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VAERS ID: Vaccination Date: Age: Onset Date: Gender: Submitted: State: Entered: |
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Vaccination Manufacturer Lot Dose Route Site |
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Administered by: Unknown Purchased by: Unknown Symptoms: Abortion spontaneous, Blood
human chorionic gonadotropin normal, Drug exposure during pregnancy,
Ultrasound pelvis normal, Vaginal haemorrhage Write-up: Bleeding/Spotting - eventual
miscarriage of 6 week pregnancy 10/22/09 Medical records received for
date 10/21/09. Pt. seen for c/o vaginal bleeding. Pt. states approx 5
weeks pregnant. Pt. received vax 10/19/09. Assessment: US performed
which demonstrated normal endometrial stripe. No evidence of a
gestational sac. No free fluid, no adnexal masses. DX:Early
pregnancy, either a threatened miscarriage, continuing miscarriage,
or ectopic pregnancy. Labs ordered. |
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VAERS ID: Vaccination Date: Age: Onset Date: Gender: Submitted: State: Entered: |
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Vaccination Manufacturer Lot Dose Route Site
FLU(H1 SANOFI
PASTEUR UP001AA IM LA |
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Administered by: Private Purchased by: Public Symptoms: Drug exposure during
pregnancy, Foetal heart rate abnormal, Foetal hypokinesia, Induced
labour, Intra-uterine death, Monocyte count increased, Red blood cell
count decreased, Ultrasound antenatal screen abnormal, White blood
cell count increased Write-up: A few days after the shot she
experienced fetal demise at 30 weeks gestation. 10/26/09 Hospital
records and discharge summary received. Service dates 10/21/09 to
10/22/09. Assessment: Status post delivery of intrauterine fetal
demise, induced labor, stillborn infant. Estimated delivery date was
11/06/09. 10/26/09 PCP medical records received, includes vaccine
records, service dates 6/8/09 to 10/21/09. Some duplication of
hospital records. Revised estimated date of delivery 12/31/09. No
fetal heart tones, no fetal movement for two days. |
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VAERS ID: 363030 Vaccination Date: 2009-10-21 Age: 25.0 Onset Date: 2009-10-24 Days later: 3 Gender: Female Submitted: 2009-10-27 State: Texas Entered: 2009-10-27 |
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Vaccination Manufacturer Lot Dose Route Site
|
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Administered by: Unknown Purchased by: Unknown Symptoms: Abdominal pain, Blood sodium
decreased, Breech presentation, Caesarean section, Cervix disorder,
Cough, Drug exposure during pregnancy, Hepatitis B surface antigen
negative, Incisional drainage, Influenza like illness, Lower
respiratory tract infection, Lymphocyte count decreased, Neutrophil
count decreased, Premature labour, Red blood cell count decreased,
Syphilis test negative, Upper respiratory tract infection, Urinary
system X-ray, Vaginal haemorrhage, White blood cell count increased Write-up: GRAVIDA 1 PARA 0 26 WEEK
GESTATION RECEIVED SEASONAL FLU 9/17/2009. HAD FLU LIKE SYMPTOMS
START 10/9. CALLED DOCTOR AND RECEIVED TAMIFLU, COUGH MED AND Z-PAK.
RECEIVED H1N1 10/21/2009.. WENT INTO LABOR 10/24/2009. C-SECTION
DONE. DOCTOR FELT LIKE IT WAS FROM A WEAK CERVIX. 10/28/09 Medical
records received for DOS 10/9-10/24. Office notes and ED H&P.
Promigravida at 26 weeks. Developed cramping/abd pain post upper
resp/ILI infection (cough, chest cong) and vaccine. Some vag
bleeding. Fully dialted. Intact membranes bulging. fetal heart tones
at 140. Footling breech. Emergency c-section w/o complication. Post
c-section small amt green incisional d/c noted. No fever. 10/30/2009
received hospital records stating baby boy born per emergency
C-section at 26 wks gestation on 10/24/2009. Baby with low Apgar
scores, in respiratory distress, initially bagged and then intubated
and vent dependent. PE noted chest with retractions, rales throughout
lungs. Dx RDS, after stabilized baby tranferred to another facility
to NICU. |
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ID: Vaccination Date: Age: Onset Date: Gender: Submitted: State: Entered: |
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Vaccination Manufacturer Lot Dose Route Site
|
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Administered by: Public Purchased by: Other Symptoms: Fall, Mouth injury, Pregnancy Write-up: No symptoms prior-fell face
first after stood up from chair and cut lip. Occurred 10 minute after
vaccine admin.. EMS attended patient. BP 120/80. Transport for lip
sutures and evaluation.. No other sx noted. |
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VAERS ID: Vaccination Date: Age: Onset Date: Gender: Submitted: State: Entered: |
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Vaccination Manufacturer Lot Dose Route Site |
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Administered by: Private Purchased by: Other Symptoms: Drug exposure during
pregnancy, Foetal heart rate abnormal, Intra-uterine death, Nausea,
Oligohydramnios, Skin warm, Ultrasound scan abnormal, Vomiting Write-up: 10/5/09 Seasonal flu vaccine.
10/14/09 Normal prenatal exam. 10/20/09 to 10/22/09 AM vomiting,
"felt a little warm". 10/22/09 H1N1-afebrile. 10/26/09
Fetal demise at 30 5/7 weeks. 10/29/2009 hospital records for
10/26/-10/27/2009. patient at at 30 5/7 wks gestation, presented with
c/o's decreased fetal movement, hx of nausea/vomiting x 2 days which
resolved. Per doppler and ultrasound no FHR noted, no amniotic fluid
around the baby noted. Tx: induced labor with Misoprostol/epidual
anesthesia. Autopsy requested. DC DX Intrauterine Death Unspecified
ICD-9 Code 656.40 |
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VAERS ID: Vaccination Date: Age: Onset Date: Gender: Submitted: State: Entered: |
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Vaccination Manufacturer Lot Dose Route Site |
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Administered by: Public Purchased by: Unknown Symptoms: Abdominal pain, Blood thyroid
stimulating hormone, Drug exposure during pregnancy, Flushing,
Gastroenteritis, Headache, Nausea, Pyrexia, Urine analysis normal,
Vomiting Write-up: Had headache 9:30 A-then
started throwing up later, otherwise feels fine is 11 weeks pregnant.
Advised to go to ER. 11/02/09 Medical record recieved. OB/GYN record
DOS 10/7. 9 weeks gestation. Vag exam WNL. RH+. Mild HA,
nause/vomiting and abd pain. LMP 7/17/09. EDC 4/23/2010. Corrected
EDC 5/11/2010. 11/17/09 Medical records received for DOS 10/21/09.
After hours care notes. Assessment gastroenteritis vs morning
sickness. 11 Weeks gestation. Vomiting x7 s/p vaccine., Flushed.
Looks ill. Low grade temp. |
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VAERS ID: Vaccination Date: Age: Onset Date: Gender: Submitted: State: Entered: |
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Vaccination Manufacturer Lot Dose Route Site |
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Administered by: Public Purchased by: Public Symptoms: Chills, Drug exposure during
pregnancy, Fatigue, Headache, Nausea, Tremor Write-up: Severe uncontrollable chills
and shaking, extreme exhaustion, headache and nausea |
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VAERS ID: Vaccination Date: Age: Onset Date: Gender: Submitted: State: Entered: |
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Vaccination Manufacturer Lot Dose Route Site |
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Administered by: Public Purchased by: Other Symptoms: Alcohol abuse,
Antiphospholipid antibodies, Chlamydia identification test positive,
Cytomegalovirus test, Drug abuse, Drug exposure during pregnancy,
Escherichia urinary tract infection, Foetal heart rate abnormal,
Intra-uterine death, Laboratory test, Placenta praevia, Toxicologic
test, Ultrasound abdomen normal
Write-up: Intrauterine fetal demise
diagnosed on 10/29/09. Last FM felt on 10/28/09. Not clear if this is
related to vaccination. Medical records received for DOS
7/09/09-11/04/09. Neg fetal movement and HT in office, Fetal demise
32 weeks. Approx 2 wks s/p vaccine. LMP 02/02/09.. EDD 11/08/09.
Prenatal care late. (+) THC use. (+) urine E coli. (+) alcohol use.
(+) Chlamydia. 11/09/09 Medical records received. Duplicate of
records from 11/06/09 |
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VAERS ID: Vaccination Date: Age: Onset Date: Gender: Submitted: State: Entered: |
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Vaccination Manufacturer Lot Dose Route Site FLU(H1 SANOFI PASTEUR UP001AA 0 UN LA |
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Administered by: Public Purchased by: Public Symptoms: Drug exposure during
pregnancy, Oxygen saturation, Rash generalised, Urticaria Write-up: Pt. show up in ER with
hives/rash all over body since morning of 10/28/09. Denies SOB. Pt.
is 11 weeks gestation. Rc'd H1N1 vaccine on 10/26/09. BENADRYL every
6 hrs. as needed10/30/2009 MD and Ed records for 10/28/2009. Patient
with c/o's rash and itching. Tx: benadryl Im. DC Dx acute urticaria .
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VAERS ID: 363977 Vaccination Date: 2009-10-28 Age: 33.0 Onset Date: 2009-10-28 Days later: 0 Gender: Female Submitted: 2009-10-30 State: Louisiana Entered: 2009-10-30 |
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Vaccination Manufacturer Lot Dose Route Site FLU(H1 SANOFI
PASTEUR UPOOAA 0 IM LA |
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Administered by: Unknown Purchased by: Unknown Symptoms: Chest discomfort,
Contraindication to vaccination, Dizziness, Drug exposure during
pregnancy, Dysphagia, Dyspnoea, Painful respiration, Pharyngeal
oedema, Throat tightness, Vaccination complication Write-up: Throat from vocal folds to
clavicle was closing, difficulty breathing, difficulty swallowing,
slight dizziness - arrived at ER at approx. 3:30 - was given 50 mg of
Benadryl & monitored for approx 1.25 hours - breathing returned
to normal - instructed to self administer 25-50 mg of Benadryl as
needed at 6 hour intervals - took 25 mg at approx. 10:00 and was
fine, then had same severity of onset as initial reaction at approx..
4:00 a.m. (10-29-09) and had to take 50 mg to get breathing back to
normal. Went to ob/gyn next morning (10-29-09)for 9:00 a.m. and was
given a cortisone shot to help with the recurring reactions, also had
baby examined through fetal ultrasound and fetal heartbeat monitor.
Had to take 25mg of Bendadryl at approx. 10:00 p.m. that night b/c
entire lung area (sternum, ribs & thoracic spine) was under
severe pressure and it hurt to breathe. After 1/2 hour, pain subsided
- after 45 minutes could lay down to try to sleep. No further
reractions so far today (10/30/09 @ 12:10 p.m.) but instructed by
ob/gyn to keep the Benadryl with me at all times b/c allergic
reactions can last for up to 2 weeks. I HAVE NO ALLERGIES TO EGGS!
11/02/09 and 11/03/09 Medical records received for DOS 10/28/09.
Final DX: Adverse reaction to influenza vaccine. 20 week gestation
patient developed feeling of throat swelling 1hr s/p vaccine. PE
unremarkable. Benadryl and observation x1hr. Pos fetal heart tones.
No change in sx. Discharged. |
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VAERS ID: 363983 Vaccination Date: 2009-10-30 Age: 27.0 Onset Date: 2009-10-30 Days later: 0 Gender: Female Submitted: 2009-10-30 State: Massachusetts Entered: 2009-10-30 |
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Vaccination Manufacturer Lot Dose Route Site FLU(H1 SANOFI
PASTEUR UP009AA 0 UN LA |
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Administered by: Private Purchased by: Other Symptoms: Anxiety, Drug exposure during
pregnancy, Feeling abnormal, Immediate post-injection reaction,
Immunisation reaction, Pulse abnormal, Tachycardia, Throat irritation Write-up: Immediately after receiving
H1N1 immunization the patient c/o "burning of her throat and
feeling funny". Pt is 9 wks pregnant. Pt placed in supine
position and administered apple juice. BP 106/60 palpable, P 88 and
thready, R-22 unlabored. Taken to ED via ambulance. 11/2/09 Emergency
Department Records received from date of service 10/30/09. Dx:
Medication Reaction. Assessment: 9 week pregnant woman presented
after getting H1N1 vaccine and immediately had some throat irritation
and "burning" and became anxious and tachycardic. There was
no syncope or feeling of throat closing, no stridor or urticaria, no
SOB or abd. pain. No evidence of allergic reaction on physical exam.
Pt. discharged to home. 11/16/09 Prenatal records received. Normal
prenancy. EDC 6/7/10. No further notation. |
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VAERS ID: 364088 Vaccination Date: 2009-10-30 Age: 33.0 Onset Date: 2009-10-30 Days later: 0 Gender: Female Submitted: 2009-10-30 State: South
Carolina Entered: 2009-10-30 |
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Vaccination Manufacturer Lot Dose Route Site FLU(H1 SANOFI
PASTEUR UP008AA 0 IM RA |
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Administered by: Public Purchased by: Unknown Symptoms: Aura, Drug exposure during
pregnancy, Headache, Vision blurred, Visual impairment Write-up: At 12:30pm, pt reported
blurred vision and aura/black spot around objects. Vision changes
followed by headache from 1:00-1:30. By 2pm all symptoms resolved. |
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VAERS ID: 364217 Vaccination Date: 2009-10-27 Age: 37.0 Onset Date: 2009-10-27 Days later: 0 Gender: Female Submitted: 2009-11-01 State: Massachusetts Entered: 2009-11-01 |
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Vaccination Manufacturer Lot Dose Route Site FLU(H1 NOVARTIS
VACCINES AND DIAGNOSTICS 100813 2P IJ |
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Administered by: Unknown Purchased by: Unknown Symptoms: Drug exposure during
pregnancy, Urticaria Write-up: HIVES 11/2/2009 records from
OB-GYN MD stating patient called to MD office stating had hives post
vaccination, patient took Benadryl and hives cleared. |
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VAERS ID: 364275 Vaccination Date: 2009-10-22 Age: 33.0 Onset Date: 2009-10-22 Days later: 0 Gender: Female Submitted: 2009-11-02 State: Kentucky Entered: 2009-11-02 |
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Vaccination Manufacturer Lot Dose Route Site FLU(H1 SANOFI
PASTEUR UP008AA 0 IM LA |
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Administered by: Unknown Purchased by: Unknown Symptoms: Adverse event, Drug exposure
during pregnancy, Erythema, Feeling hot, Heart rate increased,
Hypoaesthesia Write-up: Adverse event began
approximately 2 hours after vaccine was given. Patient stated that
her body and face became really hot and red. She also felt that her
pulse was racing. She had some numbness on her left side. All had
been resolved by the next day. 11/3/09 Medical records received from
OB from 5/09 to 10/28/09. OB records received. Noted pt had H1N1
vaccine.. Normal pregnancy progression. |
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VAERS ID: 364385 Vaccination Date: 2009-10-19 Age: 23.0 Onset Date: 2009-10-20 Days later: 1 Gender: Female Submitted: 2009-10-26 State: Ohio Entered: 2009-11-02 |
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Vaccination Manufacturer Lot Dose Route Site FLU(H1 SANOFI
PASTEUR UP002AA 0 IJ AR |
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Administered by: Private Purchased by: Public Symptoms: Drug exposure during
pregnancy, Injection site anaesthesia, Paraesthesia Write-up: fingers tingly and injection
site was numb |
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VAERS ID: 364387 Vaccination Date: 2009-10-19 Age: 26..0 Onset Date: 2009-10-20 Days later: 1 Gender: Female Submitted: 2009-10-26 State: Ohio Entered: 2009-11-02 |
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Vaccination Manufacturer Lot Dose Route Site FLU(H1 SANOFI
PASTEUR UP002AA 0 UN AR |
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Administered by: Private Purchased by: Public Symptoms: Drug exposure during
pregnancy, Injection site anaesthesia, Local reaction, Paraesthesia Write-up: Fingers tingly and injection
site was numb. To ER - local reaction on 10/20/09. 11/4/09: Emergency
Department Records received for date of service 10/19/09.. Dx: Left
hand numbness Assessment: This 12 week pregnant female pesented the
day after receiving the H1N1 vaccine in the left deltoid, with left
arm and hand pain and numbness. No redness, swelling, SOB, rash or
pain around the injection site. Pt. discharged to home. |
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VAERS ID: 364445 Vaccination Date: 2009-10-19 Age: 35.0 Onset Date: 2009-10-20 Days later: 1 Gender: Female Submitted: 2009-11-02 State: Georga Entered: 2009-11-02 |
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Vaccination Manufacturer Lot Dose Route Site FLU(H1 SANOFI
PASTEUR UP003AA 0 IM LA |
|
Administered by: Unknown Purchased by: Unknown Symptoms: Drug exposure during
pregnancy, Intra-uterine death, Ultrasound scan abnormal, Uterine
dilation and curettage Write-up: Discovered Intra-uterine
Fetal Demise. Probably occurred 1 week prior. 11/05/09 Medical
records received for DOS 9/22/09-10/20/09. OB/GYN notes. Patient
noted reduced fetal activity. No FHT found on exam in office. Fetal
demise at 14 wks 4 days. Uterine fundal height 13 wks. LMP 08/07/09.
G3, P2, Proceeded with D&C. |
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VAERS ID: 364781 Vaccination Date: 2009-10-28 Age: 39.0 Onset Date: 2009-10-29 Days later: 1 Gender: Female Submitted: 2009-11-02 State: Texas Entered: 2009-11-03 |
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Vaccination Manufacturer Lot Dose Route Site FLU(H1 UNKNOWN
MANUFACTURER 1007392P 0 IM LA |
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Administered by: Private Purchased by: Unknown Symptoms: Alpha 1 foetoprotein amniotic
fluid normal, Chorioamnionitis, Delivery, Drug exposure during
pregnancy, Ectopic pregnancy, Foetal heart rate abnormal, Haemoglobin
decreased, Haemorrhage, Induced labour, Intra-uterine death,
Pathology test, Placental disorder, Syphilis test negative, Trisomy
21, Ultrasound scan abnormal, Ultrasound scan normal, Umbilical cord
abnormality, Umbilical cord around neck Write-up: At risk pt came in at 39
weeks and 1 day pregnant for H1N1 immunization 10/28/09. On 10/29/09
pt called c/o no fetal movement. Pt brought into office to be
monitored and no cardiac movement was noted on sonogram.. Pt had a
normal biophysical profile 10-27-09 with normal cardiac movement on
10/27/09. Fetal demise vaginal delivery 10-31-09. 11/04/09 Medical
records and discharge summary received for DOS 07/28/2006-10/31/09.
Discharge DX: 39 week fetal demise, Rh negative, Abnormal first
trimester screen, Advanced maternal age, Tight nuchal chord, Evidence
of fetal maternal hemorrhage based on KB stain, Questionable
placental abruption. AMA patient with h/o past ectopic pregnancy.
Current pregnancy with abnormal first trimester screen. Followed
closely. Refused amnio. Normal fetal growth through out. All exams
and BPP WNL. Last prenatal visit + fetal movement. Next day fetal
movement decreased but then movement resumed. Next day no fetal
movement felt. No fetal heart tones detected in office. Sonogram
confirmed fetal demise at 39 3/7wks gestation. Labor induced same day.
Non viable male infant 7lbs 12 oz delivered vaginally. Very tight
nuchal cord. Unable to reduce until fully delivered. No blood in
cord. % of placenta very pale. Placental path abnormal. Stable.
Discharged to ho |
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VAERS ID: 364937 Vaccination Date: 2009-10-30 Age: 26.0 Onset Date: 2009-10-30 Days later: 0 Gender: Female Submitted: 2009-11-02 State: Massachusetts Entered: 2009-11-04 |
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Vaccination Manufacturer Lot Dose Route Site FLU(H1 NOVARTIS
VACCINES AND DIAGNOSTICS 1008132 0 UN LA |
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Administered by: Private Purchased by: Private Symptoms: Blood glucose increased, Drug
exposure during pregnancy, Haematocrit decreased, Syncope Write-up: After injection pt fainted -
?anxiety or hypoglycemia. No rash or shortness of breath. Pt was 30
wks preg. O2 given BP 60/40 Pulse 42. Pt recovered. Taken to hospital
for fetal monitoring. 11/10/09 Medical records received for date
10/30/09. DX: syncope after H1N1 vax. Pt. sent to hosp. for fetal
monitoring 30wks gestation. Assessment: FHR(+) WNL. Pt. denies and
c/o. DC home. |
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VAERS ID: 364955 Vaccination Date: 2009-10-20 Age: 30.0 Onset Date: 2009-10-20 Days later: 0 Gender: Female Submitted: 2009-10-21 State: Oregon Entered: 2009-11-04 |
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Vaccination Manufacturer Lot Dose Route Site FLU(H1 SANOFI
PASTEUR UP002AA 0 IM RA |
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Administered by: Private Purchased by: Public Symptoms: Drug exposure during
pregnancy, Vomiting Write-up: Pt started vomiting not long
after receiving vaccination and called office to inform doctor. A prescription
was called in for PHENERGAN and pt is doing much better, no more
vomiting. 11/5/09 OB records received for dates 6/30/09 to
10/9/09.EDC: 2/15/09. G3P1 No information provided pertaining to H1N1
vaccine. |
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VAERS ID: 365036 Vaccination Date: 2009-10-14 Age: 28.0 Onset Date: 2009-10-22 Days later: 8 Gender: Female Submitted: 2009-10-27 State: Nebraska Entered: 2009-11-04 |
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Vaccination Manufacturer Lot Dose Route Site FLU(H1 SANOFI
PASTEUR UP002AA 0 IM RA |
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Administered by: Private Purchased by: Private Symptoms: Drug exposure during
pregnancy, Intra-uterine death, Pathology test Write-up: Intrauterine fetal demise at
26 weeks. 11/5/09 Multiple medical records received for dates 6/17/09
to 10/25/09. DX: Intrauterine pregnancy 27 weeks with fetal demise.
Pt seen in office on 10/14/09 pt was 25 weeks prenatal visit WNL. Pt.
c/o decreased fetal movement on 10/23/09. Pt. seen in office on
10/25/09 no cardiac activity noted on US. Prenatal records indicate
WNL OB visits. Pt received H1N1 vax on 10/14/09. Pt. began OB care
6/17/09. |
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VAERS ID: 365044 Vaccination Date: 2009-10-26 Age: 28.0 Onset Date: 2009-10-27 Days later: 1 Gender: Female Submitted: 2009-10-29 State: California Entered: 2009-11-04 |
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Vaccination Manufacturer Lot Dose Route Site FLU(H1 SANOFI
PASTEUR UP002AA 0 UN LA |
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Administered by: Private Purchased by: Private Symptoms: Dizziness, Drug exposure
during pregnancy, Eye swelling, Hypoaesthesia facial, Hypoaesthesia
oral, Paraesthesia Write-up: Given injection 4 PM, woke up
midnight numbness on left side of face including eyebrow, eye or not
lips. Was not droopy. Became lightheaded. Eye felt swollen like she
couldn't close it but it did close. Next day also felt tingling in
left arm and some on right. Mom is pregnant. 11/09/09: OB Record
received for dates of service 10/27/09: Facial numbness. Assessment:
Had H1N1 vaccine the day before OB visit. Presented with facial
numbness. If no improvement will refer to PCP for tx. |
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VAERS ID: 365103 Vaccination Date: 2009-10-28 Age: 33.0 Onset Date: 2009-10-29 Days later: 1 Gender: Female Submitted: 2009-11-04 State: Alabama Entered: 2009-11-04 |
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Vaccination Manufacturer Lot Dose Route Site FLU(H1 NOVARTIS
VACCINES AND DIAGNOSTICS 10073801A 0 IM LA |
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Administered by: Unknown Purchased by: Unknown Symptoms: Abortion spontaneous, Drug
exposure during pregnancy, Ultrasound scan vagina abnormal, Uterine
dilation and curettage Write-up: On Wednesday, October 28,
2009, I went to my local health department to get my H1N1 vaccine.
Everything went well, or so I thought. The next day, October 29,
2009, I had an appointment with my OB/GYN for a regular check-up. We
talked, laughed, etc. and before I left, the nurse practitioner told
me she needed to do an ultrasound to hear the baby's heart rate
before I could go home. I was 8 weeks pregnant, by the way, so the
heart rate could not be heard on the doppler. Anyway, she did the
abdominal ultrasound and could not find a heart rate. So, she did the
transvaginal ultrasound just to make sure. We could see the baby and
the baby was measuring 8 weeks, but there was no heart rate. This was
a COMPLETE shock because I was not experiencing any spotting,
cramping, etc. So, to say the least, I was totally devastated that I
had lost my baby. On Friday, October 30, 2009, I had a suction
D&C. I do not know if the H1N1 vaccine was the cause of the
miscarriage, but I wanted to let you know that I did have a
miscarriage after receiving the vaccine. 11/6/09: Operative Report
received for date of service 10/30/09: Dx: Missed abortion.
Assessment: Suction Dilation and Curettage: 10 week size uterus.
Products of Conception were sent to pathology. Less than 200 ml blood
loss. 11/9/09: Ob/GYN records received for dates of service 10/15/09
to 10/29/09: Assessment: No heart beat on doppler, no color flow.
Schedule for D & C. |
|
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VAERS ID: 365134 Vaccination Date: 2009-10-23 Age: 34.0 Onset Date: 2009-10-28 Days later: 5 Gender: Female Submitted: 2009-11-04 State: Washington Entered: 2009-11-04 |
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Vaccination Manufacturer Lot Dose Route Site FLU(H1 SANOFI
PASTEUR VP008AA 0 LA |
|
|
Administered by: Unknown Purchased by: Unknown Symptoms: Antithrombin III, Blood
fibrinogen, Coagulation test, Cytogenetic analysis, Drug exposure
during pregnancy, Foetal-maternal haemorrhage, Full blood count,
Intra-uterine death, Kleihauer-Betke test, Parvovirus B19 serology,
Stillbirth, Ultrasound abdomen abnormal Write-up: Fetal Demise. Patient
presented on 10/29/09 10:30 PM with decreased fetal movement since
10/28 AM and was diagnosed with intrauterine fetal demise. Work-up to
date significant for +K-B indicative of likely fetal-maternal
hemorrhage as the cause. 11/5/2009 MR and DC records for
10/30-31/2009. Patient presented with c/o's no fetal movement for
past day, 38 wks, EDD 11/12/2009. US verified no fetal movement. no
fetal heartbeat. Pregancy complicated with a choroid plexus and
marginal cord insertion. Tx: Induced labor :Misoprostol IV then
Pitocin. Fetal autopsy requested. DC Dx: stillbirth |
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|
VAERS ID: 361118 Vaccination Date: 0000-00-00 Age: 30.0 Onset Date: 2009-10-01 Days later: Gender: Female Submitted: 2009-10-15 State: Entered: 2009-10-16 |
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Vaccination Manufacturer Lot Dose Route Site FLU(H1 CSL LIMITED UN UN |
|
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion spontaneous, Drug
exposure during pregnancy Write-up: Report received from a
foreign regulator on 14-OCT-2009. A female patient (age unknown, date
of birth: 01/05/1979) received PANVAX H1N1 vaccine (batch unknown) on
unknown date. Medical history was not provided. On 01-OCT-2009,
within 24 hours of receipt of the vaccine, the patient miscarried.
The patient was sent to hospital. Patient outcome is unknown. The
regulator assessed the causality as possible. |
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VAERS ID: 365373 Vaccination Date: 2009-10-17 Age: 32.0 Onset Date: 2009-10-18 Days later: 1 Gender: Female Submitted: 2009-11-05 State: Massachusetts Entered: 2009-11-05 |
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Vaccination Manufacturer Lot Dose Route Site FLU(H1 SANOFI
PASTEUR UP003AA 0 IM LA |
|
Administered by: Private Purchased by: Public Symptoms: Cervix disorder, Drug
exposure during pregnancy, Pregnancy test positive, Smear cervix
normal, Vaginal haemorrhage Write-up: Patient was approx 4 weeks
pregnant when received vaccine and started to miscarry following day.
11/6/2009 and 11/9/2009 lab results and OB-GYN visit for 11/3/2009.
Patient with c/o's intermittent bright red bleeding in first
trimester. Pelvic exam noted a friable cervix. Tx: repeat labs ,rest |
|
VAERS ID: 365404 Vaccination Date: 2009-04-11 Age: 23.0 Onset Date: 2009-11-04 Days later: 207 Gender: Female Submitted: 2009-11-05 State: Rhode
Island Entered: 2009-11-05 |
|
Vaccination Manufacturer Lot Dose Route Site FLU(H1 NOVARTIS
VACCINES AND DIAGNOSTICS 100813 6P IM UN |
|
Administered by: Unknown Purchased by: Unknown Symptoms: Back pain, Drug exposure
during pregnancy, Premature labour, Premature rupture of membranes Write-up: Patient had preterm rupture
of membranes at 10:30 pm on the same day the vaccine was
administered. She was preterm (35 3/7 wks) and weighed 1860. Mom has
a history of IUGR with her first pregnancy. 11/10/09: Hospital Labor
and Delivery Records and Prenatal records received for date of
service 11/5/09. Dx: Premature delivery Assessment: Gravida 3 Para 1
at 35 3/7 weeks EGA presented to L&D with premature rupture of
membranes on date of H1N1 vaccine administration. Baby had reassuring
HR during labor. Apgar scores were 8 and 9 at 1 and 5 minutes
respectively. Birth weight was 1860 gms. Placenta with 3 vessel cord.
Estimated blood loss 100 ml. Abnormal placenta sent to pathology.
11/9/09 Medical records received for dates 11/4/09 OB records. 35wks
exam WNL. c/o back pain lying down. FHR 140's. |
|
VAERS ID: 365450 Vaccination Date: 2009-10-26 Age: 24.0 Onset Date: 0000-00-00 Days later: Gender: Female Submitted: 2009-11-05 State: California Entered: 2009-11-05 |
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Vaccination Manufacturer Lot Dose Route Site FLU NOVARTIS
VACCINES AND DIAGNOSTICS 98447PI 0 IM RA FLU(H1 SANOFI
PASTEUR UP006AA IM LA |
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Administered by: Unknown Purchased by: Unknown Symptoms: Drug exposure during
pregnancy, Uterine contractions during pregnancy Write-up: FLUVIRIN W/ THIMERASOL GIVEN
TO OB PT. PT NOTIFIED ON 11/5/2009. DENIES ANY ADVERSE EFFECTS.
11/10/2009 Medical records received. OB/GYN office note. DOS 11/3/09.
Uterine cramping x4 days. Prodromal labor. Neg bloody/mucous d/c.
Comfort measures. |
Start of January 7th, 2010 updated information
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Vaccination Date: |
2009-11-05 |
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Age: |
36.0 |
Onset Date: |
2009-11-06 Days later: 1 |
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Gender: |
Female |
Submitted: |
2009-11-09 |
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State: |
Pennsylvania |
Entered: |
2009-11-09 |
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Vaccination Date: |
2009-10-19 |
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|
Age: |
28.0 |
Onset Date: |
2009-10-28 Days later: 9 |
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Gender: |
Female |
Submitted: |
2009-11-04 |
||||
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State: |
Missouri |
Entered: |
2009-11-09 |
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|||||||
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Vaccination Date: |
2009-10-29 |
||||||
|
Age: |
18.0 |
Onset Date: |
2009-11-04 Days later: 6 |
||||
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Gender: |
Female |
Submitted: |
2009-11-09 |
||||
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State: |
Texas |
Entered: |
2009-11-09 |
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|||||||
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Vaccination Date: |
2009-10-24 |
||||||
|
Age: |
34.0 |
Onset Date: |
2009-11-08 Days later: 15 |
||||
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Gender: |
Female |
Submitted: |
2009-11-09 |
||||
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State: |
D.C. |
Entered: |
2009-11-09 |
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|||||||
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Vaccination Date: |
2009-11-05 |
||||||
|
Age: |
28.0 |
Onset Date: |
2009-11-05 Days later: 0 |
||||
|
Gender: |
Female |
Submitted: |
2009-11-10 |
||||
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State: |
Michigan |
Entered: |
2009-11-10 |
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Vaccination Date: |
2009-10-27 |
||||||
|
Age: |
26.0 |
Onset Date: |
2009-10-29 Days later: 2 |
||||
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Gender: |
Female |
Submitted: |
2009-11-10 |
||||
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State: |
Kansas |
Entered: |
2009-11-10 |
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