MedAlerts Home
  Read the MedAlerts Blog Subscribe to the MedAlerts Blog 

Found 500157 cases in entire database

Case Details (Sorted by Age)

This is page 14148 out of 25008

Result pages: prev   14129 14130 14131 14132 14133 14134 14135 14136 14137 14138 14139 14140 14141 14142 14143 14144 14145 14146 14147 14148 14149 14150 14151 14152 14153 14154 14155 14156 14157 14158 14159 14160 14161 14162 14163 14164 14165 14166 14167   next


VAERS ID:187137 (history)  Vaccinated:2002-06-26
Age:17.0  Onset:2002-06-26, Days after vaccination: 0
Gender:Female  Submitted:2002-06-26, Days after onset: 0
Location:Virginia  Entered:2002-07-02, 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: Syncope (last 12/17/01)
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM5346A20IMLA
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Dyskinesia, Loss of consciousness, Pallor
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), Dyskinesia (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: 10 mins after shot-was paying, felt dizzy and passed out. Was pale-color improved then became pale again. Pt not awaking for few seconds with 1-2 jerk. Heart rate OK then color improved.

VAERS ID:187442 (history)  Vaccinated:2002-06-27
Age:17.0  Onset:2002-06-27, Days after vaccination: 0
Gender:Male  Submitted:2002-06-27, Days after onset: 0
Location:Idaho  Entered:2002-07-12, Days after submission: 15
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: PCN allergy
Diagnostic Lab Data: NONE
CDC Split Type: ID02034
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM5194A22IMRA
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAM701A21IMRA
TD: TD ADSORBED (NO BRAND NAME)AVENTIS PASTEURU0343AA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Loss of consciousness, Pallor
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), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: Client became faint 5-7 min post administration of hep A, hep B and Td. He progressed to shock and being in and out of consciousness. Color was dusky, ashey, diaphoresis, BP 70/30, weak, thready pulse-911 called. Paramedics responded. Client went to MD.

VAERS ID:187493 (history)  Vaccinated:2002-06-24
Age:17.0  Onset:2002-07-04, Days after vaccination: 10
Gender:Male  Submitted:2002-07-08, Days after onset: 4
Location:Michigan  Entered:2002-07-15, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM5216A21IMRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0423M0SCRA
Administered by: Public     Purchased by: Public
Symptoms: Skin ulcer
SMQs:
Write-up: first lesion appeared on 07/04/02 on face then spaputic lesions on front, legs, buttocks, scrotum.

VAERS ID:187521 (history)  Vaccinated:0000-00-00
Age:17.0  Onset:0000-00-00
Gender:Female  Submitted:2002-05-30
Location:North Carolina  Entered:2002-07-15, Days after submission: 46
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: UNK
Diagnostic Lab Data: NONE
CDC Split Type: WAES01050302
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  IM 
Administered by: Public     Purchased by: Public
Symptoms: Injection site inflammation
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Information has been received from a registered nurse concerning a 17 year old female with no known drug allergies who was vaccinated with MMR II IM instead of SC. This does not comply with the recommended route of administration. There was no concomitant medication. The pt remained at the clinic 20 minutes after the immunization and complained only of burning at the injection site. She had no other complaints. It is not known whether the pt sought medical attention. In follow up, the nurse reported that"this was not an adverse experience." The nurse further explained she called to inquire about the route of administration of MMR II. Additional info has been requested.

VAERS ID:187530 (history)  Vaccinated:1998-03-03
Age:17.0  Onset:1998-06-01, Days after vaccination: 90
Gender:Male  Submitted:2002-05-30, Days after onset: 1459
Location:Unknown  Entered:2002-07-15, Days after submission: 46
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: Allergic to eggs
Diagnostic Lab Data:
CDC Split Type: WAES01052450
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC. 1  
Administered by: Other     Purchased by: Other
Symptoms: Convulsion
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow)
Write-up: Information has been received from a mother regarding her 17 year old male, with an allergy to eggs, who on 03/03/98 was vaccinated with a second dose of MMR II. In approximately June 1998, the pt experienced seizures. In follow-up, the primary care physician''s office assistant reported that the pt was vaccinated at another physician''s office. The child was seen on 01/30/98 and 05/11/98 according to the office records. Additional info has been requested. Upon internal review, seizures are considered as other important medical event.

VAERS ID:187564 (history)  Vaccinated:1985-06-28
Age:17.0  Onset:2001-01-01, Days after vaccination: 5666
Gender:Female  Submitted:2002-05-30, Days after onset: 513
Location:Unknown  Entered:2002-07-15, Days after submission: 46
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: Diagnostic lab in 2001-titer did not show sero-conversion to rubella
CDC Split Type: WAES01082077
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC. 0SC 
Administered by: Other     Purchased by: Other
Symptoms: Laboratory test abnormal
SMQs:
Write-up: Information has been received from a physician concerning a 17 to 18 year old female with no known drug allergies who on 6/28/85 was vaccinated with the 1st dose of MMRII. There was no concomitant medication. On 8/20/01, it was reported that a recent titer did not detect sero-conversion to rubella. The pt sought unspecified medical attention. Additional information has been requested.

VAERS ID:187920 (history)  Vaccinated:0000-00-00
Age:17.0  Onset:0000-00-00
Gender:Female  Submitted:2002-05-30
Location:Unknown  Entered:2002-07-23, Days after submission: 54
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: Diagnostic lab-2001-titer does not show sero-conversion
CDC Split Type: WAES01111232
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC. 1SC 
Administered by: Other     Purchased by: Other
Symptoms: Laboratory test abnormal
SMQs:
Write-up: Information has been received from a PA concerning an approx. 17 or 18 year old female who was vaccinated with "at least 2 doses" of MMRII "in the past". On 11/9/1, it was reported that "a recent titer does not show sero-conversion". The pt sought unspecified medical attention. Additional information has been requested.

VAERS ID:188220 (history)  Vaccinated:2002-06-28
Age:17.0  Onset:2002-07-07, Days after vaccination: 9
Gender:Female  Submitted:2002-07-10, Days after onset: 3
Location:Illinois  Entered:2002-07-30, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ;Measles + Rubella (MR-Vax II);1;1;In Sibling
Other Medications: None
Current Illness: none
Preexisting Conditions: Allergic to fluoride
Diagnostic Lab Data:
CDC Split Type: IL02027
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1379L0SCLA
Administered by: Public     Purchased by: Public
Symptoms: Headache, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: 7/8/02 Client developed headaches and rash, red raised bumps appeared on chest. No fever, temp 98.2. Taking Naproxen sodium tablets at 12 hours for headache with results. 7/10/02 Rash progressed to back, face, back of neck and lets. 7/07/02 Start of headache.

VAERS ID:188255 (history)  Vaccinated:2002-07-22
Age:17.0  Onset:2002-07-23, Days after vaccination: 1
Gender:Female  Submitted:2002-07-27, Days after onset: 4
Location:Virginia  Entered:2002-07-31, 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: PPD
Current Illness: nONE
Preexisting Conditions: Allergic sulfa
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC.0327L0 LA
TD: TD ADSORBED (NO BRAND NAME)AVENTIS PASTEURU0524AA0 RA
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Chills, Injection site erythema, Injection site warmth, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Mother called 07/23/02 stated daughter had been fine all day after injections but woke up this am was 102 degrees temp/chills/vomiting x 1. Very weak-unable to get out of bed. Recommended calling her doctor. Saw doctor, he flet it was the Td shot. Stated arm slightly reddened/warm to touch. Mother stated daughter fine Thu am 07/25/02.

VAERS ID:188418 (history)  Vaccinated:2002-07-08
Age:17.0  Onset:2002-07-08, Days after vaccination: 0
Gender:Male  Submitted:2002-07-25, Days after onset: 17
Location:New Mexico  Entered:2002-08-05, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: TB test
CDC Split Type: NM070302
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)AVENTIS PASTEURU0385AA  RA
Administered by: Public     Purchased by: Public
Symptoms: Blood pressure decreased, Heart rate increased, Musculoskeletal stiffness
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (broad)
Write-up: After administration of Td and Tb medicine for test, RN left room only to hear noise and returned to find client lying on floor between chair and desk, body stiff, hands positioned in fist and pulled back. Heart rate rapid and weak BP (99/50) and pale. Revived quickly with ammonia inhalant. Mother stated client had eaten on grapes at noon and client required juice.

VAERS ID:188556 (history)  Vaccinated:2002-08-01
Age:17.0  Onset:2002-08-01, Days after vaccination: 0
Gender:Female  Submitted:2002-08-02, Days after onset: 1
Location:California  Entered:2002-08-07, 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: Doxycycline
Current Illness: Work up in progress LYmes Dz.
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEN: MENINGOCOCCAL (MENOMUNE)AVENTIS PASTEURUB261AA0SCRA
Administered by: Private     Purchased by: Unknown
Symptoms: Dysphonia, Ecchymosis, Injection site erythema, Rash, Urine glucose false positive
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Parkinson-like events (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Pt c/o redness (2" x 1") to inj site with dime size ecchymosis noted also. Also questionable ''hoarseness" to voice. Pt 2-4 hours later came back home LCTA, min redness to throat, no SOB or other discomfort. 8/5/02 rash gone throat better.

VAERS ID:188646 (history)  Vaccinated:2002-07-23
Age:17.0  Onset:2002-07-26, Days after vaccination: 3
Gender:Female  Submitted:2002-07-26, Days after onset: 0
Location:Alabama  Entered:2002-08-09, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NON
Diagnostic Lab Data:
CDC Split Type: AL0217
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM5346A20IMRA
TD: TD ADSORBED (NO BRAND NAME)AVENTIS PASTEURU0386AA4IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Cold sweat, Dizziness, Dyspnoea, Oedema peripheral, Pain, Pruritus, Rash erythematous, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: Onset early am itching 07/26/02. When pt awakened states she had some red raised and non-raised areas on body resembling a rash or hives. Some with whitish tops to them. Pt notified health dept by phone. After bath states some of them turned to wheals. Discomfort all over (painful), little dizzy, swelling hands, feet, skin clammy, sweaty. Unsure if temp increased. Areas also to pubic area, little trouble breathing. PC received 1pm. Referred to ER.

VAERS ID:188816 (history)  Vaccinated:2002-05-21
Age:17.0  Onset:2002-05-23, Days after vaccination: 2
Gender:Female  Submitted:2002-07-30, Days after onset: 68
Location:Louisiana  Entered:2002-08-13, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Started orthotricycle 5/21/02
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: LA020801
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS520A20IMRA
Administered by: Public     Purchased by: Public
Symptoms: Rash pruritic
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Rash to side of face, arms, chest area, itching.

VAERS ID:189118 (history)  Vaccinated:1999-05-07
Age:17.0  Onset:0000-00-00
Gender:Male  Submitted:2002-07-30
Location:Pennsylvania  Entered:2002-08-20, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: MRI, X-rays, CAT scan
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
LYME: LYME (LYMERIX)GLAXOSMITHKLINE BIOLOGICALS 0 LA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Back pain, Hypoaesthesia, Pelvic pain
SMQs:, Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Arthritis (broad)
Write-up: Joint pain, back pain, knee pain, hip pain, numbness in hands and feet-ongoing. Treatment: Orthopedic surgeon. No relief.

VAERS ID:189239 (history)  Vaccinated:2001-01-17
Age:17.0  Onset:2002-03-07, Days after vaccination: 414
Gender:Female  Submitted:2002-08-21, Days after onset: 166
Location:California  Entered:2002-08-21
Life Threatening? No
Died? Yes
   Date died: 2002-03-15
   Days after onset: 8
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ortho-TriCyclen
Current Illness: none
Preexisting Conditions: Mitral Valve Prolapse
Diagnostic Lab Data: no etiology discovered
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEN: MENINGOCOCCAL (NO BRAND NAME)UNKNOWN MANUFACTURERNOT REPORTED0  
Administered by: Public     Purchased by: Unknown
Symptoms: Myocarditis
SMQs:, Cardiomyopathy (broad)
Write-up: myocarditis

VAERS ID:189459 (history)  Vaccinated:2002-08-16
Age:17.0  Onset:2002-08-16, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Oregon  Entered:2002-08-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ;DTaP (unknown mfr);1;0;In Sibling
Other Medications: Benadryl 50-75mg QD; Orthocyclen
Current Illness:
Preexisting Conditions: Multiple allergies-drugs, food, bees, shampoos, etc
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALS746A20IMRA
Administered by: Public     Purchased by: Private
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: One hour after vaccine, had hives. Still have some problems with hives as of 8/19/02 even after taking Benadryl but it resolving.

VAERS ID:189710 (history)  Vaccinated:2002-07-12
Age:17.0  Onset:2002-07-13, Days after vaccination: 1
Gender:Male  Submitted:2002-08-27, Days after onset: 45
Location:Unknown  Entered:2002-09-04, 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: NONE
Current Illness: NONE
Preexisting Conditions: NKA
Diagnostic Lab Data: blood tests-normal routine exam
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0912L0 LA
Administered by: Other     Purchased by: Private
Symptoms: Fatigue, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Fever 101 degrees F, body ache, very tired symptoms 07/13/02-got worse. On 07/14/02 he asked to go the hospital

VAERS ID:189930 (history)  Vaccinated:2002-05-08
Age:17.0  Onset:2002-05-20, Days after vaccination: 12
Gender:Female  Submitted:2002-07-08, Days after onset: 49
Location:South Carolina  Entered:2002-09-10, Days after submission: 64
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: SC0234
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1293L0SCRA
Administered by: Public     Purchased by: Public
Symptoms: Infection, Injection site erythema, Injection site pain, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad)
Write-up: Two weeks after varicella vaccine was given client had a red area at site of shot measuring 23mm by 43mm. It was tender to touch and itched around site. The next day she broke out all over. She was seen at clinic and told she had chicken pox.

VAERS ID:190150 (history)  Vaccinated:2002-07-30
Age:17.0  Onset:2002-07-30, Days after vaccination: 0
Gender:Female  Submitted:2002-07-30, Days after onset: 0
Location:Georgia  Entered:2002-09-16, Days after submission: 48
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: GA02080
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)AVENTIS PASTEURU60525AA0 LA
Administered by: Public     Purchased by: Public
Symptoms: Fall, Irritability
SMQs:, Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hostility/aggression (broad)
Write-up: Received vaccine and got up and stood on line-"everyhting got fuzzy" and fell to floor. States eased self down and did not hit head. Remained responsive. BP 100/90 9:50 110/50 P 90.

VAERS ID:190288 (history)  Vaccinated:2002-09-03
Age:17.0  Onset:2002-09-03, Days after vaccination: 0
Gender:Female  Submitted:2002-09-09, Days after onset: 6
Location:Michigan  Entered:2002-09-18, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Orthotricyclin, Cleocin T, Nexium
Current Illness: NONE
Preexisting Conditions: Dysmenorrhea Acne Vulgoris,GERD
Diagnostic Lab Data: Strep AG- neg
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEN: MENINGOCOCCAL (MENOMUNE)AVENTIS PASTEURUB283AA0SCLA
TD: TD ADSORBED (NO BRAND NAME)AVENTIS PASTEURU0736AA IMRA
Administered by: Private     Purchased by: Private
Symptoms: Back pain, Dizziness, Eye irritation, Feeling cold, Headache, Photophobia, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Vestibular disorders (broad)
Write-up: 09/04/2002, Headache, fever 102 degrees, vomiting, lower back pain, discomfort to left eye. Treatment rest, fluids, and ultracet. On 09/06/2002 not improved at all. Seen again, dizzy, chills, N/V light sensitive, treatment rest fluids, if not improved will admit for IVF (not needed)

Result pages: prev   14129 14130 14131 14132 14133 14134 14135 14136 14137 14138 14139 14140 14141 14142 14143 14144 14145 14146 14147 14148 14149 14150 14151 14152 14153 14154 14155 14156 14157 14158 14159 14160 14161 14162 14163 14164 14165 14166 14167   next

New Search

Link To This Search Result:
http://www.rulabinsky.com/vaersdb/findfield.php?EVENTS=ON&PAGENO=14148&PERPAGE=20&ESORT=AGE


Copyright © 2015 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166