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Found 485503 cases in entire database

Case Details (Sorted by Age)

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VAERS ID:506309 (history)  Vaccinated:2013-10-04
Age:53.0  Onset:2013-10-05, Days after vaccination: 1
Gender:Female  Submitted:2013-10-07, Days after onset: 2
Location:Kentucky  Entered:2013-10-08, 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:
Current Illness:
Preexisting Conditions: Penicillin, MACRODANTIN, E-mycin, Latex - allergy
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J004267 SCLA
Administered by: Other     Purchased by: Private
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site reaction, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Injection site reaction. Swelling, redness and rash spread around injection site about 2-3 inch x 1-2 in ribbon. Minor itching. MD treated with hydrocortisone 1% cream.

VAERS ID:506434 (history)  Vaccinated:2013-10-01
Age:53.0  Onset:2013-10-02, Days after vaccination: 1
Gender:Female  Submitted:2013-10-08, Days after onset: 6
Location:Massachusetts  Entered:2013-10-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Allergic to CODEINE; SULFA; Hives; Diabetes
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALS7SE5S IMLA
Administered by: Other     Purchased by: Private
Symptoms: Arthralgia, Fatigue, Injection site erythema, Injection site pruritus, Irritability
SMQs:, Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Hostility/aggression (broad), Arthritis (broad)
Write-up: 3 inch long x 1 inch wide oval shaped raised red itchy area a round left deltoid where flu shot given. Reports achy joints, particularly hips, fatigue, irritability. Did not seek medical attention, used Motrin PRN. Has recovered.

VAERS ID:506467 (history)  Vaccinated:2013-09-30
Age:53.0  Onset:2013-09-30, Days after vaccination: 0
Gender:Female  Submitted:2013-10-08, Days after onset: 8
Location:Wisconsin  Entered:2013-10-08
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: EKG; MRI;CT Scan; referred to neurologist
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURC4332BA0IMRA
TDAP: TDAP (ADACEL)SANOFI PASTEURUH900AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Chest discomfort, Computerised tomogram, Electrocardiogram, Hypoaesthesia, Nuclear magnetic resonance imaging
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Numb on entire right side; chest tightness; checked at ER for heart and brain scans; referred to neurologist for further evaluation.

VAERS ID:506554 (history)  Vaccinated:2013-10-03
Age:53.0  Onset:2013-10-04, Days after vaccination: 1
Gender:Female  Submitted:2013-10-08, Days after onset: 4
Location:Arizona  Entered:2013-10-08
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: Mold/environmental
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUC3: INFLUENZA (SEASONAL) (FLUCELVAX)NOVARTIS VACCINES AND DIAGNOSTICS004021A IMLA
Administered by: Other     Purchased by: Unknown
Symptoms: Anxiety, Feeling of body temperature change, Rash, Skin irritation
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Pt. reports receiving flu vaccine in (L) DM 10/3/13. On 10/4/13 pt complains of (R) arm irritation with rash from wrist to elbow. Pt experienced hot/cold flashes 10/4-10/5/13. On 10/5/13, pt reports feeling of increased anxiety with possible rapid heart rate lasting till 10/6/13. Both rash and anxiety reaction resolved 10/6/13.

VAERS ID:506690 (history)  Vaccinated:2013-10-08
Age:53.0  Onset:2013-10-08, Days after vaccination: 0
Gender:Male  Submitted:2013-10-09, Days after onset: 1
Location:New York  Entered:2013-10-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Seasonal Allergies; High Cholesterol; No Known Food Allergies
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEURU4768AA IMLA
Administered by: Public     Purchased by: Public
Symptoms: Chills, Cough, Lacrimation increased, Pain, Pyrexia, Rhinorrhoea, Sneezing
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Lacrimal disorders (narrow), Hypersensitivity (broad)
Write-up: Approximately 2 hours after injection, pt exhibited coughing, sneezing which progressed to runny nose, chills, eye tearing, fever, severe body aches at 6 hours after injection. Pt medicated himself with Tylenol 700mg every 4 hours without relief.

VAERS ID:506775 (history)  Vaccinated:2013-10-07
Age:53.0  Onset:2013-10-08, Days after vaccination: 1
Gender:Female  Submitted:2013-10-08, Days after onset: 0
Location:Pennsylvania  Entered:2013-10-09, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH936AB IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J004196 IMLA
Administered by: Military     Purchased by: Unknown
Symptoms: Local swelling
SMQs:, Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Patient described arm swelling not in the injection site but below it.

VAERS ID:506879 (history)  Vaccinated:2013-10-07
Age:53.0  Onset:2013-10-07, Days after vaccination: 0
Gender:Female  Submitted:2013-10-10, Days after onset: 3
Location:Maryland  Entered:2013-10-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT)GLAXOSMITHKLINE BIOLOGICALS  SYR 
Administered by: Private     Purchased by: Private
Symptoms: Injection site inflammation, Injection site pruritus, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Significant swelling, inflammation at injection site, with itchiness.

VAERS ID:506900 (history)  Vaccinated:2013-09-04
Age:53.0  Onset:2013-09-05, Days after vaccination: 1
Gender:Female  Submitted:2013-10-05, Days after onset: 30
Location:Massachusetts  Entered:2013-10-10, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Lupus
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH888AA UNLA
Administered by: Other     Purchased by: Unknown
Symptoms: Injection site reaction
SMQs:
Write-up: Patient had site reaction requiring doctor visit and Rx for diphenhydramine.

VAERS ID:506944 (history)  Vaccinated:2013-10-04
Age:53.0  Onset:2013-10-05, Days after vaccination: 1
Gender:Male  Submitted:2013-10-10, Days after onset: 5
Location:Indiana  Entered:2013-10-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None listed
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS13373P IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0653AE IMRA
Administered by: Other     Purchased by: Private
Symptoms: Chills, Hyperhidrosis, Injection site pruritus, Local swelling, Malaise, Nausea, Pain, Pallor, Pyrexia
SMQs:, Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad)
Write-up: Day after vaccines "sick as a dog" w/ a little nausea, fever/chills/aches/pallor/profuse diaphoresis, arm swelling, itching at injection site, malaise. No treatment sought.

VAERS ID:506958 (history)  Vaccinated:2013-04-15
Age:53.0  Onset:2013-04-15, Days after vaccination: 0
Gender:Female  Submitted:2013-10-10, Days after onset: 178
Location:Puerto Rico  Entered:2013-10-11, 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: Diabetes mellitus; Asthma; Non-tobacco user
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES1308USA009608
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED08149211A IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.H015749 IMRA
Administered by: Other     Purchased by: Other
Symptoms: Chest pain, Erythema, Headache, Inflammation, Limb discomfort, Local swelling, Musculoskeletal pain, Pain in extremity, Radial nerve palsy
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (broad)
Write-up: Information had been received from a lawyer regarding a case in litigation. It was alleged in litigation that a female was administered two vaccines, PNEUMOVAX23 and AFLURIA on 15-APR-2013 at a pharmacy. The patient sustained severe side effects including shoulder, chest and headache. The pain radiated to her fingers and she was referred to a physiatrist. Information had been received from a claims representative of the pharmacy where the patient had been vaccinated. It was alleged that the patient was administered two vaccines in the same right arm, PNEUMOVAX23 and AFLURIA and sustained severe side effects such as: inflammation, severe pain in the shoulder, chest and headache. It was alleged that pain radiated to her fingers and she was referred to a physiatrist. Information had been received from a lawyer and claims service representative for a pharmacy regarding a 53 year old female non-smoker with asthma and diabetes. On 15-APR-2013, the patient visited a pharmacy to buy some medicine and was offered vaccination services. The patient was administered PNEUMOVAX23 (lot# H015749, expiration date 08-JUN-2014) and AFLURIA (lot# reported as 08149211A, expiration date 30-JUN-2013). Both were injected simultaneously on the right arm, intramuscularly. Both the lawyer and claims representative noted that this was an incorrect determination as they should not have been injected on the same arm. A previous interview was not completed either. As a consequence, the patient developed a strong discomfort on her right side, inflammation swelling on her arm, strong pain on her shoulder, chest and head, and pain that reached to the fingers of her right hand. Days after, her arm condition worsened as it turned red all over and also got swelled. The patient called the pharmacy on 17-APR-2013 and was attended by a pharmacist who indicated that the administration of both vaccines on the same arm was not an appropriate one. The pharmacist oriented the patient to go to her physician so that he could call the pharmacy and have the patient''s diabetes drugs to be dispatched for free. On 18-APR-2013, the patient visited her physician who in turn called the pharmacy. The physician concluded that indeed, the patient should have not received both vaccines simultaneously on the same arm since among other things a proper determination of its reaction was not possible. Physician prescribed CIPRO 500mg and nabumetone 750mg. Physician recommended that the patient rest from 18-APR-2013 during which time the patient was absent from her job. On 22-APR-2013, physician reevaluated the patient who authorized her to return to work on 23-APR-2013 and to continue with her medications. Once back at her job, the patient started to feel discomfort when she tried to grab using her thumb, index and middle hand fingers, and this discomfort continued intermittently. On 01-JUN-2013, the patient was examined again by her physician and referred to a physiotherapist for evaluation. The diagnosis was "right radial nerve palsy". Upon internal review, right radial nerve palsy was considered to be medically significant. Additional information has been requested.

VAERS ID:507076 (history)  Vaccinated:2013-10-11
Age:53.0  Onset:2013-10-11, Days after vaccination: 0
Gender:Female  Submitted:2013-10-11, Days after onset: 0
Location:South Dakota  Entered:2013-10-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH925AA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Local swelling, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Received phone call from patient who reports shortly after receiving vaccine she noticed swelling in her jaw and into her neck on her L side, the side where she received the injection. She took some Benadryl and the swelling has gone down. She is going to take Benadryl again tonight.

VAERS ID:507085 (history)  Vaccinated:2013-10-04
Age:53.0  Onset:2013-10-04, Days after vaccination: 0
Gender:Female  Submitted:2013-10-11, Days after onset: 7
Location:Minnesota  Entered:2013-10-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abdominal pain possible gastritis type picture
Preexisting Conditions: Propoxypene N acetaminophen, meperidine, codeine, prochlorperazine, adhesive and paper tape
Diagnostic Lab Data: Patient reported on 10/11/2013 that she was better, concern has resolved
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J0043870IMLA
Administered by: Private     Purchased by: Other
Symptoms: Injection site erythema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Pain at injection site persisted through night of injection, redness. Given Prednisone 40mg for three days then Prednisone 20mg for three days. Also given: Benadryl 25mg IM in office, Prescription for Bactrim one tablet twice daily for 10 days and hydrocodone 5/325 one tablet every 6 hours as needed for pain.

VAERS ID:507642 (history)  Vaccinated:2013-09-24
Age:53.0  Onset:2013-09-24, Days after vaccination: 0
Gender:Female  Submitted:2013-10-11, Days after onset: 17
Location:Colorado  Entered:2013-10-11
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: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH908AB IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.H0186080IMLA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Chills, Hyperhidrosis, Injection site erythema, Injection site pain, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: Pain/redness at site. Myalgias and arthralgias whole body. Chills and sweats.

VAERS ID:507149 (history)  Vaccinated:2013-10-12
Age:53.0  Onset:2013-10-13, Days after vaccination: 1
Gender:Female  Submitted:2013-10-13, Days after onset: 0
Location:Iowa  Entered:2013-10-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No known illnesses at the time of vaccination
Preexisting Conditions: Pt has asthma and was recommeded to get a influenza vaccine. This was her first influenza vaccine. Pt also has a topical latex allergy but ok with us using latex-free bandage and gloves.
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH888AB0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Middle insomnia, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Depression (excl suicide and self injury) (broad), Hypersensitivity (broad)
Write-up: Patient woke up at 2 am (10 hours after vaccination) and felt tightness in her throat. She took 1 Benadryl and was feeling better and was able to go back to sleep. At 2 pm, 12 hours later, she felt the tightness again and took 1 Benadryl. Patient said she did not want the pharmacy to contact her doctor but she will talk to her doctor this week at her physical.

VAERS ID:507190 (history)  Vaccinated:2013-06-08
Age:53.0  Onset:2013-06-08, Days after vaccination: 0
Gender:Female  Submitted:2013-10-14, Days after onset: 128
Location:Virginia  Entered:2013-10-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No illness at time of vaccination
Preexisting Conditions: No known allergies or birth defects.
Diagnostic Lab Data: None performed
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J0004430SCLA
Administered by: Other     Purchased by: Private
Symptoms: Cellulitis, Hot flush, Inflammation, Injection site erythema, Injection site induration
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Inflammation 3/4 of arm between shoulder and elbow. Six inch diameter at injection site hard and red. Patient experienced hot flashes. NP under Dr. diagnosed patient with cellulitis. Pt received cefadroxil 500mg BID x10days. Pt symptoms resolved within 7 days.

VAERS ID:507300 (history)  Vaccinated:2013-10-14
Age:53.0  Onset:2013-10-14, Days after vaccination: 0
Gender:Female  Submitted:2013-10-15, Days after onset: 1
Location:Tennessee  Entered:2013-10-15
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
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  SYR 
Administered by: Private     Purchased by: Private
Symptoms: Chills, Fatigue, Feeling cold, Headache, Injection site pain, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad)
Write-up: I received the flu vaccination around 0730 in the ER as I am a board certified EM physician. Within a few hours the site of injection was aching. A few hours later myalgias set in. A few hours after that I became chilled and an hour later the rigors started. I finished my shift and the rigors relented after a hot bath and tea, the myalgias continued, I developed a frontal headache and significant fatigue. Today on the 15th I still have myalgias, a frontal headache and fatigue. I have never had a reaction of any kind to the flu vaccine and I typically get the vaccine every year. I have had a lesser reaction to MMR booster. It is hard for me to recommend this vaccine this year to the elderly. I don''t think my 86 year old mother could tolerate such a significant reaction as well as I can. I am pretty sure I will feel better tomorrow.

VAERS ID:507307 (history)  Vaccinated:2013-10-04
Age:53.0  Onset:2013-10-04, Days after vaccination: 0
Gender:Female  Submitted:2013-10-15, Days after onset: 11
Location:Missouri  Entered:2013-10-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No.
Preexisting Conditions: Sulfa meds. Menopause and related symptoms (hot flashes, sleep disturbance, slight anxiety). Surgically euthyroid, vitiligo, occasional psoriasis, occasional eczema.
Diagnostic Lab Data: Blood work, x-rays, CT scan
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU890AA0IMLA
Administered by: Private     Purchased by: Other
Symptoms: Abdominal distension, Abdominal pain, Blood test, Body temperature increased, Chest discomfort, Computerised tomogram, Diarrhoea, Fatigue, Gastrointestinal inflammation, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Malaise, Musculoskeletal discomfort, Myalgia, Pain, Paraesthesia, Sleep disorder, Small intestinal obstruction, Tremor, X-ray
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Gastrointestinal obstruction (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific inflammation (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow)
Write-up: Started with redness, pain, swelling, and warmth of the injection site. Progressed to feeling achy and tired with diarrhea. The night of Monday, 10/07/2013, had severe chill-like shaking but no temperature. The shaking was so severe it awakened me from sleep throughout the night and left me with sore muscles the next day. Tuesday, 10/08/2013, had symptoms of tingling and heaviness in chest and neck, and went to ER. Told was reaction to flu shot aggravated by my autoimmune status. Continued to not feel well. Thursday, 10/10/2013, had severe abdominal pain all day. Went to ER at approximately 6:30 PM that evening and was admitted with blockage of my small intestine with inflammation and swelling of my stomach and intestines. Was dismissed from the hospital on Friday, 10/11/2013 at approximately 5:30 PM. On Saturday, 10/12/2013, began having extreme body aches. Also developed a low-grade temperature of approximately 100 F. Had the same aching and temperature on Sunday, 10/13/2013. Began feeling better on Monday, 10/14/2013, in the morning, but by Noon was feeling achy and tired again and once again developed diarrhea. Was feeling even better this morning (Tuesday, 10/15/2013), however, still have diarrhea and began feeling achy and tired again around Noon. Starting Monday, have began to feel like I am slowly on the mend.

VAERS ID:507319 (history)  Vaccinated:2013-09-20
Age:53.0  Onset:2013-10-06, Days after vaccination: 16
Gender:Male  Submitted:2013-10-15, Days after onset: 9
Location:Massachusetts  Entered:2013-10-15
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: Mercury Testing, Brain Scan, Blood Work, CBC, Thyroid, Lyme testing
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS 0 AR
RVX: ROTAVIRUS (NO BRAND NAME)UNKNOWN MANUFACTURER 0 AR
TD: TETANUS DIPHTHERIA (NO BRAND NAME)UNKNOWN MANUFACTURER   AR
Administered by: Unknown     Purchased by: Private
Symptoms: Blood mercury, Blood test, Borrelia test, Fatigue, Full blood count, Headache, Hyperhidrosis, Impaired work ability, Mental disorder, Nasopharyngitis, Neck pain, Scan brain, Thyroid function test, Weight decreased
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Dementia (broad), Arthritis (broad)
Write-up: Severe fatigue within 8 hours, cold, pain in neck and head, unable to work on 10/4/13 - present. Head sweat, lost 7 pounds in one week. Unable to function with mind. Quietness.

VAERS ID:507325 (history)  Vaccinated:2013-10-15
Age:53.0  Onset:2013-10-15, Days after vaccination: 0
Gender:Female  Submitted:2013-10-15, Days after onset: 0
Location:Maryland  Entered:2013-10-15
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:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)AVENTIS PASTEUR13405P IMLA
Administered by: Other     Purchased by: Military
Symptoms: Injection site pain, Injection site pruritus
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Itch and mild tenderness at injection site.

VAERS ID:507643 (history)  Vaccinated:2013-10-08
Age:53.0  Onset:2013-10-08, Days after vaccination: 0
Gender:Female  Submitted:2013-10-08, Days after onset: 0
Location:Kentucky  Entered:2013-10-15, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None reported
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1309601 IMRA
Administered by: Other     Purchased by: Private
Symptoms: Injection site discolouration, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Patient presented approximately 4 hours after receiving vaccine with swelling and discoloration at the injection site. I advised the patient that this was not uncommon. Suggested to apply ice to site. Advised follow up the next day. Patient appeared to have no other signs or symptoms.

VAERS ID:507368 (history)  Vaccinated:2013-08-27
Age:53.0  Onset:2013-08-27, Days after vaccination: 0
Gender:Female  Submitted:2013-08-29, Days after onset: 2
Location:Unknown  Entered:2013-10-16, 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:
Current Illness:
Preexisting Conditions: NKDA; Patient developed rash (mild) 3 weeks prior which cleared
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH888AB IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Flushing, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Urticaria 2-3 hours following FLUZONE vaccination. In 24 hours have widespread urticaria, rash, and upper neck and facial flushing occurred.

VAERS ID:507394 (history)  Vaccinated:2013-10-15
Age:53.0  Onset:2013-10-15, Days after vaccination: 0
Gender:Male  Submitted:2013-10-16, Days after onset: 1
Location:New York  Entered:2013-10-16
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:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED    
Administered by: Private     Purchased by: Other
Symptoms: Fatigue, Pain
SMQs:
Write-up: Severe body aches, fatigue.

VAERS ID:507728 (history)  Vaccinated:2013-10-16
Age:53.0  Onset:2013-10-16, Days after vaccination: 0
Gender:Male  Submitted:2013-10-17, Days after onset: 1
Location:Florida  Entered:2013-10-17
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
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURERD43CT1SYRLA
Administered by: Other     Purchased by: Private
Symptoms: Chills, Cough, Headache, Pain
SMQs:, Anaphylactic reaction (broad)
Write-up: Chills, body aches, headache, coughing.

VAERS ID:507729 (history)  Vaccinated:2013-10-14
Age:53.0  Onset:2013-10-14, Days after vaccination: 0
Gender:Male  Submitted:2013-10-17, Days after onset: 3
Location:California  Entered:2013-10-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No.
Preexisting Conditions: None.
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: Pain, Rash, Skin sensitisation
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Sensitive skin on left side of torso, front and back. Barely noticeable at first, but it got progressively worse. Within a day, I noticed a small rash and increasing pain. On the morning of the third day, 11/17/13, I went to see my doctor.

VAERS ID:508648 (history)  Vaccinated:2013-09-16
Age:53.0  Onset:2013-09-16, Days after vaccination: 0
Gender:Unknown  Submitted:2013-10-18, Days after onset: 32
Location:Unknown  Entered:2013-10-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES1309USA009508
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1502AA IMUN
Administered by: Other     Purchased by: Other
Symptoms: Expired drug administered, No adverse event
SMQs:
Write-up: Information has been received from a pharmacist concerning a 53 year old patient of unknown gender who on 16-SEP-2013 was vaccinated with a 0.5 ml dose of PNEUMOVAX23 lot # 672074/1502AA, Exp date 19-MAY-2013, intramuscular. No adverse effects reported. This is one of several reports received from the same source. Cases linked: 1310USA008719 and 1310USA008720. Additional information has been requested.

VAERS ID:508431 (history)  Vaccinated:2013-10-10
Age:53.0  Onset:2013-10-10, Days after vaccination: 0
Gender:Female  Submitted:2013-10-21, Days after onset: 11
Location:Texas  Entered:2013-10-21
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: Asthma, clinical hypothyroidism, chronic shingles, reflux
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  SYR 
PPV: PNEUMO (NO BRAND NAME)UNKNOWN MANUFACTURER  SYR 
Administered by: Unknown     Purchased by: Private
Symptoms: Burning sensation, Erythema, Injection site erythema, Pain, Pruritus, Vaccination site discomfort, Vaccination site swelling
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad)
Write-up: Shortly after the vaccine was administered I began to have discomfort at the vaccination site. It would cycle through five to ten minutes each of severe itching, then burning, then soreness. This went on for a couple of hours. Later it was just sore. I''ve never previously had any reaction to a flu vaccine. I had the pneumonia vaccine at the same time. That vaccination site became raised and red in the diameter of about a half dollar. There was also a bright red streak bout three inches long and about a half inch wide extending from the vaccination site over my shoulder towards the breast. The site and line were very sore.

VAERS ID:508689 (history)  Vaccinated:2013-10-16
Age:53.0  Onset:2013-10-18, Days after vaccination: 2
Gender:Male  Submitted:2013-10-21, Days after onset: 3
Location:North Carolina  Entered:2013-10-21
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: Allergic to cephalosporins
Diagnostic Lab Data: Pt was placed on antibiotic
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J001180 IMRA
Administered by: Private     Purchased by: Private
Symptoms: Cellulitis
SMQs:
Write-up: Pt presented to office 2 days after administration of vaccination with cellulitis of arm.

VAERS ID:508735 (history)  Vaccinated:2013-10-17
Age:53.0  Onset:2013-10-17, Days after vaccination: 0
Gender:Female  Submitted:2013-10-21, Days after onset: 4
Location:New York  Entered:2013-10-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Asthma; Allergies to Sulfa, preservatives and pesticides; High BP
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.H0146460SCLA
Administered by: Other     Purchased by: Public
Symptoms: Pruritus, Pyrexia, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: 10/17 4:30 PM MMR vaccine given. 6:00 PM patient felt feverish. 10/18 1:30 AM broke out in hives - took 75mg BENADRYL. 7:00 AM took more BENADRYL - hives continues. 1:40 PM went to PCP and saw NP - continue BENADRYL. 10/21 - hives diminished but still itching.

VAERS ID:508894 (history)  Vaccinated:2013-10-16
Age:53.0  Onset:2013-10-16, Days after vaccination: 0
Gender:Female  Submitted:2013-10-17, Days after onset: 1
Location:Pennsylvania  Entered:2013-10-22, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Allergies: Amoxicillin; MRI dye; REQUIP; MIRAPEX; PERCOCET; SINGULAIR; Nabumetone; AUGMENTIN; GERD; HTN; Hypothyroid; Bladder cancer; Allergic rhinitis
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH907AA IMLA
Administered by: Private     Purchased by: Other
Symptoms: Abdominal pain lower, Chills, Dizziness, Eye discharge, Eye pruritus, Eyelid margin crusting, Headache, Throat irritation, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Periorbital and eyelid disorders (narrow)
Write-up: 4hrs after flu vaccine scratchy throat, scratchy eyes. 8hrs after flu vaccine sudden onset of vomiting, dizziness and headache (R) side of head. C/o crusty exudate eyes -$g chills. Woke 10/17 am with headache and LLQ abd pain.

VAERS ID:509109 (history)  Vaccinated:2013-10-21
Age:53.0  Onset:2013-10-22, Days after vaccination: 1
Gender:Female  Submitted:2013-10-22, Days after onset: 0
Location:Mississippi  Entered:2013-10-23, 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:
Current Illness: No
Preexisting Conditions: NKDA; ? Sulfa allergy
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU4789AA0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Flu vaccine to (R) upper arm-erythema, localized warmth at site. Seen by CFNP.

VAERS ID:509153 (history)  Vaccinated:2013-10-18
Age:53.0  Onset:2013-10-18, Days after vaccination: 0
Gender:Female  Submitted:2013-10-19, Days after onset: 1
Location:Maryland  Entered:2013-10-23, Days after submission: 4
Life Threatening? Yes
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 LIMITED08549211A1UNLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chills, Eyelid oedema, Lacrimation increased, Lip swelling, Ocular hyperaemia, Pain, Pyrexia, Rhinorrhoea, Swelling face, Throat tightness, 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), Glaucoma (broad), Eosinophilic pneumonia (broad), Lacrimal disorders (narrow), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow)
Write-up: Red blood shot eyes, puffy teary eyes, face swelling, lips swelling, wheezing, throat felt like closing --$g self administered BENADRYL --$g above symptoms reduced -$g chills, feverish, achy --$g BENADRYL --$g runny nose next morning.

VAERS ID:509180 (history)  Vaccinated:2013-10-14
Age:53.0  Onset:2013-10-18, Days after vaccination: 4
Gender:Female  Submitted:2013-10-23, Days after onset: 5
Location:New York  Entered:2013-10-23
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: Asthma, Allergies, Aortic Valve Stenosis, Egg, Nut, Seafood, Allergies.
Diagnostic Lab Data: Physical Exam.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS66521011610 IMLA
Administered by: Public     Purchased by: Private
Symptoms: Blister, Swelling, Urticaria
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Severe hives, blisters, swelling over entire body. Took Benadryl but did not help. Saw doctor on Oct 21, prescribed 40 Mg prednisone P/Day over 7 day period, and antihistimines. Never had a allergic reaction before.

VAERS ID:509276 (history)  Vaccinated:0000-00-00
Age:53.0  Onset:2013-09-13
Gender:Male  Submitted:2013-09-13, Days after onset: 0
Location:Massachusetts  Entered:2013-10-23, Days after submission: 40
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': 2013SE69684
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT)MEDIMMUNE VACCINES, INC.BH2027 IN 
Administered by: Public     Purchased by: Other
Symptoms: Drug administered to patient of inappropriate age
SMQs:
Write-up: A report has been received from a Health Professional concerning a 53 year old, Male subject, who had been receiving Nasal FLUMIST QUADRIVALENT. FLUMIST QUADRIVALENT was started on an unknown date. Nurse reported that she inadvertently administered FLUMIST QUADRIVALENT to a 53 year old male at the community health center on 13-Sep-2013. The outcome of the event of INADVERTENTLY ADMINISTERED FLUMIST QUADRIVALENT is unknown. The report was considered to be non-serious by company physician.

VAERS ID:509562 (history)  Vaccinated:2013-10-23
Age:53.0  Onset:2013-10-23, Days after vaccination: 0
Gender:Female  Submitted:2013-10-25, Days after onset: 2
Location:California  Entered:2013-10-25
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:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDR538070IMLA
Administered by: Other     Purchased by: Private
Symptoms: Cough, Eye discharge, Eye swelling, Oropharyngeal pain, Salivary gland enlargement
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow)
Write-up: Cough, sore throat, swollen eyes, seepage from eyes, swollen salivary gland under tongue. Symptoms were better after 12 hours and much better after 36 hours. Took no action with symptoms.

VAERS ID:509616 (history)  Vaccinated:2013-10-20
Age:53.0  Onset:2013-10-20, Days after vaccination: 0
Gender:Male  Submitted:2013-10-21, Days after onset: 1
Location:New York  Entered:2013-10-25, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH936AB0IMRA
Administered by: Other     Purchased by: Private
Symptoms: Chills, Dizziness, Hyperhidrosis
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad)
Write-up: Chills, sweating, dizziness for 6-12 hours.

VAERS ID:509733 (history)  Vaccinated:2011-10-20
Age:53.0  Onset:2011-10-20, Days after vaccination: 0
Gender:Female  Submitted:2013-10-27, Days after onset: 738
Location:Missouri  Entered:2013-10-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Allergies to mold, thimerisol. PPD vaccine, ASA sensitive, sulfa, doxycicline
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER  SCRA
Administered by: Other     Purchased by: Other
Symptoms: Chills, Malaise, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Fever of 102.8 chills and feeling sick.

VAERS ID:509913 (history)  Vaccinated:2013-10-07
Age:53.0  Onset:2013-10-12, Days after vaccination: 5
Gender:Female  Submitted:0000-00-00
Location:Wisconsin  Entered:2013-10-28
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) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1309201 SYRLA
Administered by: Other     Purchased by: Private
Symptoms: Injected limb mobility decreased, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Reported a lot of pain at injection site, having difficulty lifting arm.

VAERS ID:509942 (history)  Vaccinated:2013-10-23
Age:53.0  Onset:2013-10-24, Days after vaccination: 1
Gender:Female  Submitted:2013-10-28, Days after onset: 4
Location:Michigan  Entered:2013-10-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT)GLAXOSMITHKLINE BIOLOGICALS7395G0IMLA
Administered by: Public     Purchased by: Private
Symptoms: Lymph node pain, Lymphadenopathy, Mass
SMQs:
Write-up: Client woke up on 10/24/13 with a pea sized lump on top of her left collarbone which she believes was an enlarged lymph node. No redness or tenderness to the touch. Client feels that the lymph node became more enlarged as the day went on and reached its peak on 10/25/13. In addition to this possible enlarged lymph node, client feels that the lymph nodes on the left side of neck became enlarged and swollen. The lymph nodes on the neck were tender to the touch. By 10/26/13 to 10/27/13, the swelling and tenderness had subsided. Client states she is still able to palpate a slightly enlarged lymph node on top of her left collarbone.

VAERS ID:510290 (history)  Vaccinated:2013-10-11
Age:53.0  Onset:2013-10-11, Days after vaccination: 0
Gender:Female  Submitted:2013-10-30, Days after onset: 19
Location:Unknown  Entered:2013-10-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES1310USA006970
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J0026920UNUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth, Rash vesicular
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: This spontaneous report as received from medical assistant via company representative refers to a 53 year old female patient with no pertinent medical history and no drug reactions or allergies. On 11-OCT-2013, the patient was vaccinated with first dose of ZOSTAVAX lot # J002692 exp. date 30-APR-2014 (dose and route not reported). There was no concomitant medication. On an approximately 11-OCT-2013, within 24 hours (exact time to onset unspecified), the patient noted pain, swelling, and hardness at the injection site. The area was also warm to the touch and had a bright erythema the size of an egg surrounding it. Today (14-OCT-2013) the erythema was larger and there was a blistering rash. However, the pain, swelling, hardness, warmth have all lessened. It was also reported that the patient''s outcome was not recovered. There was no treatment given for the patient''s events. No lab diagnostics studies were performed. It was reported that the patient called the office in regards to events. Causality was not provided. Additional information has been requested.

VAERS ID:510390 (history)  Vaccinated:2013-10-29
Age:53.0  Onset:2013-10-30, Days after vaccination: 1
Gender:Female  Submitted:2013-10-30, Days after onset: 0
Location:Minnesota  Entered:2013-10-30
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 penicillin. Being treated with Hydroxychloroquine for Lupus symptoms
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDR56108 IMLA
Administered by: Unknown     Purchased by: Other
Symptoms: Cardiac flutter, Headache, Heart rate increased, Ocular hyperaemia, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Glaucoma (broad), Tachyarrhythmia terms, nonspecific (narrow)
Write-up: Uncontrolable shaking, bad headache, blood shot eyes, very fast heartbeat that felt like it was fluttering.

VAERS ID:510417 (history)  Vaccinated:2013-10-17
Age:53.0  Onset:2013-10-17, Days after vaccination: 0
Gender:Female  Submitted:2013-10-30, Days after onset: 13
Location:Virginia  Entered:2013-10-30
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: Seasonal environmental allergies, hyperlipidemia, osteopenia, thyroid nodules
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS6652111482 IMAR
Administered by: Unknown     Purchased by: Private
Symptoms: Rash, Rash generalised
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Rash at posterior neck, hairline, arms, legs, torso; started approx 6 hrs after received vaccine and slowly worsened overnight; when seen in office next morning was given Kenalog 40 mg IM and advised to start Zyrtec qd.

VAERS ID:510423 (history)  Vaccinated:2013-10-28
Age:53.0  Onset:2013-10-29, Days after vaccination: 1
Gender:Female  Submitted:2013-10-30, Days after onset: 1
Location:Minnesota  Entered:2013-10-30
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
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS 1 LA
Administered by: Other     Purchased by: Private
Symptoms: Chills, Headache, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad)
Write-up: Woke up the following day after receiving the flu shot with headache, muscle aches and chills. I continue with a fever all day and now into the 2nd day. My fever reached as high as 102. I am now on day number two, with a fever as high as 101 today.

VAERS ID:510435 (history)  Vaccinated:2013-10-26
Age:53.0  Onset:2013-10-26, Days after vaccination: 0
Gender:Female  Submitted:2013-10-30, Days after onset: 4
Location:New Mexico  Entered:2013-10-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Client states had a headache that was thought to be a sinus/allergy headache.
Preexisting Conditions: No
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALS3CK5R0IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0907AE0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site discolouration, Lymph node pain, Lymphadenopathy, Pain, Pyrexia, Skin mass, Skin warm
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: 2-3 inch purplish area around injection site. Solid mass of 5 cm in diameter noted under skin. Area is warm to touch, with a stinging sensation. Lymph nodes in groin were swollen and painful. Had fever of 101.9 at highest for 3 days.

VAERS ID:510441 (history)  Vaccinated:2013-09-30
Age:53.0  Onset:2013-10-01, Days after vaccination: 1
Gender:Female  Submitted:2013-10-30, Days after onset: 29
Location:Wisconsin  Entered:2013-10-30
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
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  IMLA
Administered by: Other     Purchased by: Other
Symptoms: Drug administered at inappropriate site, Injection site pain, Rotator cuff syndrome
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Influenza vaccine administered HIGH in left deltoid. Arm/shoulder was typically sore for first several days; acetaminophen or ibuprofen was effective. Then more significant shoulder pain developed. By 3 weeks post-immunization, "rotator cuff" symptoms were evident and NSAIDS had no impact. Indomethacin, Naproxen, and Nabumetone were all used with no relief of shoulder pain.

VAERS ID:510450 (history)  Vaccinated:2013-10-16
Age:53.0  Onset:2013-10-16, Days after vaccination: 0
Gender:Male  Submitted:2013-10-30, Days after onset: 14
Location:Ohio  Entered:2013-10-30
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: Throat issues from nasal drainage
Diagnostic Lab Data: Pearls for coughing - no coughing at this time (10/23). Lung Xray and blood tests 10/28 as all OK. Symptoms continue.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS13412P UNUN
Administered by: Other     Purchased by: Other
Symptoms: Balance disorder, Blood test normal, Chest X-ray normal, Chills, Cough, Dysphonia, Fatigue, Feeling cold, Impaired driving ability, Mental impairment, Pain, Sensation of heaviness
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad)
Write-up: Chills. Tired. Body very cold. Equalibrium, driving, and brain function decrease. Throat hourse. No fever, no body aches, but body felt "twingy". 10/23 ER found nothing wrong same with PDr. 10/28.

VAERS ID:510453 (history)  Vaccinated:2013-10-26
Age:53.0  Onset:2013-10-26, Days after vaccination: 0
Gender:Female  Submitted:2013-10-30, Days after onset: 4
Location:California  Entered:2013-10-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Head cold
Preexisting Conditions: Metabolic disorder, diabetes
Diagnostic Lab Data: Patient was encouraged to seek medical advice regarding the need for appropriate medical testing
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALS9H2GX1IMLA
Administered by: Other     Purchased by: Private
Symptoms: Drug administration error, No adverse event, Syringe issue
SMQs:
Write-up: Patient was accidentally injected with a used syringe & needle previously used to administer Flulaval to her daughter, needle was immediately removed & disposed in Sharps container, no immediate reprocussions, no adverse effects or events reported by patient at 48 hours and 96 hours post injection.

VAERS ID:510696 (history)  Vaccinated:2013-10-31
Age:53.0  Onset:2013-10-31, Days after vaccination: 0
Gender:Male  Submitted:2013-10-31, Days after onset: 0
Location:Delaware  Entered:2013-10-31
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
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR  IMAR
Administered by: Other     Purchased by: Private
Symptoms: Bone pain, Chills, Fatigue, Headache, Irritability, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Osteonecrosis (broad)
Write-up: Fatigue, chills, fever, nausea, aching bones, headache, shivering, irritability.

VAERS ID:510898 (history)  Vaccinated:2013-10-17
Age:53.0  Onset:2013-10-17, Days after vaccination: 0
Gender:Female  Submitted:2013-10-17, Days after onset: 0
Location:Missouri  Entered:2013-11-01, Days after submission: 15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None reported by pt.
Preexisting Conditions: None reported by pt or documented in profile
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU4889AA IMLA
Administered by: Other     Purchased by: Private
Symptoms: Vitreous floaters
SMQs:, Retinal disorders (narrow)
Write-up: Pt. states 1 hour post vaccine she began to see "floaties" in (R) eye only. Lasted 2 hours, then resolved. No issues since then.

VAERS ID:510918 (history)  Vaccinated:2013-10-24
Age:53.0  Onset:2013-10-24, Days after vaccination: 0
Gender:Male  Submitted:2013-11-01, Days after onset: 8
Location:Massachusetts  Entered:2013-11-01
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: NKA; Hep C
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALS2T4JT IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J004747 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site cellulitis, Injection site erythema, Injection site induration, Injection site pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: Pneumonia and influenza vaccines given 10/24/13. Later that day pt c/o fever and pain in (L) deltoid. TYLENOL and BENADRYL given. Temp 100.2. On 10/26 in medical rounds pt c/o redness and induration (L) deltoid. Diagnosed as cellulitis. Cold compresses and KEFLEX ordered. On 10/27 pt discharged to home.

VAERS ID:511066 (history)  Vaccinated:2013-09-24
Age:53.0  Onset:2013-10-11, Days after vaccination: 17
Gender:Female  Submitted:0000-00-00
Location:Washington  Entered:2013-11-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSHE2973IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.H0181820SCLA
Administered by: Private     Purchased by: Unknown
Symptoms: Fatigue, Headache, Nausea, Pain, Rash generalised, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow)
Write-up: Rash from head to toe, fatigue severe to mod. Nausea, vomiting headache, body aches, sx''s lasting 2 weeks prednisone, ABO, TYLENOL, ALEVE.

VAERS ID:510966 (history)  Vaccinated:2013-10-29
Age:53.0  Onset:2013-10-29, Days after vaccination: 0
Gender:Female  Submitted:2013-11-02, Days after onset: 4
Location:North Carolina  Entered:2013-11-02
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: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.    
Administered by: Other     Purchased by: Private
Symptoms: Dizziness, Flushing, Injection site reaction, Rash erythematous
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: Dizzy at first and flushed, then a red rash about the size of a silver dollar came up at the injection site with raised bumps.

VAERS ID:511004 (history)  Vaccinated:2013-11-01
Age:53.0  Onset:2013-11-02, Days after vaccination: 1
Gender:Female  Submitted:2013-11-03, Days after onset: 1
Location:Illinois  Entered:2013-11-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR2013-2014 IMLA
Administered by: Public     Purchased by: Private
Symptoms: Activities of daily living impaired, Asthenia, Chills, Headache, Nausea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Fever of 103.3, strong chills, headache, weakness. Fever reduced over 7 hours with ibuprofen & acetaminophen. Second day (11/3/13) I had nausea and vomiting, weakness, headache. I have spent two days in bed with this reaction to the vaccination.

VAERS ID:511267 (history)  Vaccinated:2013-10-08
Age:53.0  Onset:2013-10-10, Days after vaccination: 2
Gender:Female  Submitted:2013-10-10, Days after onset: 0
Location:Maryland  Entered:2013-11-04, Days after submission: 25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALS35SN5 UNLA
Administered by: Public     Purchased by: Unknown
Symptoms: Chills, Decreased appetite, Diarrhoea, Fatigue, Pain
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Chills, body aches, diarrhea, loss of appetite, tired.

VAERS ID:511451 (history)  Vaccinated:2013-10-09
Age:53.0  Onset:2013-10-09, Days after vaccination: 0
Gender:Female  Submitted:2013-10-23, Days after onset: 14
Location:Washington  Entered:2013-11-05, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Low back pain
Preexisting Conditions: DM; Asthma; Chronic pain syndrome; Low back pain
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH897AA1IMLA
Administered by: Private     Purchased by: Private
Symptoms: Dyspnoea, Fatigue, Myalgia, Pruritus generalised
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad)
Write-up: Pt report generalized muscle aches and tiredness. Then post 2+ hr immunization awaken with difficulties breathing, shortness of breath and itchy over body. Pt treated self with nebulizer treatments which decreased her difficulties in breath. Itching resolved in 2 days.

VAERS ID:511510 (history)  Vaccinated:2013-10-30
Age:53.0  Onset:2013-10-31, Days after vaccination: 1
Gender:Male  Submitted:2013-11-05, Days after onset: 5
Location:Wisconsin  Entered:2013-11-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Diabetes, no allergies, healthy at vaccination
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEURUH918AA5IMLA
UNK: PNEUMO (FOREIGN)GLAXOSMITHKLINE BIOLOGICALSJ0103321IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Erythema, Pain in extremity, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (broad)
Write-up: Red arm, very painful, fever up to 103.

VAERS ID:511726 (history)  Vaccinated:2013-11-04
Age:53.0  Onset:2013-11-04, Days after vaccination: 0
Gender:Female  Submitted:2013-11-06, Days after onset: 2
Location:Wisconsin  Entered:2013-11-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Dr. Internal Medicine instructed me to take Tylenol and rest and go to ER if didn''t get better. I alerted Employee Health RN via email - and she instructed me to report this online.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH891AA UNUN
Administered by: Other     Purchased by: Other
Symptoms: Fatigue, Headache, Neck pain, Pain, Pain in extremity, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Arthritis (broad)
Write-up: Pain in left arm moved to fingertips and then to neck and severe headache; then sleepiness set in extremely tired and throbbing arm/neck pain. ICE PACK on head AND arm helped some and took painkiller - Advil. Went home and slept for 5 hours and was up all night with headache and arm pain; went to work and arm pain increased - fingertips to neck - called my doctor.

VAERS ID:511839 (history)  Vaccinated:2013-10-15
Age:53.0  Onset:2013-10-15, Days after vaccination: 0
Gender:Male  Submitted:2013-11-07, Days after onset: 23
Location:New York  Entered:2013-11-07
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: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH906AD1IMLA
Administered by: Public     Purchased by: Public
Symptoms: Chills, Productive cough, Pulmonary congestion, Sinus congestion
SMQs:, Cardiac failure (broad)
Write-up: Developed a productive cough, chills (temp not taken but had what was described as severe chills; congestion - sinus - chest - took MUCINEX.

VAERS ID:511988 (history)  Vaccinated:2013-10-31
Age:53.0  Onset:2013-10-31, Days after vaccination: 0
Gender:Female  Submitted:2013-11-07, Days after onset: 7
Location:Colorado  Entered:2013-11-07
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: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSDF3KK0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Patient complained of swelling to face 3 hours after receiving FLULAVAL vaccine. Went to ER to receive IV corticosteroid tx.

VAERS ID:512136 (history)  Vaccinated:2013-11-04
Age:53.0  Onset:2013-11-05, Days after vaccination: 1
Gender:Female  Submitted:2013-11-08, Days after onset: 3
Location:Tennessee  Entered:2013-11-08
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: Thimerosal
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (NO BRAND NAME)UNKNOWN MANUFACTURER 0IMRA
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site discharge, Injection site discolouration, Injection site erythema
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: 4 inch round circle around injection site with hard white center and black and purple in the middle of white. Began running yellow clear liquid night of 11/7/13.

VAERS ID:512365 (history)  Vaccinated:2013-11-08
Age:53.0  Onset:2013-11-08, Days after vaccination: 0
Gender:Female  Submitted:2013-11-11, Days after onset: 3
Location:Michigan  Entered:2013-11-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS13472P0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Fatigue, Malaise, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Patient received Flu vaccine injection on 11/8/13. She call drug store to let us know she was sick all weekend and Monday. Feeling achy, feverish, tired, slept most of 2 days. As of Monday 11/11/13 her doctor has not seen her!

VAERS ID:512401 (history)  Vaccinated:2013-10-29
Age:53.0  Onset:2013-11-02, Days after vaccination: 4
Gender:Female  Submitted:2013-11-06, Days after onset: 4
Location:Michigan  Entered:2013-11-11, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: NKDA
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J0042690SCRA
Administered by: Private     Purchased by: Private
Symptoms: Herpes zoster, Pain
SMQs:
Write-up: Pt developed shingle rash and pain.

VAERS ID:512420 (history)  Vaccinated:2013-10-26
Age:53.0  Onset:2013-10-27, Days after vaccination: 1
Gender:Female  Submitted:2013-11-11, Days after onset: 15
Location:Utah  Entered:2013-11-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH910AA IMLA
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.T005719 SCRA
Administered by: Other     Purchased by: Public
Symptoms: Injection site bruising, Injection site erythema, Injection site inflammation
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad)
Write-up: Area around injection site became inflamed and red. A few days later reaction spread farther to under side of arm. Area also looked bruised.

VAERS ID:512372 (history)  Vaccinated:2013-11-06
Age:53.0  Onset:2013-11-06, Days after vaccination: 0
Gender:Female  Submitted:2013-11-07, Days after onset: 1
Location:Rhode Island  Entered:2013-11-12, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None noted
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALS93S25 UNLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dizziness, Flushing
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypersensitivity (broad)
Write-up: Pt. began to feel woozy - then became flushed - we kept her with us and her fellow RN''s. This lasted about 5-10 minutes. We decided to give her BENADRYL 50 mg SC - she then seemed to recover and went back to work. Suggested she not drive home alone - she left with RN''s to rescue unit.

VAERS ID:512504 (history)  Vaccinated:2013-10-23
Age:53.0  Onset:2013-10-23, Days after vaccination: 0
Gender:Female  Submitted:2013-11-12, Days after onset: 20
Location:Unknown  Entered:2013-11-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES1310USA013220
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  SCUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: This spontaneous report as received from a pharmacist refers to a 53 year old female patient. The patient did not have a pertinent medical history and no drug reactions/allergies. On 23-OCT-2013 the patient was vaccinated with a dose of ZOSTAVAX, 0.65 ml, subcutaneously ("physician recommended") (lot # J010447, expiry date: 22-APR-2014). Concomitant therapies included gabapentin, sertraline hydrochloride and lorazepam. The pharmacist reproted that after the patient received ZOSTAVAX, she developed redness and soreness at the injection site. The patient developed these symptoms shortly after administration of the ZOSTAVAX, when she was still in the pharmacy. No lab tests were performed and no treatment was given for the events. The pharmacist reported that all of the patient''s symptoms "subsided within a day". No reporter causality was provided. Additional information has been requested.

VAERS ID:512624 (history)  Vaccinated:2013-11-05
Age:53.0  Onset:0000-00-00
Gender:Unknown  Submitted:0000-00-00
Location:Florida  Entered:2013-11-12
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 DIAGNOSTICS13097011IMLA
Administered by: Public     Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Patient described to human resources of pain, swelling and rd around the injection site.

VAERS ID:512626 (history)  Vaccinated:2013-10-30
Age:53.0  Onset:2013-10-30, Days after vaccination: 0
Gender:Female  Submitted:2013-11-07, Days after onset: 8
Location:Mississippi  Entered:2013-11-13, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None; Blood pressure; Smoker
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEURUT4723AA IDLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site erythema, Injection site vesicles, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Had redness and small blisters around site of (L) arm (deltoid area) warm to touch.

VAERS ID:512790 (history)  Vaccinated:2013-11-08
Age:53.0  Onset:2013-11-08, Days after vaccination: 0
Gender:Female  Submitted:2013-11-12, Days after onset: 4
Location:Michigan  Entered:2013-11-13, 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: High blood pressure; Low thyroid; Anxiety
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH891AA0UNLA
Administered by: Other     Purchased by: Private
Symptoms: Chills, Pharyngeal oedema, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal allergic conditions (narrow), Hypersensitivity (narrow)
Write-up: Pt. received shot approximately 3:45 pm, she states approximately 7-8 pm she felt chilled, feverish then felt throat swelling. Rash started on face around same time. Rash progressed to legs, arms torso throughout couple days. Patient say MD on 11-12-13 around 12-2 pm.

VAERS ID:512854 (history)  Vaccinated:2013-11-05
Age:53.0  Onset:2013-11-06, Days after vaccination: 1
Gender:Female  Submitted:2013-11-08, Days after onset: 2
Location:Michigan  Entered:2013-11-13, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Attached labs normal except hemoglobin low 11.1
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEURUT4719AA IDLA
Administered by: Other     Purchased by: Private
Symptoms: Asthenia, Chills, Dizziness, Dysarthria, Fatigue, Haemoglobin decreased, Hyperhidrosis, Hypertension, Laboratory test normal, Malaise
SMQs:, Haematopoietic erythropenia (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hypertension (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Vestibular disorders (broad)
Write-up: Became dizzy, chills, diaphoretic, high blood pressure, slurred speech. Sent to E.R. 11/8/13 Still weak, ill, fatigued.

VAERS ID:512892 (history)  Vaccinated:2013-11-12
Age:53.0  Onset:2013-11-13, Days after vaccination: 1
Gender:Male  Submitted:2013-11-13, Days after onset: 0
Location:Maine  Entered:2013-11-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEURUT4722AA0IDUN
Administered by: Private     Purchased by: Private
Symptoms: Injection site pain, Injection site swelling, Vomiting
SMQs:, Acute pancreatitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Site is swollen sore vomiting x 5hrs. according to patient.

VAERS ID:512895 (history)  Vaccinated:2013-07-16
Age:53.0  Onset:0000-00-00
Gender:Male  Submitted:2013-11-13
Location:Florida  Entered:2013-11-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data: Unremarkable, ANA, CMP, CBC from 7/29/13
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURV4046AA IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Antinuclear antibody, Full blood count, Hypoaesthesia, Metabolic function test
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Pt reported generalized numbness in entire body after TDap vaccine, evaluated by neurologist on 8-16-13.

VAERS ID:513018 (history)  Vaccinated:2013-10-31
Age:53.0  Onset:2013-10-31, Days after vaccination: 0
Gender:Female  Submitted:2013-11-14, Days after onset: 14
Location:North Carolina  Entered:2013-11-14
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: Unknown
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEURU4789AA IMRA
Administered by: Public     Purchased by: Private
Symptoms: Erythema, Hypersensitivity, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Itching, redness, hives...obvious allergic reaction; escorted to ER by RN; treated by ER physician.

VAERS ID:513078 (history)  Vaccinated:2013-10-26
Age:53.0  Onset:2013-10-28, Days after vaccination: 2
Gender:Female  Submitted:2013-11-14, Days after onset: 17
Location:New York  Entered:2013-11-14
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: Hives
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS130959 IMLA
Administered by: Other     Purchased by: Private
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Hives on both legs within 24 hours of shot. 3rd and 4th day - hives up back and elbows.

VAERS ID:513294 (history)  Vaccinated:2013-10-10
Age:53.0  Onset:2013-10-10, Days after vaccination: 0
Gender:Female  Submitted:2013-10-21, Days after onset: 11
Location:Ohio  Entered:2013-11-15, Days after submission: 25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS13096010UNLA
Administered by: Other     Purchased by: Unknown
Symptoms: Musculoskeletal pain, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Pt has tingling in left arm 11 days after immunization. States that there is now pain in the shoulder area.

VAERS ID:513338 (history)  Vaccinated:2013-11-15
Age:53.0  Onset:2013-11-15, Days after vaccination: 0
Gender:Female  Submitted:2013-11-15, Days after onset: 0
Location:New York  Entered:2013-11-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Allergies: Sulfa; ULTRAM
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH894AB IMLA
Administered by: Public     Purchased by: Other
Symptoms: Burning sensation, Injection site erythema, Injection site warmth, Pruritus
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad)
Write-up: At 9:35am returned to Clinic c/o itching and burning. "Felt like area was on fire: Left upper deltoid area hot, dark red approximately 3 inch perimeter around injection site. Diphenhydramine oral suspension 25 mg administered. Ice pack to left deltoid. No difficulty breathing, soreness itching or tightness in throat. Talking without difficulty. BP 140/90 P. 76. Remained at clinic 10:51 pm direct observation. Notified PCP for further orders: Given 2nd dose Diphenhydramine 25 mg. Released to supervision.

VAERS ID:513415 (history)  Vaccinated:2013-11-14
Age:53.0  Onset:2013-11-15, Days after vaccination: 1
Gender:Female  Submitted:2013-11-17, Days after onset: 2
Location:New York  Entered:2013-11-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J0017000UNLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Rash, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Redness, heat, pain at injection site. Swelling, spreading of redness/rash over the course of three days. Advised patient to go to urgent care/ER.

VAERS ID:513585 (history)  Vaccinated:2013-10-17
Age:53.0  Onset:2013-10-17, Days after vaccination: 0
Gender:Female  Submitted:2013-11-18, Days after onset: 32
Location:Unknown  Entered:2013-11-18
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
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH894AB IMLA
Administered by: Other     Purchased by: Unknown
Symptoms: Cardiac flutter, Hypoaesthesia, Injection site anaesthesia, Injection site pain, Malaise, Petechiae, Spinal pain
SMQs:, Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Tachyarrhythmia terms, nonspecific (narrow), Arthritis (broad)
Write-up: I RECEIVED THE SHOT LATE MORNING TO MY UPPER LEFT ARM AND DID NOT EXPERIENCE ANY PAIN AT ALL. I WAS WORKING AT A JOB WHERE I HAVE LIMITED PHYSICAL ACTIVITY. AFTER ABOUT AN HOUR I EXPERIENCED NUMBNESS AND PAIN IN MY UPPER ARM IN THE PERIMETER AROUND WHERE I RECEIVED THE SHOT. THEN MY LOWER SPINE AREA HURT, AS THOUGH I HAD HIT IT (BUT I HADN''T). AT THE SAME TIME I EXPERIENCED PAIN AND NUMBNESS IN AN AREA ON MY UPPER LEFT LEG. BY THE END OF THE DAY I WAS GENERALLY ILL AND LEFT ARM, LOWER SPINE AND UPPER LEFT LEG WERE VERY PAINFUL AND NUMB TO THE TOUCH. ADDITIONALLY, MY HEART WAS "FLUTTERING" INTERMITTENTLY. AFTER TWO DAYS. I WAS UNABLE TO TOLERATE THE PAIN AND RESTED IN BED THAT DAY. BY THIS TIME, THE AREA OF MY LEG THAT WAS NUMB HAD PETECHIA (RASH). IT WAS TOO PAINFUL FOR ME TO BRING MY ARM THROUGH RANGE OF MOTION. OVER THE FOLLOWING WEEKS, MY PAIN AND NUMBNESS SUBSIDED, THE SPOT ON MY LEG NOT HURTING AND RETURNING FEELING FIRST. THIS IS THE FIRST WEEK THAT I HAVE NOT HAD PAIN IN MY ARM AND I MOST OF THE LACK OF ABILITY TO FEEL TOUCH HAS SUBSIDED.

VAERS ID:513791 (history)  Vaccinated:2013-10-30
Age:53.0  Onset:2013-11-02, Days after vaccination: 3
Gender:Female  Submitted:0000-00-00
Location:Illinois  Entered:2013-11-19
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: Aspirin allergy
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4688BA0IMRA
Administered by: Private     Purchased by: Unknown
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site warmth
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad)
Write-up: Redness, warmth, painful, facial redness. (R) Deltoid. 4 in x 4 1/2 in diameter.

VAERS ID:513865 (history)  Vaccinated:2013-10-02
Age:53.0  Onset:2013-11-02, Days after vaccination: 31
Gender:Female  Submitted:2013-11-19, Days after onset: 17
Location:California  Entered:2013-11-19
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: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEURUT4721BA0IDLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Redness, and large swelling at injection site.

VAERS ID:514181 (history)  Vaccinated:2013-11-15
Age:53.0  Onset:2013-11-15, Days after vaccination: 0
Gender:Male  Submitted:2013-11-21, Days after onset: 6
Location:Unknown  Entered:2013-11-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES1311USA007733
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.H0157490SCLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain, Injection site warmth, Wrong drug administered
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: This spontaneous report as received from a nurse practitioner refers to a 53 year old male patient with anemia, appendectomy, benign positional vertigo, congestive heart failure, carpal tunnel syndrome, cataracts, chronic back pain, recent aortic coronary bypass, deaf in left ear, diabetes, end stage renal disease, gastroesophageal reflux disease, gastroparesis, hypertension, neuropathy, sleep apnea, diastolic dysfunction, hyperlipidemia and defibrillator. On 15-NOV-2013 the patient was vaccinated with PNEUMOVAX23 lot # H015749, 0.5 ml, intradermal. Concomitant therapies included amiodarone, HUMALOG, NORVASC, LIPITOR, EPOGEN, PERCOCET, CYMBALTQA, PHOSLO, PROTONIX and ramipril. The patient was supposed to received purified protein derivative (PPD) for tuberculin test but instated received PNEUNOVAX23. Several hours later, on 15-NOV-2013, the patient experienced an injection site reaction of redness, inflammation and pain. The affected area was hot. The nurse practitioner would be prescribing KEFLEX and BENADRYL at the day of reporting (18-NOV-2013). She might order an ultrasound of the patient''s arm. On 18-NOV-2013, the patient stated that his arm was improving. The relatedness was not provided. Additional information has been requested.

VAERS ID:514205 (history)  Vaccinated:2013-11-18
Age:53.0  Onset:2013-11-19, Days after vaccination: 1
Gender:Female  Submitted:2013-11-21, Days after onset: 2
Location:Utah  Entered:2013-11-21
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
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALS2RX590IMLA
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS13102011IMRA
Administered by: Other     Purchased by: Private
Symptoms: VIIth nerve paralysis
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad)
Write-up: Bells palsy.

VAERS ID:514252 (history)  Vaccinated:2013-11-14
Age:53.0  Onset:2013-11-15, Days after vaccination: 1
Gender:Female  Submitted:2013-11-21, Days after onset: 6
Location:Michigan  Entered:2013-11-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDR54307 IMRA
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J0068300SCLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Cellulitis, Injection site erythema
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: 24 hours after vaccination, patient developed erythema around injection site. Patient saw physician assistant who diagnosed cellulitis and treated with oral BENADRYL and cleared.

VAERS ID:514370 (history)  Vaccinated:2013-11-21
Age:53.0  Onset:2013-11-22, Days after vaccination: 1
Gender:Female  Submitted:2013-11-22, Days after onset: 0
Location:Puerto Rico  Entered:2013-11-22
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: Allergic to penicillin and Ultracet, PMHx Hypertension
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALS    
Administered by: Other     Purchased by: Other
Symptoms: Chest pain, Discomfort, Dizziness, Presyncope
SMQs:, Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Near syncope, lightheadedness, throat discomfort, chest pain, palpitations.

VAERS ID:514388 (history)  Vaccinated:2013-10-09
Age:53.0  Onset:2013-10-11, Days after vaccination: 2
Gender:Female  Submitted:2013-11-22, Days after onset: 42
Location:California  Entered:2013-11-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Allergic to Penicillin
Diagnostic Lab Data: Appointment scheduled with Allergist for 11/27/2013
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED33332001301 IMLA
Administered by: Other     Purchased by: Private
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Severe hives over trunk of body, backside and legs. Self-administered treatment with an OTC antihistamine. Since onset of event, hives have been recurring approximately every 48 hours. Continue to take OTC antihistamine with each occurrence.

VAERS ID:514470 (history)  Vaccinated:2013-11-19
Age:53.0  Onset:2013-11-20, Days after vaccination: 1
Gender:Female  Submitted:2013-11-22, Days after onset: 2
Location:Pennsylvania  Entered:2013-11-22
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 DIAGNOSTICS13472P SYRLA
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J0072070SYRRA
Administered by: Other     Purchased by: Unknown
Symptoms: Injection site induration, Injection site mass, Injection site pruritus, Injection site rash, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: When pt woke up on the day after vaccination she had a quarter-sized lump at injection site of RA. She also reported it to be hot/hard and a bumpy, itchy rash. The lump grew to the size of a baseball by 11/21. Pt told to take BENADRYL and contact MD if it got worse or did not improve.

VAERS ID:514608 (history)  Vaccinated:2013-11-19
Age:53.0  Onset:2013-11-22, Days after vaccination: 3
Gender:Female  Submitted:2013-11-25, Days after onset: 3
Location:Oklahoma  Entered:2013-11-25
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: Allergic to penicillin
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1308701 SYRLA
Administered by: Private     Purchased by: Private
Symptoms: Swelling face, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Hive developed on right cheek and right side of face slightly swollen.

VAERS ID:515041 (history)  Vaccinated:2013-11-25
Age:53.0  Onset:2013-11-26, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Montana  Entered:2013-11-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Chronic pain
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J007210 SCUN
Administered by: Unknown     Purchased by: Other
Symptoms: Erythema, Fatigue, Skin warm
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: She had fatigue and warm red area that was spreading down arm. Treated wtih doxycycline and Nystating/triamcin cream.

VAERS ID:515068 (history)  Vaccinated:2013-11-08
Age:53.0  Onset:2013-11-09, Days after vaccination: 1
Gender:Female  Submitted:2013-11-28, Days after onset: 19
Location:Unknown  Entered:2013-11-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Drug hypersensitivity
Preexisting Conditions: Penicillin (unspecified)
Diagnostic Lab Data:
CDC 'Split Type': WAES1311USA004341
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J006155 SYRLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling, Injection site vesicles, Injection site warmth
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 refers to a 53 year old female patient with penicillin allergy. On 08-NOV-2013 the patient was vaccinated with ZOSTAVAX lot # J006155, expiration date: 30-AUG-2014, one injection in the left arm. On 09-NOV-2013 the patient began to develop redness, swelling, warmth, and blistering 1 inch by 3 inches, at the injection site. She took an unknown non-drowsy antihistamine and ibuprofen during the day and BENADRYL during the night. On the morning of 10-NOV-2013 the red, warm, reaction area around the blister had increased in size to 5 inches by 6 inches, the entire back of her arm, and is hot to touch. The area has a blistery cellulitis appearance. It is unknown if there is any relevant laboratory data. As of 10-NOV-2013 it is unknown if she will receive another injection of ZOSTAVAX. At the time of this report the patient did not recover from the events of blisters, redness, warmth and a blistering cellulitis appearance around the injection site. The relatedness between the patient''s adverse events and the vaccination with ZOSTAVAX was not reported. Additional information has been requested.

VAERS ID:515165 (history)  Vaccinated:2013-11-20
Age:53.0  Onset:2013-11-20, Days after vaccination: 0
Gender:Female  Submitted:2013-11-29, Days after onset: 9
Location:Ohio  Entered:2013-11-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NO
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID, ADSORBED (NO BRAND NAME)SANOFI PASTEURU4250BA IMLA
Administered by: Other     Purchased by: Private
Symptoms: Dizziness, Erythema, Induration, Injection site mass, Nausea, Pruritus, Skin discolouration
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad)
Write-up: Lightheaded and slightly nauseous day of injection, lasting 2 more days. Red, itchy, indurated area x2 on right leg on 3rd day after injection, another similar area on abdomen a couple days after, then similar area on right upper back and perineum on 11/29/13 when seen in center. Other sites left dark coloring on skin. Under left deltoid injection site, pea-sized lump. No other symptoms.

VAERS ID:515236 (history)  Vaccinated:2013-11-29
Age:53.0  Onset:2013-11-29, Days after vaccination: 0
Gender:Female  Submitted:2013-12-01, Days after onset: 2
Location:Florida  Entered:2013-12-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Penicillin; Atropine; bacitracin; Hypothyroidism
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J0047471SCUN
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Oedema peripheral, Tenderness
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Left arm edema, erythema, tenderness (all left arm) no forearm BENADRYL and cold compresses. TYLENOL or Ibuprofen for pain.

VAERS ID:515608 (history)  Vaccinated:2013-10-20
Age:53.0  Onset:2013-10-20, Days after vaccination: 0
Gender:Female  Submitted:2013-12-04, Days after onset: 45
Location:Indiana  Entered:2013-12-04
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
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1307801 IMLA
Administered by: Public     Purchased by: Other
Symptoms: Cough, Erythema, Hyperventilation, Pruritus, Throat irritation
SMQs:, Anaphylactic reaction (narrow), Asthma/bronchospasm (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad)
Write-up: Developed hyperventilating, itchy/red chest, "catch" in throat; able to breathe easily. No tongue swelling. No SOB. Took OTC meds on own. No hives noted. Irritated cough. Refused to be seen in ER, though agreed to go if worsened.

VAERS ID:515872 (history)  Vaccinated:2013-12-03
Age:53.0  Onset:2013-12-04, Days after vaccination: 1
Gender:Male  Submitted:2013-12-08, Days after onset: 4
Location:New York  Entered:2013-12-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J0042691SCLA
Administered by: Other     Purchased by: Private
Symptoms: Arthralgia, Erythema, Skin infection, Soft tissue infection
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Arthritis (broad)
Write-up: Patient received ZOSTAVAX shot 12/3/13 and developed pain in his elbow in the morning of 12/4/13. By 12/5/13 he developed a 4x6 circular red patch on elbow. He went to his primary doctor and was prescribed Cephalexin for a skin/tissue infection.

VAERS ID:516217 (history)  Vaccinated:2013-11-21
Age:53.0  Onset:2013-12-04, Days after vaccination: 13
Gender:Female  Submitted:2013-12-05, Days after onset: 1
Location:Virginia  Entered:2013-12-11, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Lyme IgG/IgM; ANA screen; ferritin; Thyroid - TSH; CBC; CMP
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS13374P0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Antinuclear antibody, Blood thyroid stimulating hormone, Borrelia test, Ear discomfort, Ear pain, Eyelid function disorder, Facial paresis, Full blood count, Hypoaesthesia oral, Metabolic function test, Serum ferritin
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow)
Write-up: C/O aching burning pain in Lt ear 2-3 days, decreased blinking of (L) eyelid, mild facial weakness in cheek and numbness of tongue. Has sched. MRI of brain. Appt with ophthalmologist.

VAERS ID:516426 (history)  Vaccinated:2013-10-31
Age:53.0  Onset:2013-10-31, Days after vaccination: 0
Gender:Female  Submitted:2013-12-12, Days after onset: 42
Location:Wisconsin  Entered:2013-12-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Doctor visit on Nov 22nd; took X-rays and gave prescription of Diclofenac SOD DR (75mg) to reduce inflammation and soreness
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDR560080IMLA
Administered by: Other     Purchased by: Other
Symptoms: Inflammation, Myalgia, Pain in extremity, X-ray
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad)
Write-up: Arm was sore from time of onset and got progressively worse as time went on. No redness or swelling; only soreness and aching in muscle and continues to this day.

VAERS ID:516465 (history)  Vaccinated:2013-11-15
Age:53.0  Onset:0000-00-00
Gender:Female  Submitted:2013-12-13
Location:Texas  Entered:2013-12-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: Varicella
Diagnostic Lab Data: 11/2013, Body temperature, 99.6 not provided
CDC 'Split Type': WAES1312USA005930
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  UNLA
Administered by: Other     Purchased by: Other
Symptoms: Body temperature increased, Erythema, Injection site erythema, Injection site rash, Injection site vesicles, Injection site warmth, Pain in extremity, Rash, Swelling
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 (narrow)
Write-up: This spontaneous report as received from a physician via a field representative refers to a female patient of unknown age. On an unknown date the patient was vaccinated with ZOSTAVAX vial (dose, lot and expiry date unknown). On an unknown date the patient developed rash, redness and swelling after receiving ZOSTAVAX. The outcome of events was reported as not resolved. Follow-up information was received from the physician concerning the 53 year old female patient with no allergies and a history of chicken pox, who on 16-NOV-2013, the patient was vaccinated with a 0.65 ml dose of ZOSTAVAX (lot# reported as 5006832) in her left arm. There was no concomitant medication. On an unknown date in November 2013 the patient experienced redness and swelling after receiving ZOSTAVAX (as previously reported). On 16-NOV-2013, 2 days after vaccination, the patient experienced red, hot and blistery rash only at injection site (multiple lesions) and painful arm. The maximum temperature was 99.6. The patient did not recent exposure to chicken pox or shingles. On an unknown date in November 2013, the patient recovered from the events. This is one of the several reports from the same source. Additional information is not expected.

VAERS ID:516488 (history)  Vaccinated:2013-11-22
Age:53.0  Onset:2013-11-25, Days after vaccination: 3
Gender:Female  Submitted:2013-12-13, Days after onset: 18
Location:Connecticut  Entered:2013-12-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES1311USA011533
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J006827 SCUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site swelling, Local reaction
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: This spontaneous report as received from a medical assistant refers to a 53 year old female patient with no pertinent medical history or drug reactions/allergies. On 22-NOV-2013 the patient was vaccinated with a 0.65 ml dose of ZOSTAVAX (lot # J006827, EXP date 14-SEP-2014), subcutaneously. Concomitant therapies included ZYRTEC. On 25-NOV-2013, 4 days after onset of therapy the patient presented to the office with local redness and swelling of her left arm at the injection site area. Patient sought medical attention by contacting physician and patient was given treatment by being advised to use MOTRIN. There was no lab diagnostics studies performed. The outcome of events was reported as recovering/resolving. Additional information has been requested.

VAERS ID:516743 (history)  Vaccinated:2013-12-13
Age:53.0  Onset:2013-12-14, Days after vaccination: 1
Gender:Female  Submitted:2013-12-16, Days after onset: 2
Location:California  Entered:2013-12-16
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: Migraines, Neuralgia in Face, Chronic Neck Pain, Menopause
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 1 RA
TTOX: TETANUS TOXOID (NO BRAND NAME)UNKNOWN MANUFACTURER 1 LA
Administered by: Private     Purchased by: Private
Symptoms: Chills, Erythema, Formication, Headache, Hyperhidrosis, Local swelling, Nausea, Pain in extremity, Pruritus, Pyrexia
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: 12/13/13 I had flu shot in left arm and Tetanus in right arm. 12/14/13 Woke up at 5am with severe chills, fever, severe headache, pain in both arms. Pain, redness, and swelling in left arm (Tetanus). Chills subsided after Tylenol and a few hours. Low grade fever all day and headache. 12/15/13 Woke up 5:30 am Sunday severe headache, nausea, pain, redness, and swelling in left arm (Tetanus). Took Tylenol, iced arm, stayed in bed till noon. Headache and nausea subsided for a while and I had to take Tylenol and a VICODIN twice during the day for the pain. Iced my arm several times. 12/16/13 Woke up 5:00 am with chills sweats and feel headache and low fever. My arm is now all red where the tetanus shot was but some swelling gone down. However, my arm itches and I itch all over, no signs of rash. My skin is crawling. I emailed my Doctor. Waiting to here what if anything I can do. I am at work today (12/16/13).

VAERS ID:517052 (history)  Vaccinated:2013-12-10
Age:53.0  Onset:2013-12-16, Days after vaccination: 6
Gender:Female  Submitted:2013-12-18, Days after onset: 2
Location:Utah  Entered:2013-12-18
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: Negative influenza test
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4497AA0IMRA
Administered by: Unknown     Purchased by: Private
Symptoms: Chills, Headache, Influenza virus test negative, Nausea, Neck pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad)
Write-up: Fever, chills, headache, neck pain, nausea.

VAERS ID:517337 (history)  Vaccinated:0000-00-00
Age:53.0  Onset:0000-00-00
Gender:Male  Submitted:2013-12-20
Location:Unknown  Entered:2013-12-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Hepatitis B carrier; Hepatitis C carrier; Polysubstance abuse; Rehabilitation
Preexisting Conditions: Pterygium excised
Diagnostic Lab Data: Ophthalmological examination, See text; Initial examination revealed corrected visual acuity of 20/25 -2 OD and 20/20 OS. Results of pupillary reactions, confrontational visual field, color vision, and intraocular pressure were all within normal limits. An unremarkable anterior segment examination and quiet vitreous were noted. Fundus examination in right eye revealed multiple white lesions at the level of outer retina/RPE with agranular foveal appearance. Fluorescein angiography revealed early multiple punctate hyperfluorescent spots with late staining, which also involved the optic nerve head. Initial Humphrey 30-2 visual field was of low reliability, but follow-up testing revealed residual enlargement of the blind spot with aparacentral
CDC 'Split Type': B0953909A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Angiogram abnormal, Colour vision tests normal, Fundoscopy abnormal, Intraocular pressure test normal, Ophthalmological examination, Ophthalmological examination abnormal, Pupillary light reflex tests normal, Retinal exudates, Retinal pigment epitheliopathy, Scotoma, Vision blurred, Visual acuity reduced, Visual field tests normal, Visual impairment
SMQs:, Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Noninfectious encephalitis (broad), Glaucoma (narrow), Optic nerve disorders (broad), Lens disorders (broad), Corneal disorders (broad), Retinal disorders (narrow)
Write-up: This case was reported in a literature article and described the occurrence of multiple evanescent white dot syndrome in a 53-year-old male subject who was vaccinated with Influenza vaccine (manufacturer unspecified). The subject''s medical history included pterygium excised. Concurrent medical conditions included hepatitis b and c carrier, polysubstance abuse and rehabilitation. Concurrent medications included Buprenorphine and Naloxone. On an unspecified date, the subject received unspecified dose of Influenza vaccine (unknown route, site of injection and batch number). 10 days after vaccination with Influenza vaccine, the subject presented with a complaint of seeing a purple haze in his right eye. Initial examination revealed corrected visual acuity of 20/25 -2 OD and 20/20 OS. Results of pupillary reactions, confrontational visual field, color vision, and intraocular pressure were all within normal limits. An unremarkable anterior segment examination and quiet vitreous were noted. Fundus examination in right eye revealed multiple white lesions at the level of outer retina/RPE with agranular foveal appearance. Fluorescein angiography revealed early multiple punctate hyperfluorescent spots with late staining, which also involved the optic nerve head. Initial Humphrey 30-2 visual field was of low reliability, but follow-up testing revealed residual enlargement of the blind spot with aparacentral scotoma, which improved over time. The subject was diagnosed with multiple evanescent white dot syndrome. this case was assessed as medically serious by GSK. At the 1-month visit, the subject noted improvement in symptoms. Fundus lesions resolved and vision recovered to 20/20.

VAERS ID:517608 (history)  Vaccinated:2013-10-21
Age:53.0  Onset:2013-10-22, Days after vaccination: 1
Gender:Female  Submitted:2013-11-22, Days after onset: 31
Location:Puerto Rico  Entered:2013-12-24, Days after submission: 32
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Facial paralysis
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS13097010IMLA
Administered by: Other     Purchased by: Private
Symptoms: Muscle spasms, VIIth nerve paralysis
SMQs:, Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad)
Write-up: Spasms in face, legs, and arms.

VAERS ID:517610 (history)  Vaccinated:2013-11-06
Age:53.0  Onset:2013-11-06, Days after vaccination: 0
Gender:Female  Submitted:2013-12-13, Days after onset: 37
Location:Hawaii  Entered:2013-12-24, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Thyroid medication; Uses TYLENOL instead of NSAIDs
Current Illness: None
Preexisting Conditions: Allergy to NSAIDs; Has had Hashimoto''s thyroiditis since age 12
Diagnostic Lab Data:
CDC 'Split Type': HI1303
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH899AE IMLA
Administered by: Other     Purchased by: Other
Symptoms: Drug administered at inappropriate site, Injection site pain, Pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Public health nurse received call from patient on 12/4/13 that still having pain at site where flu vaccine given (L deltoid). Shot was given on 11/6/13 at clinic. Area still sore to touch or with arm movements. Denies fever or swelling. Referred to PCP - patient saw on 12/4/13 and doctor thinks shot may have been given too high and went into joint or tendon. Recommend to take ibuprofen and follow-up if still bothering patient.

VAERS ID:517728 (history)  Vaccinated:2013-12-05
Age:53.0  Onset:2013-12-06, Days after vaccination: 1
Gender:Female  Submitted:2013-12-26, Days after onset: 20
Location:Ohio  Entered:2013-12-26
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 shellfish Bladder spasms taking Detrol LA Vulvodynia administering compound prescription Gabapentin 4% cream.
Diagnostic Lab Data: None so far.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT)GLAXOSMITHKLINE BIOLOGICALS 0SYRLA
Administered by: Public     Purchased by: Other
Symptoms: Axillary pain, Burning sensation, Injection site swelling, Lymphadenopathy, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Pain and burning in left armpit and swelling right under armpit. Swelling at injection site in left arm. No redness at injection site or rash. In addition to above, one week later had pain all the way down into left wrist. Then two weeks later a rash in left crease of arm which lasted one day. To date still swollen at injection site and under arm with a burning pain not as severe, but still present. Went to doctor on 12/16/13 and received Prednisone 10 MG TAB take two one time. Didn''t help. Then called doctor and on 12/20/13 was put on Cephalexin 500MG Capsules to take 3 times a day for five days. Took last dosage on 12/24/13. To date still swelling at injection site and under arm lymph nodes and slight burning under arm.

VAERS ID:517899 (history)  Vaccinated:2013-11-01
Age:53.0  Onset:2013-11-01, Days after vaccination: 0
Gender:Female  Submitted:2013-12-27, Days after onset: 56
Location:New York  Entered:2013-12-30, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDR55608 IMUN
Administered by: Other     Purchased by: Private
Symptoms: Cough, Dizziness, Throat tightness, Vomiting, Wheezing
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Asthma/bronchospasm (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (broad)
Write-up: About 1 hr after receiving flu shot, patient started to wheeze, have tightness in throat and cough. She used Albuterol and also took a BENADRYL. She also threw up and felt faint. Lasted for about 4-5 hours.

VAERS ID:517977 (history)  Vaccinated:2013-11-24
Age:53.0  Onset:2013-12-17, Days after vaccination: 23
Gender:Female  Submitted:2013-12-30, Days after onset: 13
Location:Arkansas  Entered:2013-12-30
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: Egg allergies, asthma, hives
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS 0IMLA
Administered by: Unknown     Purchased by: Other
Symptoms: Dyspnoea, Fatigue, Feeling abnormal, Hypersensitivity, Oropharyngeal pain, Pyrexia, Sinus disorder, Sinus headache, Sneezing, Throat irritation, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: In this order coming to full reaction by 12/20/2013. Deep strong sneezing, tickle in sinus/upper throat area, shortness of breath, difficulty breathing even to eat, fatgue,- started nebulizer treatments 1212/21/2013, large hives on the upper torso, burning/pain in sinus/upper throat area, slight fever ranging from 100/101 degrees, out of it unable to stay away, received double shot for allergic reations, antihistimines Pepcid, updraft medication-Xopenex, cromyline solution.

VAERS ID:517999 (history)  Vaccinated:2013-12-13
Age:53.0  Onset:2013-12-23, Days after vaccination: 10
Gender:Female  Submitted:2013-12-31, Days after onset: 8
Location:Unknown  Entered:2013-12-31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Drug hypersensitivity
Preexisting Conditions: Drug eruption
Diagnostic Lab Data:
CDC 'Split Type': WAES1312USA010890
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: This spontaneous report as received from a consumer refers to herself, a 53 year old female patient with allergy for sulfonamide medications. The patient''s medical history included rashes from unspecified products. On 13-DEC-2013 the patient was vaccinated with ZOSTAVAX injection with the "standard dose". Strength and lot number were unknown. Concomitant therapies included SINGULAIR and NASONEX. On 23-DEC-2013 the patient noticed that she had developed a rash after receiving ZOSTAVAX. On that day the rash appeared all over her torso and back. The patient stated that she may have had some spots beforehand in various places that went unnoticed until 23-DEC-2013, when the reaction had become apparent to her as a rash as well as possible reaction to the vaccine. The patient did not seek medical attention. The rash was treated with an unspecified topical cream. At the time of report the rash had not resolved. Additional information has been requested.

VAERS ID:518036 (history)  Vaccinated:2013-12-30
Age:53.0  Onset:2013-12-30, Days after vaccination: 0
Gender:Female  Submitted:2013-12-31, Days after onset: 1
Location:Washington  Entered:2013-12-31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Slight cough; drainage
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH953AB0IMRA
Administered by: Other     Purchased by: Other
Symptoms: Aphasia, Dysphonia
SMQs:, Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad)
Write-up: Patient reports getting the flu shot at 4pm and experiencing extreme "hoarseness" at approx. 8pm. Patient states she could not talk at all.

VAERS ID:518096 (history)  Vaccinated:2013-12-17
Age:53.0  Onset:2013-12-17, Days after vaccination: 0
Gender:Female  Submitted:2013-12-31, Days after onset: 14
Location:North Carolina  Entered:2013-12-31
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.J011651 SCLA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALST25E6 IMLA
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J011338 SCLA
Administered by: Public     Purchased by: Private
Symptoms: Chills, Headache, Nausea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Fever; chills; headache; nausea and vomitting.

VAERS ID:518175 (history)  Vaccinated:2013-12-19
Age:53.0  Onset:2013-12-24, Days after vaccination: 5
Gender:Female  Submitted:2014-01-02, Days after onset: 9
Location:Maryland  Entered:2014-01-02
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: Allergies: Percocet
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSX3EL30IMLA
Administered by: Other     Purchased by: Public
Symptoms: Cough, Fatigue, Mobility decreased, Nausea, Pallor, Pyrexia
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad)
Write-up: 12/24/13=nausea, cough, felt rundown. 12/26/13=fever, pale,could not get out of bed. 1/2/2014=feeling better.

VAERS ID:518406 (history)  Vaccinated:2013-10-20
Age:53.0  Onset:2013-10-21, Days after vaccination: 1
Gender:Female  Submitted:2014-01-04, Days after onset: 75
Location:Arizona  Entered:2014-01-04
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: HTN, perimenopause
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  IMLA
Administered by: Private     Purchased by: Other
Symptoms: Erythema, Injection site induration, Injection site swelling, Injection site warmth, Tenderness
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Hard, hot, raised area approx. 1 cm below injection site. Approx. 5 cm wide by 3 cm--elliptical in shape. The erythema was very tender to light touch.

VAERS ID:518544 (history)  Vaccinated:2014-01-05
Age:53.0  Onset:2014-01-05, Days after vaccination: 0
Gender:Female  Submitted:2014-01-06, Days after onset: 1
Location:Florida  Entered:2014-01-06
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) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSYT39J0IMLA
Administered by: Other     Purchased by: Other
Symptoms: Lip swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Patient received vaccine 1/5/14 and called 1/6/14 that lips had swollen. No trouble breathing or any other issues. Ice helped the swelling go down.

VAERS ID:518622 (history)  Vaccinated:2013-10-11
Age:53.0  Onset:2013-11-30, Days after vaccination: 50
Gender:Female  Submitted:2014-01-06, Days after onset: 37
Location:Minnesota  Entered:2014-01-07, 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: None
Preexisting Conditions: Prior parsonage turner
Diagnostic Lab Data: Physical exam
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH8968B UNLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site anaesthesia, Injection site pain, Injection site reaction, Musculoskeletal pain, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: Pain in posterior (L) shoulder area and scapular region, numbness, tingling (L) deltoid.

VAERS ID:519179 (history)  Vaccinated:2014-01-08
Age:53.0  Onset:2014-01-09, Days after vaccination: 1
Gender:Female  Submitted:2014-01-13, Days after onset: 4
Location:Texas  Entered:2014-01-14, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Pt said MD diagnosed bacterial infection by observation
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1310201 UNRA
Administered by: Other     Purchased by: Private
Symptoms: Bacterial infection, Pain in extremity
SMQs:
Write-up: Pt''s right arm still sore from vaccination 5 days later.

VAERS ID:519305 (history)  Vaccinated:2014-01-08
Age:53.0  Onset:2014-01-09, Days after vaccination: 1
Gender:Female  Submitted:2014-01-14, Days after onset: 5
Location:Kentucky  Entered:2014-01-14
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: Unknown
CDC 'Split Type':
Vaccination
Manufacturer
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH907AB0IMLA
Administered by: Unknown     Purchased by: Other
Symptoms: Chest pain, Cough, Dizziness, Pain, Peripheral coldness, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad)
Write-up: Fever, achiness, chest burning, cold hands, coughing, dizziness.

VAERS ID:519428 (history)  Vaccinated:2011-06-23
Age:53.0  Onset:2011-07-29, Days after vaccination: 36
Gender:Male  Submitted:2014-01-15, Days after onset: 901
Location:Ohio  Entered:2014-01-15
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: NO
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0894AA/ 0491AA2SYRRA
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Dry mouth, Dry skin, Fatigue, Headache, Hypertension, Hypoaesthesia oral, Lip swelling, Local swelling, Muscle spasms, Muscular weakness, Night sweats, Pain in extremity, Pyrexia, Rash pruritic, Skin warm, Urticaria
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Lip swelling, numbness of lips, fevered, hot itching rash when scratched leading to welts. Lower leg pain with swelling and severe cramping. Joint pain, weakness in legs and arms, dry mouth, constant headache, dryness of skin, night sweats and high blood pressure. Extreme fatigue. I went to the doctor and was put on a steroid.

VAERS ID:519918 (history)  Vaccinated:2014-01-17
Age:53.0  Onset:2014-01-17, Days after vaccination: 0
Gender:Female  Submitted:2014-01-19, Days after onset: 2
Location:Ohio  Entered:2014-01-20, 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: Slight headache
Preexisting Conditions: Asthma; heart palpitations; anxiety
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
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Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS13403P0IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Abdominal pain upper, Diarrhoea, Erythema, Headache, Local swelling, Nausea, Pain in extremity, Skin warm
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Noninfectious diarrhoea (narrow)
Write-up: Diarrhea - 1-18-14 last -$g 1-18-14. Nausea - 1-17-14 -$g 1-19-14. Headache - 1-17-14 -$g 1-19-14. Stomach pain 1-19-14. Arm was red, swollen, and warm, sore - 1-18-14 -$g 1-19-14.

VAERS ID:520207 (history)  Vaccinated:2013-10-11
Age:53.0  Onset:2013-11-20, Days after vaccination: 40
Gender:Female  Submitted:2014-01-16, Days after onset: 57
Location:California  Entered:2014-01-22, Days after submission: 6
Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Fluoxetine; Pravastatin
Current Illness: None
Preexisting Conditions: No
Diagnostic Lab Data: MRI of spinal column and MRI of brain
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALS9AT4T4IMRA
Administered by: Unknown     Purchased by: Other
Symptoms: Abdominal discomfort, Hypoaesthesia, Laboratory test, Nuclear magnetic resonance imaging brain, Nuclear magnetic resonance imaging spinal, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Woke up at 7 am on NOV 20 2013 w/ tingling, numbness in arms, legs, hands and feet. Also had a tightness around my midsection, as if a belt was being tightened. Numerous tests were given by doctors.

VAERS ID:520630 (history)  Vaccinated:2013-12-21
Age:53.0  Onset:2013-12-24, Days after vaccination: 3
Gender:Male  Submitted:2014-01-14, Days after onset: 21
Location:North Carolina  Entered:2014-01-24, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Not known
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT)GLAXOSMITHKLINE BIOLOGICALSM4FP4 IMLA
Administered by: Other     Purchased by: Private
Symptoms: Musculoskeletal pain
SMQs:, Rhabdomyolysis/myopathy (broad)
Write-up: Pain in shoulder (left) muscle after couple days of receiving vaccine. Has not taken any medication or has not put ice pack. Suggested to take NSAIDs put ice pak on site. Discussed about filing report (VAERS). He also started taking Atorvastatin. Not know if pain is due to the medication.

VAERS ID:520881 (history)  Vaccinated:2014-01-24
Age:53.0  Onset:2014-01-26, Days after vaccination: 2
Gender:Female  Submitted:2014-01-26, Days after onset: 0
Location:California  Entered:2014-01-28, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Diabetes
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEURUT4723BA0IDLA
Administered by: Other     Purchased by: Private
Symptoms: Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Pt reports swelling in left arm where vaccine administered which just appeared this morning (2 days after vaccine administration). Pt reports not bothersome/itchy. Has not tried any treatment other than occasional ice.

VAERS ID:521145 (history)  Vaccinated:2013-09-26
Age:53.0  Onset:2013-09-26, Days after vaccination: 0
Gender:Female  Submitted:2014-01-16, Days after onset: 112
Location:California  Entered:2014-01-29, 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:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH921AA UNLA
Administered by: Public     Purchased by: Private
Symptoms: Swollen tongue, Tongue disorder
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow)
Write-up: Vaccinated at 1400; at 1800 noticed tongue was thick and swelling, 1830 went to UC and was given epinephrine and SOLUMEDROL injections. Rx for ATARAX (x 10 days) and prednisone x 3 days.

VAERS ID:521286 (history)  Vaccinated:2013-07-31
Age:53.0  Onset:2013-07-31, Days after vaccination: 0
Gender:Female  Submitted:2014-01-24, Days after onset: 177
Location:California  Entered:2014-01-30, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: MRI; 1st Rx Oct 17, 2013 and chiropractor
CDC 'Split Type':
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TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B110CA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site pain, Injection site swelling, Local swelling, Musculoskeletal disorder, Nuclear magnetic resonance imaging, Pain in extremity, Periarthritis, Tendonitis
SMQs:, Rhabdomyolysis/myopathy (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (narrow)
Write-up: Pain during admin of shot and when needle was pulled out. Swelling at site of shot, a lot of pain. Loss of use of arm due to pain and swelling. Frozen shoulder, chronic tendonitis and swelling, loss of use of arm.

VAERS ID:521343 (history)  Vaccinated:2014-01-27
Age:53.0  Onset:2014-01-28, Days after vaccination: 1
Gender:Female  Submitted:2014-01-30, Days after onset: 2
Location:California  Entered:2014-01-30
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: High cholesterol, High blood pressure, anxiety, depression
Diagnostic Lab Data: Was seen by her doctor and Dynapen 250 mg 1 tab every 4 hours was prescribed with a follow-up visit on 31 Jan 2014.
CDC 'Split Type':
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VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J0088020SCLA
Administered by: Military     Purchased by: Military
Symptoms: Injection site discharge, 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: Redness and swelling to injection site (left arm) measuring 3 1/2 inches by 2 1/4 inches. Rash and discharge was also noticed on the injection site. Measurement became larger ( 4 1/2 " X 3 1/2 " ) on 30 Jan 2014.

VAERS ID:521464 (history)  Vaccinated:2014-01-28
Age:53.0  Onset:2014-01-28, Days after vaccination: 0
Gender:Female  Submitted:2014-01-30, Days after onset: 2
Location:Ohio  Entered:2014-01-31, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEURUT4720AA1IDRA
Administered by: Private     Purchased by: Other
Symptoms: Injection site erythema, Injection site swelling, Injection site vesicles
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Patient developed redness and swelling (7.0 x 7.5 cm) at site of injection with 3 vesicular lesions at injection site.

VAERS ID:521778 (history)  Vaccinated:2014-01-04
Age:53.0  Onset:2014-01-17, Days after vaccination: 13
Gender:Female  Submitted:2014-02-04, Days after onset: 18
Location:Unknown  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:
Current Illness: Unknown
Preexisting Conditions: There were no other vaccines given on the same date. At the time of reporting, there were no concomitant medications or relevant medical history. It was unknown if the subject had adverse events following previous vaccinations.
Diagnostic Lab Data: Hepatitis A IgM, 17Jan2014, positive; Ultrasound examination, Jan2014, see text; On January 17 2014, the subject had a positive hepatitis A IgM result. The subject received an ultrasound examination in January 2014 with results showing a "dilated common bile duct that is 10 mm and, per the physician, "that is a bit long."
CDC 'Split Type': A1059115A
Vaccination
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HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALS 0UNUN
Administered by: Other     Purchased by: Private
Symptoms: Biliary dilatation, Hepatitis A, Hepatitis A antibody positive, Ultrasound liver abnormal
SMQs:, Liver related investigations, signs and symptoms (narrow), Liver infections (narrow), Biliary tract disorders (narrow)
Write-up: This case was reported by a physician and described the occurrence of dilated common bile duct in a currently 53-year-old female subject who was vaccinated with HAVRIX (GlaxoSmithKline). On 4 January 2014 the subject received 1st dose of HAVRIX (unknown details). On 17 January 2014, 13 days after vaccination with HAVRIX, the subject experienced hepatitis a infection (described as "mild case of clinical hepatitis A") and hepatitis a virus igm antibody positive. On an unknown date in January 2014, the subject experienced dilated common bile duct. Per the physician, the immunization series was not delayed. Medical attention was received at the doctor''s office. The physician was "unsure" if the events were "an adverse reaction, coincidental, or if there was another cause." The physician was not sure "if this dilated common bile duct was present before the HAVRIX vaccine because it was never investigated." This case was assessed as medically serious by GSK. Relevant test results included: On January 17 2014, the subject had a positive hepatitis A IgM result. The subject received an ultrasound examination in January 2014 with results showing a "dilated common bile duct that is 10 millimeters and, per the physician, "that is a bit long." At the time of reporting the outcome of the event of dilated common bile duct was unknown. The event of hepatitis A infection and hepatitis A virus IgM antibody positive was noted by the physician as improved.

VAERS ID:521887 (history)  Vaccinated:2014-01-31
Age:53.0  Onset:2014-02-01, Days after vaccination: 1
Gender:Female  Submitted:2014-02-05, Days after onset: 4
Location:Illinois  Entered:2014-02-05
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: NKDA
Diagnostic Lab Data: Negative Varicella titer on 1/29/14.
CDC 'Split Type':
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VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.J0068070SCRA
Administered by: Private     Purchased by: Private
Symptoms: Antibody test negative, Injection site erythema, Injection site oedema, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Pain, swelling at injection site, moderate erythema and edema, improved.

VAERS ID:521936 (history)  Vaccinated:2013-10-14
Age:53.0  Onset:2013-10-16, Days after vaccination: 2
Gender:Female  Submitted:2014-02-05, Days after onset: 112
Location:Florida  Entered:2014-02-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Allergies: IVP dye, alliminolin; Medical condition: asthma, BPPV
Diagnostic Lab Data: 11/6 Elevated CK, liver AST, ALT mild elevation, Lyme-neg; West Nile-neg; Hep C-neg
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH936AA9IMLA
Administered by: Private     Purchased by: Private
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Asthenia, Back pain, Blood creatine phosphokinase increased, Borrelia test negative, Decreased appetite, Dizziness, Dysphonia, Dysstasia, Fatigue, Gait disturbance, Hepatic enzyme increased, Hepatitis C test negative, Muscular weakness, Nausea, Pain, Pain in extremity, Paraesthesia, West Nile virus test negative
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: 10/16/2013: body aches, nausea, fatigue, afebrile, back pain. 10/17 - 10/31: weak, poor appetitie, fatigue, able to eat, walk. 11/15: weak, rubber like legs, difficult to stand and walk, aching legs. 11/11 worsening fatigue, weak voice, distal weakness, worse hands/feet. 11/15: pins, needles lower legs bilat. 11/18-11/21: ascending paresthesia to pelvis. 12/10 Begin IV solumedrol for 3 months; dizziness.

VAERS ID:522756 (history)  Vaccinated:2013-10-21
Age:53.0  Onset:2013-11-07, Days after vaccination: 17
Gender:Female  Submitted:2014-02-15, Days after onset: 100
Location:Maryland  Entered:2014-02-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Good Health
Preexisting Conditions: None
Diagnostic Lab Data: None, just my observation of my head.
CDC 'Split Type':
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VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Private
Symptoms: Erythema, Pain, Pain of skin, Tenderness
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: For a few days (7-10) I had pain in my scalp. It was bothering me for days, aching, sore, tender to the touch, it really hurt. Parting my hair it looked red on the left side of my head. Eventually it went away. Didn''t realize it could have been a side effect of the Shingles Vaccine.

VAERS ID:522746 (history)  Vaccinated:2014-01-11
Age:53.0  Onset:2014-01-15, Days after vaccination: 4
Gender:Male  Submitted:2014-02-02, Days after onset: 18
Location:California  Entered:2014-02-16, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: Unknown; None on record
Diagnostic Lab Data: None
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS13465P0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Injection site rash, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Rash on arm (upper and lower) in which FLUVIRIN PF vaccine administered. Persisted several days to my knowledge.

VAERS ID:522952 (history)  Vaccinated:2014-02-07
Age:53.0  Onset:2014-02-07, Days after vaccination: 0
Gender:Female  Submitted:2014-02-18, Days after onset: 11
Location:Unknown  Entered:2014-02-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Drug hypersensitivity; Herpes zoster
Preexisting Conditions: Penicillin (unspecified, Urticaria
Diagnostic Lab Data:
CDC 'Split Type': WAES1402USA007605
Vaccination
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VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J011882 SCUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site pruritus
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: This spontaneous report as received from a physician of 53 year old concerning herself. On an unknown date patient developed hives after administering penicillin. Patient had no other previous medical history. On 07-FEB-2014 the patient was vaccinated with ZOSTAVAX, (dose number unknown) 0.65ml with lot # J011882 and expiry date 04-JAN-2015, 0.65 ml, subcutaneously. No concomitant medications were administered to the patient. On 07-FEB-2014, within 24 hours patient developed erythema and a little itching at injection site after receiving ZOSTAVAX. Patient hasn''t sought medical attention and no treatment was given for the events. No laboratory tests were performed. On an unknown date of February 2014 (3 to 4 days later), patient recovered from erythema and a little itching at injection site. The outcome of she developed erythema and a little itching at injection site was reported as recovered/resolved. This case # 1402USA007605 is linked to case # 1402USA007610 via same reporter link. Additional information is not expected.

VAERS ID:522983 (history)  Vaccinated:2014-02-11
Age:53.0  Onset:2014-02-12, Days after vaccination: 1
Gender:Female  Submitted:2014-02-18, Days after onset: 6
Location:Alabama  Entered:2014-02-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
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DTAP: DTAP (DAPTACEL)SANOFI PASTEURC4456AA IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Herpes zoster, Lip pain, Oral herpes
SMQs:, Oropharyngeal infections (narrow)
Write-up: Herpes zoster corner of right upper lip with pain radiating back to right ear. Went to Dr. and treated for shingles with Valtrex. MD told her it was caused by vaccine.

VAERS ID:523128 (history)  Vaccinated:2014-01-18
Age:53.0  Onset:2014-01-18, Days after vaccination: 0
Gender:Female  Submitted:2014-02-19, Days after onset: 32
Location:Texas  Entered:2014-02-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS13452P IMUN
Administered by: Other     Purchased by: Unknown
Symptoms: Pain, Pain in extremity
SMQs:
Write-up: Pain when moving her hand (soreness).

VAERS ID:523250 (history)  Vaccinated:2014-02-11
Age:53.0  Onset:2014-02-12, Days after vaccination: 1
Gender:Male  Submitted:2014-02-21, Days after onset: 9
Location:New Jersey  Entered:2014-02-21
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:
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1307801 IMLA
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU4658BB1IMRA
Administered by: Private     Purchased by: Other
Symptoms: Injection site pain, Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: Saw primary care on 2/14/14 c/o of fever 103 degrees. (R) upper arm, tender with swollen lymphatics, began hours after injections and lasted x 3 days.

VAERS ID:523484 (history)  Vaccinated:2013-05-15
Age:53.0  Onset:2013-05-15, Days after vaccination: 0
Gender:Female  Submitted:2014-02-15, Days after onset: 276
Location:Unknown  Entered:2014-02-24, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical Conditions: cardiomyopathy and hep C positive; Allergies: codeine, bee stings
Diagnostic Lab Data:
CDC 'Split Type':
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Manufacturer
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VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Blister, Lymphadenopathy
SMQs:, Severe cutaneous adverse reactions (broad), Hypersensitivity (broad)
Write-up: About 3-4 weeks after getting the shingles vaccine I developed a blistery rash on scalp (and it continues) and an enlarged lymph node on back of neck. I have been going to dermo doctors several times and can''t seem to clear up the rash.

VAERS ID:523585 (history)  Vaccinated:0000-00-00
Age:53.0  Onset:2013-10-16
Gender:Male  Submitted:2013-10-24, Days after onset: 8
Location:Unknown  Entered:2014-02-24, Days after submission: 123
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': 2013SE78769
Vaccination
Manufacturer
Lot
Dose
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Site
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT)MEDIMMUNE VACCINES, INC.BK2021 IN 
Administered by: Other     Purchased by: Other
Symptoms: Drug administered to patient of inappropriate age, No adverse event
SMQs:
Write-up: A report has been received from a Health Professional concerning a 53 year old, male subject, who had been receiving FLUMIST. FLUMIST started on an unknown date. The nurse practioner reported that a patient over the age of 50 years old received FLUMIST on 16-Oct-2013. Patient had not experienced any symptoms. The outcome of the event of patient over 50 years of age received FLUMIST is unknown. The report was considered to be non-serious.

VAERS ID:523626 (history)  Vaccinated:0000-00-00
Age:53.0  Onset:2013-11-02
Gender:Female  Submitted:2013-11-04, Days after onset: 2
Location:Unknown  Entered:2014-02-24, Days after submission: 112
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': 2013SE81082
Vaccination
Manufacturer
Lot
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FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT)MEDIMMUNE VACCINES, INC.BJ2109 IN 
Administered by: Other     Purchased by: Other
Symptoms: Drug administered to patient of inappropriate age
SMQs:
Write-up: A report has been received from a Health Professional concerning a 53 year old, female subject, who had been receiving FLUMIST (Intranasal). FLUMIST (Intranasal) started on an unknown date. The health professional reported, that they inadvertently gave FLUMIST to a 49 years old patient which started on 02-Nov-2013. The outcome of the event of administration to individual over the age of 49 is unknown. The report was considered to be non-serious by the reporter.

VAERS ID:523628 (history)  Vaccinated:2013-11-02
Age:53.0  Onset:2013-11-02, Days after vaccination: 0
Gender:Female  Submitted:2013-11-04, Days after onset: 2
Location:Unknown  Entered:2014-02-24, Days after submission: 112
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': 2013SE81077
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT)MEDIMMUNE VACCINES, INC.BJ2109 IN 
Administered by: Other     Purchased by: Other
Symptoms: Drug administered to patient of inappropriate age
SMQs:
Write-up: A report has been received from a Health Professional concerning a 53 year old, female subject, who had been receiving Nasal FLUMIST QUADRIVALENT. FLUMIST QUADRIVALENT started on 02-Nov-2013. The reporter stated that there was FLUMIST QUADRIVALENT administration to individual over the age of 49 which started on 02-Nov-2013. The outcome of the event of administration to individual over the age of 49 is unknown. The report was considered to be non-serious by the reporter.

VAERS ID:523668 (history)  Vaccinated:0000-00-00
Age:53.0  Onset:2013-11-13
Gender:Female  Submitted:2013-11-22, Days after onset: 9
Location:Minnesota  Entered:2014-02-24, Days after submission: 94
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': 2013SE86306
Vaccination
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FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT)MEDIMMUNE VACCINES, INC.BK2065 IN 
Administered by: Other     Purchased by: Other
Symptoms: Drug administered to patient of inappropriate age, No adverse event
SMQs:
Write-up: A report has been received from a Health Professional concerning a 53 year old, female subject, who had been receiving FLUMIST (Intranasal). FLUMIST (Intranasal) started on an unknown date. The medical assistant reported that a 53 year old female came with daughter and stated both wanted FLUMIST so they accidentally gave FLUMIST to her. She had not experienced any adverse symptoms. The outcome of the event of administered FLUMIST to a 53 year old is unknown. The report was considered to be non-serious.

VAERS ID:523700 (history)  Vaccinated:2013-09-10
Age:53.0  Onset:2013-09-10, Days after vaccination: 0
Gender:Female  Submitted:2013-09-26, Days after onset: 16
Location:Minnesota  Entered:2014-02-24, Days after submission: 151
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': 2013SE71940
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT)MEDIMMUNE VACCINES, INC.BH2173 IN 
Administered by: Other     Purchased by: Other
Symptoms: Drug administered to patient of inappropriate age
SMQs:
Write-up: A report has been received from a Pharmacist concerning a 53 year old, Female subject, who had been receiving FLUMIST. FLUMIST started on 10-Sep-2013. It was reported they inadvertently administered FLUMIST to a patient over 49 on 10-Sep-2013. The outcome of the event of inadvertently administered FLUMIST to a patient over 49 is unknown. The report was considered to be non-serious.

VAERS ID:523708 (history)  Vaccinated:2013-10-06
Age:53.0  Onset:2013-10-06, Days after vaccination: 0
Gender:Male  Submitted:2013-10-07, Days after onset: 1
Location:Texas  Entered:2014-02-24, Days after submission: 140
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': 2013SE74449
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT)MEDIMMUNE VACCINES, INC.BH2027 IN 
Administered by: Other     Purchased by: Other
Symptoms: Drug administered to patient of inappropriate age
SMQs:
Write-up: A report has been received from a Pharmacist concerning a 53 year old, Male subject, who had been receiving FLUMIST quadrivalent (intranasal). FLUMIST quadrivalent (intranasal) started on 06-Oct-2013. The patient experienced 53 year old patient received FLUMIST on 06-Oct-2013. The outcome of the event of 53 year old patient received FLUMIST is unknown. The report was considered to be non-serious.

VAERS ID:523869 (history)  Vaccinated:2014-02-07
Age:53.0  Onset:2014-02-08, Days after vaccination: 1
Gender:Female  Submitted:2014-02-25, Days after onset: 17
Location:North Carolina  Entered:2014-02-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data: Pt. is seeing the MD 2/27/14
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS725EG0UNLA
Administered by: Other     Purchased by: Unknown
Symptoms: Mobility decreased, Pain in extremity
SMQs:, Parkinson-like events (broad)
Write-up: Rec''d shot 2/07/14 - Pain started 2/08/14 and has persisted until the present - feels like she can''t lift her arm up - It is a deep pain that sometimes radiates to elbow and down to her wrist - taking Ibu around the clock.

VAERS ID:524026 (history)  Vaccinated:2014-02-14
Age:53.0  Onset:2014-02-17, Days after vaccination: 3
Gender:Male  Submitted:2014-02-26, Days after onset: 9
Location:Michigan  Entered:2014-02-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Yes, GI distress, had taken two tablets Advil prior
Preexisting Conditions: Chronic treatment for cholesterol, GERD, hiatal hernia, spinal problems
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH953AA0SYRLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J0062420SYRRA
Administered by: Unknown     Purchased by: Other
Symptoms: Erythema, Feeling abnormal, Headache, Pain, Pyrexia, Rash, Respiratory disorder, Rhinorrhoea, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Respiratory issues, slight fever; dazed feeling, head pressure, runny nose, type of rash developed on front of right leg below knee involving swelling, extreme pain, redness, shaped like an inverted triangle. One week later same type of rash appeared on left ankle same symptoms ongoing.

VAERS ID:524076 (history)  Vaccinated:2013-07-09
Age:53.0  Onset:2013-09-11, Days after vaccination: 64
Gender:Female  Submitted:2014-02-26, Days after onset: 168
Location:Oregon  Entered:2014-02-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No illness at the time of the vaccination
Preexisting Conditions: NA
Diagnostic Lab Data: Visit to Dermatology office. She took a biopsy to determine if it was Grovers Disease. Test came back inconclusive. They recommended 20 sessions of Light Therapy which I have not pursued. On Friday October 18, 2013 I began a round of Prednisone, 50mg, 1 pill, one time per day for six days. Day 5 I no longer itched anywhere for several days after prednisone. Then the hives and itching came back. Had increased Hydroxyzine to 50mg every 6 hours, continued rinse with apple cider vinegar and called my Medical Acupuncturist. Began my cupping and acupuncture treatments on November 19th. After 12 treatments, the symptoms are subsiding. Monday February 24, 2014, small blisters/rash on the inside of both elbows and a small patch of blisters o
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (NO BRAND NAME)UNKNOWN MANUFACTURER 0UNLA
Administered by: Private     Purchased by: Private
Symptoms: Acupuncture, Biopsy, Blister, Pruritus generalised, Rash pruritic, Urticaria
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Began as small flea like bites/rash on back of right shoulder that were VERY itchy. Moved across my upper back and down my spine. Many small itchy bumps. Began 1/4 of one 25mg Hydroxizine 2 x''s per day on Sunday September 15th, 2013. Between 9/15 and 10/17, I developed hives in addition to the small bumps on my back and my palms and the inside of my ankles itched like you can''t believe. No rash, not red, just itched. I was now itching from my scalp to my ankles. The only relief was bathing and rinsing my hair in apple cider vinegar. I tried a lot of remedies.

VAERS ID:524183 (history)  Vaccinated:2013-11-08
Age:53.0  Onset:0000-00-00
Gender:Female  Submitted:2014-02-27
Location:North Carolina  Entered:2014-02-27
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 DIAGNOSTICS1310101 UNRA
Administered by: Other     Purchased by: Unknown
Symptoms: Pain in extremity
SMQs:
Write-up: Pain in right arm - vaccination arm - radiates into arm.

VAERS ID:524295 (history)  Vaccinated:2014-02-27
Age:53.0  Onset:2014-02-28, Days after vaccination: 1
Gender:Female  Submitted:2014-02-28, Days after onset: 0
Location:Wisconsin  Entered:2014-02-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Fatigue, upper abdominal pain
Preexisting Conditions: Esophageal reflux • Esophageal stricture • Iron deficiency anemia, unspecified • Benign neoplasm of colon • Symptomatic menopausal or female climacteric states • Other malaise and fatigue • Raynaud''s phenomenon • Unspecified hypothyroidism • POTS (postural orthostatic tachycardia syndrome) • SVT (supraventricular tachycardia) • Scleroderma • Hypothyroidism • Insomnia, unspecified • Irritable bowel syndrome with constipation • History of colonic polyps • Impaired fasting blood sugar • Abnormal weight gain • Upper abdominal pain
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS253B40IMRA
Administered by: Unknown     Purchased by: Private
Symptoms: Arthralgia, Body temperature increased, Chills, Headache, Pain, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Patient received Tdap without incident. Her spouse called this am stating that she had a rough noc with a temp of 101, chills, aches, rash on cheeks, and headache. Currently, rash and HA appears to have subsided and temp is down to 99, however she continues with aches in joints and chills. Advised that provider is not in the office until Monday. She will continue with cool compresses behind neck and Tylenol. He was advised to bring patient to IC/UC over the weekend PRN as there are no providers in house today. He verbalizes understanding. Spouse feels that she is improving and no contact to provider is needed at this time. He would like a call back on Monday with any further instructions.

VAERS ID:524296 (history)  Vaccinated:2014-02-21
Age:53.0  Onset:2014-02-23, Days after vaccination: 2
Gender:Female  Submitted:2014-02-28, Days after onset: 5
Location:Oklahoma  Entered:2014-02-28
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: High blood pressure, heart disease, and diabetes
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS7734Y0IMRA
Administered by: Public     Purchased by: Other
Symptoms: Chills, Erythema, Feeling hot, Mobility decreased, Pyrexia, Tenderness
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Hypersensitivity (broad)
Write-up: Redness, warmth, tender, difficulty moving arm. Today, chills and fever.

VAERS ID:524501 (history)  Vaccinated:2013-12-16
Age:53.0  Onset:2013-12-30, Days after vaccination: 14
Gender:Female  Submitted:2014-02-04, Days after onset: 36
Location:North Carolina  Entered:2014-03-04, Days after submission: 28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: High blood pressure medicine and pain medicine
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS  SYRUN
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Rash erythematous, Rash generalised
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Rash developed in red spots on chest area noticed signs on body on 12-30-2013 until now. January 2014 notice of pain in my wrist area both wrist and elbow area. Went to the doctor on or about January 3, 2014 put on cream and methylprednisolone. Rash developed on stomach area and arm started 2-1-2014. Rash is continue over body. Due to see my doctor and continue on cream prescribed.

VAERS ID:524643 (history)  Vaccinated:2014-02-18
Age:53.0  Onset:2014-02-19, Days after vaccination: 1
Gender:Female  Submitted:2014-03-05, Days after onset: 14
Location:Unknown  Entered:2014-03-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: Herpes zoster
Diagnostic Lab Data:
CDC 'Split Type': WAES1402USA009711
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J011882 SCUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site reaction, Rash vesicular
SMQs:, Hypersensitivity (narrow)
Write-up: This spontaneous report as received from a healthcare worker refers to a 53 year old female patient. The patient''s current conditions or medical history were not reported. On 18-FEB-2014, the patient was vaccinated with ZOSTAVAX vial dry SD 0.65 ml subcutaneously (lot J011882, exp date 04-JAN-2014). Concomitant medications included lisinopril (manufacturer unknown) and KLONOPIN. On 19-FEB-2014, the patient developed a few bumps around injection site that looked like shingles rash. The patient had had several cases of shingles and she identified those bumps as shingles-like rash. The patient did not reported any pain. At the time of the report the patient was not recovered from bumps around injection site that looked like shingles rash. The patient called the office to sough for medical attention and did not received treatment for the events. No lab diagnostics were performed. Additional information has been requested.

VAERS ID:525030 (history)  Vaccinated:2014-02-22
Age:53.0  Onset:2014-02-22, Days after vaccination: 0
Gender:Female  Submitted:2014-03-04, Days after onset: 10
Location:Minnesota  Entered:2014-03-06, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU458AB2SCUN
Administered by: Private     Purchased by: Private
Symptoms: Chills, Erythema, Skin warm, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Administered sub Q. Large, red, raised warm area - approximately 8" x 5". Chills. Seen in ER Sunday 3/2/2014. Last vaccine - flu shot in the fall.

VAERS ID:525404 (history)  Vaccinated:2014-01-25
Age:53.0  Onset:2014-01-25, Days after vaccination: 0
Gender:Male  Submitted:2014-02-13, Days after onset: 19
Location:Florida  Entered:2014-03-10, Days after submission: 24
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: High B.P.; High cholesterol; Anxiety; Mild inflammation and heart problem
Diagnostic Lab Data: Blood pressure test
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1310101 SYRLA
Administered by: Other     Purchased by: Public
Symptoms: Chest pain, Headache
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)
Write-up: After 1 hour of flu shot, pt experienced headache, little chest pain.

VAERS ID:525531 (history)  Vaccinated:2014-01-21
Age:53.0  Onset:2014-01-21, Days after vaccination: 0
Gender:Female  Submitted:2014-03-11, Days after onset: 48
Location:Michigan  Entered:2014-03-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Diabetes, asthma, obesity
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH922AB9IMRA
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVC207AB0IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.H021941 IMRA
TDAP: TDAP (ADACEL)SANOFI PASTEURC4430BA0IMLA
Administered by: Public     Purchased by: Private
Symptoms: Erythema, Local swelling, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Patient had 2 vaccines in each arm, right arm was very painful throughout the evening, later became red and swollen. She took ibuprofen for pain and alternated cold and heat on it. Day three she called her physician who prescribed Tylenol 3 for pain.

VAERS ID:525613 (history)  Vaccinated:2014-02-18
Age:53.0  Onset:2014-02-20, Days after vaccination: 2
Gender:Male  Submitted:2014-03-12, Days after onset: 19
Location:Pennsylvania  Entered:2014-03-12
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': CVAE0112014
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD30006901PO 
Administered by: Other     Purchased by: Other
Symptoms: Abdominal pain, Diarrhoea, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Vomiting, abdominal cramping and loose stools.

VAERS ID:525979 (history)  Vaccinated:2014-03-14
Age:53.0  Onset:2014-03-15, Days after vaccination: 1
Gender:Female  Submitted:2014-03-17, Days after onset: 2
Location:Indiana  Entered:2014-03-17
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:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J0131370SCRA
Administered by: Other     Purchased by: Private
Symptoms: Drug eruption, Injection site swelling, Pruritus, Rash
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: SKIN RASH, ITCH, SWELLING AT SIGHT OF INJECTION - MD DETERMINED AS DRUG RASH, TREATED WITH ATARAX, PREDNISONE, CEPHALEXIN.

VAERS ID:526081 (history)  Vaccinated:2014-03-14
Age:53.0  Onset:2014-03-16, Days after vaccination: 2
Gender:Female  Submitted:2014-03-18, Days after onset: 2
Location:Kansas  Entered:2014-03-18
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: PENICILLIN ALLERGIES, ENVIRONMENTAL ALLERGIES, ASTHMA
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J0078580SCLA
Administered by: Other     Purchased by: Private
Symptoms: Injection site inflammation, Injection site mass, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: INJECTION SITE INFLAMED AND HOT WITH LARGE LUMP. TREATED AT PHYSICIANS OFFICE IN THE EVENING. GIVING CEFTRIAXONE INJECTION IN OFFICE AND KEFLEX 500 TID X7 DAYS ON 3/18/14.

VAERS ID:526637 (history)  Vaccinated:2014-03-18
Age:53.0  Onset:2014-03-18, Days after vaccination: 0
Gender:Female  Submitted:2014-03-21, Days after onset: 3
Location:Florida  Entered:2014-03-25, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Asthmal Hx of multiple allergies
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.J0072980IMLA
Administered by: Private     Purchased by: Private
Symptoms: Local swelling, Rash erythematous
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Erythematous rash on left deltoid <15 min. after administration. Later, developed erythematous rash and swelling of (R) arm and extension of rash to below her elbow on the (L) arm.

VAERS ID:527300 (history)  Vaccinated:2013-06-14
Age:53.0  Onset:2013-07-03, Days after vaccination: 19
Gender:Female  Submitted:2014-04-01, Days after onset: 272
Location:Oregon  Entered:2014-04-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Was on oral prednisone one week prior to vaccination for sinus infection.
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Private
Symptoms: Cough, Pyrexia, Rash
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: Rash extending from head extending to trunk. Fever of 102.5 which lasted for 3-5 days. Cough.

VAERS ID:527582 (history)  Vaccinated:2014-04-03
Age:53.0  Onset:2014-04-03, Days after vaccination: 0
Gender:Female  Submitted:2014-04-04, Days after onset: 1
Location:Florida  Entered:2014-04-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Sprained right ankle
Preexisting Conditions: Breat Cancer (remission)
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.H0146531IMLA
Administered by: Public     Purchased by: Public
Symptoms: Dizziness, Injection site erythema, Injection site pain, Injection site swelling, Local swelling, Muscle spasms, Paraesthesia, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (broad)
Write-up: She stated she began to have spams and tingling in her left shouler down to fingers. Then her fingers became swollen. The injection site has redness, swelling and tender to touch. Began to feel dizzy, lightheaded with mild wheezing.

VAERS ID:527626 (history)  Vaccinated:2013-09-03
Age:53.0  Onset:2013-09-03, Days after vaccination: 0
Gender:Female  Submitted:2013-09-27, Days after onset: 24
Location:California  Entered:2014-04-04, Days after submission: 189
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: Aspirin allergy; Asthma; Depression; I.B.S.
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER 0UNLA
Administered by: Other     Purchased by: Other
Symptoms: Immediate post-injection reaction, Injection site pain, Pain in extremity, Paraesthesia, Pyrexia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Extreme pain at instant of injection at site on upper left shoulder. Pain down to fingers for about two days. Decreased to upper arm for days after. Still pain in upper arm 18 days later. Slight fever 2-3 days 9-3 - 9-5. Used hot water and Naprosen for pain. Still aching and tingling in hand/fingers as of 9-27-13.

VAERS ID:527793 (history)  Vaccinated:2014-03-11
Age:53.0  Onset:2014-03-11, Days after vaccination: 0
Gender:Female  Submitted:2014-04-07, Days after onset: 27
Location:New Hampshire  Entered:2014-04-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES1404USA003395
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  SCUN
Administered by: Public     Purchased by: Other
Symptoms: Expired drug administered, No adverse event
SMQs:
Write-up: This spontaneous report as received from a pharmacist refers to a 54 year old female patient who on 11-MAR-2014, was vaccinated subcutaneously with a 0.65 ml dose of ZOSTAVAX (lot number H0119996) that was expired, the patient was vaccinated at health clinic. The vaccine expired on 02-FEB-2014. No adverse effects were reported. Additional information has been requested.

VAERS ID:527839 (history)  Vaccinated:2014-03-26
Age:53.0  Onset:2014-03-27, Days after vaccination: 1
Gender:Female  Submitted:2014-04-08, Days after onset: 12
Location:Florida  Entered:2014-04-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE REPORTED
Preexisting Conditions: NONE REPORTED
Diagnostic Lab Data: NONE REPORTED
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TETANUS DIPHTHERIA (TENIVAC)SANOFI PASTEURC4403AA IMRA
Administered by: Public     Purchased by: Public
Symptoms: Alopecia
SMQs:
Write-up: CLIENT REPORTS EXPERIENCING HAIR LOSS, 24 HOURS POST VACCINATION ADMINISTRATION. HAIR LOSS HAS NOT SUBSIDED.

VAERS ID:528043 (history)  Vaccinated:2014-04-04
Age:53.0  Onset:2014-04-04, Days after vaccination: 0
Gender:Unknown  Submitted:2014-04-10, Days after onset: 6
Location:Unknown  Entered:2014-04-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES1404USA004200
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  SCUN
Administered by: Other     Purchased by: Other
Symptoms: Expired drug administered, No adverse event
SMQs:
Write-up: This spontaneous report as received from a health care worker refers to a 53 year old patient of unknown gender. There was no pertinent medical history, drug reactions/allergies reported. On 04-APR-2014 the patient was vaccinated with ZOSTAVAX, 0.65 ml, subcutaneously, lot h03012521 expire date 09-OCT-2013 (dose number unspecified). No concomitant medications reported. The reporter reported that the patient was administered with an expired dose of ZOSTAVAX expire date reported as 09-OCT-2013 and no adverse effects reported. The sought medical attention not reported. The product quality complaint reported as no. Additional information has been requested.

VAERS ID:528153 (history)  Vaccinated:2014-04-08
Age:53.0  Onset:2014-04-08, Days after vaccination: 0
Gender:Female  Submitted:2014-04-10, Days after onset: 2
Location:Nevada  Entered:2014-04-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PPD; CELEXA; Levothyroxine; NORCO; XANAX; Valacyclovir
Current Illness: None
Preexisting Conditions: Eggs; Sulfur; Hypothyroidism
Diagnostic Lab Data: Check with hospital
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.J0125200IMRA
Administered by: Private     Purchased by: Private
Symptoms: Abdominal pain upper, Blindness, Confusional state, Diarrhoea, Dyspepsia, Erythema, Pyrexia, Swelling face
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow)
Write-up: 3 hrs. after administration pt. experienced heartburn, vision loss, convulsions, stomach pain, diarrhea. Was taken by ambulance to hospital and received treatment to stop the reaction. Currently experiencing facial swelling, redness, fever and confusion.

VAERS ID:528391 (history)  Vaccinated:2014-04-04
Age:53.0  Onset:0000-00-00
Gender:Female  Submitted:2014-04-11
Location:North Carolina  Entered:2014-04-14, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
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PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J013345 UNLA
Administered by: Private     Purchased by: Private
Symptoms: Chills, Injection site reaction, Pyrexia, Rash erythematous
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: Pt. had fever and chills, red rash around inj. site.

VAERS ID:528515 (history)  Vaccinated:2014-03-28
Age:53.0  Onset:2014-03-29, Days after vaccination: 1
Gender:Female  Submitted:2014-04-14, Days after onset: 16
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:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES1404USA002236
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  SCUN
Administered by: Other     Purchased by: Other
Symptoms: Headache, 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 physician refers to a 53 year old female patient with no pertinent medical history and no drug reactions/allergies and not pregnant. On 28-MAR-2014 the patient was vaccinated with a dose of ZOSTAVAX, subcutaneous (lot #, dose and site not reported). The patient called physician on 28-MAR-2014 to seek medical attention. On 29-MAR-2014, the patient experienced redness, pain, and swelling at the injection site and a headache after administration of ZOSTAVAX. The patient was advised to use ibuprofen (unspecified dose/frequency and manufacturer) and cold compresses as treatment. The outcome of headache and redness, pain, and swelling at the injection site was unknown. No lab diagnostics studies performed. The reporter did not provide causality assessment. Additional information has been requested.

VAERS ID:528621 (history)  Vaccinated:2014-04-11
Age:53.0  Onset:2014-04-14, Days after vaccination: 3
Gender:Male  Submitted:2014-04-16, Days after onset: 2
Location:Washington  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: None
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC 'Split Type':
Vaccination
Manufacturer
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ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV365A0IMRA
Administered by: Military     Purchased by: Military
Symptoms: Headache, Malaise
SMQs:
Write-up: Headache, generalized malaise, symptoms worsened, hypertachea.

VAERS ID:528918 (history)  Vaccinated:2014-04-15
Age:53.0  Onset:2014-04-16, Days after vaccination: 1
Gender:Female  Submitted:2014-04-19, Days after onset: 3
Location:Ohio  Entered:2014-04-21, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J0131330UNLA
Administered by: Other     Purchased by: Private
Symptoms: Chills, Erythema, Headache, Pain, Pain in extremity, Pyrexia, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Tues 4/15/14 I was given the shingles vaccine. On Weds I experienced a headache, fever, chills and overall achiness. The soreness in my arm increased Weds and Thurs and with a larger area of redness and swelling. I saw my Dr. on Fri who recommended treatment with VALTREX.

VAERS ID:529555 (history)  Vaccinated:2014-04-24
Age:53.0  Onset:2014-04-24, Days after vaccination: 0
Gender:Female  Submitted:2014-04-28, Days after onset: 4
Location:Michigan  Entered:2014-04-28
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: Allergy induced asthma
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Public     Purchased by: Private
Symptoms: Headache, Injection site pain, Joint range of motion decreased, Muscle spasms, Pain in extremity
SMQs:, Dystonia (broad), Extravasation events (injections, infusions and implants) (broad), Arthritis (broad)
Write-up: Severe pain in shoulder surrounding vaccinated area. Achy, cramping pain. Severe headache within 90 minutes of vaccine. Limited range of motion within a few more hours. 4 days later and I still have severe pain in my shoulder. Almost feels like tendonitis but it isn''t related to any tendon. Still having similar headaches every day as well.

VAERS ID:530321 (history)  Vaccinated:2014-05-05
Age:53.0  Onset:2014-05-06, Days after vaccination: 1
Gender:Female  Submitted:2014-05-06, Days after onset: 0
Location:South Dakota  Entered:2014-05-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Flu shot x2~Influenza (Seasonal) (no brand name)~UN~42.00~Patient|Flu shot x2~Influenza (Seasonal) (no brand name)~UN~43.00~Pati
Other Medications:
Current Illness: Nail puncture - started on KEFLEX
Preexisting Conditions: Ulcerative colitis
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4426AA0IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Arthralgia, Serum sickness, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Serum sickness - painful joints and hives progressing 12-24 hours after vaccine.

VAERS ID:530358 (history)  Vaccinated:2014-05-06
Age:53.0  Onset:2014-05-06, Days after vaccination: 0
Gender:Female  Submitted:2014-05-07, Days after onset: 1
Location:Washington  Entered:2014-05-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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VARZOS: ZOSTER (NO BRAND NAME)UNKNOWN MANUFACTURER 0UNLA
Administered by: Private     Purchased by: Private
Symptoms: Abdominal discomfort, Chills, Fatigue, Headache, Malaise, Muscle spasms, Musculoskeletal stiffness, Nausea, Pain, Retching, Sluggishness
SMQs:, Acute pancreatitis (broad), Dystonia (broad), Parkinson-like events (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad)
Write-up: At approximately 11:00 AM on 05/06/2014, I noticed I felt tired and little sluggish; this increased as the day wore on. By late afternoon, I had a mild headache (None of the above symptoms would be worth reporting except...) By the time I got home at 9:30 PM on 05/06/2014, I was not feeling well and thought I might vomit. I immediately went to bed and despite chills was able to sleep for about an hour. At 10:30 PM on 05/06/2014, I was violently sick to my stomach. I also had chills and body pain. At 2:30 AM on 05/06/2014, I was again sick - this time with dry heaves as there was nothing left in my stomach. Chills and body pain continued. Throughout the day on 05/07/2014, I had water, crackers, and room temperature Coke. At 11:00 AM, I had intestinal distress and mild cramping. After sleeping the majority of the day, I felt better. As of 3:50 PM on 05/07/2014, the nausea passed but the body pain, stiffness and soreness remain. When my doctor''s office called at 1:00 PM on 05/07/2014, I reported the reaction to the nurse practitioner that called.

VAERS ID:530513 (history)  Vaccinated:2014-05-02
Age:53.0  Onset:2014-05-02, Days after vaccination: 0
Gender:Female  Submitted:2014-05-08, Days after onset: 6
Location:Utah  Entered:2014-05-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ropinirole; Losartan; Fluvoxamine; Buspirone
Current Illness: None
Preexisting Conditions: Restless leg syndrome; Anxiety; HTN
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
TTOX: TETANUS TOXOID, ADSORBED (NO BRAND NAME)SANOFI PASTEURU4250BA IMRA
Administered by: Other     Purchased by: Other
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)
Write-up: Lightheaded, faint feeling approx 2 hours after receiving tetanus. No treatment was seeked.

VAERS ID:530600 (history)  Vaccinated:2013-10-25
Age:53.0  Onset:2013-10-25, Days after vaccination: 0
Gender:Female  Submitted:2014-05-12, Days after onset: 199
Location:Colorado  Entered:2014-05-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol, Qvar
Current Illness: None
Preexisting Conditions: COPD, Emphysema
Diagnostic Lab Data: 10/25/2013-C Neck Scan w/dye, chest x-ray, Lab tests. 04/23/14-So sick, couldn''t breathe, severe arm pain for 6 months, low oxygen levels. Had infection in entire body from the shots. Was taken to ER via ambulance, admitted the same day. This infection caused by the shots, excalated my emphysema and I was unable to breathe for 6 months since the shot. MRI showed a tear in the tendon in my left arm.
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER1308701 UNLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J00N071 UNLA
Administered by: Unknown     Purchased by: Private
Symptoms: Chest X-ray, Computerised tomogram, Condition aggravated, Crepitations, Dyspnoea, Emphysema, Infection, Injection site pain, Laboratory test, Local swelling, Nuclear magnetic resonance imaging abnormal, Oropharyngeal pain, Oxygen saturation decreased, Pain, Pain in extremity, Scan with contrast, Tendon rupture
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)
Write-up: My arm was burning to the bone, popping, snapping and very painful in left arm behind injection area. I started swelling up my arm and then into my neck area and then started having pain in my throat area. I also was having trouble breathing. This has continued.

VAERS ID:530747 (history)  Vaccinated:2014-05-09
Age:53.0  Onset:2014-05-10, Days after vaccination: 1
Gender:Female  Submitted:2014-05-13, Days after onset: 3
Location:Maryland  Entered:2014-05-13
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: Penicillin allergy; high blood pressure
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.K000455 SCAR
Administered by: Other     Purchased by: Other
Symptoms: Dizziness, Headache, Injection site erythema, Injection site pruritus, Injection site swelling, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad)
Write-up: Redness and swelling at injection site 9 AM 5/10/14. Dizziness, headache, fever 5 PM 5/10/14 until 6 PM on 5/11/14. Redness and swelling on upper arm still evident 5/13/14 some itching. Swelling area was approx 2 x 5 inches.

VAERS ID:530827 (history)  Vaccinated:2014-05-09
Age:53.0  Onset:2014-05-09, Days after vaccination: 0
Gender:Female  Submitted:2014-05-13, Days after onset: 4
Location:Ohio  Entered:2014-05-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Rash~Tdap (Adacel)~1~0.00~Patient
Other Medications: Simvastatin
Current Illness: None
Preexisting Conditions: NKA; hyperlipidemia
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J0118280SCUN
Administered by: Other     Purchased by: Private
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Patient presented to pharmacy 3 days after vaccination with warm red bump at injection site. There was a large area (6 in x 3 in) erythematous bump surrounding injection site. At 4 days the swelling reduced to the injection site and was improving. The patient required no further treatment.

VAERS ID:531187 (history)  Vaccinated:2014-05-10
Age:53.0  Onset:2014-05-11, Days after vaccination: 1
Gender:Female  Submitted:2014-05-14, Days after onset: 3
Location:Virginia  Entered:2014-05-19, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J0145680UNRA
Administered by: Other     Purchased by: Other
Symptoms: Diarrhoea, Erythema, Hypoaesthesia, Local swelling, Pain
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Noninfectious diarrhoea (narrow)
Write-up: Stinging, numbness neck to elbow, local redness and swelling, diarrhea.

VAERS ID:531556 (history)  Vaccinated:2014-05-17
Age:53.0  Onset:2014-05-17, Days after vaccination: 0
Gender:Female  Submitted:2014-05-21, Days after onset: 4
Location:Iowa  Entered:2014-05-21
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: Patient had previously reported that she felt that her throat was closing within 12 hours of receiving Fluzone. Patient also has a latex allergy. Her physician wanted her to get Zostavax injection and patient was prepared with an Epipen if necessary.
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
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VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J0148100SCLA
Administered by: Other     Purchased by: Private
Symptoms: Food allergy, Hypoaesthesia oral, Tongue dry
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad)
Write-up: Patient called at 12:45 pm. Patient felt that her tongue was numb and dry. She took 2 Benadryl tabs and was going to repeat every 6 hours. I told patient that if at any point she felt that here throat was closing got straight to the ER or use her Epi-Pen and go straight to the ER. I called patient again at 3:30pm on 5/17/14 and she felt the same and did not feel worse. When I called the patient on Monday 5/19/14 she says she was feeling better in reference to the Zostavax injection but had a food allergy reaction on Sunday 5/18/14.

VAERS ID:531893 (history)  Vaccinated:2013-06-06
Age:53.0  Onset:2013-06-26, Days after vaccination: 20
Gender:Male  Submitted:2014-05-26, Days after onset: 334
Location:Florida  Entered:2014-05-26
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: OMEPRAZOLE 20 MG, METOPROLOL TARTRATE 50MG, VALSARTAN 40MG, SILDENAFIL CITRATE 50MG, AMLODIPINE BESYLATE 5MG, WARFARIN 5MG, SOTALOL HCL 160MG, ZOLPIDEM 5MG, Asprin.
Current Illness: None
Preexisting Conditions: Heart Disease, Pre Diabetic, high blood pressure
Diagnostic Lab Data: CT Scan, spinal tap, and had a dye injected in spinal column. Test done on 06/28/2013.
CDC 'Split Type':
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PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.H017759 IMRA
Administered by: Military     Purchased by: Military
Symptoms: Computerised tomogram, Hypoaesthesia, Lumbar puncture, Pain, Paraesthesia, Tenderness
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Numbness, tingling, and pain in left foot then it proceeded up the leg, then into the groin area and by 3:00pm it all the way up the left side where I began having a shocking sensation and it unable to be touched and stopped just below the shoulder area.

VAERS ID:532263 (history)  Vaccinated:2014-05-13
Age:53.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Washington  Entered:2014-05-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Chronic sinusitis
Preexisting Conditions: NKDA; Allergic Rhinitis; Sinusitis; BHR
Diagnostic Lab Data:
CDC 'Split Type':
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PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J011714 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Pt described her arm as "my deltoid was red and very painful". Pt reported swelling and pain approx 24 hours after injection. (L) arm involvement starting at top of shoulder to bicep/deltoid area. Pt treated with ice and alternating with MOTRIN and TYLENOL. Pt offered prednisone but declined.

VAERS ID:532264 (history)  Vaccinated:2014-05-20
Age:53.0  Onset:2014-05-21, Days after vaccination: 1
Gender:Female  Submitted:2014-05-22, Days after onset: 1
Location:New York  Entered:2014-05-28, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
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VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J0126600SCUN
Administered by: Other     Purchased by: Public
Symptoms: Administration site rash
SMQs:, Hypersensitivity (narrow)
Write-up: Pt has a raised rash approximately 2" x 4" at the administration site. Pt saw MD and was placed on cephalexin 250mg PO qid.

VAERS ID:532543 (history)  Vaccinated:2014-04-14
Age:53.0  Onset:0000-00-00
Gender:Female  Submitted:2014-05-30
Location:Missouri  Entered:2014-05-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
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PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.   RA
Administered by: Unknown     Purchased by: Private
Symptoms: Incorrect route of drug administration, No adverse event
SMQs:
Write-up: PNEUMONIA VACCINE GIVEN VIA THE IV ROUTE INSTEAD OF IM. NO VISIBLE SIDE EFFECT OCCURRED.

VAERS ID:532608 (history)  Vaccinated:2014-05-27
Age:53.0  Onset:2014-05-27, Days after vaccination: 0
Gender:Male  Submitted:2014-05-27, Days after onset: 0
Location:North Carolina  Entered:2014-05-30, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: See attached document
Current Illness:
Preexisting Conditions: Hyperlipidemia Nec/nos
Diagnostic Lab Data:
CDC 'Split Type':
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HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALS5JR7T0IMUN
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad)
Write-up: Fever and generalized weakness.

VAERS ID:532713 (history)  Vaccinated:2014-05-31
Age:53.0  Onset:2014-06-02, Days after vaccination: 2
Gender:Female  Submitted:2014-06-02, Days after onset: 0
Location:North Carolina  Entered:2014-06-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Latex, kiwi, Keflex, clindamycin
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.000064963410SCRA
Administered by: Other     Purchased by: Private
Symptoms: Pain, Rash erythematous, Rash macular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Splotchy red raised areas with an outer red ring. Painful. These symptoms appeared less angry after I was up for awhile. Pain still present and only if touched. I just wondered if I should ever have the injection again.

VAERS ID:532721 (history)  Vaccinated:2014-05-23
Age:53.0  Onset:2014-05-23, Days after vaccination: 0
Gender:Female  Submitted:2014-05-23, Days after onset: 0
Location:Missouri  Entered:2014-06-02, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Peanut allergy
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALS59D741IMLA
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURK1169 IMLA
Administered by: Public     Purchased by: Public
Symptoms: Dizziness, Hypoaesthesia, Increased upper airway secretion, Pharyngeal oedema
SMQs:, Angioedema (narrow), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Oropharyngeal allergic conditions (narrow), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: Numbness of shoulder 5 min or less from injection, throat swollen 30 minutes later, drainage in throat, dizziness 5 min or less from injection.

VAERS ID:532967 (history)  Vaccinated:2014-06-02
Age:53.0  Onset:2014-06-02, Days after vaccination: 0
Gender:Female  Submitted:2014-06-04, Days after onset: 2
Location:Pennsylvania  Entered:2014-06-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': CVAE0272014
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD3000710 PO 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Unevaluable event
SMQs:
Write-up: None stated.

VAERS ID:533054 (history)  Vaccinated:2014-06-02
Age:53.0  Onset:2014-06-03, Days after vaccination: 1
Gender:Female  Submitted:2014-06-06, Days after onset: 3
Location:Connecticut  Entered:2014-06-06
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:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J0126590SCLA
Administered by: Military     Purchased by: Military
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Tenderness
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Raise surface, redness, warm, hard around the injection site otherwise tender, approx size of 40mm*60mm.

VAERS ID:533185 (history)  Vaccinated:2014-06-05
Age:53.0  Onset:2014-06-05, Days after vaccination: 0
Gender:Female  Submitted:2014-06-08, Days after onset: 3
Location:Indiana  Entered:2014-06-08
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: All symptoms are gone with the exception of swelling/redness/pain in arms.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEN: MENINGOCOCCAL (NO BRAND NAME)UNKNOWN MANUFACTURER  IMAR
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER  IMAR
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)UNKNOWN MANUFACTURER  IMAR
Administered by: Unknown     Purchased by: Private
Symptoms: Disorientation, Dizziness, Erythema, Headache, Local swelling, Pain in extremity, Pyrexia
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad), Hypersensitivity (broad)
Write-up: Swelling of arms, patches of redness on arms, pain in arms, headache, dissiness, disoriented, fever (103.7).

VAERS ID:534679 (history)  Vaccinated:2014-06-04
Age:53.0  Onset:2014-06-06, Days after vaccination: 2
Gender:Female  Submitted:2014-06-17, Days after onset: 11
Location:Ohio  Entered:2014-06-23, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.J0111241SCLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Local reaction
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Pt developed mild induration, warmth and erythema at injection site. Doubt infection. Suspect local reaction. Pt to doctor and seek medical care from PCP or ER if worse.

VAERS ID:534720 (history)  Vaccinated:2014-06-13
Age:53.0  Onset:2014-06-13, Days after vaccination: 0
Gender:Male  Submitted:2014-06-23, Days after onset: 10
Location:California  Entered:2014-06-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Atovaquone_proguanil HCI 250-100mg Omeprazole 20mg Paroxetine HCI 20mg ProAir HFA 108 mcg/act inhalation aerosol solution Vivotif Berna vaccine oral capsule
Current Illness: No
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
YF: YELLOW FEVER (YF-VAX)SANOFI PASTEURUH858AA0SCLA
Administered by: Unknown     Purchased by: Private
Symptoms: Cough, Discomfort, Nasal congestion, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad)
Write-up: On evaluation, pt was noted to be in mod discomfort w/ conj/nasal congestion, dry cough but no acute sob. Exam significant for mild diffuse exp wheeze, o/w normal. Patient was referred to Urgent Care for immediate treatment and his primary care physician was notified.

VAERS ID:534852 (history)  Vaccinated:2014-06-19
Age:53.0  Onset:0000-00-00
Gender:Female  Submitted:2014-06-23
Location:Florida  Entered:2014-06-24, 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: Grapes; Iodine topical
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J013135 SCRA
Administered by: Other     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Patient came into store on 6/23/14 and complained of itching, redness, swelling around injection site. I told customer to check with physician.

VAERS ID:534959 (history)  Vaccinated:2014-06-23
Age:53.0  Onset:2014-06-24, Days after vaccination: 1
Gender:Male  Submitted:2014-06-25, Days after onset: 1
Location:Texas  Entered:2014-06-25
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:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4700BA UNLA
Administered by: Other     Purchased by: Private
Symptoms: Arthralgia, Fatigue, Lethargy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Arthritis (broad)
Write-up: Fatigue, lethargic, fever, joint aches (hand and elbow).

VAERS ID:535168 (history)  Vaccinated:2013-12-10
Age:53.0  Onset:2013-12-10, Days after vaccination: 0
Gender:Female  Submitted:2014-06-06, Days after onset: 177
Location:Rhode Island  Entered:2014-06-27, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: No concomitant vaccinations or medications. No known drug allergies, or allergies to eggs/ latex. No adverse events were reported with previous vaccinations, including influenza vaccinations.
Diagnostic Lab Data: UNK
CDC 'Split Type': A1053979A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT)GLAXOSMITHKLINE BIOLOGICALS5K4TL0SYRRA
Administered by: Other     Purchased by: Other
Symptoms: Injection site bruising, Injection site haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)
Write-up: This case was reported by a pharmacist and described the occurrence of bruise injection site in a 53-year-old female subject who was vaccinated with FLUARIX quadrivalent (GlaxoSmithKline). On 10 December 2013 the subject received 1st dose of FLUARIX quadrivalent (unknown, right arm). On 10 December 2013, less than one day after vaccination with FLUARIX quadrivalent, the subject experienced injection site bleeding. On 11 December 2013, one day after vaccination with FLUARIX quadrivalent, the subject experienced bruise injection site, described as bruising "half-dollar size". At the time of reporting the bruise injection site improved; the injection site bleeding resolved on 10 December 2013. The lot number was reported as "5K4TZ" from the reporter; however, based on a safety lot number review, the lot number was updated to 5K4TL.

VAERS ID:535367 (history)  Vaccinated:2014-06-25
Age:53.0  Onset:2014-06-26, Days after vaccination: 1
Gender:Female  Submitted:2014-06-27, Days after onset: 1
Location:Texas  Entered:2014-06-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ARTHROTEC; LORTAB
Current Illness: None
Preexisting Conditions: Low back pain
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4825AA0SYRLA
Administered by: Private     Purchased by: Private
Symptoms: Chills, Injection site pain, Injection site swelling, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Fever, chills, pain and swelling at injection site.

VAERS ID:535948 (history)  Vaccinated:2014-07-05
Age:53.0  Onset:2014-07-06, Days after vaccination: 1
Gender:Male  Submitted:2014-07-08, Days after onset: 2
Location:Washington  Entered:2014-07-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vit D3, Docusate, gabapentin, Heparin SQ for prophylaxis, Lisinopril, Methadone, Protonix, Phenytoin, Trazodone, Ursodiol, Cyclobenzaprine, Hydromorphone, Ondansetron, and Normal Saline infusion.
Current Illness: Small Bowel Obstruction, resolved adequate for discharge
Preexisting Conditions:
Diagnostic Lab Data: MRI obtained-"compatible with extensive cellulitis of Right arm" without osteomyelitis or necrotizing. WBC count peeked at 7.1 from a baseline of 2-3
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J008799 IMRA
Administered by: Public     Purchased by: Other
Symptoms: Cellulitis, Erythema, Injection site pain, Injection site swelling, Nuclear magnetic resonance imaging abnormal, White blood cell count normal
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Patient recieved PNA vaccine on day of discharge from hospital, returned next am with pain and swelling at the site. Advancement of Red line marked and during stay in ED the redness expanded beyond the border drawn. Pt was admitted and MRI obtained. Pt given Vancomycin and then discharged the next day when pain and swelling had reduced.

VAERS ID:536149 (history)  Vaccinated:2014-07-07
Age:53.0  Onset:2014-07-07, Days after vaccination: 0
Gender:Male  Submitted:2014-07-08, Days after onset: 1
Location:Massachusetts  Entered:2014-07-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: CIPRO; LOTRISONE; PRED FORTE; Timolol; ZANTAC
Current Illness: Gastritis; GERD
Preexisting Conditions: NKA; Iritis; No tibula fx
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.J0079430IMRA
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALS793JR0IMLA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURJ05020IMRA
Administered by: Private     Purchased by: Unknown
Symptoms: Injected limb mobility decreased
SMQs:
Write-up: Pt c/o decreased ROM to (R) arm S/p immunization. Has to use his other arm to assist with movement. No obvious deformity, no edema or bruising to injection site. Warm/moist heat, monitor and F/u PCP PRN.

VAERS ID:536244 (history)  Vaccinated:2014-05-23
Age:53.0  Onset:2014-05-23, Days after vaccination: 0
Gender:Female  Submitted:2014-07-10, Days after onset: 48
Location:Unknown  Entered:2014-07-10
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': WAES1407USA002333
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J014851 SCUN
Administered by: Other     Purchased by: Other
Symptoms: Headache, Injection site erythema, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: This spontaneous report as received from a 53 year old female patient (a pharmacist) via company representative refers to herself. At the time of this report, the patient was not pregnant. On 23-MAY-2014 the patient was vaccinated with ZOSTAVAX (0.65 ml, once, subcutaneously, lot # J014851, expiration date: 24-OCT-2014). On approximately 23-MAY-2014, reported as, within 24 hours after vaccination the patient experienced headache and injection site reaction. Reaction was further described as warm, red, raised two inches by 3 inches in diameter. The patient stated that pictures of injection site reaction were available upon request. There was no treatment given for the adverse events. The patient did not seek medical attention. The outcome of headache and injection site reaction described as warm, red, raised two inches by 3 inches in diameter was reported as not recovered. The relatedness between reported adverse events and ZOSTAVAX was not reported. Additional information is not expected because the reporter did not want to be contacted.

VAERS ID:536535 (history)  Vaccinated:2014-07-08
Age:53.0  Onset:2014-07-09, Days after vaccination: 1
Gender:Female  Submitted:2014-07-11, Days after onset: 2
Location:Michigan  Entered:2014-07-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4837AB0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Middle insomnia, Pain, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Depression (excl suicide and self injury) (broad)
Write-up: Low grade fever, body aches. Patient state she woke up in the middle of the right with fever and body aches. Recommended alternating MOTRIN and TYLENOL, drink lots of fluids, get extra rest and if not better in 48 hours to call and be seen per doctors orders. Evidently fever is gone, arm is still sore.

VAERS ID:536971 (history)  Vaccinated:2014-06-11
Age:53.0  Onset:2014-06-11, Days after vaccination: 0
Gender:Male  Submitted:2014-07-16, Days after onset: 35
Location:Unknown  Entered:2014-07-18, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical Conditions: Elevated white count, 19,000 following immunization as well as lethargy, severe leg pain and drooping left eyelid; Allergies: DEMEROL
Diagnostic Lab Data: White blood cell count: 19,000
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHH45391 IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Eyelid ptosis, Lethargy, Pain in extremity, White blood cell count increased
SMQs:, Neuroleptic malignant syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow)
Write-up: After administration of PREVNAR 13, a pneumococcal immunization, patient became extremely lethargic, left eyelid was drooping, severe pain in legs and white count increased to 19,000. The immunization PREVNAR 13, was administered June 11, 2014 and as of July 16, 2014, the patient is starting to recover. This event was reported to Immunologist, whose practice administered the vaccine. A message was left for the manufacturer of PREVNAR 13, Wyeth Pharmaceuticals. Please note the lot number of the PREVNAR 13 was H45391, expiration, May 31, 2015.

VAERS ID:537117 (history)  Vaccinated:2014-07-15
Age:53.0  Onset:2014-07-16, Days after vaccination: 1
Gender:Female  Submitted:2014-07-21, Days after onset: 5
Location:Unknown  Entered:2014-07-21
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': WAES1407USA008997
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  SCUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: This spontaneous report as received from a pharmacist refers to a 53 year old female patient with no drug allergies. The patients pertinent medical history was none. On 15-JUL-2014 the patient was vaccinated with ZOSTAVAX (Dose/Frequency: single dose, Therapy route: subcutaneous (SQ), Lot # and expiry date were not reported). Concomitant medications were none. On 16-JUL-2014, the patient developed redness, tenderness, warmth and itching at injection site. The patient sought medical attention (reported as came in to pharmacy) and was self treated with BENADRYL. Lab tests were none. The outcome of redness, tenderness, warmth, and itching at injection site was reported as not recovered. No product quality complaint (PQC) was reported for ZOSTAVAX. Additional information has been requested.

VAERS ID:537657 (history)  Vaccinated:2014-07-22
Age:53.0  Onset:2014-07-23, Days after vaccination: 1
Gender:Female  Submitted:2014-07-24, Days after onset: 1
Location:Kansas  Entered:2014-07-24
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: COPD - Hepatitis C
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J0068310UNUN
Administered by: Public     Purchased by: Unknown
Symptoms: Adverse event
SMQs:
Write-up: 07/23/2014 Patient is being seen by PCP today at 3:15.

VAERS ID:537646 (history)  Vaccinated:2014-07-24
Age:53.0  Onset:2014-07-25, Days after vaccination: 1
Gender:Female  Submitted:2014-07-25, Days after onset: 0
Location:Washington  Entered:2014-07-25
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
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER  IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site swelling, Musculoskeletal pain
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Extreme pain in shoulder. Swelling at injection site.

VAERS ID:537982 (history)  Vaccinated:2014-07-08
Age:53.0  Onset:2014-07-09, Days after vaccination: 1
Gender:Female  Submitted:2014-07-28, Days after onset: 19
Location:Unknown  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 other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES1407USA007440
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.K000327 SCUN
Administered by: Other     Purchased by: Other
Symptoms: Dyspnoea, Injection site erythema, Nasal obstruction, Pulse pressure decreased
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Cardiomyopathy (broad)
Write-up: This spontaneous report as received from a pharmacist refers to a 53 year old female patient. On 08-JUL-2014 the patient was vaccinated with ZOSTAVAX lot # K000327, expiration date: 05-MAR-2015, 0.65 ml, subcutaneous for vaccination. 24 hours after receiving ZOSTAVAX, the patient experienced redness at the injection site which was 3.5 inches in diameter. The patient also said she had difficulty breathing, she could “hardly feel a pulse” and it felt like her nasal passages were closed. The patient treated herself with Benadryl and recovered at unspecified time. The patient sought medical attention by calling the pharmacy. This is one of several reports received from the same reporter and same source. Additional information has been requested.

VAERS ID:538054 (history)  Vaccinated:2014-07-22
Age:53.0  Onset:2014-07-22, Days after vaccination: 0
Gender:Female  Submitted:2014-07-29, Days after onset: 7
Location:Wisconsin  Entered:2014-07-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ibuprofen (prn)
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: I had labs drawn that day after the injection but not for the reaction. none
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER 0UNLA
Administered by: Unknown     Purchased by: Private
Symptoms: Influenza like illness, Injection site nodule, Injection site pain, Injection site swelling, Injection site warmth, Laboratory test, Malaise
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Pain and swelling at injection sight within 1 hour, the area grew to two inches in diameter. The area was hot to the touch and had a knot approximately the size of a fingernail. The entire area hurt constantly and is just beginning to fade today 07/29/2014. I received the injection at the start of the appointment and before I was finished I felt fluish and malaise. These symptoms lasted seven full days. I took Ibuprofen several times during this reaction. No other treatment.

VAERS ID:538128 (history)  Vaccinated:0000-00-00
Age:53.0  Onset:0000-00-00
Gender:Female  Submitted:2014-07-30
Location:Kentucky  Entered:2014-07-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: DIAZEPAM; Gabapentin; Cyclobenzaprine hydrochloride; AMITIZA; Pantoprazole; SINGULAIR
Current Illness: Back disorder; Irritable bowel syndrome
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES1407USA002330
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  UNLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad)
Write-up: This spontaneous report as received from a physician refers to a 53 year old female patient with irritable bowel syndrome, skeletal back problems and no known allergies. On 28-JUN-2014, the patient was vaccinated at an unspecified pharmacy with a dose of ZOSTAVAX injection in the left arm (dose, route of administration, lot#, expiry date unspecified). Concomitant therapies included diazepam (manufacturer unknown), gabapentin, cyclobenzaprine hydrochloride, AMITIZA, pantoprazole and montelukast sodium (manufacturer unknown). On an unspecified date in 2014, the patient experienced erythema, itching, and mild acute swelling, 3 centimeters in diameter, at the injection site and also localized myalgia. There was no compartment syndrome. The patient sought medical attention - she was in the emergency room at the time of report (on 02-JUL-2014) and received the treatment: DECADRON, 4mg (route of administration unspecified). The physician stated that the patient would not be hospitalized. The outcome of events was reported as not recovered. The relatedness between events and ZOSTAVAX was not reported. Additional information is not expected as the physician did not wish any contact.

VAERS ID:538547 (history)  Vaccinated:2014-07-02
Age:53.0  Onset:2014-07-03, Days after vaccination: 1
Gender:Female  Submitted:2014-07-29, Days after onset: 26
Location:Indiana  Entered:2014-08-01, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: TOPROL XL; HCTZ; SINGULAIR; PRILOSEC; Diazepam; NORCO
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J0131370SCLA
Administered by: Unknown     Purchased by: Private
Symptoms: Herpes zoster, Inflammation, Injection site warmth, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: 7/2 injection 1 day later high fever and inj site "size of softball" and hot to touch. Saw urgent care and prescribed Rx. 7/29 1 month later saw regular MD who dx "shingles" rash on left breast and inflammation on Rt leg.

VAERS ID:538793 (history)  Vaccinated:2014-07-18
Age:53.0  Onset:2014-07-22, Days after vaccination: 4
Gender:Female  Submitted:2014-08-05, Days after onset: 14
Location:Wisconsin  Entered:2014-08-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Klonopin
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (NO BRAND NAME)UNKNOWN MANUFACTURER  IMLA
Administered by: Public     Purchased by: Private
Symptoms: Injection site pain, Pain, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Pain in left shoulder region radiating down left arm. Pain when lifting arm above shoulder. Burning sensation in left shoulder. Overall pain at injection site and in left shoulder and arm. Due to lack of health insurance I''ve not followed up with a physician.

VAERS ID:538959 (history)  Vaccinated:2014-07-30
Age:53.0  Onset:2014-08-01, Days after vaccination: 2
Gender:Female  Submitted:2014-08-05, Days after onset: 4
Location:Unknown  Entered:2014-08-05
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': WAES1408USA001028
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.K000328 SYRUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site nodule, Injection site pain, Injection site pruritus, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: This spontaneous report as received from a 53 year old female patient reporting on herself. The patient''s pertinent medical history was not provided. The patient had no known drug reactions/allergies. On 30-JUL-2014, the patient received one dose of ZOSTAVAX, (Lot # reported as K-000328, expiration date reported as 06-MAR-2015). Co-suspect therapy and concomitant medications were not provided. The patient reported that on 01-AUG-2014 at 04:00 AM, the patient woke up with a burning, painful dark pink egg-sized knot at the injection site after getting ZOSTAVAX two days ago. The reporter added that the site itched a little and felt hot. The patient did not receive any treatment for the event and sought medical attention by calling the pharmacy. At the time of the report the patient had not recovered. The relatedness between the events and suspect therapy was not provided. Additional information has been requested.

VAERS ID:539799 (history)  Vaccinated:2014-08-07
Age:53.0  Onset:2014-08-08, Days after vaccination: 1
Gender:Female  Submitted:2014-08-14, Days after onset: 6
Location:Texas  Entered:2014-08-14
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
TDAP: TDAP (ADACEL)SANOFI PASTEUR4695AA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: FIRM AREA NOTED AT SITE OF INJECTION MEASURING 2 INCHES IN DIAMETER. AREA ALSO NOTED TO BE RED, TENDER, AND WARM.

VAERS ID:539891 (history)  Vaccinated:2014-08-11
Age:53.0  Onset:2014-08-11, Days after vaccination: 0
Gender:Female  Submitted:2014-08-14, Days after onset: 3
Location:Illinois  Entered:2014-08-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)MASS. PUB HLTH BIOL LAB  SYRLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site inflammation, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Red inflammed left forearm with slight red bump where the needle administered the medication.

VAERS ID:540106 (history)  Vaccinated:2014-08-05
Age:53.0  Onset:2014-08-08, Days after vaccination: 3
Gender:Male  Submitted:2014-08-15, Days after onset: 7
Location:Unknown  Entered:2014-08-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PROAIR; Meloxicam; OMEPRAZOLE
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES1408USA008134
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.K000327 SCUN
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Hypoaesthesia, Myalgia, Neuralgia, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: This spontaneous report received from a pharmacist, via a company representative, concerning to a 52 year old male patient. Medical history and concurrent conditions were not reported. On 05-AUG-2014, the patient was vaccinated with a dose of ZOSTAVAX lot # K000327, expiration date 05-MAR-2015, 0.65 ml, subcutaneous. Concomitant therapies included PROAIR, Meloxicam and Omeprazole (manufacturer unknown. The pharmacist reported to the representative that "the patient experienced joint, muscular and nerve pain in the arm that the vaccine was administered, and a feeling of numbness and tingling in the opposite leg of the vaccine administered arm, after receiving ZOSTAVAX, on 08-AUG-2014. At the time of the report the outcome was reported as not recovered. Patient received treatment with TYLENOL and MOTRIN. Additional information has been requested.

VAERS ID:540168 (history)  Vaccinated:2014-08-01
Age:53.0  Onset:2014-08-14, Days after vaccination: 13
Gender:Female  Submitted:2014-08-18, Days after onset: 4
Location:North Carolina  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: Menostar 14 mcg/day (weekly estradiol transdermal patch); Multi-vitamin (generic; 1 tab per day); Cold-FX (200 mg capsule 2x per day); Airborne Formula tablet 1x per day); diazepam 5 mg (1 tab per week); Diltiazem ER Cap 120mg/24 3 (1 capsu
Current Illness: No
Preexisting Conditions: Cat allergy; allergies to Penicillin, Sulfa, & Macrodantin
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.K0020500SCRA
Administered by: Private     Purchased by: Private
Symptoms: Blister, Injection site inflammation, Injection site pain, Injection site pruritus, Injection site vesicles, Pruritus, Skin lesion
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad)
Write-up: Eight (8) inflamed, itchy, painful blisters at / near vaccine injection site with single lesions /blisters breaking out between 8/14/2014 & 8/18/2014 on back, buttocks, lower leg, breast, & labia majora. As of 8/18/2014, these lesions have not resolved, but they are less itchy with each passing day. No treatment was used.

VAERS ID:540841 (history)  Vaccinated:2014-08-19
Age:53.0  Onset:2014-08-19, Days after vaccination: 0
Gender:Female  Submitted:2014-08-21, Days after onset: 2
Location:Nebraska  Entered:2014-08-22, 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: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER  SYRLA
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Local swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Noted left arm - red raised area approximately six hours after injection 3 by 2 1/2 inches. Ice applied to area.

VAERS ID:540853 (history)  Vaccinated:2014-08-13
Age:53.0  Onset:2014-08-14, Days after vaccination: 1
Gender:Female  Submitted:2014-08-22, Days after onset: 8
Location:Nevada  Entered:2014-08-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine 125 MCG
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSY4R591UNRA
Administered by: Public     Purchased by: Private
Symptoms: Asthenia, Erythema, Malaise, Pruritus, Swelling, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Extreme itching, hives all over body, swelling, redness, overall feeling terrible. Still have no energy and not feeling well after 8 days. Treatment: given an IV and prescriptions.

VAERS ID:540924 (history)  Vaccinated:2014-08-22
Age:53.0  Onset:2014-08-23, Days after vaccination: 1
Gender:Female  Submitted:2014-08-24, Days after onset: 1
Location:California  Entered:2014-08-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.K0009940SCLA
Administered by: Other     Purchased by: Private
Symptoms: Erythema, Hyperaesthesia, Limb discomfort, Local swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Raised, red area sensitive to touch surrounded by erythematous skin; discomfort in arm.

VAERS ID:541058 (history)  Vaccinated:2014-08-13
Age:53.0  Onset:2014-08-24, Days after vaccination: 11
Gender:Female  Submitted:2014-08-25, Days after onset: 1
Location:California  Entered:2014-08-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine
Current Illness: No
Preexisting Conditions: Hypothyroidism
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J0085280SCLA
Administered by: Unknown     Purchased by: Private
Symptoms: Blister, Erythema, Herpes zoster, Pruritus, Skin lesion
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Pt noticed itch lesion on back. She came in today and she has a cluster of vesicles on an erythematous base, thus Herpes Zoster.

VAERS ID:541060 (history)  Vaccinated:2014-06-18
Age:53.0  Onset:2014-08-18, Days after vaccination: 61
Gender:Female  Submitted:2014-08-25, Days after onset: 7
Location:Unknown  Entered:2014-08-25
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
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J011335   
Administered by: Unknown     Purchased by: Private
Symptoms: Herpes zoster
SMQs:
Write-up: Shingles outbreak despite vaccination.

VAERS ID:541847 (history)  Vaccinated:2013-11-18
Age:53.0  Onset:0000-00-00
Gender:Female  Submitted:2013-11-18
Location:Oklahoma  Entered:2014-08-25, Days after submission: 279
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': 2013SE84750
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT)MEDIMMUNE VACCINES, INC.BJ2154 IN 
Administered by: Other     Purchased by: Other
Symptoms: Drug administered to patient of inappropriate age
SMQs:
Write-up: A report has been received from a Health Professional concerning a 53 year old, Female subject, who had been receiving Nasal FLUMIST QUADRIVALENT (Intranasal). FLUMIST QUADRIVALENT (Intranasal) started on 18-Nov-2013. It was reported they inadvertently gave FLUMIST QUADRIVALENT to a patient over 49 years of age. The outcome of the event of inadvertently gave FLUMIST QUADRIVALENT to a patient over 49 years of age is unknown. The report was considered to be non-serious. Corrected report 20-Jan-2014: Key ingredient and formulation corrected.

VAERS ID:542158 (history)  Vaccinated:2014-01-08
Age:53.0  Onset:2014-01-13, Days after vaccination: 5
Gender:Female  Submitted:2014-02-04, Days after onset: 22
Location:Unknown  Entered:2014-08-25, Days after submission: 201
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: COVERSYL PLUS HD; ENTECAVIR; Rosuvastatin
Current Illness: Diabetes
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': 2014SE04335
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT)MEDIMMUNE VACCINES, INC.BM2035 IN 
Administered by: Other     Purchased by: Other
Symptoms: Blood blister
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)
Write-up: A report has been received from a Pharmacist concerning a 53 year old, Female subject, who had been receiving Nasal FLUMIST ( Intranasal), 0.2 milliliters, Daily for flu vaccination. The patients concurrent disease(s) included diabetes. Concomitant medication included Indapamide, Perindopril erbumine for hypertension, ENTERCAVIR for hepatitis B and Rosuvastatin for hypercholesteremia. FLUMIST (Intranasal) started on 08-Jan-2014 for flu vaccination. The patient experienced mild blood blisters on the arm which started on 13-Jan-2014. FLUMIST (Intranasal) was discontinued on 08-Jan-2014. The patient recovered from the event of blood blisters on the arm on 20-Jan-2014. The report was considered to be non-serious. Reporter assessed the event was related to suspect drug. Summary of follow-up information received by AstraZeneca/Medimmune 04-Feb-2014 from pharmacist: Patients demography was added. Reporter causality was added. Concomitant medicine and disease were added. Outcome for the event was also updated.

VAERS ID:542265 (history)  Vaccinated:2013-12-14
Age:53.0  Onset:2013-12-14, Days after vaccination: 0
Gender:Male  Submitted:2013-12-16, Days after onset: 2
Location:Unknown  Entered:2014-08-25, Days after submission: 251
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Simvastatin
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': 2013SE91393
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT)MEDIMMUNE VACCINES, INC.BK2064 IN 
Administered by: Other     Purchased by: Other
Symptoms: Drug administered to patient of inappropriate age
SMQs:
Write-up: A report has been received from a Pharmacist concerning a 53 year old, male subject, who had been receiving Nasal FLUMIST QUADRIVALENT. Concomitant medications included Simvastatin. FLUMIST QUADRIVALENT (Intranasal) started on 14-Dec-2013. The Pharmacist reported that they inadvertently administered FLUMIST QUADRIVALENT to person over 49 on 14-Dec-2013. The outcome of the event of inadvertently administered FLUMIST QUADRIVALENT to person over 49 is unknown. The report was considered to be non-serious.

VAERS ID:542352 (history)  Vaccinated:2014-01-06
Age:53.0  Onset:2014-01-06, Days after vaccination: 0
Gender:Male  Submitted:2014-01-07, Days after onset: 1
Location:Unknown  Entered:2014-08-25, Days after submission: 229
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': 2014SE01248
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT)MEDIMMUNE VACCINES, INC.BH2029 IN 
Administered by: Other     Purchased by: Other
Symptoms: Expired drug administered
SMQs:
Write-up: A report has been received from a Pharmacist concerning a 53 year old, Male subject, who had been receiving FLUMIST QUADRIVALENT (intranasal). FLUMIST started on an unknown date. On 06-Jan-2014, the patient received expired FLUMIST QUADRIVALENT. The outcome of the event of patient received expired FLUMIST is unknown. The report was considered to be non-serious.

VAERS ID:541314 (history)  Vaccinated:2014-08-19
Age:53.0  Onset:2014-08-19, Days after vaccination: 0
Gender:Female  Submitted:2014-08-27, Days after onset: 8
Location:Unknown  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: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES1408USA015111
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J005849 SCRA
Administered by: Other     Purchased by: Other
Symptoms: Expired drug administered,