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Found 593491 cases in entire database

Case Details (Sorted by Age)

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VAERS ID:80432 (history)  Vaccinated:1994-05-28
Age:10.0  Onset:1994-05-29, Days after vaccination: 1
Gender:Male  Submitted:1994-06-03, Days after onset: 5
Location:Pennsylvania  Entered:1995-06-09, Days after submission: 371
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: none
Other Medications: none
Current Illness: none
Preexisting Conditions: asthma, allerg rhinitis, allergy to sulfa drugs
Diagnostic Lab Data: none
CDC Split Type: 940129801
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES3609130IMA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema, Lymphadenopathy, 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), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax;devel localized rxn of erythema & swelling from elbow to inject site on deltoid;exp fever 101 for 2 days & enlarged axillary lymph node;seen by MD & tx w/ atbs;

VAERS ID:74779 (history)  Vaccinated:1995-04-28
Age:10.0  Onset:1995-04-28, Days after vaccination: 0
Gender:Female  Submitted:1995-05-04, Days after onset: 6
Location:Maryland  Entered:1995-06-12, Days after submission: 39
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: no medical problems or prev vaccines rxns;
Diagnostic Lab Data: NA
CDC Split Type: MD95019
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1129A1SCLA
Administered by: Public     Purchased by: Public
Symptoms: Rash, Rash maculo-papular, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 930AM in school clinic came to clinic 1245PM w/raised, reddened, hive-like rash on arms, legs & trunk, face red w/raised areas; no other sx; parent called family MD PDH advised; father reported on 1MAY95 rash much improved;

VAERS ID:74859 (history)  Vaccinated:1995-06-03
Age:10.0  Onset:1995-06-04, Days after vaccination: 1
Gender:Male  Submitted:1995-06-05, Days after onset: 1
Location:Utah  Entered:1995-06-13, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt reacted to Pertussis @ 18mos w/sz
Other Medications: Cephalexin/Ritalin
Current Illness: laceration to lt lower leg;
Preexisting Conditions: NKA pt is on Ritalin 40SR daily hyperactivity
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID (NO BRAND NAME)PFIZER/WYETH 5IMLA
Administered by: Private     Purchased by: Private
Symptoms: Headache, Nausea, Oedema peripheral, Pain, Pyrexia, Vasodilatation
SMQs:, Cardiac failure (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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: axillary t102; h/a, nausea, red & swollen arm; pain in arm & shoulder;

VAERS ID:75015 (history)  Vaccinated:1995-06-06
Age:10.0  Onset:1995-06-07, Days after vaccination: 1
Gender:Male  Submitted:1995-06-09, Days after onset: 2
Location:Oregon  Entered:1995-06-16, 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: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: placed on Emycin
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES4F610595IMRA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1341W1IMRA
Administered by: Private     Purchased by: Public
Symptoms: Cellulitis, Pain, Vasodilatation
SMQs:
Write-up: on 8JUN95 pt had rt arm redness size of silver dollar marked w/pen, warm to touch & tender; 9JUn sl inc in redness noted had MD look @ it & stated cellulitis secondary to DT

VAERS ID:75293 (history)  Vaccinated:1995-05-12
Age:10.0  Onset:1995-05-15, Days after vaccination: 3
Gender:Female  Submitted:1995-06-13, Days after onset: 29
Location:Colorado  Entered:1995-06-22, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: none
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES4L61153  LA
Administered by: Private     Purchased by: Other
Symptoms: Lymphadenopathy, Oedema
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax; rt clavicle area swollen; lymphadenitis in region of DT boost;cervical & axillary

VAERS ID:75818 (history)  Vaccinated:1995-06-29
Age:10.0  Onset:1995-06-29, Days after vaccination: 0
Gender:Female  Submitted:1995-07-05, Days after onset: 6
Location:California  Entered:1995-07-10, 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: NONE
Preexisting Conditions: irritable bowel synd
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1360A0IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1251A1SCRA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Dizziness, Headache, Hypotonia, Opisthotonus, Personality disorder, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hostility/aggression (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)
Write-up: approx 3 mins p/vax batting eyelids pt went limp-fell backwards; striking head & elbow elbow on back wall; back was arched up stiff; total LOC=10sec; pt then c/o h/a, dizziness, weakness & was not self until 1 1/2 hr later;

VAERS ID:80612 (history)  Vaccinated:1994-10-26
Age:10.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:North Dakota  Entered:1995-07-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: multivits, depakene, apap
Current Illness:
Preexisting Conditions: palsy, cerebral; mental retardation; sz dis
Diagnostic Lab Data: no relevant data
CDC Split Type: WAES94101026
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0536A   
Administered by: Other     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, 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), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax; 10 hrs later, exp 6x6cm local erythema, induration, swelling & tenderness; fever; md expressed a concern for particular lot;

VAERS ID:80751 (history)  Vaccinated:0000-00-00
Age:10.0  Onset:0000-00-00
Gender:Female  Submitted:1995-06-30
Location:Michigan  Entered:1995-07-26, Days after submission: 26
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: CO5567
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)CONNAUGHT LABORATORIES3E511244  
Administered by: Private     Purchased by: Other
Symptoms: Injection site reaction, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: low grade fever w/large local rxn

VAERS ID:76278 (history)  Vaccinated:1995-07-14
Age:10.0  Onset:1995-07-24, Days after vaccination: 10
Gender:Female  Submitted:1995-07-25, Days after onset: 1
Location:Arizona  Entered:1995-07-31, 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: tendonitis vs nerve condition
Preexisting Conditions:
Diagnostic Lab Data: no lab work
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0423B   
Administered by: Private     Purchased by: Unknown
Symptoms: Unevaluable event
SMQs:
Write-up: pt recv vax & broke out w/ chicken pox; dad said about 70% of body covered;

VAERS ID:76397 (history)  Vaccinated:1995-07-10
Age:10.0  Onset:1995-07-10, Days after vaccination: 0
Gender:Female  Submitted:1995-07-10, Days after onset: 0
Location:Georgia  Entered:1995-08-03, Days after submission: 24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: atb''s for sinus infect
Current Illness: recovering fr sinus infect;
Preexisting Conditions: nka
Diagnostic Lab Data:
CDC Split Type: GA95102
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0604A1SCRA
Administered by: Private     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema, Pruritus
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: pt recv vax;c/o itching at site;redness; 1" diam; ice packs to site;to MD;inc redness 5x4";MD said ok to adm diphenhydramine;inc swelling;BP 122/72;P=88;swelling,redness dec;advised to go to er if redness/swelling inc;

VAERS ID:76733 (history)  Vaccinated:1995-07-24
Age:10.0  Onset:1995-07-24, Days after vaccination: 0
Gender:Male  Submitted:1995-07-25, Days after onset: 1
Location:Maryland  Entered:1995-08-21, Days after submission: 27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: MD95027
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0831A1SCLA
Administered by: Public     Purchased by: Public
Symptoms: Dizziness, Hyperhidrosis, Hypotension, Nausea, Pallor, Somnolence
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Write-up: pt diaphoretic w/pallor & feeling faint 3-5 mins p/vax; hypotensive, drowsy & nauseated; given Epi, DPH & taken to ER by rescue squad-pt examined & released;

VAERS ID:76776 (history)  Vaccinated:1995-08-14
Age:10.0  Onset:1995-08-14, Days after vaccination: 0
Gender:Male  Submitted:1995-08-16, Days after onset: 2
Location:New Jersey  Entered:1995-08-21, 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: PPD by connaught, lot #240521
Current Illness: well child
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1531W0 LA
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Pallor, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Write-up: pt recv vax;fainted;felt dizzy first;when awake, responsive & pale;BP 88/42;rested, cool compress applied to forehead;now feels better;

VAERS ID:76780 (history)  Vaccinated:1995-08-17
Age:10.0  Onset:1995-08-17, Days after vaccination: 0
Gender:Female  Submitted:1995-08-17, Days after onset: 0
Location:Kentucky  Entered:1995-08-21, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: none
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 (ENGERIX-B)SMITHKLINE BEECHAM1017A20IMLA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Dizziness, Muscle twitching, Opisthotonus, Syncope, Vasodilatation
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dyskinesia (broad), Dystonia (narrow), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Write-up: pt recv vax;immed became weak, dizzy & passed out p/ vax;arched back;jerking legs no incontinence;no postictal period;pt nl p/ event;face became red;

VAERS ID:76946 (history)  Vaccinated:1995-08-17
Age:10.0  Onset:1995-08-17, Days after vaccination: 0
Gender:Male  Submitted:1995-08-24, Days after onset: 7
Location:Maryland  Entered:1995-08-28, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt fainted @ 10yrs w/Hep B vax unk dose
Other Medications: Immuno therapy
Current Illness: NONE
Preexisting Conditions: allergies
Diagnostic Lab Data: BP stable 92/60
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES384906  LA
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1645A21 RA
Administered by: Private     Purchased by: Private
Symptoms: Gaze palsy, Hypertonia, Nausea, Similar reaction on previous exposure to drug, Stupor, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Write-up: pt recv vax & passed out, eyes rolled up, arms clinched & twisted, body stiff, woke up & didn''t know what happened, felt nauseated-sick to stomach

VAERS ID:77176 (history)  Vaccinated:1995-07-25
Age:10.0  Onset:1995-08-02, Days after vaccination: 8
Gender:Male  Submitted:1995-08-03, Days after onset: 1
Location:Georgia  Entered:1995-09-05, Days after submission: 33
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: GA95130
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0604A1SCRA
Administered by: Public     Purchased by: Public
Symptoms: Headache, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 2AUG95 t103 c/o h/a APAP relieved sx; 3AUG95 c/o intermittent h/a; APAP relieves q 4 hrs;

VAERS ID:77230 (history)  Vaccinated:1995-08-30
Age:10.0  Onset:1995-08-30, Days after vaccination: 0
Gender:Female  Submitted:1995-08-30, Days after onset: 0
Location:Maryland  Entered:1995-09-06, 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: NONE
Diagnostic Lab Data: CAT scan done neg for sz or head injury
CDC Split Type: MD95030
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0027W1IMLA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES43511254IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chills, Hyperhidrosis, Pallor, Stupor, Syncope
SMQs:, Torsade de pointes/QT prolongation (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), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Write-up: approx 5 mins p/vax pt fainted w/o warning sound; was initially pale, cold, & clammy;no resp diff, unconscious only momentarily;color, skin temp, & awareness returned fully p/30 mins

VAERS ID:81260 (history)  Vaccinated:1994-10-04
Age:10.0  Onset:1994-10-05, Days after vaccination: 1
Gender:Female  Submitted:1994-10-06, Days after onset: 1
Location:Texas  Entered:1995-09-06, Days after submission: 335
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: none
Other Medications: none
Current Illness: healthy
Preexisting Conditions:
Diagnostic Lab Data: none
CDC Split Type: 940214602
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES4F5113 IM 
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES3809560SCLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site reaction, Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax;had fever of 104, inject site react & axillary lymph node enlargement; to md; tx atb, steroid,dph & apap

VAERS ID:77409 (history)  Vaccinated:1995-06-16
Age:10.0  Onset:1995-06-16, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:New Mexico  Entered:1995-09-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol, Cromolyn
Current Illness:
Preexisting Conditions: NKA
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURER  SCRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Hypertonia, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Write-up: 7 mins p/vax in pt rt deltoid pt collapsed, lost consciousness, had several tonic clonic movements, regained consciousness 20-30 sec later;

VAERS ID:77414 (history)  Vaccinated:1995-08-11
Age:10.0  Onset:1995-08-14, Days after vaccination: 3
Gender:Female  Submitted:1995-08-18, Days after onset: 4
Location:Michigan  Entered:1995-09-15, Days after submission: 28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: MI95090
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0701A1IMRA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0987A SCLA
Administered by: Other     Purchased by: Public
Symptoms: Headache, Pyrexia, Rash, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 14AUG95 body rash tx w/DPH saw MD; 17AUG95 h/a, vomiting, fever saw MD; 18AUG95 feeling better;

VAERS ID:77492 (history)  Vaccinated:1995-09-05
Age:10.0  Onset:1995-09-12, Days after vaccination: 7
Gender:Female  Submitted:1995-09-14, Days after onset: 2
Location:New York  Entered:1995-09-18, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1860A21IMLA
Administered by: Private     Purchased by: Private
Symptoms: Face oedema, Oedema peripheral, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 5SEP95 gen hives; 6SPE95-12SEP95 gen hives swelling around eyes-& some around ankles: 12SEP95 arthralgia

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