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Case Details (Sorted by Age)

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VAERS ID: 349033 (history)  
Age: 8.0  
Gender: Male  
Location: Ohio  
Vaccinated:2009-06-09
Onset:2009-06-09
   Days after vaccination:0
Submitted: 2009-06-12
   Days after onset:3
Entered: 2009-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 LA / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Cellulitis, Erythema, Induration, Oedema peripheral, Pain in extremity, Rash macular, Skin warm, White blood cell count increased, X-ray
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: RESPIRDOL, CLONODINE, ZYRTEC, SINGULAIR, ALBUTEROL INHALER
Current Illness: NONE
Preexisting Conditions: ADHD, IMMUNE DEF, ASTHMA, BIPOLAR
Diagnostic Lab Data: XRAYS, BLOODWORK SHOWS WBC HIGH
CDC Split Type:

Write-up: CHILD RECEIVED VACCINE ON 06/09/09 AT PRIMARY CARE AROUND 4PM WENT HOME AND HOUR LATER ARM BECAME SORE AND HARD AND SWELLED UP APPLIED ICE AND GAVE MOTRIN 100MG, WOKE UP NEXT MORNING SWELLING REALLY WORSE MADE APPT FOR PRIMARY DR TO SEE HIM. WENT TO SEE DR (ONLY ONE AVAILIABLE TO SEE HIM) SHE SAID IT WAS JUST A REACTION AND SHOULD TAKE SOME TIME WEEKS FOR SWELLING TO GO DOWN GIVE MOTRIN 200MG FOR PAIN AND SWELLING.... RETURNED HOME THAT EVENING SWELLING WORSE BUT NOW WAS HOT TO TOUCH AND RED BLOTCHY GOING ALL THE WAY DOWN ARM INTO BACK AND NECK...TO ER, WAS TOLD IT WAS CELLULITIS FROM SHOT....FOLLOW UP CLOSLY WITH PRIMARY DR. AND WAS GIVEN PRESCRIPTION FOR KEFLEX.


VAERS ID: 349099 (history)  
Age: 8.0  
Gender: Male  
Location: Michigan  
Vaccinated:2009-06-12
Onset:2009-06-12
   Days after vaccination:0
Submitted: 2009-06-15
   Days after onset:3
Entered: 2009-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
VARCEL: VARICELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none known
Preexisting Conditions: none diagnosed, although patient may have a digestional allergy to strawberries.
Diagnostic Lab Data:
CDC Split Type:

Write-up: Vaccination given at 9:20 a.m. Patient showed signs of excessive tiredness at 7:45 p.m. Vomiting occured beginning at 4:00 a.m.


VAERS ID: 349275 (history)  
Age: 8.0  
Gender: Male  
Location: Unknown  
Vaccinated:2009-06-15
Onset:2009-06-15
   Days after vaccination:0
Submitted: 2009-06-16
   Days after onset:1
Entered: 2009-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2898PA / 0 RA / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. AHAVB256BA / 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0263Y / 1 RA / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Pruritus
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Right Arm reddened, swollen and painful some itchy. Mother stated notice swelling last evening 6/16/09 at about 8.00pm. Mother did not massage arm after shot.


VAERS ID: 349276 (history)  
Age: 8.0  
Gender: Female  
Location: Unknown  
Vaccinated:2009-06-10
Onset:2009-06-11
   Days after vaccination:1
Submitted: 2009-06-11
   Days after onset:0
Entered: 2009-06-17
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0263Y / 1 RL / UN

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

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

Write-up: sWELLING AND REDNESS ON RIGHT THIGH,LATERAL ASPECT MEASURING 55cm X 70cm.


VAERS ID: 349785 (history)  
Age: 8.0  
Gender: Female  
Location: Unknown  
Vaccinated:2005-08-10
Onset:2008-03-29
   Days after vaccination:962
Submitted: 2009-05-29
   Days after onset:426
Entered: 2009-06-17
   Days after submission:19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER UNKNOWN / 4 UN / UN
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER UNKNOWN / 3 UN / UN
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0483R / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Measles
SMQs:

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: None
Diagnostic Lab Data: None
CDC Split Type: WAES0804USA00375

Write-up: Information has been received from a consumer concerning her daughter with no pertinent medical history or drug allergies who on 01-MAR-2001 and 10-AUG-2005 was vaccinated with her first and second dose of measles virus vaccine live (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3) (lot# 634420/0012L, 647106/0483R) (HSA). Concomitant vaccination administered on 01-MAR-2001 included the third dose of hepatitis B virus vaccine rHBsAg (MSD) (lot# 638081/1667X). Concomitant vaccinations administered on 10-AUG-2005 included the fifth dose of diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid and the fourth dose of inactivated poliovirus vaccine and the fourth dose of inactivated poliovirus vaccine (unspecified) (unspecified). On 29-MAR-2008 the patient experienced measles. The patient was taken to the emergency room but was not hospitalized. No labs or diagnostic studies were performed. Therapy with measles-mumps-rubella vaccine was discontinued. The patient was noted to be recovering. There was no product quality complaint. No further information is available.


VAERS ID: 349816 (history)  
Age: 8.0  
Gender: Male  
Location: Unknown  
Vaccinated:1999-08-24
Onset:2008-04-01
   Days after vaccination:3143
Submitted: 2009-05-29
   Days after onset:423
Entered: 2009-06-17
   Days after submission:19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 UN / SC

Administered by: Other       Purchased by: Other
Symptoms: Measles antibody positive, Mumps antibody test negative, Rubella antibody positive
SMQs:

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: serum measles Ab, 04/??/08, posit, serum mumps Ab, 04/??/08, negat; serum rubella IgG, 04/??/08, posit
CDC Split Type: WAES0804USA04732

Write-up: Information has been received from a registered nurse concerning a male with no pertinent medical history and no drug reactions/allergies who on 09-AUG-1996 was vaccinated with the first dose of MMR. The second dose of MMR was administered subcutaneously on 24-AUG-1999. There was no concomitant medication. In early April 2008 (about a month ago), the measles and rubella came back positive and the mumps titer was negative. Additional information has been requested.


VAERS ID: 350207 (history)  
Age: 8.0  
Gender: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2009-05-29
Entered: 2009-06-17
   Days after submission:19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UN / SC

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: body temp, 105
CDC Split Type: WAES0903USA00594

Write-up: Information has been received from a consumer concerning her 8 year old son who was vaccinated with a dose of MMR II. It was reported that the patient developed a fever of 105 degrees after receiving the MMR II. It is unknown if the patient sought medical attention. The patient''s outcome was not reported. No further information is available.


VAERS ID: 349883 (history)  
Age: 8.0  
Gender: Female  
Location: South Carolina  
Vaccinated:2009-06-09
Onset:2009-06-10
   Days after vaccination:1
Submitted: 2009-06-19
   Days after onset:9
Entered: 2009-06-23
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0222X / 1 LA / SC

Administered by: Private       Purchased by: Public
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Significant induration, redness, tenderness at injection site (13 cm), fever 102.


VAERS ID: 350039 (history)  
Age: 8.0  
Gender: Female  
Location: California  
Vaccinated:2009-06-23
Onset:2009-06-24
   Days after vaccination:1
Submitted: 2009-06-24
   Days after onset:0
Entered: 2009-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1584X / 1 RA / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0124Y / 1 RA / SC

Administered by: Private       Purchased by: Other
Symptoms: Culture, Injection site erythema, Injection site pruritus, Injection site vesicles, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Varicella culture is pending
CDC Split Type:

Write-up: R arm warmth eryth and 1 vesicle just inferior to injection site. Itchy, no fever, no malaise.


VAERS ID: 350930 (history)  
Age: 8.0  
Gender: Male  
Location: Pennsylvania  
Vaccinated:2007-06-27
Onset:2009-06-28
   Days after vaccination:732
Submitted: 2009-07-07
   Days after onset:9
Entered: 2009-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0608U / 1 RA / SC

Administered by: Private       Purchased by: Private
Symptoms: Skin lesion, Varicella, Varicella post vaccine
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Varicella vaccine breakthrough. Had varivax x2. Diagnosed in our office on 6/30/09 with varicella. Had over 100 lesions.


VAERS ID: 351151 (history)  
Age: 8.0  
Gender: Male  
Location: California  
Vaccinated:2009-07-09
Onset:2009-07-10
   Days after vaccination:1
Submitted: 2009-07-12
   Days after onset:2
Entered: 2009-07-10
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C3081AA / 4 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1375X / 1 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0341Y / 1 LA / SC

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

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

Write-up: About 24h after vaccination, child developed 11cm diam red tender indurated lesion on right deltoid centered at varicella injection site. By 48h, increased tenderness. By 72h - almost completely resolved.


VAERS ID: 351160 (history)  
Age: 8.0  
Gender: Female  
Location: North Carolina  
Vaccinated:2009-07-09
Onset:2009-07-10
   Days after vaccination:1
Submitted: 2009-07-10
   Days after onset:0
Entered: 2009-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1715X / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0502Y / 1 LA / SC

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

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

Write-up: Patient developed a 3cm erythematous, warm, circular area at site of injection the morning after she received it. Treatment - Benadryl PO prn, Motrin prn, cool compresses.


VAERS ID: 351456 (history)  
Age: 8.0  
Gender: Female  
Location: California  
Vaccinated:2009-06-24
Onset:2009-06-25
   Days after vaccination:1
Submitted: 2009-06-26
   Days after onset:1
Entered: 2009-07-15
   Days after submission:19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0495X / 1 RL / SC

Administered by: Military       Purchased by: Military
Symptoms: Erythema, 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)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PPD, Sanofi Pasteur, C2681AA, ID/ Left arm; Zyrtec
Current Illness: No
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Raised, red, round- approx. 2 inches in diameter area on pt''s L thigh. Home care - included ice to area + Motrin, continued home care $gcold compresses x 2 days. P/B warm compresses + 2 days.


VAERS ID: 351600 (history)  
Age: 8.0  
Gender: Female  
Location: Florida  
Vaccinated:2009-07-14
Onset:2009-07-14
   Days after vaccination:0
Submitted: 2009-07-16
   Days after onset:2
Entered: 2009-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB336AA / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0386Y / 1 RA / SC

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

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

Write-up: Per mother, patient experienced an all over body rash 2 1/2 hours after vaccination of VZV and Hepatitis A on 07/14/2009. Denied fever. Denied itching. Mom treated at home with OTC Benadryl x2 doses on 07/15/2009. Treatment with Prednisone 5mg TID x5 days. OTC Calamine Topical Lotion as needed. Decrease sun exposure. To see MD if does not improve.


VAERS ID: 351914 (history)  
Age: 8.0  
Gender: Male  
Location: Indiana  
Vaccinated:2009-07-13
Onset:2009-07-19
   Days after vaccination:6
Submitted: 2009-07-20
   Days after onset:1
Entered: 2009-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR A0996-2 / 3 RA / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1581X / 1 RA / SC
TD: TD ADSORBED (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB A011B / 4 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0058 Y / 1 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Headache, Lethargy
SMQs:, Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (broad)

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: Asthma, allergy to oats, cow''s milk, bees
Diagnostic Lab Data: none at this time
CDC Split Type:

Write-up: On 7/19/09 noted lethargy, headache when moves around too much. No elevated temperature, no vomiting. Encouraged to give Tylenol or Ibuprophen for pain, to see physician for symptoms.


VAERS ID: 352013 (history)  
Age: 8.0  
Gender: Female  
Location: Texas  
Vaccinated:2009-07-18
Onset:2009-07-18
   Days after vaccination:0
Submitted: 2009-07-21
   Days after onset:3
Entered: 2009-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0683Y / 1 LA / SC

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

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:

Write-up: Varicella vaccine given 7-18-09 in Left arm subcutaneous. Sat 10 minutes in office, no problmes at that time. Mother states child had a small red circle at injection site on 7-18-09 the evening of the injection On 7-19-09 mother states that the injection site was red and the size of a peach. Mother states 7-20-09, arm was red and very swollen, and child had itching at the site. States took to the doctor and was given medication to prevent pruritis, and an antibiotic.


VAERS ID: 352164 (history)  
Age: 8.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2009-05-18
Onset:2009-05-19
   Days after vaccination:1
Submitted: 2009-07-22
   Days after onset:64
Entered: 2009-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR A10602 / 3 LA / SC
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR U2347CA / 4 LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Erythema, Induration, Pain, Rash, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: 5/20/09 received telephone call from mother, pt. had received vaccines-Hep A #1;MMR #2 & Varicella #2 on 5/11/09. On 5/18/09 pt. received Td booster, IPV #4 as child was going to be excluded from school for not meeting school law. On 5/19/09 pt. "developed rash on face, arms & chest, appeared as needle points-swollen, red & hard. Child was seen at PCP''s office 5/19/09, he prescribed benadryl, tylenol or ibuprofen prn pain.


VAERS ID: 352192 (history)  
Age: 8.0  
Gender: Male  
Location: Alaska  
Vaccinated:2009-07-20
Onset:2009-07-20
   Days after vaccination:0
Submitted: 2009-07-22
   Days after onset:2
Entered: 2009-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 00954 / 1 LA / SC

Administered by: Military       Purchased by: Military
Symptoms: Injection site pruritus, Injection site swelling, Injection site warmth, Tuberculin test
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Asthma
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt came in on 20 Jul 09 to receive VARIVAX. Pt mom stated Monday nite. Patient became itchy, swollen, and warm to the touch at site of injection. 22nd of July mother brought Pt back in for TB test results and to check on sons arm. Treated with oral Benadryl and antibiotic.


VAERS ID: 352265 (history)  
Age: 8.0  
Gender: Male  
Location: New York  
Vaccinated:2009-07-15
Onset:2009-07-15
   Days after vaccination:0
Submitted: 2009-07-16
   Days after onset:1
Entered: 2009-07-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 5029X / 1 LA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1604X / 1 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Erythema, Oedema peripheral, Skin warm, Tenderness
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Red, warm, swollen "2x2 " tender cold compresses applied left arm.


VAERS ID: 352301 (history)  
Age: 8.0  
Gender: Female  
Location: Indiana  
Vaccinated:2009-07-21
Onset:2009-07-23
   Days after vaccination:2
Submitted: 2009-07-23
   Days after onset:0
Entered: 2009-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB287AB / 1 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0728Y / 1 RA / SC

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

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

Write-up: Patient returned to District Health Office 48 hours post vaccination with swollen, reddened area 60mm by 50mm on back of right arm.


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