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Found 593491 cases in entire database

Case Details (Sorted by Age)

This is page 409 out of 594

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VAERS ID:277780 (history)  Vaccinated:2007-04-29
Age:32.0  Onset:2007-04-30, Days after vaccination: 1
Gender:Female  Submitted:2007-05-02, Days after onset: 2
Location:Texas  Entered:2007-05-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)UNKNOWN MANUFACTURER30011600PO 
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Diarrhoea, Flushing, Nausea
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad), Arthritis (broad), Noninfectious diarrhoea (narrow)
Write-up: Presented post two doses of oral typhoid. 128/90 76 18 98.7States she has had flushing, intemittent diarrhea, nausea and joint pain. Has not noticed and blood in stool. Instructed to discontinue the rest of the tablets.

VAERS ID:277785 (history)  Vaccinated:2007-04-25
Age:32.0  Onset:2007-04-26, Days after vaccination: 1
Gender:Female  Submitted:2007-05-02, Days after onset: 6
Location:Colorado  Entered:2007-05-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Flu~Influenza (unknown mfr)~NULL~31~In Patient
Other Medications:
Current Illness: None
Preexisting Conditions: Sensitive to Codiene
Diagnostic Lab Data: Throat culture (Strep)
CDC Split Type:
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TDAP: TDAP (ADACEL)AVENTIS PASTEURC2631AA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Chills, Culture throat negative, Dizziness, Headache, Influenza, Muscular weakness, Pain in extremity, Pharyngolaryngeal pain
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad)
Write-up: At 2:00am on 4/26/07 patient woke up with a severe sore throat. She experienced chills and pain in lower extremities(legs). She did not take temp so unsure if she had fever. When she woke up later in am she felt like she had the flu. She experienced dizziness, headache and weakness in her legs. Called Dr. on 4/28/07 because she was not getting any better. Dr. could not see her that day so patient made an appointment for Mon 4/30/07. At that point in time, still had some weakness in her legs and patient still felt very bad. Dr. proceeded to do a strep culture on her. The strep culture came back negitive. Patient still complaining of slight headache as of today,but most of the other symptoms have subsided. Patients denies of ever having symptoms like this prior to a vaccination. Patient states that in 2003 she was given a Tetnus-Diptheria only, and the only side effect she had was a sore arm.

VAERS ID:277825 (history)  Vaccinated:2007-04-05
Age:32.0  Onset:2007-04-05, Days after vaccination: 0
Gender:Male  Submitted:2007-04-10, Days after onset: 5
Location:Unknown  Entered:2007-05-03, Days after submission: 23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
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TD: TETANUS DIPHTHERIA (NO BRAND NAME)AVENTIS PASTEUR  IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Arm swollen, red and hard at injection site x 4 days. Antibiotics for 7 days begun on 4/9/07

VAERS ID:277944 (history)  Vaccinated:2007-03-26
Age:32.0  Onset:2007-04-14, Days after vaccination: 19
Gender:Female  Submitted:2007-04-26, Days after onset: 12
Location:New York  Entered:2007-05-04, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: Seasonal allergies (spring and fall)
Diagnostic Lab Data: copy of my laboratory varicella zoster IgG test is enclosed
CDC Split Type:
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VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 0SCUN
Administered by: Public     Purchased by: Other
Symptoms: Blood immunoglobulin G, Rash generalised, Rash papular, Vaccination failure, Varicella
SMQs:, Anaphylactic reaction (broad), Lack of efficacy/effect (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: I got vaccine 3/26/07. On 4/14/07 I notice 3 pimples on my right shoulder. By 4/17/07 there was 2 on my shoulder blade on the 4/18/07 it was all over my back and on my right forehead one under my right nose and one on my left eyebrow. I went to emergency room on 4/20/07. By this time the first outbreaks were getting scabs.

VAERS ID:277945 (history)  Vaccinated:2007-04-27
Age:32.0  Onset:2007-04-28, Days after vaccination: 1
Gender:Female  Submitted:2007-05-04, Days after onset: 6
Location:D.C.  Entered:2007-05-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: NKDA
Diagnostic Lab Data: none
CDC Split Type:
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV1064  
Administered by: Military     Purchased by: Military
Symptoms: Condition aggravated, Fatigue, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth, Pathological fracture, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Osteoporosis/osteopenia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Felt a little tired on Friday 4/27/07 with a little redness over vaccine site on left triceps area. On Saturday, 4/28/07, woke up feeling fine, but after a couple hours, she felt really tired (like she worked a double shift) and felt feverish (did not check temperature; no sweats or chills). She noted that the back of her left arm was red, swollen, tender, warm and pruritic. This worsened a little on Sunday (redness, warmth, swelling and tenderness extended to left elbow). She also noted 2 days of intense aching at old Right tib-fib fracture site (This normally only occurs with significant weather changes and there were no significant weather changes over the week-end.) No other systemic symptoms. By Monday, the local reaction was improving (area smaller with less pruritus). Takes Mobic q day. By Tuesday, 5/1/07, there was an area of about 1'' in diameter of redness, induration, tenderness and increased warmth. Pruritus reported as minimal.

VAERS ID:278144 (history)  Vaccinated:2007-04-20
Age:32.0  Onset:2007-04-27, Days after vaccination: 7
Gender:Male  Submitted:2007-05-08, Days after onset: 11
Location:Unknown  Entered:2007-05-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: On going eval for microhematuria, hx
Diagnostic Lab Data: Negative/normal CSF studies, WBC 9.9, CK 94, ESR 10, AST 27, Alt 14, Normal respiratory rate, normal BP
CDC Split Type:
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SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH40200760 LA
Administered by: Military     Purchased by: Military
Symptoms: Alanine aminotransferase normal, Arthralgia, Aspartate aminotransferase normal, Blood creatine phosphokinase normal, Blood pressure normal, CSF test normal, Eye pain, Headache, Lymph node pain, Lymphadenopathy, Myalgia, Pyrexia, Rash papular, Rash pustular, Red blood cell sedimentation rate normal, Respiratory rate, White blood cell count
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Glaucoma (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)
Write-up: Onset headaches and constitutional sx post vaccine day #7 with gradual escalation in arthralgia, mostly cervical region - associated with fever to 100.4, ocular pain with normal visual acuity. <20 papulopustular lesion on face, trunk, extremities, marked axillary, not generalized, lymphadenopathy. 05/15/2007 TC from reporter MD in Japan. Wanted to clarify pt''s status to VAERS. MD reports pt did have a rxn to Smallpox (less than 20 lesions and constitution sx.- H/A, fever, tender axillary lymphadenopathy, myalgias) however, the subsequent hospitalization was likely unnecessary per MD. Facility did not have ability to do an LP for dx of H/A symptoms, so pt was transported and hospitalized. Hospitalization was due to spinal H/A 2'' to LP and development of "Redman Syndrome" due to rapid infusion of abx (Vanc, Gent, and Ceftrax). MD reports pt has fully recovered. MD will try to get records or will write a case summary and submit. 05/22/2007 Case summary received from MD/reporter in lieu of medical records which will be difficult to obtain as they are in a Japanese facility. Submitted as "Other Correspondence" for scanning.

VAERS ID:278153 (history)  Vaccinated:2006-11-03
Age:32.0  Onset:2006-11-07, Days after vaccination: 4
Gender:Female  Submitted:2006-11-07, Days after onset: 0
Location:Arizona  Entered:2007-05-08, Days after submission: 181
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: vomiting~Diphtheria Toxoids (no brand name)~5~7~In Sibling
Other Medications: Amocicillin, Albuterol, MDl, Armour Thyroid
Current Illness: Vaginitis, Sinusitis
Preexisting Conditions: Hypothyroidism; Allergic to Cipro
Diagnostic Lab Data: negative; afebrile
CDC Split Type:
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR02165PA0 RA
Administered by: Private     Purchased by: Private
Symptoms: Body temperature, Dizziness, Fall, Head injury, Headache, Hypoaesthesia, Injection site anaesthesia, Laboratory test normal, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)
Write-up: Numbness down (R) arm to hand. Felt "woozy" in the car; passed out after returning home, fell on floor; was unconscious for 2 hrs. Developed H/A, knot on her head. Took Advil, better next day.

VAERS ID:278349 (history)  Vaccinated:2007-05-06
Age:32.0  Onset:2007-05-06, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:Utah  Entered:2007-05-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC Split Type:
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ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1050SCUN
Administered by: Military     Purchased by: Military
Symptoms: Cold sweat, Eye disorder, Hyperhidrosis, Skin discolouration, Syncope, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Corneal disorders (broad), Retinal disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Write-up: Pinpoint eyes, sweating, clamy, skin discoloration, vomiting, fainting occurred within 10 min. of vaccination

VAERS ID:278444 (history)  Vaccinated:2007-04-25
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:2007-05-11
Location:Idaho  Entered:2007-05-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
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ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1030SCRA
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH40200760IDLA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURZ06642IMRA
Administered by: Military     Purchased by: Military
Symptoms: Chills, Fatigue, Nausea, Pruritus, Swelling
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: SM presented on 5/11/07 with c/o smallpox reaction. Had smallpox vaccination on 4/25/07. First noted chills and fatigue then noted an increase in swelling, itching, fatigue, and nausea. Instructed to continue to monitor symptoms, educated on proper care of site and symptoms.

VAERS ID:278512 (history)  Vaccinated:2007-05-02
Age:32.0  Onset:2007-05-03, Days after vaccination: 1
Gender:Female  Submitted:2007-05-07, Days after onset: 4
Location:North Dakota  Entered:2007-05-14, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
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Manufacturer
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TDAP: TDAP (ADACEL)SANOFI PASTEURC2610AA0IMLA
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Injection site induration, Injection site warmth, Pain, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt received Adacel about 900 am - woke up that night around 0130am with fever of 102.5F and body/joint aches. These symptoms lasted 48 hrs. She took ibuprofen to help decrease fever. Injection site was also warm to touch and hard - although today (5/7/07) this has resolved but arm is still sore.

VAERS ID:278712 (history)  Vaccinated:2007-04-26
Age:32.0  Onset:2007-04-26, Days after vaccination: 0
Gender:Female  Submitted:2007-05-11, Days after onset: 15
Location:Unknown  Entered:2007-05-16, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: multivitamins, birth control pills, claritin
Current Illness:
Preexisting Conditions: biaxin allergy
Diagnostic Lab Data: none
CDC Split Type:
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HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB115CA0SCRA
Administered by: Private     Purchased by: Private
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Hives on torso and extremity approximately 4 hours after receiving 1st Havrix. Called her doctor (was traveling Thursday) and took by mouth Benadryl. Symptoms lasted 2 days but rash was still noticeable for 10 days.

VAERS ID:279330 (history)  Vaccinated:2007-05-15
Age:32.0  Onset:2007-05-15, Days after vaccination: 0
Gender:Male  Submitted:2007-05-19, Days after onset: 4
Location:Unknown  Entered:2007-05-21, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
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ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1021SCRA
Administered by: Military     Purchased by: Military
Symptoms: Arthralgia, Patellofemoral pain syndrome
SMQs:, Arthritis (narrow)
Write-up: Pain in both knees was minor with the first dose and got worse with the second dose. Patient given 500mg Naproxen BOD, ice bilateral. Dx: Patellofemoral pain syndrome.

VAERS ID:279293 (history)  Vaccinated:2004-03-12
Age:32.0  Onset:2004-03-13, Days after vaccination: 1
Gender:Male  Submitted:2007-05-22, Days after onset: 1164
Location:Texas  Entered:2007-05-22
Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: PMH: Migraines and R arm pain. Appendectomy. Bullet extraction R leg. Allergies: PCN.
Diagnostic Lab Data: Migraine diagnosis after the shots. Labs and Diagnostics: MRI brain (12/19/06)-Unremarkable. ECG 6/06-normal. Stress Test 4/20/2007 (-) for exercise induced ischemia.
CDC Split Type:
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ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV0822IMLA
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURERUNKNOWN3IMRA
Administered by: Military     Purchased by: Military
Symptoms: Migraine, Skin disorder
SMQs:
Write-up: Migraine diagnosis after the shots. Possible skin condition not diagnosis yet but making the studies at the clinic. Initial OV on 6/13/2006 for c/o migraines. PE: WNL. DX. Migraine. Episode of chest pain 2/2007. Cardiac eval WNL. Difficulty managing stress. Assessment: Anxiety, Atypical chest pain, hyperlipidemia, migraine. C/o shoulder pain 4/4/07. DX: muscle spasm.

VAERS ID:279328 (history)  Vaccinated:2007-02-13
Age:32.0  Onset:2007-02-13, Days after vaccination: 0
Gender:Female  Submitted:2007-05-22, Days after onset: 97
Location:Unknown  Entered:2007-05-23, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Intra-uterine death
Diagnostic Lab Data: ultrasound 11/13/06 - fetal leiometry for size and dates, ultrasound 01/13/07 - adequate fetal growth since last ultrasound, fetal anatomy appears to be normal, ultrasound 04/13/07 - decreased fetal movements, threatened preterm labor, biophysical profile 8/8, AFI 20.5 cm, S/D 2.71, ultrasound 04/23/07 - adequate fetal growth since ultrasound AFI 12.1 cm, serum alpha-fetoprotein 12/04/06 negat
CDC Split Type: WAES0702USA02398
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HPV4: HPV (GARDASIL)MERCK & CO. INC.1427F0  
Administered by: Other     Purchased by: Other
Symptoms: Alpha 1 foetoprotein, Drug exposure during pregnancy, Foetal movements decreased, Inappropriate schedule of drug administration, Intra-uterine death, Medication error, Ultrasound scan abnormal, Ultrasound scan normal, Umbilical cord abnormality
SMQs:, Malignancy related therapeutic and diagnostic procedures (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow), Termination of pregnancy and risk of abortion (narrow), Medication errors (narrow)
Write-up: Information has been received from a physician through a manufacturer pregnancy registry concerning a 32 year old female with a history of 5 pregnancies and 4 live births (one fetal loss at 16-20 weeks) who on 13-FEB-2007 was vaccinated with the first dose of Gardasil (lot #655619/1427F). Concomitant medication was not reported. On 13-NOV-2006, an ultrasound was performed results reported were fetal leiometry which corresponds the size and dates. On 04-DEC-2006, serum alpha-fetoprotein test was performed results were negative. On 13-FEB-2007, after the patient was vaccinated with Gardasil, the physician found out that the patient was pregnant. The physician reported that the pregnancy was normal to date. Follow-up information has been received from a physician. On 13-JAN-2007, an ultrasound performed showed adequate fetal growth since last sonography and fetal anatomy appears to be normal. On 13-APR-2007, an ultrasound performed showed biophysical profile 8/8, AFI 20.5 cm, S/D ratio 2.71, cervical length 4.44cm. On 23-APR-2007, an ultrasound performed showed adequate fetal growth since last ultrasound AFI 12.1 cm. On 24-APR-2007, the patient was diagnosed with intrauterine fetal demise and a female infant was delivered on 26-APR-2007 at 06:40, 3.235 kg. The placenta and cord were sent to pathology with no pathological diagnosis. Autopsy was refused. Clinically fetal death was due to cord accident, long umbilical cord, around body once and legs twice. Upon internal review, intrauterine fetal demise and umbilical cord complication were considered to be other important medical events. Additional ifnormation is not expected.

VAERS ID:279608 (history)  Vaccinated:2007-05-10
Age:32.0  Onset:2007-05-11, Days after vaccination: 1
Gender:Male  Submitted:2007-05-18, Days after onset: 7
Location:Ohio  Entered:2007-05-24, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Gent, Florgaine, Dacroise, Proparcium
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
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TD: TD ADSORBED (NO BRAND NAME)SANOFI PASTEURU1944CA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Redness, swelling and pain at inj site (L) deltoid.

VAERS ID:279612 (history)  Vaccinated:2007-05-09
Age:32.0  Onset:2007-05-09, Days after vaccination: 0
Gender:Female  Submitted:2007-05-12, Days after onset: 3
Location:Unknown  Entered:2007-05-24, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
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ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1090SCRA
Administered by: Military     Purchased by: Military
Symptoms: Chills, Cold sweat, Headache, Injection site erythema, Injection site warmth, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: Patient developed fever, cold sweats, chills, and headaches the night after receiving anthrax vaccine in the morning. Presented 2 cm erythematous, warm, mildly raised lesion at the site of injection.

VAERS ID:280602 (history)  Vaccinated:2006-04-21
Age:32.0  Onset:2006-05-08, Days after vaccination: 17
Gender:Female  Submitted:2007-05-16, Days after onset: 373
Location:New Jersey  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: penicillin allergy, Sulfonamide allergy
Diagnostic Lab Data: none
CDC Split Type: WAES0605USA01450
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Rash papular, Rash vesicular, Skin lesion
SMQs:, Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a physician concerning a 32 year old white female, with allergies to amoxicillin and sulfa, who "two weeks ago" on 21 Apr 2006, was vaccinated (route unknown) with a first dose of Varivax. There was no illness at the time of vaccination. The physician reported that the patient was vaccinated at another practice two weeks ago and on 08 May 2006 she developed a vesiculopapular rash with about 10-15 lesions on her trunk and arms. It was noted that the patient had no fever. The patient''s status was reported as not recovered. Unspecified medical attention was sought, but no treatment was required at this time. Additional information has been requested.

VAERS ID:280735 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:2006-05-01
Gender:Female  Submitted:2007-05-16, Days after onset: 380
Location:Missouri  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: serum varicella zoster 05/01?/06 - Negative.
CDC Split Type: WAES0605USA04654
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Antibody test negative
SMQs:
Write-up: Information has been received from a physician concerning a 32-year-old female who about 10 years ago, in approximately 1996, was vaccinated with a dose of Varivax. Subsequently, the patient recently underwent a titer that did not show seroconversion. Unspecified medical attention was sought. No outcome was reported. No product quality complaint was involved. Additional information has been requested.

VAERS ID:281601 (history)  Vaccinated:2006-09-27
Age:32.0  Onset:2006-10-09, Days after vaccination: 12
Gender:Female  Submitted:2007-05-16, Days after onset: 219
Location:Unknown  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamins (unspecified)
Current Illness: Cholesterol high; Penicillin allergy; Drug hypersensitivity; Prenatal care
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type: WAES0610USA08364
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  SCUN
Administered by: Other     Purchased by: Other
Symptoms: Pruritus, Rash vesicular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received form a 23 year old female physician with hypercholesterolemia, and allergies to penicillin and cephalosporin, who "about 2 weeks" prior to the report, on approximately 27-SEP-2006 was vaccinated SC with one dose of Varivax. Concomitant therapy included prenatal vitamins, though she reported that she is not pregnant. On 09-OCT-2006, the patient developed 20 vesicular, itchy lesions on her body. Medical attention was sought. It was reported that lab studies were not performed at the time of the report but that varicella titers were measured twice and negative for antibodies prior to vaccination. No further details were available. There was no product quality complaint involved. Additional information has been requested.

VAERS ID:281638 (history)  Vaccinated:2006-10-02
Age:32.0  Onset:2006-10-16, Days after vaccination: 14
Gender:Male  Submitted:2007-05-16, Days after onset: 212
Location:California  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: LOTENSIN
Current Illness: Hypertension, obesity, borderline diabetes
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0610USA12563
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0265F SCUN
Administered by: Private     Purchased by: Other
Symptoms: Pyrexia, Rash, Rash pustular
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a physician concerning a 32 year old male, with hypertension, obesity, and possible diabetes, who on 02-OCT-2006, at 2:16 pm, was vaccinated with a 0.5 ml subcutaneous dose in the left of Varivax (Lot# 652806/0265F). Concomitant therapy included LOTENSIN. On 16-OCT-2006 the patient developed a pustule and a rash on his face and chest. It was noted that the reporter did not consider the event to be a breakthrough of varicella but a rash. Unspecified medical attention was sought. No product quality complaint was involved. No other information was provided. Follow-up information from a physician indicated that on 16-OCT-2006 the patient developed a fever and a varicella-like eruption on the face and chest. The reporter considered the patient''s fever and varicella-like eruption to be disabling. Additional information has been requested.

VAERS ID:280283 (history)  Vaccinated:2007-04-19
Age:32.0  Onset:2007-04-19, Days after vaccination: 0
Gender:Female  Submitted:2007-05-29, Days after onset: 40
Location:Michigan  Entered:2007-06-04, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothroid 150 mcg once qd Celexa 40 mg once qd
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2610AA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Musculoskeletal pain
SMQs:, Rhabdomyolysis/myopathy (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Since injection (L) deltoid, pt experiencing shoulder/elbow pain. Treatment:now given Medrol dosepack

VAERS ID:280455 (history)  Vaccinated:2007-05-29
Age:32.0  Onset:2007-05-29, Days after vaccination: 0
Gender:Female  Submitted:2007-05-31, Days after onset: 2
Location:Nebraska  Entered:2007-06-05, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Public     Purchased by: Private
Symptoms: Arthropod bite, Injection site erythema, Injection site mass, Injection site pain, Injection site rash, Injection site warmth, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 5/29 Approx 1900 began to have a welt about size of .25 piece. Painful at site, throbbing pain-no itching, hot to touch, raised, red. Throughout evening became bigger-approx 2"x 2" with hand center. Right arm 4/20 sam symptoms as above-very painful 4-5 period. Left arm on 5/31 (L) arm still has knot and is painful to touch. Thought it was a spider bite

VAERS ID:280466 (history)  Vaccinated:2007-04-07
Age:32.0  Onset:2007-04-07, Days after vaccination: 0
Gender:Female  Submitted:2007-04-13, Days after onset: 6
Location:Arizona  Entered:2007-06-05, Days after submission: 53
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Donor denies taking any medications
Current Illness: Donor denies illness
Preexisting Conditions: None reported by donor.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)SANOFI PASTEURZ090511IMLA
Administered by: Other     Purchased by: Private
Symptoms: Rash erythematous
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Donor c/o red rash on left upper arm that began in the evening after receiving a second rabies Imovax vaccine. Donor presented to ZLB Plasma center 4/11/07 with a red pinpoint rash on left upper arm. Consulted Dr with regards to this. Donor denied any other symptoms. Donor deferred from rabies program for her safety.

VAERS ID:280675 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:2007-06-05
Location:Unknown  Entered:2007-06-06, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0705USA04418
Vaccination
Manufacturer
Lot
Dose
Route
Site
MU: MUMPS (MUMPSVAX II)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Convulsion, Lymphadenopathy, Testicular pain
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: Information has been received from a male consumer, concerning himself, with no medical history or allergies, who "as a child" was vaccinated with a dose of Mumpsvax. There were no concomitant medication. It was reported that the patient experienced two seizures, "one about six years ago and one about four days ago, date approximate". Prior to the seizures, it was reported that "there was pain in his testis". Recently, he has had "what may be gland swelling in his neck". No lab diagnostic studies were performed. No medical attention was sought. No product quality complaint was involved. The patients'' adverse events were considered to be other important medical events. Additional information has been requested.

VAERS ID:281182 (history)  Vaccinated:2002-12-10
Age:32.0  Onset:2004-02-14, Days after vaccination: 431
Gender:Male  Submitted:2007-06-11, Days after onset: 1212
Location:Kentucky  Entered:2007-06-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: x ray, ekg,blood samples,mri
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURERFAV 0646IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Amnesia, Arthralgia, Back pain, Dry throat, Headache, Pruritus, Sleep disorder, Sperm count decreased, Vision blurred, X-ray
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalopathy/delirium (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Fertility disorders (narrow), Hypersensitivity (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: blurry vision,headaches,lack of sleep,pain in joints,lower back pain,itchy skin,dry throat,memory loss.low sperm count.

VAERS ID:281675 (history)  Vaccinated:2003-10-12
Age:32.0  Onset:2003-10-13, Days after vaccination: 1
Gender:Male  Submitted:2007-06-12, Days after onset: 1338
Location:Unknown  Entered:2007-06-14, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: See clinical summary
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURER 2  
Administered by: Military     Purchased by: Military
Symptoms: Erythema, Local reaction, Pain, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Described a large local reaction after receiving his second anthrax vaccine dose (from shoulder to below elbow. Went on sick call and was told it was normal. No numbness or tingling. Swelling and redness noted within first 24 hours after vaccine receipt and resolved within 5 days. Pain was rated as 2/10 using pain scale of 0 (=no pain) and 10 (=worst pain ever experienced).

VAERS ID:281713 (history)  Vaccinated:2007-06-11
Age:32.0  Onset:2007-06-12, Days after vaccination: 1
Gender:Female  Submitted:2007-06-14, Days after onset: 2
Location:Missouri  Entered:2007-06-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lotrel 10/20mg daily and Nexium 20mg daily
Current Illness: None
Preexisting Conditions: Hypertension and Reflux. Patient had no known drug allergies.
Diagnostic Lab Data: None at present.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
YF: YELLOW FEVER (YF-VAX)SANOFI PASTEURUF057AA0SCLA
Administered by: Private     Purchased by: Private
Symptoms: Feeling cold, Feeling hot, Injection site erythema, Injection site swelling, Injection site warmth, Nausea
SMQs:, Acute pancreatitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: EVENT: Patient called the office on 06/14/2007, stating that starting on the afternoon of 06/12/2007, she felt like the inside of her body would get really hot and then it would cool off and then she gets nauseated. She states that this happens intermittantly and only last for about 10 minutes. She also noticed that the injection site was red and puffy and was warm to the touch. TREATMENT: Instructed patient to take Tylenol and Benadryl OTC as directed. If her symptoms continued or became worse - or if she developed any fever or neurological symptoms, i.e. confusion, dizzyness, to return to the clinic or go to the ER immediately.

VAERS ID:284534 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:2006-11-15
Gender:Female  Submitted:2007-06-14, Days after onset: 210
Location:New York  Entered:2007-06-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA05721
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 2IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Inappropriate schedule of drug administration, Injected limb mobility decreased, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Medication errors (narrow)
Write-up: Information has been received from a physician concerning a 32 year old female who on 15-NOV-2006 was vaccinated with the first dose Gardasil 0.5 ml IM. On an unspecified date the patient received the second dose Gardasil. On 16-MAY-2007 the patient received the third dose of Gardasil 0.5 ml IM. On 17-MAY-2007 the patient experienced pain, swelling and tenderness at the injection site of the right deltoid muscle. The physician also mentioned that the patient had trouble lifting her arm due to pain. The physician prescribed ibuprofen (Motrin). The patient was examined by the physician on 05-21-2007 and the symptoms were resolving. Additional information has been requested.

VAERS ID:282796 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:2007-06-18
Location:Puerto Rico  Entered:2007-06-25, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Military     Purchased by: Military
Symptoms: Arthralgia, Migraine
SMQs:, Arthritis (broad)
Write-up: 1. Frequently migraines 2. Joint pain especially on elbows, knees and heels.

VAERS ID:282937 (history)  Vaccinated:2007-06-08
Age:32.0  Onset:2007-06-09, Days after vaccination: 1
Gender:Female  Submitted:2007-06-27, Days after onset: 18
Location:Illinois  Entered:2007-06-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Motrin, Tylenol, Naproxen
Current Illness: None
Preexisting Conditions: Environmental allergies, Arthritis, Carpal Tunnel Syndrome, Migraines, Partial knee replacement. records received 8/1/07-PMX migraines and anxiety disorder.
Diagnostic Lab Data: HIV testing, EBV & CMV serology, Lumbar puncture, Epstein-Barr, West Nile. records received 8/1/07-MRI and MRA of head negative. CSF fluid analysis noncontributory. Positive HIV ELISA antibody but western blot negative. Patient''s only posi
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2731AA0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Chills, Cytomegalovirus serology, Epstein-Barr virus antibody positive, HIV antibody positive, Headache, Immunology test, Lumbar puncture, Malaise, Nausea, Neck pain, Nitrite urine present, Nuclear magnetic resonance imaging normal, Pain, Pyrexia, Viral infection, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Sick for 2 weeks, chill with fever 102.6, body aches, vomitting, nausea, headaches and neck pain. Hospitalized for testing. 7/5/07-consultation report received for DOS 6/21/07-Reason for consultation:possible viral infection, possible meningitis. Seen while in hospital. PMX: arthritis and migraine. Two to 3 days after vaccine began having headaches, severe body aches, nausea and chills with fever running from 99-101. Generalized weakness. Neck pain. Two days prior to admission fever 103. Some nausea. Impression: Viral syndrome, including west nile virus, epstein barr virus or cytomegalovirus. 8/1/07-records received for DOS 6/21-6/27/07- DC DX: Viral Syndrome. C/O intermittent fever, persistent headaches, severe generalized body aches with weakness for 2 weeks which were gradually getting worse.

VAERS ID:284627 (history)  Vaccinated:2006-10-27
Age:32.0  Onset:2006-10-28, Days after vaccination: 1
Gender:Female  Submitted:2007-06-15, Days after onset: 230
Location:California  Entered:2007-06-29, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC Split Type: A0647499A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA216AA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: This case was reported by a consumer and described the occurrence of swelling injection site in a 32-year-old female subject who was vaccinated with Fluarix, GlaxoSmithKline for prophylaxis. A physician or other health care professional has not verified this report. On 27 October 2006 at 10:00 the subject received unspecified dose of Fluarix intramuscularly in the left arm. On 28 October 2006, 1 day after vaccination with Fluarix, the subject experienced swelling injection site and a heat sensation at injection site. A few days later, the subject developed injection site pruritus. The subject also reported some injection site pain. She treated the symptoms at the site with Tylenol and a heating pad with improvement. At the time of reporting the events were resolved.

VAERS ID:283567 (history)  Vaccinated:2007-05-24
Age:32.0  Onset:2007-05-25, Days after vaccination: 1
Gender:Female  Submitted:2007-06-20, Days after onset: 26
Location:D.C.  Entered:2007-07-02, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Penicillin allergy, atopic dermatitis history
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1050 LA
Administered by: Military     Purchased by: Military
Symptoms: Arthralgia, Disorientation, Dizziness, Mass
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (broad), Arthritis (broad), Hypoglycaemia (broad)
Write-up: For over two weeks after vaccine 1 suffered from dizziness, disorientation, hot and cold sweats, joint pain and had a lump in my arm. These are not acceptable side effects.

VAERS ID:283879 (history)  Vaccinated:2007-06-12
Age:32.0  Onset:2007-06-13, Days after vaccination: 1
Gender:Male  Submitted:2007-06-29, Days after onset: 16
Location:Virginia  Entered:2007-07-05, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: laceration
Preexisting Conditions: Allergic to shellfish
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Private     Purchased by: Private
Symptoms: Decreased appetite, Diarrhoea, Dizziness, Fatigue, Headache, Hypoaesthesia, Pain, Pain in extremity, Pyrexia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: diarrhea, fever, numb arm, body aches, headache lightheadedness, decreased appetite, throbbing arm pain, pain when grips anything, fatigue

VAERS ID:284112 (history)  Vaccinated:2007-07-05
Age:32.0  Onset:2007-07-07, Days after vaccination: 2
Gender:Male  Submitted:2007-07-09, Days after onset: 2
Location:Nevada  Entered:2007-07-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1050IMRA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURZ11020IMLA
Administered by: Military     Purchased by: Military
Symptoms: Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: Muscle aches 2 days after injection lasted entire day.

VAERS ID:285422 (history)  Vaccinated:2007-04-24
Age:32.0  Onset:2007-04-24, Days after vaccination: 0
Gender:Female  Submitted:2007-10-08, Days after onset: 167
Location:Texas  Entered:2007-07-18, Days after submission: 82
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0706USA02293
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0136U0IMUN
Administered by: Private     Purchased by: Other
Symptoms: Choking, Inappropriate schedule of drug administration, Pharyngeal oedema
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Hypersensitivity (narrow), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a health professional concerning a 32 year old female patient with no medical history or allergies who on 24-APR-2007, was vaccinated IM with a first 0.5ml dose of Gardasil (Lot# 654535/0136U). There was no concomitant medication. On 24-APR-2007, the patient developed swelling in her throat and it caused her to choke. Unspecified medical attention was sought. No laboratory diagnostic studies were performed. Subsequently, the patient recovered. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report (s) previously submitted on 7/16/2007. Information has been received from a health professional concerning a 32 year old female patient with no medical history or allergies who on 24-APR-2007, was vaccinated IM with a first 0.5ml dose of Gardasil (Lot# 654535/0136U). There was no concomitant medication. On 24-APR-2007, the patient developed swelling in her throat and it caused her to choke. On an unspecified date, the patient experienced shortness of breath. Unspecified medical attention was sought. No laboratory diagnostic studies were performed. Subsequently, the patient recovered from swelling in her throat and choking. At the time of this report, the patient''s outcome of her shortness of breath was unknown. No product quality complaint was involved. Additional information is not expected.

VAERS ID:285222 (history)  Vaccinated:2007-05-22
Age:32.0  Onset:2007-05-23, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:New York  Entered:2007-07-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ribavirin 200mg III tabs BID, Degasys 180mg SQ every week
Current Illness: HCV+
Preexisting Conditions: Penicillin
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0889F0 LA
Administered by: Other     Purchased by: Other
Symptoms: Hypersensitivity, Injection site erythema, Local reaction
SMQs:, Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 5" X 3" area erythema left upper arm lateral aspect at site of Pneumovax. Rx: Cipro, infirmary admit, Prednisone 20mg BID x 4 days. Diagnosis: local reaction secondary to Pneumovax, allergic reaction. Chart label allergic to Pneumovax. Resolved completely by 6/11/07 followup appointment.

VAERS ID:285286 (history)  Vaccinated:2007-06-22
Age:32.0  Onset:2007-06-29, Days after vaccination: 7
Gender:Female  Submitted:2007-07-19, Days after onset: 20
Location:California  Entered:2007-07-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Doxycyclin
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURUNKNOWN3IMLA
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURERUNKNOWN SCLA
Administered by: Public     Purchased by: Unknown
Symptoms: Arthralgia, Inappropriate schedule of drug administration, Injection site pain, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Medication errors (narrow)
Write-up: Muscle ache at site of injection and sore elbow joint of the injected arm. Symptoms started exactly 1 week after the DTaP vaccine and have lasted for approximately 4 weeks.

VAERS ID:285586 (history)  Vaccinated:2007-06-25
Age:32.0  Onset:2007-06-25, Days after vaccination: 0
Gender:Female  Submitted:2007-07-02, Days after onset: 7
Location:Maryland  Entered:2007-07-23, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: local reaction
Preexisting Conditions: Allergy to PCN and Sulfa drugs
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1062SCRA
Administered by: Military     Purchased by: Military
Symptoms: Erythema, Induration, Tenderness
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 5cm over of induration, tenderness and hurt 12cm area of mild erythema

VAERS ID:285740 (history)  Vaccinated:2007-07-19
Age:32.0  Onset:2007-07-19, Days after vaccination: 0
Gender:Female  Submitted:2007-07-20, Days after onset: 1
Location:Wisconsin  Entered:2007-07-24, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: 7-23/07: Called clinic and spoke with physician. Was told her symptoms were reaction to vaccine. 7-24-07: Feeling better.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2688AA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Body temperature increased, Chills, Dizziness, Feeling cold, Musculoskeletal stiffness, Myalgia, Nausea, Speech disorder, Vaccination complication, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: At 9:45 p.m. client rpts that she became instantly "chilled" and her teeth were chattering so much that she couldn''t even talk. Temp 99. Stiff neck, nausea/vomiting x 4, dizziness. Next day she had extreme myalgia as with influenza. Referred to PMD on 7/23/07.

VAERS ID:286024 (history)  Vaccinated:2007-06-19
Age:32.0  Onset:2007-06-26, Days after vaccination: 7
Gender:Female  Submitted:2007-07-23, Days after onset: 27
Location:Maryland  Entered:2007-07-26, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Molluscum contagiosum
Preexisting Conditions: None
Diagnostic Lab Data: Beta HCGE, HIV negative and normal CBC 6-11-07.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH40200750IDLA
Administered by: Private     Purchased by: Private
Symptoms: Full blood count normal, HIV test negative, Injection site cellulitis, Molluscum contagiosum
SMQs:
Write-up: 1) Cellulitis around vaccinia site, treated and resolved with Z-Pack. 2) Concurrent molluscum contagiosum conformed by dermatologist.

VAERS ID:286060 (history)  Vaccinated:2007-07-09
Age:32.0  Onset:2007-07-18, Days after vaccination: 9
Gender:Male  Submitted:2007-07-18, Days after onset: 0
Location:New Jersey  Entered:2007-07-26, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: N/A Given antibiotic Keflex
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH4020076  LA
Administered by: Military     Purchased by: Military
Symptoms: Erythema, Injection site erythema, Skin warm
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Has redness extending from edges of smallpox site across chest about 9 inches, warm, red.

VAERS ID:286223 (history)  Vaccinated:2007-07-18
Age:32.0  Onset:2007-07-19, Days after vaccination: 1
Gender:Female  Submitted:2007-07-26, Days after onset: 7
Location:Massachusetts  Entered:2007-07-30, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)MASS. PUB HLTH BIOL LAB1080IMLA
Administered by: Public     Purchased by: Private
Symptoms: Chills, Dizziness, Erythema, Feeling hot, Headache, Hyperhidrosis, Local reaction, Nausea, Pain in extremity, Swelling, Tremor
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: Localized reaction first - arm red, swollen, very painful. Took Tylenol 3 hours later - became very warm, shaking, chills, diaphoretic, frontal head-ache, nausea and dizziness. Tylenol - 325mg q pills q 4-6 hours PRN, Benadryl 25-50mg q 4-6 hours PRN.

VAERS ID:286228 (history)  Vaccinated:2007-07-06
Age:32.0  Onset:2007-07-07, Days after vaccination: 1
Gender:Female  Submitted:2007-07-30, Days after onset: 23
Location:New York  Entered:2007-07-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: None
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB412AA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Rash, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Patient developed itchy rash within 24 hours of receiving vaccine. Rash stared on arms and spread to face and stomach. No fever or other clinical symptoms

VAERS ID:286393 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:2007-07-31
Location:Oregon  Entered:2007-07-31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSC2690AA0IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Joint swelling, Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: developed fever and severely swollen lymph glands in same side of vaccine, further develoepd to same side swelling in knee 8 days later

VAERS ID:286552 (history)  Vaccinated:2007-07-27
Age:32.0  Onset:2007-07-27, Days after vaccination: 0
Gender:Female  Submitted:2007-07-31, Days after onset: 4
Location:Iowa  Entered:2007-08-02, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Pt states she had a rash in the past from contrast prior to CT scan
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB080AA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Fatigue, Pruritus, Rash papular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt noticed small pimple like bumps just below jaw the evening of 7/27/07. She states they are itchy at times. When the rash started to spread down her neck on 7/31/07 she called me to report it. She denies SOB and c/o fatigue as only other symptom. Advised Benadryl. 8/2/07 Rash spread to arms and legs, but Benadryl seemed to help.

VAERS ID:287223 (history)  Vaccinated:2006-11-19
Age:32.0  Onset:2006-11-21, Days after vaccination: 2
Gender:Male  Submitted:2007-07-30, Days after onset: 250
Location:Unknown  Entered:2007-08-02, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol; FLONASE; SINGULAIR
Current Illness: Asthma; Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES0611USA06995
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0899F IMUN
Administered by: Other     Purchased by: Other
Symptoms: Chills, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypoglycaemia (broad)
Write-up: Information has been received from a physician concerning a 32 year old male with asthma, ULTRACET and tramadol allergy who on 19-NOV-2006 was vaccinated with Pneumovax 23 (lot #651437/0899f), 0.5 ml, once, IM. Concomitant therapy included montelukast sodium (MSD), albuterol and FLONASE. On 21-NOV-2006, the patient developed pain, redness, warmth and 15 cm swelling at injection site two days after receiving Pneumovax 23. On 21-NOV-2006, the patient sought medical attention, was examined and was prescribed ice compress and non-steroidal anti-inflammatory drugs (NSAIDs). On 22-NOV-2006, the patient reported taking chills but did not check his temperature. On 27-NOV-2006, the patient was re-examined which revealed improvement of swelling but the redness continued. Additional information has been requested.

VAERS ID:287236 (history)  Vaccinated:2006-11-25
Age:32.0  Onset:2006-11-25, Days after vaccination: 0
Gender:Female  Submitted:2007-07-30, Days after onset: 246
Location:Idaho  Entered:2007-08-02, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0612USA00400
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURERAFLUA239AA SCRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0749F0SCLA
Administered by: Other     Purchased by: Private
Symptoms: Cellulitis, Haematoma, Injection site erythema, Injection site streaking, Injection site swelling, Staphylococcal infection
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Initial and follow up information has been received from a pharmacist concerning a 32 year old female with no medical history who on 25-NOV-2006 was vaccinated with a first dose of Pneumovax 23 SC into the left deltoid (Lot # 655054/0749F). Concomitant therapy included a dose of influenza virus vaccine (unspecified) (lot # AFLUA239AA) administered into the other arm (SC right deltoid) at the same visit (no reaction noted). On approximately 26-NOV-2006 the patient developed a circular red area and swelling around the injection site (left deltoid) the day after vaccination. The patient was told to take TYLENOL but the red area spread to a streak (8 to 10 inch line) that extended down her arm. The patient went to a local urgent care clinic where the physician assistant treating her told her "it was a staph infection from the Pneumovax 23" and prescribed an oral antibiotic. She was diagnosed with cellulitis and it was reported "given her history and presence of a hematoma this is most likely due to her pneumonia shot injection." The patient had recovered on an unknown date. The pharmacist confirmed proper aseptic vaccination technique was used. No product quality complaint was involved. A lot check was requested. The records of testing prior to release of the lot in question have been rechecked and found to be satisfactory. The lot complies with the standards of the agency and was released. Additional information is not expected.

VAERS ID:287433 (history)  Vaccinated:2006-12-16
Age:32.0  Onset:2006-12-17, Days after vaccination: 1
Gender:Female  Submitted:2007-07-30, Days after onset: 224
Location:Unknown  Entered:2007-08-02, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Asthma
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0612USA03034
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Asthma
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad)
Write-up: Information has been received via a physician''s assistant concerning a 32 year old female with asthma who on 16-DEC-2006 was vaccinated with a 0.5 mL dose of Pneumovax 23. On 17-DEC-2006 the patient developed cellulitis to her arm and presented to the emergency department. At the time of this report, the experience was still being treated and the outcome was unknown. Additional information has been requested.

VAERS ID:286587 (history)  Vaccinated:2007-07-25
Age:32.0  Onset:2007-07-27, Days after vaccination: 2
Gender:Female  Submitted:2007-08-03, Days after onset: 7
Location:Unknown  Entered:2007-08-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV108 SCRA
Administered by: Military     Purchased by: Military
Symptoms: Injection site cellulitis
SMQs:
Write-up: Two days post anthrax virus vaccine administration, patient presented with cellulitis at injection site. He was given dicloxacillin 250mg QID for 7 days and symptoms resolved.

VAERS ID:286845 (history)  Vaccinated:2007-02-26
Age:32.0  Onset:2007-03-01, Days after vaccination: 3
Gender:Female  Submitted:2007-07-03, Days after onset: 123
Location:Unknown  Entered:2007-08-06, Days after submission: 34
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Topamax, Neurontin, Covera-HS, Caltrate, Thorazine, Lexapro, Bethanechol, Verapamil, Ambien, Xanax, Diflucan, Pepcid
Current Illness:
Preexisting Conditions: MS, questionable allergy to Ativan, migraine HA, anxiety, urinary retention, neuropathic pain lower extremities
Diagnostic Lab Data: 3/1/07 WBC = 26.9; Blood cult - neg; MRI + localized cellulitis and/or inflammatory
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1004F IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Blood culture negative, Chills, Influenza like illness, Injection site cellulitis, Injection site erythema, Injection site nodule, Injection site pain, Nausea, Nuclear magnetic resonance imaging abnormal, Rash macular, Vomiting, White blood cell count increased
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt returned to ED 4 days after receiving Pneumovax 23 c/o flu like symptoms (N/V/chills) and pain 10/10 at injection with blotchy reddened area....cellulitis nodule noted at site of injection. Admit Abx and pain control

VAERS ID:287342 (history)  Vaccinated:2007-08-07
Age:32.0  Onset:2007-08-07, Days after vaccination: 0
Gender:Female  Submitted:2007-08-08, Days after onset: 1
Location:Texas  Entered:2007-08-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0762U1IMLA
Administered by: Public     Purchased by: Public
Symptoms: Dizziness, Tachycardia, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 3 hours after she received a adult Hepatitis B shot she broke out in hives, was dizzy and had tachycardia (however patient did not take her pulse). The usual screening quesitons had been answered including the one about yeast. She indicated that she felt fine and had no allergies. After getting the shot she eat at a restaurant and had catfish, oysters and potatoes. She took 25 mg of Benadryl and it went away. Today, which is the day after, she is fine.

VAERS ID:287597 (history)  Vaccinated:2003-12-12
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:2007-07-25
Location:Puerto Rico  Entered:2007-08-09, Days after submission: 15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV0813UNUN
Administered by: Military     Purchased by: Other
Symptoms: Arthralgia, Back pain, Memory impairment, Muscle spasms, Myalgia, Tachycardia, Weight increased
SMQs:, Rhabdomyolysis/myopathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Dystonia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Cramps leg, Weight gain, Tachycardia, pain on joints and muscles, Back Pain, Memory increase in forgetfulness

VAERS ID:287831 (history)  Vaccinated:2007-07-30
Age:32.0  Onset:2007-08-10, Days after vaccination: 11
Gender:Male  Submitted:2007-08-11, Days after onset: 1
Location:Mississippi  Entered:2007-08-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: Allergy: amoxicillin - rash by history. PMH: none noted. Allergies: Amoxil.
Diagnostic Lab Data: 8/11 CSF - normal so far. Urine drug screen - neg. 8/10- head MRI and chest x-ray negative/normal. Per neurology- NCS not suggestive of GBS. Labs and Diagnostics: CRP 24.9. CBC WNL. CMP (-). LP with CSF WNL. CXR normal. CT brain unremarkable. EKG unremarkable. EMG unremarkable. MRI brain unremarkable.
CDC Split Type:
Vaccination
Manufacturer
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Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURERUNKNOWN1UNLA
SMALL: SMALLPOX (NO BRAND NAME)UNKNOWN MANUFACTURERUNKNOWN0IDLA
Administered by: Military     Purchased by: Military
Symptoms: Arthralgia, Asthenia, C-reactive protein increased, CSF test normal, Chest X-ray normal, Chills, Computerised tomogram normal, Drug screen negative, Electrocardiogram normal, Electromyogram normal, Erythema, Full blood count normal, Grip strength decreased, Hyperreflexia, Hypoaesthesia, Immunisation reaction, Injection site discolouration, Injection site reaction, Laboratory test normal, Muscular weakness, Musculoskeletal stiffness, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal, Pain, Paraesthesia, Pyrexia, Rash, Rash maculo-papular, Scan brain
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 8/9 - red mark from left arm to axilla 8/10 am - fever, chills, aches mostly at knees and ankles, numb all over - now: at fingers and toes only, stiff injection site, red rash at palms - on and off. 8/10 - vaccine site darkish. Hospitalized since 8/10. 09/17/2007 MR received for hospital DOS 8/10-12/2007 with DX of Post Smallpox vaccination reaction without evidence of any subsequent inflammatory demyelinating polyradiculopathy. Pt presented to ER with upper and lower extremity weakness, paresthesias, low grade fever and rash. PE (+) weakness of upper and lower extremities, Palmar grasp decreased bilaterally. DTRs brisk. Motor strength 3/5. Sensor exam with subjective numbness. Circumferential rash at smallpox injection site. Faint macular, papular palmar rash. Pt improved during hospitalization and was D/cd ambulatory with only mild paresthesias.

VAERS ID:288048 (history)  Vaccinated:2007-07-19
Age:32.0  Onset:2007-07-20, Days after vaccination: 1
Gender:Female  Submitted:2007-08-07, Days after onset: 18
Location:North Carolina  Entered:2007-08-14, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Recovered from breast cancer
Diagnostic Lab Data: None
CDC Split Type: NC07083
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2688AA0IMRA
Administered by: Public     Purchased by: Public
Symptoms: Erythema, Swelling, Tenderness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Reports of having redness, swelling, tenderness from right shoulder half way to elbow. Seen in ER 7/21 - given pain med and advised to use ice packs. Report swelling x2 week. Last Td in ER in 2005.

VAERS ID:288580 (history)  Vaccinated:2007-07-03
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:2007-08-21
Location:Michigan  Entered:2007-08-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Office visit for annual exam
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC.0010U0IMRA
HPV4: HPV (GARDASIL)MERCK & CO. INC.0387U0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Inappropriate schedule of drug administration
SMQs:, Medication errors (narrow)
Write-up: HPV administered on 7-3-07, pt is 32 years of age at time of receiving vaccine

VAERS ID:288582 (history)  Vaccinated:2007-05-14
Age:32.0  Onset:2007-05-14, Days after vaccination: 0
Gender:Female  Submitted:2007-08-21, Days after onset: 99
Location:Michigan  Entered:2007-08-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0962F0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Inappropriate schedule of drug administration
SMQs:, Medication errors (narrow)
Write-up: Received HPV vaccine at age 32 years on 5-14-2007 and 7-17-2007. No adverse event.

VAERS ID:289107 (history)  Vaccinated:2007-08-21
Age:32.0  Onset:2007-08-21, Days after vaccination: 0
Gender:Male  Submitted:2007-08-27, Days after onset: 6
Location:Georgia  Entered:2007-08-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none known
Current Illness: none known - ATTENTION!!!!! re: #14 with hep A noted- on entering theinfo I was scrolling under vaccines for an "unknown" to cho
Preexisting Conditions: none known
Diagnostic Lab Data: physical exam only by pcp
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2720AA IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site infection, Injection site pain, Injection site warmth, Local reaction, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt. recieved Tdap in L deltoid on 8/21/2007 - returned to office on 8/24/07 with c/o high fevers ( up to 103-T ) - injection site sl. tender & warm to touch. dx''d as 1- local reaction vs. 2- injection site infection. On f/up call by phone, pt. states much improved w/o completion of abx.

VAERS ID:289111 (history)  Vaccinated:2007-08-22
Age:32.0  Onset:2007-08-24, Days after vaccination: 2
Gender:Female  Submitted:2007-08-27, Days after onset: 3
Location:Oregon  Entered:2007-08-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: Penicillin
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURPMID: 17684130 IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Induration, Pain, Skin warm, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: 8x9 cm of induration, swelling, warmth and pain.

VAERS ID:289240 (history)  Vaccinated:2007-08-08
Age:32.0  Onset:2007-08-12, Days after vaccination: 4
Gender:Male  Submitted:2007-08-28, Days after onset: 16
Location:Arizona  Entered:2007-08-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURERUNK2IDLA
SMALL: SMALLPOX (NO BRAND NAME)UNKNOWN MANUFACTURER40200760IDRA
Administered by: Military     Purchased by: Unknown
Symptoms: Erythema, Paraesthesia, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Sharp tingly sensation on finger tips (very itchy), palm of hand, back of hand, and forearms lasts for about 20 -30 minutes at a time - currently occurs about once to twice a day. ....After initial Vaccination in Iraq July 28, 2003 I experienced the same symptoms with additional redness and rash like appearance immediately after touching anything cold. I was also on Malaria pills at the time but quit and still had those symptoms. Doctors did not know why and did not think it was related to Anthrax vacc. But I am having same symptoms with out the rash.

VAERS ID:289710 (history)  Vaccinated:2007-07-30
Age:32.0  Onset:2007-07-30, Days after vaccination: 0
Gender:Female  Submitted:2007-08-01, Days after onset: 2
Location:Texas  Entered:2007-09-04, Days after submission: 34
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0108U0IMRA
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.0228U SCLA
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Inappropriate schedule of drug administration, Injection site nodule, Nodule, Oedema peripheral, Pain, Skin warm
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Red, swollen area to (L) arm with nodule, 40 x 40 mm, warm to touch, no pain, no fever. Pain began 7/30/07 late evening

VAERS ID:290061 (history)  Vaccinated:2007-08-21
Age:32.0  Onset:2007-08-23, Days after vaccination: 2
Gender:Male  Submitted:2007-08-28, Days after onset: 5
Location:New Jersey  Entered:2007-09-06, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1062 RA
Administered by: Military     Purchased by: Military
Symptoms: Cyst, Pain, Tenderness
SMQs:
Write-up: Cysts like bump on left forearm, tender, hurts when pressed on.

VAERS ID:290418 (history)  Vaccinated:2007-07-27
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:2007-08-30
Location:Michigan  Entered:2007-09-12, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prilosec, Aleve Prn
Current Illness: None
Preexisting Conditions: PCN
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURC2651AA UNLA
Administered by: Private     Purchased by: Private
Symptoms: Gastrointestinal disorder, Injection site erythema, Injection site rash, Injection site warmth, Malaise, Pain in extremity, Wrong drug administered
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Medication errors (narrow)
Write-up: Pt was given Daptacel instead of Adacel. I called pt 8/30/07 to ask how her arm was after 7/27/07 injection. She said it was really sore for a few days. She said the site was red-hot rashy. It is fine now. She did feel sick for a couple days afterward with GI complaints but thought it was from generic Prilosec.

VAERS ID:290852 (history)  Vaccinated:2007-09-04
Age:32.0  Onset:2007-09-04, Days after vaccination: 0
Gender:Male  Submitted:2007-09-04, Days after onset: 0
Location:Oklahoma  Entered:2007-09-18, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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Site
TTOX: TETANUS TOXOID (NO BRAND NAME)SANOFI PASTEURU1856AA0IMRA
Administered by: Other     Purchased by: Private
Symptoms: Cold compress therapy, Dizziness, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: Donor became dizzy and nauseated. Placed donor in supine position, elevated lower extremities bilaterally, applied cold compress. Donor stated he only had bowel of cereal and had smoked a cigarette immediately before vaccination.

VAERS ID:291446 (history)  Vaccinated:2007-07-18
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:2007-08-15
Location:Pennsylvania  Entered:2007-09-20, Days after submission: 36
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tuberculin PPD
Current Illness:
Preexisting Conditions: Allergies-PCN, egg, gluten, diary: Mitral valve prolapse
Diagnostic Lab Data:
CDC Split Type: 200702572
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEUR  UNUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Lymphadenopathy, Malaise, Muscular weakness, Myalgia, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Initial report received from a patient in the USA on 18 July 2007. A 33 year old patient (with a medical history of allergies-PCN, egg, gluten, diary and mitral valve prolapse) complained of "shooting pains in the head and jaw", muscle and joint aches, malaise, lymph node swelling and weakness in legs after she received Adacel (lot number unknown, route and site of administration not reported) and a "TB test" (manufacturer, lot number, route and site administration not reported) "3 weeks ago". She denied any illness at the time of the vaccination. At the time of the report, some symptoms resolved but others persist. She has not been evaluated by a physician and her recovery status was not reported.

VAERS ID:291450 (history)  Vaccinated:2007-05-23
Age:32.0  Onset:2007-05-24, Days after vaccination: 1
Gender:Female  Submitted:2007-07-19, Days after onset: 56
Location:New Jersey  Entered:2007-09-20, Days after submission: 63
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: No known allergies and was 6 weeks post partum. She did not have any illness at the time of vaccination.
Diagnostic Lab Data:
CDC Split Type: 200701976
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2734AA0IMLA
Administered by: Private     Purchased by: Other
Symptoms: Cough, Injection site erythema, Injection site reaction, Injection site urticaria, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)
Write-up: Initial report received from a patient on 29 May 2007. A 32 year old female patient (with a history of no known allergies and was 6 weeks post partum) developed a large red welt around the injection site, 24 hours after she received Adacel (lot number unknown) intramuscularly in the left deltoid on 23 May 2007. She also had muscle aches and repetitive - nonproductive cough that began 5 days post immunization. She did not have any illness at the time of vaccination. At the time of the report, she states the cough subsides during the days and she has the same coughing as her infant. She has not recovered. Follow-up information received on 02 July 2007. Adacel lot number C2734AA was provided. Additional information was not provided.

VAERS ID:291219 (history)  Vaccinated:2007-09-04
Age:32.0  Onset:2007-09-06, Days after vaccination: 2
Gender:Female  Submitted:2007-09-11, Days after onset: 5
Location:South Carolina  Entered:2007-09-24, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB412AA0IMRA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2824AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Headache, Influenza like illness, Injection site erythema, Injection site swelling, Pain, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (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)
Write-up: Whelps, redness, swelling at injection site. HA, body aches, flu-like symptoms.

VAERS ID:291505 (history)  Vaccinated:1999-05-18
Age:32.0  Onset:2005-01-01, Days after vaccination: 2055
Gender:Male  Submitted:2007-09-27, Days after onset: 998
Location:Unknown  Entered:2007-09-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: 08 Jan 07: MRI C-Spine-post op changes consistent with anterior cervical spine fusion and discetomy from C5 through C7. No significant central stenosis or foraminal stenosis. Mild facet arthropathy. 20 Jul 06: MRI L-Spine- bi mild neural foraminal stenosis and ventral canal stenosis at L5-S1 assoc with broad based bulge and disc dessication at this level as well as short pedicies. 07 Jun 06: Bil Knee x-ray-bil narrowing of the medial compartment of the knees with assoc subchondral sclerosis indicating degenerative change. 23 Mar 06: Nerve Conduction Studies: Conclusions: nml study No electrodiagnostic evidence of left cervical radiculopathy. Electromyography is approx 75% sensitive for the diagnosis of cervical radiculopathy. No electrodiag
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURERFAV 048B4UNUN
Administered by: Military     Purchased by: Military
Symptoms: Arthralgia, Arthropathy, Asthenia, Blister, Cervicobrachial syndrome, Diarrhoea, Electromyogram abnormal, Erythema, Influenza like illness, Nerve conduction studies normal, Nuclear magnetic resonance imaging abnormal, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad), Arthritis (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: He has a history of neck, back and knee problems but stated that over the past year "my joints are being attacked". Stated he has been feeling weak and has seen rheumatology but to date he does not have a diagnosis. He received 6 anthrax vaccinations in 1999-2000 and he reported no problems with the vaccines other than slight redness and soreness. He noted anthrax vaccine and was wondering if this is what is responsible for his pain. He stated he has traveled three times. The first time was in 1988in which he reported he got sick and developed blisters all over his upper arms and back. He stated they were like water blisters. This was the only episode and it lasted a couple of days. Since that time he has had flu like symptoms and diarrhea that lasted approx 2 yrs when he eventually had his gallbladder removed because it was rotten. Over the past 1-11/2 years he has been experiencing pain every 3-4 days which affects mostly his knees, ankles, hands and elbows. He occasionally reports muscle soreness but states his joints are mostly affected. The pain will last 30 min to one hr and he states it is almost paralyzing. He reports a deep ache without redness, swelling or pain on movement. Symptom: Joint Pain, multiple joints Start: 2005

VAERS ID:291914 (history)  Vaccinated:2007-09-04
Age:32.0  Onset:2007-09-04, Days after vaccination: 0
Gender:Female  Submitted:2007-09-26, Days after onset: 22
Location:California  Entered:2007-10-02, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC. 0  
Administered by: Private     Purchased by: Private
Symptoms: Eye pain, Fatigue, Heart rate increased, Injection site pain, Insomnia
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Extravasation events (injections, infusions and implants) (broad), Glaucoma (broad)
Write-up: I felt strange about 30 minutes later. Fatigue set in but I was not able to fall asleep without a sleep aid for 3 weeks. My eyes and upper torso felt like they were on fire and my heart rate increased quite a bit. Site of injection very sore, but that''s normal. Never had trouble sleeping before. Still not sleeping.

VAERS ID:292016 (history)  Vaccinated:2007-10-03
Age:32.0  Onset:2007-10-03, Days after vaccination: 0
Gender:Female  Submitted:2007-10-03, Days after onset: 0
Location:Texas  Entered:2007-10-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: n/a
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA305AA1IMLA
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)
Write-up: vaccine admin. at 3:55, at 4:25 patient returned with hives over various areas of the body, at 4:35 administered 50mg diphenhydramine liq per Dr.''s order, rash reduced by 4:55 PM

VAERS ID:292364 (history)  Vaccinated:2003-12-16
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:2007-10-07
Location:Puerto Rico  Entered:2007-10-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSUNKNOWN2IMRA
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETHUNKNOWN0IDRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Amnesia, Arthralgia, Back pain, Headache
SMQs:, Retroperitoneal fibrosis (broad), Dementia (broad), Noninfectious encephalopathy/delirium (broad), Arthritis (broad)
Write-up: joints and back pain. Headaches. Loss of memory

VAERS ID:292635 (history)  Vaccinated:2007-09-18
Age:32.0  Onset:2007-09-19, Days after vaccination: 1
Gender:Female  Submitted:2007-10-10, Days after onset: 21
Location:California  Entered:2007-10-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lo-Orgestral oral contraceptive
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: Doctor visit 10/3, physical examination.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURERUNKNOWN0IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Influenza like illness, Lymphadenopathy, Myalgia, Urticaria, Viral infection
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Muscle/tendon aches in the ankles and wrists, hive-like rash on left wrist, swollen lymph node near injection site, flu-like symptoms. Doctor described it as a ''viral response.''

VAERS ID:292723 (history)  Vaccinated:2007-10-10
Age:32.0  Onset:2007-10-10, Days after vaccination: 0
Gender:Female  Submitted:2007-10-10, Days after onset: 0
Location:California  Entered:2007-10-11, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: felt hot and flushed~Td Adsorbed (no brand name)~~32~In Patient
Other Medications:
Current Illness: None
Preexisting Conditions: Recent allergic reaction to Calamari
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA311AA0IM 
Administered by: Public     Purchased by: Private
Symptoms: Dyspnoea, Throat tightness, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 10-10-07 0030 received Influenza vaccine IM. 0100 - developed hives on arm and shortness of breath. Throat started to close. 0105 - seen in emergency room - 0.3cc (1:1000) Epinephrine SQ given at 0115.

VAERS ID:292747 (history)  Vaccinated:2007-10-08
Age:32.0  Onset:2007-10-09, Days after vaccination: 1
Gender:Female  Submitted:2007-10-11, Days after onset: 2
Location:Washington  Entered:2007-10-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: None~ ()~NULL~~In Patient|None~ ()~NULL~~In Sibling1|None~ ()~NULL~~In Sibling2
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURERNA IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Dizziness, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pain in arm, fever, extreme dizziness on day following vaccination (to the point of almost fainting a few times)

VAERS ID:293131 (history)  Vaccinated:2007-10-09
Age:32.0  Onset:2007-10-09, Days after vaccination: 0
Gender:Female  Submitted:2007-10-15, Days after onset: 6
Location:Colorado  Entered:2007-10-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: PAINFUL AT SITE WITH REDNESS AND SWELLING~Anthrax (no brand name)~2~5.90~In Patient
Other Medications:
Current Illness: RECOVERING FROM VIRAL LUNG INFECTION / BRONCHITIS
Preexisting Conditions: ALLERGIES TO ANIMALS, DUST, POLLEN, MOLD, GRASSES. REACTION TO ESTROGEN DOSES. ASTHMA.
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
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Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURERUNKNOWN2UNRA
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)UNKNOWN MANUFACTURERUNKNOWN1UNLA
Administered by: Military     Purchased by: Unknown
Symptoms: Erythema, Fatigue, Headache, Injection site erythema, Injection site pain, Injection site swelling, Mass, Paraesthesia, Pruritus
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: INITIAL PAINFUL AREA AT SITE WITH REDNESS AND SWELLING LARGER THAN 5 INCHES IN DIAMETER; TINGLING IN HANDS AND FINGERS; SEVERE HEADACHES; UNUSUAL FATIGUE; LATER HARD LUMP APPROX. 3.5 - INCHES IN DIAMETER WITH REDNESS AND ITCHING.

VAERS ID:293296 (history)  Vaccinated:2007-09-04
Age:32.0  Onset:2007-09-04, Days after vaccination: 0
Gender:Female  Submitted:2007-10-16, Days after onset: 42
Location:Illinois  Entered:2007-10-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Solodyn, q day, 30 days po tab
Current Illness: Stated she was tired from the three day weekend.
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB107AA0IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Asthenia, Insomnia, Malaise, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt. states after the first vaccine she began to feel weak and ill approximately 1 hour after getting the vaccine. Later in the day she developed a 102 degree fever. Took Motrin at 8:00 pm, midnight and 4:30 am. She had difficulty sleeping; expereinced unusual dreams. Decided to go to the local ER for treatment; did not see the MD due to length of wait. Returned home by 6:00 am and began feeling better by 7:00 am. Required no additional treatment.

VAERS ID:293452 (history)  Vaccinated:2007-10-06
Age:32.0  Onset:2007-10-07, Days after vaccination: 1
Gender:Female  Submitted:2007-10-08, Days after onset: 1
Location:Texas  Entered:2007-10-17, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prilosec; Tylenol Sinus; Allergy - PRN
Current Illness: None
Preexisting Conditions: seasonal allergies, latex allergies; GERD
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
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Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA280CA IMLA
Administered by: Private     Purchased by: Other
Symptoms: Headache, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: started with a mild headache on 10/7/07 around noon and progressively getting worse toward the end of the day. At around 6:30 PM, headache is worse (splitting/throbbing) and had 2 episodes of vomiting. Have to get home early and not finish work that day. Took ZOFRAN ODT at 7PM vomiting / Took Advil migraine at 7:30 p.m - Headache better at around 12 p.m.

VAERS ID:293535 (history)  Vaccinated:2007-10-17
Age:32.0  Onset:2007-10-17, Days after vaccination: 0
Gender:Female  Submitted:2007-10-18, Days after onset: 1
Location:North Carolina  Entered:2007-10-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Claritin for seasonal allergies, Yaz for birth control
Current Illness: none
Preexisting Conditions: seasonal allergies
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2500AA0IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Chest discomfort, Cough, Dyspnoea, Sensation of foreign body
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)
Write-up: Tightness in chest, coughing, mild difficulty breathing, lump in throat approximately 6.5 hours after immunization. Called employee health nurse line, nurse said to call 911 and take a benadryl, but I did not comply as I did not feel like this was life threatening, opting instead to take two (2) 25mg Benadryl. Symptoms resolved in approximately 1 hour following Benadryl.

VAERS ID:293611 (history)  Vaccinated:2007-10-16
Age:32.0  Onset:2007-10-17, Days after vaccination: 1
Gender:Female  Submitted:2007-10-18, Days after onset: 1
Location:Colorado  Entered:2007-10-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Amitriptyline
Current Illness: None
Preexisting Conditions: Depression
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS79719 IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0993U0UNLA
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Induration, Injection site erythema, Malaise, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Fever 101 beginning day after immunizations. Large area of redness surrounding injection site, worsening. General malaise and myalgias. Area about 11 cm x 8 cm erythema/induration (L) deltoid. Tx: Omnicef 600mg po q day x 10 days. Follow up in 3 days.

VAERS ID:293630 (history)  Vaccinated:2007-10-10
Age:32.0  Onset:2007-10-11, Days after vaccination: 1
Gender:Female  Submitted:2007-10-15, Days after onset: 4
Location:Louisiana  Entered:2007-10-18, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: minor cold: and fever.
Preexisting Conditions: HTN. PCOS
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA031AA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Dyspnoea, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Given on 10-10-07. S/S started 10-11-07 at 0800 S/S - welts, SOB, itching. To ER 10-14-07 RX Prednisone and Benadryl. 10-15-07 "Back to Normal"

VAERS ID:294152 (history)  Vaccinated:2007-09-20
Age:32.0  Onset:2007-09-20, Days after vaccination: 0
Gender:Female  Submitted:2007-10-23, Days after onset: 33
Location:California  Entered:2007-10-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: asthma
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0554U0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Burning sensation, Eye burns, Fatigue, Feeling abnormal, Insomnia, Palpitations
SMQs:, Peripheral neuropathy (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Corneal disorders (broad)
Write-up: About 30 min after vaccine was given, I felt strange, as if my torso and eyes were burning, and it continued into the evening, along with extreme fatigue, which I was told would go away after 48 hours. That night was the first of many I was unable to sleep. My heart raced and the burning sensation continued, as if my chest, or heart, and eyes were on fire. For one month I was unable to fall asleep on my own through the entire night, so that I had to take a sleep aid. I''ve NEVER had trouble sleeping and do not believe the sleep trouble was a coincidence. Then I slept fine for about a week and a half, but it started all over again, this time with the burning sensation not as prevalent. It seems to be slowly disipating, as some nights are better than others.

VAERS ID:294525 (history)  Vaccinated:2007-10-25
Age:32.0  Onset:2007-10-25, Days after vaccination: 0
Gender:Female  Submitted:2007-10-26, Days after onset: 1
Location:Connecticut  Entered:2007-10-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Nortriptyline
Current Illness: Irritable Bowel Syndrome (IBS)
Preexisting Conditions: IBS no known allergies
Diagnostic Lab Data: PSO2 95 to 100% at this site. Unknown hospital testing, if any.
CDC Split Type:
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FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA031AA0IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Dysphagia, Dyspnoea, Heart rate increased, Hypersensitivity, Respiratory rate increased, Similar reaction on previous exposure to drug
SMQs:, Anaphylactic reaction (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), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: First time individual received a flu shot. 1 hour after immunization felt as though she was having trouble swallowing, tried to ignore it. 4 hours after flu shot reports to this facility that she is having trouble breathing. Resp rapid and shallow, pulse rapid. Given Benadryl 50 mg IM and Epinephrine 1:1000 0.3 mg SC with no change in symptoms until ambulance arrival. Transported to ER. Was told that she had an allergic reaction and if she had reported it sooner the Benadryl probably would have taken care of it. Put on Prednisone and given an epi pen for emergency use. Advised to see an allergist to determine actual cause of allergic reaction. Warned that the next exposure could cause a more rapid and more severe reaction.

VAERS ID:294603 (history)  Vaccinated:2007-10-25
Age:32.0  Onset:2007-10-25, Days after vaccination: 0
Gender:Male  Submitted:2007-10-25, Days after onset: 0
Location:California  Entered:2007-10-28, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Blood pressure, blood sugar and EKG were monitored by EMT team. All were okay.
CDC Split Type:
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR42463AA IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Blood glucose normal, Blood pressure normal, Dizziness, Electrocardiogram normal
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)
Write-up: Patient felt like fainting. We called 911. The EMT crew members took the patient''s vital signs. The patient stated he was okay so the EMT crew left without taking him the the hospital

VAERS ID:294713 (history)  Vaccinated:2007-10-18
Age:32.0  Onset:2007-10-18, Days after vaccination: 0
Gender:Female  Submitted:2007-10-19, Days after onset: 1
Location:Kansas  Entered:2007-10-29, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLLA039AA UNRA
Administered by: Public     Purchased by: Private
Symptoms: Musculoskeletal pain, Neck pain, Swelling
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Pt reports swelling and pain that hurts in neck and shoulder blade.

VAERS ID:294740 (history)  Vaccinated:2007-10-09
Age:32.0  Onset:2007-10-11, Days after vaccination: 2
Gender:Female  Submitted:2007-10-19, Days after onset: 8
Location:Idaho  Entered:2007-10-29, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth Control Pills
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data: Blood tests for Gout and R.A.- 4 Panel lab tests. All were negative.
CDC Split Type:
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FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA030AA0UNRA
Administered by: Public     Purchased by: Other
Symptoms: Joint stiffness, Joint swelling, Laboratory test normal, Rheumatoid factor negative, Skin warm
SMQs:, Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: 48 hr following flu vaccine-Both knees began to swell, warm-to-touch, stiff and were difficult to bend. Condition worsened over the next 2 days. 4th day Pt. was seen by physician. Dr. stated lab results indicated only inflammation.

VAERS ID:294844 (history)  Vaccinated:2007-10-29
Age:32.0  Onset:2007-10-29, Days after vaccination: 0
Gender:Female  Submitted:2007-10-30, Days after onset: 1
Location:California  Entered:2007-10-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zovia
Current Illness: none
Preexisting Conditions: allergic rhinitis, anxiety with air travel
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
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FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chest discomfort, Chills, Cough, Dyspnoea, Fatigue, Feeling of body temperature change, Hyperhidrosis, Pain, Urticaria, Wheezing
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: SUBJECTIVE: Patient is a 32 Y female presenting for first visit with provider after transfer of care from Dr. to me with concerns of reaction to flu vaccine. States she received flu vaccine at 1:30pm yesterday at a pharmacy and then she developed symptoms at 10:00pm before bed that involved coughing and dyspnea and chest tightness and wheezing, hives on chest. Took some benadryl and was able to lie down and then felt hot and chilled. NO temp taken but she felt sweaty. Today she feels fatigued and achey. Denies a history of asthma but gets allergies. No recent URI or allergy symptoms the past few days, gets allergies in the spring and summer. No prior adverse events reported. No history of egg allergy. Pt had no symptoms today and appears well so no treatment was given. Attempted to contact the vaccine administrator and was transferred to voice mail where a message was left indicating pt''s name and reaction and my intent to file VAERS report. I do not have any of the information on what brand or lot number was given.

VAERS ID:295036 (history)  Vaccinated:2007-10-16
Age:32.0  Onset:2007-10-29, Days after vaccination: 13
Gender:Male  Submitted:2007-10-31, Days after onset: 2
Location:Massachusetts  Entered:2007-10-31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Eggs and PCN
Diagnostic Lab Data: Pustule exudate culture, awaiting results.
CDC Split Type:
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SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH40200760OTLA
Administered by: Military     Purchased by: Military
Symptoms: Cellulitis, Culture wound, Erythema, Injection site erythema, Injection site nodule, Injection site ulcer, Lymphadenopathy, Pruritus, Skin lesion, Skin warm
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt was seen 06 days after vaccination as per protocols. Pt had normal reaction at this time. Pt came back in at 14 day mark and presented with erythema, pruritis, and satelite lesions. Skin was warm, with eryhtma spreading from vaccine site to axillary area with noted adenoapthy. Pt was afebrile. Nodule at vaccination site is 3 cm, raised, and ulcerated 1 mm at the center, Site is concurrent with that of a major reaction to the smallpox vaccine. Pt dx with cellultis and given 150 mg Clydamycin, take two tabs po qid times 10 days. SIQ for 24 hours. Pt came back on day two and three with marked improvement of the site. Site is healing as per smallpox immunization standards. A culture has been taken, awaiting results.

VAERS ID:295089 (history)  Vaccinated:2007-10-25
Age:32.0  Onset:2007-10-25, Days after vaccination: 0
Gender:Female  Submitted:2007-10-25, Days after onset: 0
Location:Connecticut  Entered:2007-10-31, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Epinephrine shot 0.3 ml SC
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
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Route
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2490AA0UNRA
Administered by: Other     Purchased by: Other
Symptoms: Chest pain, Dyspnoea, Lethargy, Nausea, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypoglycaemia (broad)
Write-up: Patient stated having nausea, vomiting, difficulty breathing, chest pain, lethargy. Pt was given epinephrine shot 0.3 ml SC and sent to ER via ambulance. Pt now Ok. ER nurse stated patient is ok. To be seen by MD and d/c''ed home.

VAERS ID:295419 (history)  Vaccinated:2007-10-15
Age:32.0  Onset:2007-10-16, Days after vaccination: 1
Gender:Female  Submitted:2007-10-22, Days after onset: 6
Location:California  Entered:2007-11-02, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None currently
Current Illness: None
Preexisting Conditions: No chronic conditions. No food allergies. Med allergy - BENADRYL
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
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Dose
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FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA0522AA IMLA
Administered by: Other     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Pain, erythema injection site x 4 days. No treatment.

VAERS ID:295510 (history)  Vaccinated:2007-10-15
Age:32.0  Onset:2007-10-15, Days after vaccination: 0
Gender:Female  Submitted:2007-11-05, Days after onset: 21
Location:South Carolina  Entered:2007-11-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: BCP and vitamins
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: pt given copy of authorization and VIS to take to PMD. SHe will call PMD today for an appt.
CDC Split Type:
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS789940IMLA
Administered by: Public     Purchased by: Public
Symptoms: Injected limb mobility decreased, Myalgia, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: pt states her arm hurt all day after receiving the shot and has progressively gotten worse. States unable to reach arm behind back to fasten bra or lift arm above head. Generalized soreness in muscle. No redness,heat or swelling noticed. Denies having fever since receiving shot.

VAERS ID:295568 (history)  Vaccinated:2007-10-23
Age:32.0  Onset:2007-10-24, Days after vaccination: 1
Gender:Female  Submitted:2007-10-26, Days after onset: 2
Location:Missouri  Entered:2007-11-05, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Omega 3 + vitamin
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2466AA0IMRA
Administered by: Public     Purchased by: Private
Symptoms: Pruritus, Rash maculo-papular, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Dx: urticaria 2 hr flu shot-pt had maculopapular rash on body with pruritus-Doctor visit 10/25/07 Decadron 0.5 mL/2 mg

VAERS ID:295636 (history)  Vaccinated:2007-10-31
Age:32.0  Onset:2007-11-01, Days after vaccination: 1
Gender:Female  Submitted:2007-11-05, Days after onset: 4
Location:Kentucky  Entered:2007-11-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURC2655AA0IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site erythema
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: 1cm diameter area of erythema on left arm, no increased warmth

VAERS ID:296079 (history)  Vaccinated:2007-10-25
Age:32.0  Onset:2007-10-25, Days after vaccination: 0
Gender:Female  Submitted:2007-11-08, Days after onset: 14
Location:Colorado  Entered:2007-11-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: None~ ()~~0~In Patient
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2453AA0IMLA
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Injection site haemorrhage, Injection site swelling, Pain in extremity
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: after shot given arm (at injection site) swelled to size of golf ball and began bleeding. Swelling decreased after several hours - forearm and wrist have pain difficulty rotating wrist very painful - pain continues after 2 weeks.

VAERS ID:296113 (history)  Vaccinated:2007-11-06
Age:32.0  Onset:2007-11-06, Days after vaccination: 0
Gender:Female  Submitted:2007-11-08, Days after onset: 2
Location:Maine  Entered:2007-11-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: N/A
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA051AA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Chills, Dizziness, Fatigue, Influenza like illness, 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), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Received vaccination at am. At 2:30 I begain to feel nauseaous and lightheaded. By 4:30 I was shivering and experiencing muscle aches which progressed to fatigue, fever and general influenza like illness. I took an OTC flue remedy that night. I missed one day of work. Most of symptoms resolved by noon the next day, except for the fatigue which continued for the rest of the day. I am a nurse and have had numerous influenza vaccines (10+) with no previous reported effects.

VAERS ID:299452 (history)  Vaccinated:2006-11-18
Age:32.0  Onset:2006-11-18, Days after vaccination: 0
Gender:Female  Submitted:2006-12-14, Days after onset: 26
Location:Unknown  Entered:2007-11-14, Days after submission: 335
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Allegra D, birth control pills
Current Illness: She did not have any illness at the time of vaccination.
Preexisting Conditions: Allergies antibiotics and seasonal - no egg allergy.
Diagnostic Lab Data:
CDC Split Type: 200603408
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR 0UNRA
Administered by: Private     Purchased by: Unknown
Symptoms: Burning sensation, Chest discomfort, Lymphadenopathy, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Peripheral neuropathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Initial report received from a patient on 06 December 2006. A 32 year old, female patient (with a medical history of seasonal allergies and allergies to antibiotics, but no egg allergy) developed hives around eyes and legs, slight tightness with breathing and her skin on her face felt like burning, on the evening after receiving an injection of Fluzone (lot number unknown, site of administration not reported) in the right deltoid on 18 November 2006. She did not have any illness at the time of vaccination. 4-5 days post dose, she had right axillary lymphadenopathy. Her signs and symptoms resolved in 5 days and the patient recovered.

VAERS ID:296818 (history)  Vaccinated:2007-11-08
Age:32.0  Onset:2007-11-08, Days after vaccination: 0
Gender:Female  Submitted:2007-11-15, Days after onset: 7
Location:Michigan  Entered:2007-11-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: per client none
Preexisting Conditions: allergy to Codeine
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2507AA0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Allergy to animal, Diarrhoea, Feeling hot, Nausea, Pruritus, Stomach discomfort
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 8.45 am Flu vaccine given.10.20 am client felt hot, upset stomach,nausea and diarrhea. 10.45 skin itchy.To Urgent Care Clinic. Apparent testing and notified she was allergic to chicken feathers. Given benadryl and Cortisone plus 3 day supply of same. Told by physician not to have flu shot again.

VAERS ID:296871 (history)  Vaccinated:2007-10-22
Age:32.0  Onset:2007-10-22, Days after vaccination: 0
Gender:Female  Submitted:2007-11-15, Days after onset: 24
Location:Iowa  Entered:2007-11-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: multivitamin daily
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA315AA0IMLA
Administered by: Public     Purchased by: Private
Symptoms: Injection site pain, Muscular weakness, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: Pain in L deltoid (administration site), arm weakness and increased pain when lifting over head, tingling in fingers of left hand in AM which resolves approx 15 minutes after awakening

VAERS ID:300176 (history)  Vaccinated:2007-10-11
Age:32.0  Onset:2007-10-11, Days after vaccination: 0
Gender:Female  Submitted:2007-11-14, Days after onset: 34
Location:Unknown  Entered:2007-11-15, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0710USA02796
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.653650/0640F UNUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Accidental exposure, Medical device complication, Skin burning sensation
SMQs:, Peripheral neuropathy (broad), Medication errors (narrow)
Write-up: Information has been received from a 32 year old female medical assistant concerning herself who on 11-OCT-2007 was preparing a pre-filled syringe to vaccination a patient with GARDASIL vaccine (yeast) (lot #653650/0640F). On 11-OCT-2007 the pre-filled syringe leaked onto medical assistant''s hand. She washed her hands with soap and water but experienced slight burning on her hand with no redness. It was noted that the adverse experience persisted. It was also noted that another employee helping at this time was also splashed in the left eye with the solution (reported in WAES #0710USA03432). No further details were provided. Additional information has been requested.

VAERS ID:297059 (history)  Vaccinated:2007-11-16
Age:32.0  Onset:2007-11-17, Days after vaccination: 1
Gender:Female  Submitted:2007-11-18, Days after onset: 1
Location:Ohio  Entered:2007-11-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: currently taking Effexor XR 225mg/day and Oxcarbazepine 450mg/day
Current Illness: No physical illness at time of vaccine.
Preexisting Conditions: Unless noted, allergic reactions include hives. ALLERGIES: (antibiotics) Pennisillian, Keflex, Erythromianin, Levaquin, Bactrim, Biaxcin, (could be others in this category), Depakote (hair loss), Lithium (tremors), Lexapro, Wellbutrin, and Tree pollen, Peas, and Animal dander.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURERUNKNOWN2UNLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Flu vaccine was voluntarily given by my employer at my work site on Friday, November 16, 2007. On Saturday, November 17, 2007 I awoke to a large red itchy swollen area at the site of the injection (upper left arm) about 7" in diameter. My neck and chest were itchy as well. I treated my symptoms by applying a topical allergy cream. Sunday, November 18, 2007 I am still treating symptoms.

VAERS ID:297383 (history)  Vaccinated:2007-11-20
Age:32.0  Onset:2007-11-20, Days after vaccination: 0
Gender:Female  Submitted:2007-11-20, Days after onset: 0
Location:Wisconsin  Entered:2007-11-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: patient''s usual medications zyrtec,singular,advair, xopenox
Current Illness: asthma, allergic rhinitis
Preexisting Conditions: asthma, allergic rhinitis
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2445AA2IMLA
Administered by: Private     Purchased by: Public
Symptoms: Dyspnoea, Pruritus
SMQs:, Anaphylactic reaction (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: c/o of shortness of breath and itching

VAERS ID:297466 (history)  Vaccinated:2007-01-06
Age:32.0  Onset:2007-11-05, Days after vaccination: 303
Gender:Male  Submitted:2007-11-20, Days after onset: 15
Location:Unknown  Entered:2007-11-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Local swelling~Anthrax (no brand name)~5~32.00~In Patient
Other Medications:
Current Illness: denied
Preexisting Conditions: denied
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURERFAV1585SCUN
Administered by: Military     Purchased by: Military
Symptoms: Erythema, Hypoaesthesia, Injection site swelling, Oedema peripheral, Pain in extremity, Skin warm
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt is a 33 year old who received AVA #6 SC in rt arm on 3 Nov 07 in preparation for upcoming deployment. The following day, other than slight arm soreness he denied any problems On 5 Nov, day 2, he stated he had swelling from the injection site extending down to mid forearm are. The area was red and warm to touch. He also noticed that he had numbness of his whole rt hand. He denied fever, headaches, muscle ache and joint pain. The following day, 6 Nov, he went to the emergency room in which he was given a steroid shot and sent home on oral prednisone for 5 days. The swelling lasted a total of 3 days. Currently, he denies swelling and stated that the feeling in his has has returned to normal. He denied problems with AVA 1-4 but did note problems with AVA #5 in Jan 07. Per records, this shot was given IM In the left arm. The next day he had a golf ball size of localized swelling that looked like a bruise, was red and warm to touch. He reported that the swelling lasted 1-1.5 wks. He denied headache, fever, muscle or joint pain. He does, however, report that at least monthly he will get a recurrent ''bump'' at the injection site that would itch and last for 2 days. He stated that it looks like a mosquito bite. He did seek medical attention but was told it was a bite.

VAERS ID:297472 (history)  Vaccinated:2007-11-14
Age:32.0  Onset:2007-11-14, Days after vaccination: 0
Gender:Female  Submitted:2007-11-16, Days after onset: 2
Location:Pennsylvania  Entered:2007-11-20, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Paxil CR
Current Illness: None
Preexisting Conditions: Anxiety
Diagnostic Lab Data: None at present
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0379U2UNLA
Administered by: Private     Purchased by: Other
Symptoms: Pain in extremity, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad)
Write-up: 1/2 h after receiving vaccine developed pain and primarily "pinpricks" and tingling from top of shoulder to all left fingertips worse with movement.

VAERS ID:297792 (history)  Vaccinated:2007-09-26
Age:32.0  Onset:2007-09-30, Days after vaccination: 4
Gender:Female  Submitted:2007-11-21, Days after onset: 52
Location:Louisiana  Entered:2007-11-26, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2775AA UNRA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain, Injection site swelling, Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Gross swelling and tenderness to (R) arm. Area red decreased inflammation. Arm double in size compared to left. Went to ER, was given po. AB and steroids.

VAERS ID:298013 (history)  Vaccinated:2007-11-28
Age:32.0  Onset:2007-11-28, Days after vaccination: 0
Gender:Female  Submitted:2007-11-28, Days after onset: 0
Location:Georgia  Entered:2007-11-29, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Avalide 300/25mg once per day for hypertension
Current Illness:
Preexisting Conditions: hypertension
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  UNLA
Administered by: Unknown     Purchased by: Private
Symptoms: Blood blister, Chest pain, Chills, Fatigue, Headache, Injection site pain, Injection site swelling, Lymphadenopathy, Pain, Pharyngolaryngeal pain, Pruritus generalised, Pyrexia, Rash, Skin discolouration
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)
Write-up: Pain and swelling at injection site, body aches, headache, low fever (100 F), fatigue, chills, rash on both arms and on chest and on both sides of neck, swollen lymph nodes under arms and on sides of neck, itching all over body, sore throat, and mild chest pains directly over heart. Also, patch of ''blood freckles'' appeared on right shoulder--perhaps it is small rupture of blood vessels showing on the skin? Not sure of medical term for ''blood freckles''. Received the vaccine approximately 8 hours ago.

VAERS ID:298014 (history)  Vaccinated:2007-11-15
Age:32.0  Onset:2007-11-15, Days after vaccination: 0
Gender:Male  Submitted:2007-11-29, Days after onset: 14
Location:Unknown  Entered:2007-11-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: PENICILLIN ALLERGY (ANAPHYLAXIS)
Diagnostic Lab Data: PA AND LATERAL CHEST XRAY: POSSIBLE ATELECTASIS,LUNGS HYPOINFLATED WITH CROWDING OF PULMONARY VASCULATURE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.500485P0IN 
Administered by: Military     Purchased by: Military
Symptoms: Atelectasis, Chest X-ray abnormal, Cough, Dizziness, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (broad)
Write-up: PATIENT RECIEVED INMMUNIZATION AT GROUP FLU INJ SESSION. 50MINS AFER RECEIVING INJECTION AFTER BACK IN BARRACKS FELT SHORT OF BREATH, FAINT, AND HAD COUGH. PT DID NOT SEEK MEDICAL ATTENTION UNTIL 4 DAYS LATER WITH COMPLAINTS OF COUGH. GIVEN ALBUTEROL TX IN CLINIC AND INHALER. 2 DAYS AFTER TX PT STATED THAT THE FELT BETTER. NO HX OF ASTHMA.

VAERS ID:298305 (history)  Vaccinated:2007-12-01
Age:32.0  Onset:2007-12-02, Days after vaccination: 1
Gender:Male  Submitted:2007-12-02, Days after onset: 0
Location:Missouri  Entered:2007-12-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: none~ ()~~0.00~Patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE DISCLOSED
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
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Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1105SCRA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURA02215IMLA
Administered by: Military     Purchased by: Military
Symptoms: Injection site reaction, Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Description by Physician: Localized reaction at injection site. Diffuse swelling right upper arm. No erythema. No loss of function of arm/hand. Symptoms began 24hrs after injection. No medical treatment needed. Advise warm compress to site.

VAERS ID:298979 (history)  Vaccinated:2004-06-19
Age:32.0  Onset:2005-11-01, Days after vaccination: 500
Gender:Male  Submitted:2007-11-28, Days after onset: 757
Location:Virginia  Entered:2007-12-06, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data: MRI of the cervical spine
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURER 2UNUN
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER 0UNUN
YF: YELLOW FEVER (NO BRAND NAME)UNKNOWN MANUFACTURER 1UNUN
Administered by: Military     Purchased by: Military
Symptoms: Hyperglycaemia, Nuclear magnetic resonance imaging, Type 1 diabetes mellitus
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow)
Write-up: Developed hyperglycemia in early Dec 2005. Symptomatic in early 2006 and diagnosed with T1DM in Apr 2006.

VAERS ID:298980 (history)  Vaccinated:2007-11-29
Age:32.0  Onset:2007-11-30, Days after vaccination: 1
Gender:Female  Submitted:2007-12-04, Days after onset: 4
Location:Michigan  Entered:2007-12-06, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS800730IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site reaction, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Developed 2-3 cm local reaction at injection site following day. The rash at side that continued over the body. Tried Benadryl, was given Prednisone at doc. visit.

VAERS ID:299171 (history)  Vaccinated:2007-10-30
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:2007-11-28
Location:Unknown  Entered:2007-12-10, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: + HCG on 13 Nov 2007
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
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FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.500489P IN 
Administered by: Military     Purchased by: Military
Symptoms: Drug exposure during pregnancy, Pregnancy test positive
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: Received Flu Mist on 30 Oct 2007. Did not know she was pregnant.

VAERS ID:299222 (history)  Vaccinated:2007-11-09
Age:32.0  Onset:2007-11-10, Days after vaccination: 1
Gender:Female  Submitted:2007-12-10, Days after onset: 30
Location:Ohio  Entered:2007-12-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Pt had no concurrent illnesses or pre-existing medical.
Diagnostic Lab Data: Bloodwork which was negative
CDC Split Type:
Vaccination
Manufacturer
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TD: TD ADSORBED (NO BRAND NAME)SANOFI PASTEURU1961EA0IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Blood test normal, Dizziness, Headache, Nausea, Pain, Pain in extremity, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Headache, lightheadedness, body aches, arm pain, nausea, fever.

VAERS ID:299286 (history)  Vaccinated:2007-11-30
Age:32.0  Onset:2007-11-30, Days after vaccination: 0
Gender:Female  Submitted:2007-12-04, Days after onset: 4
Location:California  Entered:2007-12-11, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2513AA  LA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0200U  RA
Administered by: Private     Purchased by: Public
Symptoms: Headache, Injection site erythema, Injection site swelling, Malaise, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic 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)
Write-up: Fever to 103. Local redness and swelling at site of injection with pneuovax. Malaise, headache started within 6 hours on injection.

VAERS ID:299365 (history)  Vaccinated:2007-11-26
Age:32.0  Onset:2007-11-27, Days after vaccination: 1
Gender:Female  Submitted:2007-12-12, Days after onset: 15
Location:Georgia  Entered:2007-12-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Nov. 21, became sick, fever, chills, body aches. No coughing, no sneezing, no runny nose.
Preexisting Conditions: n/a
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 0  
Administered by: Private     Purchased by: Unknown
Symptoms: Cough, Increased upper airway secretion, Pharyngolaryngeal pain, Rhinorrhoea
SMQs:, Anaphylactic reaction (broad)
Write-up: Running nose, sore throat, coughing, bright yellowish mucus/ phlegm, from nose and throat.

VAERS ID:300585 (history)  Vaccinated:2007-12-10
Age:32.0  Onset:2007-12-15, Days after vaccination: 5
Gender:Female  Submitted:2007-12-20, Days after onset: 5
Location:California  Entered:2007-12-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1217F IM 
Administered by: Public     Purchased by: Public
Symptoms: Erythema, 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)
Write-up: MMR received on 12/10/2007, on 12-15-07 pt experienced a raised red rash beginning on her forehead-$gneck -$gchest, mild nausea.

VAERS ID:301404 (history)  Vaccinated:2007-09-13
Age:32.0  Onset:2007-09-14, Days after vaccination: 1
Gender:Female  Submitted:2007-09-28, Days after onset: 14
Location:Colorado  Entered:2007-12-26, Days after submission: 89
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 200703203
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2769AA IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Flushing, Headache, Musculoskeletal stiffness, Nausea, Pain
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad), Arthritis (broad)
Write-up: Initial report received from a nurse on 19 September 2007. A 32 year old female patient (with no medical history) developed headache, body aches, stiff neck, nausea and flushed, within 24 hours after she received Adacel (lot number C2769AA) intramuscularly in the left deltoid on 13 September 2007. The patient did not have illness at the time of vaccination. It was reported the symptoms resolved in 24 hours and the patient recovered.

VAERS ID:301923 (history)  Vaccinated:2007-09-20
Age:32.0  Onset:2007-09-20, Days after vaccination: 0
Gender:Female  Submitted:2007-12-21, Days after onset: 92
Location:Virginia  Entered:2007-12-28, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0709USA03446
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.0585U UNUN
Administered by: Other     Purchased by: Other
Symptoms: Wrong drug administered
SMQs:, Medication errors (narrow)
Write-up: Information has been received from a physician and a head nurse concerning a 32 year old female who has never had chicken pox and received her first vaccination with Varivax (Oka/Merck) in August 2007. On 20-SEP-2007 patient presented to the physician''s office for her second dose of Varivax (Oka/Merck) and was inadvertently vaccinated with Zostavax (Oka/Merck) (Lot #657765/0585U). The patient was notified of the mixup and had no side effects from receiving Zostavax (Oka/Merck). It was reported the patient will not be vaccinated again with Varivax (Oka/Merck). Additional information has been requested.

VAERS ID:301475 (history)  Vaccinated:2007-11-07
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:2007-12-21
Location:Unknown  Entered:2008-01-02, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: TMJ, GERD, PPD converter
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV110 SCUN
Administered by: Military     Purchased by: Military
Symptoms: Expired drug administered
SMQs:, Medication errors (narrow)
Write-up: Anthrax lot #FAV110 administered after expired date due to administrative oversight. No adverse reaction at this time. Report submitted per authority direction.

VAERS ID:301487 (history)  Vaccinated:2007-11-07
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:2007-12-21
Location:Unknown  Entered:2008-01-02, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Mediastinal adenopathy, sarcoidosis
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV110 SCUN
Administered by: Military     Purchased by: Military
Symptoms: Expired drug administered
SMQs:, Medication errors (narrow)
Write-up: Anthrax lot #FAV110 administered after expired date due to administrative oversight. No adverse reaction at this time. Report submitted per authority direction.

VAERS ID:301488 (history)  Vaccinated:2007-11-07
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:2007-12-21
Location:Unknown  Entered:2008-01-02, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1105SCUN
Administered by: Military     Purchased by: Military
Symptoms: Expired drug administered
SMQs:, Medication errors (narrow)
Write-up: Anthrax lot #FAV110 administered after expired date due to administrative oversight. No adverse reaction at this time. Report submitted per authority direction.

VAERS ID:301521 (history)  Vaccinated:2007-11-06
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:2007-12-21
Location:Unknown  Entered:2008-01-02, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1101SCUN
Administered by: Military     Purchased by: Military
Symptoms: Expired drug administered, No adverse reaction
SMQs:, Medication errors (narrow)
Write-up: Anthrax Lot # FAV110 administered after expired date due to administrative oversight. No adverse reaction at this time. Report submitted per agency direction.

VAERS ID:301534 (history)  Vaccinated:2007-11-07
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:2007-12-21
Location:Unknown  Entered:2008-01-02, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1104SCUN
Administered by: Military     Purchased by: Military
Symptoms: Expired drug administered
SMQs:, Medication errors (narrow)
Write-up: Anthrax lot #FAV110 administered after expired date due to administrative oversight. No adverse reaction at this time. Report submitted per authority direction.

VAERS ID:301552 (history)  Vaccinated:2007-11-07
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:2007-12-21
Location:Unknown  Entered:2008-01-02, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1104SCUN
Administered by: Military     Purchased by: Military
Symptoms: Expired drug administered, No adverse reaction
SMQs:, Medication errors (narrow)
Write-up: Anthrax Lot # FAV110 administered after expired date due to administrative oversight. No adverse reaction at this time. Report submitted per agency direction.

VAERS ID:301767 (history)  Vaccinated:2008-01-07
Age:32.0  Onset:2008-01-07, Days after vaccination: 0
Gender:Female  Submitted:2008-01-07, Days after onset: 0
Location:Unknown  Entered:2008-01-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: MV
Current Illness: none
Preexisting Conditions: Seasonal allergic rhinitis
Diagnostic Lab Data: 0
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1731SCLA
Administered by: Military     Purchased by: Military
Symptoms: Chills, Dizziness, Nausea, Pyrexia, Tremor, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: Within 20 minutes of vaccine admistration, pt felt lightheadedness, which turned into nausea. Nausea worsen within 1-1 1/2 hours. Pt had 5 episodes of emesis, and feeling shakes, fevers and chills. Pt had similar sxs to prior dose but less severe.

VAERS ID:302789 (history)  Vaccinated:2007-12-22
Age:32.0  Onset:2007-12-22, Days after vaccination: 0
Gender:Female  Submitted:2008-01-11, Days after onset: 20
Location:North Carolina  Entered:2008-01-15, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1500U0SCLA
Administered by: Public     Purchased by: Private
Symptoms: Injection site bruising, Injection site irritation, Injection site pain, Injection site pruritus
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad)
Write-up: 10 days after varicella vaccine client suddenly noticed pain at site of injection; 1) sore, bruised at site; 2) burning and itching at site Lasted 7 days

VAERS ID:302921 (history)  Vaccinated:2007-03-25
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:2008-01-08
Location:Colorado  Entered:2008-01-16, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: Hepatitis B antibody, negative
CDC Split Type: A0663063A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB287BA2UNLA
Administered by: Private     Purchased by: Other
Symptoms: Hepatitis B antibody negative, Pharmaceutical product complaint
SMQs:
Write-up: This case was reported by a healthcare professional and described the occurrence of hepatitis B antibody negative in a 32 year old female subject who was vaccinated with Engerix B (GlaxoSmithKline) for prophylaxis. On 25 March 2007, 29 December 2006 and 27 November 2006 the subject received 3rd, 2nd and 1st dose of Engerix B (unknown deltoid) to complete the three dose series. On an unspecified date following completion of the Engerix B series, the subject had a negative titer. The reporter suspected a possible quality issue with the vaccine. At the time of reporting the outcome of the events was unspecified.

VAERS ID:303150 (history)  Vaccinated:2006-07-24
Age:32.0  Onset:2007-04-10, Days after vaccination: 260
Gender:Male  Submitted:2008-01-08, Days after onset: 273
Location:Unknown  Entered:2008-01-16, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: The subject''s medical history, concurrent medical conditions, and/or concomitant medications were not reported.
Diagnostic Lab Data: Hepatitis B surface antigen 10Apr2007 less than 3mIU/mL
CDC Split Type: A0650122A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS 2UNUN
Administered by: Public     Purchased by: Other
Symptoms: Hepatitis B antigen, No therapeutic response
SMQs:, Lack of efficacy/effect (narrow)
Write-up: This case was reported by a healthcare professional and described the occurrence of decreased therapeutic response in a 33-year-old male subject who was vaccinated with Engerix B for prophylaxis. On 5 January 2006, 13 February 2006, and 24 July 2006 the subject received the first, second, and third doses of Engerix B (unknown). On 10 April 2007, approximately 9 months after the third vaccination with Engerix B, the subject experienced "possible nonresponse"/decreased therapeutic response in that the hepatitis B surface antigen titer was less than 3 mIU/mL. The nurse indicated that it was unknown whether the subject was a "nonresponder" at the time of completion of the vaccination series, or if his antibody levels had "since waned". At the time of reporting the event was unresolved.

VAERS ID:303278 (history)  Vaccinated:2007-02-27
Age:32.0  Onset:2007-02-27, Days after vaccination: 0
Gender:Female  Submitted:2008-01-08, Days after onset: 315
Location:Michigan  Entered:2008-01-16, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Dehydrated; Unknown diet medication (Diet Pill)
Preexisting Conditions: The subject suffers from seasonal allergies and is allergic to mangos. The subject has no history of alcohol or tobacco use.
Diagnostic Lab Data: 120/60 78 02 Sat 98 and temp 97.9; 100/60 80 02 Sat 98 (after approximately 1250 ml of water orally); 10060 86 02 Sat 97; 100/70 76 02 Sat 98
CDC Split Type: A0643978A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB308AA2IMLA
Administered by: Other     Purchased by: Other
Symptoms: Body temperature, Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)
Write-up: This case was reported by a physician and described the occurrence of dizziness in a 32-year-old female subject who was vaccinated with Engerix B for prophylaxis. Concurrent medication included an unknown diet medication (Diet Pill). On 27 February 2007 at 11:15 the subject received 3rd dose of Engerix B, intramuscularly, in the left deltoid. About 85 minutes after vaccination with the 3rd dose of Engerix B, the subject experienced dizziness. At the time of reporting the event was resolved. Follow-up information was received on 10 April 2007 via a physician, who reported that the subject received her 1st dose of Engerix B on 08 March 2006, and her 2nd dose of Engerix B on 05 April 2006. In addition, the physician stated that the dizziness lasted for approximately 30 minutes and may not have been related to the Engerix B injection. After receiving fluids (unspecified) and rest, the symptoms improved. The subject has no history of alcohol or tobacco use. The physician indicated that the subject''s medical history and/or concurrent illness of dehydration may have been associated with the event.

VAERS ID:303085 (history)  Vaccinated:2008-01-11
Age:32.0  Onset:2008-01-12, Days after vaccination: 1
Gender:Female  Submitted:2008-01-14, Days after onset: 2
Location:California  Entered:2008-01-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: PCN, Zoloft, Tetracycline, Tomatoes, Flu Shot
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1633SCUN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEUR 1IMUN
Administered by: Military     Purchased by: Military
Symptoms: Diarrhoea, Injection site erythema, Injection site warmth, Nausea, Oedema peripheral, Pyrexia
SMQs:, Cardiac failure (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Patient woke at 0730 on 12 Jan 08 and noticed left upper arm was swollen from top of shoulder to elbow. Redness noticed from injection site to middle of upper arm. Site was warm to touch and dry. Patient also experienced nausea, diarrhea and fever.

VAERS ID:303613 (history)  Vaccinated:2007-12-06
Age:32.0  Onset:2007-12-07, Days after vaccination: 1
Gender:Female  Submitted:2007-12-07, Days after onset: 0
Location:Michigan  Entered:2008-01-25, Days after submission: 49
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: nauseous~Rabies (no brand name)~1~28~In Patient
Other Medications: Ortho Tri-Cyclen; levothyroxine; Valtrex (PRN)
Current Illness: None
Preexisting Conditions: Asthma
Diagnostic Lab Data: None
CDC Split Type: MI2007005
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2440AA IMLA
Administered by: Public     Purchased by: Public
Symptoms: Chills, Myalgia, Night sweats, Pain, Tremor
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)
Write-up: Client received flu vaccine at 400PM on 12/6/07. She awoke at 200AM with shaking chills and total body aches. At 400AM she awoke drenched in sweat, states this lasted until 600AM. When she called heath department she c/o soreness. Client phoned CDC and was informed to call the VAERS line which did not answer. Called health department at 1035AM.

VAERS ID:303787 (history)  Vaccinated:2004-01-30
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:2008-01-23
Location:Puerto Rico  Entered:2008-01-28, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Military     Purchased by: Military
Symptoms: Unevaluable event
SMQs:
Write-up: No adverse event

VAERS ID:304205 (history)  Vaccinated:2007-10-22
Age:32.0  Onset:2007-10-23, Days after vaccination: 1
Gender:Female  Submitted:2008-01-16, Days after onset: 85
Location:Mississippi  Entered:2008-01-29, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yaz
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: UNK
CDC Split Type: A0690861A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA027AA UNUN
Administered by: Private     Purchased by: Other
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Pharmaceutical product complaint
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: This case was reported by a healthcare professional and described the occurrence of injection site redness in a 32-year-old female subject who was vaccinated with Flulaval for prophylaxis. The healthcare professional is the subject. The subject reported that she had received influenza virus vaccine in previous years and experience transient low-grade fever and aches. Concurrent medications included Yaz. On 22 October 2007 the subject received unspecified dose of Flulaval (.5 ml, unknown, left arm). On 23 October 2007, within 24 hours after vaccination with Flulaval, the subject experienced injection site redness, injection site soreness, and injection site warmth. The subject was seen by a physician. The subject stated that she did not experience the fever and aches that she had experienced with previous influenza vaccinations. At the time of reporting the events were unresolved. The subject also reported a product complaint because she is concerned over the potential for a contaminated or defective product. The healthcare professional considered the events were probably related to vaccination with Flulaval.

VAERS ID:304275 (history)  Vaccinated:2008-01-15
Age:32.0  Onset:2008-01-22, Days after vaccination: 7
Gender:Female  Submitted:2008-02-04, Days after onset: 13
Location:California  Entered:2008-02-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1468F SCLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Pain in extremity
SMQs:, Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: PT RECEIVED MMR VACCINATION IN LEFT ARM ON 1/15/2008. STATED THAT ABOUT 1 WEEK POST VACCINATION, PT.''S LEFT HAND WAS FEELING SORE WITH A DULL, ACHY PAIN. THE NEXT DAY, SHE BEGAN TO FEEL THE SAME PAIN IN HER RIGHT HAND IN THE "MIDDLE JOINTS" OF HER HANDS. PT. ALSO REPORTED THAT AT ONE POINT HER KNEES WERE ACHING. RECOMMENDATION FOR PT. TO MAKE AN OFFICE VISIT TO SEE PMD.

VAERS ID:304395 (history)  Vaccinated:2003-02-26
Age:32.0  Onset:2003-02-26, Days after vaccination: 0
Gender:Female  Submitted:2008-02-06, Days after onset: 1806
Location:Louisiana  Entered:2008-02-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: The PA at clinic told me that my reaction was normal...filled out adverse reaction paperwork but he did not submit anything online
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV0712IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chills, Night sweats, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: High fever after receiving does #3 of anthrax vaccination...104.5 and chills with night sweats for 2 days.

VAERS ID:304396 (history)  Vaccinated:2003-09-29
Age:32.0  Onset:2003-09-29, Days after vaccination: 0
Gender:Female  Submitted:2008-02-06, Days after onset: 1591
Location:Louisiana  Entered:2008-02-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: high fever/chills~Anthrax (Biothrax)~2~33.20~Patient
Other Medications:
Current Illness: None...perfectly healthy that morning
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV0693IMLA
Administered by: Military     Purchased by: Military
Symptoms: Chills, Injection site erythema, Injection site swelling, Injection site warmth, Lymphadenopathy, Muscle spasms, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: High Fever 105....chills, lymph nodes in left armpit swelled up...cramps throughout body...arches of feet to neck. The injection site was swollen for over a week and red (like a sunburn)...hot to the touch.

VAERS ID:304481 (history)  Vaccinated:2007-11-15
Age:32.0  Onset:2007-11-17, Days after vaccination: 2
Gender:Male  Submitted:2007-11-26, Days after onset: 9
Location:Unknown  Entered:2008-02-06, Days after submission: 72
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURB5731 UNLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site pruritus, Injection site urticaria
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: 4" diameter, red raised itchy "hive" to injection shot. Appeared approximately 36 hours after shot. No treatment. Symptoms gone in 48 hours.

VAERS ID:304604 (history)  Vaccinated:2008-02-04
Age:32.0  Onset:2008-02-05, Days after vaccination: 1
Gender:Female  Submitted:2008-02-06, Days after onset: 1
Location:New Jersey  Entered:2008-02-08, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft; Wellbutrin
Current Illness: No
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2507AA0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Local reaction
SMQs:
Write-up: R arm-localized reaction. Rx: Medrol Dose Pak, ice, Omnicef.

VAERS ID:304605 (history)  Vaccinated:2008-02-05
Age:32.0  Onset:2008-02-05, Days after vaccination: 0
Gender:Female  Submitted:2008-02-07, Days after onset: 2
Location:Michigan  Entered:2008-02-08, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None significant
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2904AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Body temperature increased, Headache, Pain
SMQs:, Neuroleptic malignant syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Body aches, 101 degree temperature, headache. Resolved with Aleve w/in 24 hrs.

VAERS ID:304801 (history)  Vaccinated:2008-01-17
Age:32.0  Onset:2008-01-18, Days after vaccination: 1
Gender:Male  Submitted:2008-01-22, Days after onset: 4
Location:North Carolina  Entered:2008-02-12, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type: NC08024
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHAB3096AA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Dyspnoea, Dysuria, Pharyngeal oedema
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Patient complained of swelling on the inside of his throat that caused difficulty breathing at 4-5 am on 1-18-08 after receiving Hepatitis A/Hepatitis B vaccine on morning of 1-17-08. The condition got progressively less troublesome after drinking water frequently for several hours and was resolved by 12 noon on 1-18-08. Did not seek medical evaluation until today. Complained of urinary pain that began at the same time 1-17-08 4-5 pm which has persisted. Referred for evaluation.

VAERS ID:304858 (history)  Vaccinated:2008-02-05
Age:32.0  Onset:2008-02-06, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:Oregon  Entered:2008-02-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: None~ ()~~0~In Patient
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0616F0SCLA
TD: TD ADSORBED (NO BRAND NAME)SANOFI PASTEURC2844AA0IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Arthralgia, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Arthritis (broad)
Write-up: Complaints of sore joints all over his body. Soreness at site of injections.

VAERS ID:305063 (history)  Vaccinated:2007-08-19
Age:32.0  Onset:2007-08-19, Days after vaccination: 0
Gender:Female  Submitted:2008-02-18, Days after onset: 183
Location:Minnesota  Entered:2008-02-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: 10/22/1992~Influenza (Seasonal) (no brand name)~~17.00~Patient
Other Medications:
Current Illness: Cut on bottom of right foot from stepping on a rough nail.
Preexisting Conditions: Sulfa medications
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2770AA IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Dizziness, Erythema, Eye pain, Headache, Injection site pain, Muscle swelling, Myalgia, Nausea, Oedema peripheral, Pain in extremity, Pyrexia, Retching
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 08/19/2007 Had severe pain in left arm above, below and at site of injection with in an hour. Took 3 reg ADVIL, used heat on arm and went to bed. On 08/20/2007, awoke with severe pain in left arm from top of shoulder to elbow then into fingertips, intolerable headache, dizziness, fever 100.5, nausea, gagging, very weak and eye pain. Went to urgent care to report reaction with physicians office. Suggested rest, ice and Benadryl. 08/23/2007 Arm becoming more swollen and redness expanding further into the arm. Visited doctor at clinic on 08/23/2007 with reaction measured sizes of 10x10 cm swelling, 4x6 cm redness. Reported this reaction to both clinic and to my regular clinic. Physician advised to continue resting, use ice and drink plenty fluids. Two weeks after Tdap shot regained most of my physical strength with continued pain and weakness in left arm. Pain in left arm muscle continued for another month after doctors visit on 08/23/2007, but eventually subsided as all the swelling in the muscle dissipated.

VAERS ID:305126 (history)  Vaccinated:2008-01-23
Age:32.0  Onset:2008-01-25, Days after vaccination: 2
Gender:Female  Submitted:2008-02-19, Days after onset: 25
Location:Oregon  Entered:2008-02-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Has chronic sinus pressure, mold allergies, sneezing per ct - sx not apparent at time of vaccination.
Preexisting Conditions: Spinabifida occulta
Diagnostic Lab Data: Ct reports "seen at ER."
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)SANOFI PASTEURC2904AA IMLA
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB143AA1IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site bruising, Injection site erythema, Injection site urticaria, Injection site warmth
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Vaccinated 1/23/08, On 1/25 ct noted "Bruising, redness, hot to touch, sore, itching welts" Sx began at location of TDAP and spread down "shoulder to elbow". (TDAP given at prox. location on L delt; hep A given 2 inches distal on L deltoid). On 1/26 Ct went to ER and was given "antihistamines, ibuprofen, Keflex, and anti-itching cream". On 1/30/08 sx had resolved to "size of quarter" and on 2/19/08, ct reports sx resoloved had competely 2 weeks post vaccination.

VAERS ID:305140 (history)  Vaccinated:2008-02-15
Age:32.0  Onset:2008-02-16, Days after vaccination: 1
Gender:Male  Submitted:2008-02-19, Days after onset: 3
Location:Minnesota  Entered:2008-02-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data: None done
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURC2862AA0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Cold sweat, Discomfort, Feeling hot, Headache, Injection site erythema, Injection site vesicles, Night sweats
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypoglycaemia (broad)
Write-up: Patient reported temporal HA''s, cold sweats at night, feeling warm (no temp taken), discomfort, swelling, redness and small blister at injection site Mon after having the injection the previous Fri.

VAERS ID:305175 (history)  Vaccinated:2008-01-17
Age:32.0  Onset:2008-01-17, Days after vaccination: 0
Gender:Male  Submitted:2008-02-11, Days after onset: 25
Location:Washington  Entered:2008-02-19, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS80825 IMRA
TD: TD ADSORBED (NO BRAND NAME)SANOFI PASTEURU2067BA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad)
Write-up: Pain in Lt arm $g15 days after injection. Denies redness, swelling, irritation, fever.

VAERS ID:305743 (history)  Vaccinated:2008-02-04
Age:32.0  Onset:2008-02-06, Days after vaccination: 2
Gender:Female  Submitted:2008-02-26, Days after onset: 20
Location:Colorado  Entered:2008-02-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Patient stated she had not started oral typhoid on 02/25/08. Patient reported taking tylenol after vaccines.
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB096AA0IMRA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2826AA0IMLA
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD3001261 PO 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Gallbladder operation, Hepatic enzyme increased, Nausea, Pyrexia
SMQs:, Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gallbladder related disorders (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Patient reports after receiving vaccinations on 02/04/08 she had gall bladder surgery on 02/06/08. This surgery was scheduled prior to vaccinations. Patient reports uneventful post op and recovery for the following 2 days and then on the night of 02/08/08 bagan to experience fever and nausea. She presented to the ED on 02/09/08 where she was examined and had blood work done. At that visit the patient states she had elevated liver enzymes which did not show up in her preop blood work. She reports the physician told her not to complete the remainder of her Hep A and B (Twinrix) series as the elevated liver enzymes were most likely related to the vaccine. On 02/14/08 she had blood tests repeated, and again, she reported that they showed marked improvement. Patient states she had no side effects from vaccines except for sore arm.

VAERS ID:305786 (history)  Vaccinated:2008-02-21
Age:32.0  Onset:2008-02-21, Days after vaccination: 0
Gender:Female  Submitted:2008-02-23, Days after onset: 2
Location:Kentucky  Entered:2008-02-26, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: N/A
Preexisting Conditions: Allergies to PCN, Novocaine
Diagnostic Lab Data: N/A
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (RABAVERT)NOVARTIS VACCINES AND DIAGNOSTICS438011C0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Fatigue, Hyperhidrosis
SMQs:, Neuroleptic malignant syndrome (broad), Hypoglycaemia (broad)
Write-up: 26 min after injection c/o fatigue and off and on episodes of diaphoresis ever since.

VAERS ID:306503 (history)  Vaccinated:2008-02-20
Age:32.0  Onset:2008-02-23, Days after vaccination: 3
Gender:Male  Submitted:2008-03-05, Days after onset: 11
Location:Pennsylvania  Entered:2008-03-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: SINUSITIS
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2513AA0IMLA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2842AA0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Burning sensation, Lymphadenopathy, Rash
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: VACCINES GIVEN ON 2/20/08, THREE DAYS LATER PT. SAID LFT. UNDER ARM SWOLLEN WITH GOLF BALL SIZE LUMPS, THAN IT MOVED TO THE RT. SIDE WITH BURNING UNDER ARM AND SHOULDER. PT. ALSO WITH RASH.

VAERS ID:306504 (history)  Vaccinated:2008-03-03
Age:32.0  Onset:2008-03-03, Days after vaccination: 0
Gender:Female  Submitted:2008-03-05, Days after onset: 2
Location:Arizona  Entered:2008-03-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: OTITIS EXTERNA
Preexisting Conditions: OBESITY, HTN, MIGRAINES
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSHAV 3208AA0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Headache, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: THIS PATIENT WAS GIVEN A HEPATITIS A IMMUNIZATION AND HAD AN ABRUPT EPISODE OF NAUSEA, VOMITING AND LIGHT HEADACHE.

VAERS ID:306951 (history)  Vaccinated:2008-03-10
Age:32.0  Onset:2008-03-10, Days after vaccination: 0
Gender:Female  Submitted:2008-03-13, Days after onset: 3
Location:Unknown  Entered:2008-03-12, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Seasonal allergic rhinitis
Diagnostic Lab Data: No testing was performed.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1733IMRA
Administered by: Military     Purchased by: Military
Symptoms: Erythema, Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site warmth, Memory impairment, Pain, Pyrexia, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Depression (excl suicide and self injury) (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Itching developed within 12 hours at the site of the vaccination. This was followed by redness and swelling and pain the next morning. Patient seen 64 hours after vaccination with 14.5 x 24cm area of erythema, mild induration, increased warmth and mild tenderness, moderate pruritis around the site of vaccination. Fever of 100.5 at 48 hours after vaccination. Missed work for 2 days. Complained of some difficulty with short term memory.

VAERS ID:307516 (history)  Vaccinated:2008-03-13
Age:32.0  Onset:2008-03-13, Days after vaccination: 0
Gender:Female  Submitted:2008-03-15, Days after onset: 2
Location:Arizona  Entered:2008-03-20, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None per pt
Preexisting Conditions: None per pt or screening form
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0745U SCUN
TD: TD ADSORBED (NO BRAND NAME)SANOFI PASTEURU1953DA UNRA
Administered by: Public     Purchased by: Public
Symptoms: Hypoaesthesia, Injection site anaesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Pt states he has she has numbness R arm from deltoid area up to neck and from deltoid area to wrist. Pt advised to seek medical attention now, from Dr. or other provider.

VAERS ID:308431 (history)  Vaccinated:2008-02-07
Age:32.0  Onset:2008-02-09, Days after vaccination: 2
Gender:Female  Submitted:2008-03-27, Days after onset: 46
Location:Montana  Entered:2008-03-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC. 1IMLA
Administered by: Public     Purchased by: Private
Symptoms: Pruritus, Rash vesicular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Broke out with strange bumps with designs and similar to chicken pox. She went to emergency room and they said they never seen anything like it. Dr gave her prescription for (PACK) and she went to dermatologist and he gave her some cream. Nothing has helped. She is still breaking out. She itches.

VAERS ID:308666 (history)  Vaccinated:2007-01-22
Age:32.0  Onset:2007-01-22, Days after vaccination: 0
Gender:Female  Submitted:2008-03-31, Days after onset: 433
Location:Rhode Island  Entered:2008-04-01, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Pregnancy NOS (LMP = 12/31/2006); Herniated disc; Sulfonamide allergy; Von Willebrand''s disease; Drug hypersensitivity
Preexisting Conditions: Papanicolaou smear abnormal
Diagnostic Lab Data: ultrasound, 02/15/07, 6 weeks, 1 day; total serum human, 02/02/07, 606; serum alpha-fetoprotein, 04/28/07, screen -; total serum human, 02/05/07, 3255
CDC Split Type: WAES0702USA02808
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0011U1UNUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Alpha 1 foetoprotein normal, Anaemia, Blood human chorionic gonadotropin positive, Drug exposure during pregnancy, Necrotising enterocolitis neonatal, Ultrasound scan
SMQs:, Haematopoietic erythropenia (broad), Tumour markers (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Neonatal disorders (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: Information has been received from the Merck pregnancy registry via a certified medical assistant, concerning a 32 year old female with herniated disc, sulfonamide allergy and drug hypersensitivity to doxycycline and ZITHROMAX and a history of Papanicolaou smear abnormal who on 14-NOV-2006 was vaccinated intramuscularly with a 0.5 ml first dose of Gardasil (lot #653938/0954F). On 22-JAN-2007, the patient was vaccinated with a second dose of Gardasil (lot #654702/0011U). There was no concomitant medication. Subsequently, the patient became pregnant. Total serum human chorionic gonadotropin test on 02-FEB-2007 was 606 and on 05-FEB-2007 was 3255. The patient''s last menstrual period was 31-DEC-2006 and the estimated date of delivery was 06-OCT-2007. Unspecified medical attention was sought. There was no adverse experience. Follow-up information from the certified medical assistant indicated that the patient has an obstetric history of 5 previous pregnancies, 2 full term deliveries and 2 spontaneous abortions. An ultrasound was performed on 15-FEB-2007. The result of the ultrasound was 6 weeks, 1 day. Follow up information from the physician indicated that the patient, who also had a history of Von Willebrand''s disease, took prenatal vitamins (unspecified) throughout her pregnancy. On 28-APR-2007, a maternal serum alpha feto-protein screen was negative. From 04-SEP-2007 through 10-SEP-2007, slow release iron, and from 10-SEP-2007 through 15-SEP-2007, "Replura" was prescribed for anemia. On 15-SEP-2007, 3 weeks prior to the estimated date of delivery, the patient gave birth to a normal (no abnormalities and no congenital anomalies), male infant, birth weight 5 lb 15 oz, Apgar score 8/9. On an unspecified date, however, the infant was diagnosed with necrotizing enterocolitis. The outcome of anemia and necrotizing enterocolitis was not specified. Upon internal review necrotizing enterocolitis was considered to be serious as an other important medical event. Additional information has been requested.

VAERS ID:308697 (history)  Vaccinated:2008-03-28
Age:32.0  Onset:2008-03-29, Days after vaccination: 1
Gender:Male  Submitted:2008-04-01, Days after onset: 3
Location:New Jersey  Entered:2008-04-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: KNEE PROBLEMS
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB100AA0IMRA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2759AA0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Chills, Headache, Injection site erythema, Injection site rash, Injection site swelling, Injection site warmth, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 3/29/08-site of Tdap immunization red, hot to touch and swollen---3/30/08-developed fever (temp unknown), chills, headache, joint pain---3/31/08-developed rash around site of immunization, PMD advised ER visit, where client was given Benadryl and an antibiotic---4/1/08-systemic symptoms resolved, site still red and warm to touch but swelling has decreased

VAERS ID:308710 (history)  Vaccinated:2008-03-31
Age:32.0  Onset:2008-03-31, Days after vaccination: 0
Gender:Male  Submitted:2008-04-01, Days after onset: 1
Location:Idaho  Entered:2008-04-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURERFAV1633IM 
HEP: HEP B (FOREIGN)MERCK & CO. INC.18AU610 IM 
TDAP: TDAP (ADACEL)SANOFI PASTEURC2899AA IM 
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURA022122IM 
Administered by: Military     Purchased by: Unknown
Symptoms: Arthralgia, Discomfort, Dizziness, Fatigue, Headache, Injection site reaction, Musculoskeletal stiffness
SMQs:, Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Arthritis (broad)
Write-up: Lightheadedness, mild joint pain, mild headache, muscle stiffness at injection sites, fatigue, all within 24 hours of injections. Taking OTC Motrin for discomfort.

VAERS ID:309149 (history)  Vaccinated:2008-03-31
Age:32.0  Onset:2008-04-01, Days after vaccination: 1
Gender:Male  Submitted:2008-04-02, Days after onset: 1
Location:Idaho  Entered:2008-04-08, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Fever, chest congestion, headache
Preexisting Conditions: Fever
Diagnostic Lab Data: CT ABD/Pelvis, CBC, Chem 14
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1630SCLA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURZ11020IMRA
Administered by: Military     Purchased by: Unknown
Symptoms: Computerised tomogram, Dizziness, Full blood count, Laboratory test, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Signs and symptoms fever, vomiting, dizziness. Treated 2 L of 0.9% NS, CT ABD/Pelvis.

VAERS ID:310066 (history)  Vaccinated:2008-04-07
Age:32.0  Onset:2008-04-07, Days after vaccination: 0
Gender:Female  Submitted:2008-04-14, Days after onset: 7
Location:Colorado  Entered:2008-04-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None-Health Main Exam
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2767AA IMRA
Administered by: Private     Purchased by: Private
Symptoms: Chills, Headache, Injection site erythema, Injection site pain, Injection site swelling, Nausea, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pain at injection site. Nausea, redness and swelling, chills and body aches, Mild fever, headache

VAERS ID:310075 (history)  Vaccinated:2008-03-28
Age:32.0  Onset:2008-04-12, Days after vaccination: 15
Gender:Female  Submitted:2008-04-18, Days after onset: 6
Location:North Carolina  Entered:2008-04-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: None~ ()~NULL~~In Patient|None~ ()~NULL~~In Sibling1
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: No diagnostic testing.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1797U0SCLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site oedema, Injection site pain, Injection site warmth, Rash pruritic, Skin irritation
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)
Write-up: Receiving vaccine due to non-immune status and with 3 month old infant. On 4/12 had initial "bump" on face with progression of large number of "bumps" on scalp, neck, chest, back, and arms. Bumps not fluid-filled, but quite itchy per client. Injection site edematous, hot to touch and painful - "feels very irritated" per client.

VAERS ID:310932 (history)  Vaccinated:2008-04-22
Age:32.0  Onset:2008-04-23, Days after vaccination: 1
Gender:Female  Submitted:2008-04-25, Days after onset: 2
Location:North Carolina  Entered:2008-04-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: none~ ()~~0.00~Sibling|none~ ()~~0.00~Patient|none~ ()~~0.00~Sibling
Other Medications:
Current Illness: none
Preexisting Conditions: No allergies, negative medical hx
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2766AA0IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Erythema, Induration, Skin warm
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 50 mm induration and erythema, warm to touch beginning the morning after injection. Client states putting ice to site made it worse.

VAERS ID:311353 (history)  Vaccinated:2007-11-12
Age:32.0  Onset:2007-11-12, Days after vaccination: 0
Gender:Female  Submitted:2008-04-22, Days after onset: 161
Location:Massachusetts  Entered:2008-04-30, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: MEDI0006198
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.530436P IN 
Administered by: Other     Purchased by: Other
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Pregnancy test urine positive, Vaginal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: A serious report of a medically important event of spontaneous abortion in a 32-year-old pregnant woman who was administered FluMist was received from a nurse practitioner. No medical history nor concomitant medications were reported. The patient was in a shelter for the homeless. The patient received FluMist on 12-Nov-2007. At the time of FluMist administration, the patient denied pregnancy or any other contraindication. On 16-Nov-2007, the patient notified the reporter that she was pregnant and in the first trimester of her pregnancy. The pregnancy was confirmed by urine test on an unreported date. In December 2007, the patient experienced bleeding and when examined by an obstetrician-gynecologist (OB-GYN), it was determined that the pregnancy was non-viabe and the patient had experienced a spontaneous abortion. No causality assessment was reported for the pregnancy. The reporter stated that the patient''s OB-GYN did not think that the spontaneous abortion was related to FluMist vaccine. The sponsor considered the spontaneous abortion an important medical event.

VAERS ID:312262 (history)  Vaccinated:2008-05-12
Age:32.0  Onset:2008-05-12, Days after vaccination: 0
Gender:Male  Submitted:2008-05-13, Days after onset: 1
Location:Virginia  Entered:2008-05-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Cipro - dizziness, nausea.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1634SCLA
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA312BA3IMRA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURA02212IMRA
Administered by: Military     Purchased by: Military
Symptoms: Dizziness, Headache, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: Pt reports symptoms began 10 min after vaccines given of headache, dizziness, nausea. Pt was seen at clinic at 1400 pm on 5/12/08 and given Motrin. Pt states no relief from Motrin. Pt returned to clinic Immunizations today c/o of worsening of headache, dizziness, nausea.

VAERS ID:312321 (history)  Vaccinated:2008-04-04
Age:32.0  Onset:2008-04-08, Days after vaccination: 4
Gender:Female  Submitted:2008-05-14, Days after onset: 36
Location:Texas  Entered:2008-05-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: none
Preexisting Conditions: unknown
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2863AA0IMRA
Administered by: Public     Purchased by: Private
Symptoms: Asthenia, Headache, Injection site erythema, Injection site induration, Injection site mass, Injection site warmth, Insomnia, Pain in extremity, Paraesthesia, Pyrexia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Rec''d vac 4/4/08-site was warm with knot and sl. redness. Have fever and headache which abated after several day. Then developed pain over deltoid, triceps and shoulder region. Occ. paresthesias radiating to fingers. Denies weakness but has dropped objects. Insomnia secondary to pain. Seen by IM MD then refer to Neuro MD. Advised to take ibuprofen but was told symptoms would resolve spontaneously. Follow up if necessary--develop any worsening neurologic symptoms such as persistent paresthesias or weakness. Prescribed Tramadol for pain.

VAERS ID:312437 (history)  Vaccinated:2004-06-09
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:2008-05-09
Location:Unknown  Entered:2008-05-16, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 20 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None Allergies: venlafaxine, citalopram
Diagnostic Lab Data: LABS: EEG & holter monitor WNL. PFTs WNL.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER 1UNUN
HEPA: HEP A (NO BRAND NAME)UNKNOWN MANUFACTURER 1UNUN
Administered by: Military     Purchased by: Military
Symptoms: Abdominal pain, Adjustment disorder with mixed anxiety and depressed mood, Amnesia, Anhedonia, Anxiety, Aortic valve replacement, Arthralgia, Asthenia, Atrial fibrillation, Blood disorder, Cardiac failure congestive, Cardiomyopathy, Cerebrovascular accident, Chest pain, Deep vein thrombosis, Diverticulum, Dizziness, Dyspepsia, Dyspnoea, Electrocardiogram ambulatory normal, Electroencephalogram normal, Ex-smoker, Headache, Hepatic steatosis, Hepatomegaly, Hyperlipidaemia, Insomnia, Joint effusion, Major depression, Memory impairment, Mitral valve replacement, Obesity, Otitis media, Panic attack, Paraesthesia, Patellofemoral pain syndrome, Pleuritic pain, Pneumonia, Pulmonary embolism, Pulmonary function test normal, Rash, Rhinitis allergic, Sexual dysfunction, Sinusitis, Sleep apnoea syndrome, Tendonitis, Transient ischaemic attack, Ventricular extrasystoles
SMQs:, Cardiac failure (narrow), Liver related investigations, signs and symptoms (narrow), Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Dyslipidaemia (narrow), Haematopoietic cytopenias affecting more than one type of blood cell (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Supraventricular tachyarrhythmias (narrow), Ventricular tachyarrhythmias (narrow), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Retroperitoneal fibrosis (broad), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Acute central respiratory depression (broad), Psychosis and psychotic disorders (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (narrow), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (narrow), Vestibular disorders (broad), Lipodystrophy (broad), Hypersensitivity (narrow), Arthritis (narrow), Tendinopathies and ligament disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: Problems breathing, sleep apnea, joint pain, headache, tingling, blood disorder, heart problem (PVC). Memory problem, skin rashes, etc. 7/5/08 Reviewed VA medical records of 8/2005-5/2008. Records reveal patient active duty 10/2003-7/2004. Upon return patient experienced aortic & mitral valve replacement, recurrent LE DVT, atrial fibrillation, mural thrombi, cardiomyopathy, CHF, CVA, TIA, major depression, anxiety, panic attacks, adjustment reaction w/anxious mood, sleep apnea, SOB, obesity, ex-smoker, RLL pneumonia, PE, hyperlipidemia, bilateral knee pain, right knee effusion, patellofemoral pain syndrome, diverticulae, insomnia, lack of energy, anhedonia, sexual difficulties, arthralgia, abdominal pain, HA, pleuritic chest pain, dizziness, otitis media, fatty enlarged liver, axillary rash, dyspepsia, heartburn, memory loss, allergic rhinitis, elbow tendinitis, sinusitis.

VAERS ID:312821 (history)  Vaccinated:2007-10-01
Age:32.0  Onset:2007-10-01, Days after vaccination: 0
Gender:Female  Submitted:2008-05-14, Days after onset: 226
Location:California  Entered:2008-05-19, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Hives: Pain burning: Pruritus
Preexisting Conditions: Papanicolau smear abnormal
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0804USA01100
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0929U0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Burning sensation, Inappropriate schedule of drug administration, Rash pruritic, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Hypersensitivity (narrow), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a certified medical assistant concerning a 33 year old female with a history of an abnormal papanicolaou smear, on 01-OCT-2007 was vaccinated with a prefilled syringe IM in the arm with a first dose of GARDASIL (Lot# 658282/0929U). It was reported that the patient insisted on getting the vaccine, despite the recommendation of the physician. On 03-DEC-2007 the patient was vaccinated with a second dose of GARDASIL (Lot# 659437/1266U). Concomitant therapies included hormonal contraceptives (unspecified) and "hormones." About a month post vaccination, on 07-JAN-2008 the patient developed a "hive type rash." The rash was reported to be itchy and burning. The patient called the office. On 08-JAN-2008 the patient saw an allergist. The patient recovered on an unspecified date. No product quality complaint was involved. Additional information is not expected.

VAERS ID:312848 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:2008-05-14
Location:Unknown  Entered:2008-05-19, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0804USA01454
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMLA
Administered by: Other     Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Medication errors (narrow)
Write-up: Information has been received from a 32 year old female physician assistant who in February 2008, reported as "a little less than 2 months ago," was vaccinated intramuscularly into the left arm with the first dose of GARDASIL. Subsequently, she experienced pain at the injection site since being vaccinated around 2 months ago. She also reported that she has slight swelling at the injection site or a ball that was visible at the injection site on her left arm. At the time of this report, the patient had not recovered. No product quality complaint was involved. Additional information has been requested.

VAERS ID:312661 (history)  Vaccinated:2008-04-13
Age:32.0  Onset:2008-04-23, Days after vaccination: 10
Gender:Male  Submitted:2008-05-20, Days after onset: 27
Location:New York  Entered:2008-05-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: 05/01/2008 Neop, NOS, brain (Active); 04/25/2008 Reaction, serum NEC (Active) PMH: Animal bite 9/3/2008.
Diagnostic Lab Data: VERBAL REPORTS FROM PHYSICIAN ASSISTANT: 1. CT SCAN BRAIN: NEGATIVE, 2. CBC, MULTICHEMISTRY: NORMAL. VERBAL REPORT OF SERVICE MEMBER ON 15 MAY 2008: 1. MRI BRAIN: REVEALS 2 "BRAIN TUMORS AT THE BASE OF THE BRAIN. F/U MRI SCHEDULED ON 17 MAY 2008. Labs and Diagnostics: CT brain WNL. Brain MRI (+) for small rounded area of increased signal in the pituitary gland. MRI of pituitary (+) for a L-sided pituitary microadenoma and L-sided posterior fossa meningioma. CXR (+) for minor R base atelectasis.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (NO BRAND NAME)UNKNOWN MANUFACTURERVV04003A IDUN
Administered by: Unknown     Purchased by: Military
Symptoms: Amnesia, Anorexia, Aphasia, Asthenia, Brain neoplasm, Chest X-ray abnormal, Computerised tomogram normal, Full blood count normal, Headache, Immunisation reaction, Laboratory test normal, Meningioma, Muscle spasms, Musculoskeletal stiffness, Nuclear magnetic resonance imaging brain abnormal, Pituitary tumour benign, Rash, Rash pustular, Scan brain
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Non-haematological tumours of unspecified malignancy (narrow)
Write-up: 32 y/o ANG SM, presents to medical clinic for 1-2 day hx of skin rash, stiff neck, and memory loss. He received Smallpox vaccine some 10 days earlier, on 13 Apr 2008. Symptoms: Rash, diffuse, Muscle Spasm, Memory Loss, short term, Anorexia. 07/07/2008 MR received for DOS 4/24-25/2008 with D/C DX: Reaction to Smallpox vaccine (few pustules on back). Pt presented to ER with 11 day hx of feeling groggy, memory loss, difficulty with word finding, headaches, neck stiffness and pustules on back. PE(+) for pustules on back, scabbing at injection site and 1/5 motor strength on the L side. Improvement noted and pt d/c next day for f/u MRI 5/17/08.

VAERS ID:312669 (history)  Vaccinated:2008-05-13
Age:32.0  Onset:2008-05-13, Days after vaccination: 0
Gender:Female  Submitted:2008-05-13, Days after onset: 0
Location:Florida  Entered:2008-05-20, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: passed out~Td Adsorbed (no brand name)~UN~16.00~In Patient
Other Medications:
Current Illness:
Preexisting Conditions: asthma, mild mitrovalve prolapse
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB530AA0IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0411U UNLA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2888AA1IMRA
Administered by: Military     Purchased by: Military
Symptoms: Disorientation, Dreamy state, Dyskinesia, Gaze palsy, Lacrimation increased, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Convulsions (narrow), Dyskinesia (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Lacrimal disorders (narrow), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)
Write-up: Pt receiving injection, started dreaming & got really disoriented. Pt started a jerking motion & became cross eyed & teary eyed. Passed out for about 3-5 seconds & became conscious again.

VAERS ID:313012 (history)  Vaccinated:2008-05-14
Age:32.0  Onset:2008-05-15, Days after vaccination: 1
Gender:Male  Submitted:2008-05-22, Days after onset: 7
Location:Unknown  Entered:2008-05-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Maple
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB256BA1IMLA
Administered by: Military     Purchased by: Military
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Immunized and approx 24 hours post immunization Pt started getting "bumps" all over upper body. head, chest, back, arms, neck. Complaint of itching. Pt seen by provider on the 20th, and received Benadryl. The "bumps" are currently resolving.

VAERS ID:314377 (history)  Vaccinated:2007-07-23
Age:32.0  Onset:2007-07-23, Days after vaccination: 0
Gender:Male  Submitted:2008-05-16, Days after onset: 298
Location:Florida  Entered:2008-05-23, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: body temp - 07/??/07 - 100 F
CDC Split Type: WAES0707USA04959
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 0SCUN
Administered by: Private     Purchased by: Private
Symptoms: Pyrexia, Rash vesicular
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a registered nurse concerning a 29 year old male with who on 23-JUL-2007 was vaccinated with a 0.5ml SC dose of varicella virus vaccine live (Oka/Merck). There was no concomitant medication. On approximately 23-JUL-2007, the patient developed 10 varicella-like lesions on his abdomen and 1 on his neck. Unspecified medical attention was sought. No labs or diagnostic studies were performed. Subsequently the patient was recovering. There was no product quality complaint. Follow-up information has been received from a nurse indicating that the patient was not their patient. Follow-up information has been received from a registered nurse concerning a 32 year old (also reported as 29 year old) white male financial consultant with no drug allergies who on 23-JUL-2007 was vaccinated with his first dose of varicella virus vaccine live (Oka/Merck). In July 2007, the patient developed 24 varicella-like lesions which started on the chest, spread to arms, legs, face and scalp. The patient also experienced a fever of 100 degrees F. In August 2007, after 3 weeks, the patient fully recovered. It was also noted that the patient received a second dose of varicella virus vaccine live (Oka/Merck) 8 weeks after the first dose with no adverse effects. Additional information has been requested.

VAERS ID:313874 (history)  Vaccinated:2008-05-14
Age:32.0  Onset:2008-05-24, Days after vaccination: 10
Gender:Male  Submitted:2008-05-28, Days after onset: 4
Location:Unknown  Entered:2008-05-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: None
Preexisting Conditions: SULFA AND AUGMENTIN ALLERGIES
Diagnostic Lab Data: EKG wiht ST seg elevation and t wave inversion in II, III, aVF; CXR: no acute changes. ECHO pending. CBC and chem normal. Troponin and CK-MB positive. 8/7/08-records received-. Troponin, CK-MB positive. EKG changes questionable infer
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (ACAM2000)ACAMBIS, INC.DVO1-C010OTRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Blood creatine phosphokinase MB increased, Chest X-ray normal, Chest discomfort, Chills, Dyspnoea, Echocardiogram normal, Electrocardiogram abnormal, Full blood count normal, Headache, Laboratory test normal, Myalgia, Myopericarditis, Pericarditis, Pyrexia, Troponin increased
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recieved immunization on 5/14/08. On 5/24/08 developed chest discomfort and mild SOB. Seen in medical on 5/26/08 and had normal vital signs but changes on EKG consistent with early pericarditis. Pt started on Naprosyn and bedrest. Troponin and CK-MB positive. EKG and CXR done. 8/7/08-records received-DX:Smallpox induced myopericarditis. 5/26/08-presented with left side chest pain, chills headache onset 5/24/08. Fever 101.1. Myalgia. 5/27/08 follow up visit, symptoms improved Now C/O left arm feeling weak.Cardiology consult no evidence of MI.

VAERS ID:314759 (history)  Vaccinated:2008-05-18
Age:32.0  Onset:2008-05-19, Days after vaccination: 1
Gender:Male  Submitted:2008-06-03, Days after onset: 15
Location:Wisconsin  Entered:2008-06-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1637SCLA
Administered by: Military     Purchased by: Military
Symptoms: Activities of daily living impaired, Headache, Pain
SMQs:, Dementia (broad)
Write-up: Pt complained about ongoing headaches, body aches. Pt called in sick to work for one day. Pt said symptoms are gone.

VAERS ID:314773 (history)  Vaccinated:2008-06-02
Age:32.0  Onset:2008-06-02, Days after vaccination: 0
Gender:Male  Submitted:2008-06-03, Days after onset: 1
Location:Virginia  Entered:2008-06-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: CBC with diff normal, CMP normal
CDC Split Type:
Vaccination
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ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURER 2SCRA
Administered by: Military     Purchased by: Military
Symptoms: Chills, Dizziness, Full blood count normal, Hyperhidrosis, Metabolic function test normal, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypoglycaemia (broad)
Write-up: Lightheadedness, nausea, vomiting, sweats, and chills.

VAERS ID:316006 (history)  Vaccinated:2008-05-03
Age:32.0  Onset:2008-05-05, Days after vaccination: 2
Gender:Male  Submitted:2008-06-11, Days after onset: 37
Location:Indiana  Entered:2008-06-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: NKDA
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
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Dose
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Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURER  SCUN
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  IMUN
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER  IMUN
HEPA: HEP A (NO BRAND NAME)UNKNOWN MANUFACTURER  IMUN
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURER  SCUN
Administered by: Military     Purchased by: Military
Symptoms: Eye swelling, Eyelid oedema, Rash, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt describes "like a heat rash that started around both wrists about 2 days after vaccine receipt". Received multiple vaccines on Saturday (5/3/08) and rash appeared on Monday (5/5/08) as well as his wife noted that his right eye was little puffy. Pt said by Wednesday (5/7/08), the right side of his face was swollen and his right eyelid was almost swollen closed. He still had a rash on his arms and also had a rash around his right eye and on the right side of his nose. He denies any local reactions. (Some of vaccines given in right upper arm and remainder given in left upper arm.) He denies any fever, chills, joint pain, headaches, fatigue, rhinorrhea, itchy or swollen throat, swollen tongue, difficulty swallowing, dyspnea, cough, sneezing or wheezing. No visual changes, facial drooping or slurred speech. Pt went to his local doctor on Wednesday (5/7/08) and received a steroid shot and was prescribed a MEDROL pack and ZYRTEC. The right sided facial swelling was completely gone by Saturday (5/10/08) and the rest of his symptoms resolved by the following Monday (5/12/08). He denies any exposures around time of vaccines like yard or work-related chemicals, detergents, bug sprays, soaps, insect bites, new foods, cleansers, lotions, new clothing or bed linens, or household chemicals. No history of similar rashes or adverse vaccine reactions. Will not be deploying until April 2009; will not have drill until Sept 2008. Pt currently has no symptoms.

VAERS ID:316115 (history)  Vaccinated:2008-06-07
Age:32.0  Onset:2008-06-07, Days after vaccination: 0
Gender:Male  Submitted:2008-06-12, Days after onset: 5
Location:Pennsylvania  Entered:2008-06-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: NONE
CDC Split Type:
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ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1636SCLA
Administered by: Military     Purchased by: Military
Symptoms: Arthralgia, Erythema, Mass, Pyrexia, Rash erythematous, Skin discolouration, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: STARTED OFF WITH DISCOLORATION OF SKIN AND REDNEDDNESS AND A RAISED BUMP THE SIZE OF A GOLFBALL 40 MIN AFTER THE SHOT. 5 DAYS LATER A REDDISH RASH (RASH DOES NOT ITCH) ON RIGHT SHOULDER AND BOTH FOREARMS APPEARED. ALSO KNEES HAVE SOME ARTHRITIC PAIN. ALSO HAD SLIGHT FEVER ON DAY 4 AFTER THE SHOT.

VAERS ID:316853 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:2008-04-29
Gender:Female  Submitted:2008-06-13, Days after onset: 45
Location:Illinois  Entered:2008-06-16, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0805USA02942
Vaccination
Manufacturer
Lot
Dose
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Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1757U UNUN
Administered by: Other     Purchased by: Other
Symptoms: Accidental exposure, Limb injury
SMQs:, Accidents and injuries (narrow), Medication errors (narrow)
Write-up: Information has been received from a health professional that on approximately 29-Apr-2008, a vial of GARDASOL (lot # 659182/1757U) shattered when she opened it. She cut her left hand on the broken glass. Subsequently, the health professional experienced accidental exposure. The patient flushed her hand with running water and cleaned it with alcohol. The patient sought unspecified medical attention in the office. Subsequently, the patient recovered from the cut on her left hand in about a week. Additional information has been requested.

VAERS ID:317045 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:2008-06-13
Location:Illinois  Entered:2008-06-16, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Pap test, 05/19/08 - high risk for HPV
CDC Split Type: WAES0806USA00014
Vaccination
Manufacturer
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Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 2UNUN
Administered by: Other     Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Papilloma viral infection, Smear cervix abnormal
SMQs:, Medication errors (narrow)
Write-up: Information has been received from a physician concerning a 32 year old female who in 2007 was vaccinated on unspecified dates with all three doses of GARDASIL (lot#''s not reported). There was no concomitant medication. On 19-MAY-2008 the patient had a pap test which showed she was at high risk for HPV. Prior to this her PAP tests were negative. The patient''s high risk for HPV persisted and the patient sought medical attention by calling the office on an unspecified date. Additional information has been requested.

VAERS ID:317850 (history)  Vaccinated:2005-03-25
Age:32.0  Onset:2005-03-25, Days after vaccination: 0
Gender:Male  Submitted:2005-10-26, Days after onset: 214
Location:Ohio  Entered:2008-06-17, Days after submission: 965
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: He received the TD ADS ADULT product on 25/Mar/2005 following a needle stick injury.
Preexisting Conditions: The patient received a dose of tetanus and diphtheria toxoids in 1996. He had no past medical history and was taking no other medications. He received the TD ADS ADULT product on 25/Mar/2005 following a needle stick injury.
Diagnostic Lab Data: Blood work was drawn as per needle stick protocol. No results were provided. Follow-up information received on 26/Aug/2005 states all lab work was within normal limits.
CDC Split Type: 200500635
Vaccination
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TD: TD ADSORBED (NO BRAND NAME)SANOFI PASTEURU1341AA1IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Blood test normal, Chills, Lymph node pain, Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: From initial information received on 28/Mar/2005 from a registered nurse regarding an adverse event, it was reported that a 32-year-old male patient, who is a physician, received a dose of TD ADS ADULT, lot number U1341AA, administered intra-muscularly in the right deltoid on 25/Mar/2005. That same day, the patient developed swelling and tenderness of the supraclavicular and axillary lymph nodes on the right side. He also experienced chills, but did not have a fever. He self-medicated with ibuprofen. The patient received the vaccine for wound management following a needlestick. At the time of this report, he had not recovered from these events. Follow-up information was received on 26/AUG/2005 from a physician. He reported that all of the lab work performed was within normal limits. The symptoms were treated with ibuprofen and the patient recovered from these events. No further information is expected.

VAERS ID:317283 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Unknown  Submitted:2008-05-30
Location:New Jersey  Entered:2008-06-18, Days after submission: 19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Serum mumps Ab, low.
CDC Split Type: WAES0704USA02659
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Mumps antibody test negative, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Information has been received from a health professional concerning a 32 year old patient who was vaccinated with a dose of MMR II. Subsequently, the patient experienced a low mumps titer. Additional information has been requested.

VAERS ID:317354 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:1993-01-01
Gender:Male  Submitted:2008-05-30, Days after onset: 5627
Location:Connecticut  Entered:2008-06-18, Days after submission: 19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: hydrochlorothiazide
Current Illness:
Preexisting Conditions: Hypertension
Diagnostic Lab Data: diagnostic laboratory - equivocal measles antibody titer
CDC Split Type: WAES0707USA04944
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEA: MEASLES (ATTENUVAX)MERCK & CO. INC.  UNUN
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Measles antibody negative
SMQs:
Write-up: Information has been received from a physician concerning a 32 year old male with a history of hypertension and no drug reactions/allergies, who in 1976 was vaccinated with a dose of measles virus vaccine live (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3). Concomitant therapy included hydrochlorothiazide. In 1993, the patient was vaccinated with a dose of either measles virus vaccine live (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3) or (measles virus vaccine live (Enders-Edmonston) (manufacturer unknown). The patient now has an equivocal measles antibody titer. No other information is available at this time. Lab diagnostics studies performed: equivocal measles antibody titer. Unspecified medical attention was sought. There was no product quality complaint. Additional information has been requested.

VAERS ID:316649 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:2008-06-19
Location:Pennsylvania  Entered:2008-06-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: NO TESTS TAKEN
CDC Split Type:
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ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1630SCLA
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURVV04003A0IDRA
Administered by: Military     Purchased by: Military
Symptoms: Rash erythematous
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: REDDISH RASH ON CHEST AREA. RASH DOSE NOT ITCH. 18 JUN 08 RASH APPEARED. NO OTHER AREAS OF THE BODY HAVE RASH.

VAERS ID:317393 (history)  Vaccinated:2004-03-06
Age:32.0  Onset:2004-03-06, Days after vaccination: 0
Gender:Male  Submitted:2008-06-25, Days after onset: 1571
Location:Texas  Entered:2008-06-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE.
CDC Split Type:
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ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV0787SCLA
Administered by: Military     Purchased by: Military
Symptoms: Injection site erythema, Injection site nodule, Skin discolouration
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: No documentation from the event is in patient''s medical records. Patient describes adverse reaction as baseball size nodule with redness around site and dark streaks from shot area around arm into chest and back at underarm level. Patient saw physician on 7 Mar 2004 and was not advised to be seen for further treatment. This event was not documented. The doctor at the time called VAERS and spoke with them about the event, no report can be found to date.

VAERS ID:317400 (history)  Vaccinated:2008-06-19
Age:32.0  Onset:2008-06-22, Days after vaccination: 3
Gender:Female  Submitted:2008-06-25, Days after onset: 3
Location:Illinois  Entered:2008-06-25
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE ON 6/19/08
Preexisting Conditions: BRAIN SURGERY 3/17/06, CAVERNOUSHEMANGIOMA. SEIZURE DISORDER, MEDS: TOPAMAZ 50 MG am 100MG PM. PMH: cavernous angioma surgery 2006, asthma, seizures s/p MVA,
Diagnostic Lab Data: LABS: eos 6.7%(H). H/H 11/33 (L).
CDC Split Type:
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RAB: RABIES (IMOVAX)SANOFI PASTEURAO4851IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Angioedema, Diarrhoea, Eosinophil percentage increased, Eyelid oedema, Face oedema, Haematocrit decreased, Haemoglobin decreased, Incontinence, Lip oedema, Oedema genital, Pharyngeal oedema, Pruritus, Rash, Rash erythematous, Urticaria, Vaccination complication, Vaccine positive rechallenge
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Haematopoietic erythropenia (broad), Haemorrhage laboratory terms (broad), Pseudomembranous colitis (broad), Oropharyngeal allergic conditions (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 6/23/08 FINE RED RASH, SLIGHTLY ELEVATED ON BOTH CHEEKS,NECK AND STARTING AT R ANTECUBITAL SPACE. MILD EDEMA R EYELID. 3RD dose IMMOVAX given with 50mg BENADRYL at 1305. 6/24/08 presents with angioedema face, lips, genitalia; rash spreading on trunk, itching increased. Pt instructed to continue 50 mg qid PO. COUNTY PUBLIC HEALTH notified who contacted state PUBLIC HEALTH and the CDC. Around 1450 pt phoned dr office to report increased edema labial area. SHE was concerned of inability to urinate and sent to the ER. 7/4/08 Reviewed ER medical records of 6/16/08 FINAL DX: acute angioedema & urticaria s/p rabies vaccine Records reveal patient experienced bat bites on her face. Had received 3rd shot in rabies series. After 2nd shot had developed a rash which resolved. After 3rd shot, developed frank angioedema, hives, facial edema, diarrhea, swollen throat & genital edema. Tx w/steroids, improved & d/c to home.

VAERS ID:317625 (history)  Vaccinated:2008-06-24
Age:32.0  Onset:2008-06-25, Days after vaccination: 1
Gender:Female  Submitted:2008-06-26, Days after onset: 1
Location:Hawaii  Entered:2008-06-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Hashimoto Disease, Eczema
Diagnostic Lab Data: None taken at this time. If symptoms continue, pt is advised to see primary care physician.
CDC Split Type:
Vaccination
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Site
DTAP: DTAP (TRIPEDIA)SANOFI PASTEURC2689AA IMLA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURA09231IMLA
Administered by: Public     Purchased by: Military
Symptoms: Diarrhoea, Disorientation, Hallucination, Influenza like illness, Insomnia, Myalgia, Pyrexia, Toothache, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: First onset of symptoms began about 18 hours aver vaccination. First symptoms were, 102.1 temperature, myalgia everywhere "my teeth even hurt", vommitting x 1, 4 episodes of diarrhea seperated by an hour, pt tried going to sleep, but was unable. Pt stated at this point she began having hallucinations "bugs crawling (purple and green) down the wall" Pt also states that husband said she was disoriented and kept stating they were at a local restraunt and giving her order. Pt husband (a physician) gave her 800mg motrin, and 25mg Benadryl. Pt was then able to go to sleep. Next morning pt remains feeling "like she has the flu"

VAERS ID:317642 (history)  Vaccinated:1998-09-18
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:2008-06-26
Location:Unknown  Entered:2008-06-26
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Denies
Preexisting Conditions:
Diagnostic Lab Data: MRI, CT, negative. Rheum dx fibromyalgia 2006, stated no evidence of autoimmune or inflammatory process.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV017 SCLL
Administered by: Military     Purchased by: Military
Symptoms: Arthralgia, Back pain, Computerised tomogram normal, Deafness, Dizziness, Eyelid ptosis, Fibromyalgia, Headache, Hypoaesthesia, Insomnia, Migraine, Muscular weakness, Musculoskeletal pain, Musculoskeletal stiffness, Neck pain, Nuclear magnetic resonance imaging normal, Paraesthesia, Pharyngolaryngeal pain, Polyarthritis
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hearing impairment (narrow), Vestibular disorders (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow), Arthritis (narrow), Tendinopathies and ligament disorders (broad)
Write-up: Other than local soreness with each AVA, he denied any medical problems. In 1999 he reported tingling in his left thigh, constant for a day or 5. This was followed by 5 days of no problems before it returned for one week before finally subsiding. At the end of 99 and beginning of 2000 he noticed tingling involving the whole left side of his head, and that his left eye would want to droop. He did seek medical attention and reported a negative work up. He then began to notice weakness in his left thigh. He noted a sudden onset while at work and a couple of days later he began to notice back pain and headaches. Reported everything went down hill from there. He also noted shoulder pain at around the same time and initially thought it was related to his shoulder injury but stated that the pain was more intense this time. Currently he states that all of his joints are painful, with occasional swelling of right great toe, and both wrists. He also notes all muscles as being painful. He states he is stiff in the arm and this may last hours and that he has to move around to loosen up. Nothing makes pain worse or better. He also reports headaches and problems sleeping. Prior to his immunizations he would be able to do a 2 mile run in 13-15 minutes with a PT score of 280-300. Currently he can''t walk and at times requires crutches to get around. 7/15/08 Reviewed case summary & medical records from 1986 to 6/2008. FINAL DX: fibromyalgia unrelated to vaccinations Records reveal patient experienced multiple sports related injuries, tension HA, URI, muscle strains, back pain, flu s/s, shoulder dislocation w/right axillary neuropathy r/t sports injury, shin splints, elevated BP, benign positional vertigo, CTS, ganglion cyst all prior to vaccinations in 1998-99. Migraines, sore throat, persistent shoulder pain, upper back, neck & LBP, insomnia, dizziness, hearing loss, 2001 c/o of intermittent numbness all over, adjustment disorder w/depression & anxiety. 2002 referred to pain clinic for chronic upper & lower back pain, medically retired, dx chronic myalgia. 2005 referred to rheum clinic for polyarthritis intermittently since 1998 & dx w/fibrositis. 2006 rheum dx w/fibromyalgia.

VAERS ID:318766 (history)  Vaccinated:2008-07-08
Age:32.0  Onset:2008-07-11, Days after vaccination: 3
Gender:Female  Submitted:2008-07-11, Days after onset: 0
Location:Virginia  Entered:2008-07-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: n/a
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2958AA1IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Inappropriate schedule of drug administration, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Medication errors (narrow)
Write-up: Very mild soreness at injection site. Pain = 1 on scale of 1 to 10. This report is being filed because the patient denied having had a tetanus vaccine in 14 years and did not report receiving a T-DAP vaccine in January of 2008. This record was discovered after administration of vaccine on July 8, 2008. ("onset" is date of discovery)

VAERS ID:318805 (history)  Vaccinated:2008-07-09
Age:32.0  Onset:2008-07-10, Days after vaccination: 1
Gender:Female  Submitted:2008-07-11, Days after onset: 1
Location:Georgia  Entered:2008-07-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB103AA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Rash was first noticed on 07-10-08. Raised, whelps and rash starting on trunk area spreading down bilateral arms and legs. Concentrated rash area noted on abdomen around waist band. Denies any other problems.

VAERS ID:318968 (history)  Vaccinated:2008-05-05
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:2008-07-08
Location:Unknown  Entered:2008-07-11, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: influenza virus vaccine
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: diagnostic laboratory - blood work
CDC Split Type: WAES0806USA00686
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1IMUN
Administered by: Other     Purchased by: Other
Symptoms: Blood test, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: Information has been received from a 32 year old female consumer who on an unspecified date was vaccinated with a dose of GARDASIL vaccine (yeast). On 05-MAY-2008, the patient received her second dose of GARDASIL vaccine (yeast), 0.5 ml, IM (lot # not specified). Concomitant therapy included influenza virus vaccine (unspecified), two weeks prior to receiving GARDASIL vaccine (yeast). Subsequently the patient experienced muscle aches and pains. The patient reported that she sought unspecified medical attention and had diagnostic blood work performed. No results were reported. Therapy with GARDASIL vaccine (yeast) was discontinued. At the time of reporting the patient had not recovered. No additional information is expected.

VAERS ID:319346 (history)  Vaccinated:2008-04-16
Age:32.0  Onset:2008-04-16, Days after vaccination: 0
Gender:Female  Submitted:2008-06-24, Days after onset: 69
Location:Unknown  Entered:2008-07-11, Days after submission: 17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0804USA03872
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  UNUN
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.1874U UNUN
Administered by: Other     Purchased by: Other
Symptoms: Wrong drug administered
SMQs:, Medication errors (narrow)
Write-up: Information has been received from a registered nurse concerning a 32 year old female consumer who on 16-APR-2008 was inadvertently vaccinated with zoster vaccine live (Oka/Merck) (lot # 659762/1874U) instead of with varicella virus live (Oka/Merck) (MSD). Concomitant vaccination included measles-mumps-rubella vaccine (Oka/Merck) (MSD). It was reported this was not product confusion, but human error. It was unspecified if medical attention was sought or if lab studies were performed. At the time of the report the patient''s status was unknown. There was no product quality complaint involved. Follow-up information from the registered nurse indicated that the vaccine was administered to the patient at the end of the day and the nurse was tried. It was noted that the nurse was distracted because the patient had many questions. It was also noted that the nurse did not perform the triple verification of the label that is required by the facility. The registered nurse reported that she has spoken to the patient and the patient was "doing fine." Additional information has been requested.

VAERS ID:319425 (history)  Vaccinated:2008-04-18
Age:32.0  Onset:2008-04-18, Days after vaccination: 0
Gender:Unknown  Submitted:2008-06-24, Days after onset: 67
Location:Pennsylvania  Entered:2008-07-11, Days after submission: 17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0804USA04172
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC. 0SC 
Administered by: Other     Purchased by: Other
Symptoms: Wrong drug administered
SMQs:, Medication errors (narrow)
Write-up: Information has been received from a physician concerning a 32-year-old patient who on 18-APR-2008 was inadvertently vaccinated SQ with a first dose of zoster vaccine live (Oka/Merck) instead of with varicella virus vaccine live (MSD) at a public health department. It was reported this was not product confusion. There were no adverse events reported. Medical attention was sought, The patient contacted the office. At the time of the report the patient''s status was unknown. There was no product quality complaint involved. Additional information has been requested.

VAERS ID:318898 (history)  Vaccinated:2008-07-09
Age:32.0  Onset:2008-07-09, Days after vaccination: 0
Gender:Female  Submitted:2008-07-14, Days after onset: 5
Location:New Mexico  Entered:2008-07-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PLAQUENIL 200 mg; every day
Current Illness: None
Preexisting Conditions: Lupus
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0519X0IMRA
Administered by: Private     Purchased by: Other
Symptoms: Erythema, Induration, Injection site swelling, Nausea, Pain in extremity, Pyrexia, Skin warm
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Swollen (R) arm, fever of 102 deg, nausea, pain in arm x 2 days (could not lift arm) red area, hot to touch, hard

VAERS ID:320261 (history)  Vaccinated:2008-07-01
Age:32.0  Onset:2008-07-12, Days after vaccination: 11
Gender:Female  Submitted:2008-07-23, Days after onset: 11
Location:Washington  Entered:2008-07-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA~ ()~~0.00~Patient|NA~ ()~~0.00~Sibling|NA~ ()~~0.00~Sibling
Other Medications:
Current Illness: NONE
Preexisting Conditions: NA
Diagnostic Lab Data: Patient was treated for upper respiratory infection with antihistamines, decongestion/expectorants cough suppressants.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSUNK1SCLA
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURUNK0IDRA
Administered by: Military     Purchased by: Military
Symptoms: Blister, Burning sensation, Nasal congestion, Rhinorrhoea, Upper respiratory tract infection, Urticaria
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Patient reports getting several immunizations on 1Jul08 to include smallpox. She was doing fine until 12Jul08, when she developed Hives, and blisters on her feet. States that an Infectious disease physician took pictures of her rash. Pt received a CDC form from MC requesting Lab work to include wound cultures. Pt was treated symptomatically with Atarax. Pt reports that she did not keep the injection site covered until the scab fell off. Pt also C/O 3 days of nasal congestion, runny nose and a burning sensation in her Chest. Denies fever, chills, nausea, vomiting joint or muscle pain.

VAERS ID:320324 (history)  Vaccinated:2008-07-09
Age:32.0  Onset:2008-07-10, Days after vaccination: 1
Gender:Female  Submitted:2008-07-14, Days after onset: 4
Location:Wisconsin  Entered:2008-07-23, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamin
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2899AA IMRA
Administered by: Public     Purchased by: Public
Symptoms: Discomfort, Injected limb mobility decreased, Injection site erythema, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: First noticed significant discomfort, swelling & redness when getting dressed the morning after vaccination (about 22 hrs after shot). She had difficulty lifting arm Thurs. & Fri (7/10 & 7/11). Red band around arm/site of injection, warm to touch, swollen. No itchiness, no fever. Took 400mg ibuprofen which helped discomfort but did not help swelling. 7/14 swelling is decreasing.

VAERS ID:320954 (history)  Vaccinated:2008-07-23
Age:32.0  Onset:2008-07-24, Days after vaccination: 1
Gender:Female  Submitted:2008-07-30, Days after onset: 6
Location:Michigan  Entered:2008-07-31, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Allergy S/S (water eyes/itching & nasal cong) Seasonal- Not sure what allergic to.
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2994AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Fatigue, Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Left arm (injection site) became red, swollen, hard, warm to touch and itchy the day after the injection was given. In 24 hours was the size of an egg, 48 hours hard area size of large egg (5cm) and redness and warmth 10 cm. States one week later hard area was size of large marble. Encouraged to apply warm compress to promote healing. States was very tired 2-3 days after injection.

VAERS ID:321180 (history)  Vaccinated:2008-07-15
Age:32.0  Onset:2008-07-15, Days after vaccination: 0
Gender:Male  Submitted:2008-07-29, Days after onset: 14
Location:Missouri  Entered:2008-08-04, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NKA; Admitted 7/14/2008 for sickle cell crisis with abdominal pain plus pneumonia with painful and hemolytic crisis. Admission CT scan negative but did show probable LL infiltrates. PMH: Sickle cell disease. Pancreatitis. Cholecystectomy. Retropharyngeal cellulitis with adenitis. NKDA
Diagnostic Lab Data: Ultrasound of left arm for rule out of abscess or hematoma - transverse and sagittal planes - shows a discrete mass is not seen and no abnormal fluid collection is seen. Admission fever = 100.2. Admission WBC = 14.5. Labs and Diagnostics: US of L arm WNL. WBC increased to 30.2 following vax.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.05194 IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Body temperature increased, Injection site erythema, Injection site pain, Injection site swelling, Pyrexia, Ultrasound scan normal, White blood cell count increased
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Patient admitted with chief complaint of abdominal pain for 5 days. Pneumococcal injection was given 07/15/2008 at 0900 in left arm. Patient now has fever, redness near injection site with pain and swelling. Tenderness and redness located in left upper arm in area where injection was given and distal from that. Ice was applied. Blood cultures were drawn. Vancomycin and Levaquin antibiotics ordered and administered. Received orthopedic consult on 7/16/2008. Per ortho musculature is compressible and has zero evidence of compartment syndrome. They see mostly superficial swelling and musculature tenderness. Attending MD insisted on reporting this due to how quickly this occurred after injection and the size of the swelling and pt''s pain after injection. 09/02/2008 MR received for DOS 7/14-17/2008 with D/C DX: Sickle Cell Crisis. Painful hemolytic crisis. Left arm swelling, reaction to pneumococcal vaccine. Tobacco abuse. Pneumonia. Pt admitted for sickle cell crisis related abdominal pain. Given Pneumovax in hospital and subsequently developed L arm pain and swelling. Compartment syndrome r/o. By d/c pain and swelling much improved.

VAERS ID:321304 (history)  Vaccinated:2008-07-16
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:2008-07-18
Location:Ohio  Entered:2008-08-05, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER 0UNUN
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURER 1UNUN
YF: YELLOW FEVER (YF-VAX)SANOFI PASTEURUF305AA1SCLA
Administered by: Private     Purchased by: Private
Symptoms: Body temperature increased, Incorrect route of drug administration, Pain
SMQs:, Neuroleptic malignant syndrome (broad), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 1 dose YF given IM inadvertently thinking it was another vaccine, 1 dose given SQ. 2 days later in checking on him - the company MD reported 101 degrees & very achy. Follow up call made x3 & at 1wk he was symptom free.

VAERS ID:321887 (history)  Vaccinated:2007-08-14
Age:32.0  Onset:2007-08-15, Days after vaccination: 1
Gender:Female  Submitted:2008-07-30, Days after onset: 350
Location:Unknown  Entered:2008-08-06, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ALLEGRA; FLONASE
Current Illness: Asthma exercise induced
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0708USA04025
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0959F IMUN
Administered by: Other     Purchased by: Other
Symptoms: Headache, Oedema peripheral, Pyrexia, Tunnel vision, Vertigo
SMQs:, Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Optic nerve disorders (broad), Retinal disorders (narrow), Vestibular disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from licensed practical nurse concerning a 32 year old female with exercise induced asthma and no allergies who on 14-AUG-2007 was vaccinated with a 0.5 ml dose of PNEUMOVAX 23 (Lot #0959F/655290) intramuscularly. Concomitant therapy included FLONASE and ALLEGRA. On 15-AUG-2007 the patient developed a fever, headache, arm swelling and experienced tunnel vision and vertigo. The patient was evaluated in the emergency room and was treated with MOTRIN, BENADRYL, and prednisone. No other information is available at this time. Additional information has been requested.

VAERS ID:321749 (history)  Vaccinated:2008-07-31
Age:32.0  Onset:2008-07-31, Days after vaccination: 0
Gender:Male  Submitted:2008-07-31, Days after onset: 0
Location:South Carolina  Entered:2008-08-11, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~Hep B (no brand name)~1~32~In Patient
Other Medications: None
Current Illness: None
Preexisting Conditions: NKA
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC.0398X1UNLA
Administered by: Other     Purchased by: Private
Symptoms: Nausea, Vomiting
SMQs:, Acute pancreatitis (b