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Case Details (Sorted by Age)

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VAERS ID:235171 (history)  Vaccinated:2005-03-01
Age:18.0  Onset:2005-03-02, Days after vaccination: 1
Gender:Female  Submitted:2005-03-18, Days after onset: 16
Location:Arizona  Entered:2005-03-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Fever 105 degrees, jittery, high pitch cry;DTP (no brand name);2;4;In Patient
Other Medications:
Current Illness: None
Preexisting Conditions: Allergic to penicillin & pertussis vaccine
Diagnostic Lab Data: N/A
CDC Split Type: AZ0504
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1239N1IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dizziness, Headache
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)
Write-up: Received hep B vaccine at 1530 on 3/1/05. Upon arising 3/2/05 c/o faintness & headache unrelieved by Tylenol. Persisted throughout that day. On 3/3/05 she was much improved. Dr. was not contacted by mother for symptoms. Was afebrile.

VAERS ID:235193 (history)  Vaccinated:2004-07-19
Age:18.0  Onset:2004-07-21, Days after vaccination: 2
Gender:Male  Submitted:2004-09-20, Days after onset: 61
Location:Oregon  Entered:2005-03-21, Days after submission: 182
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PPD
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: 200402556
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)AVENTIS PASTEURC1699AA ID 
Administered by: Private     Purchased by: Private
Symptoms: Injection site induration, Medication error
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: From initial information received on 07/23/04 from a health care professional regarding an adverse event occurring in the USA, it was reported that two patients (no patient identification provided) may have received a does of Daptacel, lot number C1699AA, in error instead of a Tubersol 5TU skin test on an unspecified date. Sometime after the administration of the product, both patients developed large positive reactions, which were described as induration at the injection site. One area of induration measured 40mm and the other measured 50mm. It was not reported whether the patients recovered from these events. From additional correspondence received on 09/07/04 from the initial reporter, the patient''s full name, date of birth, age date of vaccination and adverse event onset, and recovery status were provided. Also, this patient had no pre-existing conditions or allergies and no illnesses at the time of the vaccination. The Daptacel vaccine was given intra-dermal in error instead of Tubersol 5TU. This vaccine was given at a private doctor''s office with private funds. This event was not previously reported. From telephone correspondence on 09/08/04, it was reported that the number of patients who experienced reactions after receiving Daptacel in error instead of Tubersol 5TU was only one patient and the information for this patient is included in the follow up information received by the manufacture on 09/07/04. She stated that the second patient originally identified did not receive Daptacel, but did in fact received Tubersol 5TU and had a positive reaction. The second patient did not experience an adverse event. No further information is anticipated, this case is considered closed.

VAERS ID:235839 (history)  Vaccinated:2005-03-13
Age:18.0  Onset:2005-03-14, Days after vaccination: 1
Gender:Male  Submitted:2005-03-15, Days after onset: 1
Location:Oregon  Entered:2005-04-06, 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: Neosporin
Current Illness: NONE
Preexisting Conditions: Sulfa allergy, hernia repair age 2 years
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TETANUS DIPHTHERIA (NO BRAND NAME)AVENTIS PASTEURU1283AA1 RA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Cough, Feeling hot, Tenderness
SMQs:, Anaphylactic reaction (broad), Guillain-Barre syndrome (broad)
Write-up: Received Td after scalp laceration 3/13/05. Started feeling weak and tired 3/14. Continues to feel this way today with addition of cough and feeling hot, tenderness at injection site. 3/16 doing better, less weak, more cough.

VAERS ID:235862 (history)  Vaccinated:2005-03-23
Age:18.0  Onset:2005-03-24, Days after vaccination: 1
Gender:Female  Submitted:2005-04-01, Days after onset: 8
Location:Florida  Entered:2005-04-06, 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:
Current Illness:
Preexisting Conditions: The pt has no allergies or medical conditions. She did not have any illnesses and was on no medications at the time of vaccination.
Diagnostic Lab Data: NONE
CDC Split Type: 200500636
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)AVENTIS PASTEURU1493AC0SCLA
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site oedema, Medication error
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: From initial information received on 28Mar05 from a health care professional regarding an adverse event occurring, it was reported that an 18 year old female pt received a first dose of Menactra, lot number U1493AC, administered SC in error in her left arm on 23Mar05. One day later, on 24Mar05, the pt developed a local reaction of redness and swelling at the site of injection. She was seen in an ER on 26Mar05 and was treated with Clindamycin. She has recovered from these events. OMIC

VAERS ID:236078 (history)  Vaccinated:2005-04-05
Age:18.0  Onset:2005-04-05, Days after vaccination: 0
Gender:Male  Submitted:2005-04-07, Days after onset: 2
Location:West Virginia  Entered:2005-04-13, 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:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WV0502
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1023N1IMLA
Administered by: Public     Purchased by: Public
Symptoms: Dizziness, Headache, Heart rate increased, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Vestibular disorders (broad)
Write-up: Within 2 hours of receiving vaccine, Pt reported headache, fever 102, dizziness, rapid pulse. Saw private physician next a.m. - instructed to receive no further doses.

VAERS ID:236599 (history)  Vaccinated:2004-08-12
Age:18.0  Onset:2004-08-19, Days after vaccination: 7
Gender:Male  Submitted:2005-04-18, Days after onset: 242
Location:New Jersey  Entered:2005-04-26, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: Presume: Cardiac testing and routine labs
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1023N0 RA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0617N1 RA
TD: TETANUS DIPHTHERIA (NO BRAND NAME)AVENTIS PASTEURU1185AA0 LA
Administered by: Other     Purchased by: Other
Symptoms: Arrhythmia, Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow)
Write-up: Pt states he had a reaction 3-7 days after vaccine doses of 8/12/04. Treated at ER and hospitalized for tachycardia and arrhythmia. Treated several months with anticoagulants by cardiologist.

VAERS ID:236609 (history)  Vaccinated:2005-04-14
Age:18.0  Onset:2005-04-16, Days after vaccination: 2
Gender:Female  Submitted:2005-04-22, Days after onset: 6
Location:Washington  Entered:2005-04-26, Days after submission: 4
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
MEN: MENINGOCOCCAL (MENOMUNE)AVENTIS PASTEURUE345AA SCLA
Administered by: Private     Purchased by: Unknown
Symptoms: Headache, Musculoskeletal stiffness, Photophobia
SMQs:, Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Arthritis (broad)
Write-up: Headaches- main complaint x 5 days. Neck stiffness- improved, Photophobia now resolved No treatment.

VAERS ID:236616 (history)  Vaccinated:2005-04-12
Age:18.0  Onset:2005-04-16, Days after vaccination: 4
Gender:Female  Submitted:2005-04-19, Days after onset: 3
Location:Pennsylvania  Entered:2005-04-26, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)AVENTIS PASTEURU1526AC  LA
Administered by: Private     Purchased by: Private
Symptoms: Contusion, Injection site erythema, Injection site swelling, Injection site warmth
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: menactra administered 04/12/05 on 04/16/05 pt developed redness, swelling, itching at the injection site. 04/17/05 bruising and itching noted warm to touch no fever. 04/19/05 site reaction resolved.

VAERS ID:236874 (history)  Vaccinated:2005-04-28
Age:18.0  Onset:2005-04-28, Days after vaccination: 0
Gender:Female  Submitted:2005-05-02, Days after onset: 4
Location:New Jersey  Entered:2005-05-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin, PPD
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: UNK
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEN: MENINGOCOCCAL (MENOMUNE)AVENTIS PASTEUR356AA0SCLA
Administered by: Private     Purchased by: Unknown
Symptoms: Dyspnoea, Headache
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)
Write-up: This pt reports that on the day that the vaccination test were administered she had the following symptoms: headache at approx 5:00PM (3 hrs after vaccination test), shortness of breath at approx 7:00PM (5 hrs after vaccination test). Pt went to the ER. Pt reports that in the approx 3-4 hrs all symptoms resolved.

VAERS ID:237004 (history)  Vaccinated:2005-04-26
Age:18.0  Onset:2005-04-30, Days after vaccination: 4
Gender:Female  Submitted:2005-05-04, Days after onset: 4
Location:California  Entered:2005-05-04
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
TD: TD ADSORBED (NO BRAND NAME)AVENTIS PASTEURU1218BA IMRA
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Injection site erythema, Injection site mass, Injection site oedema
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Noticed redness and swelling at injection site within 24 hours after receiving vaccine. Redness about 1/2 dollar size. Redness and swelling have decreased but there is a firm bump. Denies fever, rash, or swelling elsewhere. Advised to come back to office if problem gets worse.

VAERS ID:237046 (history)  Vaccinated:2005-05-05
Age:18.0  Onset:2005-05-05, Days after vaccination: 0
Gender:Female  Submitted:2005-05-05, Days after onset: 0
Location:New Jersey  Entered:2005-05-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALS816A20IMLA
MEN: MENINGOCOCCAL (MENOMUNE)SANOFI PASTEURUE112AB0SCRA
Administered by: Military     Purchased by: Other
Symptoms: Dizziness, Loss of consciousness, Syncope
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), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: Immediately following immunization procedure, Pt collapsed in waiting area. "Black-out" lasted for a short period of time (<1 minute) and then became conscious and alert. Pt does not recall incident but did feel dizzy and light-headed before blackout. Pt did not eat breakfast.

VAERS ID:237345 (history)  Vaccinated:2005-05-04
Age:18.0  Onset:2005-05-05, Days after vaccination: 1
Gender:Female  Submitted:2005-05-05, Days after onset: 0
Location:Wyoming  Entered:2005-05-13, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)AVENTIS PASTEURU1526AC0 RL
Administered by: Public     Purchased by: Private
Symptoms: Headache, Malaise, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Fever, headache, malaise. To be seen at medical clinic. T 100. Rest overnight. Home from school Friday, back to normal. Mom informed fever occurs at about 5% rate.

VAERS ID:237472 (history)  Vaccinated:2005-05-10
Age:18.0  Onset:2005-05-13, Days after vaccination: 3
Gender:Female  Submitted:2005-05-17, Days after onset: 4
Location:Maryland  Entered:2005-05-17
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: epi pen for tree nut allergy
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEN: MENINGOCOCCAL (MENOMUNE)AVENTIS PASTEURUE356AA0SCLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Headache, Neck pain
SMQs:, Arthritis (broad)
Write-up: Patient developed severe headache 3 days post vaccine. Severe for 3 days, now gradually improving. Also neck pain 6 days post vaccine, appears to be muscular in origin. Patient''s exam normal except for muscle tightness in neck. Symptoms appear to be improving at this time.

VAERS ID:237785 (history)  Vaccinated:2005-05-16
Age:18.0  Onset:2005-05-16, Days after vaccination: 0
Gender:Female  Submitted:2005-05-16, Days after onset: 0
Location:New Jersey  Entered:2005-05-23, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)AVENTIS PASTEURU1494AB SCLA
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Heart rate decreased, Muscle twitching
SMQs:, Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dyskinesia (broad), Dystonia (broad), Vestibular disorders (broad)
Write-up: Approximately 5-10 minutes after receiving the Menactra vaccine, she became light headed. The mother helped her to lay down. Mother noticed some twitching which lasted 10 seconds. P 40 BPM and regular BP 120/60. BP remained normal and pulse increased over the next 10 minutes. Drank some water, felt better and went home accompanied by her mother. Sent for EKG, EEG, CMP, Neuro and Cardio consult.

VAERS ID:237938 (history)  Vaccinated:2003-11-26
Age:18.0  Onset:2003-11-26, Days after vaccination: 0
Gender:Female  Submitted:2005-05-16, Days after onset: 536
Location:New York  Entered:2005-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Pregnancy
Diagnostic Lab Data: MSAFP negative; Ultrasound negative: 19.3 weeks; CBC; Serum alanine 70; Serum alkaline 262; Serum aspartate 46; Serum creatinine 0.6; Total serum bilirubin 0.5.
CDC Split Type: WAES0405USA00271
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Jaundice cholestatic, Laboratory test abnormal, Medication error, Unintended pregnancy
SMQs:, Cholestasis and jaundice of hepatic origin (narrow), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: Information has been received through a pregnancy registry from a registered nurse concerning a 18 year old healthy female with no concurrent medical conditions who on 11/26/03 was vaccinated with a dose of varicella virus vaccine live. Subsequently, she became pregnant. It was noted that it has been an unremarkable pregnancy as of 5/5/04. Laboratory diagnostic tests performed on 2/23/04 included an MSAFP that was negative and on 3/12/04 an ultrasound that was negative and revealed 19.3 weeks. The LMP was 10/27/03 and the EDD was 8/2/04. Unspecified medical attention was sought. A product quality complaint was not involved. Follow up information indicated that the patient gave birth to a normal male live born infant weighing 280 grams on 7/21/04 at 39 weeks from her LMP. There were no congenital anomalies and no other complications. There were no complications during pregnancy. It was noted that the patient was induced for cholestatic jaundice of the pregnancy. Laboratory tests during pregnancy included A CBC on 7/19/04. An alkaline phosphatase was 262, alanine aminotransferase was 70, aspartate aminotransferase was 46, bilirubin was 0.51, and creatinine was 0.6. Medications used during pregnancy included prenatal vitamins once daily (not further specified). The infant had no feature of congenital varicella zoster syndrome. No further information is expected.

VAERS ID:238085 (history)  Vaccinated:2005-05-16
Age:18.0  Onset:0000-00-00
Gender:Male  Submitted:2005-05-19
Location:Ohio  Entered:2005-05-24, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: Came in the next day with myalgias, fever 99.3, nasal congestion; lasted 24-48 hours.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB074AA0IMLA
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)AVENTIS PASTEURU1575AA0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Headache, Myalgia, Nasal congestion, Nausea, Pallor, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Immediately following administration of second vaccine, patient became nauseated, weak, color paled, assisted to exam table; laid down, given sips of soda and was feeling better within 5-10 minutes after sitting up and feeling better approximately 10 minutes. Home with mom. Returned next day with complaints of fever, headache, and weakness. Advised fluids, rest and monitor.

VAERS ID:238233 (history)  Vaccinated:2005-05-17
Age:18.0  Onset:2005-05-18, Days after vaccination: 1
Gender:Male  Submitted:2005-05-20, Days after onset: 2
Location:Oregon  Entered:2005-05-26, 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: NONE
Current Illness: NONE
Preexisting Conditions: History of "congenital" glaucoma, NKA - sensitive to metals.
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1207N1SCLA
TD: TETANUS DIPHTHERIA (NO BRAND NAME)AVENTIS PASTEURU1220DA4IMLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site nodule, Injection site reaction, Injection site warmth, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad)
Write-up: 5/18 1600 PM Erythema firm nodule left lower arm (5.5 x 5.5 cm). Warm to touch, itchy. Benadryl 50 mg given PO. 5/19 1530 PM - Reaction- size decreased to 2.5 cm, mild redness with firm nodule, warm pack Benadryl continued.

VAERS ID:238256 (history)  Vaccinated:2002-07-29
Age:18.0  Onset:2004-05-19, Days after vaccination: 660
Gender:Female  Submitted:2005-05-16, Days after onset: 362
Location:Alabama  Entered:2005-05-26, 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:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: VZV strain- 05/19/2004 "VZVIGG" NEGATIVE
CDC Split Type: WAES0406USA00604
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 1SC 
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Information has been received from a health professional concerning a 20 year old healthy female who on 06/11/02 and 07/29/02 was vaccinated with the 1st and 2nd doses of varicella virus vaccine, live. A titer was drawn on 05/19/04, and it was negative for VZVIGG. No other information is available. Unspecified medical attention was sought. There was no product quality complaint. Additional information has been requested.

VAERS ID:238399 (history)  Vaccinated:2001-05-01
Age:18.0  Onset:2001-06-05, Days after vaccination: 35
Gender:Female  Submitted:2005-05-16, Days after onset: 1441
Location:Unknown  Entered:2005-05-27, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: Serum varicella zoster: failed to seroconvert.
CDC Split Type: WAES0407USA00982
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 1  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Information has been received from a physician''s assistant concerning a female who on 11/2/98 and in May 2001, was vaccinated with the first and second doses of varicella virus vaccine live. A titer was drawn on 6/5/01 indicated that the patient failed to seroconvert. Unspecified medical attention was sought. There was no product quality complaint. The reporter also indicated that another patient failed to seroconvert (WAES0407USA01108). Additional information has been requested.

VAERS ID:238446 (history)  Vaccinated:2004-07-15
Age:18.0  Onset:2004-07-26, Days after vaccination: 11
Gender:Female  Submitted:2005-05-16, Days after onset: 294
Location:Pennsylvania  Entered:2005-05-27, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: WAES0408USA00316
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Fatigue, Pain, Rash, Viral infection
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a consumer concerning her 18 year old sister who on 7/26/04 was vaccinated with a dose of varicella virus vaccine live. The reporter indicated that shortly after vaccination, on approximately 7/26/04, the patient developed 14 pox-like lesions, body aches, and fatigue. The patient''s physician instructed her to apply over the counter calamine lotion to the lesions. At the time of the report, the adverse events were improving on therapy and the patient was recovering. A product quality complaint was not involved. Follow up information was received from a physician who indicated that the patient received varicella virus vaccine live on 7/15/04. The reporter noted that the patient''s chart showed no record of an adverse event. No further information is expected.

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