MedAlerts Home
  Read the MedAlerts Blog Subscribe to the MedAlerts Blog 

Found 547698 cases in entire database

Case Details (Sorted by Age)

This is page 409 out of 548

Result pages: prev   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 421 422 423 424 425 426 427 428 429 430 431 432 433 434 435 436 437 438 439 440 441 442 443 444 445 446 447 448 449 450 451 452 453 454 455 456 457 458 459 460 461 462 463 464 465 466 467 468 469 470 471 472 473 474 475 476 477 478 479 480 481 482 483 484 485 486 487 488 489 490 491 492 493 494 495 496 497 498 499 500 501 502 503 504 505 506 507 508 509 510 511 512 513 514 515 516 517 518 519 520 521 522 523 524 525 526 527 528 529 530 531 532 533 534 535 536 537 538 539 540 541 542 543 544 545 546 547 548   next


VAERS ID:519122 (history)  Vaccinated:2013-12-13
Age:40.0  Onset:2013-12-15, Days after vaccination: 2
Gender:Female  Submitted:2014-01-13, Days after onset: 29
Location:Virginia  Entered:2014-01-13
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: No
Diagnostic Lab Data: To be seen by a neurologist, permanence of injury is unknown at this time.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH893AC1IMRA
TDAP: TDAP (ADACEL)SANOFI PASTEURC4430AA1IMLA
Administered by: Other     Purchased by: Private
Symptoms: Hypoaesthesia, Neuralgia, Paraesthesia
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad)
Write-up: Numbness and tingling on right hand, all fingers two days after TDAP injection; numbness did not go away after one month. After 3 weeks, there was increased numbness and symptoms of nerve pain started. The nerve pain is in the palm of the right hand, there is continued numbness and tingling in all fingers on the right hand.

VAERS ID:519328 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:2013-12-23
Location:Georgia  Entered:2014-01-15, Days after submission: 23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Dialysis; Renal disease
Preexisting Conditions: There were no other vaccinations administered on the same date. There were no reported adverse reactions to previous vaccinations.
Diagnostic Lab Data: Serology test, hepatitis b surf; Serology test, negative
CDC Split Type: A1021731A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVC039AA0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Hepatitis B surface antigen positive, Serology negative
SMQs:, Liver infections (narrow)
Write-up: This case was reported by a healthcare professional and described the occurrence of hepatitis B surface antigen positive in a 40-year-old female subject who was vaccinated with ENGERIX B (GlaxoSmithKline). Concurrent medical conditions included dialysis and kidney disease. On an unspecified date the subject received 1st dose of ENGERIX B (40 mcg, intramuscular, unknown details). Three days after vaccination with ENGERIX B, the subject experienced hepatitis B surface antigen positive. There were multiple discrepancies in the original report. The reporter stated that ENGERIX B was the first dose on the series; however, "serology done which came up negative." The subject was given ENGERIX B; however, the date provided for the vaccine administration was 19 April 2013 which was the day after reported to GSK. The reporter then stated that "3 days later tested again and results showed hepatitis B surface antigen." Attempts were made to clarify the dates of administration, dates of testing and lot number. The lot number was documented as AHBUC039AA which is not a valid GSK lot number for ENGERIX B. Clarification with the original reporter was attempted. Relevant diagnostic tests included serology testing. "Serology [was] done which came negative." The subject was tested again 3 days after administration of ENGERIX B. "Results showed hepatitis b surface antigen." At the time of reporting the outcome of the event was unspecified. Follow up was received from Quality Assurance on 10 June 2013. The lot number provided from the reporter, AHBUC039AA, was incorrect. The corrected lot number based on sales data was found to be AHBVC039AA.

VAERS ID:519413 (history)  Vaccinated:2013-11-19
Age:40.0  Onset:2013-11-19, Days after vaccination: 0
Gender:Female  Submitted:2014-01-15, Days after onset: 57
Location:Michigan  Entered:2014-01-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: none~ ()~~0.00~Patient
Other Medications: None; Also first time taking influenza vaccine
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: MRI reportedly shows diffuse inflammation; X-rays negative for arthritis.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUR3: INFLUENZA (SEASONAL) (FLUBLOK)PROTEIN SCIENCES CORPORATION340503F0 RA
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Inflammation, Neuralgic amyotrophy, Nuclear magnetic resonance imaging abnormal, Pain in extremity, Paraesthesia, X-ray normal
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad)
Write-up: Right arm pain, weakness, with mild paresthesias. Worse at night, within 5 hours of vaccine. Treated with steroids, Motrin. Currently starting electro-stimulation and PT. At this point, some decrease in pain and weakness but not resolved. Seen by orthopedist, underwent MRI and X-rays. Diagnosis at this time: Parsonage-Turner Syndrome.

VAERS ID:519442 (history)  Vaccinated:2014-01-10
Age:40.0  Onset:2014-01-10, Days after vaccination: 0
Gender:Female  Submitted:2014-01-14, Days after onset: 4
Location:Florida  Entered:2014-01-15, 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:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSYT39J0UNLA
Administered by: Private     Purchased by: Private
Symptoms: Chest pain, Injection site nodule, Lymphadenopathy, Musculoskeletal pain, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad)
Write-up: Pt states her (L) arm began to get sore Fri pm 1/10/14 after receiving her flu shot and since then has moved up to her shoulder and chest. Additional to this soreness, there seems to be a "knot" on the anterior of (L) shoulder. No fever or other sx''s. Pt recommended to seek MD care ASAP. Pt went to MD on 1/15. MD said it is just swollen lymph nodes. MD said to take ADVIL and put heat on it. MD said no follow up - I advised her to follow up if remains callus if she needs to go back or has any quest.

VAERS ID:519435 (history)  Vaccinated:2014-01-15
Age:40.0  Onset:2014-01-15, Days after vaccination: 0
Gender:Male  Submitted:2014-01-16, Days after onset: 1
Location:California  Entered:2014-01-16
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: No
Diagnostic Lab Data: Blood pressure 90/70 after epinephrine injection with EpiPen. Patient refused to go to hospital when paramedics arrived.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH899UC1IMLA
Administered by: Other     Purchased by: Private
Symptoms: Anaphylactic reaction
SMQs:, Anaphylactic reaction (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypersensitivity (narrow)
Write-up: Anaphylaxis.

VAERS ID:519595 (history)  Vaccinated:2013-10-14
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:2014-01-16
Location:West Virginia  Entered:2014-01-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Long term condition - kidney disease
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH926AA IMRA
Administered by: Other     Purchased by: Unknown
Symptoms: Injection site nodule
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Patient states there is a knot on her arm in the injection location and that she had been told by the doctor that a nerve had possibly been hit.

VAERS ID:519687 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Male  Submitted:2014-01-17
Location:Unknown  Entered:2014-01-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1401USA006525
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  SCUN
Administered by: Other     Purchased by: Other
Symptoms: Headache, Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: This spontaneous report was received from a pharmacist refers to a 40 year old male patient. On an unknown date, the patient was vaccinated with ZOSTAVAX (dose not specified) subcutaneously for an unknown indication. On an unknown date, the patient experienced headache and numbness of face after administration with ZOSTAVAX. The patient went to see pharmacist to seek medical attention. The outcome of numbness of face and headache was reported as recovered/resolved. Additional information has been requested.

VAERS ID:519718 (history)  Vaccinated:2013-10-22
Age:40.0  Onset:2013-10-25, Days after vaccination: 3
Gender:Female  Submitted:2014-01-17, Days after onset: 84
Location:Minnesota  Entered:2014-01-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid 137mcg; Ventolin PRN; Daily Multivitamin
Current Illness: None
Preexisting Conditions: Hypothyroidism; Asthma - mild, well controlled
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1308301 IMLA
Administered by: Other     Purchased by: Other
Symptoms: Chest pain, Dizziness, Nausea, Pain, Retching, Sensation of foreign body
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad)
Write-up: I experienced the usual achiness post flu shot which was of no concern. In addition, I experienced significant chest pain, sensations of food being stuck in my throat, gagging with and without food or beverage being consumed, frequent and extreme nausea and dizziness.

VAERS ID:519779 (history)  Vaccinated:2014-01-14
Age:40.0  Onset:2014-01-15, Days after vaccination: 1
Gender:Female  Submitted:2014-01-17, Days after onset: 2
Location:Arizona  Entered:2014-01-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1309401 IMLA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS9443E IMRA
Administered by: Other     Purchased by: Private
Symptoms: Dizziness, Dyspnoea, Hypertension, Local swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Cardiomyopathy (broad), Vestibular disorders (broad)
Write-up: The patient visited the emergency room the day after vaccines were administered with complaints of shortness of breath, dizziness, high blood pressure, and a swollen arm (right arm).

VAERS ID:519763 (history)  Vaccinated:2013-11-28
Age:40.0  Onset:2013-11-28, Days after vaccination: 0
Gender:Female  Submitted:2014-01-19, Days after onset: 52
Location:Massachusetts  Entered:2014-01-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Aviane
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH936AB0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Discomfort, Dyspnoea, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad)
Write-up: Patient started feeling wheezy and shortness of breath. She was feeling uncomfortable and was close to going to the hospital. She used her mother''s albuterol inhaler. She did not go the emergency room.

VAERS ID:519766 (history)  Vaccinated:2013-12-04
Age:40.0  Onset:2013-12-04, Days after vaccination: 0
Gender:Female  Submitted:2014-01-19, Days after onset: 46
Location:Utah  Entered:2014-01-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Gildess 1/20; Omeprazole; Tylenol; Ibuprofen; cyclobenzaprine; Multivitamin; Folic acid
Current Illness: None
Preexisting Conditions: Hay fever, allergic to CT contrast, allergic erythromyicin, no birth defects. GERD, headaches from TBIi.
Diagnostic Lab Data: Vq scan, blood work, multiple chest xrays, EKG, IV, nitroglycerine, elevated D dime
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH894AC SCLA
Administered by: Unknown     Purchased by: Private
Symptoms: Anxiety, Blood test, Bronchitis, Chest X-ray, Chest discomfort, Chest pain, Electrocardiogram, Erythema, Fibrin D dimer increased, Flushing, Headache, Heart rate increased, Hypertension, Influenza, Injection site pain, Kidney infection, Lip swelling, Palpitations, Pneumonia, Scan, Swelling face, Tachycardia
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: The day I received the shot I started to have a lot of muscle pain. By evening I felt like I had the flu coming on. I took Tylenol and went to bed. I woke up at about 5 a.m. My heart was racing very fast, the middle of my upper lip was swollen and my arm hurt where I had my injection. I took Tylenol again and took Benadryl and went back to bed. When I woke up the second time to get ready for work, my face was bright red my chest was flushed, my pulse was racing and my upper lip and mouth Was swollen. My face became more puffy as the day went on. I called my drs office because my heart was racing & I was having anxiety because I couldn''t get it to come down. That night I started to feel a bit better so I took benadryl and went to bed. I again woke up early in the morning with very fast pulse. First day I was 110 BPM resting and on Friday I was 127 BPM. At around 2pm I started felling palpitations and then a bit later I had pain in my chest starting in my sternum. Symptoms calmed down a little at night so I went to bed. Waking up Saturday and Sunday I had an ache in my chest and the beginning of pressure like a 3 on the pain scale. Monday I called my doctor & he believed I was having an anxiety attack and called me in medicine. The Ativan seemed to calm me down but my pulse stayed high. The next day the pressure had increased in my chest and my heart was at over 130 BPM resting. the pain was radiating out from my center chest to below my collarbone and into my right arm I went to my moms & she took my blood pressure and it was 172/140. The pain stayed constant & I was getting a terrible headache on top of the pain. She immediately took me to the ER for treatment. My blood pressure finally started to stabilize after they gave nitroglycerine & it took away my chest pain. My pulse regularly stayed over 100bpm until 01/09/2014. Blood pressure went back to 122/80 on 12/24/2013. I have had bronchitis, pneumonia, high blood pressure, tachycardia, kidney infections with no microbes present since having the shot. 2 ER visits & multiple doctor office visits. I''m still being treated for pneumonia.

VAERS ID:519887 (history)  Vaccinated:2014-01-09
Age:40.0  Onset:2014-01-11, Days after vaccination: 2
Gender:Male  Submitted:2014-01-20, Days after onset: 9
Location:California  Entered:2014-01-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: unknown~ ()~~0.00~Patient
Other Medications: N/A
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: Patient will go to see the doctor and do the test
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUC3: INFLUENZA (SEASONAL) (FLUCELVAX)NOVARTIS VACCINES AND DIAGNOSTICS004031A IM 
Administered by: Other     Purchased by: Private
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Patient said rash start showed up two days after the shot then progressed to the whole body after one week.

VAERS ID:520228 (history)  Vaccinated:2014-01-08
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:2014-01-09
Location:Indiana  Entered:2014-01-22, Days after submission: 13
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) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1309701 SYRLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site bruising, Injection site erythema, Injection site reaction, Injection site warmth, Muscle rupture, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: At injection site -$g redness, bruising, warm to touch, muscle soreness -$g pt said she tore bicep muscle approx. 3 months ago.

VAERS ID:520491 (history)  Vaccinated:2014-01-16
Age:40.0  Onset:2014-01-23, Days after vaccination: 7
Gender:Female  Submitted:2014-01-24, Days after onset: 1
Location:Unknown  Entered:2014-01-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURERJ0106130IMLA
Administered by: Military     Purchased by: Private
Symptoms: Pain in extremity, Pruritus, Rash, Swelling, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)
Write-up: Rash, hives, swelling, arm pain, pruritis.

VAERS ID:520872 (history)  Vaccinated:2014-01-21
Age:40.0  Onset:2014-01-23, Days after vaccination: 2
Gender:Female  Submitted:2014-01-27, Days after onset: 4
Location:Kentucky  Entered:2014-01-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ortho-Tricyclen Lo
Current Illness: No
Preexisting Conditions: Sulfa Drug Allergy
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEURUT4725BA0IDLA
Administered by: Public     Purchased by: Private
Symptoms: Vertigo
SMQs:, Vestibular disorders (narrow)
Write-up: Vertigo upon awakening each morning after vaccination, which lasts approximately 5-15 seconds; has progressively worsened so that vertigo also occurs when tilting head up or down.

VAERS ID:520999 (history)  Vaccinated:2013-12-27
Age:40.0  Onset:2013-12-28, Days after vaccination: 1
Gender:Female  Submitted:2014-01-11, Days after onset: 14
Location:New York  Entered:2014-01-28, Days after submission: 17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Diazepam
Current Illness:
Preexisting Conditions: Anxiety
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH893AC0SYRLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J0070590SYRLA
Administered by: Other     Purchased by: Other
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Patient experienced immobility of the arm where vaccine was injected. The site of injection was tender, sore and red. Symptom lasted for over (1) week - pt went to walk in clinic to seek medical advice - was given antibiotics just in case of abscess.

VAERS ID:521623 (history)  Vaccinated:2013-10-30
Age:40.0  Onset:2013-10-30, Days after vaccination: 0
Gender:Male  Submitted:2014-01-08, Days after onset: 70
Location:California  Entered:2014-02-03, Days after submission: 26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS13097010UNRA
Administered by: Other     Purchased by: Private
Symptoms: Musculoskeletal stiffness
SMQs:, Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (broad)
Write-up: Arm and neck was stiff and unable to use. Lasted approx. 2 days. Treated with NSAIDs.

VAERS ID:521695 (history)  Vaccinated:2013-10-30
Age:40.0  Onset:2014-02-02, Days after vaccination: 95
Gender:Female  Submitted:2014-02-04, Days after onset: 2
Location:California  Entered:2014-02-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEURUT4726AA0IDLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Patient arrives to our pharmacy Sunday 02/02/2014 around 9:10AM informing us that she is still experiencing soreness on her upper left arm from a flu shot on 10/30/2013 around 7:30PM, particularly at the injection site. She was administered Fluzone Intradermal (NDC: 49281-0707-55, LOT #: UT4726AA, Exp: 04/23/2014) by RPh. When asked why it took her over 3 months to notify us about this adverse reaction, patient stated she thought it would eventually go away. When asked if she sought out medical attention with her primary physician, patient stated that she hadn''t yet but had "set an appointment this Tuesday or Wednesday." When asked, patient denied doing any strenuous activity or heavy lifting between then and present time. Her primary physician was contacted by RPh on 02/03/14 with no response, so a message was left.

VAERS ID:521805 (history)  Vaccinated:2014-01-23
Age:40.0  Onset:2014-01-23, Days after vaccination: 0
Gender:Female  Submitted:2014-02-04, Days after onset: 12
Location:Minnesota  Entered:2014-02-04
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 known
Preexisting Conditions: None Known
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.J002867   
Administered by: Public     Purchased by: Public
Symptoms: Accidental exposure to product, Eye irritation, Eye pruritus
SMQs:, Anaphylactic reaction (broad), Corneal disorders (broad)
Write-up: Patient was seen with her child who was to receive the MMR vaccine. During injection, the child struggled and the needle came out of the arm while it was being plunged. The vaccine was inadvertently sprayed into mother''s right eye. Eye was flushed with water and mother advised to follow up if any further symptoms. Mother returned on 1/29/14 with symptoms of burning and itching on lateral aspect of eye. Treated with Tobradex and advised to return in 1 week if no improvement. Mother has appointment with optometrist on 2/5/14 for additional follow up.

VAERS ID:521985 (history)  Vaccinated:2014-01-08
Age:40.0  Onset:2014-01-08, Days after vaccination: 0
Gender:Male  Submitted:2014-01-22, Days after onset: 14
Location:Pennsylvania  Entered:2014-02-06, Days after submission: 15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ZOLOFT; LYRICA; RITALIN; Folic Acid; Q-10
Current Illness: Rash
Preexisting Conditions: NKDA; Seizure disorder; Fibromyalgia; Pituitary adenoma; Anxiety
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.J0065111IMLA
Administered by: Private     Purchased by: Private
Symptoms: Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Within 30 min. after rec''ing Hep B vaccine, dev''d hive-like rash over upper body. + Pruritus. No resp. distress. Tx''d with Benadryl 50 mg. Started to improve w/in 30 min. Within 3-4 hrs. sx''s resolved.

VAERS ID:522021 (history)  Vaccinated:2014-01-29
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:2014-02-06
Location:California  Entered:2014-02-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: 6-mercaptopurine, folic acid
Current Illness:
Preexisting Conditions: Crohn''s
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J004747 IMRA
Administered by: Other     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain, Myalgia, Swelling
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: C/o redness, tenderness, inflammation at site of injection (right deltoid) hours after vaccination which worsen and spread to almost the whole right arm in 2 days. Also c/o pain the the muscle, which is getting better. Went to her MD and was told either reaction or infection from vaccine. Was prescribed Cephalexin, Benadryl, and ice. Pt reported looking swelling and redness went down substantially after 3 days on the antibiotic.

VAERS ID:522151 (history)  Vaccinated:2014-01-17
Age:40.0  Onset:2014-01-17, Days after vaccination: 0
Gender:Female  Submitted:2014-02-07, Days after onset: 21
Location:Idaho  Entered:2014-02-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin B12
Current Illness: No
Preexisting Conditions: Amoxicillin
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT)GLAXOSMITHKLINE BIOLOGICALS55D72 IMRA
Administered by: Public     Purchased by: Public
Symptoms: Back pain, Dizziness, Flushing, Headache, Oesophageal spasm, Paraesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Hypersensitivity (broad)
Write-up: Client experienced throat spasm for 1-2 seconds, dizziness, flushing, tingling, and back pain about 10 minutes after vaccination. Client immediately seated and cold rags applied. BP 116/76, pulse 60. Started feeling better within 5 minutes of onset of symptoms. Back pain and tingling resolved. Gave juice. About 20 minutes after incident client states symptoms resolved except mild headache.

VAERS ID:522325 (history)  Vaccinated:2014-02-07
Age:40.0  Onset:2014-02-08, Days after vaccination: 1
Gender:Female  Submitted:2014-02-10, Days after onset: 2
Location:California  Entered:2014-02-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Buproprion; Calcium; Vit D
Current Illness: No
Preexisting Conditions: Allergic to Keflex and neomycin
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TETANUS DIPHTHERIA (NO BRAND NAME)UNKNOWN MANUFACTURER  IMLA
Administered by: Unknown     Purchased by: Other
Symptoms: Axillary mass, Chills, Cyst, Fatigue, Headache, Injection site pain, Pruritus, Tenderness
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad)
Write-up: Headache; chills; fatigue; extreme tenderness at site of injection; slight cough. Sunday 4:00 PM new symptoms: tender lump (maybe a cyst) in left under arm; cyst on chin; itching hands and feet.

VAERS ID:522330 (history)  Vaccinated:2014-02-07
Age:40.0  Onset:2014-02-08, Days after vaccination: 1
Gender:Female  Submitted:2014-02-10, Days after onset: 2
Location:California  Entered:2014-02-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER 5IMLA
Administered by: Private     Purchased by: Private
Symptoms: Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad)
Write-up: Severe pain in arm that vaccine was injected in, with little relief from Ibuprofen and aspirin. Worse at night when laying down, no relief from ice pack. Some relief from prescription muscle relaxant I had available on hand.

VAERS ID:522337 (history)  Vaccinated:2014-01-24
Age:40.0  Onset:2014-01-24, Days after vaccination: 0
Gender:Female  Submitted:2014-02-10, Days after onset: 17
Location:Florida  Entered:2014-02-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: IBUPROFEN AND ACETAMINOPHEN
Current Illness: MIGRAINE HEADACHE FOR TWO DAYS PRIOR TO THE SHOT, BUT WAS FEELING BETTER. ALSO HAD SORE NECK. NO FEVER. NO OTHER SYMPTOMS.
Preexisting Conditions: FOOD ALLERGY (MULTIPLE, LOW LEVEL); PENICILLIN; NO BIRTH DEFECTS.
Diagnostic Lab Data: XRAY DONE WHICH WAS NORMAL. NO LABS DONE YET.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH908AA IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Adverse drug reaction, Arthralgia, Back pain, Injection site pain, Insomnia, Migraine, Muscle spasms, Neck pain, Pain in extremity, Pruritus, Pyrexia, Rash erythematous, Rash generalised, X-ray normal
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: 2-4 HOURS AFTER THE SHOT, PT DEVELOPED FEVER TO 102, NECK PAIN STARTED TO HURT SEVERELY, MIGRAINE CAME BACK, ARM STARTED TO HURT SEVERELY; SYMPTOMS LASTED FOR 2 DAYS. PATIENT''S PRIMARY DOCTOR CALLED IN TAMIFLU WHICH SHE STARTED ON 1/25/14, AND PT TOOK 3 DOSES BUT STOPPED B/C BROKE OUT IN A RASH (RED DOTS) ON ARMS, LEGS, TORSO, AND ANKLES, SLIGHTLY ITCHY WHICH LASTED ABOUT 5 DAYS AND SLOWLY STARTED TO GO AWAY. ARM CONTINUED TO BE SORE, BUT 3 DAYS LATER THE PAIN ALL OF A SUDDEN GOT EXCRUCIATINGLY WORSE; MUSCLE STARTED CRAMPING AND RADIATING TOWARD ELBOW. THIS PAIN CAME ON OVER A PERIOD OF 2-3 HOURS. PT COULD NOT SLEEP SECONDARY TO THE PAIN. NECK PAIN WAS WORSE. BY THE NEXT MORNING, ALL THE JOINTS WERE PAINFUL: ELBOWS, WRISTS, SHOULDER WHERE SHE GOT SHOT, NECK, KNEES, ANKLES (NOT HIPS). UPPER BACK PAINFUL. WAS SLIGHTLY BETTER THEN NEXT DAY, BUT IN THE MIDDLE OF THE NIGHT, THE PAIN WAS MUCH WORSE. WENT TO FACILITY ON 1/29/14 AND 2/1/14. WAS PRESCRIBED PREDNISONE (WHICH THE PATIENT DID NOT TAKE) AND PAIN MEDICATION. WENT TO E.R. ON 2/2/14 AND GOT A SHOT OF STEROIDS AND WAS PLACED ON ORAL STEROIDS; XRAY WAS DONE. WAS BETTER WITH STEROIDS AND SHOT, BUT WHEN OFF STEROIDS THE PAIN CAME BACK; YESTERDAY PAIN GOT WORSE WITH ACTIVITY. TODAY HER DOCTOR CALLED IN MORE STEROIDS BUT DID NOT SEE HER. HAS APPT TOMORROW.

VAERS ID:522730 (history)  Vaccinated:2014-01-29
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:2014-02-14
Location:Wisconsin  Entered:2014-02-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: MICROGESTIN FE 1/20
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURC4430AA IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Erythema, Nausea, Swelling
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Golf ball sized swelling, redness and nausea.

VAERS ID:523177 (history)  Vaccinated:2014-01-28
Age:40.0  Onset:2014-01-30, Days after vaccination: 2
Gender:Male  Submitted:2014-02-20, Days after onset: 21
Location:California  Entered:2014-02-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Got off from Naproxen 500 MG 2 weeks prior, but currently or when the vaccine was given. Ibuprofen 800 MG, and Nasonex.
Current Illness: None
Preexisting Conditions: Allergic to PCN, latex, food allergies, and seasonal allergies.
Diagnostic Lab Data: Taken x-rays but no results yet.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS7734Y1SYRRA
Administered by: Public     Purchased by: Private
Symptoms: Arthralgia, X-ray
SMQs:, Arthritis (broad)
Write-up: Joint pain on my left foot, right knee cap, my two elbows, and finger next to little finger.

VAERS ID:523595 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Male  Submitted:2013-08-23
Location:Unknown  Entered:2014-02-24, Days after submission: 185
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Concomitant Drug(s) Not Reported
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 2013SE65888
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.  IN 
Administered by: Other     Purchased by: Other
Symptoms: No adverse event
SMQs:
Write-up: A report has been received from a Physician via medical representative and the follow-up report from a physician via Health Professional concerning a 40 year old, male subject. The medical representative stated that the physician reported that he had received FLUMIST (intranasal) during 2003 and later had fever and Chills. In the follow-up report the admin checked with the physician if he had reported the adverse event of fever and chills for himself, but he had denied that he reported anything or had any adverse events. The report was considered to be non-serious by the company physician.

VAERS ID:524061 (history)  Vaccinated:2014-02-20
Age:40.0  Onset:2014-02-21, Days after vaccination: 1
Gender:Female  Submitted:2014-02-26, Days after onset: 5
Location:Georgia  Entered:2014-02-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: N/A
Preexisting Conditions: N/A
Diagnostic Lab Data: CT scan and blood work
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4700BA0IMRA
Administered by: Unknown     Purchased by: Private
Symptoms: Blood test, Computerised tomogram, Headache, Limb discomfort, Musculoskeletal discomfort, Neck pain, Vaccination complication
SMQs:, Rhabdomyolysis/myopathy (broad), Arthritis (broad)
Write-up: Approximately 01:00am Friday morning (2/21/14) she began experiencing right sided neck pain progressing throughout the day to headache; initally the discomfort was localized to her arm, but progressed to right side of neck, then to headache. Patient went to the ER on Monday (02/24/14) and was diagnosed "tetanus side effect".

VAERS ID:524893 (history)  Vaccinated:2013-09-24
Age:40.0  Onset:2013-12-01, Days after vaccination: 68
Gender:Female  Submitted:2014-02-13, Days after onset: 74
Location:California  Entered:2014-03-06, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: CSF increased protein; Sensory involvement causing falls. No respiratory involvement.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS13392P2UNLA
Administered by: Military     Purchased by: Unknown
Symptoms: CSF protein increased, Caesarean section, Exposure during pregnancy, Fall, Guillain-Barre syndrome, Immunoglobulin therapy, Sensory disturbance
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Accidents and injuries (narrow), Demyelination (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: Admitted to Hospital 2/3/14 for repeat C-section. She has Guillain-Barre syndrome after a flu shot given during this pregnancy at the community clinic. She was admitted prior to delivery for 5 days IVIG treatment.

VAERS ID:525021 (history)  Vaccinated:2013-11-06
Age:40.0  Onset:2013-12-01, Days after vaccination: 25
Gender:Female  Submitted:2014-03-06, Days after onset: 95
Location:North Carolina  Entered:2014-03-06
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: Doctors have no idea. Matches all the symptoms of SIRVA.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS2013-14 IMLA
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Injection site pain, Musculoskeletal pain, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Constant aching pain in injection site that spreads down to fingers and up through shoulder. Aches like arthritis all the time. Never lets up.

VAERS ID:525761 (history)  Vaccinated:2013-10-24
Age:40.0  Onset:2013-10-24, Days after vaccination: 0
Gender:Unknown  Submitted:2014-03-13, Days after onset: 140
Location:Unknown  Entered:2014-03-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1403USA006760
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.J003625 SCUN
Administered by: Other     Purchased by: Other
Symptoms: Incorrect storage of drug, No adverse event
SMQs:
Write-up: This spontaneous report as received from a licensed practical nurse (also reported as registered nurse), refers to a 40 year old patient of unknown gender. No pertinent medical history or drug reactions/allergies were provided. On 24-OCT-2013, the patient was vaccinated with MMR II (Lot number J003625; expiry date 22-MAR-2015; dose and route not provided). No co-suspect or concomitant therapies were reported. It was reported that the MMR II administered to the patient was exposed to temperatures above 8 degrees C (between 8.09 and 22.73 degrees C) during 42.78 hours, from 05-OCT-2013 until 09-OCT-2013. No adverse effect had been reported. This is one of several reports from the same reporter. Additional information has been requested.

VAERS ID:525982 (history)  Vaccinated:2007-11-20
Age:40.0  Onset:2007-11-27, Days after vaccination: 7
Gender:Female  Submitted:2014-03-17, Days after onset: 2301
Location:Minnesota  Entered:2014-03-17
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Spinal tap, MRI, blood tests
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2528AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Back pain, Balance disorder, Bedridden, Blood test, Diplopia, Gait disturbance, Headache, Hypoaesthesia, Lumbar puncture, Nuclear magnetic resonance imaging, Restless legs syndrome, VIIth nerve paralysis, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Ocular motility disorders (broad)
Write-up: Vomiting, headache, loss of balance, double vision, numbness, Bells palsy, back pain, restless legs, unable to go to the bathroom, all starting in the morning and continuing to get worse. New symptom everyday. Bedridden for days.

VAERS ID:526257 (history)  Vaccinated:2014-03-12
Age:40.0  Onset:2014-03-12, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Massachusetts  Entered:2014-03-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine; Pravastatin; Lisinopril-HCTZ
Current Illness: Sinusitis symptoms
Preexisting Conditions: Hypertension; Hyperlipidemia; Hypothyroid
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J0133440IMLA
Administered by: Private     Purchased by: Other
Symptoms: Cellulitis, Erythema, Induration, Pain, Pyrexia, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Redness, swelling, high fever, induration, pain -$g cellulitis, seen in emergency room.

VAERS ID:526482 (history)  Vaccinated:2014-03-20
Age:40.0  Onset:2014-03-20, Days after vaccination: 0
Gender:Female  Submitted:2014-03-22, Days after onset: 2
Location:Ohio  Entered:2014-03-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.H0222801IMRA
Administered by: Other     Purchased by: Public
Symptoms: Erythema, Local swelling, Pain in extremity, Skin warm
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad)
Write-up: Pt developed a red, warm, swollen arm. Stated it was painful to move. Discovered pt actually had same vaccine in 9/2003 but didn''t remember. No problems then but maybe the close proximity of the next shot caused reaction. Told pt to take BENADRYL and ibuprofen and to see dr.

VAERS ID:527116 (history)  Vaccinated:2014-03-26
Age:40.0  Onset:2014-03-26, Days after vaccination: 0
Gender:Female  Submitted:2014-03-31, Days after onset: 5
Location:Ohio  Entered:2014-03-31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Allergy to Bactrim and Flagyl Denies any pre-existing medical conditions
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4496AA IMLA
Administered by: Other     Purchased by: Private
Symptoms: Dizziness, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad)
Write-up: Tdap administered in left deltoid at 5:10 pm. 20 minutes after injection patient complained of mild lightheaded and mild tingling to volar aspect of left hand.

VAERS ID:527336 (history)  Vaccinated:2013-10-18
Age:40.0  Onset:2013-10-19, Days after vaccination: 1
Gender:Female  Submitted:2013-12-02, Days after onset: 44
Location:North Carolina  Entered:2014-04-02, Days after submission: 120
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Gabapentin; DIAMOX; KLONOPIN; Mag Ox
Current Illness: Hydrocephalus s/p ventriculostomy; seizure d/o; asthma
Preexisting Conditions: Allergies: CECLOR, Latex, PCN, PERCOCET
Diagnostic Lab Data: Head CT - no acute intracranial abnormality; EKG - NSR w/ sinus arrythmia at 80, PR 176, QRS 88
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Computerised tomogram head normal, Condition aggravated, Convulsion, Electrocardiogram normal
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: Influenza virus vaccine. Seizure. 40 y.o. f presents to ED via EMS 10/19 with witnessed seizure x 2. (received flu vaccine 5PM 10/18, went to bed, seized 00:30 heard by daughter and again in ED 04:00 10/19). PMH: hx normal pressure hydrocephalus, s/p ventriculostomy, 2 brain surgeries after which she developed seizure disorder, currently maintained on NEURONTIN and "as needed" KLONOPIN, last seizure 6 months ago, has had several breakthrough seizures over time. Neuro consult. Prior to coming in, she had a flu vaccine so the exact precipitating cause is unknown, it is possible it could be the flu vaccine, but she has had flu vaccine in past without problems. ATIVAN and fosphenytoin given, admit to hospital, meds adjusted, neuro consult. Discharged 10/20/13. ADDENDUM: occurred prior to admit and was reason for admit. VAERS report. Per neuro: potential triggering or irritating factors could include flu vaccine and intermittent use of clonazepam."

VAERS ID:527711 (history)  Vaccinated:2014-03-19
Age:40.0  Onset:2014-03-23, Days after vaccination: 4
Gender:Female  Submitted:2014-03-27, Days after onset: 4
Location:D.C.  Entered:2014-04-07, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSX3EL32UNUN
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSPC5271UNUN
RAB: RABIES (RABAVERT)NOVARTIS VACCINES AND DIAGNOSTICS532011A0UNUN
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS2R459 UNUN
Administered by: Other     Purchased by: Public
Symptoms: Rash erythematous, Rash generalised, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Four days after receiving Tdap, RABAVERT #1, HAVRIX #2 and Hep B #3, patient developed a generalized rash (red, raised tiny bumps) on both arms and torso. Rash very itchy, no fever or angioedema.

VAERS ID:528586 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Male  Submitted:2014-04-14
Location:Unknown  Entered:2014-04-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: 2014, Mumps antibody test, Negative
CDC Split Type: WAES1404USA007756
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Mumps antibody test negative
SMQs:
Write-up: This spontaneous report as received from a Doctor of pharmacy refers to a 40 year old male patient. On an unspecified date in 1978, the patient was vaccinated with the first and second doses of MMR II (dose, route and lot # not reported). The pharmacist reported that "now" in 2014, the patient had negative titers for MMR. The outcome of negative titers for MMR was unknown. Additional information has been requested.

VAERS ID:528491 (history)  Vaccinated:2014-04-11
Age:40.0  Onset:0000-00-00
Gender:Male  Submitted:2014-04-15
Location:Illinois  Entered:2014-04-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: 4/11/14
Preexisting Conditions: None
Diagnostic Lab Data: CBC; Blood culture; Urine culture
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J0143990IMLA
Administered by: Private     Purchased by: Private
Symptoms: Blood culture, Cellulitis, Culture urine, Full blood count, Injection site erythema, Injection site swelling, Leukocytosis, 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: Left arm swelling and erythema at pneumococcal injection. Cellulitis, fever, leukocytosis.

VAERS ID:528574 (history)  Vaccinated:2014-03-26
Age:40.0  Onset:2014-04-12, Days after vaccination: 17
Gender:Male  Submitted:2014-04-16, Days after onset: 4
Location:Illinois  Entered:2014-04-16
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
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.J0097321SCRA
Administered by: Public     Purchased by: Private
Symptoms: Activities of daily living impaired, Rash, Varicella
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Hypersensitivity (narrow)
Write-up: Developed chicken pox rash on 4-12-14. Removed from work.

VAERS ID:528615 (history)  Vaccinated:2013-10-30
Age:40.0  Onset:2013-10-30, Days after vaccination: 0
Gender:Female  Submitted:2014-04-16, Days after onset: 168
Location:Virginia  Entered:2014-04-16
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: Unknown
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH906AC IMRA
Administered by: Private     Purchased by: Private
Symptoms: Dyspnoea, Feeling abnormal, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad)
Write-up: "I threw up and am not feeling good." She bagan gasping for air. Was administered epinephrine 1:1000 (1mg/cc), 0.5cc given in arm. Taken directly to ER, as she was all ready at the hospital.

VAERS ID:528880 (history)  Vaccinated:2014-04-17
Age:40.0  Onset:2014-04-17, Days after vaccination: 0
Gender:Male  Submitted:2014-04-21, Days after onset: 4
Location:New York  Entered:2014-04-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: NO
Preexisting Conditions: NO
Diagnostic Lab Data: N/A
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Other
Symptoms: Dizziness, Dyspnoea, Erythema, Hypersensitivity, Pyrexia
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: High Fever, Severe Allergic Reaction, Severe Swelling which is large round red and swollen and seem to be getting larger and larger everyday, dizziness until today 4/20/2014 with difficulty breathing while sleeping.

VAERS ID:529337 (history)  Vaccinated:2013-11-06
Age:40.0  Onset:2014-04-09, Days after vaccination: 154
Gender:Female  Submitted:2014-04-24, Days after onset: 15
Location:Oklahoma  Entered:2014-04-24
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: Blood test were completed but unknown which ones and outcome at this time.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.J0044052IMLA
Administered by: Other     Purchased by: Other
Symptoms: Blood test, Dysphagia, Dyspnoea, Eye swelling, Hypersensitivity, Paraesthesia, Skin burning sensation, Swelling face, Throat tightness, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Peripheral neuropathy (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), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Vaccine was given on 11/06/2013, 12/18/2013 & 04/08/2014. On the morning of 04/09/2014 after the 3rd vaccination I went to the emergency room with symptoms of an allergic reaction (difficulty breathing and swallowing felt like my throat was closing, swelling eyes and face, hives rash and tingling burning sensation on the skin).

VAERS ID:529381 (history)  Vaccinated:2014-04-14
Age:40.0  Onset:2014-04-15, Days after vaccination: 1
Gender:Female  Submitted:2014-04-25, Days after onset: 10
Location:Kansas  Entered:2014-04-25
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 done
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURU4700BA IMRA
Administered by: Other     Purchased by: Other
Symptoms: Injection site pain, Injection site swelling, Muscle spasms, Neck pain, Pain in extremity
SMQs:, Dystonia (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Injection site swollen, pain radiated up neck and down arm--had muscle spasms in affected side hand.

VAERS ID:529707 (history)  Vaccinated:2014-04-10
Age:40.0  Onset:2014-04-12, Days after vaccination: 2
Gender:Female  Submitted:2014-04-29, Days after onset: 17
Location:Virginia  Entered:2014-04-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ascorbic Acid
Current Illness: None
Preexisting Conditions: Idiopathic thombocytopenia purpura
Diagnostic Lab Data: Platelet reduction to 84,000, normally 100,000 - 119,000. Potassium 3.1
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.J0061410IMRA
Administered by: Other     Purchased by: Other
Symptoms: Abdominal pain upper, Blood potassium decreased, Bone pain, Ecchymosis, Hypokalaemia, Nausea, Platelet count decreased
SMQs:, Acute pancreatitis (broad), Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Osteonecrosis (broad)
Write-up: Ecchymosis, femur pain, stomach pain, nausea, platelet reduction, hypokalemia.

VAERS ID:529808 (history)  Vaccinated:2014-04-08
Age:40.0  Onset:2014-04-09, Days after vaccination: 1
Gender:Female  Submitted:2014-04-30, Days after onset: 21
Location:Washington  Entered:2014-04-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No.
Preexisting Conditions: No.
Diagnostic Lab Data: Influenza B test returned positive.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Other
Symptoms: Headache, Herpes zoster, Influenza, Influenza B virus test positive, Pain, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: Developed rash on 04/09/2014 (diagnosed as shingles on 04/14/2014). Then, 04/13/2014, developed flu symptoms of fever, body ache, headache, and was diagnosed as Influenza B positive on 04/14/2014.

VAERS ID:529821 (history)  Vaccinated:2014-04-27
Age:40.0  Onset:2014-05-01, Days after vaccination: 4
Gender:Female  Submitted:2014-05-01, Days after onset: 0
Location:Oklahoma  Entered:2014-05-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Hives~ ()~~40.75~Patient
Other Medications: Synthroid 175mcg, Microgestin Fe 1/20
Current Illness: Sore throat, coughing.
Preexisting Conditions: Allergies: Penicillin; Preexisting conditions: Hypothyroidism, anxiety disorder.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TETANUS DIPHTHERIA (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Public     Purchased by: Private
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Woke up with urticaria on legs 5/1/2014.

VAERS ID:530163 (history)  Vaccinated:2014-05-02
Age:40.0  Onset:2014-05-02, Days after vaccination: 0
Gender:Female  Submitted:2014-05-05, Days after onset: 3
Location:Texas  Entered:2014-05-05
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: Ulcerative colitis; NKA
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4543AA SYRLA
Administered by: Private     Purchased by: Public
Symptoms: Diarrhoea, Fatigue, Headache, Injection site erythema, Injection site pain, Nausea, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: 5/1/14 approximately 12 hrs after vaccine felt feverish, achy, tired, slept after taking ibuprofen. Noticed redness and pain at injection site which persists today 5/5/14 at 9 am. Nausea no vomiting, diarrhea, headache. Still feels very tired and has redness at site o/w better but not resolved.

VAERS ID:530241 (history)  Vaccinated:2014-01-01
Age:40.0  Onset:2014-01-01, Days after vaccination: 0
Gender:Female  Submitted:2014-03-11, Days after onset: 68
Location:Michigan  Entered:2014-05-06, Days after submission: 56
Life Threatening? Yes
Died? Yes
   Date died: 2014-01-01
   Days after onset: 0
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 14 days
    Extended hospital stay? Yes
Previous Vaccinations: Turned blue~Vaccine not specified (no brand name)~1~12.00~Patient|Turned purple~Vaccine not specified (no brand name)~2~8.00~Sib
Other Medications: Crotaline antivenin; No other meds
Current Illness: Illnesses
Preexisting Conditions: Pre-existing allergies
Diagnostic Lab Data: Relevant tests and labs
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
BCG: BCG (NO BRAND NAME)UNKNOWN MANUFACTURER 2UNLL
DTP: DTP (NO BRAND NAME)UNKNOWN MANUFACTURER 0UNRA
Administered by: Other     Purchased by: Other
Symptoms: Agitation, Anaemia, Anaphylactic reaction, Angina pectoris, Angioedema, Arthralgia, Blood creatinine increased, Blood urea increased, Bradycardia, Cerebrovascular accident, Confusional state, Constipation, Convulsion, Cough, Death, Depression, Diarrhoea, Dizziness, Erythema multiforme, Gastric haemorrhage, Haemorrhage, Haemorrhage intracranial, Hallucination, Headache, Hepatic enzyme increased, Hyperglycaemia, Hypertension, Hypoglycaemia, Hypotension, International normalised ratio abnormal, Jaundice, Leukopenia, Myalgia, Nausea, Nephritis, Palpitations, Parkinsonism, Phlebitis, Pruritus, Purpura, Pyrexia, Rash, Renal failure acute, Renal tubular necrosis, Respiratory depression, Sedation, Skin discolouration, Skin exfoliation, Syncope, Tachycardia, Tachypnoea, Tardive dyskinesia, Thrombocytopenia, Transient ischaemic attack, Urticaria, Vision blurred, Vomiting, Wheezing
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Liver related investigations, signs and symptoms (narrow), Cholestasis and jaundice of hepatic origin (narrow), Liver-related coagulation and bleeding disturbances (narrow), Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Asthma/bronchospasm (broad), Haematopoietic erythropenia (broad), Haematopoietic leukopenia (narrow), Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (narrow), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), 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 (narrow), Hypoglycaemic and neurogenic shock conditions (broad), Dementia (broad), Convulsions (narrow), Pseudomembranous colitis (broad), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Dyskinesia (narrow), Parkinson-like events (narrow), Gastrointestinal haemorrhage (narrow), Oropharyngeal allergic conditions (narrow), Thrombophlebitis (broad), Acute central respiratory depression (narrow), Psychosis and psychotic disorders (narrow), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Glaucoma (broad), Hypertension (narrow), Cardiomyopathy (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (narrow), Other ischaemic heart disease (narrow), Vestibular disorders (broad), Renovascular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Chronic kidney disease (broad), Hypersensitivity (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow), Tumour lysis syndrome (broad), Tubulointerstitial diseases (broad), Respiratory failure (narrow), Tendinopathies and ligament disorders (broad)
Write-up: Agitation, Blurred Vision, Confusion, Depression, Dizziness, Hallucinations, Headache, Intracranial Bleed, Sedation, Seizures, Parkinsonism, Tardive Dyskinesia, TIA Stroke, Bleeding, Thrombocytopenia, Leukopenia, Anemia, Myalgia, Arthralgia, Phlebitis, Anaphylaxis, Fever, Angioedema, Skin Rash, Tachypnea, Resp Depression, Cough Wheeze, Rash, Erythema Multiforme, Urticaria Pruritus, Purpura, Sloughing, Constipation, Diarrhea, Nausea Vomiting, Gastric Bleeding, Palpitations, Hypertension, Hypotension, Syncope, Angina, Bradycardia, Tachycardia, Abnormal INR, Elevated Liver Enzymes, Jaundice, Elevated BUN SCr, Nephritis, Acute Tubular Necrosis, Acute Renal Failure, Hyperglycemia, Hypoglycemia and turned purple. Bupropion 300 mg BID, Aspirin 4 mg BID, Lisinopril 20 mg BID, Hydrochlorothiazide/propranolol 20 mg every day.

VAERS ID:530290 (history)  Vaccinated:2014-05-05
Age:40.0  Onset:2014-05-06, Days after vaccination: 1
Gender:Male  Submitted:2014-05-07, Days after onset: 1
Location:Ohio  Entered:2014-05-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: flexeril, multivitamin, neurontin, omeprazole, celebrex, testosterone enanthate
Current Illness: None
Preexisting Conditions: Fibromyalgia, low testosterone, psoriasis
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J0133441IMLA
Administered by: Private     Purchased by: Private
Symptoms: Abdominal pain upper, Back pain, Pain in extremity, Paraesthesia
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Tendinopathies and ligament disorders (broad)
Write-up: Left arm pain, stomach pain, back pain, parasthesis.

VAERS ID:530672 (history)  Vaccinated:2014-05-08
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:2014-05-09
Location:Louisiana  Entered:2014-05-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No meds
Current Illness: None
Preexisting Conditions: NKDA; No meds
Diagnostic Lab Data: Urine pregnancy test - positive
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.J0061360SCLA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSD4DC70IMRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.J0123750SCLA
Administered by: Public     Purchased by: Public
Symptoms: Menstruation delayed, Pregnancy test urine positive
SMQs:, Normal pregnancy conditions and outcomes (narrow), Fertility disorders (broad)
Write-up: Pt received MMR vaccine. Following vaccination, patient''s niece reports that patient is late for menses. She denied pregnancy to nurse. UPT done and it was positive.

VAERS ID:530728 (history)  Vaccinated:2014-05-08
Age:40.0  Onset:2014-05-08, Days after vaccination: 0
Gender:Male  Submitted:2014-05-13, Days after onset: 5
Location:Washington  Entered:2014-05-13
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 known
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.J013315 SCLA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Cough, Headache, Myalgia, Parotid gland enlargement, Salivary gland pain, Tinnitus, Toothache
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad), Hearing impairment (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Tinnitus, headache, joint pain. Initially. On 05/10/14 cough, parotid area swelling and pain, headache, tooth pain, myalgias.

VAERS ID:531235 (history)  Vaccinated:2014-05-15
Age:40.0  Onset:2014-05-18, Days after vaccination: 3
Gender:Male  Submitted:2014-05-19, Days after onset: 1
Location:Florida  Entered:2014-05-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: ALSO RECEIVED IMMUNE GLOBULIN AND TD
Current Illness: UNKNOWN
Preexisting Conditions: UNKNOWN
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)CONNAUGHT LTD.540011A0IMLA
TD: TETANUS DIPHTHERIA (TENIVAC)SANOFI PASTEURU4502AA IMRA
Administered by: Public     Purchased by: Other
Symptoms: Hypoaesthesia, Immunoglobulin therapy, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: TINGLING NUMBNESS ON LEFT SIDE OF BODY.

VAERS ID:531832 (history)  Vaccinated:2014-05-05
Age:40.0  Onset:2014-05-17, Days after vaccination: 12
Gender:Male  Submitted:2014-05-19, Days after onset: 2
Location:Texas  Entered:2014-05-22, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Denied any illness
Preexisting Conditions: None
Diagnostic Lab Data: ALT 360; AST 96
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB253BC0IMRA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.J0030050SCLA
TDAP: TDAP (ADACEL)SANOFI PASTEUR3T5490IMLA
Administered by: Public     Purchased by: Public
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Myalgia, Ocular icterus, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (narrow), Cholestasis and jaundice of hepatic origin (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: Per MD note: Pt presented to ER with C/O N/V, myalgias, fever and yellow eyes. MD attributes these symptoms to recent hepatitis vaccinations. This is known but not very common reaction. See attached notes.

VAERS ID:532119 (history)  Vaccinated:2013-11-19
Age:40.0  Onset:0000-00-00
Gender:Male  Submitted:2014-05-20
Location:Alabama  Entered:2014-05-28, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 8 days
    Extended hospital stay? 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) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1308801 UNUN
Administered by: Public     Purchased by: Public
Symptoms: Mobility decreased
SMQs:, Parkinson-like events (broad), Tendinopathies and ligament disorders (broad)
Write-up: Unable to move arms and legs after 12 days of vaccine.

VAERS ID:533018 (history)  Vaccinated:2014-02-03
Age:40.0  Onset:2014-02-04, Days after vaccination: 1
Gender:Female  Submitted:2014-06-04, Days after onset: 119
Location:Texas  Entered:2014-06-04
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: Asthma as child
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B107CA IMRA
Administered by: Public     Purchased by: Private
Symptoms: Blood test normal, Muscular weakness, Musculoskeletal pain, Pain, Pain in extremity, X-ray normal
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Tendinopathies and ligament disorders (broad)
Write-up: 2/4/14 - 8:00 AM - felt soreness with movement, no localized reaction. About 4 wk later went to PCP -$g thought had hurt herself - sore shoulder and arm. XRay and blood work all neg. End of March had medical message - no relief. 5/15/2014 - (R) upper arm examined no redness, no swelling, nothing felt at site, no pain site, painful with movement at site - unable to pick up grocery bag with right arm, feels weak. 6/4/2014 - symptoms continues.

VAERS ID:533205 (history)  Vaccinated:2014-05-28
Age:40.0  Onset:2014-05-29, Days after vaccination: 1
Gender:Female  Submitted:2014-06-02, Days after onset: 4
Location:Pennsylvania  Entered:2014-06-06, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4869AA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Bone pain, Breast swelling, Chills, Headache, Local swelling, Pyrexia
SMQs:, Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Osteonecrosis (broad)
Write-up: 12-15 hours after injection no fever, chills, signif, swelling, swelling on (L) lat neck, upper (L) chest and breast, pain in bones and headache. Tested severely for 48 hours and now 5 d after 50% better.

VAERS ID:533606 (history)  Vaccinated:2014-06-06
Age:40.0  Onset:2014-06-09, Days after vaccination: 3
Gender:Female  Submitted:2014-06-11, Days after onset: 2
Location:Ohio  Entered:2014-06-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Percocet 5/325, Ibuprofen 600mg, labetalol 200mg, docusate 100mg
Current Illness: None
Preexisting Conditions: NKDA, History of Pre-eclampsia with fetal demise, 2 days post C-section at time of administration
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4565BA IM 
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Redness and swelling below the site of injection, starting below the left deltoid muscle and extending to above the elbow. The patient reported the reaction has gotten progressively worse since the administration. Patient afebrile and reports no other reactions.

VAERS ID:533877 (history)  Vaccinated:2014-06-13
Age:40.0  Onset:2014-06-13, Days after vaccination: 0
Gender:Female  Submitted:2014-06-13, Days after onset: 0
Location:Massachusetts  Entered:2014-06-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURJ051310IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Syringe issue
SMQs:
Write-up: The syringe given for typhoid has a luer lock attached that pulls off easily. When attaching a needle, the luer lock can become displaced. When removing the needle cap to administer the vaccine, the luer lock can become displaced.

VAERS ID:534159 (history)  Vaccinated:2013-10-28
Age:40.0  Onset:2013-10-28, Days after vaccination: 0
Gender:Female  Submitted:2014-06-17, Days after onset: 232
Location:Ohio  Entered:2014-06-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
    Extended hospital stay? No
Previous Vaccinations: fever,headache,throwing up, throat swelling~Hep B (no brand name)~2~24.00~Patient
Other Medications:
Current Illness: None
Preexisting Conditions: Migraine headaches
Diagnostic Lab Data: X-ray; MRI
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS13083010SYRLA
Administered by: Unknown     Purchased by: Other
Symptoms: Bursa removal, Debridement, Drug administered at inappropriate site, Mobility decreased, Nuclear magnetic resonance imaging abnormal, Pain, Rotator cuff repair, Rotator cuff syndrome, Surgery, X-ray normal
SMQs:, Parkinson-like events (broad), Tendinopathies and ligament disorders (narrow)
Write-up: 1. Loss of mobility, pain 2. Injection administered above deltoid muscle in shoulder joint 3. Saw primary care doctor who suggested seeing a orthopedic doctor and scheduling PT 4. Started PT and made appointment with Orthopedic doctor 5. Had x-rays which were negative and MRI which showed a partial rotator cuff tear 6. Continued PT 7. Saw Orthopedic doctor several times. Doctor prescription Prednisone and pain medication. Pain medication was not helpful. Prednisone was helpful. After 10 days treatment complete. All symptoms returned. 8. Symptoms of loss of mobility and pain not improving 9. Orthopedic suggested surgury 10. Continued PT, with little to no improvement 11. Rotator cuff surgery performed on 4-28-2014 12. Bursectomy and debridement of rotator cuff area performed

VAERS ID:534445 (history)  Vaccinated:2014-04-04
Age:40.0  Onset:2014-06-18, Days after vaccination: 75
Gender:Female  Submitted:2014-06-19, Days after onset: 1
Location:Washington  Entered:2014-06-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.J0135070SCUN
Administered by: Other     Purchased by: Private
Symptoms: Corneal abrasion, Herpes ophthalmic, Herpes virus infection
SMQs:, Accidents and injuries (narrow), Corneal disorders (narrow), Ocular infections (narrow)
Write-up: Received VARIVAX 4/4/14. Diagnosed with a secondary herpetic infection of the eye in the area of a previous corneal abrasion 6/18/14.

VAERS ID:535551 (history)  Vaccinated:2014-06-30
Age:40.0  Onset:2014-06-30, Days after vaccination: 0
Gender:Male  Submitted:2014-07-01, Days after onset: 1
Location:Florida  Entered:2014-07-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Current Medication: Taking Lexapro 40 mg Tablet 1 tablet Once a day; Taking Xanax 0.5 MG Tablet 1 tablet Three times a day; Taking Morphine Sulfate 60 MG Capsule Extended Release 24 Hour 1 capsule three times a day; Taking Percocet 10-3
Current Illness: No
Preexisting Conditions: Depression, chronic pain, obesity, anisocoria
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4804AA IMRA
Administered by: Private     Purchased by: Private
Symptoms: Hearing impaired, Insomnia, Mental disorder, Nausea, Regurgitation
SMQs:, Acute pancreatitis (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hearing impairment (narrow)
Write-up: Pt thinks he is having reaction to Tdap vaccine, nausea, no sleep, auditory problems. I advised pt to have someone drive him here. HPI: Patient is brought in by his father. We have permission to talk to him. I was unable to talk to patient. I came in the room and he was wearing ear muffs. He was communicating by writing on his smart phone pad/paper. He wrote down "I have a anechoic tumor". He wrote down that any noise goes to the nerves in his teeth. When he called earlier this morning he said he had some nausea, regurgitation and could not sleep. He denied fever vomiting or redness at the site of injection or rash. I had to interview his dad in a different room because he could not tolerate me talking at all. Father says that he has not seen any reaction or rash on his body. Father is unaware that he has a diagnosis of tumor in his brain. Father agrees with me that something is wrong mentally with him today. He has a history of depression treated with ECT in the past but no history of schizophrenia or bipolar disorder as far as I know. After talking to his dad I went back to the room. Could not communicate verbally with him but was able to give him a written note saying that he needs to go to ER. Father wants to take him to the ER.

VAERS ID:536136 (history)  Vaccinated:2014-04-01
Age:40.0  Onset:2014-04-01, Days after vaccination: 0
Gender:Female  Submitted:2014-07-07, Days after onset: 97
Location:Pennsylvania  Entered:2014-07-08, 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: BENADRYL, prn; EPI PEN; MVT, topical cream
Current Illness: None
Preexisting Conditions: (scalp) psorasis; Hives of unknown origin
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALS5JR7T0SYRUN
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD 0PO 
Administered by: Private     Purchased by: Other
Symptoms: Arthralgia, Local swelling, Myalgia, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Pt c/o musle and joint aches, (R) mild leg rash and swelling after a dose of VIVOTIF (oral typhoid). Resolved after cessation.

VAERS ID:536281 (history)  Vaccinated:2014-07-08
Age:40.0  Onset:2014-07-09, Days after vaccination: 1
Gender:Male  Submitted:2014-07-10, Days after onset: 1
Location:Georgia  Entered:2014-07-10
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: TST sensitivity
Diagnostic Lab Data: None.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONS 3IMRA
Administered by: Military     Purchased by: Military
Symptoms: Feeling hot, Rash, Tenderness
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Patient experienced localized rash, tenderness, calor.

VAERS ID:536468 (history)  Vaccinated:2014-07-10
Age:40.0  Onset:2014-07-11, Days after vaccination: 1
Gender:Female  Submitted:2014-07-12, Days after onset: 1
Location:New Jersey  Entered:2014-07-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft; Vitamin D3; Fish Oil; Chromium Picolinate; Multivitamin; Probiotic
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (NO BRAND NAME)UNKNOWN MANUFACTURER 2SYRLA
Administered by: Unknown     Purchased by: Other
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pain in extremity, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad)
Write-up: Red, swollen @ injection site. Swelling increased in size, site very red, warm to touch, arm sore and itchy by 7/12/2014 6:00 AM.

VAERS ID:537099 (history)  Vaccinated:2014-07-07
Age:40.0  Onset:2014-07-07, Days after vaccination: 0
Gender:Unknown  Submitted:2014-07-18, Days after onset: 11
Location:Unknown  Entered:2014-07-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1407USA006620
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC. 0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Drug administered to patient of inappropriate age, No adverse event
SMQs:
Write-up: This spontaneous report as received from a registered nurse refers to a 40 year old patient of unknown gender. Medical history and concurrent conditions were not reported. On 07-JUL-2014, the patient was vaccinated with the first dose of (Oka/Merck) PROQUAD (dose, strength, lot number and expiration date were not reported). Secondary and concomitant therapies were not reported. Nurse reported that the patient, who was greater than the recommended age to receive (Oka/Merck) PROQUAD, received a first dose of (Oka/Merck) PROQUAD on 07-JUL-2014. No adverse symptoms reported. Additional information has been requested.

VAERS ID:537225 (history)  Vaccinated:2014-07-09
Age:40.0  Onset:2014-07-09, Days after vaccination: 0
Gender:Female  Submitted:2014-07-12, Days after onset: 3
Location:Virginia  Entered:2014-07-21, 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: Unknown
Current Illness:
Preexisting Conditions: NKA
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALST25G60IMLA
Administered by: Other     Purchased by: Private
Symptoms: Erythema, Injected limb mobility decreased, Injection site induration, Injection site nodule, Injection site swelling, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad)
Write-up: 7-9-14 - Arm very painful after injection, 7/10/14 arm continued to be sore, 7-11-14 soreness increased, arm swollen at injection site. 7/12/14 soreness continued, arm red, swollen to about size of orange, hard knot at injection site, pt unable to lift arm above shoulder height.

VAERS ID:537683 (history)  Vaccinated:2014-07-21
Age:40.0  Onset:2014-07-21, Days after vaccination: 0
Gender:Male  Submitted:2014-07-25, Days after onset: 4
Location:Florida  Entered:2014-07-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Proair and Flovent inhalers for asthma.
Current Illness: No
Preexisting Conditions: Asthma and allergies to grass, molds and pollen during spring and fall.
Diagnostic Lab Data: N/A
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURERUNKNOWN SYRLA
Administered by: Private     Purchased by: Other
Symptoms: Chills, Consciousness fluctuating, Delusion, Fatigue, Lower respiratory tract infection, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad)
Write-up: I felt tired at 3:00 that day and then fatigued/exhausted. After laying down to a few hours I began to feel feverish and achy. By 8:00 that evening I was cycling between consciousness and sleep having delusional pre apocolyptic daydreams about people being removed from their homes. Fever, chills and achiness built through the night, but symptoms gradually diminished through the second day. On Wednesday morning, 48 hours after being given the TDAP shot, I was back at the doctor. I still had a 101.2 F fever, and I also had a chest infection. Now, at just more than 96 hours since I was given the TDAP shot, I still feel tired as well as a bit achy and feverish.

VAERS ID:537919 (history)  Vaccinated:2014-07-25
Age:40.0  Onset:2014-07-26, Days after vaccination: 1
Gender:Male  Submitted:2014-07-28, Days after onset: 2
Location:Illinois  Entered:2014-07-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No prescription or non-prescription drugs were being taken at the time the vaccination was given
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSYJ4750SYRLA
Administered by: Other     Purchased by: Other
Symptoms: Fatigue, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: Fever of approximately 101 degrees F lasting for 2 days. Muscle aches and fatigue lasting at least three days.

VAERS ID:538087 (history)  Vaccinated:2014-07-24
Age:40.0  Onset:2014-07-24, Days after vaccination: 0
Gender:Female  Submitted:2014-07-29, Days after onset: 5
Location:Unknown  Entered:2014-07-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Crohn''s disease
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1407USA012718
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC. 1UNAR
Administered by: Other     Purchased by: Other
Symptoms: Incorrect dose administered, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: This spontaneous report as received from a nurse practitioner refers to a 40 year old female patient with Crohn''s disease. On 28-APR-2014, the patient was vaccinated with the first dose of PNEUMOVAX23 injection (lot#, expiration date, dose, strength, route and indication not reported). On 24-JUL-2014, the patient was vaccinated with the second dose of PNEUMOVAX23 injection, in the arm (lot#, expiration date, dose, strength, route and indication not reported). The nurse practitioner reported that the patient developed pain and swelling of her arm where PNEUMOVAX was administered on 24-JUL-2014. The patient sought medical attention by office visit. At the time of reporting, the outcome of the events was not recovered. Additional information has been requested.

VAERS ID:540225 (history)  Vaccinated:2014-07-17
Age:40.0  Onset:2014-08-12, Days after vaccination: 26
Gender:Female  Submitted:2014-08-18, Days after onset: 6
Location:New York  Entered:2014-08-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: Measles antibody (12-AUG-2014): negative, less than 5
CDC Split Type: WAES1408USA008678
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.J0002011SCUN
Administered by: Other     Purchased by: Other
Symptoms: Measles antibody negative
SMQs:
Write-up: This spontaneous report as received from a registered nurse refers to a 40 year old female patient with no drug reactions or allergies. On an unknown date in 2013 (also reported as "about one year ago") the patient was vaccinated with the first dose of M-M-R II (route, dose and lot # not reported). On 17-JUL-2014 the patient was vaccinated subcutaneously with the second 0.5 ml dose of M-M-R II (lot # J000201, expiration date 09-JAN-2015). There was no concomitant medications reported. The registered nurse reported that on 12-AUG-2014 serologic testing was conducted (also reported as MMR II titers) and results showed that the patient''s titer to measles was negative - less than 5 (units not provided). There was no treatment given for the event. The outcome of the event and relatedness between the event and M-M-R II was not reported. The patient did not seek medical attention. Additional information has been requested.

VAERS ID:540227 (history)  Vaccinated:2014-08-15
Age:40.0  Onset:2014-08-15, Days after vaccination: 0
Gender:Female  Submitted:2014-08-18, Days after onset: 3
Location:Texas  Entered:2014-08-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT)GLAXOSMITHKLINE BIOLOGICALSX9HM30IMRA
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Local swelling, Pruritus, Skin warm
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: SWOLLEN RED HOT ARM -- STARTED 8/15/2014 STILL REACTING AS OF 8/18/14 PT USING BENADRYL AND ICE PACKS TO REDUCE SWELLING AND STOP ITCHING.

VAERS ID:540466 (history)  Vaccinated:2014-07-25
Age:40.0  Onset:2014-08-01, Days after vaccination: 7
Gender:Female  Submitted:2014-08-19, Days after onset: 18
Location:Unknown  Entered:2014-08-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1408USA005436
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  SCUN
Administered by: Other     Purchased by: Other
Symptoms: Herpes zoster
SMQs:
Write-up: This spontaneous report as received from a nurse practitioner refers to a 40 year old female patient. Medical history and concurrent conditions were not reported. On 25-JUL-2014, the patient was vaccinated with (Oka/Merck) VARIVAX, subcutaneous, 1 single shot. Dose, lot number and expiration date were not reported. No co-suspect and concomitant therapies were reported. On 01-AUG-2014, the patient developed herpes zoster along the trunk of one side after receiving (Oka/Merck) VARIVAX. The outcome of herpes zoster was unknown. No lab diagnostics studies were performed. The event was treated with VALTREX. The patient did seek medical attention. Additional information has been requested.

VAERS ID:540413 (history)  Vaccinated:2014-07-29
Age:40.0  Onset:2014-07-29, Days after vaccination: 0
Gender:Female  Submitted:2014-08-20, Days after onset: 22
Location:Georgia  Entered:2014-08-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: OTC iron
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: Referred to PCP
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4543AA0IMRA
Administered by: Other     Purchased by: Private
Symptoms: Back pain, Injection site pain
SMQs:, Retroperitoneal fibrosis (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: Intermittent pain from R upper arm radiating to R upper back using Motrin states no relief, no neuro, circulatory or muscular deficit.

VAERS ID:541821 (history)  Vaccinated:2013-12-05
Age:40.0  Onset:2013-12-05, Days after vaccination: 0
Gender:Female  Submitted:2013-12-05, Days after onset: 0
Location:Unknown  Entered:2014-08-25, Days after submission: 262
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Concomitant drugs not reported
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 2013SE89224
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT)MEDIMMUNE VACCINES, INC.BJ2012 IN 
Administered by: Other     Purchased by: Other
Symptoms: Expired drug administered
SMQs:
Write-up: A report has been received from a Health Professional concerning a 40 year old, female subject, who had been receiving Nasal FLUMIST QUADRIVALENT. FLUMIST QUADRIVALENT started on 5-Dec-2013. It was reported that four patients were inadvertently administered expired FLUMIST QUADRIVALENT (Preferred Term: Expired drug administered) which started on 05-Dec-2013. The outcome of the event of inadvertently administered expired FLUMIST QUADRAVALENT to four patients is unknown. The report was considered to be non-serious. Corrected report 06-Jan-2013; Formulation corrected. Start date added to FLUMIST.

VAERS ID:541105 (history)  Vaccinated:2014-05-30
Age:40.0  Onset:2014-06-02, Days after vaccination: 3
Gender:Female  Submitted:2014-08-26, Days after onset: 85
Location:Maryland  Entered:2014-08-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamins
Current Illness:
Preexisting Conditions: 28 weeks pregnant
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4332BA0IMLA
Administered by: Private     Purchased by: Other
Symptoms: Exposure during pregnancy, Foetal death, Stillbirth
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow)
Write-up: My baby died and was stillborn 3 days after vaccination on June 2, 2014.

VAERS ID:541405 (history)  Vaccinated:2014-08-19
Age:40.0  Onset:2014-08-20, Days after vaccination: 1
Gender:Female  Submitted:2014-08-27, Days after onset: 7
Location:Wyoming  Entered:2014-08-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4874AA IMLA
Administered by: Public     Purchased by: Private
Symptoms: Chills, Lymph node pain, Lymphadenopathy, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Wed. night noticed lymph nodes under L arm swollen and tender. Thurs. was achy, chilled and fever of 100.4. Friday felt normal. Sun. night noticed a red spot on her L bicep the size of an egg. Not warm to touch or having any red streaks.

VAERS ID:541727 (history)  Vaccinated:2014-08-25
Age:40.0  Onset:2014-08-26, Days after vaccination: 1
Gender:Female  Submitted:2014-08-29, Days after onset: 3
Location:Texas  Entered:2014-08-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Neck pain~Tetanus Toxoid (no brand name)~UN~28.58~Patient
Other Medications: Clopidogrel, Metoprolol. Had stopped taking Losartan 4 days prior.
Current Illness: Lower back issues (muscular)
Preexisting Conditions: Heart Disease, Seasonal Allergies, Asthma, Lower back issues (muscular)
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER  SYRLA
Administered by: Private     Purchased by: Other
Symptoms: Muscle spasms
SMQs:, Dystonia (broad)
Write-up: Had minor back issue prior to vaccine. Within 24 hours, lower back muscles began to severely spasm as well as the tops and bottoms of the feet. Muscle relaxants were not effective until two days later when spasms began to subside.

VAERS ID:541779 (history)  Vaccinated:2014-08-27
Age:40.0  Onset:2014-08-28, Days after vaccination: 1
Gender:Female  Submitted:2014-08-29, Days after onset: 1
Location:Montana  Entered:2014-08-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prednisone; Meloxicam; Tramadol
Current Illness:
Preexisting Conditions: Ankylosing spondylitis
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J0117140UNLA
Administered by: Public     Purchased by: Private
Symptoms: Fatigue, Headache, Injection site erythema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Medial surface (L) arm midway between elbow and shoulder has non raised light red area about 25 cent (quarter) sized. Tender to touch, smooth. Also 1 inch reddened line just below on same surface, not connected. Fatigue, headache.

VAERS ID:542206 (history)  Vaccinated:2014-08-26
Age:40.0  Onset:2014-08-26, Days after vaccination: 0
Gender:Female  Submitted:2014-08-26, Days after onset: 0
Location:Florida  Entered:2014-09-03, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS14109010UNLA
Administered by: Other     Purchased by: Private
Symptoms: Dizziness, Immediate post-injection reaction, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: Dizzy and nauseous immediately after administration. Patient sat down, put fan on her and gave water. She felt better and recovered in about 10 minutes.

VAERS ID:542911 (history)  Vaccinated:2014-09-04
Age:40.0  Onset:2014-09-05, Days after vaccination: 1
Gender:Female  Submitted:2014-09-05, Days after onset: 0
Location:North Carolina  Entered:2014-09-05
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: Trees, grasses, fall time weeds, dust mite, cat, dog, mold, mouse.
Diagnostic Lab Data: Pt receiving allergy shots by allergist.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEURUI169AFF0UNLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.K0042810UNLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site urticaria, Pain
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Pt had large hive present at vaccine site. Pt c/o generalized achiness; seen in office 9/5/14. BENADRYL, cold compress advised for tx.

VAERS ID:542784 (history)  Vaccinated:2014-09-04
Age:40.0  Onset:2014-09-04, Days after vaccination: 0
Gender:Female  Submitted:2014-09-08, Days after onset: 4
Location:Indiana  Entered:2014-09-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Sinusitis and Acid Reflux
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.K0041481IMLA
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Pain in extremity, Skin warm, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad)
Write-up: Swelling, redness, hot to touch, arm pain. Treatment: Depo-Medrol 80 mg - injection - one time. Clindamycin 300 mg 1 tab - 3 times a day.

VAERS ID:543271 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Unknown  Submitted:2014-09-10
Location:Unknown  Entered:2014-09-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1409USA002515
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Drug administered to patient of inappropriate age, No adverse event
SMQs:
Write-up: This spontaneous report as received from a pharmacist via a company representative refers to a 40 year old patient. Medical history and concurrent conditions were not reported. On an unknown date the patient was vaccinated with ZOSTAVAX. Dose, route, lot number and expiration date were not reported. No co-suspect and concomitant therapies were reported. The pharmacist reported that he administered ZOSTAVAX to a 40 year old patient. No adverse effect reported. Additional information is not expected. No allowed to contact physician.

VAERS ID:543293 (history)  Vaccinated:2014-09-10
Age:40.0  Onset:2014-09-10, Days after vaccination: 0
Gender:Male  Submitted:2014-09-10, Days after onset: 0
Location:Illinois  Entered:2014-09-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec/losartan/metformin; pravastatin/Lovaza; Triplipix
Current Illness: No
Preexisting Conditions: DM
Diagnostic Lab Data: BP and VSS stable; improved with albuterol MDI
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSXD72G1IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Chest discomfort, Dizziness, Hypoaesthesia, Pain in extremity, Vision blurred
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad)
Write-up: Arm pain and numbness; chest tightness; dizzy; blurred vision.

VAERS ID:543355 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:2014-08-13
Gender:Male  Submitted:2014-09-10, Days after onset: 28
Location:Unknown  Entered:2014-09-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: A titer was drawn on 13-AUG-2014, which was negative for mumps antibodies, equivocal for measles antibodies, and positive for rubella antibodies.
CDC Split Type: WAES1409USA001549
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Measles antibody, Mumps antibody test negative, Rubella antibody positive
SMQs:
Write-up: This spontaneous report as received from a physician assistant refers to a 40 year old male patient with none pertinent medical history and drug allergies. On an unknown date the patient was vaccinated with one dose of M-M-R II, (lot#, expiration date, dose and route not reported). On 13-AUG-2014, blood titer was performed and the titer was drawn, which was negative for mumps antibodies, equivocal for measles antibodies, and positive for rubella antibodies. No treatment was given for the events. The patient''s present status was unspecified. The outcome of the events was unknown. Additional information has been requested.

VAERS ID:543438 (history)  Vaccinated:2014-08-06
Age:40.0  Onset:2014-08-08, Days after vaccination: 2
Gender:Male  Submitted:2014-09-11, Days after onset: 34
Location:New Jersey  Entered:2014-09-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED6652210117021IMLA
Administered by: Public     Purchased by: Private
Symptoms: Asthenia, Dizziness, Dyspnoea, Pharyngeal oedema, Swelling face
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Anticholinergic syndrome (broad), Oropharyngeal allergic conditions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: Swelling of face and throat, difficulty breathing, dizziness and weakness.

VAERS ID:543951 (history)  Vaccinated:2014-09-16
Age:40.0  Onset:2014-09-16, Days after vaccination: 0
Gender:Female  Submitted:2014-09-16, Days after onset: 0
Location:California  Entered:2014-09-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: OVER-THE-COUNTER VITAMINS
Current Illness: NONE
Preexisting Conditions: ALLERGY TO PENICILLIN, LATEX, EGGS, KIWI, BANANA, RYE, AND AVOCADO
Diagnostic Lab Data: EPINEPHRINE AND EKG IN ER. PRESCRIPTION FOR PREDNISONE 40MG PO X5 DAYS.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUC3: INFLUENZA (SEASONAL) (FLUCELVAX)NOVARTIS VACCINES AND DIAGNOSTICS012031A0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Electrocardiogram, Lip swelling, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: ITCHING THAT BEGAN TO EARS. RASH/ITCHING SPREAD TO BACK AND THEN FACE. MILD SWELLING TO UPPER LIP. DENIES SWELLING OF TONGUE; DENIES DIFFICULTY BREATHING OR SHORTNESS OF BREATH.

VAERS ID:544326 (history)  Vaccinated:2014-09-18
Age:40.0  Onset:2014-09-18, Days after vaccination: 0
Gender:Female  Submitted:2014-09-18, Days after onset: 0
Location:Illinois  Entered:2014-09-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: None known, vaccination at a flu clinic at work.
Preexisting Conditions: Patient stated cancer 7 years ago, no other history known
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS145402 IMLA
Administered by: Other     Purchased by: Other
Symptoms: Face injury, Fall, Laceration, Malaise, Presyncope
SMQs:, Anticholinergic syndrome (broad), Accidents and injuries (narrow), Hostility/aggression (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: After receiving flu vaccine returned back to office training room. States not feeling well returned to room where injections given, sat at table and has a possible vaso vagal response fell from chair to floor. Hit chin on table causing laceration. EMS activated and sent to ER for evaluation.

VAERS ID:544471 (history)  Vaccinated:2014-09-15
Age:40.0  Onset:2014-09-15, Days after vaccination: 0
Gender:Female  Submitted:2014-09-18, Days after onset: 3
Location:New Jersey  Entered:2014-09-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Same~Influenza (Seasonal) (AFLURIA)~UN~39.00~Patient
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Visited doctor 9/18/14 recommended no IM shot
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1456031IMRA
Administered by: Other     Purchased by: Other
Symptoms: Axillary pain, Lymphadenopathy, Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Swollen lymph node. Swollen armpit/very painful. No rashes/no redness. MD prescribed antibiotic 9/18/14. Pain/hurts x3 days.

VAERS ID:544380 (history)  Vaccinated:2014-08-28
Age:40.0  Onset:2014-08-30, Days after vaccination: 2
Gender:Female  Submitted:2014-09-19, Days after onset: 20
Location:Illinois  Entered:2014-09-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: HCTZ; WELLBUTRIN; PROZAC; Omeprazole
Current Illness:
Preexisting Conditions: Allergic to latex, PCN, sulfa
Diagnostic Lab Data: See attached form
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.K0048101UNRA
Administered by: Private     Purchased by: Private
Symptoms: Eye pain, Nuclear magnetic resonance imaging brain abnormal, Optic neuritis, Visual acuity reduced
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Optic nerve disorders (narrow), Demyelination (narrow), Lens disorders (broad), Retinal disorders (broad), Ocular infections (broad)
Write-up: Patient presented to Ophthalmologist on September 4, 2014 for emergency appointment from atypical symptoms that had progressed since first noticed on Saturday, August 30 and had pain in left eye, little to no acuity upon exam. Ophthalmologist diagnosed Optic Neuritis and sent patient for a STAT MRI of Brain and Contrast of Orbits. Patient PCP was consulted and PCP sent patient directly to ER for immediate treatment and before MRI to be completed in which IV Steroids were administered (1000 mg, 1x per day 9/5, 9/6, 9/7) and admittance to Hospital for duration of treatment. MRI of Brain and with contrast of Orbits was completed on Friday September 5, 2014 and confirmed diagnosis of Optic Neuritis. Patient remained in hospital through 9/7 and was released on oral steroids, gradual diminishing dosages through 9/18.

VAERS ID:544477 (history)  Vaccinated:2014-07-11
Age:40.0  Onset:2014-07-11, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:D.C.  Entered:2014-09-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Pre-natal vitamins
Current Illness: None
Preexisting Conditions: Allergic to BIAXIN
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS33AG50UNLA
Administered by: Public     Purchased by: Other
Symptoms: Abdominal pain upper, Asthenia, Dizziness, Exposure during pregnancy, Foetal death
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow)
Write-up: I was fine that morning at work. Was 7 months pregnant. At Dr. appointment I was told I needed Tdap vaccine, was not told any risk. I went home felt weak, dizzy and stomach pain. The same day my unborn baby died. This happened within 7 hours of the vaccine.

VAERS ID:544481 (history)  Vaccinated:2014-09-03
Age:40.0  Onset:2014-09-03, Days after vaccination: 0
Gender:Female  Submitted:2014-09-05, Days after onset: 2
Location:Montana  Entered:2014-09-19, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: 2013~Influenza (Seasonal) (no brand name)~UN~0.00~Patient
Other Medications: Omeprazole
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUI158AA UNLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling, Injection site warmth, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Reported 2 days later. Evening of - reports was red, swollen. 9-4-14 charge RN looked at swollen, red at site, burning from site to elbow. 9-5-14 swollen, red, warm at site welt 4mm-7 1/2mm. She had only used ice 1-2x.

VAERS ID:544496 (history)  Vaccinated:2014-09-15
Age:40.0  Onset:2014-09-15, Days after vaccination: 0
Gender:Female  Submitted:2014-09-19, Days after onset: 4
Location:New York  Entered:2014-09-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Amlodopine, atenolol, fluticasone nasal spray, omeprazole, lisinopril, hydrochlorothiazide, potassium chloride
Current Illness: None
Preexisting Conditions: Asthma, hypertension, hypoglycemia
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU1187AB0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Immediate post-injection reaction, Injection site swelling, Lymphadenopathy
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Pt reported swelling at injection site immediately which progresed to swollen glands under arm of injection site as well as neck region. Pt seen on 9/18/14 treated with antibiotic (Augmentin).

VAERS ID:544501 (history)  Vaccinated:2014-08-21
Age:40.0  Onset:2014-08-22, Days after vaccination: 1
Gender:Female  Submitted:2014-09-19, Days after onset: 28
Location:Mississippi  Entered:2014-09-19
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:
Diagnostic Lab Data: None
CDC Split Type: MS0082014
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4646AA0IMRA
Administered by: Public     Purchased by: Public
Symptoms: Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad)
Write-up: C/o extreme pain to arm states was better after 2 days past immunization then got worse again.

VAERS ID:544531 (history)  Vaccinated:2014-09-16
Age:40.0  Onset:2014-09-17, Days after vaccination: 1
Gender:Female  Submitted:2014-09-20, Days after onset: 3
Location:New York  Entered:2014-09-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Shellfish- anaphylaxis
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER014021A4IMRA
TD: TD ADSORBED (NO BRAND NAME)SANOFI PASTEURC4666AA IMLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Rash on deltoid, mild redness and swelling at site.

VAERS ID:544549 (history)  Vaccinated:2014-09-16
Age:40.0  Onset:2014-09-16, Days after vaccination: 0
Gender:Female  Submitted:2014-09-20, Days after onset: 4
Location:Ohio  Entered:2014-09-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Thytrophin, Zyrtec
Current Illness: No
Preexisting Conditions: The only diagnosed allergies I have are salmon, some tree, sulfa and amoxicillin.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUC3: INFLUENZA (SEASONAL) (FLUCELVAX)NOVARTIS VACCINES AND DIAGNOSTICSG12011A IMRA
Administered by: Other     Purchased by: Other
Symptoms: Dyspnoea, Feeling hot, Heart rate increased, Hypoaesthesia oral, Throat irritation
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad)
Write-up: Within minutes body was extremely hot, throat felt weird and lips went numb. This shot was administered by my employer (it''s an annual requirement to stay employed). They gave me Benadryl and symptoms improved. Within 20-minutes symptoms returned stronger and included shortness of breath. EPI was administered. Symptoms remained and my heart rate increased. I was then transported via ambulance to the hospital for additional treatment (fluids, Benadryl, prednisone, Pepcid). Discharged with Benadryl and Pepcid for 5 days (still in progress).

VAERS ID:544556 (history)  Vaccinated:2014-09-20
Age:40.0  Onset:2014-09-20, Days after vaccination: 0
Gender:Female  Submitted:2014-09-21, Days after onset: 1
Location:Florida  Entered:2014-09-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Atenolol, Levothyroxine
Current Illness: No
Preexisting Conditions: Sulfa allergy
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Other     Purchased by: Private
Symptoms: Dizziness, Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Vestibular disorders (broad)
Write-up: Rapid heartbeat, dizziness.

VAERS ID:544722 (history)  Vaccinated:2014-09-17
Age:40.0  Onset:2014-09-18, Days after vaccination: 1
Gender:Male  Submitted:2014-09-21, Days after onset: 3
Location:Pennsylvania  Entered:2014-09-21
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
TDAP: TDAP (ADACEL)SANOFI PASTEURU4875AA0IDRA
Administered by: Other     Purchased by: Private
Symptoms: Local swelling, Mobility decreased, Neck pain, Pain in extremity, Pyrexia
SMQs:, Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: High fever, swollen arm, sore/hard to move R neck and arm.

VAERS ID:544686 (history)  Vaccinated:2014-09-22
Age:40.0  Onset:2014-09-22, Days after vaccination: 0
Gender:Female  Submitted:2014-09-22, Days after onset: 0
Location:Wisconsin  Entered:2014-09-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  IMRA
Administered by: Other     Purchased by: Private
Symptoms: Dizziness, Dysgeusia, Erythema, Flushing, Palpitations, Sensation of foreign body, Visual impairment
SMQs:, Anaphylactic reaction (narrow), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypersensitivity (broad)
Write-up: Dizziness, heart palpitations, different taste in throat, lump feeling in throat, face was red and flushed and I was seeing spots.

VAERS ID:545112 (history)  Vaccinated:2014-09-04
Age:40.0  Onset:2014-09-04, Days after vaccination: 0
Gender:Female  Submitted:2014-09-25, Days after onset: 21
Location:Minnesota  Entered:2014-09-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Loratadine, allergy med -Four other nursing students also had adverse reactions to the same vaccine on the same day.
Current Illness: No
Preexisting Conditions: Seasonal allergies
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEUR 0IMLA
Administered by: Public     Purchased by: Other
Symptoms: Acupuncture, Musculoskeletal pain, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Tendinopathies and ligament disorders (broad)
Write-up: Arm pain and shoulder pain. Physical therapy, acupuncture, pain medication, ice packs, heating pads, asper-cream. Multiple doctor visits and no diagnosis. Numerous calls to Dept. of Health and CDC with no prognosis.

VAERS ID:545539 (history)  Vaccinated:2014-09-09
Age:40.0  Onset:2014-09-09, Days after vaccination: 0
Gender:Female  Submitted:2014-09-12, Days after onset: 3
Location:Virginia  Entered:2014-09-25, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: MOTRIN; VICODIN
Current Illness: None reported
Preexisting Conditions: Allergies: penicillin, environmental
Diagnostic Lab Data: Assessment by ED physician. Follow w/ PCP.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUI158AB UNRA
Administered by: Public     Purchased by: Other
Symptoms: Nodule, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad)
Write-up: Flu shot given 9/9/14 around 11AM. At 1300 sent to ED for possible allergic reaction. S/S: Knot in throat, progressively getting tighter since shot. Stable at time of triage to ED w/ symptom staying the same. Dc''d home w/ follow-up. Stable condition.

VAERS ID:545566 (history)  Vaccinated:2013-10-10
Age:40.0  Onset:2013-10-11, Days after vaccination: 1
Gender:Male  Submitted:2013-10-17, Days after onset: 6
Location:Idaho  Entered:2014-09-25, Days after submission: 343
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
PPV: PNEUMO (NO BRAND NAME)UNKNOWN MANUFACTURER 1UNRA
Administered by: Other     Purchased by: Other
Symptoms: Cellulitis, Erythema multiforme, Rash
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Rash, erythema multiform and cellulitis. Treatment: Amoxicillin/Clavulanate

VAERS ID:545529 (history)  Vaccinated:2014-09-18
Age:40.0  Onset:2014-09-21, Days after vaccination: 3
Gender:Female  Submitted:2014-09-29, Days after onset: 8
Location:Virginia  Entered:2014-09-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUC3: INFLUENZA (SEASONAL) (FLUCELVAX)NOVARTIS VACCINES AND DIAGNOSTICS012021A1IMLA
Administered by: Other     Purchased by: Other
Symptoms: Dyspnoea, Haemoptysis, Malaise, Tongue disorder
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)
Write-up: EXCESSIVE COUGHING TO WHERE SHE SAW BLOOD (NOT A LOT, MAYBE DUE TO THE EXCESSIVE COUGHING, IT HAD STOPPED SOMEWHAT) SHORTNESS OF BREATH, TONGUE HAD TURNED RED AND SHE FELT VERY ILL. SHE SAW HER DOCTOR ON MONDAY AND WAS GIVEN A ZPAK.

VAERS ID:545645 (history)  Vaccinated:2014-09-18
Age:40.0  Onset:2014-09-22, Days after vaccination: 4
Gender:Male  Submitted:2014-09-29, Days after onset: 7
Location:North Carolina  Entered:2014-09-29
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: NO
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEURUI192AA IMLA
Administered by: Other     Purchased by: Private
Symptoms: Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: FEVER; PAIN.

VAERS ID:545649 (history)  Vaccinated:2014-09-18
Age:40.0  Onset:2014-09-22, Days after vaccination: 4
Gender:Male  Submitted:2014-09-29, Days after onset: 7
Location:North Carolina  Entered:2014-09-29
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: NO
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEURUI192AA IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J013345 IMRA
TDAP: TDAP (ADACEL)SANOFI PASTEURC4695AA IMLA
Administered by: Other     Purchased by: Private
Symptoms: Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: FEVER; PAIN.

VAERS ID:545663 (history)  Vaccinated:2014-09-29
Age:40.0  Onset:2014-09-29, Days after vaccination: 0
Gender:Female  Submitted:2014-09-29, Days after onset: 0
Location:Pennsylvania  Entered:2014-09-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Victoza; Lantus; Metformin
Current Illness: No
Preexisting Conditions: Diabetic
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  IMLL
Administered by: Private     Purchased by: Private
Symptoms: Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: Fever (102) muscle aches.

VAERS ID:545766 (history)  Vaccinated:2014-09-26
Age:40.0  Onset:2014-09-26, Days after vaccination: 0
Gender:Female  Submitted:2014-09-30, Days after onset: 4
Location:Nebraska  Entered:2014-09-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: Has appointment on 10/3 with doctor for referral to allergist
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT)GLAXOSMITHKLINE BIOLOGICALSX9HM30IMRA
Administered by: Private     Purchased by: Private
Symptoms: Ear swelling, Eye swelling, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Swelling face, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Swelling, pain, itching and redness to injection site. By the next morning patient had swollen ears and left eye and hives. Went to Urgent Care- tx: Benadryl and prednisone. By Sunday morning swelling increased to whole face, hives increased to whole body. Went to ER, tx: injection of Benadryl and Prednisone.

VAERS ID:546627 (history)  Vaccinated:2014-09-28
Age:40.0  Onset:2014-09-29, Days after vaccination: 1
Gender:Male  Submitted:2014-09-29, Days after onset: 0
Location:New York  Entered:2014-09-30, 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: Phenytoin; CRESTOR; FLOVENT
Current Illness:
Preexisting Conditions: Asthma; Psoriasis
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS145601 IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J013345 IMRA
Administered by: Other     Purchased by: Private
Symptoms: 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: Extreme pain in upper right arm this morning, accompanied by slight swelling and warm to touch.

VAERS ID:546671 (history)  Vaccinated:2014-09-22
Age:40.0  Onset:2014-09-22, Days after vaccination: 0
Gender:Female  Submitted:2014-09-27, Days after onset: 5
Location:Missouri  Entered:2014-10-01, 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: BENADRYL
Current Illness: None
Preexisting Conditions: Allergic to Codeine; Latex; Neomycin; Sulfa
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT)GLAXOSMITHKLINE BIOLOGICALSX9HM30UNLA
Administered by: Other     Purchased by: Private
Symptoms: Rash, Rash erythematous, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Itchy red rash on left and center of neck. Patient states she started BENADRYL Tues 9/23 and hydrocortisone. On 9/26 urgent care doctor told patient to use cetirizine, prednisone and famotidine.

VAERS ID:546436 (history)  Vaccinated:2014-09-30
Age:40.0  Onset:2014-10-03, Days after vaccination: 3
Gender:Female  Submitted:2014-10-03, Days after onset: 0
Location:Connecticut  Entered:2014-10-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pantoprazole 40 mg
Current Illness: No
Preexisting Conditions: I do get sinus headaches
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Other     Purchased by: Private
Symptoms: Chills, Fatigue, Headache
SMQs:
Write-up: Persistent headache that wouldn''t go away after taking over the counter (generic Sudafed, not the PE version), acetaminophen and Ibuprofen - these last two were taken a couple hours apart. Also, chills and fatigue.

VAERS ID:546495 (history)  Vaccinated:2014-10-03
Age:40.0  Onset:2014-10-03, Days after vaccination: 0
Gender:Female  Submitted:2014-10-04, Days after onset: 1
Location:Florida  Entered:2014-10-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 0IMLA
Administered by: Other     Purchased by: Public
Symptoms: Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Fever, aches.

VAERS ID:547545 (history)  Vaccinated:2014-10-03
Age:40.0  Onset:2014-10-03, Days after vaccination: 0
Gender:Male  Submitted:2014-10-06, Days after onset: 3
Location:Indiana  Entered:2014-10-06
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: Unknown
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS14584P IMRA
Administered by: Other     Purchased by: Private
Symptoms: Back pain, Musculoskeletal pain, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Retroperitoneal fibrosis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Patient informed employer that arm, shoulder, and back hurt.

VAERS ID:546937 (history)  Vaccinated:2014-09-25
Age:40.0  Onset:2014-09-25, Days after vaccination: 0
Gender:Male  Submitted:2014-10-07, Days after onset: 12
Location:Florida  Entered:2014-10-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Fenofibrate, multi-vitamin, famotidine
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: None so far. Appt. Scheduled.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDT58606 IMLA
Administered by: Other     Purchased by: Other
Symptoms: Injected limb mobility decreased, Injection site joint movement impairment, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Arthritis (broad)
Write-up: Severe pain in left shoulder. Unable to rotate shoulder or lift arm due to severe pain. Shoulder cramping with limited range of motion. Pain is currently persisting x 2 weeks. I am scheduled to see a doctor.

VAERS ID:548524 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:2014-10-08
Location:Unknown  Entered:2014-10-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1410USA003950
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  UNAR
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.  IMAR
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: This spontaneous report as received from a pharmacist via company representative refers to a 40 year (reported as early 40''s) old female patient. Pertinent medical history was unspecified by reporter. On an unknown date the patient was vaccinated with PNEUMOVAX 23 (intramuscular, dose, route of administration and anatomical location was unknown). Concomitant medications included influenza virus vaccine (unspecified) (given in other arm, dose, and route of administration unknown). On an unknown date the patient experienced severe swelling at injection site with painful redness. The outcome of the events was unknown. The causality was unknown. No additional information was provided. This is one of several reports from the same reporter. Additional information has been requested.

VAERS ID:548887 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:2014-10-08
Location:Unknown  Entered:2014-10-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1410USA001225
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.  IMUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: This spontaneous report as received from a pharmacist via company representative refers to a 40 year (reported as early 40s) old female patient. Pertinent medical history was unspecified by reporter. On an unknown date the patient was vaccinated with PNEUMOVAX 23 (intramuscular, dose, route of administration and anatomical location was unknown). Concomitant medications were unspecified by reporter. On an unknown date the patient experienced severe swelling at injection site with painful redness. The outcome of the events was unknown. The causality was unknown. No additional information was provided. This is one of several reports from the same reporter. Additional information has been requested.

VAERS ID:547350 (history)  Vaccinated:2014-10-07
Age:40.0  Onset:2014-10-07, Days after vaccination: 0
Gender:Female  Submitted:2014-10-09, Days after onset: 2
Location:Florida  Entered:2014-10-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Propranolol HCL ER oral 10 mg. Synthroid oral, 137 mg daily.
Current Illness:
Preexisting Conditions: Past medical history: Hashimoto Thyroiditis; Allergies: Penicillin, Levaquin, dustmites, horses, avocado, pistachios, cockroaches.
Diagnostic Lab Data: Recovery is still ongoing. UA for pregnancy: Negative. Diagnosis: Hives, Allergic reaction
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEURUT173AA0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Cough, Erythema, Hypersensitivity, Local swelling, Pregnancy test urine negative, Pruritus, Rash, Rash erythematous, Rash macular, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Employee was treated in the ED. Symptoms: skin rash to Lt arm that was red, raised, macular, with hives, swelling, Lt arm erythema, itching and cough. Medication Prescribed: Medrol dose pak, Pepcid 20 mg, Benadryl.

VAERS ID:548443 (history)  Vaccinated:2014-09-19
Age:40.0  Onset:2014-09-19, Days after vaccination: 0
Gender:Female  Submitted:2014-10-08, Days after onset: 19
Location:Connecticut  Entered:2014-10-09, 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:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDJS99070IMLA
Administered by: Other     Purchased by: Other
Symptoms: Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad)
Write-up: Severe arm pain that lasted for almost 3 weeks.

VAERS ID:549973 (history)  Vaccinated:2014-09-08
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:2014-10-08
Location:Unknown  Entered:2014-10-09, 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: No other medications
Current Illness: Prophylaxis
Preexisting Conditions:
Diagnostic Lab Data: VZV strain identification PCR (??-SEP-2014): results pending. (Nurse mailed the specimen to lab and the VZV packet was re-faxed to the nurse).
CDC Split Type: WAES1409USA013212
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Accidental exposure to product, Blister, Laceration, Polymerase chain reaction, Skin lesion, Varicella virus test
SMQs:, Severe cutaneous adverse reactions (broad), Accidents and injuries (narrow), Hostility/aggression (broad), Hypersensitivity (broad)
Write-up: This spontaneous report as received from a nurse refers to a 40 year old female patient. No information about medical history, drug reactions and allergies was specified. Nurse stated that a pharmacist was administering ZOSTAVAX (lot #, expiry unknown, dose unspecified) on 08-SEP-2014 to an unspecified patient and the ZOSTAVAX accidentally "shot into the pharmacist''s face". No concomitant medications were reported. The pharmacist is complaining that she developed blisters on her face on an unspecified date. The pharmacist was seen by her unspecified family doctor regarding the blisters on an unspecified date. The family doctor "did an unspecified culture on the blisters" on an unspecified date. No lab results have been provided. Varicella zoster virus (VZV) packet offered and sent. On 25-SEP-2014 at 09:30, the pharmacist, was going to be examined for a specimen collection of fluid-filled vesicles on her face. Attempted to connect the nurse to VZVID contacts for guidance on appropriate materials to use for specimen collection for VZVID. On 25-SEP-2014 at 15:39, nurse called to provide additional adverse event information. Nurse stated that the correct information as to what occurred on 08-SEP02014. She stated that the pharmacist was withdrawing the ZOSTAVAX vaccine from the vial before giving to the patient and the vaccine went onto her left hand not her face. The pharmacist developed small lacerations on her left hand and not her face. On 30-SEP-2014, the nurse stated that the patient is coming back to the office today, reporting that she has additional vesicles on her face. The nurse is inquiring if she should collect additional specimen samples to send to for testing for VZV. She inquired, how soon will the results be available from the specimen I sent to the lab. VZV packet re-faxed to the nurse. Left a voicemail message for the Clinical Safety Risk Management (CSRM) representative, and this service request will be e-mailed to the department and nurse would be called. On 06-OCT-2014, nurse reported that the patient continues to have new breakout lesions. Unspecified where the new lesions are located. The patient would be coming to the office tomorrow (07-OCT-2014) for an appointment. No intervention was done to prevent serious criteria as there was none. There was no product quality complaint. The outcome of the events was reported as not recovered/not resolved. The causality of the events was not reported. Additional information has been requested.

VAERS ID:547382 (history)  Vaccinated:2013-04-15
Age:40.0  Onset:2013-05-01, Days after vaccination: 16
Gender:Female  Submitted:2014-10-10, Days after onset: 527
Location:D.C.  Entered:2014-10-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Necon 1/35
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB276AB0UNRA
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURH160520UNLA
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD30003260PO 
YF: YELLOW FEVER (YF-VAX)SANOFI PASTEURUH597AA0UNLA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Arthritis, Gait disturbance, Joint swelling, Mobility decreased, Pain in extremity
SMQs:, Peripheral neuropathy (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (narrow), Tendinopathies and ligament disorders (broad)
Write-up: Swelling of joints (fingers, wrists, toes, ankles) combined with painful joints within 2 weeks after Hep A/B vaccine. Following second vaccine joint pain/inflammation worsened, resulting in partial loss of use of hands and difficulty walking due to foot pain.

VAERS ID:547383 (history)  Vaccinated:2014-09-24
Age:40.0  Onset:2014-09-24, Days after vaccination: 0
Gender:Female  Submitted:2014-10-10, Days after onset: 16
Location:Pennsylvania  Entered:2014-10-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: Patient will be getting a myoglobin test.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUC3: INFLUENZA (SEASONAL) (FLUCELVAX)NOVARTIS VACCINES AND DIAGNOSTICS011031A IMRA
Administered by: Public     Purchased by: Private
Symptoms: Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad)
Write-up: Pain beginning at the deltoid for 1 week, and then radiating down the arm for 2 additional weeks.

VAERS ID:547397 (history)  Vaccinated:2014-10-08
Age:40.0  Onset:2014-10-08, Days after vaccination: 0
Gender:Female  Submitted:2014-10-10, Days after onset: 2
Location:Virginia  Entered:2014-10-10
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: Heart murmur at birth, allergy to Sulfas
Diagnostic Lab Data: EKG- showed sinus brady with a 1st degree AV block
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU5036AA1IMRA
Administered by: Public     Purchased by: Other
Symptoms: Atrioventricular block first degree, Chest pain, Electrocardiogram abnormal, Neck pain, Pain in jaw, Sinus bradycardia
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Disorders of sinus node function (narrow), Conduction defects (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Osteonecrosis (broad), Arthritis (broad)
Write-up: Chest pain that radiated to right side of neck and jaw, EKG done. No treatment needed.

VAERS ID:547443 (history)  Vaccinated:2014-09-24
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:2014-10-10
Location:California  Entered:2014-10-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS145401 IMLA
Administered by: Other     Purchased by: Unknown
Symptoms: Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad)
Write-up: Severe sore arm that last more than 1 week.

VAERS ID:547457 (history)  Vaccinated:2014-10-10
Age:40.0  Onset:2014-10-10, Days after vaccination: 0
Gender:Female  Submitted:2014-10-10, Days after onset: 0
Location:Kentucky  Entered:2014-10-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Effexor XR, Famotadine, lithium, Seroquel, Synthroid
Current Illness: None
Preexisting Conditions: Morphine, sulfa, penicillin, Keflex, balsam (topical)
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER  SCLA
Administered by: Unknown     Purchased by: Private
Symptoms: Burning sensation, Dizziness, Feeling hot, Hypoaesthesia, Injection site pain, Nausea, Neck pain, Paraesthesia, Pruritus, Throat irritation, Visual impairment
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypersensitivity (broad), Arthritis (broad)
Write-up: Burning from injection site down to the inside of the bend of my elbow. Got up to let the staff know and had hot shooting pain up my neck. Then I was dizzy and felt faint and like I was going to vomit. The staff took me to the back and the doctor checked me out. During this time I was unable to see anything but shadows. My vision returned in about 10 minutes. I continued with numbness and tingling and was discharged home. It is now 2054 and I am still having symptoms. It feels like what is under my skin is on fire and the itchy. It is miserable. At times my lungs, heart, and intestines have felt as if they have been burned. My throat feels like a swallowed acid. I hope this ends soon.

VAERS ID:547621 (history)  Vaccinated:2014-10-11
Age:40.0  Onset:2014-10-11, Days after vaccination: 0
Gender:Male  Submitted:2014-10-13, Days after onset: 2
Location:Ohio  Entered:2014-10-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Magnesium 500mg vitamin
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED 1IMLA
Administered by: Public     Purchased by: Other
Symptoms: Chills, Dizziness, Headache, Rash, Rash erythematous
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: Cold chills, headache, lightheaded, red rash on abdominal area front and back.

VAERS ID:550683 (history)  Vaccinated:2014-10-07
Age:40.0  Onset:2014-10-07, Days after vaccination: 0
Gender:Female  Submitted:2014-10-13, Days after onset: 6
Location:Iowa  Entered:2014-10-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None we are aware of.
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUI189AE1UNRA
Administered by: Other     Purchased by: Other
Symptoms: Burning sensation, Chest discomfort, Eye swelling, Pain, Rash, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Peripheral neuropathy (broad), Hypersensitivity (narrow)
Write-up: Patient had swelling of her eyes 1 hour after getting vaccine. Later went to ER due to developing hives, rash, pain, burning of face and heaviness of chest. Treated Kw/ prednisone, PEPCID, and hydroxyzine. She was feeling better and rash going away the next day.

VAERS ID:552166 (history)  Vaccinated:2014-10-02
Age:40.0  Onset:0000-00-00
Gender:Male  Submitted:2014-10-08
Location:Wisconsin  Entered:2014-10-15, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS145623 SYRLA
Administered by: Military     Purchased by: Military
Symptoms: Unevaluable event
SMQs:
Write-up: None Noted

VAERS ID:548286 (history)  Vaccinated:2014-04-06
Age:40.0  Onset:2014-08-15, Days after vaccination: 131
Gender:Male  Submitted:2014-10-16, Days after onset: 62
Location:California  Entered:2014-10-16
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: Symptom free Ulcerative Colitis
Diagnostic Lab Data: I''m not one to run to the hospital, so with the care of NDs and MDs, over the course of 2 years, I''m back on track. Glad to share testing I have had.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER  SYRAR
HPVX: HPV (NO BRAND NAME)UNKNOWN MANUFACTURER  SYRAR
Administered by: Unknown     Purchased by: Private
Symptoms: Activities of daily living impaired, Amnesia, Asthenia, Cognitive disorder, Disability, Major depression, Nervous system disorder
SMQs:, Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Depression (excl suicide and self injury) (narrow)
Write-up: Significant cognitive decline, brain loss, memory loss, massive energy decline making getting out of bed a difficult proposition. Major depression. Looked into lawsuit, disability, etc.

VAERS ID:548411 (history)  Vaccinated:2014-10-16
Age:40.0  Onset:2014-10-16, Days after vaccination: 0
Gender:Female  Submitted:2014-10-17, Days after onset: 1
Location:Georgia  Entered:2014-10-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pharmacist has lot number and manufacturer (I wasn''t given a copy of it. I take: Dilaudid 8mg, Phenergan 25mg, Fentanyl 50mcg patch, Valium 10mg, multivitamin, pericolace, Keppra, Lamictal, levobuterol nebulizer (had not taken prior to palp
Current Illness: History of asthma, mitral valve;tricuspid; aortic regurgitation. mitral valve prolapse, botox injections for laryngeal spasms, seizures
Preexisting Conditions: Allergies: Darvocet, IVP dye, Gastrograffin (oral contrast), fish/shellfish, lima beans, melons, nuts, ultram, doxycycline
Diagnostic Lab Data: None. I am a RN and performed carotid massage and heart rate slowed to upper nineties. I had to repeat frequently throughout the night. I don''t have the funds to go to the emergency room, the feeling of pressure and palpitations went away after approx. two hours after carotid massage (performed on and off), the feeling of fainting stopped as well. I just am left with a feeling ill; feeling "off?" just not feeling good. if not improved by morning will go to regular physician. I have had multiple flu vaccines and pneumonia vaccines with none of the symptoms listed above before.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  IMRA
Administered by: Other     Purchased by: Other
Symptoms: Carotid sinus massage, Disorientation, Dizziness, Dyspnoea, Feeling abnormal, Malaise, Palpitations, Sensation of pressure, Tachycardia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Vestibular disorders (broad)
Write-up: Tachycardia (112-120 bpm) palpitations, shortness of breath, feeling faint, slightly disoriented.

VAERS ID:548594 (history)  Vaccinated:2014-10-15
Age:40.0  Onset:2014-10-15, Days after vaccination: 0
Gender:Female  Submitted:2014-10-17, Days after onset: 2
Location:Ohio  Entered:2014-10-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: sever chills~Influenza (Seasonal) (Fluzone Quadrivalent)~~39.25~Patient
Other Medications: Bactrim PO BID (dosage unavailable when client called) She was on the "last 2 days and feeling better"
Current Illness: Mastitis and on last 2 days of Bactrim which was taken PO BID
Preexisting Conditions: As above
Diagnostic Lab Data: N/A
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEURUI172AA1IMRA
Administered by: Public     Purchased by: Private
Symptoms: Chills, Malaise, Nausea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Nausea, chills times 6 hours in duration, fever of 102 degrees, vomiting x1. Client experienced chills after last yrs flu vaccine. On day 3 her fever is now absent but nausea and malaise persist.

VAERS ID:548707 (history)  Vaccinated:2014-10-16
Age:40.0  Onset:2014-10-17, Days after vaccination: 1
Gender:Male  Submitted:2014-10-18, Days after onset: 1
Location:Unknown  Entered:2014-10-18
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 INTRADERMAL)SANOFI PASTEUR 0IDLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Chills, Headache, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Severe chills, mild-to-moderate fever, muscle aches, joint aches, mild headache.

VAERS ID:548721 (history)  Vaccinated:2003-01-29
Age:40.0  Onset:2003-01-30, Days after vaccination: 1
Gender:Female  Submitted:2014-10-18, Days after onset: 4278
Location:California  Entered:2014-10-18
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Chronic diarrhea began.
Preexisting Conditions:
Diagnostic Lab Data: Pt file with Dr''s. office
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
IPV: POLIO VIRUS, INACT. (POLIOVAX)SANOFI PASTEURU14281SCLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0292M3SCRA
Administered by: Public     Purchased by: Private
Symptoms: Diarrhoea
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Chronic diarrhea began and has not yet stopped.

VAERS ID:548725 (history)  Vaccinated:2014-10-02
Age:40.0  Onset:2014-10-02, Days after vaccination: 0
Gender:Female  Submitted:2014-10-18, Days after onset: 16
Location:California  Entered:2014-10-18
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: No
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 1IMLA
Administered by: Public     Purchased by: Other
Symptoms: Diplegia, Hypoaesthesia, Immediate post-injection reaction, Paraesthesia, Presyncope, VIIth nerve paralysis
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: Numbness, tingling immediately after vaccine within about 15 minutes. Then, on 10/16/2014 experienced near fainting and paralysis in arms, legs and face.

VAERS ID:548913 (history)  Vaccinated:2014-10-14
Age:40.0  Onset:2014-10-15, Days after vaccination: 1
Gender:Male  Submitted:2014-10-18, Days after onset: 3
Location:Ohio  Entered:2014-10-18
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: Neuropathy
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1412401 IMUN
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.K009809 IMLA
Administered by: Other     Purchased by: Public
Symptoms: Local swelling, Mobility decreased
SMQs:, Angioedema (broad), Parkinson-like events (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad)
Write-up: Patient states cannot lift arm above shoulder, swelling around shoulder. Pt has iced/taken TYLENOL with no improvement.

VAERS ID:548936 (history)  Vaccinated:2014-10-19
Age:40.0  Onset:2014-10-19, Days after vaccination: 0
Gender:Female  Submitted:2014-10-20, Days after onset: 1
Location:Arizona  Entered:2014-10-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: Exercise induced asthma, tachycardia
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEUR  IDLA
Administered by: Public     Purchased by: Private
Symptoms: Dyspnoea, Headache, Swelling
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)
Write-up: Shortness of breath, 90 O2 SAT, headache, puffiness (3-12 hrs).

VAERS ID:549635 (history)  Vaccinated:2014-10-03
Age:40.0  Onset:2014-10-04, Days after vaccination: 1
Gender:Male  Submitted:2014-10-20, Days after onset: 16
Location:Puerto Rico  Entered:2014-10-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Allergic to ASA; Hx of High Blood pressure
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEURUT4992BA0IDAR
Administered by: Other     Purchased by: Private
Symptoms: Arthralgia, Injection site reaction, Local reaction, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Skin eruption in neck (left side) - (10/20/2014). Day after immunization presented arthralgia local reaction in injection site. (10/04/2014).

VAERS ID:549679 (history)  Vaccinated:2014-10-15
Age:40.0  Onset:2014-10-16, Days after vaccination: 1
Gender:Female  Submitted:2014-10-20, Days after onset: 4
Location:Arkansas  Entered:2014-10-20
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) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1414001 IMUN
Administered by: Other     Purchased by: Private
Symptoms: Erythema, Pruritus, Rash, Skin irritation, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Hives, itchiness, rash, red and irritated and spreading

VAERS ID:549235 (history)  Vaccinated:2014-10-16
Age:40.0  Onset:2014-10-18, Days after vaccination: 2
Gender:Female  Submitted:2014-10-22, Days after onset: 4
Location:South Carolina  Entered:2014-10-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: I have received the seasonal flu vaccine for the past several years, and have never had an adverse reaction. I believe that this is the first time I have ever received it intradermally - usually it was intramuscular in the past. I had not
Current Illness: None that I was aware of.
Preexisting Conditions: I am on a daily dose of Tamoxifen, since I had breast cancer in 2011.
Diagnostic Lab Data: I visited my primary care physician on Monday, Oct. 20 and was diagnosed with shingles, and placed on antiviral medication.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEURUT4992BA0IDLA
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Herpes zoster, Pain in extremity, Pain of skin, Rash, Rash erythematous
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: When I woke up on Saturday morning, I noticed that there were several red bumps on the lower right side of my back. At first I just thought that they were bug bites, but upon closer inspection realized that it was a rash. I also had pain in my right hip and upper thigh, and it was strange - just touching the skin hurt.

VAERS ID:549242 (history)  Vaccinated:2014-10-06
Age:40.0  Onset:2014-10-06, Days after vaccination: 0
Gender:Female  Submitted:2014-10-22, Days after onset: 16
Location:West Virginia  Entered:2014-10-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid, Clestipol, Ursodiol
Current Illness: None Known
Preexisting Conditions: Pt. has hypothyroid since 1997. Was diagnosed with PSC and possible overlap syndrome in 2012.She has elevated liver enzymes.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEURUI192AB IMRA
Administered by: Public     Purchased by: Private
Symptoms: Eye swelling, Lip swelling, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: About an hour after the patient had flu shot she began itching but she said she didn''t think anything about it because she itches alot due to the PSC. Then her lips began to swell and her eyes. She also had whelps all over her body. She went to urgent care and they put her on steroids and Atarax and told her to take OTC Zyrtec and Zantac (double dose twice a day). The whelps lingered for about 3-4 days.

VAERS ID:553559 (history)  Vaccinated:2014-09-18
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:2014-10-22
Location:Unknown  Entered:2014-10-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: US2014002739
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS4LY24 IMLA
Administered by: Other     Purchased by: Other
Symptoms: Exposure during pregnancy
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: This prospective pregnancy case was reported by a consumer via call center representative and described the occurrence of vaccine administration during pregnancy in a 40-year-old female patient who received BOOSTRIX. On 18th September 2014, the patient received BOOSTRIX. The patient''s last menstrual period was on an unknown date and estimated date of delivery was 15th December 2014. The patient received BOOSTRIX at week 27 of the pregnancy and during the second trimester of pregnancy. On an unknown date, 1 days after receiving BOOSTRIX, the patient experienced vaccine administration during pregnancy. On an unknown date, the outcome of the vaccine administration during pregnancy was unknown. The pregnancy was ongoing. It was unknown if the reporter considered the vaccine administration during pregnancy to be related to BOOSTRIX. Additional details: Caller reports that she received the BOOSTRIX vaccine while pregnant. Estimated date of delivery is 12/15/2014, it was administered at 27 weeks gestation. Lot and expiration date were unknown. No AEs reported.

VAERS ID:549392 (history)  Vaccinated:2014-10-08
Age:40.0  Onset:0000-00-00
Gender:Male  Submitted:2014-10-23
Location:Maryland  Entered:2014-10-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ALLOPURINOL 100MG TAB TAKE ONE TABLET EVERY DAY ACTIVE FOR GOUT OR KIDNEY STONES. ATORVASTATIN 20MG TAB (LIPITOR) TAKE ONE-HALF TABLET ACTIVE (S) EVERY DAY FOR CHOLESTEROL. COLCHICINE 0.6MG TAB TAKE ONE TABLET EVERY DAY FOR ACT
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Further tests have been ordered.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDT50507 IMRA
Administered by: Other     Purchased by: Public
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: Pain at right shoulder injection site during injection. Persistent right shoulder pain pain at site over 2 weeks after injection. Subjective right shoulder/arm weakness.

VAERS ID:549438 (history)  Vaccinated:2014-10-22
Age:40.0  Onset:2014-10-22, Days after vaccination: 0
Gender:Female  Submitted:2014-10-23, Days after onset: 1
Location:Ohio  Entered:2014-10-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid 88mg; Cytomel .5 Brand was Novartis Fluvirin provided in left deltoid.
Current Illness: NONE
Preexisting Conditions: Hypothyroidism
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1412001 UNLA
Administered by: Public     Purchased by: Other
Symptoms: Dizziness, Hyperhidrosis, Pallor, Paraesthesia, Presyncope
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Broke out into sweat. Almost passed out. Dizzy. Pale. Spacy feeling. Tingling in arms and legs.

VAERS ID:549774 (history)  Vaccinated:2014-10-13
Age:40.0  Onset:2014-10-13, Days after vaccination: 0
Gender:Female  Submitted:2014-10-16, Days after onset: 3
Location:Kentucky  Entered:2014-10-23, 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: SYNTHROID; Estrace
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1463040IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Local swelling, Paraesthesia, Sensation of heaviness
SMQs:, Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Swollen left axilla and portion left breast. Heaviness in arm and tingling fingers. Lasted for 5 days. Treatment : Warm soaks applied to axilla.

VAERS ID:549827 (history)  Vaccinated:2014-09-16
Age:40.0  Onset:2014-09-16, Days after vaccination: 0
Gender:Female  Submitted:2014-10-23, Days after onset: 37
Location:Louisiana  Entered:2014-10-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS14116010UNLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Pain to (Lt) deltoid that has continued for 5 weeks. Informed to see physician.

VAERS ID:549687 (history)  Vaccinated:2014-10-15
Age:40.0  Onset:2014-10-16, Days after vaccination: 1
Gender:Female  Submitted:2014-10-24, Days after onset: 8
Location:Georgia  Entered:2014-10-24
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: NO
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.K0029270SCLA
Administered by: Public     Purchased by: Private
Symptoms: Body temperature increased, Erythema, Injection site erythema, Injection site swelling, Injection site warmth, Local swelling, Skin warm
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: SYMPTOMS BEGAN ONE DAY AFTER VACCINE WAS GIVEN. CLIENT RETURNED TO HEALTH DEPARTMENT TWO DAYS AFTER VACCINE WAS ADMINISTERED. THE BACK OF THE LEFT ARM WAS RED, SWOLLEN AND WARM TO TOUCH. THE AREA EXTENDED ABOVE AND BELOW THE INJECTION SITE AND COVERED A LARGE PORTION OF THE ARM. THE CENTER OF THE REDNESS WAS QUARTER SIZED WITH DRIED DRAINAGE PRESENT. TEMP WS TAKEN AND WAS 99F. INSTRUCTED BY NURSES TO SEEK FOLLOW UP WITH PHYSICIAN.

VAERS ID:550244 (history)  Vaccinated:2014-10-20
Age:40.0  Onset:2014-10-20, Days after vaccination: 0
Gender:Female  Submitted:2014-10-27, Days after onset: 7
Location:Texas  Entered:2014-10-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUI185AA UNLA
Administered by: Other     Purchased by: Private
Symptoms: Oral pruritus
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)
Write-up: C/o itching around her mouth approx 10 min after receiving 1st flu vaccine BENADRYL 50 mg and ZANTAC 150 mg given PO - s/s improved within 30 min.

VAERS ID:550250 (history)  Vaccinated:2014-09-20
Age:40.0  Onset:2014-09-20, Days after vaccination: 0
Gender:Male  Submitted:2014-10-18, Days after onset: 28
Location:Oregon  Entered:2014-10-27, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft, Zocor, Percocet, Clonidine, Adderall, Proscar, Motrin, Levoxyl
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS145204 IMRA
Administered by: Other     Purchased by: Other
Symptoms: Mobility decreased, Muscular weakness, Musculoskeletal pain, Pain, Pain in extremity, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Tendinopathies and ligament disorders (broad)
Write-up: The evening after receiving the shot my shoulder was very sore. By morning my entire arm was sore and throbbing. The pain is now constant in my upper arm and shoulder and has a throbbing sore feeling. I can't raise my arm over my head. Also have tingling in hand and wrist. Arm feels a little weak and has not improved over past month.

VAERS ID:551267 (history)  Vaccinated:2014-10-15
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:2014-10-15
Location:Colorado  Entered:2014-10-28, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Oxycodone HCl; Fish oil; Citalopram HBR; LIDODERM; VOLTAREN
Current Illness:
Preexisting Conditions: Degenerative disc disease, cervical; Depression; Fatty liver on CT Scan 3/2013; GAD (generalized anxiety disorder); Headache
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEURU1212AA1IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Incorrect dose administered
SMQs:
Write-up: Given decreased dose than recommended by manufacturer.

VAERS ID:551469 (history)  Vaccinated:2014-10-15
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:2014-10-15
Location:Colorado  Entered:2014-10-28, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: DIFLUCAN; Glyburide; Prenatal vitamins; Ferrous Sulfate; Contour; Lancets: Fluoxetine HCl
Current Illness:
Preexisting Conditions: Chronic Problem: Anemia; Depressive disorder, NOS; Hypertension, benign
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEURUI212AA1IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Incorrect storage of drug
SMQs:
Write-up: Given decreased dose than recommended by manufacturer.

VAERS ID:550863 (history)  Vaccinated:2014-10-27
Age:40.0  Onset:2014-10-27, Days after vaccination: 0
Gender:Female  Submitted:2014-10-29, Days after onset: 2
Location:Wyoming  Entered:2014-10-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lamictal; Omerprazole
Current Illness: Unknown
Preexisting Conditions: Pt has history of Hepatitis C with chronic liver disease and bipoloar disorder.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUI198AC IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.K0100161IMLA
Administered by: Public     Purchased by: Private
Symptoms: Erythema, Injection site haematoma, Oedema, Pain in extremity
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad)
Write-up: Left arm pain and redness. Edema. Diagnosed with injection site hematoma.

VAERS ID:550864 (history)  Vaccinated:2014-10-27
Age:40.0  Onset:2014-10-28, Days after vaccination: 1
Gender:Female  Submitted:2014-10-29, Days after onset: 1
Location:Michigan  Entered:2014-10-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: 10 mg Lexapro daily
Current Illness: No illnesses
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 0IMRA
Administered by: Other     Purchased by: Private
Symptoms: Activities of daily living impaired, Arthralgia, Drug administered at inappropriate site, Musculoskeletal pain, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Dementia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Pain in right shoulder. Hurts to lift arm over head. Hurts to lift arm out to the side. Tried to throw a ball for my dog and couldn''t throw very far at all. Painful shoulder joint. Injection site of influenza immunization is very high up on my right arm just below my shoulder joint.

VAERS ID:551237 (history)  Vaccinated:2014-10-27
Age:40.0  Onset:2014-10-27, Days after vaccination: 0
Gender:Female  Submitted:2014-10-31, Days after onset: 4
Location:Virginia  Entered:2014-10-31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: N/A
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEURUI196AB1IMRA
Administered by: Public     Purchased by: Private
Symptoms: Feeling abnormal, Injection site erythema, Injection site nodule, Injection site pain, Injection site pruritus, Insomnia, Muscle tightness, Myalgia, Nodule, Restlessness
SMQs:, Rhabdomyolysis/myopathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Akathisia (broad), Dystonia (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: Pt reports within an hour of receiving the vaccine she noticed tightness, tenderness and a knot developing in the muscle. Reports just "felt bad", restless all night and couldn''t sleep. On 10/28/14, she noticed a large knot, redness, itching and tenderness at injection site. By 10/31/14 knot is smaller with occasional itching.

VAERS ID:551374 (history)  Vaccinated:2014-09-30
Age:40.0  Onset:2014-09-30, Days after vaccination: 0
Gender:Female  Submitted:2014-10-31, Days after onset: 31
Location:Unknown  Entered:2014-10-31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUI189AB IMRA
Administered by: Unknown     Purchased by: Private
Symptoms: Cellulitis, Erythema, Skin warm
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Warm and spreading redness-treated for cellulitis.

VAERS ID:551907 (history)  Vaccinated:2014-11-04
Age:40.0  Onset:2014-11-04, Days after vaccination: 0
Gender:Female  Submitted:2014-11-05, Days after onset: 1
Location:Kansas  Entered:2014-11-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUC3: INFLUENZA (SEASONAL) (FLUCELVAX FOREIGN (OPTAFLU)NOVARTIS VACCINES AND DIAGNOSTICS161211 IM 
Administered by: Public     Purchased by: Public
Symptoms: Blood pressure increased, Dysgeusia, Nausea, Paraesthesia oral
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow)
Write-up: 15 minutes after injection, subject had weird taste in mouth, tongue got tingly, nauseated, BP increased 40 points.

VAERS ID:551998 (history)  Vaccinated:2014-10-07
Age:40.0  Onset:2014-10-07, Days after vaccination: 0
Gender:Female  Submitted:2014-11-04, Days after onset: 28
Location:Unknown  Entered:2014-11-05, 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: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: PHEH2014US021615
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1412001 IMUN
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Pyrexia, Urticaria, Vaccination site pain, Vaccination site swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Case number PHEH2014US021615 is an initial spontaneous report received from a pharmacist on 24 Oct 2014. This report refers to a 40 years old female patient. Her medical history and concomitant medications were not reported. She was vaccinated with FLUVIRIN (batch number: 1412001) intramuscularly on 07 Oct 2014. It was reported that on the same day shortly after vaccination, she started experiencing hives all over her body, low grade fever, pain and swelling at the vaccination site and pain in her joints. She went to emergency room for the symptoms and also visited her personal MD on 24 Oct 2014. The events outcome was reported as unknown. The seriousness of the event was not reported, but was upgraded internally based on information available in the source documents. The causality of the events was not reported.

VAERS ID:552210 (history)  Vaccinated:2014-09-29
Age:40.0  Onset:2014-09-30, Days after vaccination: 1
Gender:Male  Submitted:2014-11-05, Days after onset: 36
Location:Texas  Entered:2014-11-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Pain in Left Arm~Influenza (Seasonal) (AFLURIA)~~40.67~Patient
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDT572050IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Activities of daily living impaired, Arthralgia, Hypoaesthesia, Impaired work ability, Loss of employment, Mobility decreased, Musculoskeletal pain, Neck pain
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: It start that night, I had numbness on my fingers, sharp shocking pain on shoulder, neck and elbow. It was so painful I could barely move my arm I missed work for two days, it seemed to go away but on Sunday November the 5th the pain came back I wasn''t able to work for three straight days. I went back to pharmacy and they didn''t offer a solution but to go to a physician the lady didn''t even believe for one minute the flu shot would cause that kind of pain even though I had never had any pain in arm what so ever in my life, she was very defensive about it even though I was in a lot of pain. I went to see a doctor and he continued saying there is no way the shot could cause that kind of pain at this point I had missed a lot of days at work because everything from dressing to driving was a challenge he did give me two medications, meloxicam & methylpred after one day the pain went away but came back two days after using all the medication, I missed more days at work as this time I felt like someone had hit me with a 2*4 on my arm neck and shoulder. I was in the process of seeking further medical attention but due to the fact I was a new hire, no insurance and only three paychecks with a lot of missed time I wasnt able to come up with an immediate solution. They said I had missed to many days and FIRED ME, I took the flu shot because it was required by the job, I had never had a flu shot before I took it because of the requirement, otherwise I had no intentions of getting one.

VAERS ID:554695 (history)  Vaccinated:2014-10-22
Age:40.0  Onset:2014-10-24, Days after vaccination: 2
Gender:Female  Submitted:2014-10-27, Days after onset: 3
Location:California  Entered:2014-11-05, 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: Unk
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.J0081701SCLA
Administered by: Public     Purchased by: Private
Symptoms: Erythema, Local swelling, Skin warm
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: PT had large, red, warm, raised area.

VAERS ID:552455 (history)  Vaccinated:2014-10-22
Age:40.0  Onset:2014-10-23, Days after vaccination: 1
Gender:Male  Submitted:2014-11-06, Days after onset: 14
Location:Florida  Entered:2014-11-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None reported
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALS2JK3T1IMLA
Administered by: Other     Purchased by: Other
Symptoms: Chills, Fatigue, Nasal ulcer, Stomatitis
SMQs:, Severe cutaneous adverse reactions (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad)
Write-up: Began with feeling run down, then began with hard chills, developed mouth and nares sores. Saw MD and received Azithromax, Cephalexin for the mouth and nares sores.

VAERS ID:552668 (history)  Vaccinated:2014-10-20
Age:40.0  Onset:2014-10-22, Days after vaccination: 2
Gender:Female  Submitted:2014-11-03, Days after onset: 12
Location:New Jersey  Entered:2014-11-07, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: CBC, CMP, CU, CUMB
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUI196AB IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Asthenia, Blood creatine phosphokinase MB, Blood creatinine, Chills, Cough, Ear pain, Full blood count, Hypoaesthesia, Metabolic function test, Muscle spasms, Muscular weakness, Otitis media, Upper respiratory tract infection
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad)
Write-up: 10/22/14 chills, 10/24 weakness. 10/26 numbness and weakness in arms and spasms in legs. Went to ED and was treated with IV fluids and CBC and CMP and CU/CUMB done. 10/30/14 went to ED again for temperature, cough and ear pain and then diagnosed with URI. 11/3/14 reported all about to occupational medicine and rx for otitis media amoxicillin - arm numbness had resolved by then.

VAERS ID:552706 (history)  Vaccinated:2014-10-17
Age:40.0  Onset:2014-10-21, Days after vaccination: 4
Gender:Female  Submitted:2014-11-07, Days after onset: 17
Location:Minnesota  Entered:2014-11-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Upper Respiratory Infection~Influenza (Seasonal) (no brand name)~~0.00~Patient
Other Medications: Multivitamin
Current Illness: No
Preexisting Conditions: Psoriasis
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS5SR2L0IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Asthenia, Joint range of motion decreased, Pain in extremity
SMQs:, Guillain-Barre syndrome (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Arm soreness, weakness, decreased range of motion. Intermittent.

VAERS ID:552998 (history)  Vaccinated:2014-10-19
Age:40.0  Onset:2014-10-19, Days after vaccination: 0
Gender:Female  Submitted:2014-11-05, Days after onset: 17
Location:Kansas  Entered:2014-11-11, 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: Unknown
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)SANOFI PASTEURU5063BA0IMRA
Administered by: Other     Purchased by: Public
Symptoms: Musculoskeletal pain
SMQs:, Rhabdomyolysis/myopathy (broad), Tendinopathies and ligament disorders (broad)
Write-up: Shoulder pain - started 2 hours after administration and continuing (2 weeks later).

VAERS ID:555652 (history)  Vaccinated:2014-10-28
Age:40.0  Onset:2014-10-28, Days after vaccination: 0
Gender:Female  Submitted:2014-11-11, Days after onset: 14
Location:Unknown  Entered:2014-11-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Herpes zoster
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1410USA015423
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Drug administered to patient of inappropriate age, No adverse event
SMQs:
Write-up: This spontaneous report as received from a pharmacist via a field representative refers to a 40 year old female patient. No information about medical history, concurrent conditions was reported. On 28-OCT-2014 the patient was vaccinated with ZOSTAVAX (lot#, dose, route not reported). No concomitant medications were reported. The pharmacist reported to the representative that the patient had requested to receive ZOSTAVAX because she has experienced shingles prior to receiving ZOSTAVAX. The representative states that the patient has not experienced shingles since she received ZOSTAVAX. No adverse experience was reported. There was no product quality complaint. Additional information has been requested.

VAERS ID:555695 (history)  Vaccinated:2011-06-09
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:2014-11-12
Location:Ohio  Entered:2014-11-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: Anti-HBs antibody negative, negative
CDC Split Type: A1080481A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB223CA2SYRUN
Administered by: Public     Purchased by: Public
Symptoms: Hepatitis B antibody negative, Latent tuberculosis, No therapeutic response
SMQs:, Lack of efficacy/effect (narrow)
Write-up: This case was reported by a healthcare professional via other manufacturer (Merck) and described the occurrence of antibody nos negative in a female subject of hepatitis b antibody negative in a 43-year-old female subject who was vaccinated with TWINRIX (GlaxoSmithKline). In 2010-2011, the subject completed the TWINRIX series (1st, 2nd and 3rd doses; unknown route and injection site; lot number not provided). At an unspecified time after vaccination with TWINRIX, the subject performed serological testing which showed her titer negative. The subject had not responded to therapy. On 19 June 2014, the subject started a treatment with isoniazid for latent tuberculosis and on the same day she also received the second round of hepatitis B series with ENGERIX-B. At the time of reporting the outcome of the events was unspecified. No additional details were provided. Follow-up information received on 18 August 2014: Subject''s details were provided. Subject''s previous vaccination went uncomplicated. On 3 September 2010, 1 October 2010 and 9 June 2011, the subject received 1st, 2nd and 3rd doses of TWINRIX (1 cc, unknown injection site) administered per schedule. At an unspecified time after vaccination with TWINRIX, the subject experienced hepatitis b antibody negative. As an incidental finding, latent tuberculosis was diagnosed at the same time as the non-responding to hepatitis B therapy. The subject was traveling to a foreign country due to her work. The hepatitis B series was repeated. At the time of reporting the events were unresolved.

VAERS ID:555871 (history)  Vaccinated:2014-11-06
Age:40.0  Onset:2014-11-08, Days after vaccination: 2
Gender:Male  Submitted:2014-11-13, Days after onset: 5
Location:Texas  Entered:2014-11-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ADDERALL; testosterone
Current Illness: Unknown
Preexisting Conditions: Herpes zoster; Varicella
Diagnostic Lab Data:
CDC Split Type: WAES1411USA005830
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.K002921 SCUN
Administered by: Other     Purchased by: Other
Symptoms: Blister, Pruritus, Varicella post vaccine
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: This spontaneous report as received from a 40 year old male patient (who is also a company representative) refers to himself. The patient''s medical history included chickenpox twice and shingles. On 06-NOV-2014 the patient was vaccinated with VARIVAX (Merck) subcutaneous (lot number reported as: K002921, dose, units, anatomical location were not reported). Concomitant therapies included ADDERALL and testosterone shot. On 08-NOV-2014, the patient experienced blisters on the arm, trunk and legs, and itchiness on the trunk after receiving VARIVAX (Merck). The patient''s symptoms have been confirmed as the chickenpox at that time. There was no treatment given for the adverse event. The patient did not seek medical attention. The outcome of event was reported as not recovered. The relatedness between the event and VARIVAX (Merck) was not reported. Additional information has been requested.

VAERS ID:555877 (history)  Vaccinated:2014-10-29
Age:40.0  Onset:2014-10-31, Days after vaccination: 2
Gender:Male  Submitted:2014-11-13, Days after onset: 13
Location:Maryland  Entered:2014-11-13
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:
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (NO BRAND NAME)UNKNOWN MANUFACTURER  UNLA
Administered by: Military     Purchased by: Military
Symptoms: Cellulitis, Injection site erythema, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Pt. received varicella vaccine on 10/29/14, came to clinic c/o redness and warmth the injection site ((L) deltoid) treated for cellulitis.

VAERS ID:556128 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:2014-11-01
Gender:Male  Submitted:2014-11-14, Days after onset: 13
Location:California  Entered:2014-11-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ibuprofen
Current Illness: Drug hypersensitivity
Preexisting Conditions: Penicillin (unspecified): Drug hypersensitivity
Diagnostic Lab Data: White blood cell count (November 2014)-high (increased); Antibody titer for varicella (November 2014)-negative
CDC Split Type: WAES1411USA002945
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 0SCUN
Administered by: Other     Purchased by: Other
Symptoms: Antibody test negative, Inappropriate schedule of drug administration, White blood cell count increased
SMQs:, Neuroleptic malignant syndrome (broad)
Write-up: This spontaneous report was received from a physician and it refers to a 40 year old male patient. The patient had no pertinent medical history. It was reported that the patient had allergy to penicillin. On an unspecified date, reported as "possibly in 2008", the patient was vaccinated with (Oka/Merck) VARIVAX 1350U (dose, lot#, exp. date, route of administration and anatomical location were not reported), 3 years apart from the first vaccination he received the received the second dose of (Oka/Merck) VARIVAX (dose, lot#, exp.date, route of administration and anatomical location were not reported). Concomitant medications included ibuprofen taken as needed. On an unspecified date, approximately in November 2014 (reported as "now") the patient had a negative titer for varicella and high white blood cell count. No treatment was given for the adverse events, the patient was referred to a hematologist. The outcomes of the events were not reported. The relatedness between vaccination with (Oka/Merck) VARIVAX and the events was not reported. Additional information has been requested.

VAERS ID:556195 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Unknown  Submitted:2014-11-15
Location:Unknown  Entered:2014-11-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1411USA005204
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  SCUN
Administered by: Other     Purchased by: Other
Symptoms: Unevaluable event
SMQs:
Write-up: This spontaneous report as received from a pharmacist via company representative refers to a patient of unknown gender and of about 40 year old (reported as "about age 40 years"). On unspecified date in 1994 (also reported as "20 years ago"), the patient was vaccinated with a dose of ZOSTAVAX (dose, route, lot # were not reported). There were no concomitant medications. No adverse effect were reported. Additional information has been requested.

VAERS ID:554149 (history)  Vaccinated:2014-11-14
Age:40.0  Onset:2014-11-14, Days after vaccination: 0
Gender:Female  Submitted:2014-11-17, Days after onset: 3
Location:Texas  Entered:2014-11-17
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: No
Diagnostic Lab Data: Allergies rxn
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1466231IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.K0091061IMRA
Administered by: Other     Purchased by: Private
Symptoms: Hypersensitivity, Local swelling
SMQs:, Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Swollen arm ($g 2 times its size).

VAERS ID:554263 (history)  Vaccinated:2014-09-18
Age:40.0  Onset:2014-09-18, Days after vaccination: 0
Gender:Female  Submitted:2014-11-18, Days after onset: 61
Location:Michigan  Entered:2014-11-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None known
Preexisting Conditions: None known
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEURUI187AB8IMLA
Administered by: Public     Purchased by: Other
Symptoms: Dyspnoea, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Developed hives on elbow and knee joints. Some shortness of breath. Treated with inhaler and Benadryl.

VAERS ID:554390 (history)  Vaccinated:2014-11-12
Age:40.0  Onset:2014-11-12, Days after vaccination: 0
Gender:Female  Submitted:2014-11-18, Days after onset: 6
Location:Indiana  Entered:2014-11-18
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: Allergy to flu; allergy to tetanus
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR 2IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Excoriation, Injection site rash, Injection site urticaria, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Accidents and injuries (broad), Hypersensitivity (narrow)
Write-up: Rash at injection site that turned into hives on left arm, face, left side of neck, left side shoulder, abdomen, and legs. Started taking Benadryl 50mg, Pepcid 20 mg, Singulair, Hydrocortisone cream to arm from itching and open abrasions, and shot of Celestone from family MD.

VAERS ID:556578 (history)  Vaccinated:2014-11-04
Age:40.0  Onset:2014-11-04, Days after vaccination: 0
Gender:Male  Submitted:2014-11-10, Days after onset: 6
Location:Ohio  Entered:2014-11-18, 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: Propanolol; Meloxicam
Current Illness: None
Preexisting Conditions: Mitral valve prolapse
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.K0098740IMLA
Administered by: Public     Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Pyrexia, Skin discolouration
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Injection given on Tuesday afternoon. Fever started three hours later, reached 101.5 degrees F. Upper arm injection site turned red. It was hot and very sore. Doctor prescribed antibiotics on Thursday. Fever subsisded on Friday morning. Arm still discolored a week later.

VAERS ID:555014 (history)  Vaccinated:2014-11-11
Age:40.0  Onset:2014-11-13, Days after vaccination: 2
Gender:Female  Submitted:2014-11-20, Days after onset: 7
Location:Unknown  Entered:2014-11-21, 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: Amlodipine; carvedilol; lamiduvine; ondansetron; RENVELA; warfarin; tramadol; zidovudine
Current Illness: Unknown
Preexisting Conditions: HIV test positive; Renal failure chronic; Hypertension; Catheter placement
Diagnostic Lab Data:
CDC Split Type: 2014315590
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHJ90092 IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.K007773 UNRA
Administered by: Private     Purchased by: Other
Symptoms: Cellulitis, Discomfort, Erythema, Injection site pain, Limb discomfort, Local swelling, Pain in extremity, Skin warm, Tenderness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad)
Write-up: This is a spontaneous report from a contactable registered nurse who reported on behalf of a physician. This is second of two reports. A 40-year-old female patient while she was in dialysis clinic received PREVNAR 13 (Lot J90092; Expiration date May 2016; NDC number: 0005197105), intramuscular in right arm on 11Nov2014 approximately 7am at 0.5 ml, single. Medical history included HIV, chronic renal failure and hypertensive, all ongoing. Patient had a catheter in her left arm where she received dialysis. Concomitant medication included PNEUMOVAX 23 (lot K007773 expiry date May2015) on 11Nov2014 in right arm, amlodipine 10mg daily, carvedilol 6.25mg twice a day, lamivudine 150mg daily, ondansetron 4mg as needed, RENVELA three pills of 800mg, four times a day, warfarin 5mg 3 times a week (Tues/Thur/Sat) and 7.5mg 4 times a week (Mon/Wed/Fri/Sun), tramadol 50mg three times a day and zidovudine 300mg daily. She experienced pain with administration of the injection. On 13Nov2014 patient complained of discomfort and cellulitis located below her right elbow. She has applied for Medicaid, but has been denied. Always on 13Nov2014 she developed pain, tenderness, redness, swelling and warmness all in right arm. The outcome of discomfort was unknown, the other events recovered on unknown date.

VAERS ID:555235 (history)  Vaccinated:2013-09-24
Age:40.0  Onset:2013-10-07, Days after vaccination: 13
Gender:Male  Submitted:2014-11-22, Days after onset: 411
Location:Missouri  Entered:2014-11-22
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: Multiple diagnostic tests and lab tests over the course of time. Nerve conduction tests consistent with GBS per neurologist.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT)GLAXOSMITHKLINE BIOLOGICALSDF3KK IMLA
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Diagnostic procedure, Dizziness, Facial paresis, Guillain-Barre syndrome, Laboratory test, Muscle contractions involuntary, Muscular weakness, Nerve conduction studies abnormal, Sensory disturbance, Tinnitus
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Demyelination (narrow), Hearing impairment (narrow), Vestibular disorders (broad)
Write-up: Initial sensory problems in upper extremities and head/face, progressed to weakness and fasciculations, and ultimately involved lower extremities as well as tinnitus and frequent dizziness.

VAERS ID:555294 (history)  Vaccinated:2014-09-16
Age:40.0  Onset:2014-09-16, Days after vaccination: 0
Gender:Female  Submitted:2014-09-18, Days after onset: 2
Location:New York  Entered:2014-11-22, Days after submission: 65
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Drospirenone-ethinyl estradiol
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDT571050IMUN
Administered by: Other     Purchased by: Other
Symptoms: Erythema, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Redness all over lower face and neck and chest 4 hours after injection. At time of injection, swelling after shot. Patient feels fine other than dermatologic reaction. She sent picture to dermatologist-saw nothing to worry. Patient recovered next day.

VAERS ID:555254 (history)  Vaccinated:2014-10-20
Age:40.0  Onset:2014-10-20, Days after vaccination: 0
Gender:Female  Submitted:2014-11-23, Days after onset: 34
Location:Maryland  Entered:2014-11-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Novolog, Synthyroid, Cytomel
Current Illness: No
Preexisting Conditions: IDDM, Hashimoto''s thyroid
Diagnostic Lab Data: MRI
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 24SYRLA
Administered by: Other     Purchased by: Public
Symptoms: Activities of daily living impaired, Arthralgia, Discomfort, Joint range of motion decreased, Nuclear magnetic resonance imaging, Pain in extremity
SMQs:, Dementia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: I felt nothing at the time of injection, but I thought the position of the vaccine was strange (too superior and posterior to be in the belly of my deltoid). When my arm started to ache a few hours later, it was not the same kind of discomfort I''ve experienced with the last 20+ seasonal flu vaccines I''ve received. Instead of getting better, within a few days, I had severe pain in my shoulder joint and profound loss of range of motion, particularly forward elevation and adduction/external rotation. By 10/28, taking 600 mg ibuprofen multiple times/day and in the worst pain of my life (including appendicitis and C-section). I progressed to 800 mg dosage before beginning acupuncture treatments on 11/8. With acupuncture, I am recovering my motion enough to put on my own bra and drive and perform daily activities and I am managing my pain, but I still am uncomfortable and unable to do many of the things I could (such as lifting my toddler over my head) prior to the vaccination. I experienced no injury or other events that lead me to believe that this could be related to something other than the flu vaccination.

VAERS ID:555683 (history)  Vaccinated:2014-10-16
Age:40.0  Onset:2014-10-16, Days after vaccination: 0
Gender:Female  Submitted:2014-11-25, Days after onset: 40
Location:Oregon  Entered:2014-11-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4383AA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Chills, Facial pain, Fatigue, Malaise, Night sweats, Rash
SMQs:, Anaphylactic reaction (broad), Glaucoma (broad), Hypersensitivity (narrow)
Write-up: Fatigue, chills, malaise beginning night of vaccine; getting worse over two weeks and including night sweats. She had a slight rash a few days after vaccine. After two weeks symptoms improved but still fatigued a month later with occasional night sweats. Week 3 developed pain over left eyebrow that continued for 2 weeks.

VAERS ID:555826 (history)  Vaccinated:2014-11-14
Age:40.0  Onset:2014-11-14, Days after vaccination: 0
Gender:Male  Submitted:2014-11-26, Days after onset: 12
Location:Wisconsin  Entered:2014-11-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None known
Preexisting Conditions: No pertinent
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEURUI172AB IMLA
Administered by: Private     Purchased by: Private
Symptoms: Abdominal discomfort, Fatigue, Injection site reaction
SMQs:, Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: C/o upset stomach, fatigue and red arm at site of injection. Wife is a doctor and talked to on-call provider at her place of employment, rx for abx given.

VAERS ID:555935 (history)  Vaccinated:2014-10-06
Age:40.0  Onset:2014-10-06, Days after vaccination: 0
Gender:Male  Submitted:2014-11-27, Days after onset: 52
Location:Pennsylvania  Entered:2014-11-27
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: None.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  SYRLA
Administered by: Other     Purchased by: Private
Symptoms: Influenza like illness, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: I received a flu shot administered by pharmacy employees at the site of my employer (half the company got one), and had a one day strong flu-like reaction, however that resolved itself as expected and is not the main concern here. The problem is that I have had persistent soreness and pain in the site of the injection (my shoulder) since the day it was administered. My shoulder has good days and bad days, but the pain has never completely gone away, and at the time of making this report, it''s ad bad as it ever has been. I never had any issues with my shoulder prior to receiving the injection. I have received no treatment yet, but I am going to go to the doctor soon. It is very clear to me that something bad happened when I got this shot. I should note that in past years when I got the flu shot the soreness would be gone in a couple days. Not this time.

VAERS ID:556100 (history)  Vaccinated:2014-10-22
Age:40.0  Onset:2014-10-22, Days after vaccination: 0
Gender:Female  Submitted:2014-12-01, Days after onset: 40
Location:Michigan  Entered:2014-12-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Pregnant
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1414001 IMRA
Administered by: Other     Purchased by: Private
Symptoms: Exposure during pregnancy, Vaccination error
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: No date or time onset for adverse reaction. Patient was a pregnant. Vaccination error.

VAERS ID:556298 (history)  Vaccinated:2014-11-05
Age:40.0  Onset:2014-11-05, Days after vaccination: 0
Gender:Female  Submitted:2014-11-06, Days after onset: 1
Location:Arkansas  Entered:2014-12-01, Days after submission: 25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~Influenza (Seasonal) (no brand name)~1~38.00~Patient
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUR3: INFLUENZA (SEASONAL) (FLUBLOK)PROTEIN SCIENCES CORPORATION440553F0IMLA
Administered by: Public     Purchased by: Other
Symptoms: Dizziness, Dry skin, Eye irritation, Headache, Nausea, Skin warm
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Corneal disorders (broad), Vestibular disorders (broad)
Write-up: Administered vaccine to RD at 0830; at 0845, pt began c/o dizziness; BP 112/87, AP 71, R 16; skin W and D; pt stated BP normally decreased - systolic runs 98-100; dizziness cont to increase; BP taken 0850-122/90, AP 16, R-12 nonlabored; pt. began c/o headache and eyes burning; nausea; skin remained warm and dry; no flushing noted.

VAERS ID:556451 (history)  Vaccinated:2014-10-09
Age:40.0  Onset:2014-10-09, Days after vaccination: 0
Gender:Female  Submitted:2014-12-02, Days after onset: 54
Location:Indiana  Entered:2014-12-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Steroid injection in the back 11 days prior per patient
Current Illness: None reported
Preexisting Conditions:
Diagnostic Lab Data: MRI performed, still pending results
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEURU5036BA1IMLA
Administered by: Public     Purchased by: Private
Symptoms: Injection site pain, Nuclear magnetic resonance imaging, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament disorders (broad)
Write-up: Patient is experience pain in the arm/shoulder of where injection was given after a Fluzone shot.

VAERS ID:556794 (history)  Vaccinated:2014-09-29
Age:40.0  Onset:2014-09-30, Days after vaccination: 1
Gender:Female  Submitted:2014-12-03, Days after onset: 64
Location:Oregon  Entered:2014-12-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDT58006 IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Developed (L) shoulder pain after receiving a flu vaccine - was given high in the arm.

VAERS ID:557190 (history)  Vaccinated:2014-11-04
Age:40.0  Onset:2014-11-21, Days after vaccination: 17
Gender:Female  Submitted:2014-12-05, Days after onset: 14
Location:Kansas  Entered:2014-12-05
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 26 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Wellbutrin XL 300 mg; Ibuprofen 600 mg; Lisinopril 2.5 mg; Metformin 500 mg; Nortriptyline 10 mg; Zofran ODT 4 mg; Simvastatin 5 mg; Viibryd 40 mg
Current Illness: None
Preexisting Conditions: Diabetes mellitus type 2; Hypertension; Depression; Hyperlipidemia
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER1612073IMUN
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Malaise, Walking aid user
SMQs:, Guillain-Barre syndrome (broad)
Write-up: Around the 20-22nd of November, the patient began feeling ill and weak. These symptoms progressed to the point that she needed to use a walker to ambulate. She sought medical attention in the emergency department on the 24th of November.

VAERS ID:557225 (history)  Vaccinated:2014-09-17
Age:40.0  Onset:2014-09-17, Days after vaccination: 0
Gender:Female  Submitted:2014-12-07, Days after onset: 81
Location:Iowa  Entered:2014-12-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: None reported
Preexisting Conditions: N/a
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS145205 IMLA
Administered by: Other     Purchased by: Public
Symptoms: Swollen tongue, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow)
Write-up: Patient felt constriction in airway and tongue swelling-took 4 Benadryl 25mg and went to ER where she was given an epinephrine injection and steroids.

VAERS ID:557936 (history)  Vaccinated:2014-12-02
Age:40.0  Onset:2014-12-02, Days after vaccination: 0
Gender:Male  Submitted:2014-12-11, Days after onset: 9
Location:Colorado  Entered:2014-12-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Naproxen; Indomethicin
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: Chest X-Ray
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUI205AD0IMRA
Administered by: Public     Purchased by: Private
Symptoms: Arthralgia, Asthenia, Chest X-ray, Chills, Cough, Dyspnoea, Eye irritation, Pain, Presyncope, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Corneal disorders (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad)
Write-up: Fever, faintness, weakness, diffuse body aches, joint pain, chills, shortness of breath, eyes burning, cough.

VAERS ID:557952 (history)  Vaccinated:2014-12-10
Age:40.0  Onset:2014-12-10, Days after vaccination: 0
Gender:Male  Submitted:2014-12-12, Days after onset: 2
Location:Florida  Entered:2014-12-12
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: Percocet - Itching & Nausea
Diagnostic Lab Data: N/A
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT)MEDIMMUNE VACCINES, INC.CL2026 IN 
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.K004949 IMRA
Administered by: Military     Purchased by: Military
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Hives on chest & thighs.

VAERS ID:558085 (history)  Vaccinated:2014-12-04
Age:40.0  Onset:2014-12-05, Days after vaccination: 1
Gender:Female  Submitted:2014-12-12, Days after onset: 7
Location:Tennessee  Entered:2014-12-12
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: NKA; Amenorrhea; Endometriosis; Fatigue
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1412201 IMLA
Administered by: Public     Purchased by: Public
Symptoms: Oropharyngeal pain, Pruritus, Pyrexia, Urticaria, Wheezing
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: Hives and itching, wheezing, fever, sore throat. Took Benadryl OTC. Returned to clinic one week later (12/11/2014) for treatment. Given Kenalog 40 mg IM and Prednisone dosepak. Reported on 12/11/14 visit she was allergic to egg. Prior to this visit, she had reported NKA.

VAERS ID:558099 (history)  Vaccinated:2014-09-12
Age:40.0  Onset:2014-11-17, Days after vaccination: 66
Gender:Male  Submitted:2014-12-12, Days after onset: 25
Location:Virginia  Entered:2014-12-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 28 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data: Transferred to hospital. Diffuse moderate increased uptake on PET in glenohumeral joints, bilateral sternoclavicular, bilateral elbows, bilateral carps and metacarpal and interphalangeal joints of both hands, bilateral coxofemoral joints and the left sacroiliac joint suggestive of inflammatory joint disease. This biopsy shows a striking macrophage myofasciitis. This finding has been reported in similar clinical scenarios associated with vaccinations.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEURU5008BA IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Arthralgia, Biopsy site unspecified abnormal, Dizziness, Headache, Myofascitis, Pain, Positron emission tomogram abnormal, Pruritus, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (broad), Arthritis (broad)
Write-up: Vomiting, body ache, dizziness, upper body itching, joint pain that started on the wrists and continued afterwards to every joint. Occasional headaches.

VAERS ID:558230 (history)  Vaccinated:2014-12-04
Age:40.0  Onset:2014-12-04, Days after vaccination: 0
Gender:Female  Submitted:2014-12-11, Days after onset: 7
Location:Washington  Entered:2014-12-15, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: LEVOXYL; Lansoprazole; IMITREX; QVAR inhaler; Vit D; Vit B2; CoQ10
Current Illness: None
Preexisting Conditions: Latex; Amoxicillin; PCN; BENADRYL; morphine; clarithromycin; Shellfish; Banana; Walnuts; Avocado; Hypothyroidism; Asthma
Diagnostic Lab Data: CBC; CMP; Echocardiogram; EKG''s; Troponin
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUI245AB0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Chest discomfort, Dizziness, Echocardiogram, Electrocardiogram, Full blood count, Hypertension, Metabolic function test, Nervousness, Pain, Palpitations, Troponin
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), Cardiomyopathy (broad), Vestibular disorders (broad)
Write-up: 12-4-14 I received my flu shot from the ER charge nurse approx 830-845. About 1 hour later I began to feel dizzy and shaky. I noticed symptoms were increasing and I had chest tightness, heaviness, heart racing and pain. I went to the Emergency Room after my meeting at 1200 and my symptoms increased and I was admitted. Under observation from 12-4-14 to 12-6-14. I have continued to have high blood pressure and shakiness.

VAERS ID:559175 (history)  Vaccinated:2014-12-01
Age:40.0  Onset:2014-12-01, Days after vaccination: 0
Gender:Female  Submitted:2014-12-18, Days after onset: 17
Location:California  Entered:2014-12-19, 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:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEURU5064EA SYRRA
Administered by: Private     Purchased by: Unknown
Symptoms: Feeling hot, Hyperhidrosis
SMQs:, Neuroleptic malignant syndrome (broad)
Write-up: Received flu shot on 12/1/14, after an hour of injection she became hot, sweating with pulse at 130, patient did not receive vaccine at our office. Patient reported through online portal.

VAERS ID:559118 (history)  Vaccinated:2014-11-30
Age:40.0  Onset:2014-11-30, Days after vaccination: 0
Gender:Female  Submitted:2014-12-20, Days after onset: 20
Location:Illinois  Entered:2014-12-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Generic Claritin, orthocyclin, and topical Finacea.
Current Illness: No
Preexisting Conditions: Seasonal allergies
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEURUI196AB UNRA
Administered by: Other     Purchased by: Other
Symptoms: Injection site reaction, Injection site swelling, Injection site warmth, Rash erythematous
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Red rash 2 and 1/2 inches in diameter around the injection area. The rash was swollen and warm/hot to the touch. It lasted for a few days but did start to go down once I took Advil and put cortisone cream on it.

VAERS ID:559184 (history)  Vaccinated:2014-11-20
Age:40.0  Onset:2014-11-30, Days after vaccination: 10
Gender:Male  Submitted:2014-12-15, Days after onset: 15
Location:Indiana  Entered:2014-12-22, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDT525080IMLA
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD 0PO 
YF: YELLOW FEVER (YF-VAX)SANOFI PASTEURUI078AA0SCLA
Administered by: Other     Purchased by: Other
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Pt given Influenza, Yellow Fever, and Oral Typhoid on same day. Oral Typhoid course completed 11/20/14. Ten days after course completion pt developed hives on feet and lower legs. Took BENADRYL and ZYRTEC and CLARITIN. Hives came and went several times over a weeks time.

VAERS ID:559568 (history)  Vaccinated:2014-10-28
Age:40.0  Onset:2014-10-28, Days after vaccination: 0
Gender:Male  Submitted:2014-12-24, Days after onset: 57
Location:Michigan  Entered:2014-12-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: N/A
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1412501 IMLA
Administered by: Other     Purchased by: Private
Symptoms: Unevaluable event
SMQs:
Write-up: No date or time onset for adverse reaction. Under-dose possible second dose was given. Vaccination error.

VAERS ID:559877 (history)  Vaccinated:2014-10-17
Age:40.0  Onset:2014-10-18, Days after vaccination: 1
Gender:Female  Submitted:2014-12-29, Days after onset: 72
Location:Indiana  Entered:2014-12-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: n/a
Preexisting Conditions: n/a
Diagnostic Lab Data: N/A
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1612810IMLA
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Drug administered at inappropriate site, Pain
SMQs:, Guillain-Barre syndrome (broad)
Write-up: Received annual flu shot as usual, but injection given superior to deltoid muscle into the left shoulder capsule. Pain & weakness have been present 8 weeks, typically only last 1 - 2 days.

VAERS ID:559911 (history)  Vaccinated:2014-10-09
Age:40.0  Onset:2014-10-10, Days after vaccination: 1
Gender:Unknown  Submitted:2014-12-26, Days after onset: 77
Location:Ohio  Entered:2014-12-29, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: UNK
Preexisting Conditions: None
Diagnostic Lab Data: CBC, Unknown, UNK; Comprehensive metabolic panel, Unknown, UNK; Lipids NOS, Unknown, UNK; TSH, Unknown, UNK; hemoglobin, Unknown, UNK
CDC Split Type: 2014SA177591
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4874AA IMLA
Administered by: Private     Purchased by: Other
Symptoms: Blood thyroid stimulating hormone, Cellulitis, Full blood count, Haemoglobin, Lipids, Local swelling, Metabolic function test, Pain
SMQs:, Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Initial unsolicited report received from a nurse on 22 December 2014. It pertains to one of three patients from the same facility who experienced similar events after receiving ADACEL; the other two reports are captured in case numbers 2014SA145943 and 2014SA177586. A 40-year-old patient, with no past medical history, received a left deltoid intramuscular injection of ADACEL (lot number U4874AA) on 09 October 2014. One day post-vaccination, the patient experienced arm swelling, soreness, and pain, and was seen by a physician on 14 October 2014. The patient was diagnosed with cellulitis and treated with BACTRIM. The patient underwent testing (CBC, CMP, lipids, TSH, Hemoglobin) but results were not reported. The event resolved on an unspecified date, and the patient did not return for follow-up. Documents held by sender: None.

VAERS ID:560163 (history)  Vaccinated:2014-12-01
Age:40.0  Onset:2014-12-01, Days after vaccination: 0
Gender:Female  Submitted:2014-12-30, Days after onset: 29
Location:Alaska  Entered:2014-12-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Public     Purchased by: Other
Symptoms: Bursitis, Rotator cuff syndrome
SMQs:, Tendinopathies and ligament disorders (narrow)
Write-up: Shoulder bursitis with some concern for rotator cuff injury. Attempting conservative therapy with ice and NSAIDs before further imaging/intervention attempted. Immunization given too proximal to joint per pt hx of immunization.

VAERS ID:560266 (history)  Vaccinated:2014-10-10
Age:40.0  Onset:2014-10-10, Days after vaccination: 0
Gender:Female  Submitted:2014-10-13, Days after onset: 3
Location:Iowa  Entered:2014-12-31, Days after submission: 79
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
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSN2R4C IMRA
Administered by: Public     Purchased by: Unknown
Symptoms: Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Large amount of swelling noted in the.

VAERS ID:560745 (history)  Vaccinated:2014-11-11
Age:40.0  Onset:2014-11-17, Days after vaccination: 6
Gender:Female  Submitted:2014-12-30, Days after onset: 43
Location:Unknown  Entered:2015-01-01, 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: COPAXONE; ibuprofen; HYDROCORTONE
Current Illness: Arthritis reactive; Fibromyalgia; Multiple sclerosis
Preexisting Conditions:
Diagnostic Lab Data: 11/2014, unspecified
CDC Split Type: WAES1412USA002062
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Bronchospasm, Cough
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: This spontaneous report as received on 03-DEC-2014 from a consumer refers to a 40 year old female patient with multiple sclerosis, fibromyalgia, reactive arthritis and no known drug allergies. On 11-NOV-2014 the patient was vaccinated with PNEUMOVAX 23. Concomitant therapies included COPAXONE, ibuprofen and HYDROCORTONE. On 17-NOV-2014, 7 days after onset of therapy the patient experienced coughing and bronchial spasms. On an unspecified date the patient sought medical attention at an urgent care facility and received unspecified lab tests. The patient was treated with azithromycin. The outcome of coughing and bronchial spasms is unknown. Additional information has been requested.

VAERS ID:560385 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:2014-09-30
Location:Unknown  Entered:2015-01-02, Days after submission: 94
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: UNK
Preexisting Conditions: Unknown
Diagnostic Lab Data: Lab tests unknown
CDC Split Type: 2014SA102478
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Malaise, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Initial report received from Health care professional on 30 July 2014. A ''40-year-old'' female patient, whose concomitant medication were not reported, had received a dose of TD (Lot number, Expiration date, and site of vaccination were not reported) on an unspecified date and patient had experienced fever, malaise and generalized body aches. It was advised that not to take this TD vaccine again. The laboratory details and corrective treatment were not reported. The outcome of the event was resolved on an unspecified date. List of documents held by sender: none.

VAERS ID:560648 (history)  Vaccinated:2013-10-16
Age:40.0  Onset:2013-10-16, Days after vaccination: 0
Gender:Female  Submitted:2014-06-25, Days after onset: 252
Location:Unknown  Entered:2015-01-02, Days after submission: 191
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unk
Preexisting Conditions: Unknown
Diagnostic Lab Data: Lab tests unknown
CDC Split Type: 2013SA123608
Vaccination
Manufacturer
Lot
Dose
Route
Site
YF: YELLOW FEVER (YF-VAX)SANOFI PASTEURUH671AA SCLA
Administered by: Other     Purchased by: Other
Symptoms: Acne, Hypersensitivity, Rash
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Hypersensitivity (narrow)
Write-up: Initial report received from healthcare professional on 21 November 2013. A 40-year-old female patient whose medical history and concomitant medications were not reported, received YF Vax (lot number UH671AA, expiration date 11-Feb-2013 and site of administration subcutaneous) at left arm (dose number not reported) on 16 October 2013. On 16 October 2013, the patient developed small bumps on various areas of her body resembling a pimple began day of vaccination. Reporter stated on initial evaluation on 21-Oct-2013 the bumps that appeared to be bigger than a mosquito bite, did not have a head like a pimple but would pop and ooze liquid of unknown description. Patient was evaluated by cardiovascular employee physician on 04-Nov-2013 and it the physician diagnosed skin condition as an allergic reaction. Laboratory investigation unknown and corrective treatment included BENADRYL, cortisone creme and OTC oatmeal baths. As of this report, outcome of the events was unknown. Documents held by sender: none.

VAERS ID:560558 (history)  Vaccinated:2014-10-14
Age:40.0  Onset:2014-10-15, Days after vaccination: 1
Gender:Male  Submitted:2015-01-06, Days after onset: 83
Location:South Carolina  Entered:2015-01-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS14139011IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: 01/06/15 mentioned at office visit that his left arm (deltoid) is still sore (point tenderness) at site of injection. FLUVIRIN given 10/14/2014.

VAERS ID:560963 (history)  Vaccinated:2013-10-04
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:2014-11-21
Location:Unknown  Entered:2015-01-07, Days after submission: 47
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: PHEH2013US023518
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS13392P IMUN
Administered by: Other     Purchased by: Other
Symptoms: Bursitis, Injected limb mobility decreased, Injection site pain, Pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Case number PHEH2013US023518 is an initial spontaneous report received from a pharmacist on 07 NOV 2013 with follow-up received on 13 DEC 2013. This report refers to a 40-year-old female patient. Her medical history and concomitant medication ws not reported. The previous vaccinations were well tolerated. She was vaccinated with 0.5 ml dose of FLUVIRIN 2013/2014 (batch number 13392P) intramuscularly on 03 OCT 2013 and experienced bursitis on the arm the day after her flu shot. The affected arm was the same arm that had the site of injection and the pain continued at the time of reporting. On 06 OCT 2013, she experienced pain in upper arm and was unable to lift the arm. She was treated with prednisone, Benadryl and heat patches. Final outcome of the events was recovered. No further information about seriousness and causality was available. Follow-up received on 13 DEC 2013: New events (vaccination site pain and injected limb mobility decreased) and vaccination dose was updated.

VAERS ID:561360 (history)  Vaccinated:2014-03-24
Age:40.0  Onset:2014-03-24, Days after vaccination: 0
Gender:Female  Submitted:2014-11-21, Days after onset: 242
Location:Unknown  Entered:2015-01-07, Days after submission: 47
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: PHEH2014US005880
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1309601 IDUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Wrong drug administered
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Case number PHEH2014US005880 is an initial spontaneous report from a nurse received on 24 Mar 2014. This report refers to a 40-year-old female patient. Her medical history and concomitant medications were not reported. She was mistakenly administered 0.1 cc of FLUVIRIN (batch number: 1309601) intradermally when TB test was intended on 24 Mar 2014. On an unknown date after vaccination she experienced red mark at the site. Seriousness, outcome of the event were not reported.

VAERS ID:560914 (history)  Vaccinated:2014-12-11
Age:40.0  Onset:2014-12-23, Days after vaccination: 12
Gender:Female  Submitted:2015-01-08, Days after onset: 16
Location:California  Entered:2015-01-08
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: CBC showed elevated eosinophils
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.K0082541IMUN
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.K0044191SCUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Eosinophil count increased, Pyrexia, Rash maculo-papular, Rash vesicular, Rhinorrhoea, Throat irritation
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: Vaccine was given on 12/11/2014. Pt developed a maculo papular rash, centripetal over her chest wall, abdomen, and back resembling varicella, and fever 102 degrees F. Itchy throat and runny nose on 12/23/2014.

VAERS ID:561359 (history)  Vaccinated:2014-09-26
Age:40.0  Onset:2014-09-26, Days after vaccination: 0
Gender:Female  Submitted:2014-11-21, Days after onset: 56
Location:Unknown  Entered:2015-01-08, Days after submission: 48
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: PHEH2014US019648
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1411901 IMUN
Administered by: Other     Purchased by: Other
Symptoms: Extra dose administered, No adverse event
SMQs:
Write-up: Case number PHEH2014US019648 is an initial spontaneous report received from a nurse on 26 SEP 2014. This report refers to a 40 years old female patient. Her medical history and concomitant medications were not reported. She was vaccinated with season influenza vaccine (other manufacturer and batch number: not reported) on 17 SEP 2014. It was reported that she was inadvertently administered a second dose again with FLUVIRIN 2014/2015 (batch number: 1411901) intramuscularly on 26 SEP 2014. No adverse reaction was reported following the maladministration.

VAERS ID:565041 (history)  Vaccinated:2014-03-31
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:2015-01-12
Location:Unknown  Entered:2015-01-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Allergy; Allergy to DEMEROL; Allergy to PERCOCET; Hypersensitivity; Drug hypersensitivity
Preexisting Conditions: Diverticulitis
Diagnostic Lab Data:
CDC Split Type: A1070705A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVC064BB1SYRUN
Administered by: Other     Purchased by: Other
Symptoms: Expired product administered, Fatigue, Headache
SMQs:
Write-up: This case was reported by a consumer and described the occurrence of headache in an adult female subject who was vaccinated with ENGERIX B adult (GlaxoSmithKlilne). A physician or other health care professional has not verified this report. The subject''s medical history included diverticulitis (but she has not had any issue with it for 2 or 3 years). Concurrent medical conditions included allergy, allergy to DEMEROL and PERCOCET. Concurrent vaccination included Tetanus Toxoid vaccine; manufacturer unspecified; given in March 2014 a few days before ENGERIX B adult. On 31 March 2014, the subject received 2nd dose of ENGERIX B adult (1 ml, unknown route and injection site) which had expired on 22 March 2014. On 31 March 2014, few hours of vaccination with ENGERIX B adult, the subject experienced headache and exhaustion. The subject stated that the headaches may be related to her allergies. At the time of reporting the headache was unresolved and the outcome of exhaustion was resolved.

VAERS ID:561212 (history)  Vaccinated:2015-01-09
Age:40.0  Onset:2015-01-09, Days after vaccination: 0
Gender:Male  Submitted:2015-01-13, Days after onset: 4
Location:Florida  Entered:2015-01-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NA
Current Illness: NA
Preexisting Conditions: NA
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4870BA0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Headache
SMQs:
Write-up: Mild headache lasting approximately three days, sought no treatment.

VAERS ID:561840 (history)  Vaccinated:2014-10-10
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:2014-11-21
Location:Unknown  Entered:2015-01-15, Days after submission: 55
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: PHEH2014US022018
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1412501 IMUN
Administered by: Other     Purchased by: Other
Symptoms: Injected limb mobility decreased, Vaccination site pain
SMQs:
Write-up: Case number PHEH2014US022018 is an initial spontaneous report received from a health care professional on 31 OCT 2014. This report refers to a 40 years old female patient. Her medical history and concomitant medications were not reported. She was vaccinated with FLUVIRIN 2014/2015 (batch number: 1412501) art a dose of 0.5 ml intramuscularly in the arm on 10 OCT 2014. It was reported that on an unknown date, she experienced sore and tender arms at the vaccination site. She complained that her arm hurt so much that she could not lift it. The event outcome was unknown. The seriousness and causality were not reported.

VAERS ID:562048 (history)  Vaccinated:2014-10-10
Age:40.0  Onset:2014-10-10, Days after vaccination: 0
Gender:Female  Submitted:2014-11-21, Days after onset: 42
Location:Unknown  Entered:2015-01-15, Days after submission: 55
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: PHEH2014US020662
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1410801 IMUN
Administered by: Other     Purchased by: Other
Symptoms: Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Case number PHEH2014US020662 is an initial spontaneous report from the nurse received on 10 Oct 2014. This report refers to a 40-year-old female patient. She was vaccinated with FLUVIRIN (batch number: 1410801) intramuscularly on 10 Oct 2014. On the same date, 30 minutes after vaccination her had started swelling. The outcome of the event was unknown. The seriousness and causality of the event were not reported.

VAERS ID:564996 (history)  Vaccinated:2014-11-05
Age:40.0  Onset:2014-11-05, Days after vaccination: 0
Gender:Female  Submitted:2015-01-15, Days after onset: 71
Location:Texas  Entered:2015-01-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions: INFLUENZA, No adverse event
Diagnostic Lab Data:
CDC Split Type: US2014GSK023136
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALS45HX7 UNUN
Administered by: Other     Purchased by: Other
Symptoms: No reaction on previous exposure to drug, Pruritus, Rash generalised
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: This case was reported by a nurse and described the occurrence of generalized rash in a 40-year-old female patient who received FLUARIX (batch number 45HX7, expiry date 30th June 2015). Previously administered products included flu vaccine with an associated reaction of no adverse event. On 5th November 2014, the patient received FLUARIX 1 ml. On 5th November 2014, an unknown time after receiving FLUARIX, the patient experienced generalize rash and pruritus. The patient was treated with BENADRYL. On an unknown date, the outcome of the generalized rash and pruritus were not recovered/not resolved. It was unknown if the reporter considered the generalized rash and pruritis to be related to FLUARIX. Additional information received: Nurse reports a patient received FLUARIX TIV on 11/5. After patient went home, she called the office stating she now "is covered with itching and rash".

VAERS ID:562199 (history)  Vaccinated:2013-09-27
Age:40.0  Onset:2013-09-27, Days after vaccination: 0
Gender:Female  Submitted:2014-11-21, Days after onset: 420
Location:Unknown  Entered:2015-01-19, Days after submission: 59
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: PHEH2013US020540
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1308401 IMAR
Administered by: Other     Purchased by: Other
Symptoms: Incorrect product storage, No adverse event
SMQs:
Write-up: Case number PHEH2013US020540 is an initial spontaneous report from the nurse received on 30 SEP 2013 with a follow-up received on 25 FEB 2014. This report refers to a 40-year-old female patient. She was vaccinated with FLUVIRIN 2013/2014 (batch number: 1308401, expiry date: Mar 2014) at a dose of 0.5 ml via intramuscular route into deltoid on 27 SEP 2013. It was reported that the vaccine which was given to the patient was stored at room temperature during shipment for 72 hours. No adverse event reported following this medication error. Follow-up received from a nurse on 25 FEB 2014: Site of vaccination updated.

VAERS ID:562791 (history)  Vaccinated:2013-09-27
Age:40.0  Onset:2013-09-28, Days after vaccination: 1
Gender:Female  Submitted:2014-10-31, Days after onset: 398
Location:Unknown  Entered:2015-01-21, Days after submission: 82
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: Patient was allergic to PCN and Sulfa
Diagnostic Lab Data: UNK
CDC Split Type: 2013SA098482
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH917AB IMLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site vesicles
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Initial case was received from a health care professional on 30 September 2013. A-40-year old female patient whose concomitant medications were not reported had received intramuscular FLUZONE (Lot number UH917AB, dose not reported) on her left deltoid on 27 September 2013. The patient was allergic to PCN and Sulfa. On 27 September 2013, the patient took off bandaid from the injection site. On the next day, there was red mark outlining the bandaid and blister in one of the corners of the red mark outling the bandaid. The blister was 2 inches from the injection. No corrective treatment or laboratory details were reported. The outcome of the event was not recovered. List of documents held by sender: None.

VAERS ID:563344 (history)  Vaccinated:2014-01-28
Age:40.0  Onset:2014-02-11, Days after vaccination: 14
Gender:Male  Submitted:2014-10-31, Days after onset: 261
Location:Unknown  Entered:2015-01-22, Days after submission: 83
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: UNK
Preexisting Conditions: Unknown
Diagnostic Lab Data: No lab tests
CDC Split Type: 2014SA021630
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH908AA IMLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site pain, Pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Initial report received from healthcare professional (pharmacist) on 17 February 2014. A 40-year-old male patient had received a dose of FLUZONE, (batch number UH908AA, dose number not reported) intramuscularly in left deltoid on 28 January 2014. The patient''s illness at time of vaccination and pre-existing physician diagnosed allergies, birth defects, medical conditions were not provided. On 11 February 2014, the patient presented injection site pain for about 5 hours after injection, and left deltoid area hurt whenever he moved his arm. The patient had stopped, but reoccurred 2 weeks later. No laboratory investigations were performed and corrective treatments were not reported. At the time of this report, the patient had not recovered. Documents held by sender: none.

VAERS ID:562455 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:2015-01-22
Location:North Carolina  Entered:2015-01-23, 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: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: US2014GSK000224
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT)GLAXOSMITHKLINE BIOLOGICALS3JE9F UNUN
Administered by: Other     Purchased by: Private
Symptoms: Exposure during pregnancy, No adverse event
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: This is a prospective pregnancy case. This 40-year-old female subject was enrolled in a study. The subject received flu seasonal QIV .5 ml on 23rd September 2014. On an unknown date, an unknown time after receiving flu seasonal QIV the subject developed vaccine exposure during pregnancy (non-serious). The outcome of vaccine exposure during pregnancy was unknown. The pregnancy was ongoing. Additional information received on 23 September 2014: The due date was unknown. No other adverse events were reported. This is one of the 3 cases reported by the same reporter for the same vaccine. Follow-up information received on 19 January 2015: The last menstrual period and the number of previous foetuses were also unknown.

VAERS ID:563782 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Unknown  Submitted:2014-10-31
Location:Unknown  Entered:2015-01-23, Days after submission: 84
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: UNK
Preexisting Conditions: Unknown
Diagnostic Lab Data: Lab tests unknown
CDC Split Type: 2014SA046796
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)SANOFI PASTEUR  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Drug administered to patient of inappropriate age, No adverse event
SMQs:
Write-up: The cases were received on 21 March 2014. Initial misuse report received from a healthcare professional on 20 February 2014. A 40-year-old patient had inadvertently administered FLUZONE HD. It was an inappropriate age at vaccine administration. No adverse event was reported. List of documents held by sender: none.

VAERS ID:563886 (history)  Vaccinated:2013-10-04
Age:40.0  Onset:0000-00-00
Gender:Female  Submitted:2014-10-31
Location:Unknown  Entered:2015-01-23, Days after submission: 84
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: UNK
Preexisting Conditions: None
Diagnostic Lab Data: No lab tests
CDC Split Type: 2013SA103959
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEURUT4719BA IDUN
Administered by: Other     Purchased by: Other
Symptoms: Exposure during pregnancy, No adverse event
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: Initial report received from a healthcare professional on 04 October 2013. A 40-year-old female patient had received intradermally first dose of FLUZONE ID (lot number: UT4719BA and site of administration was not reported) on 04 October 2013. The patient''s last menstrual period date was unknown and the expected date of delivery was not reported. The patient had no health problem during pregnancy and had no specific risk factors. Concomitant medications were not reported. At the time of this report, the patient did not experience any adverse event. List of documents held by the sender: None. Follow up information received from a healthcare professional on 20 June 2014. At this time of report the outcome was reported as unknown. No laboratory investigations were done. The vaccine was purchased with private funds. List of documents held by sender: none.

VAERS ID:565850 (history)  Vaccinated:0000-00-00
Age:40.0  Onset:0000-00-00
Gender:Unknown  Submitted:2015-01-23
Location:Unknown  Entered:2015-01-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1501USA007145
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Drug administered to patient of inappropriate age
SMQs:
Write-up: This spontaneous report was received from a consumer refers to an unspecified number of patients of 40 year old and unknown gender enrolled in a market research. Medical history and concurrent conditions were not reported. On an unknown date the patients were vaccinated with GARDASIL (route, dosage, lot# and expiration date were not reported). Concomitant therapy was not reported. The consumer informed that on an unknown date a physician was discussing patients he vaccinated with GARDASIL and said that he vaccinated 40 years old people, which was potentially off label usage. This is one of several reports received from the same reporter. Additional information has been requested.

VAERS ID:566220 (history)  Vaccinated:2013-07-18
Age:40.0  Onset:2013-07-18, Days after vaccination: 0
Gender:Female  Submitted:2014-04-17, Days after onset: 273
Location:Tennessee  Entered:2015-01-28, Days after submission: 286
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Alcohol use; Patient History Comments: The patient had a medical history of allergy to codeine. Concomitant medications were not reported. The patient had no illness at the time of vaccination.
Diagnostic Lab Data:
CDC Split Type: 201308117
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEUR432TJ0IMLA
Administered by: Private     Purchased by: Other
Symptoms: Injection site nodule, Injection site pain, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Initial report received from a consumer on 25 JULY 2013. A 40-year-old female patient had received a first intramuscular dose of ADACEL (batch number unknown) in the left deltoid on 18 JULY 2013. The patient had a medical history of allergy to codeine. Concomitant medications were not reported. The patient had no illness at the time of vaccination. On 18 JULY 2013, i.e. the same day after vaccination, the patient developed quarter sized painful and warm knot at the injection site without redness. Corrective treatments and laboratory investigations were not reported. At the time of this report, the outcome was not reported. Follow-up information received from a healthcare professional on 09 SEPTEMBER 2013. The patient received ADACEL , batch number: "432TJ" (date of expiration 21 AUGUST 2015). The patient has no illness at the time of vaccination. The patient outcome was not recovered. Documents held by sender: none

VAERS ID:563282 (history)  Vaccinated:2014-11-11
Age:40.0  Onset:2014-11-12, Days after vaccination: 1
Gender:Female  Submitted:2015-01-30, Days after onset: 79
Location:North Carolina  Entered:2015-01-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Topomax, Celexa & Imitrex
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  SYRLA
Administered by: Private     Purchased by: Private
Symptoms: Mobility decreased, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Parkinson-like events (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: Pain in muscle that is preventing me from lifting over my head, using to lift, sleeping on that side or bending from the elbow. I''ve had one massage that''s helped a bit and take Ibuprofen and ice it.

VAERS ID: