: 1
Gender:Female  Submitted:2007-11-26, Days after onset: 24
Location:Virginia  Entered:2007-12-06, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Rifampin, Ethenbutol, Clarithromycis
Current Illness:
Preexisting Conditions: Mycobacterium Avium
Diagnostic Lab Data: Heart monitor results - 3100 PVO/75
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2439AA0  
Administered by: Public     Purchased by: Unknown
Symptoms: Electrocardiogram ambulatory, Heart rate increased, Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad)
Write-up: Nov. 2 - Friday - By next morning heart was erratic, pounding, extremely rapid. Nov. 3 - Saturday - even worse - Sunday - somewhat better. Monday - called health department. Saw doctor at 12:00. Heart monitor for 24 hours. 1 week before results, some improvement. Nov 12 thru Nov. 16, cardiologist, more improvement. Today, Nov. 25, still had some erratic throughout day. Called health department.

VAERS ID:299073 (history)  Vaccinated:2007-10-17
Age:57.0  Onset:2007-10-19, Days after vaccination: 2
Gender:Male  Submitted:2007-12-09, Days after onset: 51
Location:Virginia  Entered:2007-12-09
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: I am currently on coumidin.
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Activities of daily living impaired, Asthenia, Chest X-ray, Cough, Fatigue, Headache, Influenza like illness, Malaise, Sinusitis
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Guillain-Barre syndrome (broad)
Write-up: Two days after getting the flu shot, I started to feel sick with flu like symptoms. On Saturday and Sunday (20 -21 October 07) I was weak and started a mild cough and spent the weekend resting. For the next week, in the mornings I felt ok, but by early afternoon was weak, tired coughing, and ended up going home from work early on a number of days. On the following weekend I was so sick I stayed in bed resting. On 30 October, at about 0900 hrs the left side of my head started hurting so bad I called for an immediate doctor''s appointment. I went in at 1400 hrs. I was examined by Dr. and she ordered a chest x-ray and prescribed a two week regiment of antibiotics to combat a sinus infection. After about three days on the drugs I started to feel better but continued to be weak and tired and had a strong cough. On 28 November, I went back to the doctor and was examined by Dr. who put me on a five day regiment of antibiotics, and ordered another chest x-ray to insure I did not have pneumonia. As of today, 9 Dec 07, I feel almost normal. I believe the treatment from my doctors to be excellent. However, I believe my six plus week illness to be directly related to the flu shot I received.

VAERS ID:299876 (history)  Vaccinated:2007-11-08
Age:57.0  Onset:0000-00-00
Gender:Female  Submitted:2007-12-10
Location:California  Entered:2007-12-14, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Recent hyperthyroid
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER   LA
Administered by: Private     Purchased by: Unknown
Symptoms: Arthralgia, Muscle spasms
SMQs:, Dystonia (broad), Arthritis (broad)
Write-up: 24 hours after vaccine had onset of bilateral calf and thigh cramping lasting 3.5 weeks. Severe pain and cramping as well as bilateral knee/joint pain. treatment heat and occasional Motrin. I''ve had influenza vaccines yearly since 1983 never had a reaction.

VAERS ID:299911 (history)  Vaccinated:2007-12-12
Age:57.0  Onset:2007-12-13, Days after vaccination: 1
Gender:Male  Submitted:2007-12-15, Days after onset: 2
Location:Florida  Entered:2007-12-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: none~ ()~NULL~~In Patient
Other Medications: none
Current Illness: none
Preexisting Conditions: sulfa drugs, erythromycin
Diagnostic Lab Data: flu shot
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURERDXV04.81IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Dizziness, Gait disturbance, Hyperhidrosis
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad)
Write-up: 19 hours after the shot, I got dizzy, light-headed and felt weak. I had to sit down as my walking was unsteady and I was afraid of passing out. I had a friend sit with me for a half-hour and I drank water. The dizziness lasted about one hour. Within three hours the lightheadedness was gone. My temperature remained normal throughout. I had slight perspiration for one hour.

VAERS ID:299915 (history)  Vaccinated:2007-11-15
Age:57.0  Onset:2007-11-15, Days after vaccination: 0
Gender:Female  Submitted:2007-12-16, Days after onset: 31
Location:New York  Entered:2007-12-16
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':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2529AA0IMRA
Administered by: Public     Purchased by: Unknown
Symptoms: Asthenia, Chills, Headache, Hyperaesthesia, Nausea, Pyrexia, Vomiting projectile
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Approximately 5 hours after injection, I developed a high fever, intense chills, bad headache, queasiness followed by projectile vomiting, extreme skin/nerve sensitivity (could barely tolerate anything touching my skin), which lasted approximately 6 hours. I was very weak for about 24 hours, then healthy again.

VAERS ID:300039 (history)  Vaccinated:2007-12-04
Age:57.0  Onset:2007-12-07, Days after vaccination: 3
Gender:Male  Submitted:2007-12-17, Days after onset: 10
Location:Pennsylvania  Entered:2007-12-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: varenicline 1 mg po bid, naproxen po prn, MVI po daily, ASA 325 mg po daily
Current Illness: no
Preexisting Conditions: Hyperlipidemia, HTN, tobacco use
Diagnostic Lab Data: N/A
CDC 'Split Type':
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PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0773U IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Oedema peripheral, Pain in extremity
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Patient received pneumococcal vaccine on 12/4/07. Patient phoned the medical centter on 12/7/07 to report that his arm was swollen from his elbow to his shoulder, with pain. Patient was urged to report to the medical center for evaluation but patient declined. MD spoke with patient via telephone on 12/11/07 and patient stated his arm swelling was resolving on its own. This reporter phoned patient on 12/17/07 and patient reported that the swelling was completely resolved without intervention.

VAERS ID:300267 (history)  Vaccinated:2007-12-07
Age:57.0  Onset:2007-12-07, Days after vaccination: 0
Gender:Female  Submitted:2007-12-10, Days after onset: 3
Location:California  Entered:2007-12-18, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2509AA0IM 
Administered by: Other     Purchased by: Private
Symptoms: Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad)
Write-up: Patient felt tightness in throat. No distress except for lump in throat. Had patient sit for observation. Patient called her physician. Advised to give Edipen and Diphenhydramine 50 mg. Had patient stay 30 min. No change. Sent back to work in taxi. Called next morning. Patient was fine.

VAERS ID:300447 (history)  Vaccinated:2007-10-23
Age:57.0  Onset:2007-10-25, Days after vaccination: 2
Gender:Female  Submitted:2007-12-12, Days after onset: 48
Location:Nebraska  Entered:2007-12-19, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Unknown 12/31/07-records received-Hypertension.
Diagnostic Lab Data: lumbar puncture on 11-7-07 12/31/07-records received-Spinal fluid protein 36. ANA negative. Blood cultures negative. MS teseting negative. Echocardiogram ejection fraction of 60% to 65% with mild concentric left ventricular hypertrophy secondar to hypertension. MRI brain and cervical spine essentially negative except for C5-6 small disk with nerve root compression. Hyponatremia 127. EMG normal. IVIG treatment. Is able to work 8 hr shifts, but tires easily
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA303AA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Antinuclear antibody negative, Asthenia, Ataxia, Balance disorder, Blood culture negative, Blood pressure, Coordination abnormal, Echocardiogram abnormal, Electromyogram normal, Gait disturbance, Guillain-Barre syndrome, Hypoaesthesia, Hyponatraemia, Intervertebral disc protrusion, Laryngitis, Lumbar puncture, Nuclear magnetic resonance imaging brain normal, Paraesthesia, Ventricular hypertrophy
SMQs:, Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hyponatraemia/SIADH (narrow), Cardiomyopathy (broad), Demyelination (narrow), Vestibular disorders (broad), Chronic kidney disease (broad)
Write-up: Flu shot on 10/23/07; 10/25 laryngitis; 11/4 hands tingly & numb; 11/5 balance off, BP 180/120; 11/7 difficulty walking; 11/07 hospitalized with diagnosis of Guillain Barre; 11/12 dismissed from hospital. 12/31/07-records received for DOS 11/7-11/12/07-DC DX: Guillain-Barre syndrome. C/O progressive weakness in lower extremities with paresthesias. Developed some incoordination and balance issues. Neuro exam no focal deficits. Quite ataxic with generalized weakness.

VAERS ID:300453 (history)  Vaccinated:2007-11-29
Age:57.0  Onset:2007-12-01, Days after vaccination: 2
Gender:Female  Submitted:2007-12-19, Days after onset: 18
Location:Maryland  Entered:2007-12-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: OTC NSAIDS, baby aspirin
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data: None at this time
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2486AA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Immediate post-injection reaction, Injection site bruising, Injection site pain, Injection site swelling, Pain, Pain in extremity
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Bioject user. Per complainant about immediately after receiving vaccinations she states she felt pain. A few days later she experienced bruising and swelling at injection site. Since 12/1/07 she has felt throbbing to L deltoid muscle (site of injection) and aching/soreness. Also is experiencing radiating pain to her L thumb occasionally. Denies weakness in the L arm extremity. No treatment by doctor. Taking OTC NSAID to relieve discomfort. Plans to see doctor mid Jan. Encouraged to seek eval. sooner by this nurse.

VAERS ID:300586 (history)  Vaccinated:2007-10-19
Age:57.0  Onset:2007-11-05, Days after vaccination: 17
Gender:Female  Submitted:2007-12-20, Days after onset: 45
Location:Texas  Entered:2007-12-20
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: Unknown PMH: hypothyroidism
Diagnostic Lab Data: LABS: CSF protein 61 (H), glucose 88, wbc 0
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2510AA6IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Back pain, CSF glucose normal, CSF protein increased, CSF white blood cell count negative, Faecal incontinence, Fall, Muscular weakness, Myelitis, Nuclear magnetic resonance imaging normal, Spinal X-ray normal, Urinary incontinence, Vaccination complication
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Noninfectious diarrhoea (broad)
Write-up: Developed severe back pain, lower extremity weakness, and loss of bowel and bladder control 16 days after receiving flu vaccine. 1/4/08 Reviewed hospital D/C summary which reveals patient experienced lower back pain & LE weakness x 2 mo which became acute on 11/3/07 w/sudden onset of weakness in bilat LEs w/progression, multiple falls, urinary incontinence. Seen in ER but sent home when spine & MRI were WNL. Continued to deteriorate & admitted 11/6-11/21/2007. Neurology & neurosurgery consults done. Transferred to inpatient rehab upon d/c. FINAL DX: myelitis w/lower extremity weakness & bowel/bladder dysfunction, etiology unclear, thought to be most likely postvaccination.

VAERS ID:300994 (history)  Vaccinated:2007-12-08
Age:57.0  Onset:2007-12-08, Days after vaccination: 0
Gender:Female  Submitted:2007-12-27, Days after onset: 19
Location:New York  Entered:2007-12-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1582SCUN
Administered by: Military     Purchased by: Military
Symptoms: Chest discomfort, Dyspnoea, Pruritus generalised
SMQs:, Anaphylactic reaction (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (broad)
Write-up: Pt. received two doses of Anthrax vaccine. First dose given 3 November 2007 without reaction. The second dose given 8 December 2007. Pt reported C/O SOB, chest tightness, and generalized itchiness. SX began aprox. 6 Hrs after immunization. Pt stated she took Benadryl for SX with relief of SX.

VAERS ID:301688 (history)  Vaccinated:2007-07-06
Age:57.0  Onset:2007-07-06, Days after vaccination: 0
Gender:Female  Submitted:2007-12-21, Days after onset: 168
Location:Ohio  Entered:2007-12-28, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec; Premarin
Current Illness: Sinusitis
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type': WAES0708USA05715
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.0622F0IMUN
Administered by: Private     Purchased by: Private
Symptoms: Burning sensation, Herpes zoster, Inappropriate schedule of drug administration, Incorrect route of drug administration, Pain, Rash pustular, Skin lesion, Stress
SMQs:, Peripheral neuropathy (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a 57 year old female with no pertinent medical history and no known drug reactions/allergies who on 06-JUL-2007 at 10:45 AM was vaccinated IM with a first dose of Zostavax (Oka/Merck) (Lot#652965/0622F). Concomitant therapy included cetirizine hydrochloride (ZYRTEC) and estrogens conjugated (PREMARIN). On 25-AUG-2007 the patient developed shingles. The outbreak was on her abdomen, side and back. She had pain, burning, and lesions in the area. The patient sought unspecified medical attention. As of 30-AUG-2007, the patient''s shingles persisted. Follow up information from the nurse indicated that the patient was seen on 30-AUG-2007 complaining of a rash for 5 days. The doctor observed 1 pustule or lesion on the front of the abdomen. No other lesions were seen. The patient also complained of increased stress. The physician prescribed alprazolam (XANAX), valacyclovir (VALTREX) and cephalexin (KEFLEX). The patient was instructed to follow up if the symptoms persisted. The diagnosis was infected lesion vs. shingles. The prescribed made covered both. On an unspecified date the patient recovered. No further information was provided. There was no product quality complaint involved. Additional information is not expected.

VAERS ID:301876 (history)  Vaccinated:2007-09-14
Age:57.0  Onset:2007-09-14, Days after vaccination: 0
Gender:Female  Submitted:2007-12-21, Days after onset: 98
Location:California  Entered:2007-12-28, 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: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0709USA02451
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.0884U0SCUN
Administered by: Private     Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Injection site erythema, Injection site pain, Injection site pruritus, Injection site reaction, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Information has been received from a pharmacist concerning a 57 year old female with no pertinent medical history, drug reactions or allergies who on 14-SEP-2007, in the PM, was vaccinated subcutaneously with a first dose into the left arm with Zostavax (Oka/Merck) (Lot 3 658211/0884U). On 15 SEP 2007, at approximately 10:00, the patient developed a localized reaction at the site of injection, left arm, which was warm and painful, with redness, swelling, and itchy. The red area was approximately 2.5 inches in diameter. The swelling was approximately a 1/2 inch from normal. The reported events persisted for 6 days. (Initially the reported area involved was 1 1/2 inches in diameter with swelling of 4 centimeters). The patient was reported to have recovered on approximately 21 SEP 2007. The patient had no adverse events following prior vaccinations. No relevant diagnostic tests were performed. Additional information is not expected.

VAERS ID:301894 (history)  Vaccinated:2007-06-11
Age:57.0  Onset:2007-06-11, Days after vaccination: 0
Gender:Female  Submitted:2007-12-21, Days after onset: 193
Location:New York  Entered:2007-12-28, 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: AMBIEN; therapy unspecified
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0709USA02511
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  IMUN
Administered by: Other     Purchased by: Other
Symptoms: Eye pain, Herpes zoster, Inappropriate schedule of drug administration, Stomatitis
SMQs:, Severe cutaneous adverse reactions (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Glaucoma (broad), Hypersensitivity (broad)
Write-up: Information has been received from a physician concerning a 57-year-old female with no pertinent medical history or allergies who on 11-JUN-2007 was vaccinated intramuscularly with (1 vial once) dose of Zostavax. Concomitant therapy included "FIORCET" and AMBIEN. On 06-AUG-2007 the patient developed "shingles like" symptoms after vaccination. The patient presented with sores in her mouth and pain on her right eye brow. She saw a nurse practitioner and then an ophthalmologist. The ophthalmologist prescribed VALTREX for the symptoms. No diagnostic labs were performed. At the time of the report the patient''s status was not recovered. A product quality complaint was not involved. Additional information has been requested.

VAERS ID:302166 (history)  Vaccinated:2007-10-11
Age:57.0  Onset:2007-10-11, Days after vaccination: 0
Gender:Female  Submitted:2007-12-21, Days after onset: 71
Location:New Jersey  Entered:2007-12-28, 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: Requip; alendronate sodium (+) cholecalciferol (MSD)
Current Illness:
Preexisting Conditions: Medical History: Osteopenia
Diagnostic Lab Data: None
CDC 'Split Type': WAES0710USA03065
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  SC 
Administered by: Other     Purchased by: Other
Symptoms: Drug administered at inappropriate site, Inappropriate schedule of drug administration, Injection site erythema, Injection site pruritus
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Information has been received from a 57 year old female consumer with a history of osteopenia and no drug reactions/allergies, who on 11-OCT-2007 was vaccinated SC in the abdomen with a 0.65 mL dose of zoster vaccine live (Oka/Merck). Concomitant therapy included alendronate sodium (+) cholecalciferol (MDS), tablet (duration, dose and indication nor reported). Other concomitant therapy included Requip (manufacturer unknown). On 12-OCT-2007, the patient developed a red circle and itchiness at injection site. The patient was concerned that the effectiveness of the vaccine would have been compromised because the vaccine was not administered in the deltoid region of the upper arm as recommended. The patient was considering suing her physician for the latter reason. There were no lab diagnostics studies performed. Medical attention was not sought. The outcome was reported as not recovered. There was no product quality complaint. Additional information has been requested.

VAERS ID:302290 (history)  Vaccinated:2007-09-06
Age:57.0  Onset:2007-09-06, Days after vaccination: 0
Gender:Female  Submitted:2007-12-21, Days after onset: 106
Location:South Carolina  Entered:2007-12-28, Days after submission: 7
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: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0710USA06119
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.0882U0SCUN
Administered by: Other     Purchased by: Other
Symptoms: Blister, Contusion, Dermatitis contact, Erythema, Inappropriate schedule of drug administration, Rash erythematous, Skin discolouration, Swelling
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a registered nurse concerning a 57 year old female with no drug reactions/allergies, who on 06-SEP-2007 was vaccinated SC with a 0.65mL dose of ZOSTAVAX (Oka/Merck) (lot number: 658085/0882U). Concomitant therapy included losartan potassium (MSD) and simvastatin (MSD) and doxycycline (manufacturer unknown). Subsequently the patient experienced a three inch area of redness and swelling shortly after receiving the vaccination. When the redness faded the area looked discolored and bruised and then cleared. Approximately one week ago the patient experienced a red rash with blisters that the patient described as looking like a shingles rash. The patient also noted that the rash looked like a burn. The rash had progressively worsened since it started. The patient was not seen by the physician and the rash had not been confirmed to be a shingles rash. No lab diagnostics studies were performed. The outcome was reported as not resolved. Unspecified medical attention was sought through a telephone call to the office. No further information was available. There was no product quality complaint. On 01-NOV-2007 follow-up information was received from a health professional in the physician office who indicated that the physician did not believe the patient had shingles or any adverse experience related to the vaccination. The physician felt the patient had a contact dermatitis and referred her to a dermatologist. Additional information has been requested.

VAERS ID:301261 (history)  Vaccinated:2007-12-10
Age:57.0  Onset:2007-12-17, Days after vaccination: 7
Gender:Female  Submitted:2007-12-31, Days after onset: 14
Location:Iowa  Entered:2007-12-31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: no
Preexisting Conditions: sensitive to latex
Diagnostic Lab Data: none
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC 2825 AA0IMLA
Administered by: Private     Purchased by: Public
Symptoms: Injection site pain, Oedema peripheral, Pain in extremity
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Initially tenderness at the site.then one week later swelling into upper arm with soreness/ Has taken advil for the past three days with relief fromswelling and pain

VAERS ID:301596 (history)  Vaccinated:0000-00-00
Age:57.0  Onset:2007-10-21
Gender:Male  Submitted:2008-01-03, Days after onset: 74
Location:Minnesota  Entered:2008-01-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: PAST MEDICAL HISTORY: 1. History of melanoma, 7 years ago. 2. Bilateral ganglion cyst removal. 1/18/08-records received-PMH: melanoma. Several months ago had 20 pound weight loss, intermittent bloody stools over 2 month interval.
Diagnostic Lab Data: WBC 5.9, hemoglobin 15.1, platelets 104. INR 1.0. BUN 30, creatinine 0.8, sodium 141, potassium 2.8. Total bili 0.08 AST 48, ALT 44. Chest x-ray, no active disease. CT scan, head, without contrast showed mild prominence of both frontal horns of the lateral ventricular, without definite hydrocephalus. CT scan, abdomen and pelvis, showed nonobstructive similar to left renal mid pole calculus. MRI of the cervical spine shows normal cervical spine. MRI, brain, showed no evidence of acute infarct. 1/18/08-records received- EMG abnormal consistent with demyelinating neuropathy. Spinal tap revealed elevated protein. CT scan head mild prominence of both frontal horns of lateral ventricular without definite hydrocephalus. CT scan nonobstruct
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood bilirubin, Blood creatinine normal, Blood potassium decreased, Blood sodium normal, Blood urea increased, CSF protein increased, Chest X-ray normal, Computerised tomogram abnormal, Demyelinating polyneuropathy, Electromyogram abnormal, Gastrooesophageal reflux disease, Guillain-Barre syndrome, Haemoglobin increased, Headache, Hypertension, Hypoaesthesia, International normalised ratio decreased, Lumbar puncture, Muscular weakness, Nephrolithiasis, Nuclear magnetic resonance imaging normal, Paraesthesia, Plasmapheresis, Platelet count decreased, White blood cell count
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Liver related investigations, signs and symptoms (narrow), Haematopoietic thrombocytopenia (narrow), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific dysfunction (narrow), Hypertension (narrow), Demyelination (narrow), Chronic kidney disease (broad), Tumour lysis syndrome (broad)
Write-up: Presented to the emergency room with a chief complaint of weakness and tingling in the extremities for 3 days. It started with tingling and numbness in his hands, followed by foot. It involves all his fingers up to just below shoulder, and also his toes. Feels that he is in balance. He also complains of mild headache. Denies any history of dysarthria, visual changes. He had a recent vaccination a couple of weeks ago, prior to his symptoms. No history of any upper respiratory tract infection. 1. Guillain-Barre syndrome. His EMG was abnormal, consistent with demyelinating neuropathy. He had a spinal tap, which revealed elevated protein. He was started on plasmapheresis on 10/27/07. He had a pleural catheter placed by Nephrology. So far, he received 5 plasmapheresis. His symptoms are better. He is actively participating in physical therapy. 2. Hypertension. His blood pressure was elevated in the hospital. He was started on Norvasc. Will continue Norvasc 10 mg p.o. daily. Will avoid ACE inhibitors as he is on plasmapheresis. 3. Nonobstructive 10-mm left renal mid pole calculus. Asymptomatic. 4. GERD. He was started on Prilosec. 1/18/08-records received for DOS 10/24-11/2/07-DC DX: Guillain-Barre syndrome. Hypertension. GERD, nonobstructive 10-mm left renal mid pole calculus. Presented to ER with C/O weakness and tingling in extremities for 3 days. Tingling began then followed with numbness in hands, followed by foot. Involves all his fingers and up to shoulders and toes. Headache. Treated with plasmapheresis. Transferred to inpatient rehab. Ongoing paresthesias. Significant weakness initially, requiring hospitalization and several months of therapy and time off work. Now recovering from GUILLAIN-BARRE syndrome and effects. Now complete recovery except for mild fatuge and paresthesis.

VAERS ID:301623 (history)  Vaccinated:2007-11-01
Age:57.0  Onset:2007-11-15, Days after vaccination: 14
Gender:Female  Submitted:2007-11-30, Days after onset: 15
Location:Florida  Entered:2008-01-03, Days after submission: 34
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None 4/21/08-record received-PMH: hypothyroidism.
Diagnostic Lab Data: Spinal tap negative; Heavy metals negative; Lyme IgG negative 4/21/08-record received-WBC elevated 18.5, neutrophil % elevated 69.5, lymphocyte % decreased 20.9, sodium decreased 134, blood glucose increased 128. Lumbar puncture protein 44 and glucose 84. MRI disc disease in cervical spine.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 0IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Blood glucose increased, Blood heavy metal normal, Blood sodium decreased, Borrelia burgdorferi serology, CSF glucose normal, Dysphagia, Facial palsy, Facial paresis, Hypertension, Hypoaesthesia, Intervertebral disc degeneration, Leukocytosis, Lumbar puncture, Lymphocyte percentage decreased, Muscular weakness, Neutrophil percentage increased, Nuclear magnetic resonance imaging abnormal, Odynophagia, Paraesthesia, Plasmapheresis, White blood cell count increased
SMQs:, Rhabdomyolysis/myopathy (broad), Haematopoietic leukopenia (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hyponatraemia/SIADH (narrow), Hypertension (narrow), Chronic kidney disease (broad)
Write-up: ? Guillain-Barre Syndrome (admitting diagnosis) - Bilateral facial weakness (shortly after receiving flu vaccine) which progressed to numbness/weakness in extremities - received plasmaphoresis - discharged to rehab. 4/21/08-records received for DOS 11/14-11/23/07-DC DX: Hypothyroidism. Cervical disc degeneration/displacement. Bell''s palsy. Hypertension. Leukocytosis. Admitted with generalized weakness with numbness and tingling and neurologic dysfunction. Chief complaint of facial weakness, dysphagia and odynophagia.

VAERS ID:301757 (history)  Vaccinated:2007-12-26
Age:57.0  Onset:2007-12-30, Days after vaccination: 4
Gender:Female  Submitted:2008-01-04, Days after onset: 5
Location:Georga  Entered:2008-01-04
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: She did not see a doctor for her rash.
CDC 'Split Type':
Vaccination
Manufacturer
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Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.1414U0SCLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Blister, Exposure to communicable disease, Inappropriate schedule of drug administration, Injection site erythema, Medication error, Rash pruritic, Sick relative
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Patient said that the injection site was red for 10 days, and that she got an itchy, blistery rash on her left-side of back, 3 days after she received vaccine. She also mentioned that her mom had a bad case of shingles.

VAERS ID:301899 (history)  Vaccinated:2007-12-29
Age:57.0  Onset:2007-12-30, Days after vaccination: 1
Gender:Male  Submitted:2008-01-02, Days after onset: 3
Location:Michigan  Entered:2008-01-08, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: NKA
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA319BA0UNLA
Administered by: Other     Purchased by: Private
Symptoms: Eye pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Patient developed itchy eyes and neck rash 24 to 48 hours after receiving the vaccine. Patient instructed to take OTC Benadryl.

VAERS ID:302742 (history)  Vaccinated:2008-01-11
Age:57.0  Onset:2008-01-12, Days after vaccination: 1
Gender:Female  Submitted:2008-01-15, Days after onset: 3
Location:Texas  Entered:2008-01-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid, Lipitor, Actonel
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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HPV4: HPV (GARDASIL)MERCK & CO. INC.1267U1SCUN
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Dysgeusia
SMQs:, Taste and smell disorders (narrow), Arthritis (broad)
Write-up: Joint pain, metallic taste.

VAERS ID:302946 (history)  Vaccinated:2007-06-19
Age:57.0  Onset:2007-06-20, Days after vaccination: 1
Gender:Female  Submitted:2008-01-16, Days after onset: 210
Location:New Jersey  Entered:2008-01-17, 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: Laxiaue
Current Illness: no
Preexisting Conditions:
Diagnostic Lab Data: CBC/ Check screen
CDC 'Split Type':
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TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD30011880PO 
YF: YELLOW FEVER (YF-VAX)SANOFI PASTEURUF045AA0SCRA
Administered by: Private     Purchased by: Unknown
Symptoms: Anorexia, Dysgeusia, Full blood count, Nausea
SMQs:, Acute pancreatitis (broad), Taste and smell disorders (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Nausea, loss of appetite. Bitter taste in mouth for 4-6 weeks.

VAERS ID:303731 (history)  Vaccinated:2007-11-16
Age:57.0  Onset:2007-11-19, Days after vaccination: 3
Gender:Female  Submitted:2008-01-16, Days after onset: 58
Location:Tennessee  Entered:2008-01-28, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None. PMH: HTN, Liver cyst. Gall bladder surgery 2006 (verified not GBS). Retinal surgery.
Diagnostic Lab Data: Spinal tap, nerve tests, mild Guillain-Barre syndrome per doctors. Labs and Diagnostics: EMG/NCS(+) for mild, diffuse sensory motor peripheral neuropathy. No demyelination or lumbosacral radiculopathy. Blood sugars increased, HgbA1c 7.8, CBC with WBC 4.6, RBC 3.89, Hgb 11.8, Hct 35.7. CT abdomen/pelvis with stable hepatic lesions.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA075 IMLA
Administered by: Other     Purchased by: Private
Symptoms: Asthenia, Blood glucose increased, Computerised tomogram abnormal, Diabetes mellitus, Dysstasia, Electromyogram abnormal, Full blood count, Glycosylated haemoglobin increased, Guillain-Barre syndrome, Haematocrit decreased, Haemoglobin decreased, Hepatic lesion, Hyporeflexia, Immunisation reaction, Immunoglobulins, Lumbar puncture, Mobility decreased, Musculoskeletal pain, Nerve conduction studies abnormal, Pain in extremity, Peripheral motor neuropathy, Peripheral sensory neuropathy, Red blood cell count decreased, Transfusion, White blood cell count decreased
SMQs:, Rhabdomyolysis/myopathy (broad), Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Haematopoietic erythropenia (narrow), Haematopoietic leukopenia (narrow), Peripheral neuropathy (narrow), Haemorrhage laboratory terms (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Systemic lupus erythematosus (broad), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Demyelination (narrow)
Write-up: Great pain in both legs moving upward, difficulty getting up and down out of chair, bed, etc. 02/12/2008 MR received for DOS 11/29-12/03/2007 with Final DX: Guillain-Barre Syndrome 2'' to influenza vaccination. HTN. DM. Stable 4 mm noncalcified LLL nodule per CT abd/pelvis. Stable hepatic lesions c/w proteinaceous cyst. Pt presented to MD with pain in legs, weakness and inability to get out of a chair w/o using arms and ambulation. Pain noted in upper limb girdle/shoulder. PE (+) for 1+ DTRs with normal strength noted. Txd with IVIG. x 5 days with good response. 2/15/2008 Pt improved to date, but not 100%. Follow-up Information 09-MAY-2008: I have not regained the total use of my legs that I had before the flu shot. I still have great difficulty getting up and down from a chair. I cannot drive long distances. My shoulders are in pain from the effort it takes to get my legs up from a seated position. There has not been one day free of pain or any way normal since that horrible shot. The only good thing is that I voluntarily did it; I would hate someone if I had been forced to have had it. It has been six months, I am now trying accupuncture and deep massage. I am thousands of dollars in debt from this.

VAERS ID:304157 (history)  Vaccinated:2008-01-29
Age:57.0  Onset:2008-01-30, Days after vaccination: 1
Gender:Female  Submitted:2008-02-01, Days after onset: 2
Location:North Carolina  Entered:2008-02-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
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TDAP: TDAP (ADACEL)SANOFI PASTEURC2775AA0 LA
Administered by: Public     Purchased by: Public
Symptoms: Erythema, Induration
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad)
Write-up: Induration and erythema.

VAERS ID:304250 (history)  Vaccinated:2008-01-23
Age:57.0  Onset:0000-00-00
Gender:Female  Submitted:2008-01-30
Location:Georga  Entered:2008-02-04, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
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MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU21720IMUN
Administered by: Public     Purchased by: Public
Symptoms: Inappropriate schedule of drug administration, No adverse reaction
SMQs:
Write-up: None

VAERS ID:304292 (history)  Vaccinated:2007-10-22
Age:57.0  Onset:2007-10-29, Days after vaccination: 7
Gender:Female  Submitted:2008-02-03, Days after onset: 97
Location:California  Entered:2008-02-04, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
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VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0729U0SCLA
Administered by: Public     Purchased by: Private
Symptoms: Blister, Rash generalised
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Patient received varicella vaccine (1st dose ever) 10-22-07. Had 1st outbreak of rash with blisters 0024, crusted over on 10-29-07. No fever, No pain. lasted 1 wk. Had 2nd out break 12-25-07; rash more extensive (over trunk, arms, legs); raised vesicles no fever, more itching, bigger blisters. Diagnosed by own MD

VAERS ID:306400 (history)  Vaccinated:2008-02-21
Age:57.0  Onset:2008-02-25, Days after vaccination: 4
Gender:Female  Submitted:2008-02-27, Days after onset: 2
Location:Ohio  Entered:2008-03-04, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Sulfa; PCN; ASA
Diagnostic Lab Data: None
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2462AA0IMRA
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU2278AA0IMLA
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD30012910PO 
YF: YELLOW FEVER (YF-VAX)SANOFI PASTEURUF139AA0SCLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site urticaria, Injection site vesicles, Oedema peripheral, Pruritus, Skin irritation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: At follow-up call, patient complained of swelling Lt severe enough she has to go to ER to get ring cut off (Sat. 2/23/08). Also had hive like blister at/near injection site of YFVAX, itching, irritation all on Lt arm.

VAERS ID:307084 (history)  Vaccinated:2008-02-27
Age:57.0  Onset:2008-02-27, Days after vaccination: 0
Gender:Female  Submitted:2008-03-08, Days after onset: 10
Location:Texas  Entered:2008-03-14, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: Chest tightness, anxiety
Preexisting Conditions: Dyslipidemia
Diagnostic Lab Data:
CDC 'Split Type':
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TDAP: TDAP (ADACEL)SANOFI PASTEURC2863AA IMRA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Body temperature increased, Hot flush, Hypoaesthesia, Injected limb mobility decreased, Injection site pain, Injection site swelling, Pain
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Localized pain/swelling at injection site. Complained of pain with lifting arm at injection site (right). Patient also complained of numbness infect/hot flashes/weakness. Temp 100 deg F after injection (next day).

VAERS ID:307152 (history)  Vaccinated:2008-03-13
Age:57.0  Onset:2008-03-14, Days after vaccination: 1
Gender:Female  Submitted:2008-03-17, Days after onset: 3
Location:New York  Entered:2008-03-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: penicillin, shellfish, peanuts, chocolate
Diagnostic Lab Data: none
CDC 'Split Type':
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TD: TETANUS DIPHTHERIA (NO BRAND NAME)UNKNOWN MANUFACTURERU1956DA IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Axillary pain, Induration, Local swelling, Pain
SMQs:, Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: dT administered 3/13/08. Mod/severe pain, induration and swelling locally by next day, severe burning pain and swelling, mild induration, in axilla started 3/16/08. Vaccine manufacturere Sanofi Pasteur. Rxed ibuprofen, lidocaine gel.

VAERS ID:307180 (history)  Vaccinated:2007-10-26
Age:57.0  Onset:2007-10-26, Days after vaccination: 0
Gender:Female  Submitted:2008-03-11, Days after onset: 137
Location:Oregon  Entered:2008-03-17, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None PMH: osteoporosis, HRT, depression, pneumonia 1 yr ago, former smoker.
Diagnostic Lab Data: Audiology MRI was WNL.
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR80685 IMUN
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1035F UNUN
Administered by: Private     Purchased by: Unknown
Symptoms: Acoustic stimulation tests, Audiogram abnormal, Deafness, Deafness neurosensory, Erythema, Hearing impaired, Injection site reaction, Nausea, Nuclear magnetic resonance imaging, Oedema peripheral, Oral candidiasis, Otitis media, Pyrexia, Rash, Tympanic membrane disorder, Vaccination complication, Vertigo, Vomiting
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hearing impairment (narrow), Vestibular disorders (narrow), Hypersensitivity (narrow)
Write-up: Received vaccine on Friday Oct 27 - Saturday red rash covered my left arm, swelling and fever, hearing was distorted. Hearing grew worse over next day - called doctor for treatment. Later to specialist - lost my hearing. 3/21/08 Reviewed PCP medical records 10/26/07-3/11/08. FINAL DX: none provided Records review patient experienced swelling or left arm w/rash & oral thrush. On 10/26 received PCV & flu vaccines. 10/30 dx w/injection reaction & tx w/steroids & antihistamine. TM/s were normal but having vertigo & hearing problem. Noted to have retraction right TM. Tx w/continued steroids & decongestant. Note of 3/11 does not address hearing or vertigo status. 3/25/08 Received ENT medical records of 11/07-11/30/2007. FINAL DX: right sided sudden sensorineural hearing loss. Records reveal patient noted rash, n/v & right ear hearing loss day after pneumo vax. No improvement w/tx. Exam revealed dull right TM w/fluid in right middle ear. Dx: right serous otitis media & possible mixed hearing loss. Tx w/antibiotics & steroids. Returned for audiogram 11/16/07 which was abnormal. Referred for MRI. Returned 11/28/07. No improvement. Referred for hearing aids.

VAERS ID:307298 (history)  Vaccinated:2008-03-05
Age:57.0  Onset:2008-03-05, Days after vaccination: 0
Gender:Male  Submitted:2008-03-18, Days after onset: 12
Location:Ohio  Entered:2008-03-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Blood work, Nasal Swab, blood cultures, Chest xray, EKG done in ED.
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TDAP: TDAP (ADACEL)SANOFI PASTEURC2759AA0IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Blood culture negative, Body temperature increased, Chest X-ray, Culture negative, Electrocardiogram, Laboratory test
SMQs:, Neuroleptic malignant syndrome (broad), Arthritis (broad)
Write-up: 1830 hours after injection of Tdap, joints hurt and increased temp. Took Excedrin. Next Am called back to say temp still elevated 104 degree. 1830 next day spoke with family physician, advised to go to ER. Blood work, cultures nasal swab done. All negative advised to report incidence to Health Dept as reaction to vaccination. Temp broke 3/6/08 in evening. NKDA reported.

VAERS ID:308008 (history)  Vaccinated:0000-00-00
Age:57.0  Onset:0000-00-00
Gender:Male  Submitted:2008-03-07
Location:Unknown  Entered:2008-03-19, 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: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: serum hepatitis B ?/?/06 - negative; serum hepatitis B ?/?/92 - positive; serum hepatitis B 12?/??/06 - negative
CDC 'Split Type': WAES0702USA03133
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HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1022F2IMUN
Administered by: Other     Purchased by: Other
Symptoms: Hepatitis B antibody negative, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Information has been received from a registered nurse concerning a 57 year old male with no past medical history or allergies who in 1991 was vaccinated with a full series of RECOMBIVAX HB (Lot # 655810/1022F) IM. In 1992, the patient had a documented, positive hepatitis b antibody titer. After blood exposure, at the end of 2006, blood work indicated a negative hepatitis b titer. On 29-DEC-2006, the patient was re-immunized with RECOMBIVAX HB. A follow-up titer was negative. No adverse experience was related to this event. Unspecified medical attention was sought. Additional information has been received from the registered nurse who stated that the patient had a full dose series of RECOMBIVAX HB in 1991. The titer was done in 1992 and was noted as reactive. In December 2006, the patient was involved in a BBP exposure and was retested. The testing came back negative and at that time patient was given a booster dose of RECOMBIVAX HB. No further information is expected.

VAERS ID:308024 (history)  Vaccinated:0000-00-00
Age:57.0  Onset:0000-00-00
Gender:Female  Submitted:2008-03-07
Location:New Jersey  Entered:2008-03-19, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Penicillin allergy
Preexisting Conditions: Mitral valve prolapse
Diagnostic Lab Data: serum hepatitis B indet; serum hepatitis B core posit
CDC 'Split Type': WAES0703USA04243
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HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 2UNUN
Administered by: Other     Purchased by: Other
Symptoms: Hepatitis B antibody, Hepatitis B core antigen positive, No adverse event, Vaccination failure
SMQs:, Liver infections (narrow), Lack of efficacy/effect (narrow)
Write-up: Information has been received from a physician concerning a 57 year old female with an allergy to penicillin and a history of mitral valve prolapse who was vaccinated with three doses of RECOMBIVAX HB over five years ago. There was no concomitant medication. The patient now has a positive hepatitis B core antibody test. The results of her hepatitis B surface antibody test indeterminate. The patient was asymptomatic. Unspecified medical attention was sought. There was no product quality complaint. Additional information has been requested.

VAERS ID:307784 (history)  Vaccinated:2008-03-18
Age:57.0  Onset:2008-03-19, Days after vaccination: 1
Gender:Female  Submitted:2008-03-20, Days after onset: 1
Location:Massachusetts  Entered:2008-03-21, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: HTN, GERD, Restrictive lung disease, Kyproscoliosis, Polio-age 5, Diverticulosis
Diagnostic Lab Data: None
CDC 'Split Type':
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PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.113261IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Axillary pain, Injection site pain, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Pain at injection site (L) upper arm that radiates to (L) axilla and down her arm. Rash left - right side of trunk.

VAERS ID:308468 (history)  Vaccinated:2008-03-14
Age:57.0  Onset:2008-03-17, Days after vaccination: 3
Gender:Female  Submitted:2008-03-19, Days after onset: 2
Location:Massachusetts  Entered:2008-03-28, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: ultrasound 3/17/08 revealed a cyst
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TDAP: TDAP (ADACEL)SANOFI PASTEURC2758AA0IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Cyst, Lymphadenopathy, Tenderness, Ultrasound scan abnormal
SMQs:, Malignancy related therapeutic and diagnostic procedures (narrow)
Write-up: 3/14/08 received Tdap, IM, left deltoid. 3/17/08 presented with cyst and enlarged lymph nodes Left axilla approx 70 mm x 40 mm. Soft with slight tenderness. No erythema, drainage.

VAERS ID:308787 (history)  Vaccinated:2008-03-30
Age:57.0  Onset:2008-04-01, Days after vaccination: 2
Gender:Female  Submitted:2008-04-02, Days after onset: 1
Location:North Carolina  Entered:2008-04-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: I was bitten by a cat and it got infected.
Preexisting Conditions: I have severe allergies, mostly chemical, cats and dogs, red cedar and several antibiotics.
Diagnostic Lab Data:
CDC 'Split Type':
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DTAP: DTAP (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abdominal pain upper, Diarrhoea, Erythema, Neck pain, Urticaria, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow)
Write-up: I experienced severe stomach cramps, diarrhea, vomiting, turned bright red and had severe hives for about an hour all over my body, including my feet. Itching so bad I rubbed the skin off the back of my hand trying to get relief with a cold wet washcloth. I took my usual allergy pills, Sudafed, Singulair and doxepin, as well as two Benadryl. It took an hour for the itching to stop. The next day I had pain in the back of my neck and lower back and stomach cramps after eating. I took Naproxen for that. I didn''t have anymore vomiting or hives though.

VAERS ID:308841 (history)  Vaccinated:2008-03-26
Age:57.0  Onset:2008-03-27, Days after vaccination: 1
Gender:Female  Submitted:2008-04-03, Days after onset: 7
Location:Kentucky  Entered:2008-04-03
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: Arthritis, high cholesterol, HTN
Diagnostic Lab Data: None done
CDC 'Split Type':
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TDAP: TDAP (ADACEL)SANOFI PASTEURU2067BA1IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth, Insomnia
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Pt. complains of itching and soreness around injection area which started the day after the injection. Has interrupted sleep due to itching and pain in upper arm. Area is red, hot, bruised, and swollen which is still present 8 days after injection. Area extends 3-5 cm beyond injection site. Itching is still present with discomfort 8 days after injection.

VAERS ID:309493 (history)  Vaccinated:2008-01-16
Age:57.0  Onset:2008-01-16, Days after vaccination: 0
Gender:Female  Submitted:2008-03-28, Days after onset: 71
Location:California  Entered:2008-04-14, Days after submission: 17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Celexa; lorazepam; Seroquel; Aspirin; calcium; ginko; Vivelle; glucosamine
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: None
CDC 'Split Type':
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HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB094AA0IMLA
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURA0111-2 SCLA
Administered by: Public     Purchased by: Private
Symptoms: Activities of daily living impaired, Injection site pain, Movement disorder, Muscular weakness, Sleep disorder
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Dementia (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: Reports extreme pain with injection, muscle weakness, loss of range of motion in left arm causing limitation with activities. Ibuprofen taken with minimal relief. Pain waking her up from sleep. Continues to have the same pain level on 3/28/08 as she did when 1st vaccinated. Did not see her doctor. Tetanus give 1 month early in left arm, pain lasted only 2-3 days.

VAERS ID:310935 (history)  Vaccinated:2008-03-14
Age:57.0  Onset:2008-03-23, Days after vaccination: 9
Gender:Male  Submitted:2008-04-25, Days after onset: 33
Location:Ohio  Entered:2008-04-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: Signs and sypmtoms, treated with Amoxicillin, Entex and prednisone.
CDC 'Split Type':
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HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB519AA4IMLA
Administered by: Military     Purchased by: Unknown
Symptoms: Facial palsy, Fatigue
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad)
Write-up: 3/24/08 had symptoms of fatigue, right sided facial paralysis. Diagnosed with Bell''s Palsy.

VAERS ID:311987 (history)  Vaccinated:2007-10-16
Age:57.0  Onset:2007-11-18, Days after vaccination: 33
Gender:Male  Submitted:2008-05-09, Days after onset: 172
Location:Minnesota  Entered:2008-05-09
Life Threatening? No
Died? Yes
   Date died: 2008-01-21
   Days after onset: 64
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none PMH: cranial atherosclerosis, distant history of melanoma excised 15 yrs ago; erectile dysfunction; DJD. Bell''s palsy s/p swine flu shot, resolved. Tennis elbow/bursitis, resolved. Dysuria. Diabetes.
Diagnostic Lab Data: unknown LABS: MRI of orbits revealed bilateral optic nerve enhancement (prechiasmal). Sed rate, CRP, ANA & CBC WNL.
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS806852IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Acute respiratory failure, Antinuclear antibody negative, Biopsy brain abnormal, Blindness, Brain oedema, C-reactive protein normal, Central nervous system lesion, Cerebral atrophy, Death, Dysphagia, Escherichia infection, Eye pain, Febrile infection, Full blood count normal, General physical health deterioration, Hypoxia, Intensive care, Leukoencephalomyelitis, Mechanical ventilation, Mental status changes, Muscle spasms, Musculoskeletal stiffness, Myalgia, Nuclear magnetic resonance imaging abnormal, Optic neuritis, Optic neuritis retrobulbar, Oral intake reduced, Papilloedema, Plasmapheresis, Pneumonia, Posturing, Pyrexia, Red blood cell sedimentation rate normal, Staphylococcus identification test positive, Staphylococcal infection, Viral infection, Vision blurred
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Dementia (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (narrow), Psychosis and psychotic disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hyponatraemia/SIADH (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Optic nerve disorders (narrow), Cardiomyopathy (broad), Demyelination (narrow), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Ocular infections (broad), Hypersensitivity (broad), Arthritis (broad)
Write-up: information is a verbal report from spouse, onset of illness 32 days after vaccination, treated by primary care MD, thought he had a virus, became blind by 11/21/07, continued deterioration to death. Autospy preformed: found patient had a demylinating process as cause of death. 05/27/08 Autopsy report reviewed which states COD as presumed acute pneumonia (autopsy limited to examination of brain). Report also states clinical hx of acute respiratory failure, febrile illness & staph aureus & e.coli dx on bronchoalveolar lavage 1/14/08. Other contributing conditions included: acute aggressive multifocal demyelinating disease w/white matter lesions multiple areas of the brain including previous biopsy sites & cervical spinal cord; cerebral atrophy & edema. 9/26/08 Reviewed hospital medical records of 1/3-/-19/2008. FINAL DX: multiple CNS lesions w/gadolinium-enhancing CNS lesions; myalgia; hypoxic respiratory failure; dysphagia; poor oral intake; nutrition; possible pneumonia; prophylaxis. Records reveal patient experienced re-admission for brain biopsy which revealed acute demyelinating process. Failed high dose steroids & plasma exchange. Tx w/mitoxantrone treatment & second course of high dose steroids in ICU. Mental & respiratory status deteriorated, significant muscle spasms & pain. Mechanical ventilation. Brain lesions continued to grow & new lesions appeared. Developed decerebrate posturing. Comfort care only decided & transferred to hospital closer to family home. 5/23/08 Reviewed initial eye clinic records of 11/29-11/30/2007 FINAL DX: probable retrobulbar ischemic ACON. Records reveal patient experienced HA x 3 days & blurred vision x 1 day. Patient had viral infection w/fever approx 10 days prior & still has sore eyes & stiff neck. Referred to neuro-ophthal. 6/6/08 Reviewed neuro-optho medical records for 11/30-12/2/2007. FINAL DX: bilateral optic neuritis Records reveal patient seen in clinic 11/30 emergently & admitted to hospital same day. Had used Cialis & noted difficulty reading next AM w/HA. Then developed blurry vision, decreased vision & pain over 3 days. Exam revealed visual acuity hand motion in right eye & 4/200 left eye, IOP WNL, no ptosis, slit lamp WNL, fundus w/1(+) edema of right optic nerve & trace edema left optic nerve. Admitted for stat MRI & IV steroids. No improvement & D/C to home on continued tapering steroids. 7/4/08 Reviewed hospital medical records of 11/30-12/02/2007 which were previously included in clinic records. FINAL DX: bilateral optic neuritis

VAERS ID:312111 (history)  Vaccinated:2008-04-30
Age:57.0  Onset:2008-04-30, Days after vaccination: 0
Gender:Female  Submitted:2008-05-01, Days after onset: 1
Location:Idaho  Entered:2008-05-12, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None reported
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': IDO08021
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB096AA0IMRA
Administered by: Public     Purchased by: Public
Symptoms: Dizziness, Hypersensitivity, Loss of consciousness, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Angioedema (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow)
Write-up: Patient reported that she had fainted in the past with injections. Immediately after receiving TWINRIX patient became dizzy and passed out. Patient was non-responsive for 15-30 seconds. After awakening patient began to vomit and continued to do so for 20 minutes. No shortness of breath. At 1815, blood pressure 124/60, pulse 72 regular. Patient offered ambulance, declined, desired to go home. Left with husband - walked to car. On 5/1/08, patient reports she called MD and he told her she had a "severe allergic reaction to injection" and not to get another. Feeling better.

VAERS ID:312348 (history)  Vaccinated:2008-04-30
Age:57.0  Onset:2008-04-30, Days after vaccination: 0
Gender:Female  Submitted:2008-05-14, Days after onset: 14
Location:Unknown  Entered:2008-05-15, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0805USA01349
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Feeling abnormal, Inappropriate schedule of drug administration, Pyrexia, Varicella
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad)
Write-up: Information has been received from a registered nurse concerning a 57 year old white female with no known drug allergies, who on 30-APR-2008, was vaccinated at a pharmacy with a dose of ZOSTAVAX. Concomitant therapy included ACTONEL, ALLEGRA-D, LIPITOR, calcium (unspecified), omega-3 marine triglycerides, montelukast sodium, PLAQUENIL and amitriptyline. On 05-MAY-2008, the patient broke out in chickenpox. "Today", on 07-MAY-2008, the patient was seen at the physician''s office and was covered with varicella "head to toe", felt miserable and had a low grade fever. The patient was being treated with VALTREX. The patient''s chickenpox persisted. No product quality complaint was involved. The registered nurse considered chickenpox to be disabling. Additional information has been requested.

VAERS ID:312488 (history)  Vaccinated:2008-03-12
Age:57.0  Onset:2008-03-22, Days after vaccination: 10
Gender:Female  Submitted:2008-05-16, Days after onset: 55
Location:North Carolina  Entered:2008-05-16
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
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB096AA0IMLA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2904AA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Inflammation, Joint stiffness, Musculoskeletal stiffness
SMQs:, Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (broad)
Write-up: Client phoned to report symptoms of generalized inflammation, am stiffness in neck, shoulders,hips,and knees that began 10 days after receiving Tdap, and Twinrix(Hep A/B)on March 12,2008.Client states her primary care physician has referred her to a rheumatologist.

VAERS ID:312687 (history)  Vaccinated:2008-05-09
Age:57.0  Onset:2008-05-10, Days after vaccination: 1
Gender:Male  Submitted:2008-05-15, Days after onset: 5
Location:North Carolina  Entered:2008-05-20, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: CAD, NKDA
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1132U0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Local reaction, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Administer vaccine on 05/09/08 - patient being having symptoms on 05/10/08 around 2:00pm. Had fever, body aches and local reaction at injection site. Red and swelling at injection site and painful. 9 1/2 cm x 10 cm.

VAERS ID:315723 (history)  Vaccinated:2008-06-03
Age:57.0  Onset:2008-06-04, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:Maryland  Entered:2008-06-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LIPITOR 40mg, ASA 81mg
Current Illness: none
Preexisting Conditions: OA; colon polyps; hyperlipidemia; CAD (mild)
Diagnostic Lab Data: none
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)MASS. PUB HLTH BIOL LABTD181 IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Asthenia, Chills, Pain in extremity, Rash erythematous
SMQs:, Anaphylactic reaction (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow)
Write-up: Approx 12 hrs after Td, L arm pain, weakness, chills - continued to following day. Fine erythematous rash 2 days after injection.

VAERS ID:315726 (history)  Vaccinated:2008-01-10
Age:57.0  Onset:0000-00-00
Gender:Male  Submitted:2008-04-01
Location:Georga  Entered:2008-06-09, Days after submission: 69
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': GA08021
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0090U1IMRA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B02AA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Inappropriate schedule of drug administration
SMQs:
Write-up: None. Given vaccine (Tdap) not licensed for this age.

VAERS ID:315923 (history)  Vaccinated:2008-06-02
Age:57.0  Onset:2008-06-03, Days after vaccination: 1
Gender:Female  Submitted:2008-06-10, Days after onset: 7
Location:Washington  Entered:2008-06-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: atenolol, lisinopril
Current Illness: arthralgia
Preexisting Conditions: hypertension. osteoarthritis
Diagnostic Lab Data: n/a
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEUR2767AA IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Ecchymosis, Erythema, Induration, Local reaction, Pain in extremity, Tenderness
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad)
Write-up: Large local reaction: up to 7 cm induration with erythema, ecchymosis, pain and tenderness. 3.5 cm induration and erythema when examined 7 days after vaccination, incidental to medical followup of other problems.

VAERS ID:315937 (history)  Vaccinated:2008-06-02
Age:57.0  Onset:2008-06-04, Days after vaccination: 2
Gender:Female  Submitted:2008-06-10, Days after onset: 6
Location:Missouri  Entered:2008-06-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Allergies - PCN, ASA, Tetracycline, Daroscet
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB530AA IMRA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2766AA0IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site swelling, Local reaction, Pain in extremity, Skin warm
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: 6-4-08 OV FTF complained redness, swelling, pain to left deltoid area approximately 2 inches wide - X 6 inches long, red, warm to touch - referred to PMD.

VAERS ID:317299 (history)  Vaccinated:2007-05-24
Age:57.0  Onset:2007-05-24, Days after vaccination: 0
Gender:Female  Submitted:2008-05-30, Days after onset: 372
Location:Georga  Entered:2008-06-18, Days after submission: 19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Hypersensitivity, Allergic reaction to antibiotics
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA05390
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1469F0SCRA
Administered by: Private     Purchased by: Private
Symptoms: Diarrhoea, Dysphagia, Nausea, Pharyngolaryngeal pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Information has been received from a registered nurse concerning a 57 year old caucasian female with badrim, vancomycin, ciprofloxacin hydrochloride (CIPRO) and ceffin allergy and no medical history who on 24-MAY-2007 at 9:00 AM was vaccinated SC on right arm with first 0.5 ml dose of measles virus vaccine live (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3) (Lot # 655410/1469F). There was no concomitant medication. There was no illness at the time of vaccination. It was reported that on 24-MAY-2007 at 12:00 noon the patient developed fever, diarrhea, nausea and sore throat after vaccination. Unspecified medical attention was sought. No diagnostic laboratory tests were undertaken. On 28-MAY-2007 the patient had recovered. A product quality complaint was not involved. Additional information has been received from the registered nurse who stated that the patient experienced fever, nausea, diarrhea, difficulty in swallowing for 3 days. On 28-MAY-2007 the patient recovered. No additional information is expected.

VAERS ID:317240 (history)  Vaccinated:2008-06-11
Age:57.0  Onset:2008-06-14, Days after vaccination: 3
Gender:Male  Submitted:2008-06-24, Days after onset: 10
Location:Ohio  Entered:2008-06-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2527AA IMRA
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1837U0IMLA
HEPA: HEP A (VAQTA)MERCK & CO. INC.AHAVB224AA0IMRA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURA0220IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Anorexia, Asthenia
SMQs:, Guillain-Barre syndrome (broad)
Write-up: loss of appetite, no energy

VAERS ID:318180 (history)  Vaccinated:2008-06-16
Age:57.0  Onset:2008-06-17, Days after vaccination: 1
Gender:Male  Submitted:2008-06-20, Days after onset: 3
Location:Illinois  Entered:2008-07-02, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Have fullness and tenderness in right ear.
Preexisting Conditions: No
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB116AA1IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Anorexia, Body temperature increased, Chills, Diarrhoea, Dyspnoea, Muscle spasms
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Pseudomembranous colitis (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow)
Write-up: 6-17-08 - developed chills - cramps - loss appetite. 6-18-08 - cramps, diarrhea, loss appetite, temperature 102 and shortness of breath. 6-19-08 - cramps, diarrhea, temperature decreased to 101 - 100. 6-20-08 - cramps and diarrhea 6 to 7 times - temperature 98.2. No shortness of breath.

VAERS ID:318738 (history)  Vaccinated:2008-06-13
Age:57.0  Onset:2008-06-14, Days after vaccination: 1
Gender:Female  Submitted:1950-06-30, Days after onset: 21169
Location:Washington  Entered:2008-07-11, Days after submission: 21196
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.0294X0SC 
Administered by: Other     Purchased by: Private
Symptoms: Diarrhoea, Inappropriate schedule of drug administration, Oedema peripheral, Pyrexia, Urticaria, Vomiting
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow)
Write-up: Had shingles shot on 06/13/08. Became very ill 24 hours later. My arm swelled for 4-5 days with welts and I had diarrhea, vomiting and felt feverish. Paid $195.00 to get sick!

VAERS ID:319190 (history)  Vaccinated:2008-03-27
Age:57.0  Onset:2008-03-27, Days after vaccination: 0
Gender:Female  Submitted:2008-06-24, Days after onset: 89
Location:Unknown  Entered:2008-07-11, Days after submission: 17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Cholesterol high
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0804USA00020
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Influenza like illness, Pain, Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Information has been received from a 57 year old female consumer with no known allergies and high cholesterol who on 27-MAR-2008 was vaccinated with zoster vaccine live (Oka/Merck). Subsequently, on 28-MAR-2008 the patient experienced flu like symptoms including rhinitis, body aches, fever and pruritus. Medical attention was sought, the patient spoke to the physician. There were no lab studies performed. At the time of the report the patient had not recovered. There was no product quality complaint involved. No further information is available.

VAERS ID:319293 (history)  Vaccinated:2007-11-01
Age:57.0  Onset:2007-11-01, Days after vaccination: 0
Gender:Female  Submitted:2008-06-24, Days after onset: 236
Location:Nevada  Entered:2008-07-11, 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: Drug hypersensitivity; Penicillin allergy; Allergic reaction to antibiotics
Preexisting Conditions: Shingles; Chickenpox
Diagnostic Lab Data: VZV strain, 04/30/08, INADE, capillary tube - negative; VZV strain, 04/30/08, NO, ADEQUATE SPECIMEN
CDC 'Split Type': WAES0803USA02398
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.0620U UNLA
Administered by: Other     Purchased by: Other
Symptoms: Herpes zoster, Inappropriate schedule of drug administration, Pain, Rash papular, Rash pruritic, Varicella zoster serology negative
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a physician concerning a 57 year old female consumer with a history of shingles who in October 2007, was vaccinated with zoster vaccine live (Oka/Merck). Subsequently, on 13-MAR-2008 the patient presented with a shingles outbreak. Medical attention was sought, the patient contacted the physician. At the time of the report the patient had not recovered. There was no product quality complaint involved. This is in follow-up to report(s) previously submitted on 6/24/2008. Follow-up information has been received from the physician''s office concerning this 57 year old female consumer with DARVON, DEMEROL, penicillin, erythromycin and aspirin allergies and a history of shingles and chickenpox (at age 10) who on 01-NOV-2007 (also reported in October 2007) was vaccinated in the left arm with 0.65ml of ZOSTAVAX (Merck) (lot # 657766/0620U). There was no concomitant medication. There was no rash at the site of injection or elsewhere within 42 days of vaccination. Subsequently, on 28-APR-2008 the patient developed pain, rated 7 on a scale of 0 to 10. It was reported that the patient developed pruritis and felt hot (her body temperature was not measured). On 29-APR-2008 (also reported as 13-MAR-2008) the patient developed a painful, pruritic papular rash on her back. The papular lesions developed on the right side of the L3 vertebral area. It was reported that there was no recent exposure to chickenpox or herpes zoster. At the time of report the patient''s status was unknown. The patient was currently on VALTREX. The patient was enrolled in the Varicella Zoster Virus Identification Program to identify if VZV is present and if it is present to identify if it is associated with the wild-type (WT) VZV strain or with the OKA/Merck vaccine strain. The sample of the lesions was collected on 10-APR-2008, and sent to the laboratory on 01-MAY-2008. The sample was taken from a papular lesion. The PCR results for the specimen from the papular lesion was an inadequate swab - capillary tube- negative. Follow-up information indicated that the PCR results from the specimen from the papular lesion was an adequate specimen. No VZV identified-negative. There was B-globin DNA amplified. On 16-JUN-2008, the physician indicated that the patient developed another rash. However, he did not see the patient and couldn''t confirm anything. Additional information has been requested.

VAERS ID:321430 (history)  Vaccinated:2008-06-25
Age:57.0  Onset:2008-06-25, Days after vaccination: 0
Gender:Female  Submitted:2008-08-05, Days after onset: 41
Location:Florida  Entered:2008-08-06, 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: Pulmicort (inhaled steroid); Nasonex
Current Illness: None
Preexisting Conditions: Asthma. Penicillin
Diagnostic Lab Data: None.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2766AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injected limb mobility decreased, Rotator cuff syndrome
SMQs:
Write-up: Impingement syndrome of left shoulder. I had previous Td 5 years ago. 3 hours after vaccine, I couldn''t lift my arm. Over about 7 day, it became obvious that problem was more than just muscle soreness. Dr. (internist) dianosed the problem. Orthopedist suggested rest. I am 50% better already. I am slowly improving. I expect to recover fully.

VAERS ID:322134 (history)  Vaccinated:0000-00-00
Age:57.0  Onset:0000-00-00
Gender:Male  Submitted:2008-07-30
Location:Georga  Entered:2008-08-06, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0710USA00233
Vaccination
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Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0856U UNUN
Administered by: Other     Purchased by: Other
Symptoms: Bed rest, Malaise
SMQs:
Write-up: Information has been received from a hospital pharmacy technician via a pulmonologist concerning a 57 year old male who was vaccinated with a dose of PNEUMOVAX 23 (Lot #658175/0856U). Subsequently the patient "got sick" and required bed rest. "He felt he developed pneumonia that nearly killed him". He was on an unspecified antibiotic for 2 weeks. At the time of the report the patient''s outcome was unknown.

VAERS ID:322534 (history)  Vaccinated:2007-10-19
Age:57.0  Onset:2007-10-20, Days after vaccination: 1
Gender:Female  Submitted:2008-07-30, Days after onset: 284
Location:Wisconsin  Entered:2008-08-06, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: body temp, 101
CDC 'Split Type': WAES0710USA04840
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PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0993U0IMRA
Administered by: Other     Purchased by: Other
Symptoms: Body temperature increased, Headache, Injection site erythema, Injection site swelling, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Information has been received from a registered nurse concerning a 57 year old female with a drug hypersensitivity to DEMEROL who on 19-OCT-2007 was vaccinated with a first dose of PNEUMOVAX 23 (lot# 657529/0993U) 0.5 mL IM in the right arm. Concomitant therapy included influenza virus vaccine (unspecified) in the left arm. On 20-OCT-2007 "24 hours post vaccination" the patient developed a fever of 101 degrees F, headache, achiness and redness and swelling at the injection site of the right arm. The swelling at the injection site was the size of a baseball. Medical attention was sought. The patient was seen in the office on 22-OCT-2007. The symptoms were subsiding and the patient was recovering. The treatment for the patient included comfort measures ice compress as needed. No other information was given. No further information is expected.

VAERS ID:324425 (history)  Vaccinated:2008-02-05
Age:57.0  Onset:2008-02-06, Days after vaccination: 1
Gender:Female  Submitted:2008-07-30, Days after onset: 174
Location:New Jersey  Entered:2008-08-06, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: influenza virus vaccine
Current Illness:
Preexisting Conditions: Rectal cancer metastatic
Diagnostic Lab Data: None
CDC 'Split Type': WAES0802USA02047
Vaccination
Manufacturer
Lot
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PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.  SCUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site swelling, Pyrexia, Rash maculo-papular
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: Information has been received from a physician concerning a 57 year old female with a history of metastatic colo-rectal carcinoma and no drug allergies, who on 05-FEB-2008 was vaccinated SC with a dose of pneumococcal 23v polysaccharide vaccine. Concomitant therapy included influenza virus vaccine (unspecified). Within 24 hours post vaccination the patient experienced a 103 degree fever. The patient developed an area of 3cm of swelling at the injection site and a "non-purpuric macular papular" rash all over her body except the face. The patient was seen by the physician. No laboratory diagnostics were performed. It was reported by the physician that the patient started to feel better. The fever was slowly fading, the rash was improving, and the injection site swelling was coming down. No therapeutic treatment was given to the patient. The physician reported that this was a severe reaction and that he was going to contact the patient later that day to see how she was doing. At the time of the report, the patient was recovering. No product quality complaint was involved. The physician believed the high fever, rash, and injection site swelling to be related to the vaccination with pneumococcal 23v polysaccharide vaccine. The physician considered the high fever and rash to be disabling. Additional information has been requested.

VAERS ID:321898 (history)  Vaccinated:2008-08-06
Age:57.0  Onset:2008-08-12, Days after vaccination: 6
Gender:Female  Submitted:2008-08-12, Days after onset: 0
Location:Minnesota  Entered:2008-08-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine; citalopram; multivitamin;
Current Illness: NONE
Preexisting Conditions: No allergies prior; history of breast CA in 2001 (no active cancer this date)
Diagnostic Lab Data: Patient sent to ER today for evaluation - unknown at this time what tests to be done.
CDC 'Split Type':
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DT: DT ADSORBED (NO BRAND NAME)SANOFI PASTEURU2067BA IMRA
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURA0453 SCRA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURA04464IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abdominal pain, Asthenia, Chills, Headache, Myalgia, Pyrexia, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad)
Write-up: Patient had typhoid vaccine/ IPV/ DT (decavac) vaccine on Wednesday the 6th. She is traveling in Septemter. On Sunday, August 10th, she began to experience muscle aches that came on quite suddenly, she felt very weak, had "teeth chattering", chills, headache. She also had abdominal pain and vomited on Sunday night. Temp got up to 102. On Monday she continued to run a fever of 102.8. Today her temp is 101.8. She states she is weak today and unable to sit up for more than ten minutes. In review of side effects of typhoid vaccine - it is possible this may be a reaction to this vaccine. . .

VAERS ID:321931 (history)  Vaccinated:2008-07-29
Age:57.0  Onset:2008-07-29, Days after vaccination: 0
Gender:Female  Submitted:2008-08-01, Days after onset: 3
Location:California  Entered:2008-08-12, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Ampicillin; PCN; Keflex; Sulfa; Cat induced asthma
Diagnostic Lab Data: N/A
CDC 'Split Type':
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YF: YELLOW FEVER (YF-VAX)SANOFI PASTEURUF306AA0SCLA
Administered by: Public     Purchased by: Private
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Patient reported red, itchy, induration at site of yellow fever injection given 7/29/08.

VAERS ID:322415 (history)  Vaccinated:2008-07-30
Age:57.0  Onset:2008-07-31, Days after vaccination: 1
Gender:Female  Submitted:2008-08-04, Days after onset: 4
Location:North Carolina  Entered:2008-08-18, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Metformin; Vitorin; Glimipride; Aspirin; Vitamin B12
Current Illness: None
Preexisting Conditions: Type II DM, Increased cholesterol
Diagnostic Lab Data: N/A
CDC 'Split Type':
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TDAP: TDAP (ADACEL)SANOFI PASTEURC2937BA0IMLA
Administered by: Public     Purchased by: Private
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: 8/4/08 emp c/o redness and swelling in left deltoid since receiving Tdap vaccine. Also experienced a fever of up to 103 for 3 days. Tylenol would relieve fever. Redness size 2"x3" in size.

VAERS ID:323636 (history)  Vaccinated:2008-08-25
Age:57.0  Onset:2008-08-25, Days after vaccination: 0
Gender:Unknown  Submitted:2008-08-28, Days after onset: 3
Location:Arizona  Entered:2008-08-28
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':
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PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0555 U1IMLA
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Induration, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad)
Write-up: Pt. developed erythema, induration & itching. The area on her arm was 12x15 cm. She was treated with ice application & Atarax.

VAERS ID:324373 (history)  Vaccinated:0000-00-00
Age:57.0  Onset:0000-00-00
Gender:Unknown  Submitted:2008-09-05
Location:Michigan  Entered:2008-09-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Flexeril 10 mg at HS; Caltrate 600 BID; B Complex QD; Vitamin C 500 mg QD; Zinc 1 tablet daily; Multivitamin 1 tablet daily
Current Illness: Visit reason: skin tag and physical exam.
Preexisting Conditions: Allergic to Penicillin Chronic problems include: Environmental allergies, other symptoms referable to lower leg joint, hyperlipidemia, impaired fasting glucose, depression, osteopenia
Diagnostic Lab Data: none
CDC 'Split Type':
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TDAP: TDAP (ADACEL)SANOFI PASTEURC2844AA0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Acrochordon, Paraesthesia, Rash, Rash erythematous, Rash papular, Skin disorder
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow)
Write-up: Patient presented for office visit on 7/31/2008 for "rash". Patient stated onset was 2 weeks ago. Severity is mild. Location was right axilla and chest. Patient described it as erthematous and papular. It occurs continuously. The problem was improving. Denied aggravating factors. Associated factors included hyperlagesia of skin. Addition information: Antecedent paresthesias. Received Tdap on 7/15/2008. Symptoms developed on 7/16/2008.

VAERS ID:326673 (history)  Vaccinated:2008-06-30
Age:57.0  Onset:2008-07-01, Days after vaccination: 1
Gender:Male  Submitted:2008-07-11, Days after onset: 10
Location:New York  Entered:2008-09-09, Days after submission: 60
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: The patient has a past medical history of hay fever and family history of Hodgkin''s disease.
Diagnostic Lab Data: Chest X ray was completed and labs were drawn.
CDC 'Split Type': 200802223
Vaccination
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MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEUR  IMLA
Administered by: Other     Purchased by: Other
Symptoms: Chest X-ray, Inappropriate schedule of drug administration, Laboratory test, Lymphadenopathy
SMQs:
Write-up: Initial information was received from a consumer (patient''s parent) on 08 July 2008. A 17 year old male patient with a history of hay fever and a family history of Hodgkin''s Disease (patient''s father): on 30 June 2008 received an intramuscular left arm injection of MENACTRA (lot number not provided). On 01 July 2008, the patient developed swollen lymph glands in the left clavicle area. The patient had a chest X ray completed and labs drawn (results not provided). The patient''s swollen lymph gland continued to resolve. No additional information was reported.

VAERS ID:324846 (history)  Vaccinated:2008-07-10
Age:57.0  Onset:2008-07-12, Days after vaccination: 2
Gender:Male  Submitted:2008-08-06, Days after onset: 25
Location:Massachusetts  Entered:2008-09-11, Days after submission: 36
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: (-) Lyme, CRP 141, ESR 119
CDC 'Split Type':
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TD: TD ADSORBED (NO BRAND NAME)MASS. PUB HLTH BIOL LABTD-188 IMLA
Administered by: Private     Purchased by: Public
Symptoms: Borrelia burgdorferi serology negative, C-reactive protein increased, Fatigue, Myalgia, Pyrexia, Red blood cell sedimentation rate increased
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad)
Write-up: Fever, myalgias, fatigue

VAERS ID:326015 (history)  Vaccinated:2008-09-18
Age:57.0  Onset:2008-09-18, Days after vaccination: 0
Gender:Female  Submitted:2008-09-24, Days after onset: 6
Location:Hawaii  Entered:2008-09-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: AllegraD, Zyzaar,Atenol, Astos, Metphormen, Glippezine,Lipitor, Levestosin
Current Illness: None
Preexisting Conditions: Iodine
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFUA364BA IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Rash generalised
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: On thursday Sept 18, 2008 around noon, recieved flu shot to L deltoid continued to work. Approx 9:00pm rash appeared first on hands then chest migrating to the neck and face.Took Allegra D at approx 10:00 pm at 10:30 relief was noted

VAERS ID:326464 (history)  Vaccinated:2008-09-23
Age:57.0  Onset:2008-09-23, Days after vaccination: 0
Gender:Female  Submitted:2008-09-27, Days after onset: 4
Location:California  Entered:2008-09-29, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None except CK D; Periph neuropathy
Preexisting Conditions: CKD Stage 3; Allergic Quinine; NSAIDS; Hx wheezing, peripheral neuropathy
Diagnostic Lab Data: RBS 88; Hb 13.7; WBC 9,600; Plat 303; Creat 1.4 (stable chronic KD), lytes nl, ALT 19
CDC 'Split Type':
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PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0619X UNUN
Administered by: Private     Purchased by: Private
Symptoms: Alanine aminotransferase normal, Asthenia, Asthenopia, Blood creatinine increased, Blood electrolytes normal, Body temperature increased, Chills, Dyspnoea, Haemoglobin decreased, Injection site erythema, Injection site pain, Injection site swelling, Myalgia, Nausea, Oxygen saturation decreased, Platelet count normal, White blood cell count normal
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Haematopoietic erythropenia (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Corneal disorders (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Tumour lysis syndrome (broad)
Write-up: 9/23/08 AM received PNEUMOVAX. That afternoon chills, no energy. Painful red, swelling from site extending 25cm down arm (R). Temp 103 that night. 9/26/08 - no fever, still low energy, eyelids feel heavy, nausea, myalgia in legs, shortness of breath, O2 sat 93%.

VAERS ID:326990 (history)  Vaccinated:2008-10-01
Age:57.0  Onset:2008-10-01, Days after vaccination: 0
Gender:Female  Submitted:2008-10-03, Days after onset: 2
Location:New York  Entered:2008-10-03
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':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2766AA0IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Ocular hyperaemia, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Glaucoma (broad), Hypersensitivity (narrow)
Write-up: patient noted bloodshot eyes, puffy face at bedtime at about 11pm

VAERS ID:327364 (history)  Vaccinated:2008-10-06
Age:57.0  Onset:2008-10-06, Days after vaccination: 0
Gender:Female  Submitted:2008-10-07, Days after onset: 1
Location:Maryland  Entered:2008-10-07
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':
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Public     Purchased by: Unknown
Symptoms: Arthralgia, Chills, Headache, Injection site pain, Neuralgia, No reaction on previous exposure to drug, Pain
SMQs:, Peripheral neuropathy (narrow), Extravasation events (injections, infusions and implants) (broad), Arthritis (broad)
Write-up: Recieved shot about 11:30 am - soreness at injection site started about 3:00pm. 5:00pm chills, severe body aches and headache started. Every muscle, joint, nerve ending and hair folicle hurt. It hurt to move. I took aspirin for the pain and went to bed about 11:00pm - slept until 10:00am next morning, symptoms were gone. This is the first time I''ve had a reaction to a flu vaccine. I have been getting flu shots for about 7 years.

VAERS ID:327393 (history)  Vaccinated:2008-10-01
Age:57.0  Onset:2008-10-02, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:North Carolina  Entered:2008-10-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Osteo-Bi-Flex tabs; Benadryl
Current Illness: None
Preexisting Conditions: Dyspnea; abnormal EKG; compression arthiz
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2747AA0IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0224X0IMLA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2865AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Chest pain, Chills, Dyspnoea, Erythema, Headache, Malaise, Oedema, Pyrexia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (broad)
Write-up: Fever, chills, malaise, ha, chest pain, dyspnea, edema and erythema of left deltoid area.

VAERS ID:327483 (history)  Vaccinated:2008-09-15
Age:57.0  Onset:0000-00-00
Gender:Male  Submitted:2008-10-06
Location:New Jersey  Entered:2008-10-08, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Penicillin- oral for dental extraction.
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data: No
CDC 'Split Type':
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HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB096AA0UNLA
Administered by: Public     Purchased by: Public
Symptoms: Rash, Rash erythematous, Rash pruritic, Rash vesicular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Rash on arms, back and chest- small, red, itchy, pimple like

VAERS ID:327766 (history)  Vaccinated:2008-05-01
Age:57.0  Onset:2008-05-01, Days after vaccination: 0
Gender:Female  Submitted:2008-09-24, Days after onset: 146
Location:Pennsylvania  Entered:2008-10-08, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC, NEXIUM, VIVELLE-DOT, Hydrochlorothiazide (-), MOBIC, AMBIEN
Current Illness: Blood pressure high; Sulfonamide allergy
Preexisting Conditions:
Diagnostic Lab Data: diagnostic laboratory, head computed axial
CDC 'Split Type': WAES0806USA08161
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VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  UNRA
Administered by: Other     Purchased by: Other
Symptoms: Burning sensation, Computerised tomogram, Inappropriate schedule of drug administration, Lymphadenitis, Pain
SMQs:, Peripheral neuropathy (broad)
Write-up: Information has been received from a 57 year old female with high blood pressure and sulfa allergy who in May 2008, was vaccinated with zoster vaccine live 0.65 mg (Oka/Merck) in her right arm (lot number and injection route not reported). Concomitant therapy included (VIVELLE-DOT), LISINOPRIL-HCTZ (manufacture unknown), (ZYRTEC), (NEXIUM), (AMBIEN) and MOBIC. In May 2008, a week or two after the vaccination the patient experienced right ear burning. She was seen by the doctor and was treated with an unnamed antibiotic for 10 days. On 28-MAY-2008, she saw doctor for some symptoms and was diagnosed an inflamed lymph node and possible shingles. She was treated with famciclovir for 10 days. On 20-JUN-2008 pain returned off and on and continued until the day reporting. The patient was taking (PERCOCET) for pain. Follow-up information was received from a physician stated that he was not sure if the patient has shingles or not. The patient still has burning in the area where this occurred. Additional information has been requested.

VAERS ID:327936 (history)  Vaccinated:2008-10-08
Age:57.0  Onset:2008-10-08, Days after vaccination: 0
Gender:Male  Submitted:2008-10-09, Days after onset: 1
Location:Colorado  Entered:2008-10-09
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':
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FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA155BA IMUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site pain, Medication error
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: 3 cc administered (drug error). 6 dose injection. Arm painful, red @ injection site.

VAERS ID:328153 (history)  Vaccinated:2008-10-08
Age:57.0  Onset:2008-10-08, Days after vaccination: 0
Gender:Female  Submitted:2008-10-10, Days after onset: 2
Location:Colorado  Entered:2008-10-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA153BA IMUN
Administered by: Other     Purchased by: Unknown
Symptoms: Erythema, Influenza like illness, Injection site swelling
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Redness. Swelling at injection site Flu like symptoms.

VAERS ID:328404 (history)  Vaccinated:2008-10-02
Age:57.0  Onset:2008-10-03, Days after vaccination: 1
Gender:Female  Submitted:2008-10-08, Days after onset: 5
Location:Unknown  Entered:2008-10-14, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURERAFLLA184AA IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chills, Dehydration, Influenza like illness, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad)
Write-up: Patient came into clinic on 10/2 for flu shot and after getting home that evening began feeling flu-like and came back into emergency room with fever, chills and myalgias. Patient was re-hydrated with fluids and give PO TYLENOL.

VAERS ID:328652 (history)  Vaccinated:2008-10-10
Age:57.0  Onset:2008-10-10, Days after vaccination: 0
Gender:Female  Submitted:2008-10-14, Days after onset: 4
Location:Georga  Entered:2008-10-15, Days after submission: 1
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: Lupus, HTN
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR  IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Swelling face, Throat irritation, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow)
Write-up: HIVES, ITCHY THROAT, PUFFY FACE - 1 hour after receiving vaccine. Previous flu vaccine 10/07. Went to ER - given1m BENEDRYL and then recovered and went back to work.

VAERS ID:328664 (history)  Vaccinated:2008-10-08
Age:57.0  Onset:2008-10-13, Days after vaccination: 5
Gender:Female  Submitted:2008-10-13, Days after onset: 0
Location:Illinois  Entered:2008-10-16, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS89745 IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0061U SCLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site rash
SMQs:, Hypersensitivity (narrow)
Write-up: Rash around injection site.

VAERS ID:328989 (history)  Vaccinated:2008-10-14
Age:57.0  Onset:2008-10-15, Days after vaccination: 1
Gender:Male  Submitted:2008-10-17, Days after onset: 2
Location:New Hampshire  Entered:2008-10-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2751AA IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Diarrhoea, Hyperhidrosis, Nausea, Oral herpes, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Oropharyngeal infections (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: 10/15- body aches, diarhhea, fever (sweats, fever blister on lip) 10/16 symptoms continued and felt a little better. without diarrhea this morning(10/17/2008). Still aches and nausea.

VAERS ID:329048 (history)  Vaccinated:2008-10-08
Age:57.0  Onset:2008-10-08, Days after vaccination: 0
Gender:Female  Submitted:2008-10-19, Days after onset: 11
Location:Georga  Entered:2008-10-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 0UNRA
Administered by: Public     Purchased by: Unknown
Symptoms: Dyspnoea, Hypertension
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Hypertension (narrow), Cardiomyopathy (broad)
Write-up: Difficulty breathing, shortness of breath, unable to take deep breaths. High blood pressure.

VAERS ID:329051 (history)  Vaccinated:2008-10-14
Age:57.0  Onset:2008-10-15, Days after vaccination: 1
Gender:Female  Submitted:2008-10-19, Days after onset: 4
Location:Alaska  Entered:2008-10-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none except ibuprofen after adverse effects of vaccine began
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC 'Split Type':
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2807AA0IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0803U1IDLA
Administered by: Public     Purchased by: Public
Symptoms: Chills, Erythema, Fatigue, Oedema peripheral, Pain in extremity, Skin warm, Tenderness
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: 10-15-08 7:00am feeling chills, fatigue, arm tender. 9:00am seen by nurse left upper arm warm & tender to touch, red & swollen area approx 6 X 8cm. Advised to take ibuprofen & place cool packs on red area. 10-17-08 Feeling almost normal with red/tender area resolving.

VAERS ID:329221 (history)  Vaccinated:2008-10-17
Age:57.0  Onset:2008-10-17, Days after vaccination: 0
Gender:Female  Submitted:2008-10-20, Days after onset: 3
Location:Pennsylvania  Entered:2008-10-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: redness and swelling~Tetanus Diphtheria (no brand name)~NULL~~In Patient
Other Medications: hydrochlorthiazide, ibuprofen
Current Illness: no
Preexisting Conditions: hypertension, hypercholesterolemia, migraines; allergy to tetracycline (hives), adverse reaction to codeine (nausea and vomiting)
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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TDAP: TDAP (ADACEL)SANOFI PASTEURC3030AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Chest discomfort, Chills, Dyspnoea, Headache, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth, Palpitations
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)
Write-up: Patient had redness, swelling, warmth, pain at injection site 1 hour after the immunization was given. About 9 hours later, she felt some chest tightness with shortness of breath and palpitations. She did not feel bad enough to go to ER. She felt chills and had a headache also. Patient felt the arm redness, swelling peaked around 48 hrs after the injection and began to subside. When I saw her in the office today, about 72 hours later, her left deltoid was swollen, indurated, warm to touch, slightly tender and the redness size was 8" x 5.5". She was not wheezing.

VAERS ID:329426 (history)  Vaccinated:2008-10-17
Age:57.0  Onset:2008-10-18, Days after vaccination: 1
Gender:Male  Submitted:2008-10-21, Days after onset: 3
Location:Missouri  Entered:2008-10-21
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: Unknown
Diagnostic Lab Data: Saw private MD on 10/20/08, dx allergic reaction or infection.
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA177AA IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1161X IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Hypersensitivity, Infection, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
SMQs:, Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: approx. 24 hours after vaccination was given, employee complained of skin hot to touch, red area, tenderness and swelling from site of injection (deltoid) to anitcubital space. He would be interested to know what he possibly reacted to in the vaccine. No reaction from the influenza vaccine given in the other arm.

VAERS ID:329462 (history)  Vaccinated:2008-10-15
Age:57.0  Onset:2008-10-15, Days after vaccination: 0
Gender:Female  Submitted:2008-10-20, Days after onset: 5
Location:Florida  Entered:2008-10-21, 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: Calcium; Ecchanesia; Centrum; Pomegranite
Current Illness: No
Preexisting Conditions: Asthma; Sinusitis
Diagnostic Lab Data: None done. Patient did not seek medical help other than pharmacist.
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2832AA IMUN
Administered by: Public     Purchased by: Private
Symptoms: Chest discomfort, Eye pain, Flushing, Headache, Pain in extremity, Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Glaucoma (broad), Hypersensitivity (broad)
Write-up: Employee states that she received vaccine at 4PM. That evening around 7PM, she was in a drug store. Her throat started closing, chest started filling up. Face got hot. Vaccinated arm, head and eyes were hurting. Pharmacist told her to take Benadryl and she did.

VAERS ID:329540 (history)  Vaccinated:2008-10-12
Age:57.0  Onset:2008-10-12, Days after vaccination: 0
Gender:Female  Submitted:2008-10-13, Days after onset: 1
Location:Missouri  Entered:2008-10-22, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2749AA UNLA
Administered by: Public     Purchased by: Private
Symptoms: Cold sweat, Pallor, Skin warm, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Fainted 3P=120/64 at 10:15, pale in color, warm clammy skin. Pt had not eaten breakfast. Came too and was alert and oriented x3 rested on floor, drank juice, and was feeling better. Color pink, pt. walked to car with parish nurse''s husband at her side at 10:35

VAERS ID:329952 (history)  Vaccinated:2008-10-23
Age:57.0  Onset:2008-10-23, Days after vaccination: 0
Gender:Female  Submitted:2008-10-24, Days after onset: 1
Location:Kansas  Entered:2008-10-24
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: Seasonal (Fall) allergies
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Public     Purchased by: Private
Symptoms: Chills, Cough, Diarrhoea, Dizziness, Pyrexia, Rhinorrhoea, Throat irritation
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow)
Write-up: Four hours after receiving my "drive up" flu vaccine, I had fever, chills, dizziness, runny nose, cough, raspy throat and diahhria. I self-medicated with Immodium, benedryl, aspirin and cough drops. My cough developed first. When I called the Public Health Dep''t, they said cough was not related to the vaccine. I did not call back once the other symptoms set in. As to the manufacturer of the vaccine, I don''t know it.

VAERS ID:329956 (history)  Vaccinated:2008-10-21
Age:57.0  Onset:2008-10-21, Days after vaccination: 0
Gender:Female  Submitted:2008-10-24, Days after onset: 3
Location:Washington  Entered:2008-10-24
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: asthma
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2750AA1IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Chest discomfort, Cough, Dyspnoea, Fatigue, Feeling cold, Headache, Ocular hyperaemia, Pain, Palpitations, Pruritus, Sinus headache, Swelling face
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Glaucoma (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Shot receive 11:40. 15:40 coughing, white of eye turning red. 18:40 white of eyes very red, difficulty breathing, skin in pain 22:30 body in a lot of pain. Felt like an ice pick stabbing mid section all over 03:20 heart reacting, chest tightening, felt like the ice pick was stabbing the heart and felt very cold, terrible headache, face swollen, top of head itching, sinus area full of pressure 06:20 symptoms starting to go away 13:00 still had headache but able to breath better and feel recovery coming 18:00 able to consume food, 10/23 & 10/24 able to attend to business but feel tired and like my organs and muscles have been through a spin cycle.

VAERS ID:330000 (history)  Vaccinated:2008-10-24
Age:57.0  Onset:2008-10-25, Days after vaccination: 1
Gender:Female  Submitted:2008-10-26, Days after onset: 1
Location:California  Entered:2008-10-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: no known illness apparent
Preexisting Conditions: none
Diagnostic Lab Data: none yet
CDC 'Split Type':
Vaccination
Manufacturer
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURERNDC66521-0111-10IMRA
Administered by: Unknown     Purchased by: Private
Symptoms: Abdominal pain, Diarrhoea, Headache, Nausea, Pain, Presyncope, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Noninfectious diarrhoea (narrow)
Write-up: sudden onset of severe upper and lower abdominal pain,diarrhea, syncope and near syncope, pain lasting severely for 12 hours, then moderate-severe for following 12 hours. I am still having symptoms. No fever. mild nausea. mild headache.

VAERS ID:330146 (history)  Vaccinated:2008-10-20
Age:57.0  Onset:2008-10-20, Days after vaccination: 0
Gender:Male  Submitted:2008-10-27, Days after onset: 7
Location:Missouri  Entered:2008-10-27
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: penecillin allergy
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Acne, Arthralgia, Asthenia, Muscle spasms
SMQs:, Dystonia (broad), Guillain-Barre syndrome (broad), Arthritis (broad)
Write-up: weakness accompanied by joint pain beginning in left elbow (vaccination performed in left deltoid) and proceeding to other joints in left arm including fingers and then to right elbow and vertabrae from T6 into neck area -- suspected sulfites because of pimple breakout and muscle spasms in face and jaw

VAERS ID:330519 (history)  Vaccinated:2008-10-03
Age:57.0  Onset:2008-10-05, Days after vaccination: 2
Gender:Female  Submitted:2008-10-23, Days after onset: 18
Location:Illinois  Entered:2008-10-29, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Asthma; HBP
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC. 0IN 
Administered by: Other     Purchased by: Private
Symptoms: Inappropriate schedule of drug administration, Nasal mucosal disorder
SMQs:
Write-up: Pt received Flumist and it is not indicated for her age. Patient had a few sores in her nose which promptly cleared up.

VAERS ID:330855 (history)  Vaccinated:2008-10-22
Age:57.0  Onset:2008-10-22, Days after vaccination: 0
Gender:Female  Submitted:2008-10-25, Days after onset: 3
Location:Oregon  Entered:2008-10-31, 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: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
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FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA364BA0IMLA
Administered by: Public     Purchased by: Other
Symptoms: Chills, Cough, Eye discharge, Injection site pain, Myalgia, Ocular hyperaemia, Wheezing
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Angioedema (broad), Asthma/bronchospasm (broad), Extravasation events (injections, infusions and implants) (broad), Glaucoma (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad)
Write-up: 10-22 shot L deltoid 11:45 AM. 45 minutes later , sore site, began to cough, then wheezing, mild, then eyes bloodshot & oozing thick exudate. Went home 3:30. Chills + muscle aches off + on x 5 hours 1:00 pm. Perfect health following day 10-23-08.

VAERS ID:330896 (history)  Vaccinated:2008-10-08
Age:57.0  Onset:2008-10-08, Days after vaccination: 0
Gender:Female  Submitted:2008-10-10, Days after onset: 2
Location:Georga  Entered:2008-10-31, 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: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': GA08080
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICSNOV891262IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.09890IMLA
Administered by: Public     Purchased by: Private
Symptoms: Fatigue, Feeling abnormal, Malaise, Oedema peripheral, Pain in extremity
SMQs:, Cardiac failure (broad), Angioedema (broad), Dementia (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Patient received Flu and Pneumonia vaccine. Pt says she took a nap when she got home. Later that afternoon she woke up with her arm sore swollen and she felt really bad. Pt called RCHD 10/10/05, states she feels very tired and sick and arm still hurts. Ask pt. if she has any fever and if she contacted her doctor. States no she hasn''t. Encouraged to call doctor for appointment.

VAERS ID:330938 (history)  Vaccinated:2008-10-06
Age:57.0  Onset:2008-10-08, Days after vaccination: 2
Gender:Female  Submitted:2008-10-20, Days after onset: 12
Location:South Carolina  Entered:2008-10-31, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Evista, Doxycycline, Diazide, Vit E,C, B12,
Current Illness: none
Preexisting Conditions: Takes allergy drops. Allergic to shellfish and has hayfever.
Diagnostic Lab Data: None
CDC 'Split Type': SC0812
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS8974512IMLA
Administered by: Public     Purchased by: Public
Symptoms: Oedema peripheral, Skin discolouration, Skin warm, Tenderness
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad)
Write-up: On 10/06/08, an employee received an IM influenza, in left arm. After several days, per the employee, her left arm was warm to touch, swollen and discolored. By 10/14 area of discoloration spread down to elbow. During this time the employee was out of work because of another medical problem. On 10/20/08, when the employee reported the above incident to the Employee Health Nurse, there was no swelling but discoloration approximately one (1) inch below the injection site to elbow. Discolored area measured approximately 29 inches wide and 15 inches long. The area covered the outer aspects of the left arm to the elbow. The discoloration was a deep purplish color. Employee stated area was not painful or warm to touch, but some tenderness. As of today (10/28/08), the employee left arm has improved considerably. Area now measures approximately five inches wide and 12 inches long. The area is mostly on the inner aspects of the arm above elbow. The discoloration varies from a slight purplish to yellow. Employee states the discolored area is a little sore but no tenderness at the sight of the influenza vaccination.

VAERS ID:331068 (history)  Vaccinated:2008-10-22
Age:57.0  Onset:2008-10-22, Days after vaccination: 0
Gender:Male  Submitted:2008-10-24, Days after onset: 2
Location:Oregon  Entered:2008-11-03, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Osteoporosis, Chronic pain, Malnutrition
Preexisting Conditions: No allergies
Diagnostic Lab Data:
CDC 'Split Type': OR200836
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2768AA0IMRA
Administered by: Public     Purchased by: Private
Symptoms: Asthenia, Chills, Confusional state, Dehydration, Feeling hot, Gait disturbance, Influenza like illness, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: around 10pm had hot and cold chills felt like he was getting the flu throwing up, unsteady gait, confused lasted until 3-4am went to sleep at 6am started to feel better weak, dehydrated, sleeping off and on all day

VAERS ID:331070 (history)  Vaccinated:2008-10-14
Age:57.0  Onset:2008-10-15, Days after vaccination: 1
Gender:Female  Submitted:2008-10-27, Days after onset: 12
Location:Michigan  Entered:2008-11-03, 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:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDAFLLA165AA0IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Body temperature increased, Lethargy, Malaise, Myalgia, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad)
Write-up: Increased Temp 104$g106 - Lethargy, extreme muscle ache, nausea - Ill X 3 days.

VAERS ID:331113 (history)  Vaccinated:2008-10-23
Age:57.0  Onset:2008-10-23, Days after vaccination: 0
Gender:Female  Submitted:2008-10-24, Days after onset: 1
Location:Missouri  Entered:2008-11-03, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: CAD, COPD, Pacemaker, hyperlipidemia
Diagnostic Lab Data: Sent pt for ultrasound to R/O Hematoma-it was Negative for hematoma.
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLL9181AA IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0551X1IMRA
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Joint range of motion decreased, Oedema peripheral, Pain in extremity, Ultrasound scan normal
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Arthritis (broad)
Write-up: Pt. woke up during night with painful arm. This a.m. 10/24/08 arm very sore decreased R.O.M. Red/swollen area 11 cm wide x 16 1/2 cm in length

VAERS ID:331620 (history)  Vaccinated:2008-01-01
Age:57.0  Onset:2008-01-01, Days after vaccination: 0
Gender:Female  Submitted:2008-10-28, Days after onset: 300
Location:Virginia  Entered:2008-11-03, 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:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: Unk
CDC 'Split Type': A0750094A
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA151AA UNLA
Administered by: Other     Purchased by: Other
Symptoms: Pain in extremity
SMQs:
Write-up: This case was reported by a physician via a general injectables and vaccines wholesaler and described the occurrence of upper arm pain in a 57-year-old female subject who was vaccinated with FLULAVAL, (GlaxoSmithKline). In 2008 the subject received unspecified dose of FLULAVAL (unknown). In 2008, at an unspecified time after vaccination with FLULAVAL, the subject experienced upper arm pain and pain in lower arm. At the time of reporting the outcome of the events was unspecified.

VAERS ID:331255 (history)  Vaccinated:2008-10-07
Age:57.0  Onset:2008-10-07, Days after vaccination: 0
Gender:Female  Submitted:2008-11-04, Days after onset: 28
Location:Florida  Entered:2008-11-04
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: SEPTRA ALLERGY
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2765AA IMLA
Administered by: Public     Purchased by: Private
Symptoms: Mass, Pain in extremity
SMQs:
Write-up: FLU VACCINE ADMINISTERED LEFT ARM-PAINWITH LIFTING OR EXTENDING ARM. COMPLAINED OF KNOT IN LEFT ARM. 3MM NOTED ON UPPER DELTOID, NO ERYTHEMA; TAKING IBUPROFEN, HOT & COLD COMPRESSES.

VAERS ID:331300 (history)  Vaccinated:2008-10-23
Age:57.0  Onset:2008-10-23, Days after vaccination: 0
Gender:Female  Submitted:2008-11-03, Days after onset: 11
Location:California  Entered:2008-11-05, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: The patient had no concurrent illness and had not been taking any concomitant medications. Per the reporter, the patient was allergic to multiple medications (medications not specified).
Diagnostic Lab Data: None
CDC 'Split Type': 200803321
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2764A IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Dry mouth, Dyspnoea, Flushing, Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (broad)
Write-up: Initial report was received 23 October 2008 from a health care professional. A 57-year-old female patient had received an intramuscular left deltoid injection of FLUZONE SV 2008-2009, lot number U2764AA and five minutes later, she developed shortness of breath, facial flushing, her throat felt tight and her mouth felt dry. She was evaluated by her physician and her symptoms resolved within one hour. The patient had no concurrent illness and had not been taking any concomitant medications. The patient had a history of multiple medication allergies (medications not specified) and she had received FLUZONE in the past. According to the reporter, the patient requested a preservative free vaccine. The patient''s recovery status was reported as unknown at the time of the report. Documents held by sender: None

VAERS ID:331359 (history)  Vaccinated:2008-10-07
Age:57.0  Onset:2008-10-08, Days after vaccination: 1
Gender:Female  Submitted:2008-10-09, Days after onset: 1
Location:Washington  Entered:2008-11-05, Days after submission: 27
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: Allergic to PCN, CODEINE, BALTRIM
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2802AA IMLA
Administered by: Other     Purchased by: Private
Symptoms: Erythema, Induration
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad)
Write-up: Localized erethema Lt upper arm, 8cm induration.

VAERS ID:331456 (history)  Vaccinated:2008-10-23
Age:57.0  Onset:2008-10-23, Days after vaccination: 0
Gender:Female  Submitted:2008-11-05, Days after onset: 13
Location:Pennsylvania  Entered:2008-11-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Herninated disc bilat neck, tear tendon
Diagnostic Lab Data: None
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS898820UNRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.15410UNLA
Administered by: Other     Purchased by: Other
Symptoms: Oedema peripheral, Pain in extremity
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Pt having severe pain to both arms. No redness but slightly swollen per pt. No other symptoms as well per pt.

VAERS ID:331445 (history)  Vaccinated:2008-11-05
Age:57.0  Onset:2008-11-05, Days after vaccination: 0
Gender:Male  Submitted:2008-11-06, Days after onset: 1
Location:Alabama  Entered:2008-11-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: none~ ()~NULL~~In Patient
Other Medications: regular insulin,lisinopril,lovastatin,naproxen,tramadol,milk thistle cap,benadryl,lysine tab
Current Illness: none
Preexisting Conditions: hypertension,migraines,bach problems,IDDM,past hx of TB, acid reflux,herniated cervical disc, ulcers, ALLERGIC TO PCN
Diagnostic Lab Data: medication as above
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Private     Purchased by: Unknown
Symptoms: Dysphonia, Pruritus generalised, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Parkinson-like events (broad), Hypersensitivity (narrow)
Write-up: pt presented to ED with c/o itching all over with whelps on trunk and hoarsness. pt stated recieving flu shot earlier in the day. pt took dose of benadryl at home but symptoms not resovled. pt given pepcid 20mg po and atarax 50mg IM as ED course.Sent home with RX for atarax, zantac, and told to take over the counter claritin for next 3-5 days.

VAERS ID:331514 (history)  Vaccinated:2008-10-22
Age:57.0  Onset:2008-10-26, Days after vaccination: 4
Gender:Female  Submitted:2008-10-31, Days after onset: 5
Location:Montana  Entered:2008-11-06, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: No~ ()~~0~In Patient
Other Medications: No
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
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MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0916X SCLA
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Nausea, Vertigo
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (narrow)
Write-up: Pt. woke at night while sleeping to room spinning and dizziness. The following morning was dizzy and nauseated - Went to chiropractor, who told her she was having a "Toxic Reaction" to the vaccination - as a child she was exposed to measles & received an Immuno Globulin injection (1961)

VAERS ID:331575 (history)  Vaccinated:2008-10-31
Age:57.0  Onset:2008-10-31, Days after vaccination: 0
Gender:Female  Submitted:2008-11-06, Days after onset: 6
Location:California  Entered:2008-11-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Sulfa
Diagnostic Lab Data: None
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS899770IMLA
Administered by: Private     Purchased by: Private
Symptoms: Fatigue, Herpes zoster, Immune system disorder, Lymph node pain, Lymphadenopathy, Malaise, Nausea, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow)
Write-up: 10/31 3pm malaise, lo graade fever, nausea, fatique 11/2 AM rash on left side of back spreading to side to groin, lymph nodes swelling and pain. 11/3 Dr visit dx with shingles due to immune supression effect of flu vaccine, at which time I was prescribed Acyclovir.

VAERS ID:331693 (history)  Vaccinated:2008-10-08
Age:57.0  Onset:2008-10-09, Days after vaccination: 1
Gender:Female  Submitted:2008-11-07, Days after onset: 29
Location:Missouri  Entered:2008-11-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Nitrofurantoin
Current Illness:
Preexisting Conditions: Bladder infection, seasonal allergies
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2765AA0IMRA
Administered by: Public     Purchased by: Unknown
Symptoms: Computerised tomogram normal, Hypoaesthesia facial, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow)
Write-up: 10/9/08 onset facial swelling and numbness affecting jaw, parotid, and cheek area. Seen by Urgent Care phys and referred to EENT. Tx w/ antibx and prednisone w/o results. CT scan neg. Swelling and numbness persist.

VAERS ID:331766 (history)  Vaccinated:2008-10-28
Age:57.0  Onset:2008-10-28, Days after vaccination: 0
Gender:Female  Submitted:2008-11-05, Days after onset: 8
Location:New Hampshire  Entered:2008-11-10, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown, but denied fever
Preexisting Conditions: Allergy to sulfa + hx multiple other allergies (unknown which ones)
Diagnostic Lab Data: EKG; BW - results unknown
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR02751AA IMLA
Administered by: Other     Purchased by: Private
Symptoms: Electrocardiogram, Feeling abnormal, Hypoaesthesia oral, Laboratory test, Lip swelling, Throat irritation
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (narrow)
Write-up: Approx. 4 1/2 hours after vaccine noted "Something wrong in throat". 7 hrs after vaccine "lips tripled, tongue felt as if recovering from Novocain". Following morning, lips still a little tirply and felt loopy". Went to ER -Rx with Nebulizer IM steroid

VAERS ID:331829 (history)  Vaccinated:2008-10-20
Age:57.0  Onset:2008-10-21, Days after vaccination: 1
Gender:Female  Submitted:2008-10-21, Days after onset: 0
Location:Alaska  Entered:2008-11-10, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: BENADRYL, ASA, Lisinopril, Glyburide, Calcium.
Current Illness: None
Preexisting Conditions: "Allergies" -"Cold Urticaria history", - Diabetes.
Diagnostic Lab Data: Vital Signs, SAO2, assessment - R.M.T. -
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2807AA0IMLA
Administered by: Other     Purchased by: Other
Symptoms: Dyspnoea, Oxygen saturation, Throat tightness, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Received flu vaccine and early afternoon developed bilateral hives to arms/back, shortness of breath, throat tightness. - (10-21-08) Took BENADRYL tablets she has at home and then came to health clinic at 9:30 PM the following day.

VAERS ID:332044 (history)  Vaccinated:2008-10-24
Age:57.0  Onset:2008-10-24, Days after vaccination: 0
Gender:Female  Submitted:2008-11-06, Days after onset: 13
Location:Ohio  Entered:2008-11-12, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Seasonal allergy to ragweed.
Diagnostic Lab Data: None
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2832AA3UNLA
Administered by: Public     Purchased by: Private
Symptoms: Dizziness, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: Extreme dizziness followed by nausea. Most severe Oct. 24, 2008 after I got the vaccine. I was still dizzy Oct. 25, 2008 but not as bad. I started to feel less dizziness on Oct. 26, 2008.

VAERS ID:332066 (history)  Vaccinated:2008-10-31
Age:57.0  Onset:2008-10-31, Days after vaccination: 0
Gender:Female  Submitted:2008-11-04, Days after onset: 4
Location:California  Entered:2008-11-12, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Allergies in the distant past
Diagnostic Lab Data:
CDC 'Split Type':
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Manufacturer
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2748AA IMUN
Administered by: Other     Purchased by: Private
Symptoms: Dysphagia, Dyspnoea, Ocular hyperaemia, Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Glaucoma (broad), Cardiomyopathy (broad), Hypersensitivity (broad)
Write-up: Throat constricted, red eyes, difficulty breathing and swallowing.

VAERS ID:332307 (history)  Vaccinated:2008-11-04
Age:57.0  Onset:2008-11-04, Days after vaccination: 0
Gender:Female  Submitted:2008-11-13, Days after onset: 9
Location:Texas  Entered:2008-11-13
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':
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Eye discharge, Eyelid oedema, Feeling abnormal, Headache, Local swelling, Ocular hyperaemia, Pharyngeal oedema, Photophobia, Sinus headache
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Dementia (broad), Oropharyngeal allergic conditions (narrow), Noninfectious meningitis (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow)
Write-up: Very bad headache, swollen throat and neck, inflamed sinus cavity, puffy eye lids, very red eyes and a discharge, matted eyelashes this morning, eyes sensitive to bright light, need to lay down and sleep. Felt bad for about 2 days.

VAERS ID:332326 (history)  Vaccinated:2008-11-13
Age:57.0  Onset:2008-11-13, Days after vaccination: 0
Gender:Male  Submitted:2008-11-13, Days after onset: 0
Location:Florida  Entered:2008-11-13
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: fish; milk
Diagnostic Lab Data: See ER records
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2831AA0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Chest discomfort, Cough, Hyperhidrosis, Nausea, Vision blurred
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad)
Write-up: Immunization given 11/13/2008 11:40PM call placed to Take Care 11/13/2008 11:45PM c/o nausea coughing, chest tightness, sweating, blurry vision.

VAERS ID:335175 (history)  Vaccinated:2007-10-19
Age:57.0  Onset:2007-10-20, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Oklahoma  Entered:2008-11-13
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: Other medical history was unknown. Other medications included NEXIUM. The patient had no illness at the time of vaccination.
Diagnostic Lab Data:
CDC 'Split Type': 200703692
Vaccination
Manufacturer
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2464A UNLA
Administered by: Private     Purchased by: Other
Symptoms: Injection site pain, Muscle twitching
SMQs:, Dyskinesia (broad), Dystonia (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: Initial report received on 31 October 2007 from a health care professional. A 57-year-old- female patient , with no illness at the time of vaccination, had received a left deltoid injection of FLUZONE SV 2007-2008, lot number U2464AA, on 19 October 2007. Needle used was a 27 gauge with a 1.5 inch length. The following day, the patient developed soreness at the injection site and intermittent twitching of the left arm. The event did not required medical examination. At the time of this report, the patient had recovered. The reporter in this case is the same as in case 2007-03693.

VAERS ID:332403 (history)  Vaccinated:2008-11-12
Age:57.0  Onset:2008-11-12, Days after vaccination: 0
Gender:Female  Submitted:2008-11-14, Days after onset: 2
Location:California  Entered:2008-11-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Septra, Erythromycin, "Dust"
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURC2748AA IMLA
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB659AA4IMRA
Administered by: Public     Purchased by: Private
Symptoms: Dizziness, Immediate post-injection reaction, Injection site pain, Injection site swelling, Pallor, Pulse abnormal, Syncope vasovagal
SMQs:, Torsade de pointes/QT prolongation (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: Hep B 20 mcg given IM right deltoid. Pt. immediately c/o feeling pain to right deltoid; became dizzy, vasovagal; BP to 80 HR thready, Pt pale. Diffuse swelling noted to right deltoid.

VAERS ID:332609 (history)  Vaccinated:2008-08-14
Age:57.0  Onset:2008-08-14, Days after vaccination: 0
Gender:Male  Submitted:2008-11-17, Days after onset: 95
Location:Wisconsin  Entered:2008-11-17
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
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Private     Purchased by: Unknown
Symptoms: Back pain
SMQs:, Retroperitoneal fibrosis (broad)
Write-up: 3 hours after receiving the flu shot (inactivated influenza vaccine 2008-09) I was stricken with the most severe back pain I''ve ever felt, except for when I had back surgery ~3 years ago. It felt like a disc in my lower back approx. L4 or L5 had slipped half a notch and I experienced exruciating pain. It was all I could do to drive home and go to bed, laying face down until morning. I slowly recovered over the next 3 days.

VAERS ID:332821 (history)  Vaccinated:2008-11-19
Age:57.0  Onset:2008-11-19, Days after vaccination: 0
Gender:Female  Submitted:2008-11-19, Days after onset: 0
Location:Washington  Entered:2008-11-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Posamax-D Naproxen
Current Illness: None
Preexisting Conditions: Caffeine allergy
Diagnostic Lab Data: Unknown. Possible delayed reaction to Flu vaccine
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS89881 IM 
Administered by: Other     Purchased by: Other
Symptoms: Dizziness, Paraesthesia, Somnolence, Tremor
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad)
Write-up: After about 15-20 min of getting a flu shot, she felt dizzy & light headed. She sat down on the chair and experienced tingling sensation all over her body. Tremor in her hands & drowsiness. I called 911 and have medics check her out as precautionary measure. Later, they took her to the hospital for further tests.

VAERS ID:332973 (history)  Vaccinated:2008-10-15
Age:57.0  Onset:2008-10-16, Days after vaccination: 1
Gender:Female  Submitted:2008-11-04, Days after onset: 19
Location:Georga  Entered:2008-11-21, Days after submission: 17
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: PMH: osteoarthritis. Reflux. NKDA.
Diagnostic Lab Data: Labs and Diagnostics: BUN 25. Creatinine 1.4. LP with CSF protein 109. CSF cs (-). PFTs WNL. EMG abnormal.
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA366AA IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Asthenia, Blood creatinine increased, Blood product transfusion, Blood urea increased, CSF culture negative, CSF protein increased, Constipation, Dehydration, Diarrhoea, Electromyogram abnormal, Fall, Gait disturbance, Guillain-Barre syndrome, Hypertension, Lumbar puncture, Paraesthesia, Pulmonary function test normal, Renal failure acute, Sensory loss, Walking aid user
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Peripheral neuropathy (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Demyelination (narrow), Chronic kidney disease (broad), Noninfectious diarrhoea (narrow), Tumour lysis syndrome (broad)
Write-up: Admitted to hospital on 11/13/08 with complaint of weakness. Onset over last 10-14 days, becoming gradually worse, probable Guillain-Barre syndrome. 12/18/2008 MR received for DOS 11/3-9/2008 with D/C DX: Guillain-Barre Syndrome. Acute Renal Failure 2'' to dehydration. Dehydration 2'' to diarrhea. Constipation 2'' GBS. Hypertension. Osteoarthritis. Pt presented to ER with progressive weakness x 10-14 days. Admitted for concern for GBS. Symptoms were preceded by 4 days of diarrhea. Pt reports pins and needles sensations beginning in her feet and progressing up the legs to waist. PE (+) for diminished strength and sensation of lower extremities 3/5. Upper 4/5. Pt started having falls 2'' to unsteady gait. Tx with IVIG. Able to use walker and d/c for outpt f/u.

VAERS ID:333009 (history)  Vaccinated:2008-11-06
Age:57.0  Onset:2008-11-09, Days after vaccination: 3
Gender:Female  Submitted:2008-11-21, Days after onset: 12
Location:Nebraska  Entered:2008-11-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Allegra D, Synthroid, Pre-pro, Aleve
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Audiogram
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA365AA IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Audiogram abnormal, Headache, Hypoacusis, Oropharyngeal pain, Rhinitis, Tinnitus
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hearing impairment (narrow)
Write-up: 3 days after vaccine administer, developed headache, sore throat, rhinitis, tinnitis. Tinnitis persisted 2 weeks later; audiogram documents diminished hearing as compared to 2006 testing.

VAERS ID:333077 (history)  Vaccinated:2008-11-18
Age:57.0  Onset:2008-11-18, Days after vaccination: 0
Gender:Male  Submitted:2008-11-20, Days after onset: 2
Location:Oregon  Entered:2008-11-24, 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 KNOWN
Current Illness: NONE KNOWN
Preexisting Conditions: Hyosoyamine; egg allergy as child- undisclosed at time of vaccine.
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA168AA IMUN
Administered by: Other     Purchased by: Private
Symptoms: Cough, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad)
Write-up: Vaccine given around 5:30PM. Pt wife states, severe cough, tightening of throat by 8:30PM Benadryl taken Sx resolved.

VAERS ID:333197 (history)  Vaccinated:2008-11-19
Age:57.0  Onset:2008-11-22, Days after vaccination: 3
Gender:Female  Submitted:2008-11-22, Days after onset: 0
Location:Ohio  Entered:2008-11-24, Days after submission: 2
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':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR42768AA IMRA
Administered by: Public     Purchased by: Private
Symptoms: Fatigue, Headache, Pyrexia, Throat irritation
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)
Write-up: 11-22-08 - Scratchy throat, fatigue. 11-23-08 - Fever 100-101 degrees, headache. No N/V/D.

VAERS ID:335605 (history)  Vaccinated:2008-01-16
Age:57.0  Onset:2008-01-16, Days after vaccination: 0
Gender:Female  Submitted:2008-11-17, Days after onset: 306
Location:California  Entered:2008-11-25, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: CELEXA, Lorazepam, Glucosamine sulphate, SEROQUEL, Vitamins, VIVELLE-DOT, Aspirin, Calcium and GINKGOBILOBA
Current Illness: Unknown
Preexisting Conditions: A0722650A was one of two cases reported by the same healthcare professional. The subjects were reported to be an adult couple. Please reference report A0722647A. Follow-up information received on 09 May 2008: The 57 year-old female subject was taking the following concomitant medications at the time of vaccination with TWINRIX; CELEXA, Lorazepam, Glucosamine sulphate, SEROQUEL, Vit
Diagnostic Lab Data: UNK
CDC 'Split Type': A0722650A
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HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALS 0IMLA
Administered by: Public     Purchased by: Private
Symptoms: No adverse event
SMQs:
Write-up: This case was reported by a healthcare professional, via a GSK sales representative, and described the occurrence of pain in an adult female subject who was vaccinated with TWINRIX (GlaxoSmithKline). On 16 January 2008 and on an unspecified date, the subject received the 1st dose and 2nd dose of TWINRIX (1 ml, intramuscular, left arm). At an unspecified time after vaccination with TWINRIX, the subject experienced pain and reduced range of motion. The sales representative had limited information to provide, but stated that the same adverse events occurred following the 1st and 2nd doses of TWINRIX. At the time of reporting, the outcome of the events was unspecified. Follow-up information was received on 09 May 2008 via a healthcare professional, who indicated that this case was reported to a Regulatory Agency (VAERS ID #309493). The subject was a 57 year-old female who was taking the following concomitant medications at the time of vaccination with TWINRIX, CELEXA, LORAZEPAM, Glucosamine sulfate, SEROQUEL, Vitamins, VIVELLE-DOT, Aspirin, Calcium and GINKGO BILOBA. The subject had no history of adverse events following previous vaccinations. The immunization series was neither delayed, nor discontinued. The symptoms did not recur following subsequent vaccinations (dates and doses unspecified). The healthcare professional reported that the onset date of the earliest signs or symptoms occurred on 16 January 2008. The reporting healthcare professional indicated that the events were not serious, and considered the events to be unrelated to vaccination with TWINRIX. At the time of reporting, the outcome of the events was unknown.

VAERS ID:333324 (history)  Vaccinated:2008-11-12
Age:57.0  Onset:2008-11-12, Days after vaccination: 0
Gender:Female  Submitted:2008-11-21, Days after onset: 9
Location:Colorado  Entered:2008-11-26, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: PMH: contolled asthma, hiatal hernia with banding. Rxn to albuterol with rash, desquamation and alopecia
Diagnostic Lab Data: Labs and Diagnostics: CXR WNL. EKG shows non-specific ST-T changes and A-fib. Cardiac enzymes all normal. CBC with WBC 10.1. D-dimer WNL 109. Transthoracic echo -borderline LVH, otherwise WNL. Stress echo WNL.
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2766AA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Atrial fibrillation, Cardiac enzymes normal, Chest X-ray normal, Dyspnoea, Echocardiogram, Echocardiogram normal, Electrocardiogram abnormal, Fibrin D dimer normal, Full blood count, Hypertension, Left ventricular hypertrophy, Malaise, Palpitations, Stress echocardiogram, Tachycardia, White blood cell count increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Hypertension (narrow), Cardiomyopathy (broad)
Write-up: Felt malaise and sick starting 15 min post vaccination. Later afternoon went to ER & was admitted for tachycardia. 11/26/2008 MR received for DOS 11/12-13/2008 with D/C DX: Paroxysmal Atrial Fibrillation, now in sinus. Mild hypertension. Ptpresented to ER with tachycardia, palpitations, and SOB which began after receiving flu shot. Found to be in A-fib upon arrival with ventricular rate 130-190s. Tx with diltiazem with improvement to the 110s. No cardiac hx. Self converted to SR during stress echo. D/C on ASA.

VAERS ID:333366 (history)  Vaccinated:2008-11-08
Age:57.0  Onset:2008-11-09, Days after vaccination: 1
Gender:Female  Submitted:2008-11-25, Days after onset: 16
Location:Virginia  Entered:2008-11-26, 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:
Current Illness: None
Preexisting Conditions: Heart problem
Diagnostic Lab Data: None
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA366CA0IMUN
Administered by: Other     Purchased by: Private
Symptoms: Chills, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad)
Write-up: Patient was asleep and became chilled and began shivering for about an hour. Finally shaking stopped.

VAERS ID:333372 (history)  Vaccinated:2008-11-12
Age:57.0  Onset:2008-11-25, Days after vaccination: 13
Gender:Male  Submitted:2008-11-26, Days after onset: 1
Location:Unknown  Entered:2008-11-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Active Outpatient Medications Status ========================================================================= 1) ALBUTEROL 3/IPRATROP 0.5MG/3ML INHL 3ML INHALE 1 VIAL ACTIVE IN NEBULIZER BY MOUTH NOW
Current Illness:
Preexisting Conditions: PMH: Seizure d/o. Porokeratosis. Back pain. Obesity Hyperlipidemia. HTN
Diagnostic Lab Data: phenytoin level 43.4 mcg/ml 13 days after vaccine; had been on the same phenytoin dose for over 5 years. Labs and Diagnostics: Dilantin level 43.3. EKG normal. CXR normal. CT brain (+) for encephalomalacic changes.
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURERAFLLA184AA IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chest X-ray normal, Chest discomfort, Chest pain, Computerised tomogram abnormal, Dizziness, Drug level increased, Drug toxicity, Dyspnoea, Electrocardiogram normal, Fatigue, Feeling of body temperature change, Malaise, Muscle twitching, Scan brain, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Drug abuse and dependence (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad)
Write-up: Phenytoin toxicity, also reported in VA ADERS. 12/29/2008 MR received for DOS 11/25-28/2008 with D/C DX: Dilantin Toxicity. Hx of seizure d/o. Pt presented to ER with c/o feeling unwell and tired x 1 wk as well as episodes of SOB. Seen twice in ER previously. This am pt was feeling hot/cold, dizzy, shakey and feeling as though would fall. Admitted for observation. On 11/26/08 pt developed substernal chest pain/pressure which resolved on it''s own. EKG was WNL. On 11/27 pt developed twitching of jaw. No new seizure activity.

VAERS ID:333404 (history)  Vaccinated:2008-10-22
Age:57.0  Onset:2008-10-23, Days after vaccination: 1
Gender:Female  Submitted:2008-11-28, Days after onset: 36
Location:Minnesota  Entered:2008-11-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Depakote for migraines; Cymbalta; Imitrex prn
Current Illness: none. For lack of another place to note this...I had a discussion with my mother yesterday, who had her flu shot about the same
Preexisting Conditions: nickel allergy
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURERUNKNOWN0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chest pain, Injection site pain, Joint range of motion decreased, Neck pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Arthritis (broad)
Write-up: Symptoms: (have now persisted for over a month since the vaccination on Oct. 22, 2008). Include: deep aching in left upper arm, radiating into shoulder, especially when arm is at rest, such as when reading or driving; pain into left side of neck and chest (mimicks angina); difficulty placing left arm into coat sleeve due to decrease range of motion in left shoulder; no significant relief of discomfort after using Aleve, Ibuprofen or Ben Gay

VAERS ID:333407 (history)  Vaccinated:2008-11-27
Age:57.0  Onset:2008-11-28, Days after vaccination: 1
Gender:Female  Submitted:2008-11-29, Days after onset: 1
Location:Alabama  Entered:2008-11-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: CUT LEFT THUMB KNUCKLE REQUIRING STITCHES
Preexisting Conditions: ALLERGIC TO INSECT STINGS. HAVE TO GO TO ER FOR SHOT EACH TIME I AM STUNG.
Diagnostic Lab Data:
CDC 'Split Type':
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TD: TETANUS DIPHTHERIA (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Private     Purchased by: Unknown
Symptoms: Erythema, Pain, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: HAD VACCINATION ON NOV. 27. TWO DAYS LATER IT WAS HURTING, RED, SWOLLEN AND HARD. TODAY, NOV. 29 IT IS WORSE. THE PAIN, SWELLING, HARDNESS ETC. ARE GETTING WORSE. I HAVE PUT ICE ON IT AND TAKEN ADVIL WITH NO RELIEF. I MAY HAVE TO SEE THE DOCTOR ABOUT IT. I AM NOT SURE OF THE EXACT NAME OF THE SHOT.

VAERS ID:333501 (history)  Vaccinated:2008-10-20
Age:57.0  Onset:2008-10-20, Days after vaccination: 0
Gender:Female  Submitted:2008-12-01, Days after onset: 42
Location:Wisconsin  Entered:2008-12-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Patient reported that she was not sick.
Preexisting Conditions: None listed.
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA031AA IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Rash generalised
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Patient reports that same evening she broke out in a rash starting at the neck which then spread downward over her body. Her husband who''s a physician gave her Benadryl and she was better.

VAERS ID:333562 (history)  Vaccinated:2008-11-30
Age:57.0  Onset:2008-11-30, Days after vaccination: 0
Gender:Female  Submitted:2008-12-01, Days after onset: 1
Location:North Carolina  Entered:2008-12-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: No
Diagnostic Lab Data: None
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Other     Purchased by: Unknown
Symptoms: Chills, Vision blurred
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad)
Write-up: 9:00 pm I had chills after retiring for the evening. Next day I have "hazy eye sight. (9:00am) ful listless.

VAERS ID:333645 (history)  Vaccinated:2008-11-20
Age:57.0  Onset:2008-11-24, Days after vaccination: 4
Gender:Female  Submitted:2008-12-02, Days after onset: 8
Location:Wisconsin  Entered:2008-12-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol #3, Fosamax, Aspirin, Cipro Ophthalmic drops, Relpax, Vytorin, lisinopril, metformin, Prilosec.
Current Illness: None
Preexisting Conditions: Topamax - dizziness, diabetes mellitus type 2, dyslipidemia, GERD
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2804AA IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1076X0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Feeling hot, Injection site pruritus, Injection site rash
SMQs:, Hypersensitivity (narrow)
Write-up: Itchy rash around site of vaccine administration beginning 4 days after administration and continuing to spread outward at time of this form being filled out. Also, "hot" sensation generally throughout bones in the evenings.

VAERS ID:333728 (history)  Vaccinated:2008-11-12
Age:57.0  Onset:2008-11-12, Days after vaccination: 0
Gender:Female  Submitted:2008-12-03, Days after onset: 21
Location:South Carolina  Entered:2008-12-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prozac, Allegra, Nexium, Singulair, Multivitamin, Nasocort, allergy shots
Current Illness: none
Preexisting Conditions: Asthmatic bronchitis Allergic to weeds, mold, dust, dustmites, cats, penicillin, DarvocetN macrodantin
Diagnostic Lab Data:
CDC 'Split Type': SC0824
Vaccination
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PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0962U1SCLA
Administered by: Public     Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: About 3PM noticed itchy at site, orange sized swelling and hot to touch. By 5PM swelled to 2" above elbow and up to site. by 6PM took Benadryl 50 mg po. by 7 PM entire arm swollen to just below elbow. Next AM swelling to mid forearm, hot and red. Ached--Tylenol for pain. (Had taken another dose Benadryl 50 mg po at 10PM). Stayed red, hot and swollen for 4 days and went away.

VAERS ID:333878 (history)  Vaccinated:2008-08-27
Age:57.0  Onset:2008-08-27, Days after vaccination: 0
Gender:Female  Submitted:2008-12-04, Days after onset: 99
Location:Virginia  Entered:2008-12-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levoxyl
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
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DTAP: DTAP (NO BRAND NAME)UNKNOWN MANUFACTURER 1  
Administered by: Private     Purchased by: Public
Symptoms: Abdominal pain upper, Arthralgia, Body temperature increased, Fatigue, Headache, Influenza like illness, Injection site swelling, Mobility decreased, Nausea, Pain, Tenderness
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)
Write-up: Temp: 100 - 101.7 Wed evening through Sat, 8/30/08. Flu like symptoms: fatigue, joints ached, nausea, stomach ache, severe headache. Injection site (right arm) swollen. Mobility of right arm limited for a week (could only lift arm alittle bit); it took 2 weeks to be free of pain, tenderness. Could not do usual activities for 4 days. Very weak for a week, as if a charging freight train had hit me. Called emergency Thurs evening, 8/28/08.

VAERS ID:334194 (history)  Vaccinated:2008-11-12
Age:57.0  Onset:2008-11-12, Days after vaccination: 0
Gender:Female  Submitted:2008-11-14, Days after onset: 2
Location:Florida  Entered:2008-12-08, Days after submission: 24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions:
Diagnostic Lab Data: N/A
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2805AA IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.08681 IMRA
Administered by: Public     Purchased by: Public
Symptoms: Chills, Dyspnoea, Injection site pain, Pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Cardiomyopathy (broad)
Write-up: RECD VACCINES MID AFTERNOON 11-12-08. STATES THAT IN THE NIGHT SHE BEGAN HAVING FEVER,CHILLS & PAIN @ INJECTION SITES. ALSO STATES SHE ACHED ALL OVER.ALSO INDICATED SHE HAD LABORED BREATHING. TOOK ASPIRIN FOR FEVER & PAIN.wAS SEEN BY ONE OF THE ACHD PRACTITIONERS.

VAERS ID:334355 (history)  Vaccinated:2008-11-07
Age:57.0  Onset:2008-11-09, Days after vaccination: 2
Gender:Male  Submitted:2008-11-20, Days after onset: 11
Location:West Virginia  Entered:2008-12-09, Days after submission: 19
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: HTN
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
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FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA188AA1IMLA
Administered by: Other     Purchased by: Private
Symptoms: Asthenia, Blood pressure normal, Dizziness, No reaction on previous exposure to drug, Pain
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad)
Write-up: 11/9 Dizziness and weakness 2 days after vaccination by 4pm on the 9th felt better. Experienced same symptoms plus light headedness & body aches on 11/11/08 x2hrs, then felt better, BP WNL 132/75 at home. HX of receiving flu shot in past w/ no RXNS.

VAERS ID:334494 (history)  Vaccinated:2008-11-04
Age:57.0  Onset:2008-11-05, Days after vaccination: 1
Gender:Female  Submitted:2008-11-14, Days after onset: 9
Location:Rhode Island  Entered:2008-12-09, 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:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: xray indicated hematoma at right deltoid muscle
CDC 'Split Type':
Vaccination
Manufacturer
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS881135P UNRA
Administered by: Public     Purchased by: Public
Symptoms: Injection site haematoma, Injection site pain, X-ray abnormal
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad)
Write-up: Severe pain reported by patient in area of injection site. Small surface bruising. Patient required medical attention. Sent to Urgent Care facility for xray. 4-5 days for complete recovery.

VAERS ID:334691 (history)  Vaccinated:2008-11-14
Age:57.0  Onset:2008-11-14, Days after vaccination: 0
Gender:Female  Submitted:2008-11-25, Days after onset: 11
Location:Wisconsin  Entered:2008-12-09, 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:
Current Illness:
Preexisting Conditions: Psoriasis
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  UNRA
Administered by: Other     Purchased by: Other
Symptoms: Dysphonia
SMQs:, Parkinson-like events (broad)
Write-up: Received vaccine at about 11:00am. At 6:00pm, I began getting hoarse which cleared up about 12:30 or sometime after midnight.

VAERS ID:335090 (history)  Vaccinated:2008-11-18
Age:57.0  Onset:2008-11-18, Days after vaccination: 0
Gender:Female  Submitted:2008-11-28, Days after onset: 10
Location:Massachusetts  Entered:2008-12-11, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Denies
Preexisting Conditions: Denies
Diagnostic Lab Data: Did not go to doctor''s office (reports she is "between" doctors @ this time).
CDC 'Split Type': MA0812
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA191AA UNRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1679U UNLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site induration, Injection site swelling, Paraesthesia, Pruritus
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Pt reports localized hard swelling @ injection site (left deltoid). Pt reports sl tingling down arm and "itchy" arm. Reports s/s lasted 3 days.

VAERS ID:336818 (history)  Vaccinated:2008-07-10
Age:57.0  Onset:2008-07-10, Days after vaccination: 0
Gender:Unknown  Submitted:2008-12-12, Days after onset: 155
Location:Maryland  Entered:2008-12-15, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0807USA01871
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0063X0IMUN
Administered by: Private     Purchased by: Private
Symptoms: Wrong drug administered
SMQs:
Write-up: Information has been received from an office manager concerning a 57 year old patient who inadvertently was vaccinated with a dose of GARDASIL by human error. No adverse effect reported. Follow-up information was received from a physician who reported that on 10-JUL-2008 the patient was given GARDASIL, IM, in the left arm instead of ADACEL inadvertently. No further information is available.

VAERS ID:335396 (history)  Vaccinated:2008-12-15
Age:57.0  Onset:2008-12-15, Days after vaccination: 0
Gender:Female  Submitted:2008-12-16, Days after onset: 1
Location:North Dakota  Entered:2008-12-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: a diuretic pill, hormone cream, baby ASA, Ca & Vit D pill, Ayur-gymnema supplement, fish oil capsule, and ginsing
Current Illness: None
Preexisting Conditions: slight allergy to cats and surgical tape.
Diagnostic Lab Data: Potassium Low 3.1 Glucose High 171 BUN High 19 HGB, High 14.9 BA High 1.0 All other lab values within normal range.
CDC 'Split Type':
Vaccination
Manufacturer
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Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2772AA0IMLA
Administered by: Public     Purchased by: Private
Symptoms: Blood alcohol increased, Blood glucose increased, Blood potassium decreased, Blood urea increased, Cough, Haemoglobin increased, Oropharyngeal pain, Sensation of foreign body, Tachycardia, Tachypnoea, Wheezing
SMQs:, Acute renal failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Hypersensitivity (broad), Tumour lysis syndrome (broad)
Write-up: Pt. received flu vaccination at 1600 hrs. on 12-15-08. At 1900 hrs. pt called nurse to say she had been coughing and felt "like there was a lump in my throat", for the past 20 minutes. Pt denied difficulty breathing. Nurse instructed her to take 2 benadryl tabs and have husband take her to ER stat. Pt entered ER with coughing and wheezing and c/o sore throat. tachycardia @120. Tachypenia @ 24-28. Wheezes in all lung fields. Benadryl 50 mg IVP @2020 hrs. Lab tests done. Pt. had nebulizer treatment with little relief at 2000 hrs. Pt. discharged ambulatory at 2110. Medrol dose pack as directed. Push fluids. Potassium 10mcg PO daily, Benadryl 50 mg every 4-6 hrs X 2 doses than as needed. Return if symptoms worsen. Follow-up in clinic in 1 week.

VAERS ID:335887 (history)  Vaccinated:2008-12-19
Age:57.0  Onset:2008-12-20, Days after vaccination: 1
Gender:Female  Submitted:2008-12-22, Days after onset: 2
Location:Wisconsin  Entered:2008-12-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Mephobarb, 100 mg. 4 tab a day, Epitol, 200 mgs. 4 tabs a day, Fosamax, Plus D, Calcium with Vitamin D, One a Day Vitamin.
Current Illness: Was healthy. Went in for physical.
Preexisting Conditions: Post polio syndrome, epilepsy.
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
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Site
PPV: PNEUMO (NO BRAND NAME)UNKNOWN MANUFACTURER 0IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Induration, Lethargy, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: Woke up the next morning with a "hard" knot on my left arm. Fever, aching and lethargy.

VAERS ID:335908 (history)  Vaccinated:2008-10-22
Age:57.0  Onset:2008-10-22, Days after vaccination: 0
Gender:Male  Submitted:2008-12-22, Days after onset: 61
Location:Pennsylvania  Entered:2008-12-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: Concomitant medications and relevant medical history were unknown. The healthcare professional previously reported case A0665617A. The subject''s orthopedist also mentioned to the subject''s wife that this is the third case of frozen shoulder he has seen this year following flu vaccination. Additional cases see A.
Diagnostic Lab Data: Unknown
CDC 'Split Type': A0761235A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA359CA IMLA
Administered by: Other     Purchased by: Private
Symptoms: Joint range of motion decreased, Lymphadenopathy, Periarthritis
SMQs:, Arthritis (narrow)
Write-up: This case was reported by healthcare professional and described the occurrence of swollen glands under arms in a 57-year-old male subject who was vaccinated with FLUARIX (GlaxoSmithKline) for prophylaxis. On the morning of 22-October 2008, the subject received a dose of FLUARIX (.5 unknown, unknown, left arm). On 24 October 2008. 2 days after vaccination with FLURIX, the subject experienced swollen glands under arms. ON 16 December 2008, the subject experienced a "reoccurrence" frozen shoulder and decreased range of motion arm. A healthcare professional reported that a subject received FLUARIX on 22 October 2008 and two days later called to say that his left underarm had a swollen gland. He was treated with KEFLEX and the swelling resolved. On 16 December, his wife called this office to say that he had a "reoccurrence" and his left arm had decreased range of motion. He was treated at an orthopedic office and was told he had a frozen shoulder. He was given cortisone injections and physical therapy. The subject was treated with KEFLEX, CORTISONE and physical therapy. At the time of reporting the events were unresolved. The healthcare professional considered the events were possibly related vaccination with FLUARIX. The orthopedist also mentioned to the subject''s wife that this is the third case of frozen shoulder he has seen this year following flu vaccination. Additional cases see A0761286A and A0761289A.

VAERS ID:336168 (history)  Vaccinated:2008-10-07
Age:57.0  Onset:2008-10-07, Days after vaccination: 0
Gender:Female  Submitted:2008-10-14, Days after onset: 7
Location:California  Entered:2008-12-29, Days after submission: 76
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: FORTEO SQ injections daily
Current Illness: None
Preexisting Conditions: SUDAFED; osteoporosis; asthma
Diagnostic Lab Data:
CDC 'Split Type':
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Dose
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FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLLA178AA IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Arthralgia, Chills, Dyspnoea, Headache, Malaise, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Arthritis (broad)
Write-up: Started 2000 10/07/08. Severe pain in joints, chills, fever 101 degrees. Took EXCEDRIN for H/A, SOB, took nebulizer 3xs in less than 12hrs. General malaise.

VAERS ID:336510 (history)  Vaccinated:2008-11-21
Age:57.0  Onset:2008-11-22, Days after vaccination: 1
Gender:Male  Submitted:2009-01-05, Days after onset: 44
Location:Massachusetts  Entered:2009-01-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None now
Diagnostic Lab Data: X-ray of shoulder; MRI
CDC 'Split Type':
Vaccination
Manufacturer
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FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA191AA IMUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site pain, Mobility decreased, Pain, Sleep disorder
SMQs:, Parkinson-like events (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: Pain at injection site x 2 days. On 3rd day radiated to L shoulder at deltoid. Constant throbbing pain, restricts mobility. Severe enough to wake from sleep. On going problem.

VAERS ID:336971 (history)  Vaccinated:2009-01-06
Age:57.0  Onset:2009-01-07, Days after vaccination: 1
Gender:Female  Submitted:2009-01-09, Days after onset: 2
Location:Kentucky  Entered:2009-01-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: AVELOX; CYMBALTA; DIFLUCAN; FLONASE; gabapentin; LISINOPRIL; METFORMIN; phenergan; TRAMADOL; VALTREX; XANAX; ZOVIRAX
Current Illness: Neuropathy
Preexisting Conditions: Anxiety; Depression; Diabetes; Dysphagia; Gastrointestinal reflux; High blood pressure; Panic disorder
Diagnostic Lab Data:
CDC 'Split Type':
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PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1287X0UNLA
Administered by: Private     Purchased by: Other
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Patient reported to facility with 5 1/2 cm x 8cm reddened and indurated area on left deltoid are. Area was warm to touch and patient reported feeling a "knot" in shot arm on 1/8/09. Knot is now dissipated at time of this being filled out.

VAERS ID:337067 (history)  Vaccinated:2008-11-03
Age:57.0  Onset:2008-11-03, Days after vaccination: 0
Gender:Male  Submitted:2009-01-12, Days after onset: 70
Location:Pennsylvania  Entered:2009-01-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: citalopram 80 mg daily, mirtazapine 15 mg qhs, gabapentin 800 mg q6h, metformin 500 mg bid, niaspan 1500 mg qhs, tramadol 50 mg bid prn
Current Illness: None
Preexisting Conditions: no previous allergies. PMH includes mood disorder, hyperlipidemia, right AKA with phantom limb pain, GERD, major depressive disorder, diabetes, elevated LFTs, and hip arthralgia.
Diagnostic Lab Data: WBC 15,000 on 11/5/08, neutrophils 10.1 on 11/5/08, mono 1.3 on 11/5/08, rest of CBC WNL. Temperature 98.9 on 11/5/08.
CDC 'Split Type':
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Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSGSKAFLLA174AAQ IMLA
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB132AC2IMLL
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0742X0IMLL
Administered by: Unknown     Purchased by: Unknown
Symptoms: Body temperature, Full blood count, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Monocyte count normal, Neutrophil count increased, No reaction on previous exposure to drug, Pyrexia, White blood cell count increased
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Patient received a pneumococcal vaccine (in left thigh), an influenza vaccine (in left arm) and his 3rd hepatis A&B vaccine of the series (in left thigh) on 11/3/08. Later that night, patient developed warmness, swelling, redniess, and itching involving the whole left anteromedial thigh. Patient also had fever for 1 day. Veteran had received his previous 2 doses of hepatitis A&B on 5/14/08 and 6/13/08 without incident. Had received influenza vaccine in previous years without incident. Patient was prescribed cephalexin 500 mg qid x 10 days as he also had an elevated white blood cell count.

VAERS ID:337209 (history)  Vaccinated:2008-11-04
Age:57.0  Onset:2008-11-05, Days after vaccination: 1
Gender:Female  Submitted:2008-11-12, Days after onset: 7
Location:North Carolina  Entered:2009-01-13, Days after submission: 62
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Ultrasound; WBC
CDC 'Split Type': NC09001
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2811AA IMLA
Administered by: Public     Purchased by: Public
Symptoms: Cellulitis, Chills, Hypersensitivity, Infection, Pyrexia, Tenderness, Ultrasound scan, White blood cell count
SMQs:, Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: Infection of left deltoid following Influenza vaccination on 11/4/08. 11/5/08 increased soreness, fever and chills; 11/7/08 went to primary care diagnosed allergic reaction and prescribed pain medication. 11/8/08 went to urgent care diagnosed with cellulitis prescribed cephalexin 500 mg TID 11/8/08 and 1/9/08 fevers of 102 degrees F 11/10/08 went to family practice labs done. 11/12/08 WBC 19.5 per lab on 11/11/08. Clindamycin 300mg TID x 15 days Doxycycline 100mg TID x 15 days prescribed . negative 11/12/08 all symptoms abated-patient finally recovered.

VAERS ID:338399 (history)  Vaccinated:2004-09-23
Age:57.0  Onset:2007-06-12, Days after vaccination: 992
Gender:Female  Submitted:2009-01-12, Days after onset: 580
Location:Texas  Entered:2009-01-16, 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:
Current Illness: Unknown
Preexisting Conditions: A0728351A was one of three cases reported by the same healthcare professional. The three subjects had titers drawn on 12 June 2007, all of which were hepatitis B antibody negative. Please reference reports A0728350A and A0728370A.
Diagnostic Lab Data: Hepatitis B antibody 6/12/2007, negative
CDC 'Split Type': A0728351A
Vaccination
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HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS 2UNRL
Administered by: Private     Purchased by: Private
Symptoms: Hepatitis B antibody negative
SMQs:
Write-up: This case was reported by a healthcare professional and described the occurrence of hepatitis B antibody negative in a 60-year-old female subject who was vaccinated with ENGERIX B. On 23 September 2004, the subject received the 3rd dose of ENGERIXB (unknown), to complete the three dose series. The 2nd dose of ENGERIX B (unknown) was given on 25 February 2004. On 12 June 2007, approximately three years after receiving the 3rd dose in the Hepatitis B vaccination series, the subject had a titer drawn that was hepatitis B antibody negative. At the time of reporting the outcome of the events was unspecified.

VAERS ID:337756 (history)  Vaccinated:2008-12-14
Age:57.0  Onset:2008-12-14, Days after vaccination: 0
Gender:Male  Submitted:2008-12-15, Days after onset: 1
Location:Nebraska  Entered:2009-01-20, Days after submission: 36
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
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Manufacturer
Lot
Dose
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2766AA0UNUN
Administered by: Private     Purchased by: Private
Symptoms: Eyelid oedema, Lacrimation increased, Ocular hyperaemia, Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Glaucoma (broad), Lacrimal disorders (narrow), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow)
Write-up: 7pm 12/14/08 received flu shot 10pm 12/14/08 throat started feeling tight and full. Also had red, watery eyes and swelling of the eye lids. Treatment, OTC BENADRYL 50mg.

VAERS ID:337998 (history)  Vaccinated:2008-10-06
Age:57.0  Onset:2008-10-07, Days after vaccination: 1
Gender:Female  Submitted:2008-12-01, Days after onset: 55
Location:California  Entered:2009-01-22, Days after submission: 52
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Thyroid, allergies to grass, high blood pressure
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA175AA IMLA
Administered by: Other     Purchased by: Private
Symptoms: Mobility decreased, Neck pain, Nerve injury, Pain in extremity
SMQs:, Parkinson-like events (broad), Accidents and injuries (narrow), Arthritis (broad)
Write-up: Nerve in arm feel affected. Cannot lift arm without pain. Pain goes up to neck. I waited to send this in to see if pain subsided. It did not. I cannot lift my arm and it (the pain) goes up my neck. My husband got the flu vaccine on the same day and has the same problem. Please advise.

VAERS ID:338295 (history)  Vaccinated:2008-10-27
Age:57.0  Onset:2008-10-30, Days after vaccination: 3
Gender:Female  Submitted:2008-10-31, Days after onset: 1
Location:Kansas  Entered:2009-01-26, Days after submission: 87
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lipitor 1/2 TAB
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': KS200821
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA366BA0IMLA
Administered by: Public     Purchased by: Private
Symptoms: Local swelling, Oedema peripheral, Pain in extremity
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Got vaccination 10-27-2008. 10-29-08 arm started aching. 10-30-08, arm swollen clear down into hand and up thru shoulder into neck.

VAERS ID:338961 (history)  Vaccinated:2008-11-12
Age:57.0  Onset:2008-11-12, Days after vaccination: 0
Gender:Female  Submitted:2009-01-07, Days after onset: 56
Location:Utah  Entered:2009-01-30, Days after submission: 23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: Concomitant medications were unknown. No relevant medical history. It was unknown if the subject had previously received influenza vaccinations or experienced adverse events. The subject had no adverse events following receipt of prior immunizations. The healthcare professional reported another case, see A0756598A.
Diagnostic Lab Data: UNK
CDC 'Split Type': A0756602A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA172AA UNUN
Administered by: Other     Purchased by: Private
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pruritus
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: This case was reported by a healthcare professional and described the occurrence of injection site pruritus in a 57-year-old female subject who was vaccinated with FLULAVAL (GlaxoSmithKline). On 12 November 2008 at 10:15, the subject received a dose of FLULAVAL (.5 ml, unknown, left arm). On 12 November 2008, immediately after vaccination with FLULAVAL, the subject experienced injection site pruritus and injection site redness. The healthcare professional reported that a subject received a FLULAVAL vaccination at an on job site flu clinic at 10:15. Immediately after receiving the dose, she developed redness and itching at the injection site. The subject was followed up with at 13:00 and the events had resolved. On 12 November 2008, the events were resolved. The healthcare professional considered the events were possibly related to vaccination with FLULAVAL. Follow-up information was received on 24 November 2008, via healthcare professional. No new information was provided.

VAERS ID:338892 (history)  Vaccinated:2009-01-09
Age:57.0  Onset:2009-01-09, Days after vaccination: 0
Gender:Female  Submitted:2009-02-03, Days after onset: 25
Location:Illinois  Entered:2009-02-03
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: I came to the ER to have a small hair removed from my eye.
Preexisting Conditions: none
Diagnostic Lab Data: None that I know of, no blood taken, or other tests perfomed. I filled in a type of vaccine in item 13 in order to submit, and I think this is what I heard the nurse tell me she was giving. I just filled in something for the other boxes so
CDC 'Split Type':
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DTAP: DTAP (CERTIVA)BAXTER HEALTHCARE CORP.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Blood pressure fluctuation, Dizziness, Dyspnoea, Feeling abnormal, Feeling cold, Head discomfort, Hypoaesthesia oral, Inappropriate schedule of drug administration, Pain in extremity, Paraesthesia, Tremor
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (broad)
Write-up: I became very light headed, as though I was going to lose consciousness. My finger tips began to tingle, as though they were asleep. Then my feet began to tingle. This tingleing progressed up my legs and up my arms. I couldn''t feel my lips, and they began to tingle also. My body became very cold, and I was shaking. My husband put his coat on me, and two blankets, and I still couldn''t get warm. I felt like I had to have him talk to me to help me stay conscious. I felt like I was going to lose bowel control. I was struggling to breath. I kept telling myself to breath, breath, breath. My head felt like it was vibrating, but not pounding. My blood pressure went up to 212 over 110. I felt like if I lost consciousness, I would die. I really focused on keeping myself breathing and awake. It was very hard. After an hour, the ER nurse took my blood pressure again. It was 185 over 110. I felt more conscious, and the tingling was reciding from my body core to the extremities. The ER doctor never came to see me. The nurse told me that I could leave whenever I wanted. It took me another half hour to feel comfortable trying to stand and walk. I was very light-headed, but not really dizzy. It was like I was outside of my body. My father-in-law was in the rehab unit, so my husband and I went to visit him. The nurse there took my blood pressure after another hour, and it was still 180 over 110. The tingling finally went completely away after about two and half hours after it started. I did not get to feeling warm until much later in the night, about 6 to 8 hour later. I usually have a blood pressure reading between 101 and 140 over 80 to 90. However, I am still flucuating between 150 and 180 over 100 to 104. It is now four week later. I also have some soreness in the armpit in the right arm. The hospital would not tell me the brand or lot of the vaccine. In fact, the nurse just wanted me to sign a paper without explaining the possible side effects. I had to ask for them, and then she told me I wa

VAERS ID:338909 (history)  Vaccinated:2009-02-02
Age:57.0  Onset:2009-02-02, Days after vaccination: 0
Gender:Female  Submitted:2009-02-03, Days after onset: 1
Location:Oklahoma  Entered:2009-02-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: N/A
Preexisting Conditions: UNKNOWN
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS89994 IMLA
TDAP: TDAP (ADACEL)SANOFI PASTEURC3032AA IMRA
Administered by: Public     Purchased by: Unknown
Symptoms: Erythema, Oedema peripheral, Paraesthesia, Swelling face
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: PATIENT REPORTS TINGLING RIGHT ARM WITHIN 5 MINUTES OF ADMINISTRATION OF IMMUNIZATION BY TIME PATIENT GOT HOME WITHIN THE HOUR RIGHT ARM SWOLLEN AND REDNESS FROM FINGERTIPS TO CHEST AND SHOULDER ON THE SIDE WHERE TDAP GIVEN WITH SOME SWELLING AND REDNESS UP INTO FACE AND RIGHT CHEEK PATIENT TOOK IBUPROFEN AND BENADRYL WITH COLD COMPRESS

VAERS ID:339310 (history)  Vaccinated:2009-01-14
Age:57.0  Onset:0000-00-00
Gender:Female  Submitted:2009-02-06
Location:West Virginia  Entered:2009-02-09, 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: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1679U1IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Excessive swelling at injection site.

VAERS ID:340860 (history)  Vaccinated:2009-02-20
Age:57.0  Onset:2009-02-21, Days after vaccination: 1
Gender:Female  Submitted:2009-02-23, Days after onset: 2
Location:Wisconsin  Entered:2009-02-27, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PROZAC; TRAZADONE-SINTHROID; CLONIPIN; CARBIDOPA
Current Illness: None
Preexisting Conditions: Depression, anxiety, Graves disease, asthma
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB703AA1IMLA
Administered by: Other     Purchased by: Private
Symptoms: Asthenia, Nausea, Tremor
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: The day after shot employee experienced slight nausea & weakness & hand tremors. Symptoms lasted 2 days. No medical Tx sought. Symptoms resolved spontaneously.

VAERS ID:340947 (history)  Vaccinated:2008-10-23
Age:57.0  Onset:2008-10-23, Days after vaccination: 0
Gender:Female  Submitted:2009-02-24, Days after onset: 124
Location:California  Entered:2009-03-02, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA181AA0UNLA
Administered by: Private     Purchased by: Private
Symptoms: Immediate post-injection reaction, Injection site pain, Muscular weakness
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Immediate and excessive pain continuing for 3 wks; Followed by prolonged weakness in left arm for past 4 months.

VAERS ID:341116 (history)  Vaccinated:2009-03-03
Age:57.0  Onset:0000-00-00
Gender:Female  Submitted:2009-03-04
Location:New Jersey  Entered:2009-03-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: No known drug allergies
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1124X SCLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site discolouration, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Within 1/2 of immunization, patient returned to the doctors office to report injection site was itchy. Site was seen by Dr. Site was also red, slight swollen and warm. Within 24 hrs itching was gone. Site is slight swollen and pink per patient.

VAERS ID:341201 (history)  Vaccinated:2008-10-13
Age:57.0  Onset:2008-10-29, Days after vaccination: 16
Gender:Male  Submitted:2009-02-19, Days after onset: 113
Location:Connecticut  Entered:2009-03-05, Days after submission: 14
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: allergic to penicillin. PMH: Osteoarthritis. Hip surgery. Allergies to PCN & Tetracycline
Diagnostic Lab Data: Ultrasound, negative; 2 MRIs; blood work; spinal tap showed elevated protein level; nerve conductivity test. Labs and Diagnostic Studies received: BUN 20. ANA 1:320-homogeneous. CSF protein 48. CSF WBCs 2-100% monos. CBC WNL. Lyme (-). Ig
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFFLA153BA IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Antinuclear antibody positive, Areflexia, Arthritis, Blood immunoglobulin A, Blood immunoglobulin G normal, Blood immunoglobulin M, Blood product transfusion, Blood test, Blood urea, Borrelia burgdorferi serology negative, CSF mononuclear cell count increased, CSF protein increased, Dysaesthesia, Electromyogram abnormal, Facial paresis, Full blood count normal, Guillain-Barre syndrome, Hyperreflexia, Hypoaesthesia, Lumbar puncture, Muscle tightness, Muscular weakness, Nerve conduction studies abnormal, Nuclear magnetic resonance imaging, Nuclear magnetic resonance imaging abnormal, Pain, Paraesthesia, Pruritus, Rash, Sensory disturbance, Sensory loss, Sleep disorder, Ultrasound scan normal, Vision blurred
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Systemic lupus erythematosus (narrow), Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Demyelination (narrow), Lens disorders (broad), Retinal disorders (broad), Hypersensitivity (narrow), Arthritis (narrow)
Write-up: Pain, tingling and weakness in legs, feet, arms, hands and face; first noticed numbness in feet end of October, 2008. Progressed to legs, arms, hands and then face. Also progressively got worse and more painful. Diagnosis GUILLAN BARRE. 3/16/09 Neurology consult received with assessment post-vaccinal AIDP (GBS). ROS (+) for difficulty sleeping, blurring of eyes, arthritis, rash, itching, tingling, weakness, numbness. PE (+) for sensory disturbances toes, ankles and fingers and dysthesias to heels and fingertips. DTRS absent L achilles, depressed tricep, brachiorad, and R achilles. Has had 2 rounds of IVIG with lack of response. 3/31/09 Neuro consults dated 12/2/08 to 3/12/09 received. Pt presented to neuro with 3 week hx of foot numbness and feeling swollen, tightness in the lower legs and numbness which progressed to the fingertips and hands. PE (+) for absent DTRs in UE and brisk DTRs in LE. Sensory loss in LEs. DX: Acute demyelinating polyneuropathy. 4/14/09 ER note from 12/2/08 received. Pt sent in by PCP for testing r/t c/o acute numbness to all extremities. Not seen by MD, only in for testing/spinal tap. Labs as above.

VAERS ID:341444 (history)  Vaccinated:2009-01-20
Age:57.0  Onset:2009-01-25, Days after vaccination: 5
Gender:Female  Submitted:2009-01-30, Days after onset: 5
Location:Oklahoma  Entered:2009-03-10, Days after submission: 38
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: Codeine / Flexeril
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0551X UNLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site swelling, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad)
Write-up: Fever 100.5, myalgias, with redness / swelling upper arm X 2 wks; skin subseq sloughed off. Tx with Prednisone X 7 days.

VAERS ID:341481 (history)  Vaccinated:2008-10-29
Age:57.0  Onset:2008-10-30, Days after vaccination: 1
Gender:Female  Submitted:2009-03-10, Days after onset: 131
Location:Colorado  Entered:2009-03-10
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: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS899790IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Patient was given her first flu shot with Fluvirin on October 29, 2008. To date she still has muscle tenderness at the injection site.

VAERS ID:341839 (history)  Vaccinated:2008-10-17
Age:57.0  Onset:0000-00-00
Gender:Female  Submitted:2009-03-16
Location:Kansas  Entered:2009-03-16
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: Unknown
Diagnostic Lab Data: 11. Adverse event onset: unknown when pain and numbness began
CDC 'Split Type':
Vaccination
Manufacturer
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Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED01749111A2IMLA
Administered by: Private     Purchased by: Private
Symptoms: Hypoaesthesia, Injected limb mobility decreased, Pain in extremity
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Has continued L upper arm pain and numbness down to elbow, cannot raise L arm above 90 degrees. States vaccine caused these symptoms. Has seen her personal physician twice and is currently referred to a shoulder specialist

VAERS ID:342502 (history)  Vaccinated:0000-00-00
Age:57.0  Onset:0000-00-00
Gender:Female  Submitted:2009-03-23
Location:Nevada  Entered:2009-03-24, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Hospitalisation
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0903USA03241
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site swelling, Pneumonia
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad)
Write-up: Information has been received from a physician concerning a 57 year old female hospitalized patient who while hospitalized was vaccinated with PNEUMOVAX (lot # not provided). Subsequently the patient experienced redness and swelling at the injection site which extended her stay at the hospital. The patient was discharged after couple days and was readmitted for 1 or 2 days for pneumonia. The patient had sought unspecified medical attention. At the time of report, the patient''s redness and swelling at the injection site and pneumonia persisted. Additional information has been requested.

VAERS ID:343508 (history)  Vaccinated:0000-00-00
Age:57.0  Onset:0000-00-00
Gender:Male  Submitted:2009-04-05
Location:Indiana  Entered:2009-04-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ALBUTEROL 90/IPRATROPIUM, CITALOPRAM, DILTIAZEM, ETODOLAC, FUROSEMIDE, HYDROCODONE 5/ACETAMINOPHEN 500MG, LISINOPRILLORATADINE 10MG, POTASSIUM CL 20MEQ, WARFARIN
Current Illness: Osteoarthritis, hypertension, obesity, depression, smoking, and transient ischemic attack
Preexisting Conditions: NKA
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0070U IMRA
Administered by: Public     Purchased by: Public
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Pt had receive.5cc pneumo-vac on 5/3/07 in their Right deltoid. On 5/29/07, pt had reported c/o rash on face, upper chest, and forerms. Pt was given methylprednisolone Injection and methylprednisolone 4mg DOSEPAK,21.

VAERS ID:344190 (history)  Vaccinated:2009-01-17
Age:57.0  Onset:2009-02-01, Days after vaccination: 15
Gender:Female  Submitted:0000-00-00
Location:New Jersey  Entered:2009-04-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Dog bite
Preexisting Conditions: PCN
Diagnostic Lab Data: CBC; CK; LYMES; ANA; RHF; EMG 4/8/09 positive muscle damage
CDC 'Split Type':
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Manufacturer
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Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Private     Purchased by: Unknown
Symptoms: Antinuclear antibody, Blood creatine phosphokinase, Borrelia burgdorferi serology, Electromyogram abnormal, Full blood count, Injection site erythema, Injection site oedema, Injection site pain, Insomnia, Mobility decreased, Muscle atrophy, Muscle injury, Muscular weakness, Musculoskeletal pain, Neck pain, Pain in extremity, Rheumatoid factor
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)
Write-up: Pain, redness & edema left deltoid within on