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Case Details (Sorted by Age)

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VAERS ID:364364 (history)  Vaccinated:2009-10-26
Age:20  Onset:2009-10-26, Days after vaccination: 0
Gender:Female  Submitted:2009-10-27, Days after onset: 1
Location:Massachusetts  Entered:2009-11-02, 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: YASMIN 28 3 0.03 mg
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 2UNLA
Administered by: Other     Purchased by: Private
Symptoms: Asthenia, Headache, Injection site pain, Myalgia, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad)
Write-up: Rec''d 3rd dose of GARDASIL and 4 hrs later felt nauseous, weak, myalgias, headache, arm pain at injection site. Feeling better today with less symptoms.

VAERS ID:364596 (history)  Vaccinated:2009-10-26
Age:20  Onset:2009-10-26, Days after vaccination: 0
Gender:Female  Submitted:2009-11-02, Days after onset: 7
Location:Oregon  Entered:2009-11-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Recovery from LLL Pneumonia
Preexisting Conditions: S/P Thyroidectomy; 2" Papillary Carcinoma; TURNERS Syndrome
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP002AA0UNRA
Administered by: Private     Purchased by: Unknown
Symptoms: Erythema, Petechiae, Similar reaction on previous exposure to drug
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hypersensitivity (broad)
Write-up: Pt had red patch with petechial appear to R cubital area in 1 hr after vaccine given (vaccine of deltoid area). Pt had similar reaction last summer to THYROGEN injection. I believe pt had fixed drug reaction.

VAERS ID:364711 (history)  Vaccinated:2008-04-15
Age:20  Onset:2008-04-15, Days after vaccination: 0
Gender:Female  Submitted:2009-11-02, Days after onset: 566
Location:Wisconsin  Entered:2009-11-03, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Metformin; PROMETRIUM
Current Illness: Pregnancy NOS (LMP = 3/23/2008); Hypertension
Preexisting Conditions: Polycystic ovarian syndrome
Diagnostic Lab Data: Blood chemistry, normal
CDC 'Split Type': WAES0805USA05666
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1287U0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Caesarean section, Drug exposure during pregnancy, Failed induction of labour, Laboratory test normal, Pre-eclampsia
SMQs:, Hypertension (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: Information has been received from a physician for GARDASIL, a Pregnancy Registry product, concerning a 20 year old female with a history of polycystic ovarian syndrome who on 15-APR-2008 was vaccinated IM with the first dose of GARDASIL (655327/1287U). Concomitant therapy included PROMETRIUM and Metformin. The physician reported that the patient is pregnant (LMP = 23-MAR-2008) and that gestation is 2 days prior to vaccination. The patient sought unspecified medical attention in the physician''s office. Prenatal labs were performed; results were normal. No adverse effects were reported. Patient outcome was not reported. Follow up information was received from a health professional who initially reported that the patient had a pregnancy and delivery with "no complications". The health professional later stated, "that the patient was not without complications since the patient had pre-eclampsia and also had a cesarean section." Follow up information was received from the physician who stated that the patient had a healthy and normal male, with no congenital anomalies. He was born full-term and weighed 6lb, 8oz. Additionally, the patient had a history of chronic hypertension and developed pre-eclampsia, for which she was induced at 37 weeks gestation. Her induction failed and as a result the patient had a cesarean section, from which she has recovered "just fine". At the time of the report the patient was pregnant again. Upon internal review cesarean section was considered to be an other important medical event. Additional information is not expected.

VAERS ID:364733 (history)  Vaccinated:2009-10-28
Age:20  Onset:2009-10-31, Days after vaccination: 3
Gender:Female  Submitted:2009-11-03, Days after onset: 3
Location:California  Entered:2009-11-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ambien 5 mg, Ultram 50 mg, orthotricyclen
Current Illness: None
Preexisting Conditions: Fibromyalgia, Migraine Headache
Diagnostic Lab Data: Patient symptomatic at time of evaluation 11/2/09. She is expected to fully recover.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.50076SP0IN 
Administered by: Unknown     Purchased by: Public
Symptoms: Cough, Nausea, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Fever, body aches, congestion, sore throat, cough, nausea, vomiting

VAERS ID:364759 (history)  Vaccinated:2009-10-23
Age:20  Onset:2009-10-23, Days after vaccination: 0
Gender:Male  Submitted:2009-11-03, Days after onset: 11
Location:Puerto Rico  Entered:2009-11-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NO
Current Illness:
Preexisting Conditions: NO
Diagnostic Lab Data: N/A
CDC 'Split Type': PR-09-13
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.50075970IN 
Administered by: Unknown     Purchased by: Public
Symptoms: Anxiety, Arrhythmia, Extrapyramidal disorder, Headache, Hyperventilation, Muscle spasticity, Nausea, Tremor
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Cardiac arrhythmia terms, nonspecific (narrow)
Write-up: PATIENT REFERS NAUSEA, HEADACHE, ANXIOUS, TREMBLING. PATIENT DEVELOPED ARRYTHMIA, HIPERVENTILATION, SPASTIC EXTREMETIES LIKE EXTRAPYRAMIDAL ADVERSE REACTIONS. WAS TREATED WITH BENADRYL AND OTHER MEDICATIONS LIKE SOLUMEDROL.

VAERS ID:364839 (history)  Vaccinated:2009-10-29
Age:20  Onset:2009-10-29, Days after vaccination: 0
Gender:Female  Submitted:2009-11-03, Days after onset: 5
Location:Florida  Entered:2009-11-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NO
Preexisting Conditions: no
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC. 2 UN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Cough, Nasopharyngitis, Oropharyngeal pain
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)
Write-up: I had sore throat about several hours later after I got the flu shot. Then I got a cough and catch a cold. And It''s more and more serious athough I had eat medicine every day.

VAERS ID:364846 (history)  Vaccinated:2009-11-02
Age:20  Onset:2009-11-02, Days after vaccination: 0
Gender:Female  Submitted:2009-11-03, Days after onset: 1
Location:Washington  Entered:2009-11-03
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: Seasonal/environmatal allergies.
Diagnostic Lab Data: Binax now rapid influenza test negative for influenza A + B
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP002AA1IMRA
Administered by: Other     Purchased by: Public
Symptoms: Chills, Influenza serology negative, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Fever, chills, rigors, aches within legs flu 24 hours of vaccine (H1N1), R deltoid @ injection site w/no induration, no redness, non tender.

VAERS ID:364930 (history)  Vaccinated:2009-10-28
Age:20  Onset:2009-10-28, Days after vaccination: 0
Gender:Male  Submitted:2009-10-29, Days after onset: 1
Location:California  Entered:2009-11-04, 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:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU3020AA0UNLA
Administered by: Other     Purchased by: Other
Symptoms: Headache, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Headache, body ache. Fever since last night 102 degree F. Temp today 100.2 degree F.

VAERS ID:365043 (history)  Vaccinated:2009-11-03
Age:20  Onset:2009-11-03, Days after vaccination: 0
Gender:Female  Submitted:2009-11-04, Days after onset: 1
Location:Washington  Entered:2009-11-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS98432P1 IMUN
Administered by: Other     Purchased by: Unknown
Symptoms: Blood glucose decreased, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: I gave patient a Fluvirin shot, Lot 98432P1 at 12:10 on 11/3/09. She left and went to lunch. She fainted about 1/2 hour later. The paramedics were there. They examined her and said she just had low blood sugar. Called 11/4/09. She says she is fine - feels well.

VAERS ID:365167 (history)  Vaccinated:2009-11-04
Age:20  Onset:2009-11-04, Days after vaccination: 0
Gender:Female  Submitted:2009-11-04, Days after onset: 0
Location:Texas  Entered:2009-11-04
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: Asthma
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.500780P IN 
Administered by: Private     Purchased by: Unknown
Symptoms: No adverse event, Wrong drug administered
SMQs:
Write-up: No adverse reaction as of 3:40PM Patient given Nasal H1N1 instead of injectable.

VAERS ID:365297 (history)  Vaccinated:2009-10-26
Age:20  Onset:0000-00-00
Gender:Female  Submitted:2009-10-27
Location:Texas  Entered:2009-11-05, 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: pre-natal vits
Current Illness: none
Preexisting Conditions: Allergy to sulfa drugs; 20 wk pregnant
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURUF500BA IMRA
Administered by: Private     Purchased by: Private
Symptoms: Wrong drug administered
SMQs:
Write-up: No adverse event or symptoms or side effects. 20 yr pregnat pt (20 wks) was given a Tdap instead of the flu vaccine - med error. Dr notified pt. Next pt returned to clinic for flu vaccine, R deltoid examined - no reaction noted, none reported by pt.

VAERS ID:365452 (history)  Vaccinated:2009-11-03
Age:20  Onset:2009-11-03, Days after vaccination: 0
Gender:Female  Submitted:2009-11-05, Days after onset: 2
Location:New York  Entered:2009-11-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: no
Diagnostic Lab Data: none
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP008AA0IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Blindness, Dizziness, Fatigue, Headache, Injection site anaesthesia, Injection site pain, Tinnitus, Visual impairment
SMQs:, Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Vestibular disorders (broad)
Write-up: Within a few hours of injection tenderness at the site and numbness throughout entire right upper extremity down into all 5 fingers developed. 23 hours later experienced sudden dizziness accompanied by visual "black out" that lasted a few minutes and was followed by fatigue the remainder of day. Headache also noted which was relieved by ibuprofen. Noted some ringing in right ear. All symptoms resolved by 11/05/2009 PM except slight subjective weakness right upper extremity. Objective findings all normal.

VAERS ID:365484 (history)  Vaccinated:2009-10-28
Age:20  Onset:2009-10-31, Days after vaccination: 3
Gender:Male  Submitted:2009-11-05, Days after onset: 5
Location:Maine  Entered:2009-11-05
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: Ventricular septal defect
Diagnostic Lab Data: Nerve conduction studies; culture CSF bacteria; lyme
CDC 'Split Type': ME110901H
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS1007391P IMUN
Administered by: Other     Purchased by: Public
Symptoms: Back pain, Borrelia burgdorferi serology, CSF bacteria identified, Hypoaesthesia, Hypoaesthesia facial, Lumbar puncture, Nerve conduction studies, Pain in extremity, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad)
Write-up: Pain in back and legs, numbness and parasthesia. Neurologist reports possible Guillain-Barre like symptoms. The patient is a 20-year-old male who received the influenza H1N1 vaccine on 10/28/2009. On Saturday that this past week, he developed back pain associated with numbness in his legs, some on his hands and some on his face. Denies any weakness. Denies any loss of reflexes, any bowel symptoms, difficulty breathing. He presents now for evaluation. His symptoms are somewhat intermittent in nature. He is currently feeling better. He does have a history of VSD. He has received the influenza vaccine in the past without difficulty. Temperature of 36.9, pulse of 75, respiratory rate of 14, blood pressure 128/78, and oxygen saturation 99% on room air. In general, awake, alert, well-developed, well-nourished male lying on the stretcher. Head: Atraumatic and normocephalic. Sclerae anicteric. Neck: Supple, no meningismus. Lungs: Clear to auscultation bilaterally. Heart: Regular rate and rhythm without murmur, rub, or gallop. Abdomen: Soft, nondistended, nontender without organomegaly or mass. Skin: Intact, warm and dry without lesions or rash. Extremities: Warm and well perfused. Neurologically, awake, alert, and oriented with no focal neurologic deficits. His reflexes were 21 brisk and symmetric at the knees. Clinically, appears well. His symptoms could be consistent with early Guillain-Barre syndrome related to his vaccine. Neurology was consulted. Lyme titer was sent, this is another possibility. After verbal informed consent was obtained, he had a lumbar puncture under my supervision in the normal fashion with return of clear fluid with a normal CSF protein. Plan will be for expected management with neurology referral as an outpatient and to return to the emergency department should he develop any respiratory distress, any progressive weakness or further concerns. He was instructed to withhold the seasonal influenza vaccine until he is seen by neurology.

VAERS ID:365551 (history)  Vaccinated:2009-10-28
Age:20  Onset:2009-10-30, Days after vaccination: 2
Gender:Female  Submitted:2009-11-06, Days after onset: 7
Location:Connecticut  Entered:2009-11-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP009AA IMRA
Administered by: Other     Purchased by: Unknown
Symptoms: Body temperature increased, Chills, Cough, Hyperhidrosis, Myalgia, Oropharyngeal pain, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad)
Write-up: Fever x 36 hrs over W/E. Increased 101.5 degrees on 10/31, (+) myalgia, chills, sweats. Cough onset 11/2. Sore throat.

VAERS ID:365557 (history)  Vaccinated:2009-11-05
Age:20  Onset:2009-11-05, Days after vaccination: 0
Gender:Female  Submitted:2009-11-06, Days after onset: 1
Location:Connecticut  Entered:2009-11-06
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
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (CSL)CSL LIMITED00249611A IMLA
Administered by: Other     Purchased by: Unknown
Symptoms: Fatigue, Nausea, Urinary tract infection
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: (+) Nausea, (+) fatigue, (+) UTI sxs.

VAERS ID:365741 (history)  Vaccinated:2009-11-05
Age:20  Onset:2009-11-05, Days after vaccination: 0
Gender:Female  Submitted:2009-11-06, Days after onset: 1
Location:New York  Entered:2009-11-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol Inhaler prn. OCP Epi-Pen prn
Current Illness: Recently over UTI, finished Cipro 250mg BID for 7 days. Started RX 10/26/09.
Preexisting Conditions: Allergic to Acetaminophen HX of Asthma and Angioedema
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP007AA0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dyspnoea, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (broad)
Write-up: Student complaining of "SOB, throat closing, appeared frightened." 2:06 pm .3 cc Epi SQ 2:08 pm 50mg IM Benadryl

VAERS ID:365862 (history)  Vaccinated:2009-11-06
Age:20  Onset:2009-11-07, Days after vaccination: 1
Gender:Male  Submitted:2009-11-07, Days after onset: 0
Location:North Carolina  Entered:2009-11-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Singular, Xyzal, Levoxyl,
Current Illness:
Preexisting Conditions: Hypo-thyroidism, pollen allergies
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.500780P0IN 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chills, Diarrhoea, Headache, Nausea, Pain, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Headache, Fever, Nausea, Vomiting, Chills, Body Aches, Diarrhea

VAERS ID:365872 (history)  Vaccinated:2009-11-07
Age:20  Onset:2009-11-07, Days after vaccination: 0
Gender:Male  Submitted:2009-11-08, Days after onset: 1
Location:California  Entered:2009-11-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Trileptal
Current Illness: no
Preexisting Conditions: hayfever; epilepsy related to benign brain tumor
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)UNKNOWN MANUFACTURER 0  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Oropharyngeal pain, Pain, Rhinorrhoea
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)
Write-up: Sore throat and runny nose in pm; sore throat, runny nose, body aches in am of 11/08/2009.

VAERS ID:366036 (history)  Vaccinated:2009-10-21
Age:20  Onset:2009-10-21, Days after vaccination: 0
Gender:Male  Submitted:2009-10-21, Days after onset: 0
Location:Minnesota  Entered:2009-11-09, Days after submission: 19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: 4
Current Illness: Parents later acknowledged he faints easily
Preexisting Conditions: Passes out easily/ frequently
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS98447811IMUN
Administered by: Other     Purchased by: Private
Symptoms: Convulsion, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow)
Write-up: 7:48 Flu shot given. 7:49 Patient passed out / potential seizing?? 7:50 administered EPIPEN. Patient began coming back to awareness very shortly after EPIPEN. Patient refused to go with ambulance crew.

VAERS ID:366145 (history)  Vaccinated:2009-11-09
Age:20  Onset:0000-00-00
Gender:Female  Submitted:2009-11-09
Location:Oklahoma  Entered:2009-11-09
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 11/10/09 Medical records received for DOS 10/22/09 and 11/5/09. FInal DX: Bartholin''s gland abcess, pregnancy. LMP 8/25/09. EDC 5/31/2010. Prmigravida. 10.1 wks gest. ICD9 Codes: V22.1, 616.3
Diagnostic Lab Data: Labs & Diags: UA- 2+ leuks
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.500803P0IN 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Contraindication to vaccination, Drug exposure during pregnancy
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: Client did not tell nurse that she was pregnant until after she received the intranasal H1N1 vaccine.

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