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VAERS: Idaho 1Jan98-30Nov99 [sample]
Introduction, Summary, Individual reports.Number of records indicated by the search program for some vaccines: HEPB HepB&HIB MMR Live OPV IPV DTAP HEPA Tdadult Varivax USA 5486 384 3891 2238 1649 4023 682 2149 4483 Idaho 49 0 39 19 12 26 15 14 8 See the VAERS glossary for commonly used abbreviations. Notes in parentheses (ALSO DTAP/IPV/TD/HEPA) indicate additional vaccines found listed in reports other than the DTPH, DPT, OPV, HEPB and MMR searches. The Adverse Vaccine Researchable Database may be found at:http://fedbuzz.com/vaccine/vac.html
SUMMARY FOR 70 SELECTED CASES
VAERS PARTIAL LISTING FOR IDAHO 1/1/1998-11/30/1999
The number of cases for the time period is only a sample. The vaccines are
also only a partial list.
VAERS ID AGE SEX VACCINATION SYMPTOMS
106330 1 M DTPH, MMR lethargic, feverish&chilled spots, rash
106350 2 M DTP,OPV,HEPB,MMR w/in 2 hr fever, fussy, welts
107004 0 M DTP,OPV(UNK) apna, ER, Hosp.
107909 0 F HEPB Cardiomyopathy, hospital/disability.
108619 34 F HEPB Serological tests/unknown outcome
108681 1 M DTPH, MMR shoulder swollen/red from inj to elbow
108682 0 M DTAP,HEPB Shallow breathing/ER/MD thinks infection
108683 0 F DTAP,HEPB,IPV stiff/eyes rolled/gasp for breath/ER
108685 57 F HEPB allergetic reaction, lip & check swollen/numb
108686 29 F MMR swollen wrist & hand, knees swelling, hard to bend
108688 33 F HEPA,HEPB 2 days p/vax allergic rash
109792 1 M DTAP,MMR fever, testicles are red,swollen, yeast?,Staph?
109801 5 F HEPB,MMR eye fluttering, abnormal activity, seizure?
109804 4 F DTAP,HEPB,OPV listless/vomiting/rt arm swollen
109805 22 F HEPB,TD vomited, achy stiff arm
109806 5 M HEPB headache for 2 days p/vax, T 102 deg. 1 day
110708 0 F DTPH,HEPB 2 hrs aftr vax total cyanosis, Hosp.
110738 0 F DTPH,HEPB,OPV dry rash
110739 5 M HEPB diarrhea, fever, fatigue
110741 1 F DTAP, MMR rash, temperature, blister
110745 11 M HEPB 1 day p/vax, swelling & redness of arm
110746 4 F DTP,OPV,HEPB,MMR swollen hardened area,pain,temp
110766 8 M MMR blood test showed varicella zoster virus/Hosp
112157 5 M DTAP,HEPB,OPV headache & vomiting
112158 0 F DTAP,HEPB,OPV rash,restless, less appetite.
112169 8 M HEPB itching all of body
113009 1 M DTP, MMR Temperature, diarrhea, rashes
113010 0 M DTPH,HEPB,IPV 2 hr p/vax temp&high pitched screaming >2hr
114109 0 F DTPH,HEPB,IPV haemophilus influenzae, DIED
114120 5 DPTH,HEPB,MMR welts, rash, itching (severe allergic reac)
114121 24 F HEPB confused/ER/Xray & CAT scan.
114123 36 M HEPB,HEPA ck for Hepatitis, rash, lesions.
114125 5 M DTAP,MMR,OPV swell,hot,headache,nausea/immed care fac.
114126 1 DTPH,MMR,OPV fever & rash
114127 23 F HEPB,HEPA,TD rash, white bumps, itching
VAERS PARTIAL LISTING (cont')
114128 1 F DTAP,MMR fever for 2 days, vasculitis 4-5 days
114129 4 M DTAP,MMR,OPV vomited, caughed all night, fever
117502 1 M DTAP,MMR fever, repetitive arm flexion
117525 18 M HEPA,HEPB,MMR,OPV,TD hepatitis, diarrhea, vomiting/Hosp.
117533 0 F DTP,HEPB,IPV fever, limp, lethargic 2 days
117536 1 F DTAP,MMR rash, spots, fever 4 days
117537 25 F HEPB rash, hot face.
117538 61 F HEPB pain,could not lift arm, burning in Deltoid
117541 15 F MMR,TD fever, chills 2 days. severe headache 5 days.
117542 31 F HEPB,HEPA,TD dizzy, cold sweat, hard & tender red spot
117553 5 F DTAP,HEPB,MMR,OPV rash, sore throat
117555 12 M HEPB,TD pain in upper rt quadrant
117556 0 M DTPH,HEPB,IPV elevated temp, sore vax spot
117557 5 F DTAP,MMR,OPV high fever, vomiting, diarrhea, ER twice!
117559 11 F HEPB full body rash, ER
117560 23 F HEPB,TD 15 min p/vax shaking (blood sugar drop?)/ER
118162 65 F HEPB fist sized knot, red, itching.
118406 35 F HEPB paralysis of face, palsy/disability.
118682 F MMR fever & wheezing
119126 18 M HEPB pain, warmth rt arm/knee pain/unknown rec.
120755 1 F MMR focal seizure & encephalopathy/Hospitalized.
123327 30 F HEPB rash, itch, joint pain, swelling, fever
123328 1 F HEPB,MMR,IPV lethargy, temperature,unsteady, rash
123329 2 M DTAP,HEPB, MMR,IPV redness, swelling at inject site.
123330 9 F HEPB, MMR,OPV,TD pain in arm. arm, eyes, body burning up.
123331 1 F DTAP,MMR,OPV rash, conjunctivitis, fever.
123332 12 F HEPB itching, rash, hives, swelling hands/ER
123350 5 M DTAP,MMR,OPV large local redness,rash at inject site.
123721 0 F DTPH,HEPB large lump, scarring, perm disfigurement
127643 26 F HEPB,HEPA,MMR,TD swelling of jaw/arthralgia
127647 0 M DTP,OPV,HEPB inconsolable crying, swelling tender thigh
127648 1 M DTAP,MMR,OPV sneezing, wheezing, eyes water,welts
127650 53 F HEPB,HEPA,TD weakness in arm, sore, aching joints & body
129328 10 F HEPB 1 hr after vax headache, dizzy
130331 23 F HEPB,MMR,TD local redness, itching & hardness of tissue
------------------------------------------------------------------------
State= IDahao, VAERS ID 106330
Vaccine Type Vaccination Name Manufacturer
MMR MMR II MSD
DTPH TETRAMUNE LEDERLE
Age in Years 1 Adverse Event Onset Date 11/22/97
Sex M
22NOV97 noticed was lethargic, some spots around stomach
area had sl fever & chills;23NOV97 3AM noticed more
Reported Text feverish, T103 given bath & dec fever, gave APAP, fever
finally broke Monday 24NOV97 ore rashes occurred but no
fever;viral
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 106350
Vaccine Type Vaccination Name Manufacturer
DTP DTP CONNAUGHT LABS
OPV ORIMUNE LEDERLE
HEPB RECOMBIVAX HB MSD
MMR MMR II MSD
Age in Years 2 Adverse Event Onset Date 11/18/97
Sex M
fever w/in 2hr 102, fussy, meds for fever would not keep
Reported Text temp down;next day welts around knee both legs;some size
silver dollar, other less than a dime;does not itch;
Recovered Y
-------------------------------------------------------------------------
State= IDahao, VAERS ID 107004
Vaccine Type Vaccination Name Manufacturer
DTP UNK. DTP UNCLASSIFIED
OPV UNK. POLIOVIRUS LIVE ORAL TRIVALENT, UNCLASSIFIED
Age in Years 0 Adverse Event Onset Date 10/9/97
Sex M
Reported Text 2 cases of apnea in 1 day following a stuffy cold;pt was
taken to ER & put in the hosp for observation;
Recovered Y Hospitalized Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 107909
Vaccine Type HEPB
Vaccination Name ENGERIX-B
Manufacturer SMITHKLINE
Age in Years 0 Adverse Event Onset Date 12/24/97
Sex F
pt recv vax 9DEC97 & w/in 15 days of vax pt devel a
Reported Text cardiomyopathy;pt was hosp on 24DEC97 & event was
considered life threatening;
Life Threating Illness Y Recovered N
Disability Y Hospitalized Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 108619
Vaccine Type HEPB
Vaccination Name RECOMBIVAX HB
Manufacturer MSD
Age in Years 34 Adverse Event Onset Date 10/1/97
Sex F
1OCT97 lab test 62 serological testing elevated
Lab Data transaminase levels;5DEC97 lab test 57 serological
testing elevated transaminase levels;
pt recv vax JUL97 & SEP97 & 1OCT97 & 5DEC97 serological
Reported Text testing revealed elevated transaminase levels of 62 & 57
respectively;
Recovered U
State= IDahao, VAERS ID 108681
Vaccine Type Vaccination Name Manufacturer
MMR MMR II MSD
DTPH TETRAMUNE LEDERLE
Age in Years 1 Adverse Event Onset Date 1/7/98
Sex M
lt shoulder swollen & reddened @ site of inj & down to
Reported Text the elbow;did not prevent pt from nl use of arm;saw MD
8JAN98 in afternoon;noted a rxn to the vaccine;
Pre-exisiting conditions heart murmur noted by PMD
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 108682
Vaccine Type HEPB (ALSO DTAP)
Vaccination Name RECOMBIVAX HB
Manufacturer MSD
Age in Years 0 Adverse Event Onset Date 1/14/98
Sex M
14JAN97 830PM T104, crying, shallow breathing taken to
ER, blood drawn, checked for pneumonia;rx APAP &
Reported Text motrin;saw family MD drew blood, fontanel raised;MD drew
blood thinks infect;rx broad based ATB;MD does not think
immun involved;
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 108683
Vaccine Type HEPB (ALSO DTAP & IPV)
Vaccination Name ENGERIX-B
Manufacturer SMITHKLINE
Age in Years 0 Adverse Event Onset Date 1/22/98
Sex F
Lab Data EEG
22JAN98 mom states pt @ babysitter, was being held
Reported Text became real stiff, eyes rolled back into head, gasping
for breath, lasted about 10 seconds;taken to ER;checked
by MD;EEG was done;
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 108685
Vaccine Type HEPB
Vaccination Name RECOMBIVAX HB
Manufacturer MSD
Age in Years 57 Adverse Event Onset Date 2/18/98
Sex F
18FEB98 approx 30-45min p/vax & stated lt lip & cheek
Reported Text were red, swollen & numb;also stated the lt side of neck
was also red;19FEB98 swelling, redness gone;doing well;
Pre-exisiting conditions allergic to dogs, cats, weeds-gets one shot
per year
Other Medications Prozac
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 108686
Vaccine Type MMR
Vaccination Name MMR II
Manufacturer MSD
Age in Years 29 Adverse Event Onset Date 2/20/98
Sex F
pt recv vax 3FEB98 & c/o sx of swollen wrist, one hand
Reported Text on 20FEB97 w/other wrist & both knees swelling on
22FEB98;c/o soreness @ swollen site & hard to bend
down;applied ice to swollen areas & kept legs elevated;
Pre-exisiting conditions AKA-PCN
Recovered U
------------------------------------------------------------------------
State= IDahao, VAERS ID 108688
Vaccine Type HEPB (ALSO HEPA)
Vaccination Name ENGERIX-B
Manufacturer SMITHKLINE
Age in Years 33 Adverse Event Onset Date 2/22/98
Sex F
pt recv vax 20FEB98 & devel a rash starting on both arms
& spreading to trunk;some itching but not
Reported Text severe-consulted PMD who told did not think this is
related to vax;DPH relieved itching;rash persisted for
about;
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 109792
Vaccine Type MMR (ALSO DTAP)
Vaccination Name MMR II
Manufacturer MSD
Age in Years 1 Adverse Event Onset Date 3/22/98
Sex M
sl fever;no redness or swelling @ any of the inj
Reported Text site;testicles are red & swollen;no known exposure to
mumps;MD states child had yeast infect then devel staph
infect per mom;
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 109801
Vaccine Type Vaccination Name Manufacturer
HEPB RECOMBIVAX HB MSD
MMR MMR II MSD
Age in Years 5 Adverse Event Onset Date 9/25/97
Sex F
Lab Data abn EEG-MRI suggested
in 2wk of vax pt began having episodes of eye
Reported Text fluttering & cessation of activity for brief periods
several times a day, EEG shows probable petit mal sz
activity
Recovered N
------------------------------------------------------------------------
State= IDahao, VAERS ID 109804
Vaccine Type Vaccination Name Manufacturer (ALSO DTAP)
OPV ORIMUNE LEDERLE
HEPB ENGERIX-B SMITHKLINE
Age in Years 4 Adverse Event Onset Date 3/4/98
Sex F
4MAR98 brought to clinic by parents listless, vomiting,
clear phlegm (started this AM) rt arm swollen size of
Reported Text silver dollar;no erythema, stated no fever (parents
checked @ home);not hot to touch;seen by MD who states
had flu;
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 109805
Vaccine Type HEPB (ALSO TD)
Vaccination Name ENGERIX-B
Manufacturer SMITHKLINE
Age in Years 22 Adverse Event Onset Date 3/4/98
Sex F
n/v, queasy for 2-3 days;vomited for 3-4hr, unsteady,
Reported Text weak for 12-14hr;feels sweaty, clammy for 12-14hr;no
swelling or pain @ inj site until 3rd day then achy,
stiff, hard to move lt arm;
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 109806
Vaccine Type HEPB
Vaccination Name RECOMBIVAX HB
Manufacturer MSD
Age in Years 5
Adverse Event Onset Date 3/19/98
Sex M
Reported Text mom reports pt having h/a for 2 days p/vax;pt also had
T102 for 1 days after;
Pre-exisiting conditions fetal gastro sepsis
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 110708
Vaccine Type Vaccination Name Manufacturer
HEPB RECOMBIVAX HB MSD
DTPH TETRAMUNE LEDERLE
Age in Years 0 Adverse Event Onset Date 4/17/98
Sex F
pt recv vax & approx 1:15 returned to clinic 3:15;pt
Reported Text body total cyanosis w/mottling, god cry &
alert;transported to hosp;
Recovered Y Hospitalized Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 110738
Vaccine Type Vaccination Name Manufacturer
DTPH TETRAMUNE LEDERLE
OPV ORIMUNE LEDERLE
HEPB ENGERIX-B SMITHKLINE
Age in Years 0 Adverse Event Onset Date 4/10/98
Sex F
Reported Text dry macular rash head to lower torso very little on arms
or legs;
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 110739
Vaccine Type HEPB
Vaccination Name ENGERIX-B
Manufacturer SMITHKLINE
Age in Years 5 Adverse Event Onset Date 4/9/98
Sex M
Reported Text emesis;diarrhea intermittent fever up to 103;fatigue;tx
APAP p/shot;
Pre-exisiting conditions asthma, states no problems in the last year
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 110741
Vaccine Type MMR (ALSO DTAP)
Vaccination Name MMR II
Manufacturer MSD
Age in Years 1 Adverse Event Onset Date 4/18/98
Sex F
rash began to appear later Pm on 18th on both hands;rash
Reported Text has spread to back, knees & rt arm;has a sl temp;pt has
one blister (looks like chickenpox) on each thumb;pt has
not been exposed to chickenpox to mom's knowledge;
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 110745
Vaccine Type HEPB
Vaccination Name ENGERIX-B
Manufacturer SMITHKLINE
Age in Years 11 Adverse Event Onset Date 4/25/98
Sex M
Reported Text pt recv vax 24APR98 swelling & redness to arm
cont to spread 27APR98;
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 110746
Vaccine Type Vaccination Name Manufacturer
DTP DTP CONNAUGHT LABS
OPV ORIMUNE LEDERLE
HEPB ENGERIX-B SMITHKLINE
MMR MMR II MSD
Age in Years 4 Adverse Event Onset Date 4/30/98
Sex F
pink, swollen, hardened area (2 1/2wide & 2" long) on lt
Reported Text deltoid;c/o pain in arm;temp next was 101.4;mom gave 2
APAP doses;instructed to give APAP this AM;still tender;
Pre-exisiting conditions sleep apnea;
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 110766
Vaccine Type MMR
Vaccination Name MMR II
Manufacturer MSD
Age in Years 8 Adverse Event Onset Date 3/19/98
Sex M
Lab Data cult taken from raised bumps & blood test, results
showed varicella zoster virus;
sore throat, h/a, low grade fever, acne looking bumps on
face, w/in 72hr bumps on torso, went to hosp, clinicians
Reported Text unsure what pt had until they took cult & blood
test;given some prescription to dec sx &
DPH;prescription to relieve itching;
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 112157
Vaccine Type Vaccination Name Manufacturer (ALSO DTAP)
OPV ORIMUNE LEDERLE
HEPB ENGERIX-B SMITHKLINE
Age in Years 5 Adverse Event Onset Date 5/27/98
Sex M
approx 3PM became listless, vomited about 15min later &
Reported Text c/o h/a;vomited x 5-last time about 430PM;no other neuro
sx;did not require med to stop vomiting;by AM on 28MAY98
pt appears to be fully recovered;
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 112158
Vaccine Type Vaccination Name Manufacturer (ALSO DTAP)
OPV ORIMUNE LEDERLE
HEPB ENGERIX-B SMITHKLINE
Age in Years 0 Adverse Event Onset Date 5/15/98
Sex F
15MAY98 6PM fine pink rash chest;no fever;fussy ,
restless;16MAY98 8AM red rash chest, legs, arms, face,
Reported Text trunk, restless-dec appetite;16MAY98 12noon to RN
allergies rx-gave calamine lotion;16MAY98 12MN rash gone
pt sleeps well;
Pre-exisiting conditions:
milk allergy, parent states lowered immunity in pt not diagnosed
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 112169
Vaccine Type HEPB
Vaccination Name ENGERIX-B
Manufacturer SMITHKLINE
Age in Years 8 Adverse Event Onset Date 6/9/98
Sex M
9JUN98 11PM arms itching, then progressed all of body
Reported Text x/palm of hands, soles of feet & testicular area;given
aveeno oatmeal bath, DPH, curel lotion;
Pre-exisiting conditions:
interventricular hemmorage @ age 2 days-lt side of brain
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 113009
Vaccine Type Vaccination Name Manufacturer
DTP DTP CONNAUGHT LABS
MMR MMR II MSD
Age in Years 1 Adverse Event Onset Date 7/4/98
Sex M
evening of 4JUL had T104.8 R, had diarrhea;gave APAP
Reported Text didn't break temp, do alternated w/advil which broke
temp;noticed rashes today 6JUL, however not bothering
child;
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 113010
Vaccine Type Vaccination Name Manufacturer (ALSO IPV)
DTPH TETRAMUNE LEDERLE
HEPB ENGERIX-B SMITHKLINE
Age in Years 0 Adverse Event Onset Date 5/26/98
Sex M
Reported Text had increased temp & high pitched screaming for >2hr
starting about 2hr p/vax given;
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 114109)
Vaccine Type Vaccination Name Manufacturer (ALSO IPV)
DTPH TETRAMUNE LEDERLE
HEPB ENGERIX-B SMITHKLINE
Age in Years 0 Adverse Event Onset Date 6/24/98
Sex F
Lab Data positive haemophilus influenzae cult both lung (autopsy);
pt died 24JUN98;death certificate lists haemophilus
Reported Text influenzae/interstitial pneumonia;pt asymptomatic noc
a/death;found dead in AM;SIDS ruled out ?;
Died Y
Recovered N
------------------------------------------------------------------------
State= IDahao, VAERS ID 114120
Vaccine Type Vaccination Name Manufacturer (ALSO DTAP)
DTPH TETRAMUNE LEDERLE
HEPB ENGERIX-B SMITHKLINE
MMR MMR II MSD
Age in Years 5 Adverse Event Onset Date 9/1/98
1wk following vax mom reported gen welt on body & in
Reported Text throat;rash accompanied by itching;no fever;pt was seen
by MD & was treated for severe allerg rxn;
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 114121
Vaccine Type HEPB
Vaccination Name RECOMBIVAX HB
Manufacturer MSD
Age in Years 24
Adverse Event Onset Date 8/8/98
Sex F
Lab Data CAT Scan, blood work @ ER;
pt recv vax 5AUG98 & lightheaded;taken to ER because was
Reported Text confused;had x-rays of head & neck & CAT scan
negative;lab work nl x/dec calcium referred to
neuro;unable to drive;pt did not eat that day;
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 114123
Vaccine Type HEPB (ALSO HEPA)
Vaccination Name ENGERIX-B
Manufacturer SMITHKLINE
Age in Years 36 Adverse Event Onset Date 6/3/98
Sex M
Lab Data pt was tested for hepatitis and had LFT's-unusual
results 1st time-had additional test all WNL;
pt reports small red bump on medial side of rt knee 1wk
a/vax;p/vax spread into rash extending w/circular
Reported Text lesions up both legs-dermatologist felt it was a
lymphatic, systemic rxn to sometheing;rash now going
away but MD wanted vax info;
Pre-exisiting conditions renal cell carcinoma APR97;kidney
removed;allergies-milk, oranges, compazine;
Other Medications Zyrtec, Zestril;pt recv engerix vax by SKB on 29JUN98;
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 114125
Vaccine Type Vaccination Name Manufacturer (ALSO DTAP)
OPV ORIMUNE LEDERLE
MMR MMR II MSD
Age in Years 5 Adverse Event Onset Date 8/5/98
Sex M
mom describes rt thigh, red, swollen, hot to the
Reported Text touch;looks like a heat rash;pt aso c/o h/a &
nausea;parents took child to an immed care facility
6AUG98;
------------------------------------------------------------------------
State= IDahao, VAERS ID 114126
Vaccine Type Vaccination Name Manufacturer
DTPH TETRAMUNE LEDERLE
OPV ORIMUNE LEDERLE
MMR MMR II MSD
Age in Years 1 Adverse Event Onset Date 3/24/97
Reported Text 14 days p/vax pt devel fever of 106.4 & a
rash;
Pre-exisiting conditions amoxicillin
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 114127
Vaccine Type HEPB (ALSO HEPA & TD)
Vaccination Name ENGERIX-B
Manufacturer SMITHKLINE
Age in Years 23 Adverse Event Onset Date 7/22/98
Sex F
staes had a rash w/white bumps on legs & arms w/itching
Reported Text in some areas;onset 22JUL98 that applied lotion w/o
relief;sx are worse in arm, better by afternoon;
Recovered N
------------------------------------------------------------------------
State= IDahao, VAERS ID 114128
Vaccine Type MMR (ALSO DTAP)
Vaccination Name MMR II
Manufacturer MSD
Age in Years 1 Adverse Event Onset Date 8/4/98
Sex F
Lab Data CBC
mom reports fever for 2 days @ 2AUG98 followed by onset
Reported Text of rash;4AUG98 which progressed to vasculitis lasting
4-5days;CBC, platelets checked nl results;follow up
child w/o problems vasculitis clearing-no complaints;
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 114129
Vaccine Type Vaccination Name Manufacturer (ALSO DTAP)
OPV ORIMUNE LEDERLE
MMR MMR II MSD
Age in Years 4 Adverse Event Onset Date 8/19/98
Sex M
vomited @ 11:30PM on 19AUG98, coughed all noc while
Reported Text sleeping 20AUG98 drowsy & sleepy all day;7PM temp was
102 gave med for fever p/pt vomited again;21AUG98
parent reported pt was totally fine;
Pre-exisiting conditions allergic to bee sting, spider bites & mosquito
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 117502
Vaccine Type MMR (ALSO DTAP)
Vaccination Name MMR DISCONTINUED JUNE 1981
Manufacturer MSD
Age in Years 1 Adverse Event Onset Date 12/4/98
Sex M
Lab Data Neurological exam-normal
Reported Text Pt recv vax on 12/3/98; on 12/4/98 pt exp fever,
repetitive arm flexion
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 117525
Vaccine Type Vaccination Name Manufacturer (ALSO HEPA,TD)
OPV ORIMUNE LEDERLE
HEPB ENGERIX-B SMITHKLINE
MMR MMR II MSD
Age in Years 18 Adverse Event Onset Date 8/1/98
Sex M
mom reported pt dx w/hepatitis yesterday;pt had severe
Reported Text diarrhea & vomiting in AUG;saw MD in Mexico transferred
to hosp in CA 1OCT;dehydrated, ultra sound, blood test,
stool samples;MD dx hep a 21OCT98;
Pre-exisiting conditions:
hospitalized DEC97 for 3 days;DEC97 for low grade fever 100-101;
Other Medications pt recv hep b vax by SKB lot# 2506A4 given 11MAR98
Recovered Y Hospitalized Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 117533
Vaccine Type Vaccination Name Manufacturer (ALSO IPV)
DTP DTP CONNAUGHT LABS
HEPB HEPTAVAX MSD
Age in Years 0 Adverse Event Onset Date 6/23/98
Sex F
Reported Text Pt recv vax on 6/23/98; on same day pt exp fever, not
consolable x 1 day, limp/ lethargic, fussy x 2 day
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 117536
Vaccine Type MMR (ALSO DTAP)
Vaccination Name MMR II
Manufacturer MSD
Age in Years 1 Adverse Event Onset Date 9/16/98
Sex F
rash little tiny spots all over body, blotchy on face
only;fever for 4 days;mom had no thermometer, but was
Reported Text pretty hot;fever lasted consistently for 2 days then
intermittently for 2 days;mom was cutting jalapeno
peppers, handled child w/pep
Pre-exisiting conditions
NONE gets spots when katsup touches skin;no ketsup recently
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 117537
Vaccine Type HEPB
Vaccination Name ENGERIX-B
Manufacturer SMITHKLINE
Age in Years 25 Adverse Event Onset Date 10/21/98
Sex M
Reported Text pt stated that has a rash on arms, trunk & face;face
felt hot;told to call MD;
Pre-exisiting conditions NKA or medical conditions
Other Medications Zovirax
Recovered U
------------------------------------------------------------------------
State= IDahao, VAERS ID 117538
Vaccine Type HEPB
Vaccination Name ENGERIX-B
Manufacturer SMITHKLINE
Age in Years 61
Adverse Event Onset Date 10/20/98
Sex F
at onset of inj pt c/o pain;pt was unable to lift arm &
Reported Text felt a burning in deltoid & could not sleep on side of
inj;10NOV98 pain began to reduce along w/burning;
Pre-exisiting conditions HTN
Other Medications Zestril
Recovered U
------------------------------------------------------------------------
State= IDahao, VAERS ID 117541
Vaccine Type MMR (ALSO TD)
Vaccination Name MMR II
Manufacturer MSD
Age in Years 15 Adverse Event Onset Date 9/12/98
Sex F
pt had fever/chills 3 days p/vax;pt devel severe h/a 5
Reported Text days p/vax lasting about 48hr;pt seen by chiropractor x
2 w/resolution of h/a;
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 117542
Vaccine Type HEPB (ALSO HEPA, TD)
Vaccination Name ENGERIX-B
Manufacturer SMITHKLINE
Age in Years 31 Adverse Event Onset Date 10/21/98
Sex F
21OCT98 took very hot shower today, @ the end of which
Reported Text felt lightheaded, dizzy & broke out in cold sweat;also
noticed a hugh red spot on rt upper arm today;hard knot
w/mild tenderness;
Recovered N
------------------------------------------------------------------------
State= IDahao, VAERS ID 117553
Vaccine Type Vaccination Name Manufacturer (ALSO DTAP)
OPV ORIMUNE LEDERLE
HEPB ENGERIX-B SMITHKLINE
MMR MMR II MSD
Age in Years 5 Adverse Event Onset Date 9/6/98
Sex F
5 days p/vax devel rash on face, chest & back;today has
Reported Text rash on palms of hands & bottom of feet;child has sore
throat but no fever 14SEp98;parents states MD felt rash
from MMR vax;
Recovered U
------------------------------------------------------------------------
State= IDahao, VAERS ID 117555
Vaccine Type HEPB
Vaccination Name ENGERIX-B
Manufacturer SMITHKLINE
Age in Years 12
Adverse Event Onset Date 9/17/98
Sex M
had pain in upper rt quadrant which inc @ school;parent
Reported Text took child to MD;findings were negative for abd/liver
enlargement;PA felt it was emotional issue;pt refused
blood tests;
Other Medications Td by Connaught lot# 0924000 given 8AUG98;pt recv hep b
by SKB lot# 2596A2 given 8AUG98
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 117556
Vaccine Type Vaccination Name Manufacturer (ALSO IPV)
DTPH TETRAMUNE LEDERLE
HEPB ENGERIX-B SMITHKLINE
Age in Years 0 Adverse Event Onset Date 11/6/98
Sex M
pt began elevated temp 530 on 5NOV98 according to mom
Reported Text temp cont to increase to 103.8;pt was fussy & wouldn't
allow anyone to touch the leg where one of the vax was given;
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 117557
Vaccine Type Vaccination Name Manufacturer (ALSO DTAP)
OPV ORIMUNE LEDERLE
MMR MMR II MSD
Age in Years 5 Adverse Event Onset Date 9/16/98
Sex F
mom stated that pt had got high fever 104, uncontrolled
Reported Text vomiting & diarrhea & lethargic w/in 1-2 days p/vax;went
to ER twice, eventually recovered, mom also stated that
had rxn to prior vax;
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 117559
Vaccine Type HEPB
Vaccination Name ENGERIX-B
Manufacturer SMITHKLINE
Age in Years 11 Adverse Event Onset Date 11/19/98
Sex F
3 days p/vax devel several red, raised spots on both
Reported Text forearms near elbows;s/in 8hr those spots became
larger-hive like several hr later devel full body
rash;taken to ER;
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 117560
Vaccine Type HEPB (ALSO TD)
Vaccination Name ENGERIX-B
Manufacturer SMITHKLINE
Age in Years 23 Adverse Event Onset Date 12/8/98
Sex F
Lab Data blood sugar, pH
15min p/vax left the clinic & exp shaking, problems
Reported Text speaking,heart racing, pressure in head;pt was taken
to hosp ER & on arrival also had purple lips & blotchy
face;blood test given DPH & sx went away w/in 10min;
Pre-exisiting conditions glaucoma as infant to present
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 118162
Vaccine Type HEPB
Vaccination Name RECOMBIVAX HB
Manufacturer MSD
Age in Years 65 Adverse Event Onset Date 12/29/98
Sex F
fist sized knot w/redness & itching @ inj site, onset
Reported Text just hours p/vax;ice to decrease swelling, DPH OTC for
itching @ site;improved p/24hr;sx resolved p/72hr;
Pre-exisiting conditions PCN & codeine derivative allergys
Other Medications Lotensin;Coreg;Lipitor;ASa;Premarin;Prevacid;MVI
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 118406
Vaccine Type HEPB
Vaccination Name HEPTAVAX
Manufacturer MSD
Age in Years 35 Adverse Event Onset Date 7/4/97
Sex F
Lab Data Brain Scan-no plaques, spinal tap w/no abnorm;
pt started exp paralysis on lt side of face, initially
Reported Text dx Bell's Palsy-spread to both sides of face exp numbing
& pain;neuro dx probable MS, vision impaired; no
subsequent doses of series taken;
Pre-exisiting conditions hypothyroid, bi-polar
Other Medications Premarin;Synthroid;Lithobid;Amitriptyline
Recovered N Disability Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 118682
Vaccine Type MMR
Vaccination Name MMR DISCONTINUED JUNE 1981
Manufacturer MSD
Adverse Event Onset Date 1/5/99 Sex F
Reported Text Pt recv vax on 1/5/99; on same day pt exp fever (105) &
wheezing
Pre-exisiting conditions Reactive airway disease
Other Medications Albuterol
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 119126
Vaccine Type HEPB
Vaccination Name HEPTAVAX
Manufacturer MSD
Age in Years 18 Adverse Event Onset Date 4/26/95
Sex F
4/26/95 X-ray-normal, Bloodwork; 5/1/95 ESR-33mm,
Lab Data Bloodwork, 5/15/95 Strep-negative ESR-50 mm; 5/2/95 pt
seen by dermapathologist Wedge bx of RA
Pt recv vax series 11/21/94, 1/9/95 &4/17/95; on
4/26/95
pt exp erythematous of rt arm w/ pain, warmth &
Reported Text induration;dx=bite?; tx=Keflex w/out resolve;5/1/95 pt
exp knee pain &LA rx;dx= phlebitis/cellulitis; final
dx=erythema induratum
Other Medications Birth control pills
Recovered U
------------------------------------------------------------------------
State= IDahao, VAERS ID 120755
Vaccine Type MMR
Vaccination Name MMR II
Manufacturer MSD
Age in Years 1 Adverse Event Onset Date 3/8/99
Sex F
Lab Data MRI mult white matter abn;
Reported Text illness w/focal sz & encephalopathy best described as
acute disseminated encephalomyelitis;
Pre-exisiting conditions
dx RSV pneumonia-4mo-hasp resp problems chronically
Other Medications albuterol
Recovered Y Hospitalized Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 123327
Vaccine Type HEPB
Vaccination Name ENGERIX-B
Manufacturer SMITHKLINE
Age in Years 30 Adverse Event Onset Date 4/10/99
Sex F
Lab Data cbc, & ua: both norm
4/10 pt devel after vax rash like sunburn, started
itching. 4/11 joint pain, hands/feet swelling, fever
Reported Text 101, flushed, severe fatigue. 4/12 saw m.d. gave
meds.some sx stopped. rash, redness/extreme fatigue
4/18, then SOB, m.d. meas 02=95.
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 123328
Vaccine Type Vaccination Name Manufacturer (ALSO IPV)
HEPB ENGERIX-B SMITHKLINE
MMR MMR II MSD
Age in Years 1 Adverse Event Onset Date 4/14/99
Sex F
Lab Data cbc done & m.d. office
m.d. stated mom brought child in on 4/15 complaining of
Reported Text lethargy & temp of 104 & not eating the day of vax. 4/16
pt unsteady & temp of 104. broke out with rash 4/17 over
trunk & legs. 4/28 pt fine.
Pre-exisiting conditions none reported
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 123329
Vaccine Type Vaccination Name Manufacturer(ALSO IPV&DTAP)
HEPB ENGERIX-B SMITHKLINE
MMR MMR II MSD
Age in Years 2 Adverse Event Onset Date 5/18/99
Sex M
after pt recv vax 7 days later devel redness, swelling
Reported Text on both thighs at inject site. saw m.d. 5/18, not
treatment.
Pre-exisiting conditions none unknown
Recovered U
------------------------------------------------------------------------
State= IDahao, VAERS ID 123330
Vaccine Type Vaccination Name Manufacturer (ALSO TD)
OPV ORIMUNE LEDERLE
HEPB ENGERIX-B SMITHKLINE
MMR MMR II MSD
Age in Years 9 Adverse Event Onset Date 5/19/99
Sex F
after vax pt complained not being able to move her rt
Reported Text arm without pain, & arm, eyes & whole body felt like its
burning up. knot at the inject site. tylenol given, did
not help
Recovered U
------------------------------------------------------------------------
State= IDahao, VAERS ID 123331 (ALSO DTAP)
Vaccine Type Vaccination Name Manufacturer
OPV ORIMUNE LEDERLE
MMR MMR II MSD
Age in Years 1 Adverse Event Onset Date 4/5/99
Sex F
Reported Text 12 days after vax pt had severe coughing morbilliform
rash and conjunctivitis & fever of 104
Other Medications advil
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 123332
Vaccine Type HEPB
Vaccination Name ENGERIX-B
Manufacturer SMITHKLINE
Age in Years 12 Adverse Event Onset Date 5/27/99
Sex F
pt complained of severe itching & rash approx 3pm.
Reported Text visited ER @ 1am w/severe hives. treated w/benadryl.
moderate swelling in hands. benadryl did not help
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 123350
Vaccine Type Vaccination Name Manufacturer (ALSO DTAP)
OPV ORIMUNE LEDERLE
MMR MMR II MSD
Age in Years 5 Adverse Event Onset Date 5/10/99
Sex M
Reported Text pt exp large local react w/redness & rash at inject
site. 4 hrs after vax local rx completely gone
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 123721
Vaccine Type Vaccination Name Manufacturer
DTPH TETRAMUNE LEDERLE
HEPB ENGERIX-B SMITHKLINE
Age in Years 0 Adverse Event Onset Date 5/9/99
Sex F
Reported Text devel large lump dimple w/scarring in leg;permanent
disfigurement;
Pre-exisiting conditions plugged tear duct, otherwise negative
Recovered U
------------------------------------------------------------------------
State= IDahao, VAERS ID 127643
Vaccine Type Vaccination Name Manufacturer(ALSO HEPA,TD)
HEPB ENGERIX-B SMITHKLINE
MMR MMR II MSD
Age in Years 26 Adverse Event Onset Date 7/31/99
Sex F
woke w/swelling under lt jaw, w/accompanying malaise,
Reported Text arthralgia, felt like flu on 7/31-by 8/1/ swelling had
extended to rt jaw w/arthralgia & malaise;recovering
from sx by today 8/3/99;
Pre-exisiting conditions NONE, NKA
Other Medications Birth control
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 127647
Vaccine Type Vaccination Name Manufacturer
DTP DTP CONNAUGHT LABS
OPV ORIMUNE LEDERLE
HEPB ENGERIX-B SMITHKLINE
Age in Years 0
Adverse Event Onset Date 6/28/99
Sex M
Reported Text inconsolable crying;swelling of lt thigh;tenderness in
thigh;
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 127648
Vaccine Type Vaccination Name Manufacturer (ALSO DTAP)
OPV ORIMUNE LEDERLE
MMR MMR II MSD
Age in Years 1 Adverse Event Onset Date 7/9/99
Sex M
p/vax pt started sneezing & rubbing eyes/nose, child had
Reported Text loud wheezing, eyes started watering, cheeks flushed,
welts forming on legs & body;child weight 25#, given DPH
referred to private MD for further eval;
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 127650
Vaccine Type HEPB (ALSO HEPA, TD)
Vaccination Name ENGERIX-B
Manufacturer SMITHKLINE
Age in Years 53 Adverse Event Onset Date 5/6/99
Sex F
weakness in lt arm which was still sore 1-2 days
later;aching joints & muscles over entire body (felt
Reported Text like flu);by 4th day it was still sore under lt arm &
axillary lymph nodes were still sore;6/17/99 still sore
when lifts arm;
Other Medications Premarin;Provera;Synthroid;Prilosec
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 129328
Vaccine Type HEPB
Vaccination Name ENGERIX-B
Manufacturer SMITHKLINE
Age in Years 10 Adverse Event Onset Date 10/4/99
Sex F
approx 1hr p/vax pt c/o h/a & dizziness;monitored child
Reported Text for 30min-sx were resolving;parent preferred to take
child home & not cont to monitor @ home;
Recovered Y
------------------------------------------------------------------------
State= IDahao, VAERS ID 130331
Vaccine Type Vaccination Name Manufacturer (ALSO TD)
HEPB RECOMBIVAX HB MSD
MMR MMR II MSD
Age in Years 23 Adverse Event Onset Date 10/27/99
Sex F
Reported Text localized redness, itching & hardness of tissue;
Recovered Y
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