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Case Details (Sorted by Age)

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VAERS ID: 28577 (history)  
Age: 30.0  
Gender: Female  
Location: Unknown  
Vaccinated:1989-10-16
Onset:1989-10-17
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / - - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Diarrhoea, Headache, Hyperhidrosis, Injection site pain, Nausea
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NA
Diagnostic Lab Data: NA
CDC Split Type: CO3679

Write-up: Diaphoresis, nausea, h/a upon awakening; Headache all day & p/dinner, diarrhea; pain @ inject site, unable to sleep on her arm;


VAERS ID: 28915 (history)  
Age: 30.0  
Gender: Female  
Location: Texas  
Vaccinated:1989-02-03
Onset:1989-02-11
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 1991-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1528P / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal pain, Hepatic function abnormal
SMQs:, Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NO relevant history
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES91020887

Write-up: Developed epigastric & rt upper quad pain. sx worsened & eventually became debilitating. ON 3MAR89 pt rec''d 2nd dose of vax sx recurred. Another gastroenterologist found her liver funct studies to be abnormal.


VAERS ID: 29546 (history)  
Age: 30.0  
Gender: Male  
Location: Connecticut  
Vaccinated:1989-07-11
Onset:1989-07-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 2 - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Dizziness, Headache, Hypersensitivity, Otitis media, Pharyngitis, Rhinitis, Tinnitus
SMQs:, Agranulocytosis (broad), Angioedema (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Hearing impairment (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NA
Diagnostic Lab Data: NA
CDC Split Type: WAES90010215

Write-up: 2nd dose vax experienced dizziness, h/a & URI, otitis media, rhinitis & tinnitus; 1wk later seen & an allergic rxn was dx; Given 1st dose of vax w/o rxn;


VAERS ID: 29561 (history)  
Age: 30.0  
Gender: Female  
Location: Iowa  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Arthropathy, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NA
Diagnostic Lab Data: NA
CDC Split Type: WAES90010889

Write-up: pt vax hepta B. 3-4 hrs after 2nd dose pt developed stiffness in joints, temp 101F and nausea. Symp. remitted spontaneously w/i 48hrs


VAERS ID: 29618 (history)  
Age: 30.0  
Gender: Male  
Location: California  
Vaccinated:1990-01-22
Onset:1990-02-28
   Days after vaccination:37
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1647R / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal pain, Arthralgia, Asthenia, Diarrhoea, Headache, Injection site pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Na
Diagnostic Lab Data: NA
CDC Split Type: WAES90020390

Write-up: 22jan90 pt vax hepta B. pt ex general weakness. 28dfeb90 pt vax 2nd hepta B. w/i 24hrs pt ex. pain and swelling at inject site, stomach cramps, joint pain, fever, gen weakness, diarrhea, and h/a. seen by physician and treated for sx.


VAERS ID: 29625 (history)  
Age: 30.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0787R / 1 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthenia, Dizziness, Pallor, Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NA
Diagnostic Lab Data: NA
CDC Split Type: WAES90020669

Write-up: pt vax 2nd hepta B. pt ex rapid heartbeat, lightheadedness, pallor, & tiredness. sx resolved w/i few hrs.


VAERS ID: 29626 (history)  
Age: 30.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0787R / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Nausea, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NA
Diagnostic Lab Data: NA
CDC Split Type: WAES90020670

Write-up: pt vax hepta B. pt devel. nausea, achiness & temp of 100.9 F.


VAERS ID: 29634 (history)  
Age: 30.0  
Gender: Female  
Location: California  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Erythema multiforme, Urticaria
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NA
Diagnostic Lab Data: NA
CDC Split Type: WAES90020857

Write-up: pt vax hepta B. 3 or 4 days later pt devel. hives and at the end of jan or beg. of feb 1990 pt devel. erythmema multiforme.


VAERS ID: 29644 (history)  
Age: 30.0  
Gender: Female  
Location: Maryland  
Vaccinated:1990-02-07
Onset:1990-02-23
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0787R / 3 RA / IM

Administered by: Public       Purchased by: Public
Symptoms: Asthenia, Infection, Injection site oedema, Injection site pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES90021133

Write-up: P/receiving 4th dose of vax experienced numbness & swelling in a two inch area around the inject site & tingling on the lateral aspect of her arm; Later experienced weakness; Seen by MD dx CNS virus;


VAERS ID: 29648 (history)  
Age: 30.0  
Gender: Male  
Location: California  
Vaccinated:1990-01-18
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 0 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Gout
SMQs:, Arthritis (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Indomethacin, Colchicine
Current Illness: NONE
Preexisting Conditions: Hx of gout
Diagnostic Lab Data: NA
CDC Split Type: WAES90030062

Write-up: Developed flare-up of gout following 1st dose of Recombivax; 16FEB90 vaccinated w/2nd dose experienced again flare up of gout;


VAERS ID: 29663 (history)  
Age: 30.0  
Gender: Female  
Location: Kentucky  
Vaccinated:1988-08-21
Onset:1988-08-22
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 38175/2043N / - - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Nausea, Nuchal rigidity, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: after 1st vax pt ex. nausea and fever.~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: NA
CDC Split Type: WAES90030455

Write-up: 21sep88 pt vax hepta B. Following day pt devel. nausea/fever. 24oct88 pt vax 2nd hepta B. Same day pt devel. nausea/fever, stiff neck, and pain in arm. pt advised not to take 3rd dose.


VAERS ID: 29689 (history)  
Age: 30.0  
Gender: Female  
Location: Texas  
Vaccinated:1990-03-22
Onset:1990-03-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1420R / 0 LA / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: eczema
Diagnostic Lab Data: Hemoglobin 15, & 10;Pulmonary function-Normal
CDC Split Type: WAES90030990

Write-up: Pt experienced pain, swelling, itching & a 6cm red zone at inject site 10 to 15 min post vax; Ice applied;


VAERS ID: 29699 (history)  
Age: 30.0  
Gender: Male  
Location: Wisconsin  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 3 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Gamma-glutamyltransferase increased
SMQs:, Liver related investigations, signs and symptoms (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC Split Type: WAES90031181

Write-up: Pt vaccinated 3 doses Recombivax appox 1988; PE lab eval revealed GGTP over 200; pt liver func w/an ultrasound & CT scan has yielded no other abn;


VAERS ID: 29724 (history)  
Age: 30.0  
Gender: Female  
Location: Oklahoma  
Vaccinated:1990-04-17
Onset:1990-04-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1651R / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Pharyngitis, Pyrexia, Rhinitis
SMQs:, Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NA
Diagnostic Lab Data: Na
CDC Split Type: WAES90040723

Write-up: 17apr90 pt vax hepta B. 12 hrs later pt ex pharyngitis. low grade fever and hay fever like sx. pt recovered w/in 72 hrs


VAERS ID: 30517 (history)  
Age: 30.0  
Gender: Female  
Location: Virginia  
Vaccinated:1989-08-03
Onset:1989-08-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Headache, Nausea, Photophobia, Vomiting
SMQs:, Acute pancreatitis (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: pt history of migraines.
Diagnostic Lab Data: NA
CDC Split Type: WAES90050275

Write-up: 03aug89 pt vax 2nd hepta B. pt woke 130 am w/ severe frontal h/a, n/v. photophobia. ER exam revealed pt was in obvious discomfort. neg for visual acuity, tinnitus, paresthesia, and anesthesia. pt treated w/ demerol and phenazine.h/a impr


VAERS ID: 30545 (history)  
Age: 30.0  
Gender: Female  
Location: Arizona  
Vaccinated:1990-02-01
Onset:1990-02-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 0 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Face oedema, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90051271

Write-up: W/in several hrs following vax pt developed urticaria & swelling around her eyes; Tx Terfenadine & the experience remitted in two days;


VAERS ID: 30551 (history)  
Age: 30.0  
Gender: Male  
Location: Oregon  
Vaccinated:1990-05-30
Onset:1990-05-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1773R / 0 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Diarrhoea, Nausea
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90060094

Write-up: W/in a few hrs p/receiving the inject pt developed n,d; Sx resolved later that day;


VAERS ID: 30579 (history)  
Age: 30.0  
Gender: Female  
Location: Texas  
Vaccinated:1990-04-27
Onset:1990-04-27
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1772R / - - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Paraesthesia, Tachycardia, Tremor
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NA
Diagnostic Lab Data: NA
CDC Split Type: WAES90060591

Write-up: 27apr90 pt vax hepta B. w/i 20 min. pt ex hypersensitivity reaction w/ hand tremors, tachycardia and numbness of lips and face. tx w/ benadryl and recovered in 30 minutes.


VAERS ID: 30646 (history)  
Age: 30.0  
Gender: Female  
Location: Kentucky  
Vaccinated:1990-05-29
Onset:1990-05-30
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1421R / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Arthralgia, Chills, Headache, Nausea, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NA
Diagnostic Lab Data: NA
CDC Split Type: WAES90070188

Write-up: 29may90 pt vax hepta B. 30may90 pt devel pain in left arm, shoulder, and scapular area. treated w/ motrin and physc. therapy. 29jun90 2nd vax. pt ex n/ chills, h/a and feverish feeling. sx resolved by 03jul90.


VAERS ID: 30665 (history)  
Age: 30.0  
Gender: Female  
Location: Wisconsin  
Vaccinated:1988-12-08
Onset:1990-07-01
   Days after vaccination:570
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0142P / 2 - / IM

Administered by: Private       Purchased by: Private
Symptoms: Asthenia, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt ex numbness after 1st and 2nd vax''s~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: allergy, PCN; allergy, Augmentin;
Diagnostic Lab Data: 1989 electromyography nl; 29JUN90 Electromyography nl;
CDC Split Type: WAES90070842

Write-up: 08dec88 pt vax hep B. & pt exp numbness in lt arm. 05jan89 2nd vax. in JUN89 pt exp numbness in shoulder. 08jun89 pt 3rd vax. in july numbness increased to legs.md states that condition related to vax.


VAERS ID: 30767 (history)  
Age: 30.0  
Gender: Female  
Location: New York  
Vaccinated:1990-07-28
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NA
Diagnostic Lab Data: NA
CDC Split Type: WAES90080006

Write-up: 28jul90 pt vax 2nd hepta B. pt devel generalized urticaria.


VAERS ID: 30980 (history)  
Age: 30.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:1990-04-16
Onset:1990-04-16
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1772R / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: sinus problems
Diagnostic Lab Data: NA
CDC Split Type: WAES90080664

Write-up: 16apr90 pt vax hepta B. w/i hrs pt became dizzy for 4 days. 21may90 pt vax 2nd hepta B. sx reoccured. at time of report pt mentioned episodes of dizziness for 1 min. or 2 usually followed by a change of body position. see worm


VAERS ID: 31234 (history)  
Age: 30.0  
Gender: Female  
Location: Illinois  
Vaccinated:1990-08-13
Onset:1990-08-22
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 2440R / - - / -
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. 1988R / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Pain, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90100060

Write-up: 13Aug90 pt vax w/ hepta B. along w/ Attenuvax. 22Aug90 pt devel bilateral knee pain. 04Sep90 pt devel rash on lower legs, which were sore and tender. pt tx w/ pres drug.


VAERS ID: 31248 (history)  
Age: 30.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:1990-10-03
Onset:1990-10-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: hx of rash after 1st vax w/ hepta B. vaccine (WAES90100502).~ ()~~~In patient
Other Medications: Thyroid supplement
Current Illness:
Preexisting Conditions: thyroid supplement
Diagnostic Lab Data: No relevant data.
CDC Split Type: WAES90100504

Write-up: 03Oct90 pt vax w/ hepta B. 04Oct90 pt devel rash w/ raised welts on both calves. pt tx w/ DPH. by 05Oct90 rash remitted. pt recvd 2nd vax one month later w/o reaction.


VAERS ID: 31298 (history)  
Age: 30.0  
Gender: Female  
Location: Michigan  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Arthralgia, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt devel n/v, arthralgia after 1st vax.~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90100978

Write-up: Pt vax w/ 1st + 2nd hepta B; devel n/v, arthralgia /p both.


VAERS ID: 31299 (history)  
Age: 30.0  
Gender: Female  
Location: Michigan  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Arthralgia, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: After 1st vax pt ex n/v, arthralgia~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90100980

Write-up: Pt vax w/ 1st + 2nd hepta B; ex n/v, arthralgia /p both.


VAERS ID: 31308 (history)  
Age: 30.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1886R / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90101317

Write-up: Pt vax hepta B; during which time some of injection squirted into left eye. eye was irrigated w/ isotonic, buffered sol of purified water, NaCl, KCl, NaOH, NaP. No adverse Exp.


VAERS ID: 31318 (history)  
Age: 30.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:1990-10-09
Onset:1990-10-28
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthenia, Lymphadenopathy, Pharyngitis, Pyrexia, Rash, Urinary tract infection
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: none
Current Illness:
Preexisting Conditions: none
Diagnostic Lab Data: urinalysis-urinary tract infection.
CDC Split Type: WAES90101481

Write-up: pt. recv''d 3rd dose hepatitis B vac & later exp. weakness,sore throat,swollen lymph glands,T102,& rash covering body.


VAERS ID: 31328 (history)  
Age: 30.0  
Gender: Female  
Location: Tennessee  
Vaccinated:1990-10-01
Onset:1990-10-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1890P / 0 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC Split Type: WAES90110326

Write-up: pt. recvd 1st dose of hepatitis B vac w/ expired vaccine.


VAERS ID: 31882 (history)  
Age: 30.0  
Gender: Female  
Location: North Dakota  
Vaccinated:1990-11-06
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0359S / 0 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant history
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90120274

Write-up: Pt vaccinated w/1st dose of vax 6NOV90 subsequently developed a rash which persisted for 3 wks & then remitted; No further details were provided;


VAERS ID: 31944 (history)  
Age: 30.0  
Gender: Female  
Location: Kansas  
Vaccinated:1989-06-29
Onset:1989-07-07
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 0 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Naprosyn
Current Illness:
Preexisting Conditions: no relevant hx
Diagnostic Lab Data: Patch test - negative
CDC Split Type: WAES89070430

Write-up: pt recvd vax 29JUN89. On 07JUL89 pt devel urticarial rash.


VAERS ID: 31946 (history)  
Age: 30.0  
Gender: Female  
Location: New Jersey  
Vaccinated:1989-07-12
Onset:1989-07-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1893P / 1 - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Arthralgia, Asthenia, Confusional state, Headache, Neuropathy, Vertigo
SMQs:, Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (narrow), Arthritis (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: no relevant hx
Diagnostic Lab Data: EEG - normal;MRI scan - normal;Epstein-Barr virus titer - involvment
CDC Split Type: WAES89080605

Write-up: pt recvd 2nd dose of Hep B vax 12JUL89 & exp. weakness,confusion,& h/a w/ motion sickness.On 14AUG89 pt exp. joint aches & burning in calves.Exam revealed mild scoliosis & degenerative changes.


VAERS ID: 31789 (history)  
Age: 30.0  
Gender: Female  
Location: New York  
Vaccinated:1990-11-13
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1991-03-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 0 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Chest pain, Laryngospasm, Oedema, Pruritus, Rash
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (broad), Dystonia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90110744

Write-up: 13Nov90 pt vax w/ hepta B; devel non-raised, erythematous, pruritic rash on lower arms + around mouth.sx persisted.


VAERS ID: 27940 (history)  
Age: 30.0  
Gender: Male  
Location: Wisconsin  
Vaccinated:1990-08-29
Onset:1990-08-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 29Aug90 serology testing showed pt failed to seroconvert
CDC Split Type: EBU900512

Write-up: Pt given series of Engerix B vaxs 4Dec89, 2Jan90 &31May90. Serology testing on 29Aug90 showed that pt failed to seroconvert. Pt was 1 of 6 pt who failed to convert out of group of 52. The 52 pts were tested approx 3 mos /p the 3rd dose.


VAERS ID: 29328 (history)  
Age: 30.0  
Gender: Female  
Location: Tennessee  
Vaccinated:1991-02-15
Onset:1991-02-26
   Days after vaccination:11
Submitted: 1991-03-01
   Days after onset:3
Entered: 1991-03-25
   Days after submission:24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1187S / 0 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Arthralgia, Chills, Cough, Headache, Influenza, Pain, Rhinitis
SMQs:, Anaphylactic reaction (broad), Arthritis (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Ortho Novum
Current Illness: NONE
Preexisting Conditions: Migraine H/A
Diagnostic Lab Data:
CDC Split Type: TN9140

Write-up: Flu-like sx-achey all over w/moderate joint pain in both knees; H/A, chills productive cough & nasal congestion; Tx Amoxicillin, Phrenilin Forte & Nolex LA;


VAERS ID: 29349 (history)  
Age: 30.0  
Gender: Female  
Location: North Carolina  
Vaccinated:1990-10-13
Onset:1990-12-12
   Days after vaccination:60
Submitted: 0000-00-00
Entered: 1991-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0J11164 / - - / IM A

Administered by: Military       Purchased by: Military
Symptoms: Pupillary disorder
SMQs:

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NA
Diagnostic Lab Data: 0.12% Pilocarpine to affected eye to diagnose adies pupil
CDC Split Type:

Write-up: Aides pupil diagnosed 13DEC90;


VAERS ID: 32145 (history)  
Age: 30.0  
Gender: Female  
Location: D.C.  
Vaccinated:1989-04-11
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1991-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1890P / 0 - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthenia, Lymphadenopathy
SMQs:, Guillain-Barre syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: no relevant hx
Diagnostic Lab Data: none
CDC Split Type: WAES89120372

Write-up: Pt recvd 1st vax of Hep B vax 11APR89 & devel swelling & soreness of axillary nodes,which resolved p/ 1-2 days.On 07JUN89 pt recvd 2nd vax & devel swelling & soreness of axillary nodes w/ generalized weakness.Sx resolved p/ 2-3 days.


VAERS ID: 32222 (history)  
Age: 30.0  
Gender: Female  
Location: Minnesota  
Vaccinated:1990-06-14
Onset:1990-06-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 0 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: no relevant hx
Diagnostic Lab Data: none
CDC Split Type: EBU910105

Write-up: Pt recvd 1st hep B vax 14JUN90 & 2nd 17JUL90; exp aching arm & burning w/ movement.


VAERS ID: 29497 (history)  
Age: 30.0  
Gender: Female  
Location: California  
Vaccinated:1991-03-21
Onset:1991-03-22
   Days after vaccination:1
Submitted: 1991-03-23
   Days after onset:1
Entered: 1991-04-01
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / SCLAVO 136A1 / - LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Asthenia, Injection site oedema, Injection site pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: UNK
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC Split Type:

Write-up: c/o soreness, swelling @ inject site, fever, weakness; 0 redness;


VAERS ID: 29781 (history)  
Age: 30.0  
Gender: Female  
Location: Michigan  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 1991-03-27
Entered: 1991-04-08
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RUB: RUBELLA (MERUVAX II) / MERCK & CO. INC. - / 0 - / A

Administered by: Other       Purchased by: Other
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt reported generalized rash;


VAERS ID: 29887 (history)  
Age: 30.0  
Gender: Female  
Location: Texas  
Vaccinated:1991-03-08
Onset:1991-03-18
   Days after vaccination:10
Submitted: 1991-03-25
   Days after onset:7
Entered: 1991-04-12
   Days after submission:17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RAB: RABIES (IMOVAX) / PASTEUR MERIEUX INST. C1320 / 2 LA / IM

Administered by: Private       Purchased by: Public
Symptoms: Face oedema, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Given IMOGRAM RABIES 1094IU IM Lot # E0660R LT & Rt buttocks; Also given Imovas Rabies Lot no C1320 11 & 15MAR all by Merieux;
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: TX9132

Write-up: Dog bite; 1MAR91 started injects 8MAR91 w/o rxn until 18MAR saw in ER w/welts, itching, eyes swelling was admitted & given Phenegan & Depo medrol;


VAERS ID: 30557 (history)  
Age: 30.0  
Gender: Female  
Location: Georgia  
Vaccinated:0000-00-00
Onset:1990-09-26
Submitted: 0000-00-00
Entered: 1991-05-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 256933 / - - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: NA
Current Illness: NA
Preexisting Conditions: NA
Diagnostic Lab Data: NA
CDC Split Type: 900179002

Write-up: One of three pt who experienced unusual redness, swelling & soreness;


VAERS ID: 30413 (history)  
Age: 30.0  
Gender: Female  
Location: Colorado  
Vaccinated:1991-04-11
Onset:1991-04-11
   Days after vaccination:0
Submitted: 1991-04-11
   Days after onset:0
Entered: 1991-05-13
   Days after submission:32
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0E21103 / 1 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Rash, Urticaria, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: laceration to lt knee
Preexisting Conditions: allergy to Pencillin
Diagnostic Lab Data:
CDC Split Type: CO9128

Write-up: Pt left clinic /p recving vax.Called some minutes later describing sx of hives, warmth & redness all over body.Pt returned to clinic immediately.Received Benadryl & Epiniphrine IM.Was monitored for approx 2 hrs.


VAERS ID: 33169 (history)  
Age: 30.0  
Gender: Female  
Location: Connecticut  
Vaccinated:1990-04-27
Onset:1990-05-13
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1762P / 1 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Arthralgia, Arthritis, Hypokinesia, Myalgia, Pain, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Systemic lupus erythematosus (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Allergy Atarax.
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90061004

Write-up: 27Apr90 pt vax; 13May90 pt devel mild aching in rt arm. 09Jun90 exp arthralgia of rt leg, behind knee. 18Jun90 exp arthralgia in both arms, & paresthesia radiating down from elbow to last two fingers. Sx impaired ability to walk/stairs.


VAERS ID: 31085 (history)  
Age: 30.0  
Gender: Female  
Location: Washington  
Vaccinated:1991-04-09
Onset:1991-04-15
   Days after vaccination:6
Submitted: 1991-05-17
   Days after onset:32
Entered: 1991-06-07
   Days after submission:21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 631A4 / 0 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: WA91557

Write-up: Generalized urticaria & itching onset 6 days p/1st Hepatitis "B" vax; Rx DPH, Atavax, Depo Medrol injects;


VAERS ID: 31713 (history)  
Age: 30.0  
Gender: Female  
Location: Kansas  
Vaccinated:1991-02-25
Onset:1991-03-04
   Days after vaccination:7
Submitted: 1991-06-18
   Days after onset:105
Entered: 1991-06-24
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0K21046 / - LA / IM

Administered by: Private       Purchased by: Other
Symptoms: Hypertonia, Injection site pain, Injection site reaction, Tendon disorder
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament disorders (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Codeine; Pt had breast bx about 8MAR91
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Deltoid tight, soreness, ?sterile abscess, marked tendonitis, cervical m. spasm, medial epicondylitis;


VAERS ID: 31769 (history)  
Age: 30.0  
Gender: Female  
Location: D.C.  
Vaccinated:1991-04-01
Onset:1991-04-01
   Days after vaccination:0
Submitted: 1991-05-08
   Days after onset:36
Entered: 1991-06-27
   Days after submission:50
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1312S / - RA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0J21037 / - LA / IM

Administered by: Public       Purchased by: Other
Symptoms: Arthralgia, Chills, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: Sl cold - afeb
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: Around 530PM on the day recvd. vax began to exp chills; As evening progressed chills worsened & temp became elevated; Over next two days, fever & chills gradually dec; Exp joint pain APR2-4th;


VAERS ID: 31779 (history)  
Age: 30.0  
Gender: Female  
Location: North Carolina  
Vaccinated:1990-09-08
Onset:1991-05-25
   Days after vaccination:259
Submitted: 1991-06-25
   Days after onset:31
Entered: 1991-06-27
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2123R / 0 - / -

Administered by: Other       Purchased by: Other
Symptoms: Abnormal labour
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Pregnancy tests-positive
CDC Split Type: WAES91010125

Write-up: 37 wks following vax, pt went into premature labor; Did not progress past 6cm dilation;and underwent a cesarean section; Infant weighed 5lbs 6oz had an apgar of 9 at one min & 10 at 5min;


VAERS ID: 33643 (history)  
Age: 30.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:1991-03-24
Onset:1991-03-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 618A4 / 2 - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthenia, Dizziness, Eye disorder, Face oedema, Jaundice, Paraesthesia, Syncope, Tremor
SMQs:, Torsade de pointes/QT prolongation (broad), Cholestasis and jaundice of hepatic origin (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Corneal disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU910322

Write-up: 24MAR91 pt 3rd vax; exp arm felt funny, hand was shaking, lightheaded, n, weak, & pale, felt hot & had chills. 25Mar exp puffy eyes, yellow circles around eyes, washed out feeling & eyes burning. 26MAr exp D, lightheadedness.


VAERS ID: 33648 (history)  
Age: 30.0  
Gender: Female  
Location: New Mexico  
Vaccinated:1991-02-15
Onset:1991-03-01
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 1991-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 618A4 / - - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Arthralgia, Arthritis, Asthenia, Osteoarthritis, Petechiae, Rash
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Arthritis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU910327

Write-up: 15FEB91 pt vax; 01MAR91 exp onset of joint pain in knees, ankles, back & neck. Tx w/ Prednisone, ASA, ibuprofen, & antibiotics.


VAERS ID: 33657 (history)  
Age: 30.0  
Gender: Female  
Location: Oregon  
Vaccinated:1991-03-14
Onset:1991-03-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 631A4 / 0 - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Headache, Nausea, Rash
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: EBU910339

Write-up: Pt recvd dose of 14MAR91 & exp rash, nausea & h/a that same day; tx DPH; pt feels sx are directly related to inject; vax series discontinued;


VAERS ID: 33755 (history)  
Age: 30.0  
Gender: Male  
Location: New York  
Vaccinated:1990-10-04
Onset:1990-11-14
   Days after vaccination:41
Submitted: 0000-00-00
Entered: 1991-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 618A4 / 2 LA / IM

Administered by: Unknown       Purchased by: Public
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 14NOV90 HBSAB-neg;
CDC Split Type: EBU910256

Write-up: Pt recvd series of Engerix-B vax; 14NOV90 pt HBSAB tested neg; 12MAR91 4th dose of vax given;


VAERS ID: 34032 (history)  
Age: 30.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:1991-04-15
Onset:1991-04-16
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1991-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 637A4 / 1 - / IM A

Administered by: Unknown       Purchased by: Private
Symptoms: Arthralgia, Hypersensitivity, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type: EBU910395

Write-up: Pt recvd 2nd vax on 15APR91 & exp an allerg react hives on arms,legs,back & stomach w/ arthralgia & pruritus.


VAERS ID: 34103 (history)  
Age: 30.0  
Gender: Female  
Location: California  
Vaccinated:1990-11-01
Onset:1990-11-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / - - / -

Administered by: Private       Purchased by: Private
Symptoms: Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU910424

Write-up: Oct, Nov 1990 pt vax 2 doses; n/v devel 10 hrs after 2nd dose. lasted for 24 hrs.


VAERS ID: 34163 (history)  
Age: 30.0  
Gender: Female  
Location: New York  
Vaccinated:1991-04-08
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1991-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 3 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU910473

Write-up: 4 doses of Engerix-B required due to negative result;


VAERS ID: 34264 (history)  
Age: 30.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:1991-04-22
Onset:1991-04-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1991-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 630A4 / 0 - / IM A

Administered by: Unknown       Purchased by: Public
Symptoms: Lymphadenopathy, Nausea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: EBU910486

Write-up: Pt recvd 1st dose of Engerix-B 22APR91; 23APR91 pt exp fever 100, nausea, vomiting & swelling in opposite armpit; No treatment given; events resolved;


VAERS ID: 34280 (history)  
Age: 30.0  
Gender: Female  
Location: California  
Vaccinated:1990-12-19
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1991-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / - - / -

Administered by: Public       Purchased by: Other
Symptoms: Infection, Pruritus, Rash maculo-papular, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU910504

Write-up: 19Dec90 pt vax; On 21DEC90(?) exp butterfly rash extremities, blotchy- very itchy. Tx w/ diet & MD


VAERS ID: 32010 (history)  
Age: 30.0  
Gender: Female  
Location: Maryland  
Vaccinated:1991-05-20
Onset:1991-06-01
   Days after vaccination:12
Submitted: 1991-06-03
   Days after onset:2
Entered: 1991-07-02
   Days after submission:29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0214S / 1 LA / -

Administered by: Other       Purchased by: Public
Symptoms: Back pain, Lymphadenopathy, Pharyngitis, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Oropharyngeal infections (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: sinus allergies
Diagnostic Lab Data: NONE
CDC Split Type: MD91051

Write-up: 1JUN91 onset of rash on face 4+ days, low grade temp (not measured) 4+ days, swollen glands 4+ days, sore throat 4+ days, stiffness in back;


VAERS ID: 32195 (history)  
Age: 30.0  
Gender: Female  
Location: Colorado  
Vaccinated:1991-02-15
Onset:1991-02-25
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 1991-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / - - / -

Administered by: Private       Purchased by: Public
Symptoms: Arthralgia, Back pain, Immune system disorder, Neck pain, Pain, Petechiae
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Arthritis (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NA
Current Illness:
Preexisting Conditions: No hx of rheumatic disease;
Diagnostic Lab Data: ESR - 2; HR-64; Chest-clear; CV-reg rate & rhythm; abd-benign; skin-no rash; BP 105/60;Reporting MD indicated all labs were negative;
CDC Split Type: EBU910494

Write-up: Pt recvd vax 15FEB91; On 25FEB91 exp severe arthralgias; tx w/meds; approx 2 wks later exp severe ankle pain given more meds; MD states poss immune complex deposition disorder or lupus; Petechiae noted & feeling of heat; SEE WORM DETAILED


VAERS ID: 32598 (history)  
Age: 30.0  
Gender: Female  
Location: Unknown  
Vaccinated:1991-06-28
Onset:1991-07-03
   Days after vaccination:5
Submitted: 1991-07-10
   Days after onset:7
Entered: 1991-07-15
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / -

Administered by: Other       Purchased by: Other
Symptoms: Injection site oedema, Injection site pain, Pain, Rash
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: allergic to prochlorperazine
Diagnostic Lab Data: Temp 98.6, pulse 84, respirations 16, BP 110/74
CDC Split Type:

Write-up: Pt presented to ER 5 days post vax c/o pain & swelling @ inject site; A 12 cm meter by 12 cm area of erythema & tenderness noted in rt lateral upper arm; No signs & sx of infect were noted;


VAERS ID: 34056 (history)  
Age: 30.0  
Gender: Female  
Location: Illinois  
Vaccinated:1991-03-25
Onset:1991-03-27
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 1991-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 631A4 / 0 - / IM A

Administered by: Private       Purchased by: Private
Symptoms: Headache, Nausea, Pyrexia, Somnolence
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: EBU910420

Write-up: Pt recvd 1st dose of Engerix-B approx 1 mo ago (from 25APR91) & exp fever & nausea, h/a, sl temp, lethargy, & felt very tired lasted 3 days; no tx given;


VAERS ID: 34215 (history)  
Age: 30.0  
Gender: Female  
Location: West Virginia  
Vaccinated:1990-11-01
Onset:1990-11-02
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1991-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - RA / IM
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 0487S / - LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Cellulitis, Pain, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90110362

Write-up: Pt recvd 1st dose of Pneumovax vax 01NOV90; On 02NOV90 exp pain & erythema in lt deltoid muscle; dx cellulitis; tx Keftab; MD felt exp related to vax;


VAERS ID: 34221 (history)  
Age: 30.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:1990-10-18
Onset:1990-10-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 1642R / - - / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Neuritis, Oedema, Pain
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90120273

Write-up: Pt recvd Pneumovax on 18OCT90; On 20OCT90 pt exp swelling in lt arm; dx of brachial neuritis was made; tx Pred; On 31OCT90 pt exp pain in lt arm & shoulder w/swelling & tenderness; Tx Pred & DPH & unspecified NSAIDS;


VAERS ID: 35850 (history)  
Age: 30.0  
Gender: Female  
Location: Wisconsin  
Vaccinated:0000-00-00
Onset:1990-12-01
Submitted: 0000-00-00
Entered: 1991-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD 115371A / - - / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthenia, Dizziness, Nausea, Vertigo
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Had injectable VIVOTIF BERNA about 10 yrs ago & had sx;~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: BER10008

Write-up: nausea, weakness, & vertigo w/all capusles; therapy initiated was to cont to take the capsules; had injectable about 10 yrs ago & had sx; 1st capsule sx lasted 7 hrs; 2nd capsule sx lasted 4 hrs; 3rd capsule sx 2 hrs; 4th cap dizziness;


VAERS ID: 35853 (history)  
Age: 30.0  
Gender: Female  
Location: Illinois  
Vaccinated:0000-00-00
Onset:1990-09-17
Submitted: 0000-00-00
Entered: 1991-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD 115371A / - - / PO

Administered by: Public       Purchased by: Public
Symptoms: Abdominal pain, Pain
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: BER10004

Write-up: epigastric pain sharp in stomach for 12 hrs; duration cramps for 30 seconds; therapy initiated; discontinued 4th capsule;


VAERS ID: 33269 (history)  
Age: 30.0  
Gender: Female  
Location: D.C.  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 1991-07-26
Entered: 1991-08-05
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / SCLAVO 136A2 / 4 - / IM A

Administered by: Private       Purchased by: Private
Symptoms: Injection site hypersensitivity, Pyrexia, Vasodilatation
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Demulen
Current Illness: NONE
Preexisting Conditions: eczema
Diagnostic Lab Data:
CDC Split Type:

Write-up: One day p/Td shot, pt devel t100, red, hot area from site down to elbow;


VAERS ID: 33285 (history)  
Age: 30.0  
Gender: Unknown  
Location: New York  
Vaccinated:1991-04-08
Onset:1991-04-24
   Days after vaccination:16
Submitted: 1991-06-17
   Days after onset:54
Entered: 1991-08-05
   Days after submission:49
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RUB: RUBELLA (MERUVAX II) / MERCK & CO. INC. 1761S / 0 - / A

Administered by: Private       Purchased by: Unknown
Symptoms: Arthritis, Osteoarthritis
SMQs:, Systemic lupus erythematosus (broad), Arthritis (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: CBC, SMAC- Neg & nl; Rhematoid factor-neg
CDC Split Type:

Write-up: Acute onset of Polyarthritis of knee w/clinical joints effusions;


VAERS ID: 33627 (history)  
Age: 30.0  
Gender: Male  
Location: Michigan  
Vaccinated:1991-06-17
Onset:1991-06-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-08-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0538T / 0 LA / -

Administered by: Private       Purchased by: Private
Symptoms: Bradycardia, Dizziness, Dyspnoea, Headache, Nausea, Oedema, Pyrexia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Ceclor, Isoptin, Floxen, Lopid
Current Illness: Exposed to blood, poss Hepatitis
Preexisting Conditions: Hypertensin, Hyperlipidemia, Ear infect
Diagnostic Lab Data:
CDC Split Type:

Write-up: Five hrs post vas, pt devel h/a, dizziness, nausea, & left work; Next day devel markedly elevated temp, swelling of hand & feet, dyspnea, slow heart rate; rxn lasted nine days;


VAERS ID: 33723 (history)  
Age: 30.0  
Gender: Female  
Location: Kentucky  
Vaccinated:1991-05-07
Onset:1991-05-08
   Days after vaccination:1
Submitted: 1991-08-07
   Days after onset:91
Entered: 1991-08-15
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 2191S / 0 LA / -

Administered by: Public       Purchased by: Other
Symptoms: Abdominal pain, Myalgia, Nausea, Pyrexia, Syncope, Vasodilatation, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: UNK
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:

Write-up: Devel severe n/v, chills alternating w/feeling flushed & feverish, & severe abd cramping; Fainted several times over 4-5 hrs then nausea & muscle aches; Did not seek med care @ time of sx; MD advised to discontinue vax series;


VAERS ID: 33917 (history)  
Age: 30.0  
Gender: Male  
Location: California  
Vaccinated:1991-08-07
Onset:1991-08-07
   Days after vaccination:0
Submitted: 1991-08-08
   Days after onset:1
Entered: 1991-08-19
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TYP: TYPHOID VI POLYSACCHARIDE (ACETONE INACTIVATED DRIED) / PFIZER/WYETH 4898236 / 2 LA / -

Administered by: Military       Purchased by: Military
Symptoms: Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Lt axillary lymph node swelling;


VAERS ID: 34242 (history)  
Age: 30.0  
Gender: Female  
Location: Kentucky  
Vaccinated:1990-11-02
Onset:1990-11-02
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 285907 / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Injection site pain, Lymphadenopathy
SMQs:, Extravasation events (injections, infusions and implants) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NA
Current Illness:
Preexisting Conditions: Hx of pneumonia as child
Diagnostic Lab Data: NA
CDC Split Type: 900200601

Write-up: Pt immunized 2NOV90 & exp soreness @ inject site; next day had swollen ax lymph node; tx w/hot packs;


VAERS ID: 34100 (history)  
Age: 30.0  
Gender: Male  
Location: Idaho  
Vaccinated:1991-06-12
Onset:1991-06-12
   Days after vaccination:0
Submitted: 1991-06-14
   Days after onset:2
Entered: 1991-08-22
   Days after submission:69
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0770T / - - / IM

Administered by: Public       Purchased by: Public
Symptoms: Chest pain, Dizziness, Dry mouth, Dyspnoea, Paraesthesia, Tongue oedema
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: allergic to PCN, bee stings, hx of mitral valve prolapse, smoker;
Diagnostic Lab Data: EKG-WNl ABG''s-PO2=80, CXR-RLL infiltrate, CBC-WNL, SMAC-WNL
CDC Split Type: ID91032

Write-up: Dry mouth, tingling, light-headedness, followed by swelling of tongue, difficulty in breathing w/chest pain radiating to lt shoulder;


VAERS ID: 34500 (history)  
Age: 30.0  
Gender: Female  
Location: Florida  
Vaccinated:1991-08-26
Onset:1991-08-27
   Days after vaccination:1
Submitted: 1991-08-29
   Days after onset:2
Entered: 1991-09-03
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. 0808T / 0 LA / -

Administered by: Public       Purchased by: Other
Symptoms: Dizziness, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Hay fever when 12 y/o
Diagnostic Lab Data: Rubeola/measles titer indicates susceptibility to measles infection;
CDC Split Type:

Write-up: 28AUG91 c/o nausea, dizziness, was sent home; On 29AUG91 c/o nausea only on campazine, was placed on light duty; Seen by MD;


VAERS ID: 34778 (history)  
Age: 30.0  
Gender: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:1991-07-28
Submitted: 0000-00-00
Entered: 1991-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthenia, Dizziness, Headache
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:

Write-up: Tired, h/a, occasional dizziness;


VAERS ID: 34961 (history)  
Age: 30.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:1990-09-13
Onset:1990-09-13
   Days after vaccination:0
Submitted: 1990-10-15
   Days after onset:32
Entered: 1991-09-16
   Days after submission:336
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TYP: TYPHOID VI POLYSACCHARIDE (ACETONE INACTIVATED DRIED) / PFIZER/WYETH 4898224 / 0 - / -

Administered by: Private       Purchased by: Private
Symptoms: Hyperhidrosis, Influenza, Injection site hypersensitivity, Injection site mass, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: Pt was unaware was pregnant @ time of immun
Diagnostic Lab Data:
CDC Split Type: 890312007B

Write-up: p/receiving Typhoid vax, pt devel sweating & flu-like sx including muscle aches; Also, devel 2-3 in area of erythema & induration @ inject site; 3 wks later, induration persisted while all other sx abated;


VAERS ID: 34993 (history)  
Age: 30.0  
Gender: Male  
Location: Nevada  
Vaccinated:1991-08-29
Onset:1991-09-08
   Days after vaccination:10
Submitted: 1991-09-11
   Days after onset:3
Entered: 1991-09-26
   Days after submission:15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2267S / 0 LA / -

Administered by: Other       Purchased by: Private
Symptoms: Diarrhoea, Myalgia, Nausea, Nuchal rigidity, Oedema, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Engerix-B rt delt #2 dose given 21JUL91;
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: 1SEP91 pt exp stiffness back of neck & swelling, aches all over, nausea w/o vomiting, diarrhea; sx lasted 10 days; no fever;


VAERS ID: 35125 (history)  
Age: 30.0  
Gender: Female  
Location: New Mexico  
Vaccinated:1991-02-25
Onset:1991-03-11
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 1991-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Arthralgia
SMQs:, Arthritis (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU910525

Write-up: Pt recvd Engerix-B vax on 25FEB91 & exp arthralgias 2 wks later; Was treated w/Pred & seeing a specialist; 03JUN91 pt being treated w/meds; joint pain in arms, knees, ankles, & shoulders;


VAERS ID: 35392 (history)  
Age: 30.0  
Gender: Female  
Location: Unknown  
Vaccinated:1991-05-21
Onset:1991-05-21
   Days after vaccination:0
Submitted: 1991-08-02
   Days after onset:73
Entered: 1991-09-30
   Days after submission:59
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 0 LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Asthenia, Headache, Hypertonia, Malaise, Vasodilatation
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Carafate, vitamins, contraceptives;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU910700

Write-up: Pt recvd first dose of vax 21MAY91 for Hep vax & immediately felt strange, pt reported weakness, muscle spasms that lasted 2-3 wks; exp h/a & hot flashes 3 days post vax; Also devel bronchitis 3 wks post vax;


VAERS ID: 35401 (history)  
Age: 30.0  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 1991-08-05
Entered: 1991-09-30
   Days after submission:56
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 2 - / IM A

Administered by: Public       Purchased by: Public
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU910710

Write-up: Pt recvd 3 doses of Engerix-B & was a non responder;


VAERS ID: 35404 (history)  
Age: 30.0  
Gender: Female  
Location: Unknown  
Vaccinated:1991-07-25
Onset:1991-07-25
   Days after vaccination:0
Submitted: 1991-08-16
   Days after onset:22
Entered: 1991-09-30
   Days after submission:45
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 813A4 / 0 - / IM A

Administered by: Private       Purchased by: Private
Symptoms: Headache, Influenza, Mouth ulceration, Myalgia, Nausea, Pruritus, Rash, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Systemic lupus erythematosus (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Pt has hx of reacting to PCN & bee stings;
Diagnostic Lab Data:
CDC Split Type: EBU910713

Write-up: Pt recvd 1st dose of Engerix-B for Hep B vax exp a rash, icthing over entire body, nausea, vomiting, flu-like sx (muscles aches & pains), but not fever; 26JUL91, next day, pt exp sl h/a, fever blister; pt given meds;


VAERS ID: 35409 (history)  
Age: 30.0  
Gender: Female  
Location: Unknown  
Vaccinated:1991-05-21
Onset:1991-07-14
   Days after vaccination:54
Submitted: 1991-09-13
   Days after onset:61
Entered: 1991-09-30
   Days after submission:17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 3 - / -

Administered by: Other       Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 11JUL91 HBBAB-neg; HBSAB ratio 1.20;
CDC Split Type: EBU910718

Write-up: 4 doses of Engerix-B required due to neg result;


VAERS ID: 35411 (history)  
Age: 30.0  
Gender: Female  
Location: New Mexico  
Vaccinated:0000-00-00
Onset:1991-07-19
Submitted: 1991-08-30
   Days after onset:42
Entered: 1991-09-30
   Days after submission:31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / - - / -

Administered by: Private       Purchased by: Private
Symptoms: Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU910720

Write-up: Pt recvd 1st Engerix-B vax & exp sedation & sleeping on 19JUL91 & on 26JUL91 exp resolution of all signs & sx;


VAERS ID: 35415 (history)  
Age: 30.0  
Gender: Female  
Location: Unknown  
Vaccinated:1991-01-24
Onset:1991-05-18
   Days after vaccination:114
Submitted: 1991-09-13
   Days after onset:118
Entered: 1991-09-30
   Days after submission:17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 630A4 / 2 - / IM A

Administered by: Other       Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 18MAY91 HBSAB-neg;
CDC Split Type: EBU910724

Write-up: Pt recvd 3 doses of Engerix-B on 17JUL90; 17AUG90 & 24JAN91; pt did not convert positive for HBSAB; no tx given;


VAERS ID: 35430 (history)  
Age: 30.0  
Gender: Female  
Location: Unknown  
Vaccinated:1991-06-28
Onset:1991-06-28
   Days after vaccination:0
Submitted: 1991-09-10
   Days after onset:74
Entered: 1991-09-30
   Days after submission:20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 38A4 / - - / IM

Administered by: Other       Purchased by: Other
Symptoms: Injection site oedema, Nuchal rigidity, Oedema, Skin discolouration
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU910741

Write-up: Pt recvd 1st Engerix-B vax 28JUN91 & 2 hrs p/receiving the inject pt noticed stiffness lt side of neck; Pt exp slight swelling of arm @ inject site; swelling inc & worked its way to the hand; unable to remove rings, hand turned white;


VAERS ID: 35464 (history)  
Age: 30.0  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 1991-09-10
Entered: 1991-09-30
   Days after submission:20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / - - / -

Administered by: Other       Purchased by: Other
Symptoms: Cushing's syndrome, Hyperglycaemia, Rash, Skin disorder, Skin nodule
SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: skin biopsy revealed a mixed cellular infiltrate w/eosinophils; WBC 7500; Sed rate was normal & a few eosinophils;
CDC Split Type: EBU910733

Write-up: Pt recvd Engerix-B vax 17-20 days later exp cutaneous eruption; MD indicated eruption was difficult to classify; it may reflect sweets synd; eruption was not uticarial, not erythema nodosum; was not a morbilliform; Rash was not serum sick


VAERS ID: 35601 (history)  
Age: 30.0  
Gender: Female  
Location: Oregon  
Vaccinated:1991-05-23
Onset:0000-00-00
Submitted: 1991-09-09
Entered: 1991-09-30
   Days after submission:21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 631A4 / 2 - / IM A

Administered by: Unknown       Purchased by: Unknown
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: allergy hx mold, pollen, & bee stings;
Diagnostic Lab Data:
CDC Split Type: EBU910813

Write-up: Pt recvd 3 doses of Hep B vax 1NOV90, 17JAN91, 23MAY91 & 1st dose was w/Recombivax, 2nd & 3rd w/Engerix-B; Reporter indicated that pt was a non-responder;


VAERS ID: 35771 (history)  
Age: 30.0  
Gender: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:1991-01-11
Submitted: 1991-01-29
   Days after onset:18
Entered: 1991-10-07
   Days after submission:250
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH - / - - / IM

Administered by: Public       Purchased by: Other
Symptoms: Arthralgia, Dysphagia, Headache, Lymphadenopathy, Myalgia, Oedema, Pyrexia, Skin discolouration
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Oral contraceptive
Current Illness: URI
Preexisting Conditions: NONE
Diagnostic Lab Data: 10,500, no left shift;
CDC Split Type: 891023012B

Write-up: 24 hrs p/receiving Td, pt devel swollen & grayish oribital areas, fever, h/a, generalized muscular & joint pains, & lymphadenopathy; Pred given to treat rxn; exp dysphagia


VAERS ID: 35801 (history)  
Age: 30.0  
Gender: Female  
Location: Kentucky  
Vaccinated:1991-04-26
Onset:1991-04-26
   Days after vaccination:0
Submitted: 1991-05-14
   Days after onset:18
Entered: 1991-10-07
   Days after submission:146
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 4908175 / - - / IM A

Administered by: Other       Purchased by: Other
Symptoms: Ecchymosis, Injection site hypersensitivity, Injection site mass, Vasodilatation
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Diagnostic Lab Data: NONE
CDC Split Type: 891199010B

Write-up: Pt exp a large area of erythema & induration, along w/bruising, @ inject site p/receiving Td;


VAERS ID: 35478 (history)  
Age: 30.0  
Gender: Female  
Location: Florida  
Vaccinated:1991-03-13
Onset:1991-04-10
   Days after vaccination:28
Submitted: 1991-10-10
   Days after onset:183
Entered: 1991-10-15
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 637A4 / 2 - / IM A

Administered by: Private       Purchased by: Other
Symptoms: Foetal disorder, Premature labour
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, 7 days
   Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: HIG;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU910964

Write-up: Pt recvd series of Engerix-B vax on 17JAN91, 14FEB91, & 13MAR91; Recvd HIG w/1st dose of vax; Pt recvd vax series during second trimester of pregnancy; Baby was born prematurely w/hyaline membrane dis, & asthma;


VAERS ID: 35972 (history)  
Age: 30.0  
Gender: Female  
Location: Washington  
Vaccinated:1991-10-18
Onset:1991-10-18
   Days after vaccination:0
Submitted: 1991-10-28
   Days after onset:10
Entered: 1991-11-04
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / - - / IM

Administered by: Private       Purchased by: Other
Symptoms: Anxiety, Condition aggravated, Deafness, Ear pain, Tinnitus
SMQs:, Hearing impairment (narrow), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Unknown;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: None;
CDC Split Type: 914091016

Write-up: Recd vax 18OCT91 @430PM & @930PM awoke w/anxiety attack x15min & pain lt ear x30min & tinnitus & dec hearing lt ear; hx bilat tinnitus but claims tinnitus lt ear had "new pitch"; rx pred 30mgs BID; pt stop pred p/1st dose; 21OCT91 sx cont;


VAERS ID: 36205 (history)  
Age: 30.0  
Gender: Female  
Location: New York  
Vaccinated:1990-03-01
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1991-11-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RUB: RUBELLA (MERUVAX II) / MERCK & CO. INC. - / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES91030340

Write-up: Pt was given 3 doses of rubella vax in MAR90 & had a low but protective antibody level; Pt was also administered measles virus vax 1963 & 1976 @ time of the report had no titer of antibodies (WAES 91030341);


VAERS ID: 36208 (history)  
Age: 30.0  
Gender: Female  
Location: Virginia  
Vaccinated:1991-04-04
Onset:1991-04-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1991-11-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RUB: RUBELLA (MERUVAX II) / MERCK & CO. INC. - / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: pain medication, nos;
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91040534

Write-up: Pt recvd 1st dose of rubella vax 1 day post partum on 4APR91; On 5APR91 pt devel fever of over 103 which prolonged hospital stay; MD was unable to find a cause for fever & suspected the vax;


VAERS ID: 36211 (history)  
Age: 30.0  
Gender: Male  
Location: Connecticut  
Vaccinated:1991-04-11
Onset:1991-04-22
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 1991-11-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RUB: RUBELLA (MERUVAX II) / MERCK & CO. INC. - / 0 - / -

Administered by: Public       Purchased by: Public
Symptoms: Arthralgia, Malaise, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: no relevant data;
CDC Split Type: WAES91041800

Write-up: Pt recvd rubella vax on 11APR91 & on 22APR91 pt devel fever, malaise, arthralgia, & rash; sx lasted approx 3 days & resolved;


VAERS ID: 36416 (history)  
Age: 30.0  
Gender: Female  
Location: Arizona  
Vaccinated:1991-06-24
Onset:1991-09-24
   Days after vaccination:92
Submitted: 1991-09-27
   Days after onset:3
Entered: 1991-11-14
   Days after submission:48
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1141T / 0 LA / -

Administered by: Other       Purchased by: Unknown
Symptoms: Pyrexia, Rash, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: AZ9125

Write-up: Felt feverish in late afternoon, did not measure temp; took ASA; approx 1830 noted onset of rash to neck & breast areas; @ this point decided to shower & when stood up had episode of near syncope;stated had not eaten all day;


VAERS ID: 36746 (history)  
Age: 30.0  
Gender: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1991-11-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RUB: RUBELLA (MERUVAX II) / MERCK & CO. INC. - / - - / -

Administered by: Other       Purchased by: Other
Symptoms: Arthritis, Hypokinesia, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES91051270

Write-up: Pt recvd rubella vax in approx 1969 or 1970 following vax pt exp a severe rxn consisting of fever & arthritis which left pt unable to walk for a period of about 3 wks;


VAERS ID: 36618 (history)  
Age: 30.0  
Gender: Female  
Location: Oregon  
Vaccinated:1991-10-30
Onset:1991-11-06
   Days after vaccination:7
Submitted: 1991-11-14
   Days after onset:8
Entered: 1991-11-25
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4918147 / 0 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1712S / - RA / SC

Administered by: Other       Purchased by: Private
Symptoms: Erythema multiforme, Vasodilatation
SMQs:, Severe cutaneous adverse reactions (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: Ibuporfen, PCN, Flexeril
Current Illness: Sore neck
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: OR9157

Write-up: Began w/ 2 large red, raised areas on inner thighs & then spread to legs, feet, hands, face; Seen in ER 9NOV91 & 10NOV91 & dx as having erythema multform;


VAERS ID: 36741 (history)  
Age: 30.0  
Gender: Female  
Location: New York  
Vaccinated:1991-04-06
Onset:1991-04-07
   Days after vaccination:1
Submitted: 1991-10-09
   Days after onset:184
Entered: 1991-12-02
   Days after submission:54
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2247S / 0 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthenia, Ear pain, Malaise, Myalgia, Pyrexia, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: APR91 pt exp similar rxn to above MMR #1;~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: CBC, chemistries, ANA, ESR, RF lyme titer all normal;
CDC Split Type:

Write-up: Fatigue, aches, malaise, bilat ear pain, fever, generalized red rash x 10-14 days all beginning 1 day p/MMR;


VAERS ID: 38082 (history)  
Age: 30.0  
Gender: Female  
Location: Ohio  
Vaccinated:1991-11-26
Onset:1991-11-27
   Days after vaccination:1
Submitted: 1991-12-18
   Days after onset:21
Entered: 1991-12-20
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 1530T / - - / IM

Administered by: Private       Purchased by: Other
Symptoms: Arthralgia, Asthenia, Confusional state, Injection site hypersensitivity, Pyrexia, Rash maculo-papular, Serum sickness, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Proventil, Beclovent inhaler, Intal, Slo-bid, Vasocon;
Current Illness:
Preexisting Conditions: asthma & allergy to dust;
Diagnostic Lab Data: 27NOV91 ESR-8.1; C Reactive Protein-15.4; WBC Count-98; Segmented Neutorphils-6; Lymphocytes-43.2; Hemoglobin-14.5; Platelet count-364; Blood culture-neg; UA-neg
CDC Split Type: WAES91120115

Write-up: 2 to 10 hrs post vax pt exp onset of pain in rt arm, should & head; Pt had swelling, induration, redness, & warmth @ inject site 5x8 cm macular rash @ inject site, h/a, nausea, vomiting, violent neck & back pain, fever 103 to 104, achiness;


VAERS ID: 38127 (history)  
Age: 30.0  
Gender: Male  
Location: Idaho  
Vaccinated:1991-08-14
Onset:1991-08-14
   Days after vaccination:0
Submitted: 1991-12-13
   Days after onset:121
Entered: 1991-12-23
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0098S / 0 RA / IM

Administered by: Public       Purchased by: Public
Symptoms: Chest pain, Chills, Hypertonia, Influenza, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Muscle cramps in chest & upper arms. Intense flu-like sxs. Hot & cold.


VAERS ID: 38232 (history)  
Age: 30.0  
Gender: Female  
Location: Washington  
Vaccinated:1991-04-18
Onset:0000-00-00
Submitted: 1991-10-02
Entered: 1991-12-23
   Days after submission:82
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 637A4 / 3 - / IM A

Administered by: Public       Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Pt recvd Recombivax-HB 7SEP89, Engerix-B 16OCT89 lot# 587A4 & 20MAR90 lot# 586A4;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU910885

Write-up: Pt recvd 3 doses of Hep B vac on 7SEP89, 16OCT89, & 20MAR90 ; 1st dose of vax Recombivax & 2nd & 3rd w/Engerix-B; It was determined that pt did not respond; Booster dose of Engerix-B was administered 18APR91;


VAERS ID: 38265 (history)  
Age: 30.0  
Gender: Female  
Location: West Virginia  
Vaccinated:1991-05-15
Onset:0000-00-00
Submitted: 1991-12-11
Entered: 1991-12-23
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 1 - / IM

Administered by: Private       Purchased by: Other
Symptoms: Infection, Rhinitis
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU910918

Write-up: Pt recvd 2 doses of Engerix-B 15APR91 & 15MAY91 & devel sinus infection type sx lasing 1 wk;


VAERS ID: 38359 (history)  
Age: 30.0  
Gender: Female  
Location: Kansas  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 1991-12-10
Entered: 1991-12-23
   Days after submission:13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 5 - / -

Administered by: Private       Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Pt recvd addtl Engerix-B vax 9JAN90, 4FEB90, 12JUN90, 1MAY91;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU910981

Write-up: Pt recvd a series of 3 Engerix-B vax 9JAN90, 4FEB90 & 12JUN90 & pt did not respond; 5MAY91 recvd an Engerix-B dose & immunoglobulin; Pt then had a surface antibody of 19.4; AUG91 suffered another needlestick & titers were found to be 8.4;


VAERS ID: 38413 (history)  
Age: 30.0  
Gender: Female  
Location: Iowa  
Vaccinated:1991-05-28
Onset:1991-08-01
   Days after vaccination:65
Submitted: 1991-11-19
   Days after onset:110
Entered: 1991-12-23
   Days after submission:34
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 629A4 / 2 - / IM A

Administered by: Public       Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Titers were checked end of AUG & 7OCT91;
CDC Split Type: EBU911036

Write-up: Pt recvd 3 doses of Engerix-B 29NOV90, 27DEC90, & 28MAY91 & it was determined that pt was a non-converter; No treatment was given;


VAERS ID: 38503 (history)  
Age: 30.0  
Gender: Female  
Location: Tennessee  
Vaccinated:1990-11-08
Onset:0000-00-00
Submitted: 1991-10-30
Entered: 1991-12-23
   Days after submission:54
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 629A4 / 2 - / -

Administered by: Private       Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Calcium Phosphate
Current Illness:
Preexisting Conditions: NKDA
Diagnostic Lab Data:
CDC Split Type: EBU911101

Write-up: Pt recvd a series of 3 Engerix-B vax on 27APR90, 6JUN90 & 8NOV90 & subsequently tested for Hep B Antibodies & found not to have converted;


VAERS ID: 38521 (history)  
Age: 30.0  
Gender: Female  
Location: Unknown  
Vaccinated:1991-05-09
Onset:1991-09-27
   Days after vaccination:141
Submitted: 1991-11-05
   Days after onset:39
Entered: 1991-12-23
   Days after submission:48
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 637A4 / 2 - / IM A

Administered by: Other       Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 27SEP91 titer-neg;
CDC Split Type: EBU911121

Write-up: Pt recvd 3 doses of Engerix-B 1NOV90, 7DEC90, & 9MAY91 & 27SEP91 it was determined that pts titer was neg p/3 doses of Engerix-B;


VAERS ID: 38563 (history)  
Age: 30.0  
Gender: Male  
Location: Michigan  
Vaccinated:1991-08-27
Onset:1991-10-18
   Days after vaccination:52
Submitted: 1991-11-15
   Days after onset:28
Entered: 1991-12-23
   Days after submission:38
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 719B4 / 2 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU911163

Write-up: Post needle stick, pt recvd 3 doses of Engerix-B given 27FEB91, 3APR91 & 27AUG91 & on 27FEB91 recvd HBIG also 18OCT91 pt had no titer; 2 more doses of vax will be given;


VAERS ID: 38593 (history)  
Age: 30.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 1991-11-14
Entered: 1991-12-23
   Days after submission:39
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 2 - / IM A

Administered by: Private       Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: SYnthroid
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU911194

Write-up: Pt recvd 3 doses of Engerix-B & it was determined that pt was a non-responder;


VAERS ID: 38599 (history)  
Age: 30.0  
Gender: Female  
Location: Alabama  
Vaccinated:1991-09-16
Onset:1991-10-08
   Days after vaccination:22
Submitted: 1991-12-03
   Days after onset:56
Entered: 1991-12-23
   Days after submission:20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 813A4 / 2 - / IM A

Administered by: Public       Purchased by: Public
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU911200

Write-up: Pt recvd a series of Engerix-B on 14MAR91, 26APR91, 16SEP91 & upon completion of series pt was discovered to have not responded;


VAERS ID: 38671 (history)  
Age: 30.0  
Gender: Male  
Location: Michigan  
Vaccinated:1990-10-25
Onset:0000-00-00
Submitted: 1991-11-18
Entered: 1991-12-23
   Days after submission:35
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 597A4 / 2 - / IM A

Administered by: Other       Purchased by: Other
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU911231

Write-up: Pt recvd Engerix-B on 30APR90, 29MAY90 & 25OCT90 subsequently was found neg anti-HBS p/3 doses @ 1mo, 2mo, & 6mo intervals;


VAERS ID: 38775 (history)  
Age: 30.0  
Gender: Female  
Location: Oregon  
Vaccinated:1991-12-12
Onset:1991-12-25
   Days after vaccination:13
Submitted: 1992-01-02
   Days after onset:8
Entered: 1992-01-13
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 826A4 / 1 RA / IM
RUB: RUBELLA (MERUVAX II) / MERCK & CO. INC. 0600T / - RA / SC

Administered by: Public       Purchased by: Private
Symptoms: Lymphadenopathy, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fine red raised rash over face, head & back; pruritis; DPH given; sx lasting 1 wk; posterior & anterior lymph node swelling;


VAERS ID: 38798 (history)  
Age: 30.0  
Gender: Female  
Location: Kansas  
Vaccinated:1991-10-15
Onset:1991-10-15
   Days after vaccination:0
Submitted: 1991-10-16
   Days after onset:1
Entered: 1992-01-14
   Days after submission:90
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4918148 / 0 RA / IM

Administered by: Public       Purchased by: Public
Symptoms: Chills, Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: KS91072

Write-up: 1215-1230 head-dizzy-chills; pt did not feel well until 21OCT91;


VAERS ID: 39145 (history)  
Age: 30.0  
Gender: Male  
Location: New York  
Vaccinated:1991-08-21
Onset:1991-08-25
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 1992-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. 0513T / 0 - / -

Administered by: Other       Purchased by: Other
Symptoms: Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91090485

Write-up: Pt recvd measles vax on 21AUG91 & 4 days later pt devel nausea which persisted x 3 days; No further details were provided;


VAERS ID: 39191 (history)  
Age: 30.0  
Gender: Female  
Location: Alabama  
Vaccinated:1991-08-02
Onset:1991-08-02
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1992-01-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RAB: RABIES (IMOVAX ID) / PASTEUR MERIEUX INST. G0014 / - LA / -

Administered by: Private       Purchased by: Private
Symptoms: Dermatitis bullous, Injection site hypersensitivity, Injection site mass, Rash
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: CO3917

Write-up: Erythema, 1cm of vesiculation w/5cm of induration; had vero cell vax in school approx 8 yrs ago;


VAERS ID: 39558 (history)  
Age: 30.0  
Gender: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1992-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RUB: RUBELLA (MERUVAX II) / MERCK & CO. INC. - / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91030341

Write-up: Pt recvd measles vax in 1963 & 1976 & @ the time of the report, had no titer of antibodies; also @ the time of report, devel a low but protective antibody level p/receiving rubella vax in MAR90 (WAES 91030340);


VAERS ID: 39687 (history)  
Age: 30.0  
Gender: Female  
Location: Maryland  
Vaccinated:1992-02-02
Onset:1992-02-03
   Days after vaccination:1
Submitted: 1992-02-17
   Days after onset:14
Entered: 1992-02-26
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TTOX: TETANUS TOXOID (NO BRAND NAME) / PFIZER/WYETH 4918026 / 5 LA / -

Administered by: Public       Purchased by: Unknown
Symptoms: Arthralgia, Chills, Injection site oedema, Malaise, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp rxn in 1985 @ 23y/o w/Td booster;~ ()~~~In patient
Other Medications: Synthroid
Current Illness: puncture wound-hand
Preexisting Conditions: hypothyroid
Diagnostic Lab Data:
CDC Split Type:

Write-up: Beginning approx 18 hrs p/inject joint & muscle pain, swelling @ & around inject site; general ill feling; approx 36 hrs p/inject onset of low grade fever & chills;


VAERS ID: 39712 (history)  
Age: 30.0  
Gender: Female  
Location: Unknown  
Vaccinated:1990-12-01
Onset:0000-00-00
Submitted: 1992-02-25
Entered: 1992-02-27
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 2 - / -

Administered by: Other       Purchased by: Other
Symptoms: Abortion, Drug ineffective
SMQs:, Lack of efficacy/effect (narrow), Termination of pregnancy and risk of abortion (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp miscarriage p/vax w/Engerix-B 2nd dose;~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Pt remained negative for anti-HBS post vax number 3;
CDC Split Type: EBW928008

Write-up: Pt recvd 1st dose of vax 5OCT90, uneventfully; pt recvd 2nd dose on 2NOV90 & 2-3 days later pt exp a miscarriage; In DEC90 2-3 days p/receiving the 3rd dose exp another miscarriage; Pt has no sequela; vax course has been discontinued;


VAERS ID: 39812 (history)  
Age: 30.0  
Gender: Male  
Location: New York  
Vaccinated:1991-01-16
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 0 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Herpes zoster
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: INH
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91011072

Write-up: Pt recvd recvd 1st dose of Recombivax on 16JAN92 & w/in a few day pt devel herpes zoster;


VAERS ID: 39822 (history)  
Age: 30.0  
Gender: Female  
Location: Tennessee  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Hepatitis, Infection
SMQs:, Hepatitis, non-infectious (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Anti-HBc-pos
CDC Split Type: WAES91020317

Write-up: Pt recvd 1st & 2nd dose of Recomb & was exposed to a relative who had active case of Hepatitis & 2 wks later pt recve a 3rd dose of vax & sometime thereafter, lab eval revealed pos anti-HBc titer;


VAERS ID: 40236 (history)  
Age: 30.0  
Gender: Female  
Location: West Virginia  
Vaccinated:1991-02-27
Onset:1991-02-27
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 2192S / 2 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Respiratory disorder
SMQs:, Acute central respiratory depression (broad), Respiratory failure (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91030168

Write-up: Pt recvd 1st two doses of Hep B vax 26JUL90 & 26AUG90; On 27FEB91 pt recvd 3rd dose of vax & immediately had resp problems & was treated w/an unspecified antihistamine;


VAERS ID: 40262 (history)  
Age: 30.0  
Gender: Male  
Location: Ohio  
Vaccinated:1991-02-04
Onset:1991-02-27
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 0 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Hyperbilirubinaemia
SMQs:, Liver related investigations, signs and symptoms (narrow), Cholestasis and jaundice of hepatic origin (narrow), Acute pancreatitis (broad), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: 27FEB91 Total serum bilirubin 2.09 MG/DL; Direct serum bilirubin 0.31 MG/DL; 5APR91 total serum bilirubin 1.19 MG/DL; Direct serum bilirubin 0.20 MG/DL;
CDC Split Type: WAES91030921

Write-up: Pt recvd 1st dose of Hep B on 4FEB91 & lab eval on 27FEB91 revealed total bilirubin 2.09 & direct bilirubin 0.31; pt recvd 2nd dose of vax on 4MAR91 & repeated tests on 5APR91 showed total bilirubin 1.19, & direct bilirubin 0.20;


VAERS ID: 40267 (history)  
Age: 30.0  
Gender: Female  
Location: Wisconsin  
Vaccinated:1991-03-15
Onset:1991-03-18
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 0 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthenia, Headache, Malaise
SMQs:, Guillain-Barre syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: Hepatitis;
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91031248

Write-up: Pt recvd 1st dose of Hep B on 15MAR91; & on 18MAR91 pt devel h/a, malaise, & fatigue; pt was given APAP;


VAERS ID: 40282 (history)  
Age: 30.0  
Gender: Female  
Location: New York  
Vaccinated:1991-03-20
Onset:1991-03-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1252S / 2 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Vitamins
Current Illness:
Preexisting Conditions: Allergy, pollen; hay fever;
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91031345

Write-up: Pt recvd 3rd dose of Hep B on 20MAR92; approx 1-1/2 hrs post vax pt devel a patchy red rash, accompanied by pruritis @ inject site, across chest, shoulders & neck;@ time of report pt recovered;


VAERS ID: 40287 (history)  
Age: 30.0  
Gender: Male  
Location: Oregon  
Vaccinated:1990-11-01
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Arthralgia, Pyrexia, Rash, Serum sickness
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: AIDS
Diagnostic Lab Data: no relevant data;
CDC Split Type: WAES91040079

Write-up: Pt recvd Hep B vax approx NOV90 & following vax pt exp serum sickness w/diffuse rash over entire body, joint pain & fever; In approx MAR91 pt was vaxed w/Pneumococcal vax & exp the same rxn;


VAERS ID: 40294 (history)  
Age: 30.0  
Gender: Female  
Location: Florida  
Vaccinated:1991-03-28
Onset:1991-03-28
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 2194S / 1 - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Dizziness, Influenza, Malaise, Nausea, Paraesthesia
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: no relevant data;
CDC Split Type: WAES91040559

Write-up: Pt recvd 2nd dose of Hep B vax & 45 min p/inject pt exp nausea, dizziness, flu-like sx & malaise; 2 hrs post vax nausea subsided; 5 hrs post vax dizziness subsided; 24 hrs p/vax flu-like sx persisted w/tingling sensations in face;


VAERS ID: 40323 (history)  
Age: 30.0  
Gender: Female  
Location: Maryland  
Vaccinated:1991-04-05
Onset:1991-04-06
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0412T / 1 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Headache, Hypersensitivity, Oedema peripheral, Rash
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: no relevant hx
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91040750

Write-up: Pt recvd 1st dose Hep B vax 7MAR91 w/no adverse rxn; On 5APR91 pt recvd 2nd dose Hep B vax & devel erythematous rash w/swelling of fingers & toes; also h/a; tx DPH MD felt this was an allergic rxn to Hep B;


VAERS ID: 40328 (history)  
Age: 30.0  
Gender: Female  
Location: New Mexico  
Vaccinated:1991-03-20
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 0 - / -

Administered by: Other       Purchased by: Other
Symptoms: Injection site pain, Myasthenic syndrome
SMQs:, Malignancy related conditions (narrow), Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91040925

Write-up: Pt recvd 1st dose Hep B vax on 20MAR91 & devel localized soreness & dec strength in inject arm;


VAERS ID: 40333 (history)  
Age: 30.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:1990-11-08
Onset:1990-11-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 0 - / -

Administered by: Other       Purchased by: Other
Symptoms: Insomnia, Nervousness, Pain
SMQs:, Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp joint pain, arthralgia w/1st dose of vax 11OCT90;~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91041006

Write-up: Pt recvd 2nd dose of Hep B vax w/in 24 hrs pt devel restlessness & sleeplessness w/pain or tightnes of the jaw; 15NOV90 all sx had subsided;


VAERS ID: 40338 (history)  
Age: 30.0  
Gender: Male  
Location: Massachusetts  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0105S / 1 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: no relevant hx
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91041304

Write-up: Pt recvd 2nd dose Hep B vax & devel dizziness which persisted x 30 hrs & then resolved;


VAERS ID: 40346 (history)  
Age: 30.0  
Gender: Female  
Location: Minnesota  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 0 - / -

Administered by: Other       Purchased by: Other
Symptoms: Headache, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: HBsAg-neg;
CDC Split Type: WAES91041463

Write-up: Pt recvd 1st dose of Hep B vax & later that evening devel h/a, nausea, & fever which lasted 24-48 hrs; Pt was tested for HbsAg antibody & found to be negative;


VAERS ID: 40350 (history)  
Age: 30.0  
Gender: Female  
Location: Arkansas  
Vaccinated:1991-04-04
Onset:1991-04-11
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0412T / 2 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Arthralgia, Injection site oedema, Injection site pain, Oedema peripheral, Pain, Red blood cell sedimentation rate increased, Skin discolouration
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad), Arthritis (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: Tularemia
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91041587

Write-up: Pt recvd 3 doses Hep B vax 5OCT90 & 2NOV90 & 4APR91 & w/in 1 wk of vax pt devel discoloration & swelling of the large toe w/arthralgia in knees, swelling & discomfort of fingers of both hands; also devel pain & swelling @ inject site;


VAERS ID: 40368 (history)  
Age: 30.0  
Gender: Female  
Location: Wisconsin  
Vaccinated:1991-04-17
Onset:1991-04-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1252S / 1 - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Hypokinesia, Myalgia, Oedema, Pain, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: No relevant hx;
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91050503

Write-up: Pt recvd 2 doses of Hep B vax on 2APR91 & 17APR91; On the evening of 2nd dose pts arm became sore; The following morning pts arm was hot, swollen, red, painful up to neck, & unable to be moved; pt missed 4 days of work; MD gave APAP;


VAERS ID: 40453 (history)  
Age: 30.0  
Gender: Female  
Location: Illinois  
Vaccinated:1991-02-01
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Nail disorder, Pain
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: medi-fast
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91061262

Write-up: Pt recvd 1st dose of Hep B vax in JAN91 & 2nd dose of vax FEB91; It was noted that pts fingernails turned yellow & pt exp pain in hand; It was felt that the pt''s condition was related to medi-fast;


VAERS ID: 40619 (history)  
Age: 30.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 0 - / -

Administered by: Other       Purchased by: Other
Symptoms: Asthenia
SMQs:, Guillain-Barre syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91110349

Write-up: Pt recvd 1st dose of Hep B vax & subsequently exp fatigue;


VAERS ID: 40718 (history)  
Age: 30.0  
Gender: Female  
Location: Ohio  
Vaccinated:1991-08-01
Onset:1991-08-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0680T / 0 - / -

Administered by: Other       Purchased by: Other
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91100050

Write-up: Pt recvd 1st dose of Hep B vax in AUG 1991 & w/in 24 hrs following vax pt devel urticaria on face; no further details were provided;


VAERS ID: 40778 (history)  
Age: 30.0  
Gender: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91080915

Write-up: Pt devel a t102, vomiting & pain in rt upper quad 2 days p/2nd inject w/Hep B vax; sx resolved spontaneously;


VAERS ID: 40827 (history)  
Age: 30.0  
Gender: Female  
Location: New Jersey  
Vaccinated:1991-03-01
Onset:1991-06-01
   Days after vaccination:92
Submitted: 0000-00-00
Entered: 1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Dyspepsia, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific dysfunction (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Gastrointestinal studies, CT scan, blood & stool cultures, EBV, lyme titer, liver function tests, Hepatitis test all neg;
CDC Split Type: WAES91080629

Write-up: Pt recvd 2 doses of Hep B vax in FEB91 & MAR91 & lab eval revealed pos Anti-HBs; JUN91 devel fever which varied between 99.8 & 100.2; also devel abd distress;


VAERS ID: 40835 (history)  
Age: 30.0  
Gender: Female  
Location: Kentucky  
Vaccinated:1991-07-31
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Asthenia, Face oedema, Laryngospasm, Nausea, Pruritus, Pyrexia, Urticaria, Vomiting
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations: pt exo intense fatigue @ 30y/o w/Recomb #1 dose;~ ()~~~In patient
Other Medications: Inderal LA
Current Illness:
Preexisting Conditions: allergy tetanus; allergy influenza vax; hayfever
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91081358

Write-up: Pt recvd 1st dose of Hep B vax 30JUN91 & approx 2 wks later exp intense fatigue; 31JUL91 itching hands, following day nausea, weakness, fever, vomiting, swelling of lips, & hives; also exp tightness of throat;


VAERS ID: 40869 (history)  
Age: 30.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0098S / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Pt devel rash w/itching @ 30 y/o w/Recombivax #1 dose;~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92010009

Write-up: Pt recvd 2 doses of Hep B vax & following 2nd dose of Hep B vax devel rash over entire body; No further details were provided;


VAERS ID: 40905 (history)  
Age: 30.0  
Gender: Female  
Location: Texas  
Vaccinated:1991-11-14
Onset:1991-11-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1160T / 3 - / IM

Administered by: Private       Purchased by: Public
Symptoms: Asthenia, Hyperhidrosis, Injection site pain, Pallor
SMQs:, Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91110790

Write-up: Pt recvd 4th dose of Hep B & immed following vax devel severe burning pain @ inject site, & generalized weakness & began to perspire; also was pale but did not faint; w/in 6 to 8 mins recovered;


VAERS ID: 39787 (history)  
Age: 30.0  
Gender: Male  
Location: Florida  
Vaccinated:1991-11-15
Onset:1991-11-15
   Days after vaccination:0
Submitted: 1992-02-27
   Days after onset:104
Entered: 1992-03-04
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 1F21209 / 0 - / SC

Administered by: Other       Purchased by: Private
Symptoms: Pain
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe pain in shoulder following a flu shot; pain continues p/ tx w/NSAID, medrol dose pad & physical tx;


VAERS ID: 39947 (history)  
Age: 30.0  
Gender: Female  
Location: Georgia  
Vaccinated:1992-01-22
Onset:1992-01-23
   Days after vaccination:1
Submitted: 1992-01-24
   Days after onset:1
Entered: 1992-03-09
   Days after submission:45
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1531T / - LA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 1G31088 / - RA / IM

Administered by: Public       Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC Split Type: GA9226

Write-up: Redness, soreness & swelling rt deltoid area; tx moist warm compress, APAP advised to see MD if sx persist;


VAERS ID: 41049 (history)  
Age: 30.0  
Gender: Female  
Location: California  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1992-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / 1 - / -

Administered by: Public       Purchased by: Other
Symptoms: Influenza
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91060934

Write-up: Pt recvd 2nd dose of Hep B vax & devel flu-like sx; On 27MAR91 was vaxed w/MMR & devel flu-like sx (WAESNUM91051359); pt later recovered;


VAERS ID: 40545 (history)  
Age: 30.0  
Gender: Female  
Location: Illinois  
Vaccinated:1992-03-06
Onset:1992-03-19
   Days after vaccination:13
Submitted: 1992-03-20
   Days after onset:1
Entered: 1992-03-23
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1557T / 0 - / SC

Administered by: Public       Purchased by: Public
Symptoms: Arthralgia, Lymphadenopathy, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Minocin; PPD by Connaught lot# 232711 ID
Current Illness: NONE
Preexisting Conditions: Acne
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: Rash, swollen glands, painful joints;


VAERS ID: 36870 (history)  
Age: 30.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:1991-09-19
Onset:1991-12-31
   Days after vaccination:103
Submitted: 1992-03-17
   Days after onset:77
Entered: 1992-04-02
   Days after submission:16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 813A4 / 2 - / IM A

Administered by: Other       Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Pt recvd Recombivax HB 19MAR91 & 19APR91 lot# 2340S & 1252S
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Hep B surface antibody screen on 31DEC91 non detected;
CDC Split Type: EBU920474

Write-up: Pt recvd 1st 2 doses of Recombivax & 3rd dose of Engerix-B & was determined to be a non-responder;


VAERS ID: 36901 (history)  
Age: 30.0  
Gender: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 1992-03-19
Entered: 1992-04-02
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 3 - / IM

Administered by: Private       Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Pt recvd Engerix-B vax APR91, MAY91, OCT91;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU920508

Write-up: Pt recvd 3 doses of Engerix-B vax & was determined to be a non-responder; pt recvd booster dose of Engerix-B;


VAERS ID: 42379 (history)  
Age: 30.0  
Gender: Male  
Location: Kentucky  
Vaccinated:1991-11-09
Onset:0000-00-00
Submitted: 1992-01-22
Entered: 1992-04-02
   Days after submission:71
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 3 - / -

Administered by: Public       Purchased by: Public
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 15JUN91 antibody titer-neg;
CDC Split Type: EBU920026

Write-up: Pt recvd 3 doses of Hep B vax 19JUL90, 27SEP90, & 15FEB91 & 15JUN91 it was determined that the titer was neg; booster dose was given 9NOV91 outcome of booster dose is pending as of 3JAN92;


VAERS ID: 42537 (history)  
Age: 30.0  
Gender: Male  
Location: Kentucky  
Vaccinated:1991-10-15
Onset:1991-12-15
   Days after vaccination:61
Submitted: 1992-01-29
   Days after onset:45
Entered: 1992-04-02
   Days after submission:64
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 3 - / IM A

Administered by: Private       Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 21SEP91 tested neg; 15DEC91 tested neg;
CDC Split Type: EBU920124

Write-up: Pt recvd 3 doses of Engerix-B vax 21JAN91 & 25FEB91 & 21AUG91 & it was determined that the pt did not respond to the vax series; 4th dose of the vax given 15OCT91 & again it was determined that pt did not respond;


VAERS ID: 42544 (history)  
Age: 30.0  
Gender: Female  
Location: Wisconsin  
Vaccinated:1990-10-01
Onset:1990-10-03
   Days after vaccination:2
Submitted: 1992-02-12
   Days after onset:497
Entered: 1992-04-02
   Days after submission:50
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 1 - / IM A

Administered by: Private       Purchased by: Private
Symptoms: Condition aggravated
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp migraine h/a @ 30y/o w/Engerix-B #1 dose;~ ()~~~In patient
Other Medications: pt recvd 1st dose of Engerix-B 30AUG90;
Current Illness: NONE
Preexisting Conditions: hx of migraines which were determined by an allergist to be brought on by an allergy to milk;
Diagnostic Lab Data: titer 27MAR91 reported pos 2.6 on 2APR91 pos being over 1.5 on HBSAB;
CDC Split Type: EBU920131

Write-up: Pt recvd Engerix-B vax 30AUG90 & 1OCT90 & 5 months later was hesitant about receiving 3rd inject because exp migraine h/a p/1st 2 doses; MD decided to stop the Engerix-B & titer was checked; HBSAB titer was 2.6; pt exp seroconversion;


VAERS ID: 42562 (history)  
Age: 30.0  
Gender: Male  
Location: Alabama  
Vaccinated:1991-03-05
Onset:0000-00-00
Submitted: 1992-02-26
Entered: 1992-04-02
   Days after submission:36
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 629A4 / 2 - / IM A

Administered by: Public       Purchased by: Public
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Pt recvd Engerix-B vax 11SEP90 & 10OCT90 lot#s 618A4, 600A4;
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU920149

Write-up: Pt recvd 3 doses of Engerix-B on 11SEP90, 10OCT90, & 5MAR91 & was found to be a non-responder;


VAERS ID: 42711 (history)  
Age: 30.0  
Gender: Male  
Location: Alabama  
Vaccinated:1990-07-23
Onset:1991-12-20
   Days after vaccination:515
Submitted: 1992-02-19
   Days after onset:61
Entered: 1992-04-02
   Days after submission:43
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / 2 - / IM A

Administered by: Private       Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: 20DEC91 HBSAB-non reactive;
CDC Split Type: EBU920220

Write-up: Pt recvd 3 doses of Engerix-B vax 20JAN90 & 22FEB90 & 23JUL90 & 20DEC91 it was determined that pt did not respond to the vax series; no tx was given;


VAERS ID: 43019 (history)  
Age: 30.0  
Gender: Female  
Location: New York  
Vaccinated:1992-01-31
Onset:1992-01-31
   Days after vaccination:0
Submitted: 1992-03-17
   Days after onset:46
Entered: 1992-04-02
   Days after submission:16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 838A4 / 3 - / IM A

Administered by: Private       Purchased by: Private
Symptoms: Arthralgia, Chills, Headache, Lymphadenopathy, Malaise, Pharyngitis, Pyrexia, Tachycardia
SMQs:, Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal infections (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: 1FEB92 to ER t100.8; BP 110/60 & P107;
CDC Split Type: EBU920350

Write-up: Between 18DEC88 & JUN89 pt recvd 3 doses of Recombivax & did not convert; 31JAN92 recvd booster dose of Engerix-B in the evening felt poorly, devel joint pain, fever, malaise, chills; 1FEB92 to ER c/o sore throat, swollen glands, h/a;


VAERS ID: 44845 (history)  
Age: 30.0  
Gender: Female  
Location: Illinois  
Vaccinated:1991-08-27
Onset:1991-08-27
   Days after vaccination:0
Submitted: 1992-03-17
   Days after onset:203
Entered: 1992-04-02
   Days after submission:16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 821A4 / 3 - / IM A

Administered by: Private       Purchased by: Private
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt sore arm @ inject site w/Engerix-b doses 1, 2, & 3;~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: 2OCT91 HBSAB reactive; quantitative 10 RIA units=0.095; sample value 0.079; 18NOV91 HBSAB reactive; 10RIA units 0.092; sample value 0.371;
CDC Split Type: EBU911435

Write-up: Pt recvd 3 doses of Engerix-b 20FEB91, 26MAR91 & 27AGU91 & pt exp sore arm @ inject site p/each dose which resolved the next day in ea case; in addition, p/3rd Engerix-B dose it was determined that pt id not respond to vax series;


VAERS ID: 36918 (history)  
Age: 30.0  
Gender: Male  
Location: Massachusetts  
Vaccinated:1991-10-01
Onset:1991-10-14
   Days after vaccination:13
Submitted: 1991-10-18
   Days after onset:4
Entered: 1992-04-08
   Days after submission:173
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4918152 / - - / -

Administered by: Private       Purchased by: Private
Symptoms: Chest pain, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions: pt has hx of shingles; recently, had a fractured ankle;
Diagnostic Lab Data:
CDC Split Type: 891316019L

Write-up: 2 wks p/recvd flu vax pt exp lt intercostal pain w/difficulty breathing; pain was initially attributed to the face that pt was using only 1 crutch on the rt side; pt seen by MD who felt intercostal pain was due to crutch use;


VAERS ID: 37019 (history)  
Age: 30.0  
Gender: Female  
Location: Florida  
Vaccinated:1991-03-19
Onset:1991-03-19
   Days after vaccination:0
Submitted: 1991-03-21
   Days after onset:2
Entered: 1992-04-13
   Days after submission:388
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0J21037 / - LA / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Cellulitis
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: CO3810

Write-up: Cellulitis;


VAERS ID: 37031 (history)  
Age: 30.0  
Gender: Female  
Location: Florida  
Vaccinated:1991-03-23
Onset:0000-00-00
Submitted: 1991-03-28
Entered: 1992-04-13
   Days after submission:381
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0K21046 / - RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: laceration to lt leg
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: CO3883

Write-up: Localized swelling and erythema to upper right arm; Tx: Benadryl 50mg, Motrin 800mg;


VAERS ID: 41229 (history)  
Age: 30.0  
Gender: Female  
Location: North Carolina  
Vaccinated:1991-12-10
Onset:1991-12-10
   Days after vaccination:0
Submitted: 1992-04-07
   Days after onset:118
Entered: 1992-04-13
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 814A4 / 1 - / -

Administered by: Public       Purchased by: Private
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: NA
Current Illness: NA
Preexisting Conditions: NA
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: Pt c/o pain & burning during inject;


VAERS ID: 41275 (history)  
Age: 30.0  
Gender: Female  
Location: Illinois  
Vaccinated:1992-03-18
Onset:1992-03-21
   Days after vaccination:3
Submitted: 1992-03-30
   Days after onset:9
Entered: 1992-04-20
   Days after submission:20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 2 LA / IM

Administered by: Public       Purchased by: Unknown
Symptoms: Abdominal pain, Jaundice, Somnolence
SMQs:, Cholestasis and jaundice of hepatic origin (narrow), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: 27MAR92 executive profile, liver enzymes, CBC all WNL;
CDC Split Type: IL9219

Write-up: Upper rt quad pain 3 days p/HIB booster; Scleras faintly yellow on 25MAR92; skin "tan color" when normally very fair; extreme lethargy beginning 20MAR92 lasting till 30MAR92 (10 days);


VAERS ID: 41291 (history)  
Age: 30.0  
Gender: Male  
Location: Pennsylvania  
Vaccinated:1992-03-25
Onset:1992-03-29
   Days after vaccination:4
Submitted: 1992-03-31
   Days after onset:2
Entered: 1992-04-20
   Days after submission:19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / SCLAVO 136A3 / 1 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Face oedema, Headache, Malaise, Pruritus
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergic to mold, grass, trees, animals-sees allergist & takes allergy shots twice wk;
Diagnostic Lab Data: NONE
CDC Split Type: PA9292

Write-up: sx of itchiness & swelling around the mouth began 29MAR92 & malaise & h/a; pt given DPH x 2 days swelling cont external mouth, face & around ears-dec 3APR but still present; returned to work 3APR still has itchiness;


VAERS ID: 41346 (history)  
Age: 30.0  
Gender: Male  
Location: Massachusetts  
Vaccinated:1992-04-07
Onset:1992-04-08
   Days after vaccination:1
Submitted: 1992-04-09
   Days after onset:1
Entered: 1992-04-20
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 4918040 / - RA / IM

Administered by: Public       Purchased by: Unknown
Symptoms: Myalgia, Neck pain, Pain, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: Superficial laceration
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:

Write-up: 8APR c/o soreness rt shoulder/rt neck during eve; 9APR inc discomfort all day; to ER 9APR 330PM; rt shoulder/rt side neck skin pink/red (no hives); tender to the touch & c/o pain w/movement;


VAERS ID: 41484 (history)  
Age: 30.0  
Gender: Female  
Location: Kentucky  
Vaccinated:1992-03-11
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1992-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1673T / 1 LA / SC

Administered by: Private       Purchased by: Private
Symptoms: Arthralgia, Bronchitis, Face oedema, Pain, Pyrexia, Rhinitis, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Sulfa, Demerol, Valium, Most ATB''s
Diagnostic Lab Data:
CDC Split Type:

Write-up: runny nose, temp going up & then dec (101-103) for nearly 3wks, pain in legs & joints; severe rt jaw pain, swollen jaw; rash (like hives), bronchitis; rt side jaw still swollen 20APR92;


VAERS ID: 41941 (history)  
Age: 30.0  
Gender: Female  
Location: North Carolina  
Vaccinated:1992-02-03
Onset:1992-04-26
   Days after vaccination:83
Submitted: 1992-05-06
   Days after onset:10
Entered: 1992-05-14
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1349T / 1 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Arthralgia, Arthritis, Arthropathy, Paraesthesia, Red blood cell sedimentation rate increased
SMQs:, Peripheral neuropathy (broad), Systemic lupus erythematosus (broad), Guillain-Barre syndrome (broad), Arthritis (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: tx for Carpel Tunnel Synd MAY 1991
Diagnostic Lab Data: Sed rate-53; neg test for rheumatoid arthritis unsure of other blood work done;
CDC Split Type: NC92017

Write-up: Severe joint pain in both hands & wrists w/inflammation & stiffness; Progressively worsened both shoulders, hips & knees; tx w/Pred; Also had numbness & tingling in both hands & fingers;


VAERS ID: 41967 (history)  
Age: 30.0  
Gender: Female  
Location: Georgia  
Vaccinated:1992-03-27
Onset:1992-04-13
   Days after vaccination:17
Submitted: 1992-04-15
   Days after onset:2
Entered: 1992-05-15
   Days after submission:30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1531T / 0 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Pain, Pruritus, Pyrexia, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: GA9274

Write-up: pt presented 15APR92 w/redness & swelling (induration) of lt arm @ site of MMR; c/o itching & tenderness @ site; heat noted over site by palpation; site measured 60mm x 47mm; pt advised to use cool compresses & APAP for discomfort;t101;


VAERS ID: 43718 (history)  
Age: 30.0  
Gender: Female  
Location: Missouri  
Vaccinated:1987-03-24
Onset:1987-03-24
   Days after vaccination:0
Submitted: 1992-05-14
   Days after onset:1877
Entered: 1992-05-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1939M / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Anaphylactoid reaction, Aspartate aminotransferase increased, Cardiac failure, Cardiomyopathy, Dyspnoea, Infection, Leukocytosis, Pulmonary oedema
SMQs:, Cardiac failure (narrow), Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: pt exp hives, mild wheezing, poor appetite, aching joints @ 30 y/o w/Recombivax;~ ()~~~In patient
Other Medications: Synthroid, Erythromycin;
Current Illness:
Preexisting Conditions: allergy ATB; hypothyroidism
Diagnostic Lab Data: 28MAR87 Glucose 140.0; WBC Count-19800.0; PCO2-32.0; P02-44.0; Lymphocytes-8.0; LDH-13; SGOT-58; 29MAR87 CSFneg cult; CSF-50 protein; 28MAR87 cxr-bilateral pulmonary edema; ECG-marked sinus tachycardia; Echocardiogram-inject fraction 20%;
CDC Split Type: WAES87030635

Write-up: Pt recvd 2nd dose of Hep B vax 24MAR87 & w/in 20 minutes of vax pt started wheezing; also exp nausea, itching, chest & throat tightness, difficulty breathing & nervousness; resp problems; vomiting, h/a, stiff neck, weakness, photophobia;


VAERS ID: 42186 (history)  
Age: 30.0  
Gender: Unknown  
Location: Massachusetts  
Vaccinated:1992-05-12
Onset:1992-05-12
   Days after vaccination:0
Submitted: 1992-05-20
   Days after onset:8
Entered: 1992-05-26
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Injection site hypersensitivity, Vasodilatation
SMQs:, Hypersensitivity (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: local rxn 1/2 hrs p/recvd 2nd dose of MMR (1st 1 month prior) mild redness @ site of inject, sl warmth to touch;


VAERS ID: 42586 (history)  
Age: 30.0  
Gender: Female  
Location: Virginia  
Vaccinated:1992-03-25
Onset:1992-04-25
   Days after vaccination:31
Submitted: 1992-06-03
   Days after onset:39
Entered: 1992-06-08
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RUB: RUBELLA (MERUVAX II) / MERCK & CO. INC. - / - - / -

Administered by: Other       Purchased by: Other
Symptoms: Arthralgia, Arthritis, Dyspnoea, Leukocytosis, Myalgia, Pericarditis, Pleural effusion, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (narrow), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Arthritis (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Proventil inhaler
Current Illness:
Preexisting Conditions: Hodgkin''s disease; postpartum; asthma
Diagnostic Lab Data: culture-neg; Thoracocentesis-revealed an exudate type fluid;WBC count elevated;
CDC Split Type: WAES92050570

Write-up: Pt recvd Rubella vax on 25MAR92 & approx 4 wks p/vax pt exp fever, aches, arthritis, arthralgias, SOB, bilateral pleural effusions, & pericarditis; pt hospitalized; fever;


VAERS ID: 37251 (history)  
Age: 30.0  
Gender: Female  
Location: California  
Vaccinated:1990-05-16
Onset:1990-08-03
   Days after vaccination:79
Submitted: 0000-00-00
Entered: 1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Abortion, Foetal disorder
SMQs:, Foetal disorders (narrow), Termination of pregnancy and risk of abortion (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: chromosomal analysis-nl 23AUG90; Autopsy showed that fetus was thoroughly infarcted & that the death of fetus occured in utero days prior to extraction;
CDC Split Type: WAES90060502

Write-up: Pt recvd vax 16MAY90 & was found to be pregnant w/a conception date on or about the date of vax; LMP 1MAY90; on 3AUG90 spontaneously aborted approx 12-13 gestation; autopsy showed that fetus was thoroughly infarcted;


VAERS ID: 37253 (history)  
Age: 30.0  
Gender: Female  
Location: Nebraska  
Vaccinated:1990-06-19
Onset:1991-03-17
   Days after vaccination:271
Submitted: 0000-00-00
Entered: 1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: no relevant hx;
Diagnostic Lab Data: no relevant data;
CDC Split Type: WAES90070403

Write-up: pt recvd MMR vax on 19JUN90 & pt became pregnant; conception was thought to have occurred on 22JUN90; delivered a nl infant by C-section on 17MAR91;


VAERS ID: 37440 (history)  
Age: 30.0  
Gender: Male  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2271S / - - / -

Administered by: Other       Purchased by: Other
Symptoms: Arthritis, Condition aggravated, Lymphadenopathy, Pyrexia, Salivary gland enlargement
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Arthritis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: arthritis
Diagnostic Lab Data: no relevant data;
CDC Split Type: WAES91061689

Write-up: pt recvd MMR vax & approx 14 days following vax pt devel a fever, swollen lymph nodes, swollen salivary glands, joint pain;


VAERS ID: 37449 (history)  
Age: 30.0  
Gender: Female  
Location: New York  
Vaccinated:1991-04-24
Onset:1991-05-13
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / -

Administered by: Other       Purchased by: Other
Symptoms: Arthralgia, Osteoarthritis
SMQs:, Arthritis (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: no relevant data;
CDC Split Type: WAES91061699

Write-up: Pt recvd MMR vax on 24APR91 & approx 13MAY91 devel rt ankle swelling & pain which was present intermittently for 2-3 wks;


VAERS ID: 37516 (history)  
Age: 30.0  
Gender: Female  
Location: New York  
Vaccinated:1990-06-01
Onset:1990-07-01
   Days after vaccination:30
Submitted: 0000-00-00
Entered: 1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / -

Administered by: Other       Purchased by: Other
Symptoms: Asthenia, Condition aggravated, Influenza, Paraesthesia, Weight decreased
SMQs:, Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Guillain-Barre syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: myalgia; arthralgia
Diagnostic Lab Data: no relevant data;
CDC Split Type: WAES91100823

Write-up: pt w/myalgias & arthralgias for yrs was vaxed w/MMR in JUN90 & devel a flu-like synd, paresthesia, fatigue & weight loss; pt''s joint pain & muscle pain worsened in JAN91 & SEP91; MD felt pt''s joint pain & muscle pain were not related to vax


VAERS ID: 37524 (history)  
Age: 30.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:1991-10-15
Onset:1991-10-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 2 - / -

Administered by: Other       Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: pregnancy
Diagnostic Lab Data: no relevant data;
CDC Split Type: WAES91101046

Write-up: Reporter states vax splashed in pts eye & when titers were drawn pt found to be immune to mumps & rubella but not rubeola;


VAERS ID: 37535 (history)  
Age: 30.0  
Gender: Female  
Location: Oregon  
Vaccinated:1991-10-18
Onset:1991-11-01
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / - - / PO

Administered by: Other       Purchased by: Other
Symptoms: Pruritus, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91110459

Write-up: Pt recvd MMR vax on 18OCT91 & 2 wks following vax pt devel a pencil-shaped rash on rt thigh; It was noted that some of these shapes were larger than others; also fever & pruritus;


VAERS ID: 37562 (history)  
Age: 30.0  
Gender: Female  
Location: New York  
Vaccinated:1991-11-18
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0928T / 2 - / -

Administered by: Other       Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: INH
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92010276

Write-up: Pt recvd MMR vax 23JUL91 & recvd a 2nd dose of MMR 29AUG91 & 3rd inject 18NOV91 pt did not seroconvert following the 3 vax; no further details were provided;


VAERS ID: 43122 (history)  
Age: 30.0  
Gender: Male  
Location: California  
Vaccinated:1992-03-24
Onset:1992-03-25
   Days after vaccination:1
Submitted: 1992-05-26
   Days after onset:61
Entered: 1992-06-23
   Days after submission:28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 841A4 / 0 - / IM

Administered by: Private       Purchased by: Private
Symptoms: Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt states had fever 102 & nausea the morning p/having 1st vax;


VAERS ID: 44879 (history)  
Age: 30.0  
Gender: Male  
Location: Wisconsin  
Vaccinated:1991-06-05
Onset:0000-00-00
Submitted: 1992-04-16
Entered: 1992-06-29
   Days after submission:74
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 4 - / IM A

Administered by: Other       Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU920741

Write-up: Pt recvd 3 doses Engerix-B & did not seroconvert; Booster doses were administerd; no tx was given;


VAERS ID: 44940 (history)  
Age: 30.0  
Gender: Male  
Location: Indiana  
Vaccinated:1992-03-19
Onset:1992-03-25
   Days after vaccination:6
Submitted: 1992-06-17
   Days after onset:83
Entered: 1992-06-29
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 0 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Dry skin, Rash, Rash maculo-papular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU920767

Write-up: Pt recvd 1st dose of Engerix-B in the AM & exp rash on upper chest both arms which lasted 2 hrs; dx dry skin, poss rash secondary to Hep B shot; rash-red, blotchy;


VAERS ID: 45274 (history)  
Age: 30.0  
Gender: Male  
Location: Massachusetts  
Vaccinated:1992-01-24
Onset:1992-04-01
   Days after vaccination:68
Submitted: 1992-06-08
   Days after onset:67
Entered: 1992-06-29
   Days after submission:21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 832A4 / 3 - / IM A

Administered by: Private       Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: pt recvd Engerix-B vax 27JUN91, 26JUL91, & 27DEC91 lot#''s 715A4, 813A4, 827A4;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU920980

Write-up: pt recvd 4 doses of Engerix-B; tested weakly pos in JAN92 & in APR92 titer was 0;


VAERS ID: 45305 (history)  
Age: 30.0  
Gender: Female  
Location: New Hampshire  
Vaccinated:1992-03-19
Onset:1992-03-19
   Days after vaccination:0
Submitted: 1992-06-11
   Days after onset:83
Entered: 1992-06-29
   Days after submission:18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 838A4 / 1 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921012

Write-up: Pt recvd Engerix-B 20FEB92 & 19MAR92; 19MAR92 pt exp 8 in area of erythema & severe pain @ inject site;


VAERS ID: 45495 (history)  
Age: 30.0  
Gender: Female  
Location: California  
Vaccinated:1991-11-01
Onset:1992-05-01
   Days after vaccination:182
Submitted: 1992-06-15
   Days after onset:45
Entered: 1992-06-29
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 2 - / IM

Administered by: Private       Purchased by: Private
Symptoms: Arthropathy, Pain
SMQs:, Arthritis (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921142

Write-up: 6 months p/receiving 3rd dose of Hep B vax devel stiffness in knees & joints & burning traveling to the foot;


VAERS ID: 45596 (history)  
Age: 30.0  
Gender: Female  
Location: Unknown  
Vaccinated:1992-01-29
Onset:1992-04-09
   Days after vaccination:71
Submitted: 1992-05-29
   Days after onset:50
Entered: 1992-06-29
   Days after submission:31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 3 - / -

Administered by: Other       Purchased by: Other
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Titer report date 9APR92; titer result result none detected;
CDC Split Type: EBU921204

Write-up: Pt recvd 3 doses of Engerix-B: titer test indicated did not respond;


VAERS ID: 45639 (history)  
Age: 30.0  
Gender: Male  
Location: Arizona  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 1992-06-02
Entered: 1992-06-29
   Days after submission:27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 4 - / -

Administered by: Private       Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: EBU921259

Write-up: pt recvd 3 doses of Engerix-B as well as 2 boosters & obtained no response;


VAERS ID: 45646 (history)  
Age: 30.0  
Gender: Female  
Location: Florida  
Vaccinated:1990-01-08
Onset:1991-09-17
   Days after vaccination:617
Submitted: 1992-06-15
   Days after onset:272
Entered: 1992-06-29
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 2 - / -

Administered by: Other       Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 17SEP91 titer report neg;
CDC Split Type: EBU921326

Write-up: Pt recvd 3 doses of Engerix-B & did not convert to antibodies;


VAERS ID: 43633 (history)  
Age: 30.0  
Gender: Male  
Location: California  
Vaccinated:1992-06-10
Onset:1992-06-10
   Days after vaccination:0
Submitted: 1992-06-11
   Days after onset:1
Entered: 1992-07-21
   Days after submission:40
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 300904 / 0 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Chills, Hyperhidrosis, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: CA9260

Write-up: approx 1 hrs p/inject devel fever 102.5, diaphoresis, chills, achiness; called Hlth Dept & was advised to seek medical care;


VAERS ID: 43643 (history)  
Age: 30.0  
Gender: Female  
Location: Texas  
Vaccinated:1992-06-26
Onset:1992-06-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1992-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 1C31020 / 2 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Chest pain, Dyspnoea, Hypertonia, Oedema, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC Split Type: TX92117

Write-up: lt arm swollen red to touch, back muscle spasms, little chest pains w/SOB noted later in evening p/vax;


VAERS ID: 43940 (history)  
Age: 30.0  
Gender: Female  
Location: Ohio  
Vaccinated:1992-06-15
Onset:1992-06-16
   Days after vaccination:1
Submitted: 1992-08-03
   Days after onset:48
Entered: 1992-08-05
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TTOX: TETANUS TOXOID, ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 2B41045 / - LA / IM

Administered by: Military       Purchased by: Private
Symptoms: Injection site oedema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: abraision of rt knee
Preexisting Conditions: allergic to PCN;
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe pain & swelling of upper lt arm @ inject site; tx w/sling, moist heat, ASA or APAP PRN;


VAERS ID: 45662 (history)  
Age: 30.0  
Gender: Female  
Location: Indiana  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 1991-05-07
Entered: 1992-08-07
   Days after submission:458
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 302904 / - - / -

Administered by: Other       Purchased by: Other
Symptoms: Oedema, Pyrexia, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: NA
Current Illness: NA
Preexisting Conditions: NA
Diagnostic Lab Data: NA
CDC Split Type: 910096302

Write-up: pt devel a fever of 101 & swollen, red arm; observed & got better;


VAERS ID: 44352 (history)  
Age: 30.0  
Gender: Female  
Location: Ohio  
Vaccinated:1992-06-15
Onset:1992-06-15
   Days after vaccination:0
Submitted: 1992-06-22
   Days after onset:7
Entered: 1992-08-21
   Days after submission:60
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0104V / 0 LA / -

Administered by: Public       Purchased by: Public
Symptoms: Injection site reaction, Malaise, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp local, malasie w/smallpox~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: allergies to other meds & vax;
Diagnostic Lab Data: NA
CDC Split Type: OH92055

Write-up: local rxn-day of inject 30min p/day p/inject fever, malaise;


VAERS ID: 44471 (history)  
Age: 30.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:1992-07-27
Onset:1992-07-31
   Days after vaccination:4
Submitted: 1992-08-05
   Days after onset:5
Entered: 1992-08-24
   Days after submission:19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0789V / 0 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Face oedema, Nausea, Oedema peripheral, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Oral contraceptives
Current Illness: NONE
Preexisting Conditions: itchy eyes when exposed to dogs & cats;
Diagnostic Lab Data:
CDC Split Type: PA92209

Write-up: 31JUL92 woke up w/hives which became increasingly worse during the day; BY 3AM 1AUG(2 hands, feet, lips were swollen; no breathing problems; some nausea; pt taken to hosp & given EPI & DPH;


VAERS ID: 44515 (history)  
Age: 30.0  
Gender: Male  
Location: Ohio  
Vaccinated:1992-08-18
Onset:1992-08-18
   Days after vaccination:0
Submitted: 1992-08-18
   Days after onset:0
Entered: 1992-08-24
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0750V / 1 LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt states 1 hrs later started w/dull ache, deep sensation approx 3" long x 2" below inject site, no redness or swelling noted;


VAERS ID: 45236 (history)  
Age: 30.0  
Gender: Female  
Location: Arizona  
Vaccinated:1992-09-09
Onset:1992-09-10
   Days after vaccination:1
Submitted: 1992-09-14
   Days after onset:4
Entered: 1992-09-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / SCLAVO 140A1 / 0 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Abdominal pain, Dizziness, Headache, Hyperhidrosis, Oedema, Pain, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: laceration lt index finger
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: c/o pain in head went to stomach; broke out in cold sweat; passed on 10SEP92; arm had redness-swelling hot to touch; pain, dizzy;


VAERS ID: 45347 (history)  
Age: 30.0  
Gender: Female  
Location: Texas  
Vaccinated:1992-08-28
Onset:1992-08-28
   Days after vaccination:0
Submitted: 1992-09-14
   Days after onset:17
Entered: 1992-09-21
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0935V / 0 RA / -

Administered by: Other       Purchased by: Public
Symptoms: Influenza
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: caffiene & now yeast-migraine
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Pt today reported that wished to refuse further doses on advice of pvt MD; pt seen by MD day p/recvd Recombivax; was not certain if the flu-like sx were related to vax but considers it possible in view of hx of multiple allergies;


VAERS ID: 45554 (history)  
Age: 30.0  
Gender: Female  
Location: Unknown  
Vaccinated:1992-06-08
Onset:1992-06-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1992-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / - - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Dizziness, Dyspnoea, Hyperventilation, Somnolence
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: dizziness, SOB, lightheadedness, lethargic, poss hyperventilation;


VAERS ID: 46218 (history)  
Age: 30.0  
Gender: Female  
Location: Minnesota  
Vaccinated:1992-10-07
Onset:1992-10-07
   Days after vaccination:0
Submitted: 1992-10-09
   Days after onset:2
Entered: 1992-10-14
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1031A4 / 3 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Asthenia, Dizziness, Dry mouth, Hypertension, Palpitations, Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypertension (narrow), Cardiomyopathy (broad), Vestibular disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: PPD by Parke Davis lot# 01172P 14SEP92;
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: dry mouth, heart palpitations, inc BP, inc pulse rate; light headedness; weak legs;


VAERS ID: 46229 (history)  
Age: 30.0  
Gender: Female  
Location: Illinois  
Vaccinated:1992-10-09
Onset:1992-10-09
   Days after vaccination:0
Submitted: 1992-10-13
   Days after onset:4
Entered: 1992-10-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0558V / 1 LA / -

Administered by: Private       Purchased by: Public
Symptoms: Headache, Injection site hypersensitivity, Pruritus, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: UNK~ ()~~~In patient
Other Medications: Anaprox 7 seldane
Current Illness: NONE
Preexisting Conditions: multiple allergies-PCN, Ampicillin, Sulfa, Tetracycline, environmental
Diagnostic Lab Data: Rubeola & mumps titer-results non-immune prior to vax;
CDC Split Type:

Write-up: Redness/itching @ inject site, local erythema, h/a, & rash w/fever of 101, 24 hrs p/vax administration; sx lasted 2 days; local reaction still being treated w/DPH & ice;


VAERS ID: 46309 (history)  
Age: 30.0  
Gender: Male  
Location: Maryland  
Vaccinated:1992-10-06
Onset:1992-10-06
   Days after vaccination:0
Submitted: 1992-10-08
   Days after onset:2
Entered: 1992-10-20
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 4928066 / 1 RA / -

Administered by: Private       Purchased by: Private
Symptoms: Asthenia, Chills, Headache, Myalgia, Somnolence
SMQs:, Rhabdomyolysis/myopathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: Beconase AQ, Rynatan
Current Illness: environmental allergies
Preexisting Conditions: allergies-tetracycline/phenothiazines
Diagnostic Lab Data:
CDC Split Type:

Write-up: onset of drowsiness, fatigue, throbbing h/a, generalized aches & chills, myalgias; no skin rash or urticaria;


VAERS ID: 46463 (history)  
Age: 30.0  
Gender: Female  
Location: Kansas  
Vaccinated:1992-10-02
Onset:1992-10-02
   Days after vaccination:0
Submitted: 1992-10-09
   Days after onset:7
Entered: 1992-10-26
   Days after submission:17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1162V / 0 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Conjunctivitis, Dyspnoea, Face oedema, Laryngospasm, Myalgia, Oedema peripheral, Pharyngitis, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Severe cutaneous adverse reactions (broad), Anaphylactic reaction (narrow), Agranulocytosis (broad), Angioedema (narrow), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Oropharyngeal infections (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Conjunctival disorders (narrow), Ocular infections (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Premarin, Advil
Current Illness:
Preexisting Conditions: hx of yeast allergies
Diagnostic Lab Data:
CDC Split Type: KS92063

Write-up: 2OCT92 6-7PM cold sx 3OCT92 p/12PM flushed, eyes blood red, throat, eyes & lips swelled rapidly; hands & feet swelled & ached; called family had difficulty breathing & passed out 215PM; family found pt & took to ER;


VAERS ID: 46520 (history)  
Age: 30.0  
Gender: Female  
Location: Wisconsin  
Vaccinated:1992-08-26
Onset:0000-00-00
Submitted: 1992-10-23
Entered: 1992-10-27
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 03260 / 0 - / SC

Administered by: Other       Purchased by: Public
Symptoms: Chills, Nausea, Paraesthesia, Pharyngitis
SMQs:, Acute pancreatitis (broad), Agranulocytosis (broad), Peripheral neuropathy (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NA
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: nausea, body chills, parts of face felt numb & tingly; also sore throat;


VAERS ID: 46555 (history)  
Age: 30.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:1992-08-13
Onset:1992-08-23
   Days after vaccination:10
Submitted: 1992-10-26
   Days after onset:64
Entered: 1992-10-29
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RAB: RABIES (IMOVAX) / PASTEUR MERIEUX INST. E0923 / 1 - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Dyspnoea, Nausea, Urticaria
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt exp nausea, SOB & hives 10 days p/the IM booster dose of rabies vax; this lasted 5 days;


VAERS ID: 46951 (history)  
Age: 30.0  
Gender: Female  
Location: Tennessee  
Vaccinated:1992-05-14
Onset:1992-05-14
   Days after vaccination:0
Submitted: 1992-09-08
   Days after onset:117
Entered: 1992-11-03
   Days after submission:56
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 840A4 / 0 - / IM A

Administered by: Other       Purchased by: Public
Symptoms: Headache, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Entex LA; Nasocort; Synthroid
Current Illness:
Preexisting Conditions: hyperthyroid; intermittent rare intrinsic asthma;
Diagnostic Lab Data:
CDC Split Type: EBU921391

Write-up: Pt recvd 1 dose of Engerix-B & devel occipital h/a & tingling of fingers 4-6 hrs p/vax; sx subsided w/in 24 hrs & now OK;


VAERS ID: 46969 (history)  
Age: 30.0  
Gender: Female  
Location: D.C.  
Vaccinated:1992-01-24
Onset:1992-01-24
   Days after vaccination:0
Submitted: 1992-09-14
   Days after onset:233
Entered: 1992-11-03
   Days after submission:50
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 832A4 / - - / IM

Administered by: Public       Purchased by: Public
Symptoms: Myalgia, Nausea, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921409

Write-up: Pt recvd 1 dose of Engerix-B & 3 hrs later became nauseated, feverish, & bodyaches & felt miserable;


VAERS ID: 46993 (history)  
Age: 30.0  
Gender: Female  
Location: New Jersey  
Vaccinated:1992-05-13
Onset:0000-00-00
Submitted: 1992-08-06
Entered: 1992-11-03
   Days after submission:89
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 1 - / IM A

Administered by: Other       Purchased by: Private
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921436

Write-up: pt recvd 2 doses of Engerix-B & became pregnant; now 5 wks pregnant;


VAERS ID: 47621 (history)  
Age: 30.0  
Gender: Male  
Location: California  
Vaccinated:1992-03-26
Onset:1992-03-26
   Days after vaccination:0
Submitted: 1992-07-10
   Days after onset:105
Entered: 1992-11-03
   Days after submission:116
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1022A4 / - - / IM

Administered by: Other       Purchased by: Other
Symptoms: Pruritus, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: EBU921573

Write-up: pt recvd 1 dose of Engerix-B & the same day broke out w/a rash covering all of body;


VAERS ID: 47626 (history)  
Age: 30.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:1992-06-25
Onset:1992-06-25
   Days after vaccination:0
Submitted: 1992-08-04
   Days after onset:40
Entered: 1992-11-03
   Days after submission:91
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1041A4 / 2 - / IM A

Administered by: Public       Purchased by: Private
Symptoms: Bronchitis, Condition aggravated, Pharyngitis
SMQs:, Agranulocytosis (broad), Oropharyngeal infections (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: asthma
Preexisting Conditions: allergic to Erythromycin; tested neg to vax components;
Diagnostic Lab Data:
CDC Split Type: EBU921578

Write-up: Pt recvd 1 dose of Engerix-B & 25JUN92 exp resp distress & bronchitis;


VAERS ID: 47637 (history)  
Age: 30.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 1992-07-28
Entered: 1992-11-03
   Days after submission:98
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / - - / IM A

Administered by: Private       Purchased by: Other
Symptoms: Asthma
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921591

Write-up: pt recvd 1 dose of Engerix-B & 4 hrs p/dose exp asthma & bronchospasms which lasted over noc;


VAERS ID: 47920 (history)  
Age: 30.0  
Gender: Female  
Location: California  
Vaccinated:1992-07-09
Onset:1992-07-09
   Days after vaccination:0
Submitted: 1992-08-19
   Days after onset:41
Entered: 1992-11-03
   Days after submission:76
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 876A4 / 0 LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Oedema, Pruritus, Rash
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921865

Write-up: 9JUL02 recvd 1st dose Engerix-B & w/in 1 hr of vax devel swelling, rash & itching of lt arm radiating to lt side of neck & face;


VAERS ID: 47968 (history)  
Age: 30.0  
Gender: Female  
Location: Florida  
Vaccinated:1992-06-29
Onset:1992-07-13
   Days after vaccination:14
Submitted: 1992-09-18
   Days after onset:67
Entered: 1992-11-03
   Days after submission:46
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 844A4 / 1 - / IM A

Administered by: Other       Purchased by: Other
Symptoms: Alopecia, Arthralgia, Asthenia
SMQs:, Guillain-Barre syndrome (broad), Arthritis (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp joint, fatigue, weakness & hair loss w/Engerix-B vax dose1;~ ()~~~In patient
Other Medications:
Current Illness: UNK
Preexisting Conditions: allergies demerol & codeine;
Diagnostic Lab Data:
CDC Split Type: EBU921808

Write-up: Pt recvd 2 doses of Engerix-B & 2 wks p/each inject exp joint pain, fatigue, weakness & hair loss which persist;


VAERS ID: 47997 (history)  
Age: 30.0  
Gender: Female  
Location: Arizona  
Vaccinated:1992-07-15
Onset:1992-07-19
   Days after vaccination:4
Submitted: 1992-08-25
   Days after onset:37
Entered: 1992-11-03
   Days after submission:70
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 893A4 / 1 - / IM A

Administered by: Private       Purchased by: Private
Symptoms: Dizziness, Headache, Nausea, Tinnitus
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hearing impairment (narrow), Vestibular disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921906

Write-up: Pt recvd 2 doses of Engerix-B & exp no events following 1st dose but 4 days p/2nd inject exp severe dizziness, nausea, h/a, & ringing ears; treated w/Antivert & sx resolved;


VAERS ID: 48010 (history)  
Age: 30.0  
Gender: Female  
Location: South Carolina  
Vaccinated:1992-07-31
Onset:1992-07-31
   Days after vaccination:0
Submitted: 1992-08-24
   Days after onset:24
Entered: 1992-11-03
   Days after submission:71
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 881A4 / - - / IM A

Administered by: Public       Purchased by: Other
Symptoms: Dizziness, Paraesthesia, Tongue oedema
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Oropharyngeal allergic conditions (narrow), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921922

Write-up: 31JUL92 pt recvd 1st dose of Engerix-B & that same day devel numbness in extremities, tingling, felt as if drunk in head, & thick tongue;


VAERS ID: 48122 (history)  
Age: 30.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:1992-07-23
Onset:1992-07-24
   Days after vaccination:1
Submitted: 1992-08-27
   Days after onset:34
Entered: 1992-11-03
   Days after submission:68
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 877A4 / 0 - / IM A

Administered by: Private       Purchased by: Private
Symptoms: Influenza, Malaise, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921974

Write-up: 23JUL92 recvd 1st dose of Engerix-B & around 24 hrs later devel low grade fever, flu-like sx, body aches & malaise;


VAERS ID: 48519 (history)  
Age: 30.0  
Gender: Female  
Location: North Carolina  
Vaccinated:1991-05-10
Onset:1992-04-01
   Days after vaccination:327
Submitted: 1992-08-20
   Days after onset:140
Entered: 1992-11-03
   Days after submission:75
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 637A4 / 2 - / -

Administered by: Other       Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 1APR92 titer result neg;
CDC Split Type: EBU921693

Write-up: Pt recvd 3 doses of Engerix-B & exp a neg titer result p/3rd dose; 3rd dose administered 10MAY91;


VAERS ID: 48532 (history)  
Age: 30.0  
Gender: Female  
Location: Kentucky  
Vaccinated:1992-05-06
Onset:1992-06-10
   Days after vaccination:35
Submitted: 1992-09-08
   Days after onset:90
Entered: 1992-11-03
   Days after submission:56
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 3 - / -

Administered by: Other       Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 17APR92 anti HBS neg; 10JUN92 titer result neg;
CDC Split Type: EBU921706

Write-up: nonresponse;


VAERS ID: 48770 (history)  
Age: 30.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 1992-08-17
Entered: 1992-11-03
   Days after submission:78
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / - - / IM A

Administered by: Other       Purchased by: Other
Symptoms: Chills
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: subsequent skin tests revealed yeast hypersensitivity;
CDC Split Type: EBU921754

Write-up: Pt recvd 1 dose of Engerix-B & exp chills which do not require treatment;


VAERS ID: 48792 (history)  
Age: 30.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:1992-07-14
Onset:1992-07-16
   Days after vaccination:2
Submitted: 1992-09-16
   Days after onset:62
Entered: 1992-11-03
   Days after submission:48
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 877A4 / - LA / IM

Administered by: Public       Purchased by: Other
Symptoms: Headache, Laboratory test abnormal, Nausea, Neck pain, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: oral contraceptive nos;
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921779

Write-up: pt recvd 1 dose of Engerix-B & 16JUL92 had nausea, vomiting, h/a, burning from base of skull to spine & can''t keep any food down; 18JUL92 seen by MD;


VAERS ID: 48886 (history)  
Age: 30.0  
Gender: Female  
Location: New York  
Vaccinated:1992-08-07
Onset:1992-08-07
   Days after vaccination:0
Submitted: 1992-09-01
   Days after onset:25
Entered: 1992-11-03
   Days after submission:63
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 950A4 / 0 - / IM A

Administered by: Private       Purchased by: Private
Symptoms: Arthralgia, Back pain, Injection site pain, Myasthenic syndrome, Pain
SMQs:, Retroperitoneal fibrosis (broad), Malignancy related conditions (narrow), Extravasation events (injections, infusions and implants) (broad), Arthritis (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU922009

Write-up: 7AUg92 pt recvd Engerix-B & 13AUG92 reported that immed felt pain from site of inject to wrist, pain in armpit & upper back, arms feels heavy;


VAERS ID: 48891 (history)  
Age: 30.0  
Gender: Female  
Location: Minnesota  
Vaccinated:1992-08-13
Onset:1992-08-13
   Days after vaccination:0
Submitted: 1992-09-04
   Days after onset:22
Entered: 1992-11-03
   Days after submission:60
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 975A4 / 1 LA / IM

Administered by: Other       Purchased by: Private
Symptoms: Abdominal pain, Asthenia, Hyperhidrosis, Nausea, Somnolence, Vasodilatation, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: allergy to codeine;
Diagnostic Lab Data:
CDC Split Type: EBU922014

Write-up: Pt recvd 2 doses of Engerix-B & w/in 30 minutes of 2nd inject devel flushing, tired, nausea, vomiting, & diffuse abdo pain;


VAERS ID: 48950 (history)  
Age: 30.0  
Gender: Female  
Location: South Dakota  
Vaccinated:1992-08-10
Onset:1992-08-13
   Days after vaccination:3
Submitted: 1992-08-31
   Days after onset:18
Entered: 1992-11-03
   Days after submission:64
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 1 - / IM A

Administered by: Private       Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Pain, Pharyngitis, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Oropharyngeal infections (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp lump @ inject site, redness @ inject site & swelling @ inject site w/#1~ ()~~~In patient
Other Medications: Oral contraceptives
Current Illness:
Preexisting Conditions: allergic to ampicillin;
Diagnostic Lab Data:
CDC Split Type: EBU922076

Write-up: 3JUL92 pt recvd 1st dose of Engerix-B & 4JUL92 devel lump, redness & swelling @ inject site; 10AGU92 recvd 2nd dose of vax & 13AUG92 devel arm burning, itching, redness & swelling @ inject site; lump @ inject site; 14AUG92 devel URI; rash;


VAERS ID: 48986 (history)  
Age: 30.0  
Gender: Female  
Location: North Carolina  
Vaccinated:1992-08-19
Onset:0000-00-00
Submitted: 1992-09-14
Entered: 1992-11-03
   Days after submission:50
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 2 - / IM A

Administered by: Private       Purchased by: Private
Symptoms: Abnormal faeces, Diarrhoea, Malaise, Myalgia, Nausea, Urine analysis abnormal
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Pseudomembranous colitis (broad), Biliary system related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp nausea, body aches, malaise, nausea, body aches, dark urine, light stool,~ ()~~~In patient
Other Medications: unk
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU922118

Write-up: Pt recvd 3 doses of Engerix-B 19FEB92 & 19MAR92 & 19AUG92 & p/1 & 2nd doses pt exp nausea, body aches, dark urine, light stools, diarrhea & malaise; 20AUG92 p/3rd dose pt exp nausea, body aches, dark urine, light stools, diarrhea & malaise;


VAERS ID: 48995 (history)  
Age: 30.0  
Gender: Female  
Location: Washington  
Vaccinated:1992-08-20
Onset:1992-08-21
   Days after vaccination:1
Submitted: 1992-09-14
   Days after onset:24
Entered: 1992-11-03
   Days after submission:50
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1022A4 / 0 - / IM A

Administered by: Private       Purchased by: Private
Symptoms: Insomnia, Oedema peripheral, Osteoarthritis, Paraesthesia
SMQs:, Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU922127

Write-up: pt recvd 1st dose of Engerix-B & 21AUG92 pt exp swelling, numbness, tingling in both hands & both elbows; numbness & tingling prevents sleep; 24AUG92 swelling in fingertips;


VAERS ID: 49010 (history)  
Age: 30.0  
Gender: Female  
Location: Florida  
Vaccinated:1992-06-01
Onset:1992-06-01
   Days after vaccination:0
Submitted: 1992-09-15
   Days after onset:106
Entered: 1992-11-03
   Days after submission:49
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 5 - / -

Administered by: Private       Purchased by: Private
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Synthroid
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: titer results MAR91- neg; MAY91 9; JUN92 neg; AUg92 32.8;
CDC Split Type: EBU922142

Write-up: pt recvd 3 doses of Engerix-B & had a neg titer following the 3rd dose; pt then recvd 3 addtl doses & devel protective titers following the 6th vax;


VAERS ID: 47451 (history)  
Age: 30.0  
Gender: Male  
Location: Texas  
Vaccinated:1992-10-26
Onset:1992-10-28
   Days after vaccination:2
Submitted: 1992-11-18
   Days after onset:21
Entered: 1992-11-23
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 2F31143 / - LA / -

Administered by: Other       Purchased by: Other
Symptoms: Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: multi area of erythma on upper trunk;


VAERS ID: 47727 (history)  
Age: 30.0  
Gender: Female  
Location: Washington  
Vaccinated:1992-10-30
Onset:1992-10-30
   Days after vaccination:0
Submitted: 1992-11-02
   Days after onset:3
Entered: 1992-12-04
   Days after submission:32
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928285 / 0 LA / -

Administered by: Public       Purchased by: Private
Symptoms: Back pain, Headache, Hypokinesia, Myalgia, Neck pain, Pharyngitis, Pyrexia, Rhinitis
SMQs:, Rhabdomyolysis/myopathy (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Fibro cystic tumor-lt breast
Diagnostic Lab Data:
CDC Split Type: WA92790

Write-up: became feverish 30OCT92; achy; awoke w/sore throat, stuffy nose, h/a, upper back pain, pt could not move neck;


VAERS ID: 49152 (history)  
Age: 30.0  
Gender: Male  
Location: Texas  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1992-12-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RUB: RUBELLA (MERUVAX II) / MERCK & CO. INC. - / - - / -

Administered by: Other       Purchased by: Other
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Azathioprine
Current Illness:
Preexisting Conditions: transplant
Diagnostic Lab Data: no relevant data;
CDC Split Type: WAES92060258

Write-up: pt recvd vax & day following vax pt had gammaglobulin; pt had no rubella virus antibody @ day 1 or day 15 following the vax; when seen in 1990 did have antibodies against rubella virus;


VAERS ID: 49156 (history)  
Age: 30.0  
Gender: Female  
Location: New Jersey  
Vaccinated:1985-02-01
Onset:1992-07-13
   Days after vaccination:2719
Submitted: 0000-00-00
Entered: 1992-12-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RUB: RUBELLA (MERUVAX II) / MERCK & CO. INC. 0509K / - - / -

Administered by: Other       Purchased by: Other
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 18APR85 Titer-pos Rubella; 13JUL92 Titer-<1:5 Rubella;
CDC Split Type: WAES92070646

Write-up: pt recvd rubella FEB1985 & on 18APR85 lab eval showed pos test for antibodies to rubella virus; on 13JUL92 pt was re-tested; @ that time rubella titer was less than 1:5;


VAERS ID: 49159 (history)  
Age: 30.0  
Gender: Female  
Location: California  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1992-12-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RUB: RUBELLA (MERUVAX II) / MERCK & CO. INC. - / - - / -

Administered by: Other       Purchased by: Other
Symptoms: Condition aggravated
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Prednisone, Hydrocortisone
Current Illness:
Preexisting Conditions: bowel disease, allergy azulfidine
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92090635

Write-up: pt recvd vax & 2 wks following vax pts irritable bowel disease exacerbated;


VAERS ID: 47861 (history)  
Age: 30.0  
Gender: Male  
Location: New York  
Vaccinated:1992-10-14
Onset:1992-11-03
   Days after vaccination:20
Submitted: 1992-11-10
   Days after onset:7
Entered: 1992-12-09
   Days after submission:29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1960T / - LA / SC

Administered by: Other       Purchased by: Public
Symptoms: Arthropathy, Osteoarthritis
SMQs:, Arthritis (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: NYS92068

Write-up: pt called 5NOV92 to report 1-2 days of migratory, swollen, stiff wrist, ankles, knees; later seen by MD who felt vax reaction; tx Pred & Naproxen


VAERS ID: 48151 (history)  
Age: 30.0  
Gender: Female  
Location: D.C.  
Vaccinated:1992-11-12
Onset:1992-11-13
   Days after vaccination:1
Submitted: 1992-12-01
   Days after onset:18
Entered: 1992-12-17
   Days after submission:16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA (USP) / PFIZER/WYETH - / - - / -

Administered by: Other       Purchased by: Other
Symptoms: Amblyopia, CSF test abnormal, Diplopia, Headache, Intracranial pressure increased, Neuropathy, Nuchal rigidity, Pyrexia
SMQs:, Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Optic nerve disorders (broad), Ocular motility disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Procardia
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: CSF cells (0-3/cum)-15/25; CSF Protein (20-45) 46/54; CSF glucose (50-100) NL/NL on 26NOV92 & 29NOV92
CDC Split Type: 892337001E

Write-up: pt recvd Cholera vax on12NOV92 & w/in 24 hrs exp double vision, blurred vision, h/a, fever, stiff neck; pt was hospitalized; LP demonstrated signs of infection; cont w/blurred & double vision;


VAERS ID: 48350 (history)  
Age: 30.0  
Gender: Female  
Location: Georgia  
Vaccinated:1992-06-24
Onset:1992-06-26
   Days after vaccination:2
Submitted: 1992-07-06
   Days after onset:10
Entered: 1992-12-23
   Days after submission:170
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0012V / - RA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 1K31145 / - LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Pain, Skin nodule
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: GA92143

Write-up: pt states that knots appeared under rt & lt arms & also pain in ring finger of lt hand about 2-3 days p/vax; no fever; pt instructed to see MD;


VAERS ID: 48408 (history)  
Age: 30.0  
Gender: Female  
Location: Georgia  
Vaccinated:1992-10-06
Onset:1992-10-06
   Days after vaccination:0
Submitted: 1992-10-08
   Days after onset:2
Entered: 1992-12-23
   Days after submission:76
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 328908 / 0 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema, Myalgia, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Synthoid
Current Illness: NONE
Preexisting Conditions: thyroid-MS-asthma
Diagnostic Lab Data:
CDC Split Type: GA92203

Write-up: pt recvd vax & that evening there was swelling & redness over entire upper arm; had muscle pain & unable to move arm w/o pain; as of 9OCT92 has alot of redness & arm still very painful;


VAERS ID: 48423 (history)  
Age: 30.0  
Gender: Female  
Location: Georgia  
Vaccinated:1992-10-23
Onset:1992-10-24
   Days after vaccination:1
Submitted: 1992-10-27
   Days after onset:3
Entered: 1992-12-23
   Days after submission:57
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0262V / 2 RA / SC

Administered by: Public       Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site pain, Myalgia, Neck pain, Pain, Skin nodule, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergic to Floccin IV drip
Diagnostic Lab Data:
CDC Split Type: GA92218

Write-up: co-worker noticed rt arm was very red on Sat PM approx 2 cm; stated arm was very sore; redness cont down arm & devel knot on inner forearm approx 1 cm; arm was very hot to the touch & was painful even up into neck & shoulder;


VAERS ID: 48706 (history)  
Age: 30.0  
Gender: Female  
Location: Idaho  
Vaccinated:1992-12-02
Onset:1992-12-03
   Days after vaccination:1
Submitted: 1992-12-07
   Days after onset:4
Entered: 1993-01-05
   Days after submission:29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928231 / 2 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site pain, Oedema peripheral, Vasodilatation
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: Oral contraceptives
Current Illness: NONE
Preexisting Conditions: erythromycin
Diagnostic Lab Data: NONE
CDC Split Type: ID92080

Write-up: arm swelling from shoulder to fingers (lt) required removing rings; throbbing, inc heat @ site & red bump @ site; elevated arm & applied cold packs; able to use arm & hands;


VAERS ID: 49212 (history)  
Age: 30.0  
Gender: Male  
Location: California  
Vaccinated:1992-11-17
Onset:1992-11-20
   Days after vaccination:3
Submitted: 1992-11-20
   Days after onset:0
Entered: 1993-01-21
   Days after submission:62
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928219 / - LA / -

Administered by: Public       Purchased by: Public
Symptoms: Condition aggravated, Ear disorder, Face oedema, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: sinus problems
Diagnostic Lab Data:
CDC Split Type: CA92170

Write-up: 20NOV woke up w/puffiness around the eyes, scratchiness in ear "sinus probably"; has had sinus problems itchy spots on both arms; advised to see MD for resp problems & worsening of present sx;


VAERS ID: 49482 (history)  
Age: 30.0  
Gender: Male  
Location: North Carolina  
Vaccinated:1992-11-04
Onset:1992-11-11
   Days after vaccination:7
Submitted: 1993-01-08
   Days after onset:58
Entered: 1993-01-28
   Days after submission:20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1014V / 1 RA / IM

Administered by: Public       Purchased by: Public
Symptoms: Arthralgia
SMQs:, Arthritis (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NNE
Diagnostic Lab Data:
CDC Split Type: NC93001

Write-up: 2 mo ago 4NOV92 had vax & 1 wk later devel pain in rt shoulder joint; pain is worse when sleeping or lying down; treated w/Naprosyn x 4 days;


VAERS ID: 49671 (history)  
Age: 30.0  
Gender: Female  
Location: New York  
Vaccinated:1992-11-11
Onset:1992-11-14
   Days after vaccination:3
Submitted: 1992-12-21
   Days after onset:37
Entered: 1993-01-29
   Days after submission:39
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RAB: RABIES (IMOVAX) / PASTEUR MERIEUX INST. G0588 / 2 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Injection site pain, Neck pain, Pain, Pyrexia, Serum sickness
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: CO4548

Write-up: pain radiating to shoulder to hand from inject site into neck; pt called again on 18NOV w/internal burning in bronchi & wheals in bronchi; t101 for 5 days which is resolving; seen by MD who told pt was serum sickness;


VAERS ID: 50091 (history)  
Age: 30.0  
Gender: Female  
Location: California  
Vaccinated:1992-09-28
Onset:1992-10-03
   Days after vaccination:5
Submitted: 1992-10-09
   Days after onset:6
Entered: 1993-02-18
   Days after submission:132
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928206 / 4 LA / IM

Administered by: Military       Purchased by: Military
Symptoms: Asthenia, Bilirubinuria, Blood alkaline phosphatase increased, Blood lactate dehydrogenase increased, Hepatitis, Hepatosplenomegaly, Leukopenia, Thrombocytopenia
SMQs:, Liver related investigations, signs and symptoms (narrow), Hepatitis, non-infectious (narrow), Haematopoietic leukopenia (narrow), Haematopoietic thrombocytopenia (narrow), Systemic lupus erythematosus (broad), Biliary system related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp general flu like @ 27 y/o w/flu #1;~ ()~~~In patient
Other Medications: oral contraceptives
Current Illness: NONE
Preexisting Conditions: pt recvd Hep B vax in 1989 w/documented antibody titers; has 4 prev flu vax & had flu-like sx following vax @ age 27;
Diagnostic Lab Data: Alkaline Phosphatase-312; AST-382; ALT-144; LDH-476; urine bilirubin pos; WBC 1,900; platelets-40,000; hep A neg; Hep B neg;
CDC Split Type: 892294001E

Write-up: pt recvd flu vax & devel myalgia, dark urine (bilirubinuria), h/a, abdo pains, fever, fatigue 7 hepatosplenomegaly; sx peaked about 10 days p/vax;


VAERS ID: 50175 (history)  
Age: 30.0  
Gender: Female  
Location: Florida  
Vaccinated:1992-11-04
Onset:1992-11-05
   Days after vaccination:1
Submitted: 1992-11-09
   Days after onset:4
Entered: 1993-02-18
   Days after submission:101
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928233 / 0 - / IM A

Administered by: Private       Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: 892328021K

Write-up: pt recvd flu vax & devel an area of erythema & edema 1 1/2" in diameter 2 days later;


VAERS ID: 50247 (history)  
Age: 30.0  
Gender: Female  
Location: Georgia  
Vaccinated:1992-12-21
Onset:1992-12-27
   Days after vaccination:6
Submitted: 1993-01-12
   Days after onset:16
Entered: 1993-02-22
   Days after submission:41
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 055 / - RA / SC

Administered by: Public       Purchased by: Public
Symptoms: Myasthenic syndrome, Oedema peripheral, Pain, Paraesthesia
SMQs:, Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (broad), Malignancy related conditions (narrow), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: GA93012

Write-up: pt recvd MMR vax & exp numbness from elbow to wrist w/tingling & tightness of inner aspect of lower arm;


VAERS ID: 50630 (history)  
Age: 30.0  
Gender: Female  
Location: Texas  
Vaccinated:1992-01-29
Onset:1992-01-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1993-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1687T / 0 - / -

Administered by: Private       Purchased by: Other
Symptoms: Dizziness, Hyperhidrosis, Injection site hypersensitivity, Injection site oedema
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), Hypersensitivity (narrow), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92020008

Write-up: pt recvd 1st dose of Hep B vax on 29JAN92; pt devel diaphoresis; pt also devel erythema & swelling which extended from the inject site down arm; also lightheaded; tx w/aspirin, DPH & heat app;ications; seen by MD;


VAERS ID: 50653 (history)  
Age: 30.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:1992-02-05
Onset:1992-02-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1993-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1687T / 0 - / -

Administered by: Other       Purchased by: Other
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92020722

Write-up: Pt recvd 1st dose of Hep B vax on 5FEB92 & exp stinging pain @ the site of inject;


VAERS ID: 50706 (history)  
Age: 30.0  
Gender: Female  
Location: Missouri  
Vaccinated:1992-02-19
Onset:1992-02-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1993-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0891T / 0 - / IM

Administered by: Private       Purchased by: Private
Symptoms: Asthenia, Pruritus
SMQs:, Anaphylactic reaction (broad), Guillain-Barre syndrome (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92021361

Write-up: pt recvd 1st dose of Hep B vax on 19FEB92 & exp itching of inject arm from the shoulder to the elbow; also felt tired; 2nd vax recvd w/no adverse reaction;


VAERS ID: 50723 (history)  
Age: 30.0  
Gender: Female  
Location: Illinois  
Vaccinated:1992-03-02
Onset:1992-03-02
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1993-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1687T / 0 - / -

Administered by: Other       Purchased by: Other
Symptoms: Diarrhoea, Myalgia, Nausea, Pain, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92030368

Write-up: pt recvd 1st Hep B vax on 2MAR92 & immed exp arm pain w/radiation & a tingling sensation down into finger tips; tingling sensation subsided & devel into an aching arm; next day exp nausea & diarrhea but had no fever;


VAERS ID: 50931 (history)  
Age: 30.0  
Gender: Female  
Location: Tennessee  
Vaccinated:1991-10-01
Onset:1991-10-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1993-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 0 - / -

Administered by: Other       Purchased by: Other
Symptoms: Arthritis, Back pain, Osteoarthritis, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Arthritis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92040086

Write-up: Pt recvd 1st dose of vax in OCT91 & w/in a few days pt devel arthritic-type pains, inflamed joints, back pain & fever;


VAERS ID: 50935 (history)  
Age: 30.0  
Gender: Female  
Location: Nebraska  
Vaccinated:1991-10-01
Onset:1991-10-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1993-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Arthritis
SMQs:, Systemic lupus erythematosus (broad), Arthritis (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: pt exp joint troubles @ 30 yrs w/Recombivax #1 dose;~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92040766

Write-up: Pt recvd 1st dose of vax SEP91 & devel generalized joint troubles w/in 1 to 2 wks of vax; seen by MD who stated had arthritis; Pt had same rxn w/2nd & 3rd doses of vax;


VAERS ID: 50990 (history)  
Age: 30.0  
Gender: Female  
Location: Kentucky  
Vaccinated:1992-04-14
Onset:1992-04-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1993-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / IM

Administered by: Private       Purchased by: Private
Symptoms: Oedema, Pruritus, Rash, Rash maculo-papular
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92040651

Write-up: Pt recvd 1st dose of Hep B vax on 12MAR92 & 14APR92 recvd 2nd dose; There was no concomitant med; 2 hrs p/vax devel generalized pruritic rash as erythematous & edematous; papules scattered over entire body;


VAERS ID: 51002 (history)  
Age: 30.0  
Gender: Female  
Location: Kentucky  
Vaccinated:1992-04-01
Onset:1992-04-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1993-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Hypersensitivity, Injection site hypersensitivity, Pruritus
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Pt exp soreness @ inject site @ 30 yrs old w/Recombivax #1 dose;~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92040925

Write-up: Pt recvd 2nd dose of vax & shortly thereafter pt exp welts & itching localized to the arm where vax was given; MD felt that was having allergic reaction;


VAERS ID: 51005 (history)  
Age: 30.0  
Gender: Male  
Location: New York  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1993-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92040929

Write-up: Pt recvd 2nd dose of vax & devel a localized swelling of the arm which began w/in 24 hrs of inject & lasted for a couple of days; rxn was characterized primarily as localized erythema;


VAERS ID: 51010 (history)  
Age: 30.0  
Gender: Female  
Location: North Carolina  
Vaccinated:1992-04-27
Onset:1992-04-27
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1993-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal pain, Injection site pain, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92050026

Write-up: Pt recvd Hep B vax on 27APR92 & on the evening of vax pt exp severe abdo cramps, vomiting, sore arm @ the inject site; pt recovered; No further details were provided;


VAERS ID: 51041 (history)  
Age: 30.0  
Gender: Female  
Location: Virginia  
Vaccinated:1991-12-01
Onset:1991-12-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1993-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 0 - / -

Administered by: Other       Purchased by: Other
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92050483

Write-up: Pt recvd 1st dose of Hep B vax approx DEC91; approx 30 mins to an hr following vax devel hives; No further details were provided;


VAERS ID: 51144 (history)  
Age: 30.0  
Gender: Female  
Location: Minnesota  
Vaccinated:1992-05-18
Onset:1992-05-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1993-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0429V / 0 - / -

Administered by: Other       Purchased by: Other
Symptoms: Chills, Diarrhoea, Hyperhidrosis, Nausea
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: allerest
Current Illness:
Preexisting Conditions: sinus problem
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92060061

Write-up: Pt recvd vax on 18MAY92 & pt felt perfectly well until that evening when took allerest; w/in a few ins pt became cold & clammy & said that teeth chattered; also devel nausea & diarrhea;


VAERS ID: 51189 (history)  
Age: 30.0  
Gender: Female  
Location: Maryland  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1993-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0409V / 0 - / -

Administered by: Other       Purchased by: Other
Symptoms: Dyspepsia, Headache
SMQs:, Gastrointestinal nonspecific dysfunction (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92060415

Write-up: Pt recvd 1st dose of vax & 48 hrs later exp severe gastrointestinal upset & a h/a;


VAERS ID: 51223 (history)  
Age: 30.0  
Gender: Male  
Location: California  
Vaccinated:1992-06-03
Onset:1992-06-08
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 1993-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0521V / 0 - / IM

Administered by: Other       Purchased by: Private
Symptoms: Arthralgia, Condition aggravated, Diarrhoea, Melaena, Pyrexia
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: flu-like illness
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92060677

Write-up: Pt recvd vax on 3JUN92 & on 8JUN92 pt devel sudden onset of flu-like sx, including diarrhea w/black stools, feverish feeling, & aching in joints;


VAERS ID: 51297 (history)  
Age: 30.0  
Gender: Male  
Location: California  
Vaccinated:1992-06-03
Onset:1992-06-05
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 1993-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0521V / 3 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Arthralgia, Diarrhoea, Vasodilatation
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: flu-like illness
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92060753

Write-up: Pt recvd vax & 36 hrs p/vax had sudden onset of diarrhea & achiness in joints; felt feverish but had no fever; sx lasted for several days; no further details were provided;


VAERS ID: 51335 (history)  
Age: 30.0  
Gender: Male  
Location: Nevada  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1993-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 0 - / -

Administered by: Other       Purchased by: Other
Symptoms: Tinnitus
SMQs:, Hearing impairment (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: no relevant data;
CDC Split Type: WAES92060949

Write-up: Pt recvd vax & had tinnitus; pt seen by MD who was unable to determine the etiology of sx & recvd no treatment;


VAERS ID: 51355 (history)  
Age: 30.0  
Gender: Female  
Location: Kentucky  
Vaccinated:1992-06-22
Onset:1992-06-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1993-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / - - / -

Administered by: Public       Purchased by: Public
Symptoms: Anxiety, Chest pain, Dyspnoea, Hypothyroidism, Influenza, Palpitations, Paraesthesia, Tachycardia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypothyroidism (narrow), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92070239

Write-up: Pt recvd vax on 22JUN92 w/in 15 mins of vax pt exp heart palpitations w/heart rate of 120 beats/min, chest pain, dyspnea, flu-like sx, paresthesia, feeling of impending doom; dx hypothyroidism;


VAERS ID: 51470 (history)  
Age: 30.0  
Gender: Male  
Location: Pennsylvania  
Vaccinated:1992-07-29
Onset:1992-07-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1993-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0755V / 0 - / -

Administered by: Other       Purchased by: Other
Symptoms: Asthenia, Dizziness, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Antihistamine, nos
Current Illness:
Preexisting Conditions: allergy, molds; allergies;
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92071104

Write-up: Pt recvd Hep B vax on 29JUL92 & several hrs later, devel lightheadedness, weakness, tiredness, & nausea; sx persisted for approx 24 hrs, then remitted;


VAERS ID: 51503 (history)  
Age: 30.0  
Gender: Male  
Location: Pennsylvania  
Vaccinated:1992-07-27
Onset:1992-07-27
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1993-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1953T / 0 - / IM

Administered by: Private       Purchased by: Private
Symptoms: Anorexia, Delirium, Headache, Hyperhidrosis, Influenza,