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1ADP016P6

(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 6953 Sequence 1
Computer Entry Date 04/12/1995
Date Reported 20/10/1972
Age : 54 YEARS Sex FEMALE Height
Weight Date Of Onset 18/10/1972
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VACCINIA GENERALISED
PHENERGAN INJ
Included Term : VACCINIA GENERALIZED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S
ICD Code : DIAGNOSTIC X-RAY
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 7364 Sequence 1
Computer Entry Date 28/02/1973
Date Reported 20/02/1973
Age : 7 WEEKS Sex MALE Height
Weight 5 Date Of Onset 08/02/1973
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CYANOSIS DRUG
WITHDRAWN 2ML. AVIL SYRUP
TWITCHING
Included Term : MUSCLES CLENCHED ALL
RESPIRATORY DISORDER
Included Term : RESPIRATION GRUNTING
BRONCHOSPASM
Included Term : WHEEZING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/02/1973 AND CEASED 08/02/1973
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 7380 Sequence 1
Computer Entry Date 28/02/1973
Date Reported 08/02/1973
Age : 1 YEARS Sex FEMALE Height 73
Weight 10 Date Of Onset 10/11/1972
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ENCEPHALOPATHY LIRUGEN
WITHDRAWN . ANTICONVULSANTS , IV GLUCOSE , DEXAMETHA
Included Term : ENCEPHALITIS
CONVULSIONS GRAND MAL
Included Term : STATUS EPILEPTICUS
HEMIPLEGIA
Included Term : HEMIPLEGIA LEFT
HEMIANOPIA
Included Term : HEMIANOPIA HOMONYMOUS LEFT
HYPOGLYCAEMIA
RASH
Included Term : RASH (MEASLES-LIKE)
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
LIRUGEN S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 02/11/1972 AND CEASED 02/11/1972
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
*** ERROR ***
Lab Normal Range :
0 9 1 1 BLOOD GLUCOSE 12 MG% , BILATERAL CAROTID ANGIOGRAPHY - CONSIST
-ENT WITH INTRACEREBRAL SWELLING OF RIGHT HEMISPHERE , NO MAJOR OCCLUSION
OR INTRACRANIAL SPACE-OCCUPYING LESION . CSF POLY 9 , LYMPH 10 , RBC 390
SUGAR NEGATIVE , PROTEIN 20 MG% , NO GROWTH ON CULTURE . NO VIRUS ISOLAT-
ED FROM THROAT SWAB , FAECES , URINE OR CSF . MEASLES CF IGG & IGM POSIT-
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY
Lab Normal Range :
0 IVE 17/11/72 COMPATIBLE WITH RECENT IMMUNIZATION .
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
RADIOLOGY
Lab Normal Range :
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 7498 Sequence 1
Computer Entry Date 31/03/1973
Date Reported 25/03/1973
Age : 57 YEARS Sex MALE Height
Weight Date Of Onset 11/03/1973
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VACCINIA AGGRAVATED
ARTIFICIAL VENTILATION VIA TRACHEOSTOMY
Included Term : LOCAL ERYTHEMA AND NECROSIS,AXILLARY
VACCINIA AGGRAVATED
Included Term : LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION
1 TIME INTRA-DERMAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 7510 Sequence 1
Computer Entry Date 30/04/1973
Date Reported 21/03/1973
Age : 17 YEARS Sex MALE Height 170
Weight 61 Date Of Onset 00/01/1973
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHADENOPATHY DRUG
WITHDRAWN. RESPONDED WELL TO ANTIBIOTICS & REST. PRESEN
Included Term : LYMPHADENITIS TUBERCULOUS LATER
WITH LYMPHADENITIS, NO CAUSE FOUND. RESPONDED TO ERYTH
ENTED
1WK. LATER WITH RUBBERY LUMP IN AXILLA. STERILE PUS FO
ON-
CONTINUED TO DRAIN. AXILLA EXPLORED & NODES REMOVED.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S INJECTION DF
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 22/11/1972
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
HISTOLOGY
Lab Normal Range :
0 AXILLARY LYMPH NODES- PALE RUBBERY TISSUE WITH SMALL AREAS OF APPARENT
MICRO-ABCESSES. SECTION- FEW SMALL CASEATING GRANULOMATA WITH TYPICAL
TUBERCULAR FEATRUES. SECTION OF SUBCUTANEOUS TISSUE CONTAINED A NUMBER OF
TUBERCULOID GRANULOMATA. MICROSCOPY & CULTURE OF ABCESS DID NOT REVEAL AFB.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 7540 Sequence 1
Computer Entry Date 30/04/1973
Date Reported 17/03/1973
Age : 19 YEARS Sex FEMALE Height
Weight Date Of Onset 09/03/1973
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
AMPICILLIN,SMALLPOX VACCINATION WITHDRAWAL, PHENERGAN.
Included Term : RASH ERYTHEMATOUS MACULO-PAPULAR
RASH MACULO-PAPULAR
Included Term : GENERALISED
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
AMPICILLIN S CAPSULE
PER ORAL
ICD Code : ACUTE PHARYNGITIS
SMALLPOX VACCINE S INJECTION
INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 27/02/1973 AND CEASED 27/02/1973
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CHOLERA VACCINE O INJECTION
INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 27/02/1973 AND CEASED 27/02/1973
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CHOLERA VACCINE O INJECTION
INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 06/03/1973 AND CEASED 06/03/1973
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range :
0 11 1 WBC:(12/3/73)4000, PCB:41%,HB:12.0 GM%,PLASMA NO:137MEQ,K:3.6
MEQ,STD BIC:19.5MEQ,BLOOD UREA:37MG%, CREATININE:0.8MG%. URINE MICRO:
C13/3/73):AMORPHOUS URATES +++. HAA (12/3/73) NOT DETECTED. CHEST X-RAY:
HEART AND LUNGS NORMAL. PAUL BUNNELL NEG. NOSE SWAB:STAPH AUREUS +++.
THROAT SWAB:NO HAEMOLYTIC STREPTOCOCCI. LFTS:FOCHET NEG. ALK PHOS:10
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
ELECTROLYTES
Lab Normal Range :
0 UNITS,SGOT 20 UNITS, FMP 6 UNITS. CEPH.FLOCC:+.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
RADIOLOGY
Lab Normal Range :
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 7598 Sequence 1
Computer Entry Date 30/04/1973
Date Reported 07/03/1973
Age : 55 YEARS Sex FEMALE Height
Weight Date Of Onset 25/02/1973
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ERYTHEMA MULTIFORME VACCINE
WITHDRAWN, ANTIHISTAMINE CREAM,PREDNISONE 30 MG/DAY,
Included Term : ERYTHROMA MULTIFORME
BATHS,CALAMINE LOTION. DRUGS ON DISCHARGE: REDUCED DOSE OF
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION 1.0 DF
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 23/11/1972 AND CEASED 23/11/1972
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CELESTONE O TABLET
PER ORAL
ICD Code : OTHER PSORIASIS
0Laboratory Data
===============
ELECTROGRAPHICS
Lab Normal Range :
0 1 ECG:ON ADMISSION NAD. ON DISCHARGE: BIZARRE ARRHYTHMIA ,LEFT
ANTERIOR HEMIBLOCK,VENTRICULAR TACHYCARDIA WITH R BUNDLE-BRANCH BLOCK
PATTERN.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 7615 Sequence 1
Computer Entry Date 30/04/1973
Date Reported 16/04/1973
Age : 30 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VACCINIA AGGRAVATED DRUG
WITHDRAWN
Included Term : VACCINNIA GENERALISED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 7717 Sequence 1
Computer Entry Date 30/06/1973
Date Reported 01/06/1973
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 29/04/1973
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEURITIS
SALICYLATES 2ND HOURLY THEN TDS . PLASTER
Included Term : MYELORADICULONEURITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 27/04/1973 AND CEASED 27/04/1973
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 7780 Sequence 1
Computer Entry Date 30/06/1973
Date Reported 05/06/1973
Age : 29 YEARS Sex FEMALE Height
Weight Date Of Onset 00/01/1973
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
PETHIDINE AND VALIUM AT ONSET.LONGTERM PHYSIOTHERAPY,INDOMET
Included Term : PAINFUL FROZEN SHOULDER TANDERIL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID CHOLERA VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : OTR SERUM REACTN POST MED CARE
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 7833 Sequence 1
Computer Entry Date 30/06/1973
Date Reported 18/06/1973
Age : 39 YEARS Sex MALE Height 182
Weight 84 Date Of Onset 16/06/1973
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA LINCOCIN
WITHDRAWAL .
Included Term : DIARRHOEA - FLUID BOWEL ACTIONS WITH
DIARRHOEA
Included Term : ONLY SLIGHT INCREASE IN FREQUENCY .
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
LINCOCIN S CAPSULE 2.0 GM
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 13/06/1973 AND CEASED 16/06/1973
ICD Code : COMPLIC OPN HAND WOUND,NO FING
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/06/1973 AND CEASED 13/06/1973
ICD Code : OPEN FRACTURE OF PATELLA
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 7858 Sequence 1
Computer Entry Date 30/06/1973
Date Reported 14/06/1973
Age : 5 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VASCULITIS C.D.T.
WITHDRAWN. OBSERVATION.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE NOS S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/06/1973
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 7949 Sequence 1
Computer Entry Date 31/07/1973
Date Reported 25/05/1973
Age : 58 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA BED REST
HALLUCINATION
Included Term : HALLUCINATIONS
FEVER
CHEST PAIN
INJECTION SITE INFLAMMATION
Included Term : SWOLLEN INFLAMED ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION 1.0 DF
1 TIME INTRA-DERMAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPHOID VACCINE O INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 8002 Sequence 1
Computer Entry Date 31/07/1973
Date Reported 18/07/1973
Age : 24 YEARS Sex FEMALE Height 157
Weight 44 Date Of Onset 19/05/1973
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANGIOEDEMA
DIPHTHERIA TETANUS VACCINE WITHDRAWN, ERTHROMYCIN WITHDRAWAL
Included Term : ANGIONEUROTIC OEDEMA
PHENERGAN 25MG BD & ADNISOLONE PRN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE NOS S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/05/1973 AND CEASED 18/05/1973
ICD Code : COMPLICAT MULTIPLE OPEN WOUNDSOF OTHER&UNSPECIFIE
ERYTHROMYCIN S TABLET 1.0 GM
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 18/05/1973 AND CEASED 19/05/1973
ICD Code : COMPLICAT MULTIPLE OPEN WOUNDSOF OTHER&UNSPECIFIE
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 8056 Sequence 1
Computer Entry Date 31/08/1973
Date Reported 26/07/1973
Age : 57 YEARS Sex MALE Height 162
Weight 60 Date Of Onset 14/07/1973
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
INFLUENZA VACCINE WITHDRAWN. GIVEN SALICYLATES.
Included Term : INFLUENZA-LIKE ILLNESS ACUTE FEBRILE
MYALGIA
UPPER RESP TRACT INFECTION
Included Term : UPPER RESPIRATORY TRACT INFECTION
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/07/1973 AND CEASED 13/07/1973
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 8162 Sequence 1
Computer Entry Date 31/08/1973
Date Reported 18/05/1973
Age : 32 YEARS Sex Height
Weight Date Of Onset 02/05/1973
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PERICARDITIS SMALLPOX
VACCINE WITHDRAWAL . REST .
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION 1.0 DF
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 00/04/1973 AND CEASED 00/04/1973
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
*** ERROR ***
Lab Normal Range :
0 91 11 1 1 PERICARDIAL FRICTION RUB . ECG PROBABLE CHANGES CONSISTENT
WITH RESOLVING PERICARDITIS . COCKSACKIE ANTIBODY TITRE , LE CELLS , ASOT
NEGATIVE.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
HAEMATOLOGY
Lab Normal Range :
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
IMMUNOLOGY
Lab Normal Range :
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY
Lab Normal Range :
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
RADIOLOGY
Lab Normal Range :
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
ELECTROGRAPHICS
Lab Normal Range :
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 8535 Sequence 1
Computer Entry Date 31/10/1973
Date Reported 31/10/1973
Age : 6 YEARS Sex FEMALE Height
Weight Date Of Onset 15/05/1973
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN RX
PARACETAMOL 5MG NOCTE
Included Term : PAIN ABDOMINAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/05/1973
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 8547 Sequence 1
Computer Entry Date 31/10/1973
Date Reported 24/10/1973
Age : 3 YEARS Sex MALE Height
Weight Date Of Onset 07/06/1973
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS TETANUS
TOXOID WITHDRAWAL, PROMETHAZINE
RASH ERYTHEMATOUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/06/1973 AND CEASED 07/06/1973
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 8548 Sequence 1
Computer Entry Date 31/10/1973
Date Reported 24/10/1973
Age : 3 YEARS Sex MALE Height
Weight Date Of Onset 17/06/1973
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING SMALLPOX
VACCINE WITHDRAWN,PARACETAMOL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION 1.0 DF
1 TIME INTRA-DERMAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 8550 Sequence 1
Computer Entry Date 31/10/1973
Date Reported 18/10/1973
Age : 14 YEARS Sex FEMALE Height 163
Weight 64 Date Of Onset 17/10/1973
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR CENDEVAX
WITHDRAWN.
Included Term : RASH MACULAR FOREHEAD,BUCCAL MUCOSA,
RASH MACULO-PAPULAR
Included Term : SOFT PALATE
LYMPHADENOPATHY
Included Term : LYMPH NODES ENLARGED,POST CERVICAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 04/10/1973 AND CEASED 04/10/1973
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 8565 Sequence 1
Computer Entry Date 31/10/1973
Date Reported 25/10/1973
Age : 1 YEARS Sex FEMALE Height
Weight Date Of Onset 24/06/1973
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER MEASLES
VACCINE WITHDRAWN,GENERAL ANAESTHETIC, CALCIUM GLUCE
Included Term : HYPERPYREXIA 40.2 DEG C.
SPONGING,PARACETAMOL,FAN
SYNCOPE
Included Term : LOSS OF CONSCIOUSNESS
DYSPNOEA
Included Term : RESPIRATORY DISTRESS
TETANY
Included Term : TETANIC SPASM WITH STRIDOR
CHOREOATHETOSIS
Included Term : MOVEMENTS LIMBS PURPOSELESS
TWITCHING
Included Term : SPASMODIC STIFFENING LIMBS AND TRUNK
HYPERTONIA
Included Term : HYPEREFLEXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES VIRUS VACCINE S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
ELECTROLYTES
Lab Normal Range :
0 1 1
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
*** ERROR ***
Lab Normal Range :
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 8588 Sequence 1
Computer Entry Date 30/11/1973
Date Reported 22/10/1973
Age : 42 YEARS Sex MALE Height
Weight Date Of Onset 15/07/1973
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANAPHYLACTOID REACTION GAS-
GANGRENE ANTITOXIN WITHDRAWN, STAT DOSE HYDROCORTISONE 2
Included Term : ANAPHYLAXIS
ADRENALIN 1:1000 SC, AMINOPHYLLINE 500MG IV AND PHENERGAN 25
SERUM SICKNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS ANTITOXIN S INJECTION 10.0 KU
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/07/1973 AND CEASED 15/07/1973
ICD Code : TETANUS
TETANUS ANTITOXIN S INJECTION 10.0 KU
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 15/07/1973 AND CEASED 15/07/1973
ICD Code : TETANUS
AMPICILLIN O INJECTION 2.0 GM
DAILY INTRAVENOUS
DRUG ADMINISTRATION BEGAN 06/07/1973 AND CEASED 12/07/1973
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 8663 Sequence 1
Computer Entry Date 30/11/1973
Date Reported 09/11/1973
Age : 2 YEARS Sex MALE Height 84
Weight 13 Date Of Onset 09/11/1973
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANGIOEDEMA LIRUGEN
WITHDRAWN, PERIACTIN SUSP.
Included Term : ANGIONEUROTIC OEDEMA
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
LIRUGEN S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/11/1973 AND CEASED 06/11/1973
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 8692 Sequence 1
Computer Entry Date 30/11/1973
Date Reported 20/11/1973
Age : 35 YEARS Sex FEMALE Height
Weight Date Of Onset 14/11/1973
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VACCINIA AGGRAVATED SMALLPOX
VACCINE WITHDRAWN, IMI VACCINAL GAMMA GLOBULIN
Included Term : VACCINIA GENERALISED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION 1.0 DF
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 14/11/1973
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 8894 Sequence 1
Computer Entry Date 31/01/1974
Date Reported 31/12/1973
Age : 2 YEARS Sex MALE Height
Weight 12 Date Of Onset 29/08/1973
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
STUPOR LIRUGEN
WITHDRAWN
Included Term : STUPOROSE CONDITION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
LIRUGEN S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 19/07/1973 AND CEASED 19/07/1973
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 9048 Sequence 1
Computer Entry Date 28/02/1974
Date Reported 11/02/1974
Age : 1 YEARS Sex FEMALE Height
Weight 11 Date Of Onset 01/02/1974
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RHINITIS LIRUGEN
WITHDRAWN
COUGHING
FEVER
RASH MACULO-PAPULAR
Included Term : RASH MORBILLIFORM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
LIRUGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/01/1974 AND CEASED 24/01/1974
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 9049 Sequence 1
Computer Entry Date 28/02/1974
Date Reported 11/02/1974
Age : 1 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RHINITIS
COUGHING
FEVER
RASH MACULO-PAPULAR
Included Term : RASH MORBILLIFORM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
LIRUGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 9068 Sequence 1
Computer Entry Date 28/02/1974
Date Reported 25/02/1974
Age : 34 YEARS Sex MALE Height 173
Weight 69 Date Of Onset 21/02/1974
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
TETRACOSACTRIN AND PENICILLIN TREATMENT
Included Term : ERYTHEMA
INJECTION SITE REACTION
PRURITUS
Included Term : ITCHY
PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/02/1974
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 9132 Sequence 1
Computer Entry Date 31/03/1974
Date Reported 11/03/1974
Age : 23 YEARS Sex FEMALE Height 158
Weight 52 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
Included Term : WHEALS,RED MACULES,ON ARM,LATER ON
URTICARIA
Included Term : BODY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 22/02/1974
ICD Code : OTR SERUM REACTN POST MED CARE
NORINYL O TABLET
PER ORAL
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 9179 Sequence 2
Computer Entry Date 30/04/1974
Date Reported 09/11/1973
Age : 53 YEARS Sex MALE Height
Weight Date Of Onset 01/11/1973
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VACCINIA AGGRAVATED NOT
STATED.
Included Term : VACCINIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CHOLERA VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/11/1973
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ALDOMET O TABLET 750.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 20/10/1973 AND CEASED 03/11/1973
ICD Code : ESSENTIAL BENIGN HYPERTENSION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 9218 Sequence 1
Computer Entry Date 30/04/1974
Date Reported 23/03/1974
Age : 39 YEARS Sex MALE Height
Weight Date Of Onset 12/03/1974
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE DRUG
WITHDRAWAL.SIX DAYS AFTER VACCINATION GIVEN ANTIBIOTICS
CLOXACIL
LIN.PATIENT IMPROVED PROGRESSIVELY.
PAIN
Included Term : PAINS SEVERE IN CHEST AND L ARM
PAIN
Included Term : SORENESS IN BACK OF NECK.
LYMPHADENOPATHY
Included Term : GLANDS SWOLLEN UNDER L ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 08/03/1974
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range :
0 1 111 HB 15.7 GM%,WCC 6000.ECG SHOWED 1 VENTRICULAR ECTOPIC,ESR 26
BLOOD FILM NORMAL.N 53,L 38,M 4,E 5.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
RADIOLOGY
Lab Normal Range :
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
*** ERROR ***
Lab Normal Range :
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
ELECTROGRAPHICS
Lab Normal Range :
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 9223 Sequence 1
Computer Entry Date 30/04/1974
Date Reported 30/04/1974
Age : 10 MONTHS Sex MALE Height
Weight Date Of Onset 28/10/1973
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHADENOPATHY DRUG
WITHDRAWAL.RX CALAMINE LOTION
Included Term : LYMPHADENOPATHY AXILLARY L ARM
PRURITUS
RASH MACULO-PAPULAR
Included Term : RASH MACULO-PAPULAR,HEAD BUTTOCKS
RASH MACULO-PAPULAR
Included Term : RASH VESICULAR ON HEAD AND BUTTOCKS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION 1.0 DF
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 28/10/1973
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 9224 Sequence 1
Computer Entry Date 30/04/1974
Date Reported 30/04/1974
Age : 3 MONTHS Sex MALE Height
Weight Date Of Onset 03/10/1973
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANOREXIA RX
PARACETAMOL.
FEVER
NERVOUSNESS
Included Term : IRRITABILITY
INJECTION SITE INFLAMMATION
Included Term : REDNESS,LUMP ON L ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 9225 Sequence 1
Computer Entry Date 30/04/1974
Date Reported 30/04/1974
Age : 8 WEEKS Sex FEMALE Height
Weight Date Of Onset 21/11/1973
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS RX
PARACETAMOL
Included Term : REDNESS OF ARM
OEDEMA
Included Term : SWOLLEN TENDER ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 9227 Sequence 1
Computer Entry Date 30/04/1974
Date Reported 30/04/1974
Age : 15 YEARS Sex MALE Height
Weight Date Of Onset 10/10/1973
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR RX
ASPIRIN PRN
Included Term : VESICLE,CENTRAL SURROUNDING
RASH ERYTHEMATOUS
Included Term : ERYTHEMA 9X6 CM,RED STREAK TO AXILLA
LYMPHADENOPATHY
Included Term : LYMPH NODE,ENLARGED,APEX
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 0.1 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 10/10/1973
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 9314 Sequence 1
Computer Entry Date 31/05/1974
Date Reported 24/04/1974
Age : 26 YEARS Sex FEMALE Height 168
Weight 64 Date Of Onset 17/04/1974
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LABYRINTHINE DISORDER RX
STEMETIL 5 MG 1 QID
Included Term : LABYRINTHITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION 1.0 DF
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 03/04/1974
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 9325 Sequence 1
Computer Entry Date 31/05/1974
Date Reported 01/05/1974
Age : 62 YEARS Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DYSPNOEA CATAPRES
WITHDRAWAL.CHANGED TO QUIBRON
STRIDOR
Included Term : WHEEZING,CONSIDERABLE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CATAPRES S TABLET 375.0 MG
DAILY PER ORAL
INFLUENZA VACCINE S INJECTION
1 TIME INTRAMUSCULAR
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 9415 Sequence 1
Computer Entry Date 30/06/1974
Date Reported 30/05/1974
Age Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER NIL.
NERVOUSNESS
Included Term : IRRITABILITY
SOMNOLENCE
Included Term : LETHARGY
ANOREXIA
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 9570 Sequence 1
Computer Entry Date 31/07/1974
Date Reported 06/07/1974
Age : 1 YEARS Sex MALE Height
Weight 14 Date Of Onset 04/11/1973
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER TEPID
SPONGING, I.M. INJECT. OF PHENERGAN 15MG, THEN REPEATE
PHENERGA
N ELIXOR 5MG.
CONVULSIONS
HYPERTONIA
Included Term : RETRACTION NECK
VISION ABNORMAL
Included Term : NO DIRECTION OF EYES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
LIRUGEN S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 25/10/1973 AND CEASED 25/10/1973
ICD Code : OTHER PROPHYLACTIC PROCEDURES
VALLERGAN O
DRUG ADMINISTRATION BEGAN 25/10/1973 AND CEASED 25/10/1973
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 1TEMP.39 C, PULSE 192, RESP.44.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 9690 Sequence 1
Computer Entry Date 31/08/1974
Date Reported 14/08/1974
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 19/03/1974
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH PAT.
GIVEN PHENERGAN.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S SOLUTION 1.0 DF
1 TIME PER ORAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 9691 Sequence 1
Computer Entry Date 31/08/1974
Date Reported 14/08/1974
Age : 10 MONTHS Sex MALE Height
Weight Date Of Onset 22/03/1974
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER DRUG
WITHDRAWN. CALOMINE LOTION GIVEN FOR RASH.
Included Term : TEMPERATURE
VOMITING
RASH
Included Term : RASH,CHEST + ABDOMEN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES VIRUS VACCINE S PER ORAL
PER ORAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 9738 Sequence 1
Computer Entry Date 30/09/1974
Date Reported 19/08/1974
Age : 6 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MENINGISM SABINE
VACCINE WITHDRAWAL. GIVEN VALIUM FOR A FEW DAYS - ALM
LY
RECOVERED.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 1 LUMBAR PUNCTURE FAILED TO SHOW ANY EVIDENCE OF MENINGO-
ENCEPHALITIS.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 9966 Sequence 1
Computer Entry Date 31/10/1974
Date Reported 16/10/1974
Age : 6 YEARS Sex MALE Height 113
Weight 22 Date Of Onset 10/10/1974
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA
OBSERVATION ONLY. SWELLING SETTLED IN 2 DAYS.
Included Term : SWELLING & REDNESS INJECTION SITE
RASH
Included Term : RASH EXTENDED BELOW KNEE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/10/1974
ICD Code : ACCIDENTL PUNCT,LACER DUE SURG
BACTRIM O TABLET 2.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 10/10/1974 AND CEASED 15/10/1974
ICD Code : COMPLICATED OPEN FINGER WOUND
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 10063 Sequence 1
Computer Entry Date 30/11/1974
Date Reported 11/11/1974
Age : 62 YEARS Sex MALE Height
Weight 80 Date Of Onset 00/03/1973
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
THROMBOCYTOPENIA INDOCID
& BUTAZOLIDIN & VACCINES.WITHDRAWN. OXYMETHALONE & P
GIVEN.GR
ADUAL IMPROVEMENT IN PLATELET COUNT TO 60000. LESS M
G
TENDENCY.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INDOCID S CAPSULE 75.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/11/1972 AND CEASED 00/01/1973
ICD Code : UNSPECIFIED ARTHRITIS
BUTAZOLIDIN S TABLET 300.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/08/1971 AND CEASED 00/09/1971
ICD Code : UNSPECIFIED ARTHRITIS
PANMYCIN P S CAPSULE
PER ORAL
DRUG ADMINISTRATION BEGAN 00/06/1972
CHOLERA VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 00/01/1973
ICD Code : PREMEDICATION
TYPHOID VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 00/01/1973
ICD Code : PREMEDICATION
SMALLPOX VACCINE S INJECTION
INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 00/01/1973
ICD Code : PREMEDICATION
0Laboratory Data
===============
*** ERROR ***
Lab Normal Range :
0 911 1 BONE MARROW NORM.CELLULAR WITH MARKED REDUCTION OF MEGAKARYOCY
TES ESR 92, HB 13.7 WCC 5700 90%POLY. 4% LYMPHS PL.14000, UREA 6.2 CREAT
0.07,URIC ACID 0.23, CA 2.3 PHOS 0.9 AWF NEG,HAA NEG,EMV NEG.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
HAEMATOLOGY
Lab Normal Range :
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
ELECTROLYTES
Lab Normal Range :
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY
Lab Normal Range :
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 10063 Sequence 1 (Continued)
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 10171 Sequence 1
Computer Entry Date 30/11/1974
Date Reported 08/11/1974
Age : 35 YEARS Sex FEMALE Height 172
Weight 83 Date Of Onset 00/06/1974
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ALLERGIC REACTION
BRONDECON FOR COUGH -NO RELIEF, REFERRED FOR FURTHER INVESTI
Description : ALLERGIC REACTION DELAYED
OEDEMA PERIPHERAL
RECURRENT ALLERGIC RHINITIS
Description : SWELLING ARM
RASH ERYTHEMATOUS
Included Term : REDNESS ARM INJECTION SITE
FACE OEDEMA
Included Term : SWELLING, PUFFINESS EYES
LACRIMAL GLAND DISORDER
Included Term : WATERING EYES
RHINITIS
Included Term : RHINITIS ALLERGIC
COUGHING
Included Term : COUGH IRRITABLE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
EUGYNON O TABLET 1.0 DF
CYCLICAL PER ORAL
ICD Code : CONTRACEPTION
PANADOL O TABLET 1.0 DF
AS NECESSARY PER ORAL
DISPRIN O TABLET 1.0 DF
AS NECESSARY PER ORAL
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 10173 Sequence 1
Computer Entry Date 30/11/1974
Date Reported 26/10/1974
Age : 49 YEARS Sex MALE Height
Weight Date Of Onset 00/07/1974
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PANCYTOPENIA NOT
STATED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CYTARABINE S
ICD Code : OTR PRIM MALIG N LYMPHOID TISU
VINCRISTINE SULPHATE S
ICD Code : OTR PRIM MALIG N LYMPHOID TISU
PREDNISONE S
ICD Code : OTR PRIM MALIG N LYMPHOID TISU
FLUOROURACIL S
ICD Code : OTR PRIM MALIG N LYMPHOID TISU
BCG VACCINE S
ICD Code : OTR PRIM MALIG N LYMPHOID TISU
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range :
0 BLOOD COUNT 181074: HB 8.4, WCC 1500, PLATELETS 87000
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 10360 Sequence 1
Computer Entry Date 31/01/1975
Date Reported 16/12/1974
Age : 41 YEARS Sex FEMALE Height 170
Weight 64 Date Of Onset 15/11/1974
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ENCEPHALOPATHY SMALLPOX
VACCINE WITHDRAWN. MADE RAPID IMPROVEMENT 12/12/74.
Included Term : ENCEPHALITIS VACCINAL
14/12/74.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 02/11/1974
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 10579 Sequence 1
Computer Entry Date 28/02/1975
Date Reported 28/02/1975
Age : 2 YEARS Sex MALE Height
Weight Date Of Onset 30/09/1974
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER SMALLPOX
WITHDRAWAL.
Included Term : FEBRILE REACTION
NAUSEA
INJECTION SITE REACTION
Included Term : INJECTION SITE ULCERATION,EXTENSION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION
INTRA-DERMAL
ICD Code : UNSPECIFIED SMALLPOX
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 10584 Sequence 1
Computer Entry Date 28/02/1975
Date Reported 28/02/1975
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 04/10/1974
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER DRUGS
WITHDRAWAL. GIVEN PARACETAMOL & TEPID SPONGE.
Included Term : PYREXIA
NAUSEA
FEVER
Included Term : FEBRILE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
POLIOMYELITIS VIRUS VACCINE S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 10585 Sequence 1
Computer Entry Date 28/02/1975
Date Reported 28/02/1975
Age : 5 MONTHS Sex MALE Height
Weight Date Of Onset 19/06/1974
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER TRIPLE
ANTIGEN WITHDRAWAL. GIVEN PARACETAMOL.
Included Term : FEBRILE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 10587 Sequence 1
Computer Entry Date 28/02/1975
Date Reported 28/02/1975
Age : 3 MONTHS Sex FEMALE Height
Weight Date Of Onset 11/05/1974
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA TRIPLE
ANTIGEN WITHDRAWAL.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 10588 Sequence 1
Computer Entry Date 28/02/1975
Date Reported 28/02/1975
Age : 1 YEARS Sex MALE Height
Weight Date Of Onset 10/05/1974
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER MEASLES
VIRUS VACCINE WITHDRAWAL.
Included Term : FEBRILE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES VIRUS VACCINE S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 10590 Sequence 1
Computer Entry Date 28/02/1975
Date Reported 28/02/1975
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 09/01/1974
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER TRIPLE
ANTIGEN WITHDRAWAL. GIVEN PARACETAMOL.
NERVOUSNESS
Included Term : IRRITABILITY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 10591 Sequence 1
Computer Entry Date 28/02/1975
Date Reported 28/02/1975
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 17/01/1974
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONJUNCTIVITIS TRIPLE
ANTIGEN WITHDRAWAL.GIVEN PARACETAMOL.
Included Term : EYE DISCHARGE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 10593 Sequence 1
Computer Entry Date 28/02/1975
Date Reported 28/02/1975
Age : 5 MONTHS Sex FEMALE Height
Weight Date Of Onset 25/09/1974
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR DRUG
WITHDRAWAL.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE NOS S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 10617 Sequence 1
Computer Entry Date 28/02/1975
Date Reported 28/02/1975
Age Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA DRUGS
WITHDRAWAL. GIVEN IV SOLU-CORTEF & PHENERGAN 1 TAB QID
BRONCHOSPASM
Included Term : WHEEZING
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S
DRUG ADMINISTRATION BEGAN 06/06/1961 AND CEASED 06/06/1961
ICD Code : OTHR COXSACKIE VIRUS DIS NEC
PENICILLIN NOS O
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 10629 Sequence 1
Computer Entry Date 28/02/1975
Date Reported 02/02/1975
Age : 40 YEARS Sex MALE Height 175
Weight 77 Date Of Onset 00/08/1973
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CARCINOMA SMALLPOX
VACCINE WITHDRAWAL.
Included Term : CARCINOMA BASAL CELL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION 1.0 DF
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 00/00/1970
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 10657 Sequence 1
Computer Entry Date 28/02/1975
Date Reported 05/02/1975
Age : 5 YEARS Sex FEMALE Height
Weight Date Of Onset 28/01/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ENCEPHALOPATHY HIGH
DOSAGE IV STEROIDS,OUTLOOK APPEARS FAVOURABLE
Included Term : ENCEPHALOPATHY -SEVERE ALLERGIC
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 10750 Sequence 1
Computer Entry Date 28/02/1975
Date Reported 18/02/1975
Age : 24 YEARS Sex FEMALE Height 173
Weight 61 Date Of Onset 18/02/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA RUBELLA
VACCINE WITHDRAWAL. GIVEN ASPIRIN.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/02/1975
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 10955 Sequence 1
Computer Entry Date 31/03/1975
Date Reported 07/03/1975
Age : 62 YEARS Sex FEMALE Height 160
Weight 57 Date Of Onset 08/02/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION CORYZA
VACCINE WITHDRAWAL. ANTI-HISTAMINES GIVEN WITH 1.0 ML
Included Term : LUMP HARD RED AT INJECTION SITE LUMP NOT
PAINFUL & SUBSIDED OVER 3 WEEKS.
INJECTION SITE INFLAMMATION
Included Term : RECHALLENGE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CORYZA VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 19/02/1975
ICD Code : ACUTE NASOPHARYNGITIS,COM COLD
CORYZA VACCINE S INJECTION 0.7 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 28/02/1975
ICD Code : ACUTE NASOPHARYNGITIS,COM COLD
CORYZA VACCINE S INJECTION 1.0 ML
1 TIME SUBCUTANEOUS
ICD Code : ACUTE NASOPHARYNGITIS,COM COLD
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 10971 Sequence 1
Computer Entry Date 31/03/1975
Date Reported 20/03/1975
Age : 5 MONTHS Sex MALE Height
Weight Date Of Onset 08/03/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING TREATED
FOR RASH. SETTLED.
Included Term : VOMITING (RECHALLENGE)
FEVER
Included Term : FEVERISH (RECHALLENGE)
RASH
Included Term : RASH AROUND BOTTOM (RECHALLENGE)
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 2.0 DF
TOTAL SUBCUTANEOUS
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 10973 Sequence 1
Computer Entry Date 31/03/1975
Date Reported 11/03/1975
Age : 5 YEARS Sex FEMALE Height 110
Weight 18 Date Of Onset 08/03/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER RESOLVED
SPONTANEOUSLY.
Included Term : PYREXIA 40.6C
ERYTHEMA INDURATUM
Included Term : ERYTHEMA INDURATUM 2CM LOCAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE NOS S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 08/03/1975
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 11007 Sequence 1
Computer Entry Date 31/03/1975
Date Reported 20/03/1975
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 14/02/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PAIN TRIPLE
ANTIGEN WITHDRAWAL. GIVEN PHENERGAN 2.5ML STAT & BD F
CONVULSIONS
Included Term : SPASM LEG
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/02/1975
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 11029 Sequence 1
Computer Entry Date 31/03/1975
Date Reported 10/02/1975
Age : 23 YEARS Sex FEMALE Height
Weight Date Of Onset 06/02/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR SMALLPOX
VACCINE WITHDRAWAL. GIVEN GAMMA GLOBULIN & PERIACTI
Included Term : RASH MACULAR VESICULAR WITH 12 REPORT).
RASH RESOLVED WHILE IN HOSPITAL.
RASH MACULO-PAPULAR
Included Term : LESIONS ON BACK
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 28/01/1975
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 11038 Sequence 1
Computer Entry Date 30/04/1975
Date Reported 15/03/1975
Age : 5 YEARS Sex MALE Height
Weight 28 Date Of Onset 18/02/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PAIN TRIPLE
ANTIGEN WITHDRAWAL.
Included Term : PAIN SEVERE LEFT LEG
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/02/1975
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 11039 Sequence 1
Computer Entry Date 30/04/1975
Date Reported 02/03/1975
Age : 1 YEARS Sex FEMALE Height
Weight Date Of Onset 21/11/1974
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SKIN DISCOLOURATION TRIPLE
ANTIGEN CONTINUED. INJECTION SITE CHANGED TO BUTTOCK.
Included Term : SKIN DISCOLOURATION (RECHALLENGE) GIVEN.
HAIR GROWTH ENHANCED
Included Term : HAIR GROWTH ENHANCED (RECHALLENGE)
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 29/08/1974
ICD Code : OTHER PROPHYLACTIC PROCEDURES
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 10/10/1974
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 11103 Sequence 1
Computer Entry Date 30/04/1975
Date Reported 27/03/1975
Age : 4 MONTHS Sex FEMALE Height
Weight 6 Date Of Onset 14/03/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER TRIPLE
ANTIGEN WITHDRAWAL. GIVEN PARACETAMOL AND CHLORAL HYD
Included Term : PYREXIA
NERVOUSNESS
Included Term : IRRITABILITY
ANOREXIA
INJECTION SITE INFLAMMATION
Included Term : BRUISING & SWELLING INJECTION SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 14/03/1975
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 11157 Sequence 1
Computer Entry Date 30/04/1975
Date Reported 04/04/1975
Age : 43 YEARS Sex MALE Height 170
Weight 73 Date Of Onset 02/04/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PAIN SMALLPOX
VACCINE WITHDRAWAL. GIVEN TETRACYN FOR SEVERE LOCAL
Included Term : NECK PAIN ACUTE
CODASPREN MIST & STEMETIL FOR PAIN RELIEF.
CHEST PAIN
Included Term : CHEST PAIN CONTINUAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 20/03/1975
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
ELECTROGRAPHICS
Lab Normal Range :
0 1 ECG NORMAL
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 11243 Sequence 1
Computer Entry Date 30/04/1975
Date Reported 04/04/1975
Age Code AD - Adult Sex FEMALE Height
Weight Date Of Onset 25/11/1974
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHADENOPATHY REACTION
SUBSIDED IN 3-4 DAYS
Included Term : POST AURICULAR LYMPH NODES
RASH MACULO-PAPULAR
Included Term : RASH MACULO-PAPULAR FACE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/11/1974
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 11244 Sequence 1
Computer Entry Date 30/04/1975
Date Reported 04/04/1975
Age : 4 YEARS Sex FEMALE Height
Weight Date Of Onset 15/12/1974
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
RASH
Included Term : RASH FACE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/11/1974
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 11245 Sequence 1
Computer Entry Date 30/04/1975
Date Reported 04/04/1975
Age : 7 MONTHS Sex MALE Height
Weight Date Of Onset 19/12/1974
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
LYMPHADENOPATHY
Included Term : POST AURICULAR OCCIPITAL LYMPH NODE
LYMPHADENOPATHY
Included Term : ENLARGEMENT
RASH
Included Term : RASH FACE, LIMBS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/11/1974
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 11246 Sequence 1
Computer Entry Date 30/04/1975
Date Reported 04/04/1975
Age : 31 YEARS Sex MALE Height
Weight Date Of Onset 23/12/1974
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
MYALGIA
MENINGISM
RASH MACULO-PAPULAR
Included Term : RASH MACULO-PAPULAR,GENERALISED,FINE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/11/1974
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 11248 Sequence 1
Computer Entry Date 30/04/1975
Date Reported 15/04/1975
Age : 22 YEARS Sex MALE Height 175
Weight 66 Date Of Onset 05/04/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANGIOEDEMA SABIN
VACCINE WITHDRAWN. 5/4 IM ANTIHISTAMINE, 7/4 PHENERGAN
Included Term : GIANT URTICARIA ALL OVER BODY STILL
GETTING WORSE. 8/4 POLARAMINE 2MG 4HRLY, PREDNISOLONE
9/4 &
10/4 IMPROVING. 11/4 RECOVERED.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S SOLUTION 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 03/04/1975
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 11262 Sequence 1
Computer Entry Date 30/04/1975
Date Reported 27/03/1975
Age : 50 YEARS Sex FEMALE Height 163
Weight 76 Date Of Onset 24/03/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA SMALLPOX
VACCINE WITHDRAWN. GIVEN ADRENALINE 1:1000 0.75 MLS
Included Term : URTICARIA MASSIVE ARMS, LEGS AVIL
TABS TDS, BETAMETHASONE CREAM. RECOVERED.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 12/03/1975
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 11423 Sequence 1
Computer Entry Date 31/05/1975
Date Reported 06/05/1975
Age : 65 YEARS Sex FEMALE Height 159
Weight 57 Date Of Onset 02/05/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
INFLUENZA VACCINE WITHDRAWN. GIVEN POLARAMINE.
Included Term : ITCHY SKIN HEAD, NECK, ARM
OEDEMA
Included Term : OEDEMA NECK
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/05/1975
ICD Code : OTHER PROPHYLACTIC PROCEDURES
QUININE SULPHATE O TABLET 1.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 01/05/1975 AND CEASED 02/05/1975
ICD Code : PAIN IN LIMB
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 11582 Sequence 1
Computer Entry Date 31/05/1975
Date Reported 17/05/1975
Age : 4 YEARS Sex MALE Height
Weight Date Of Onset 27/04/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION C.D.T.
WITHDRAWN. RESPONDED TO PHENERGAN.
Included Term : INJECTION SITE SWELLING
INDURATION
INJECTION SITE INFLAMMATION
Included Term : INJECTION SITE REDNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE NOS S INJECTION 0.5 ML
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 26/04/1975
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 11613 Sequence 1
Computer Entry Date 31/05/1975
Date Reported 15/05/1975
Age : 14 YEARS Sex FEMALE Height
Weight Date Of Onset 09/05/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR SMALLPOX
WITHDRAWN. GIVEN CALAMINE LOTION & PERIACTIN ORALLY
Included Term : RASH MACULO-PAPULAR CENTRIPETAL
RASH ERYTHEMATOUS
PRURITUS
Included Term : ITCHY GENERALISED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 01/05/1975
ICD Code : OTHER PROPHYLACTIC PROCEDURES
AMPICILLIN S CAPSULE
PER ORAL
DRUG ADMINISTRATION BEGAN 01/05/1975
ICD Code : AC UPR RESP INF,MULT,UNSP STES
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range :
0 1 11
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
HISTOLOGY
Lab Normal Range :
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
RADIOLOGY
Lab Normal Range :
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 11661 Sequence 1
Computer Entry Date 30/06/1975
Date Reported 31/05/1975
Age : 10 YEARS Sex FEMALE Height
Weight Date Of Onset 19/05/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION TETANUS
TOXOID WITHDRAWN. GIVEN PHENERGAN & PENICILLIN. RECO
Included Term : CELLULITIS INJECTION SITE 10 CM.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/05/1975
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 11706 Sequence 1
Computer Entry Date 30/06/1975
Date Reported 12/05/1975
Age : 7 YEARS Sex MALE Height
Weight Date Of Onset 08/05/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION C.D.T.
WITHDRAWN. GIVEN PHENERGAN 5MG TDS FOR 5 DAYS. RESPON
Included Term : SWELLING ERYTHEMATOUS, BURNING
RASH ERYTHEMATOUS
Included Term : INJECTION SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE NOS S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 07/05/1975
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 11721 Sequence 1
Computer Entry Date 30/06/1975
Date Reported 09/06/1975
Age : 30 YEARS Sex MALE Height 183
Weight 82 Date Of Onset 06/03/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RIGORS ALL
DRUGS WITHDRAWN. GIVEN PREDNISOLONE FROM 1/4/75. COMPLET
NORMAL
LIVER FUNCTION.
ASTHENIA
Included Term : WEAKNESS
VOMITING
DIARRHOEA
HEPATITIS CHOLESTATIC
Included Term : CHOLESTATIC LIVER FUNCTION TEST
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 06/03/1975
ICD Code : OTHER PROPHYLACTIC PROCEDURES
CHOLERA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 06/03/1975
ICD Code : OTHER PROPHYLACTIC PROCEDURES
STEMETIL O INJECTION 13.0 MG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/03/1975
ICD Code : NAUSEA AND VOMITING
0Laboratory Data
===============
*** ERROR ***
Lab Normal Range :
0 9 1 11/3/75 CHOLESTATIC L.F.T. SERUM BILIRUBIN 3.0MG/100ML,
ALKALINE PHOSPHATASE 51 (NR 12-44), SGPT 98 (NR 4-38). OVER NEXT 2 WEEKS
BILIRUBIN FELL TO 1.8, ALK PHOS SLIGHTLY ELEVATED, SGPT ROSE TO 1300. ON
31/3/75 LIVER ASPIRATION BIOPSY SHOWED CHOLESTASIS WITH MINIMAL NON-
SPECIFIC INFLAMMATORY INFILTRATION.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY
Lab Normal Range :
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 11751 Sequence 1
Computer Entry Date 30/06/1975
Date Reported 10/06/1975
Age : 12 YEARS Sex FEMALE Height
Weight 54 Date Of Onset 22/04/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PNEUMONIA CENDEVAX
WITHDRAWN.
Included Term : PNEUMONIA, VIRAL TYPE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S INJECTION 0.5 ML
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 18/04/1975
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 11756 Sequence 1
Computer Entry Date 30/06/1975
Date Reported 04/06/1975
Age : 80 YEARS Sex MALE Height 183
Weight 76 Date Of Onset 02/04/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PAIN
INFLUENZA VACCINE WITHDRAWN. NOT YET RECOVERED - GANGRENE TO
Included Term : PAIN JOINTS, ARMS & LEGS SEVERE FINGERS.
PARAESTHESIA
Included Term : PARAESTHESIA ARMS & LEGS
ARTHROSIS
Included Term : STIFFNESS JOINTS
GANGRENE
Included Term : SPASM OF SMALL VESSELS OF FINGERS
GANGRENE
Included Term : WITH TERMINAL GANGRENE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 02/04/1975
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 11764 Sequence 1
Computer Entry Date 30/06/1975
Date Reported 13/06/1975
Age : 42 YEARS Sex FEMALE Height
Weight Date Of Onset 05/11/1974
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR SMALLPOX
VACCINE WITHDRAWN. NIL TREATMENT GIVEN.
Included Term : RASH LIKE CHICKEN POX
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 12009 Sequence 1
Computer Entry Date 31/07/1975
Date Reported 09/07/1975
Age : 64 YEARS Sex FEMALE Height 158
Weight 54 Date Of Onset 03/07/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RIGORS VACCINE
(ADT) WITHDRAWN. REACTION LASTED FOR 24HRS AFTER INJ
Included Term : SHIVERING
NAUSEA
ASTHENIA
Included Term : WEAKNESS,GENERAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE NOS S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/07/1975
ICD Code : PREMEDICATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 12010 Sequence 1
Computer Entry Date 31/07/1975
Date Reported 09/07/1975
Age : 27 YEARS Sex FEMALE Height 158
Weight 51 Date Of Onset 01/06/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION VACCINE
(ADT) WITHDRAWN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE NOS S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/06/1975
ICD Code : PREMEDICATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 12072 Sequence 1
Computer Entry Date 31/07/1975
Date Reported 25/07/1975
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 14/01/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS LOCAL
APPLICATION OF HIRUDOID OINTMENT
Included Term : REDNESS
INJECTION SITE REACTION
Included Term : INDURATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 12095 Sequence 1
Computer Entry Date 31/07/1975
Date Reported 10/07/1975
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 12/03/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER TRIPLE
ANTIGEN WITHDRAWN. ADMITTED TO HOSPITAL. RECOVERED.
Included Term : FEVER LOW GRADE
NERVOUSNESS
Included Term : IRRITABILITY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 12/03/1975
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 12096 Sequence 1
Computer Entry Date 31/07/1975
Date Reported 11/07/1975
Age : 25 YEARS Sex FEMALE Height 158
Weight 35 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
TRACHEO-OESOPHAGEAL FISTULA MOST
DRUGS WITHDRAWAL. BABY - SURGERY & RESUSCITATIVE - NOT
DIED.
MALFORMATIONS MULTIPLE
Included Term : FOREARMS & HANDS INCOMPLETE
CONVULSIONS
Included Term : EPILEPSY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DUOGYNON S
DRUG ADMINISTRATION BEGAN 23/09/1974
PIMAFUCIN S TABLET
VAGINAL
DRUG ADMINISTRATION BEGAN 23/09/1974
ICD Code : MONILIASIS
FUNGILIN S TABLET
VAGINAL
Drug Administration Ceased 23/09/1974
ICD Code : MONILIASIS
CHOLERA VACCINE S INJECTION
SYSTEMIC
DRUG ADMINISTRATION BEGAN 00/01/1975
ICD Code : OTHER PROPHYLACTIC PROCEDURES
VENTOLIN S
ICD Code : ASTHMA
FLAGYL S
DRUG ADMINISTRATION BEGAN 00/09/1974
ICD Code : TRICHOMONIASIS UROGENITALIS
RESOCHIN S TABLET 2.0 DF
WEEKLY PER ORAL
DRUG ADMINISTRATION BEGAN 00/09/1974
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : DEATH, MAYBE DRUG
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 12126 Sequence 1
Computer Entry Date 31/07/1975
Date Reported 27/05/1975
Age : 76 YEARS Sex MALE Height
Weight Date Of Onset 28/04/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OPTIC NEURITIS
INFLUENZA VACCINE WITHDRAWN. LATER DIED OF SMALL BOWEL INFAR
BLINDNESS TEMPORARY
Included Term : BLINDNESS TRANSIENT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 26/04/1975
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : UNRELATED DEATH
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 12225 Sequence 1
Computer Entry Date 31/08/1975
Date Reported 30/07/1975
Age : 27 YEARS Sex MALE Height 170
Weight 67 Date Of Onset 30/07/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SWEATING INCREASED TETANUS
TOXOID WITHDRAWN. RECOVERED.
Included Term : SWEATING COLD
VOMITING
DIZZINESS
Included Term : DIZZY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 28/07/1975
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 12241 Sequence 1
Computer Entry Date 31/08/1975
Date Reported 14/08/1975
Age : 6 YEARS Sex FEMALE Height
Weight Date Of Onset 13/08/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA YELLOW
FEVER VACCINE WITHDRAWN. GIVEN ANTIHISTAMINE TABS & H
LARYNX OEDEMA
Included Term : OEDEMA UPPER RESPIRATORY TRACT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
YELLOW FEVER VACCINE S INJECTION 1.0 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 12/08/1975
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 12281 Sequence 1
Computer Entry Date 31/08/1975
Date Reported 29/06/1975
Age : 1 YEARS Sex FEMALE Height
Weight Date Of Onset 26/06/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS MEASLES
VACCINE WITHDRAWN. GIVEN PHENOBARB. SETTLED AFTER 3
Included Term : FEBRILE CONVULSION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES VIRUS VACCINE S
1 TIME
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 12282 Sequence 1
Computer Entry Date 31/08/1975
Date Reported 26/08/1975
Age : 5 MONTHS Sex MALE Height
Weight Date Of Onset 20/03/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER TRIPLE
ANTIGEN WITHDRAWN. OUTPATIENT ONLY. GIVEN PARACETAMOL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
SUBCUTANEOUS
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 12379 Sequence 1
Computer Entry Date 30/09/1975
Date Reported 25/08/1975
Age : 3 MONTHS Sex FEMALE Height
Weight Date Of Onset 19/08/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CIRCULATORY FAILURE NO
TREATMENT. SPONTANEOUS RECOVERY IN 1HR
Included Term : SHOCK
SYNCOPE
Included Term : COLLAPSE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
ICD Code : PREMEDICATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 12401 Sequence 1
Computer Entry Date 30/09/1975
Date Reported 02/09/1975
Age : 5 MONTHS Sex MALE Height
Weight 10 Date Of Onset 27/08/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : FEBRILE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 12452 Sequence 1
Computer Entry Date 30/09/1975
Date Reported 19/06/1975
Age : 34 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS TETANUS
TOXOID WITHDRAWN. GIVEN ADRENALINE 0.5ML & CHLORPHIN
Included Term : DIZZINESS RECURRENT 5MG IMI.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 12506 Sequence 1
Computer Entry Date 30/09/1975
Date Reported 24/09/1975
Age Sex FEMALE Height 170
Weight 60 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PATENT DUCTUS BABY
DIED 15/8/75 DURING WEEKS AFTER OPERATION.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S
DRUG ADMINISTRATION BEGAN 28/05/1974
ICD Code : OTHER PROPHYLACTIC PROCEDURES
SMALLPOX VACCINE S
DRUG ADMINISTRATION BEGAN 26/06/1974
ICD Code : OTHER PROPHYLACTIC PROCEDURES
CHOLERA VACCINE S
DRUG ADMINISTRATION BEGAN 26/06/1975
ICD Code : OTHER PROPHYLACTIC PROCEDURES
CHOLERA VACCINE S
DRUG ADMINISTRATION BEGAN 08/07/1974
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 12527 Sequence 1
Computer Entry Date 30/09/1975
Date Reported 20/09/1975
Age : 35 YEARS Sex FEMALE Height 152
Weight 57 Date Of Onset 27/08/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEURITIS VACCINE
WITHDRAWN.
Included Term : LANDRY GUILLAIN-BARRE SYNDROME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 30/07/1975
ICD Code : PREMEDICATION
GRAVIGARD O
ICD Code : CONTRACEPTION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 12547 Sequence 1
Computer Entry Date 30/09/1975
Date Reported 10/09/1975
Age : 24 YEARS Sex FEMALE Height 160
Weight 58 Date Of Onset 31/07/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS CENDEVAX
WITHDRAWAL. GIVEN ANTIHISTAMINES. 22/08/75 - ITCH S
Included Term : ITCH BREAST SKIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/07/1975
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 12548 Sequence 1
Computer Entry Date 30/09/1975
Date Reported 20/08/1975
Age Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HIRSUTISM 3RD
INJECTION GIVEN IN OTHER ARM.
Included Term : HAIRY PATCH INJECTION SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 10/02/1975
ICD Code : OTHER PROPHYLACTIC PROCEDURES
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 26/03/1975
ICD Code : OTHER PROPHYLACTIC PROCEDURES
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/04/1975
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 12611 Sequence 1
Computer Entry Date 31/10/1975
Date Reported 28/08/1975
Age : 65 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PNEUMONIA TYPHOID
CHOLERA VACCINE WITHDRAWN. WELL ON DISCHARGE.
Included Term : PNEUMONIA RECURRENT EPISODES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID CHOLERA VACCINE S
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 12637 Sequence 1
Computer Entry Date 31/10/1975
Date Reported 03/10/1975
Age : 40 YEARS Sex MALE Height 168
Weight 79 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VACCINIA AGGRAVATED SMALLPOX
WITHDRAWN. GIVEN VACCINAL GAMMA GLOBULIN & EURAL PA
Included Term : VACCINIA GANGRENOSUM
INFLAMATION & INDURATION NOTED AFTER 1 WEEK.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 12652 Sequence 1
Computer Entry Date 31/10/1975
Date Reported 10/07/1975
Age : 3 MONTHS Sex MALE Height
Weight Date Of Onset 07/07/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER TRIPLE
ANTIGEN WITHDRAWAL. CHILD HAS SINCE BEEN IMMUNIZED WI
Included Term : FEVER HIGH
DIPTHERIA & TETANUS ANTIGEN WITHOUT REACTION. RECOVERED GRAD
3 DAY
PERIOD.
CONFUSION
Included Term : DISORIENTATED
NERVOUSNESS
Included Term : IRRITABLE, CRYING INCESSANT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 07/07/1975
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 12656 Sequence 1
Computer Entry Date 31/10/1975
Date Reported 17/10/1975
Age : 10 MONTHS Sex MALE Height
Weight 10 Date Of Onset 10/10/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER DRUG
WITHDRAWN.
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 01/10/1975
ICD Code : PREMEDICATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 12842 Sequence 1
Computer Entry Date 30/11/1975
Date Reported 14/11/1975
Age : 21 YEARS Sex MALE Height 175
Weight 83 Date Of Onset 28/10/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ENCEPHALOPATHY MAX.
SIGNS OF REACTION 12DAYS AFTER VACCINATION. STUPOR & AM
Included Term : ENCEPHALITIC REACTION,SEVERE DAYS
OTHER VACCINATIONS WITH SAME BATCH UNCOMPLICATED.
STUPOR
AMNESIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION
1 TIME SUBCUTANEOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 12857 Sequence 1
Computer Entry Date 30/11/1975
Date Reported 25/11/1975
Age : 4 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
UNEXPECTED THERAPEUTIC EFFECT PAT. &
TWIN SISTER,SEE REPORT 12858, GOT MEASLES.3YRS AFTER
Included Term : THERAPEUTIC INEFFICACY NO PATH
TESTS DONE ON BROTHER.
FEVER
Included Term : PYREXIA
OTITIS MEDIA
RASH
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES VIRUS VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 27/11/1972
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 12858 Sequence 1
Computer Entry Date 30/11/1975
Date Reported 25/11/1975
Age : 4 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
UNEXPECTED THERAPEUTIC EFFECT PAT
DEVELOPED MEASLES 3YRS AFTER VACCINATION.
Included Term : THERAPEUTIC INEFFICACY
FEVER
Included Term : PYREXIA
OTITIS MEDIA
RASH
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES VIRUS VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 27/11/1972
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
*** ERROR ***
Lab Normal Range :
0 9 1 21/10/75 VIRAL CULTURES NOSE & THROAT NEG. CFT +VE 1:5 4/11/-
75 +VE 1:40. 21/10/75 RUBELLA HIAT -VE, ON 4/11/75 +VE 1:250.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
*** ERROR ***
Lab Normal Range :
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 12878 Sequence 1
Computer Entry Date 31/12/1975
Date Reported 28/11/1975
Age : 30 YEARS Sex MALE Height
Weight Date Of Onset 25/10/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PAIN PATIENT
TREATED WITH TETRACOSACTRIN.
Included Term : PAIN RIGHT LUMBO-SACRAL REGION AND
PAIN
Included Term : RIGHT THIGH
PARAESTHESIA
Included Term : PARAESTHESIA LOWER ABDOMEN AND FRONT
PARAESTHESIA
Included Term : THIGH
ASTHENIA
Included Term : WEAKNESS OF LEGS
RIGORS
Included Term : NECK STIFFNESS
URINARY RETENTION
Included Term : DIFFICULTY PASSING URINE
FEVER
Included Term : PYREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION 1.0 DF
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 06/10/1975
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 12947 Sequence 1
Computer Entry Date 31/12/1975
Date Reported 24/10/1975
Age : 9 YEARS Sex MALE Height
Weight Date Of Onset 23/10/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RIGORS VACCINES
WITHDRAWN. HOSPITALISED RX PARACETAMOL
Included Term : SHIVERS
MYALGIA
Included Term : ACHES
MYALGIA
Included Term : PAINS
HOT FLUSHES
Included Term : HOT FEELING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/10/1975
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SMALLPOX VACCINE S INJECTION 1.0 DF
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 14/10/1975
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CHOLERA VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/10/1975
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 13171 Sequence 1
Computer Entry Date 31/01/1976
Date Reported 23/12/1975
Age : 37 YEARS Sex MALE Height 174
Weight 83 Date Of Onset 09/12/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABSCESS FEVER &
MALAISE LASTED 5-7DAYS. ABSCESS INCISED & DRAINED. N
Included Term : ASEPTIC ABSCESS GIVEN.
FEVER
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/12/1975
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CHOLERA VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/12/1975
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range :
0 1 1 15ML OF PUS. CULTURE NO GROWTH AFTER 48HRS INCUBATION.
POLYMORPHS ++.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
*** ERROR ***
Lab Normal Range :
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 13233 Sequence 1
Computer Entry Date 29/02/1976
Date Reported 01/02/1976
Age : 1 YEARS Sex FEMALE Height
Weight 9 Date Of Onset 24/01/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER NONE
STATED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES VIRUS VACCINE S
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 13392 Sequence 1
Computer Entry Date 31/03/1976
Date Reported 00/03/1976
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 08/10/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
FLUIDS,PANADOL.
MALAISE
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 08/10/1975 AND CEASED 08/10/1975
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 13409 Sequence 1
Computer Entry Date 31/03/1976
Date Reported 18/03/1976
Age : 57 YEARS Sex MALE Height
Weight Date Of Onset 09/01/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DERMATITIS NONE
SPECIFIED.
Included Term : DERMATITIS GENERALISED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/01/1976
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 13495 Sequence 1
Computer Entry Date 30/04/1976
Date Reported 12/04/1976
Age : 13 YEARS Sex FEMALE Height
Weight Date Of Onset 12/04/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ERYTHEMA MULTIFORME NIL
Included Term : ERYTHAEMA MULTIFORME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S
DRUG ADMINISTRATION BEGAN 08/04/1976 AND CEASED 08/04/1976
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 13535 Sequence 1
Computer Entry Date 31/05/1976
Date Reported 14/04/1976
Age : 82 YEARS Sex MALE Height
Weight Date Of Onset 00/06/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
Included Term : PAIN AND STIFFNESS OF JOINTS
ARTHROSIS
Included Term : PAIN AND STIFFNESS OF JOINTS
GANGRENE
Included Term : PERIPHERAL GANGRENE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 13536 Sequence 1
Computer Entry Date 31/05/1976
Date Reported 20/04/1976
Age : 71 YEARS Sex MALE Height 170
Weight 79 Date Of Onset 17/04/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
RASH
ANOREXIA
Included Term : LOSS OF APPETITE
ARTHRITIS
Included Term : ARTHRITIS AGGRAVATED
DYSPEPSIA
Included Term : SWOLLEN STOMACH (PAINFUL)
PROSTATIC DISORDER
Included Term : PAINFUL PROSTATE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S
BUTAZOLIDIN O
Drug Administration Ceased 15/04/1976
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 13649 Sequence 1
Computer Entry Date 31/05/1976
Date Reported 20/01/1976
Age : 30 YEARS Sex FEMALE Height
Weight Date Of Onset 09/12/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Included Term : INJECTION SITE REACTION,RED,ITCHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/12/1975
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 13651 Sequence 1
Computer Entry Date 31/05/1976
Date Reported 29/04/1976
Age : 40 YEARS Sex FEMALE Height
Weight Date Of Onset 28/04/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Included Term : RED,SWOLLEN ARM AT INJECTION SITE
NAUSEA
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 28/04/1976
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 13652 Sequence 1
Computer Entry Date 31/05/1976
Date Reported 29/04/1976
Age : 26 YEARS Sex FEMALE Height
Weight Date Of Onset 28/04/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Included Term : RED SWOLLEN ARM AT INJECTION SITE
PAIN
Included Term : ACHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 28/04/1976
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 13664 Sequence 1
Computer Entry Date 31/05/1976
Date Reported 18/05/1976
Age : 59 YEARS Sex FEMALE Height 152
Weight 52 Date Of Onset 09/04/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA HISTRYL
SPANSULES 5MG BD
Included Term : URTICARIA,ABDOMEN,LEGS,ARMS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/04/1976
DECLINAX O TABLET 10.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/04/1973
ICD Code : ESSENTIAL BENIGN HYPERTENSION
NAVIDREX O TABLET 0.5 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 01/01/1961
ICD Code : ESSENTIAL BENIGN HYPERTENSION
HISTRYL O CAPSULE 2.0 DF
AS NECESSARY PER ORAL
SEREPAX O TABLET 60.0 MG
DAILY PER ORAL
ICD Code : ESSENTIAL BENIGN HYPERTENSION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 13677 Sequence 1
Computer Entry Date 31/05/1976
Date Reported 19/05/1976
Age : 7 MONTHS Sex FEMALE Height
Weight 8 Date Of Onset 26/03/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RHINITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/03/1976
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 13710 Sequence 1
Computer Entry Date 30/06/1976
Date Reported 25/05/1976
Age : 1 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
Included Term : MACULO ERYTHEMATOUS RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
LIRUGEN S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 17/05/1976
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 13720 Sequence 1
Computer Entry Date 30/06/1976
Date Reported 27/05/1976
Age : 2 YEARS Sex MALE Height
Weight Date Of Onset 29/04/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : HIGH TEMPERATURE
CONJUNCTIVITIS
COUGHING
Included Term : COUGH
RASH MORBILLIFORM
Included Term : MORBILLIFORM RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
LIRUGEN S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 27/04/1976
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 13748 Sequence 1
Computer Entry Date 30/06/1976
Date Reported 08/06/1976
Age : 2 YEARS Sex MALE Height 88
Weight 13 Date Of Onset 29/05/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
Included Term : FEBRILE CONVULSION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/05/1976
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 13749 Sequence 1
Computer Entry Date 30/06/1976
Date Reported 08/06/1976
Age : 2 YEARS Sex MALE Height 80
Weight 11 Date Of Onset 04/06/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
Included Term : FEBRILE CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S
DRUG ADMINISTRATION BEGAN 27/05/1976
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 13811 Sequence 1
Computer Entry Date 30/06/1976
Date Reported 18/02/1976
Age : 3 YEARS Sex FEMALE Height
Weight Date Of Onset 16/02/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS RX
PHENOBARBITONE 50MG IM STAT, ORAL PHENOBARB.
Included Term : FEBRILE CONVULSION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION 1.0 DF
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 09/02/1976
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 13830 Sequence 1
Computer Entry Date 31/07/1976
Date Reported 15/06/1976
Age : 8 MONTHS Sex FEMALE Height
Weight 11 Date Of Onset 29/04/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CYANOSIS
Included Term : SLIGHT CYANOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/04/1976 AND CEASED 29/04/1976
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 13879 Sequence 1
Computer Entry Date 31/07/1976
Date Reported 05/07/1976
Age : 2 YEARS Sex MALE Height
Weight Date Of Onset 21/06/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
Included Term : SEVERE FEBRILE CONVULSIONS
ENCEPHALOPATHY
Included Term : ENCEPHALITIC REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 0.2 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/06/1976
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 13958 Sequence 1
Computer Entry Date 31/07/1976
Date Reported 03/07/1976
Age : 23 YEARS Sex FEMALE Height 173
Weight Date Of Onset 03/07/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH PIRITON
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/06/1976
CODRAL O TABLET
PER ORAL
DRUG ADMINISTRATION BEGAN 03/07/1976 AND CEASED 03/07/1976
ICD Code : HEADACHE
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 13992 Sequence 1
Computer Entry Date 31/07/1976
Date Reported 02/07/1976
Age : 2 YEARS Sex MALE Height
Weight Date Of Onset 21/06/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PHENOBARBITONE 45MG BD FOR 3 DAYS THEN 45MG DAILY
VOMITING
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/06/1976
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 14004 Sequence 1
Computer Entry Date 31/07/1976
Date Reported 12/07/1976
Age : 4 YEARS Sex MALE Height
Weight Date Of Onset 10/07/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PHENERGAN ELIXIR 10MG IN 10ML THEN PANADOL
Included Term : FEVERISH
SOMNOLENCE
Included Term : DROWSY
SWEATING INCREASED
Included Term : SWEATING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 10/07/1976
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 14026 Sequence 1
Computer Entry Date 31/07/1976
Date Reported 13/07/1976
Age : 3 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
Included Term : CONVULSION
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES VIRUS VACCINE S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 14032 Sequence 1
Computer Entry Date 31/07/1976
Date Reported 12/07/1976
Age : 2 YEARS Sex MALE Height
Weight Date Of Onset 10/07/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PHENERGAN ELIXIR 10MG IN 10ML, PANADOL ELIXIR.
SWEATING INCREASED
Included Term : SWEATING
COUGHING
Included Term : SLIGHT COUGH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 10/07/1976
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 14049 Sequence 1
Computer Entry Date 31/08/1976
Date Reported 15/07/1976
Age : 83 YEARS Sex MALE Height
Weight Date Of Onset 17/06/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PNEUMONIA
INFLUENZA VACCINE WITHDRAWAL. RX AMPICILLIN
Included Term : BRONCHO-PNEUMONIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/06/1976
ICD Code : OTHER PROPHYLACTIC PROCEDURES
DIGOXIN O TABLET 250.0 RG
DAILY PER ORAL
ICD Code : CONGESTIVE HEART FAILURE
LASIX O TABLET 80.0 MG
DAILY PER ORAL
ICD Code : CONGESTIVE HEART FAILURE
SLOW-K O TABLET 3.0 DF
DAILY PER ORAL
ICD Code : CONGESTIVE HEART FAILURE
NUELIN O TABLET 375.0 MG
DAILY PER ORAL
ICD Code : OTR RESPIRATORY SYSTM DISEASES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 14196 Sequence 1
Computer Entry Date 30/09/1976
Date Reported 19/08/1976
Age : 23 YEARS Sex MALE Height 168
Weight 70 Date Of Onset 19/08/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CYANOSIS VACCINE
WITHDRAWN
SYNCOPE
Included Term : COLLAPSE
COMA
Included Term : UNCONSCIOUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID CHOLERA VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
Drug Administration Ceased 19/08/1976
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 14304 Sequence 1
Computer Entry Date 30/09/1976
Date Reported 28/07/1976
Age : 19 YEARS Sex FEMALE Height
Weight Date Of Onset 28/04/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PROMETHAZINE 25MG TDS
ARRHYTHMIA
Included Term : IRREGULAR PULSE RATE
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS IMMUNOGLOBULIN S INJECTION 250.0 UT
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/03/1976 AND CEASED 18/03/1976
ICD Code : CONTRACEPTION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 14478 Sequence 1
Computer Entry Date 31/10/1976
Date Reported 08/10/1976
Age : 20 YEARS Sex FEMALE Height 160
Weight 54 Date Of Onset 14/09/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VACCINIA GENERALISED UNKNOWN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION 1.0 DF
TOTAL INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 28/08/1976 AND CEASED 28/08/1976
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 14501 Sequence 1
Computer Entry Date 31/10/1976
Date Reported 07/10/1976
Age : 44 YEARS Sex FEMALE Height
Weight Date Of Onset 05/10/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Included Term : INJECTION SITE SWELLING & TENDERNESS
ABDOMINAL PAIN
Included Term : ABDOMINAL PAIN SEVERE
NAUSEA
VOMITING
FEVER
Included Term : FEVER 2 DAYS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID CHOLERA VACCINE S INJECTION 0.5 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/10/1976 AND CEASED 04/10/1976
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 14572 Sequence 1
Computer Entry Date 30/11/1976
Date Reported 27/10/1976
Age : 66 YEARS Sex FEMALE Height 158
Weight 90 Date Of Onset 15/10/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Included Term : OEDEMA,REDNESS OF SKIN-INJ.SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/10/1976
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 14633 Sequence 1
Computer Entry Date 30/11/1976
Date Reported 16/11/1976
Age : 17 MONTHS Sex MALE Height
Weight Date Of Onset 13/11/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
POLIOMYELITIS VIRUS VACCINE S PER ORAL 1.0 DF
DAILY PER ORAL
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 14692 Sequence 1
Computer Entry Date 31/12/1976
Date Reported 25/11/1976
Age : 60 YEARS Sex MALE Height 172
Weight 75 Date Of Onset 24/11/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA TAVEGYL
AND CELESTONE TABLETS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID CHOLERA VACCINE S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/11/1976 AND CEASED 22/11/1976
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 14744 Sequence 1
Computer Entry Date 31/12/1976
Date Reported 27/10/1976
Age : 36 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS 200MG
HYDROCORTISONE I.V., FURTHER 100MG 2.5 HRS LATER.
Included Term : ITCHINESS
URTICARIA
Included Term : URTICARIAL RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PROCAINE PENICILLIN S INJECTION 1.0 MU
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/07/1976
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/07/1976
TETANUS ANTITOXIN S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/07/1976
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 14804 Sequence 1
Computer Entry Date 31/12/1976
Date Reported 01/09/1976
Age : 55 YEARS Sex FEMALE Height
Weight Date Of Onset 24/12/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
APPLICATION SITE REACTION NO
TREATMENT
Included Term : RED LUMP AT INJECTION SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/12/1975
ICD Code : OTHER PROPHYLACTIC PROCEDURES
LASIX O
AMITRIPTYLINE HYDROCHLORIDE O
NITRAZEPAM O
POTASSIUM CHLORIDE O
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 14840 Sequence 1
Computer Entry Date 31/12/1976
Date Reported 31/12/1976
Age Code AD - Adult Sex FEMALE Height
Weight Date Of Onset 17/11/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DEAFNESS CONGENITAL NOT
STATED
Included Term : CONGENITAL RUBELLA DEAFNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 1 RUBELLA ANTIBODIES IN CHILD WERE 1:20 AT AGE 13 MTHS & 15MTHS.
MOTHERS TITRE 1:640 24 DAYS AFTER A RASH & IS VERY HIGH. POINTS TO INEFF-
ECTIVENESS OF VACCINE IN THIS CASE & TO PRIMARY CLINICAL ATTACK IN 10TH
WEEK OF PREGNANCY.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 14956 Sequence 1
Computer Entry Date 31/01/1977
Date Reported 29/12/1976
Age : 69 YEARS Sex MALE Height
Weight Date Of Onset 24/06/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEURITIS NOT
STATED
Included Term : LANDRY GUILLAIN BARRE SYNDROME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/06/1976
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 14958 Sequence 1
Computer Entry Date 31/01/1977
Date Reported 26/10/1976
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset 25/10/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS TRIPLE
ANTIGEN WITHDRAWAL. RX PHENOBARB 25 MG IM THEN METHYL
Included Term : FEBRILE CONVULSION 30MG BD
& PARACETAMOL 5ML 4HRLY PRN.
FEVER
Included Term : FEBRILE CONVULSION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/10/1976
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15066 Sequence 1
Computer Entry Date 31/01/1977
Date Reported 17/01/1977
Age Code AC - Child Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
APPLICATION SITE REACTION RX
STEROIDS, ANALGESICS, ANTIHISTAMINES, COLD PACKS. SETTLED
Included Term : RAISED HOT TENDER HARD AREA
APPLICATION SITE REACTION
Included Term : APPLICATION SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15067 Sequence 1
Computer Entry Date 31/01/1977
Date Reported 17/01/1977
Age Code AC - Child Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
APPLICATION SITE REACTION RX
STEROIDS, ANALGESICS, ANTIHISTAMINES,COLD PACKS. SETTLED
Included Term : RAISED HOT TENDER HARD AREA
APPLICATION SITE REACTION
Included Term : APPLICATION SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15068 Sequence 1
Computer Entry Date 31/01/1977
Date Reported 17/01/1977
Age Code AC - Child Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
APPLICATION SITE REACTION RX
STEROIDS, ANALGESICS, ANTIHISTAMINES, COLD PACKS. SETTLED
Included Term : RAISED HOT TENDER HARD AREA
APPLICATION SITE REACTION
Included Term : APPLICATION SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15069 Sequence 1
Computer Entry Date 31/01/1977
Date Reported 17/01/1977
Age Code AC - Child Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
APPLICATION SITE REACTION RX
STEROIDS,ANALGESICS, ANTIHISTAMINES, COLD PACKS,SETTLED I
Included Term : RAISED HOT TENDER HARD AREA
APPLICATION SITE REACTION
Included Term : APPLICATION SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15070 Sequence 1
Computer Entry Date 31/01/1977
Date Reported 17/01/1977
Age Code AC - Child Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
APPLICATION SITE REACTION RX
STEROIDS,ANALGESICS, ANTIHISTAMINES,COLD PACKS. SETTLED I
Included Term : RAISED HOT TENDER HARD AREA
APPLICATION SITE REACTION
Included Term : APPLICATION SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15071 Sequence 1
Computer Entry Date 31/01/1977
Date Reported 17/01/1977
Age Code AC - Child Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
APPLICATION SITE REACTION RX
STEROIDS, ANALGESICS, ANTIHISTAMINES, COLD PACKS. SETTLED
Included Term : RAISED HOT TENDER HARD AREA
APPLICATION SITE REACTION
Included Term : APPLICATION SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15072 Sequence 1
Computer Entry Date 31/01/1977
Date Reported 17/01/1977
Age Code AC - Child Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
APPLICATION SITE REACTION RX
STEROIDS, ANALGESICS, ANTIHISTAMINES, COLD PACKS, SETTLED
Included Term : RAISED HOT TENDER HARD AREA
APPLICATION SITE REACTION
Included Term : APPLICATION SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15073 Sequence 1
Computer Entry Date 31/01/1977
Date Reported 17/01/1977
Age Code AC - Child Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
APPLICATION SITE REACTION RX
STEROIDS, ANALGESICS, ANTIHISTAMINES, COLD PACKS. SETTLED
Included Term : RAISED HOT TENDER HARD AREA
APPLICATION SITE REACTION
Included Term : APPLICATION SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15074 Sequence 1
Computer Entry Date 31/01/1977
Date Reported 17/01/1977
Age Code AC - Child Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
APPLICATION SITE REACTION RX
STEROIDS,ANALGESICS, ANTIHISTAMINES, COLD PACKS. SETTLED
Included Term : RAISED HOT TENDER HARD AREA
APPLICATION SITE REACTION
Included Term : APPLICATION SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15075 Sequence 1
Computer Entry Date 31/01/1977
Date Reported 17/01/1977
Age Code AC - Child Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
APPLICATION SITE REACTION RX
STEROIDS ANALGESICS, ANTIHISTAMINES,COLD PACKS, SETTLED I
Included Term : RAISED HOT TENDER HARD AREA
APPLICATION SITE REACTION
Included Term : APPLICATION SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15076 Sequence 1
Computer Entry Date 31/01/1977
Date Reported 17/01/1977
Age Code AC - Child Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
APPLICATION SITE REACTION RX
STEROIDS,ANALGESICS,ANTIHISTAMINES,COLD PACKS. SETTLED IN
Included Term : RAISED HOT TENDER HARD AREA
APPLICATION SITE REACTION
Included Term : APPLICATION SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15077 Sequence 1
Computer Entry Date 31/01/1977
Date Reported 17/01/1977
Age Code AC - Child Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
APPLICATION SITE REACTION RX
STEROIDS,ANALGESICS,ANTIHISTAMINES, COLD PACKS. SETTLED I
Included Term : RAISED HOT TENDER HARD AREA
APPLICATION SITE REACTION
Included Term : APPLICATION SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15078 Sequence 1
Computer Entry Date 31/01/1977
Date Reported 17/01/1977
Age Sex MALE Height
Weight Date Of Onset 00/01/1977
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN NIL
Included Term : PAIN AT INJECTION SITE
INJECTION SITE INFLAMMATION
Included Term : LOCAL CELLULITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID CHOLERA VACCINE S INJECTION 1.0 ML
TOTAL INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15079 Sequence 1
Computer Entry Date 31/01/1977
Date Reported 17/01/1977
Age Sex MALE Height
Weight Date Of Onset 00/01/1977
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN NIL
Included Term : PAIN AT INJECTION SITE
FEVER
INJECTION SITE INFLAMMATION
Included Term : LOCAL CELLULITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID CHOLERA VACCINE S INJECTION 1.0 ML
TOTAL INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15080 Sequence 1
Computer Entry Date 31/01/1977
Date Reported 17/01/1977
Age Sex FEMALE Height
Weight Date Of Onset 00/01/1977
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN NIL
Included Term : PAIN AT INJECTION SITE
FEVER
INJECTION SITE INFLAMMATION
Included Term : LOCAL CELLULITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID CHOLERA VACCINE S INJECTION 1.0 ML
TOTAL INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15081 Sequence 1
Computer Entry Date 31/01/1977
Date Reported 17/01/1977
Age Sex FEMALE Height
Weight Date Of Onset 00/01/1977
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN NIL
Included Term : PAIN AT INJECTION SITE
FEVER
INJECTION SITE INFLAMMATION
Included Term : LOCAL CELLULITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID CHOLERA VACCINE S INJECTION 1.0 ML
TOTAL INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15082 Sequence 1
Computer Entry Date 31/01/1977
Date Reported 17/01/1977
Age Sex FEMALE Height
Weight Date Of Onset 00/01/1977
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN NIL
Included Term : PAIN AT INJECTION SITE
FEVER
INJECTION SITE INFLAMMATION
Included Term : LOCAL CELLULITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID CHOLERA VACCINE S INJECTION 1.0 ML
TOTAL INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15083 Sequence 1
Computer Entry Date 31/01/1977
Date Reported 17/01/1977
Age Sex FEMALE Height
Weight Date Of Onset 00/01/1977
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN NIL.
Included Term : PAIN AT INJECTION SITE
FEVER
INJECTION SITE INFLAMMATION
Included Term : LOCAL CELLULITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID CHOLERA VACCINE S INJECTION 1.0 ML
TOTAL INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15088 Sequence 1
Computer Entry Date 31/01/1977
Date Reported 14/08/1975
Age : 7 YEARS Sex FEMALE Height
Weight Date Of Onset 13/08/1975
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA VACCINE
WITHDRAWN. RX ANTIHISTAMINES + HYDROCORTESONE
LARYNX OEDEMA
Included Term : OEDEMA UPPER RESPIRATORY TRACT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
YELLOW FEVER VACCINE S INJECTION 1.0 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 12/08/1975
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15142 Sequence 1
Computer Entry Date 28/02/1977
Date Reported 07/02/1977
Age : 41 YEARS Sex MALE Height 185
Weight 92 Date Of Onset 17/12/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION TETANUS
TOXOID WITHDRAWN. NIL SPECIFIC RX.
Included Term : RED HOT SWOLLEN ARM
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/12/1976
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15149 Sequence 1
Computer Entry Date 28/02/1977
Date Reported 09/02/1977
Age : 7 YEARS Sex FEMALE Height
Weight Date Of Onset 04/02/1977
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA PERIPHERAL C.D.T.
WITHDRAWN, RX ORAL PHENERGAN FOR 1 WK
Included Term : OEDEMA THIGH
RASH ERYTHEMATOUS
Included Term : ERYTHEMA THIGH
PRURITUS
Included Term : PRURITUS THIGH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE NOS S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/02/1977
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15163 Sequence 1
Computer Entry Date 28/02/1977
Date Reported 14/02/1977
Age : 18 MONTHS Sex FEMALE Height
Weight Date Of Onset 10/02/1977
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION DPT
WITHDRAWAL. RX POLARAMINE. RECOVERED IN 24 HRS
Included Term : RED HOT RAISED LOCAL REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE NOS S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/02/1977
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15180 Sequence 1
Computer Entry Date 31/03/1977
Date Reported 03/02/1977
Age : 16 MONTHS Sex FEMALE Height
Weight Date Of Onset 01/02/1977
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MORBILLIFORM LIRUGEN
WITHDRAWN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
LIRUGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/01/1977
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15269 Sequence 1
Computer Entry Date 31/03/1977
Date Reported 25/02/1977
Age : 65 YEARS Sex MALE Height
Weight Date Of Onset 23/02/1977
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONJUNCTIVITIS VACCINES
WITHDRAWN. RX SOLU-CORTEF INJ & ANTIHISTAMINE TABLE
Included Term : ITCHING EYE
HEADACHE
Included Term : BURSTING FEELING HEAD
DYSPNOEA
Included Term : SHORTNESS OF BREATH
PRURITUS
Included Term : ITCHING FACE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
YELLOW FEVER VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/02/1977
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPHOID CHOLERA VACCINE O INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/02/1977
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15610 Sequence 1
Computer Entry Date 31/05/1977
Date Reported 28/03/1977
Age : 59 YEARS Sex FEMALE Height 155
Weight 72 Date Of Onset 15/03/1977
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
APPLICATION SITE REACTION
RASH MACULO-PAPULAR
Included Term : VESICULAR RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION 1.0 DF
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 15/03/1977
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
INDOCID O CAPSULE 75.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/00/1965 AND CEASED 26/03/1977
ICD Code : OSTEOARTHRITIS
INTAL O INHALANT 4.0 DF
DAILY INHALATION
DRUG ADMINISTRATION BEGAN 22/06/1972
ICD Code : ASTHMA
NUELIN O TABLET 4.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 18/02/1974
ICD Code : ASTHMA
VENTOLIN O AEROSOL 1.0 DF
AS NECESSARY INHALATION
DRUG ADMINISTRATION BEGAN 23/03/1972
ICD Code : ASTHMA
VALIUM O TABLET 5.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/00/1972
ICD Code : ANXIETY NEUROSIS
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15801 Sequence 1
Computer Entry Date 30/06/1977
Date Reported 20/05/1977
Age : 19 YEARS Sex MALE Height
Weight Date Of Onset 12/05/1977
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH DRUG
WITHDRAWAL,PETHIDINE REPLACED WITH FORTRAL.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/05/1977 AND CEASED 12/05/1977
PETHIDINE HYDROCHLORIDE S INJECTION 75.0 MG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/05/1977
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15835 Sequence 1
Computer Entry Date 31/07/1977
Date Reported 19/04/1977
Age : 3 MONTHS Sex FEMALE Height
Weight 7 Date Of Onset 08/04/1977
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : PYREXIA
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
SUBCUTANEOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15873 Sequence 1
Computer Entry Date 31/07/1977
Date Reported 05/07/1977
Age : 14 YEARS Sex FEMALE Height
Weight Date Of Onset 05/07/1977
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : FEBRILE CONVULSION
CONVULSIONS
Included Term : FEBRILE CONVULSION
RASH MACULO-PAPULAR
Included Term : MORBILLIFORM RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES VIRUS VACCINE S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/06/1977 AND CEASED 25/06/1977
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15911 Sequence 1
Computer Entry Date 31/07/1977
Date Reported 13/07/1977
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 07/07/1977
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 07/07/1977 AND CEASED 07/07/1977
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15929 Sequence 1
Computer Entry Date 31/07/1977
Date Reported 12/07/1977
Age : 49 YEARS Sex MALE Height 180
Weight 70 Date Of Onset 06/07/1977
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RIGORS
I.VFLUIDS,HYDROCORTISON 100 MG QID, PHENERGAN 50MG QID.ADMIN
BACK PAIN
SWEATING INCREASED
HAEMATURIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/07/1977 AND CEASED 06/07/1977
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CHOLERA VACCINE S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/07/1977 AND CEASED 06/07/1977
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SMALLPOX VACCINE O INJECTION
INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 06/07/1977 AND CEASED 06/07/1977
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 15996 Sequence 1
Computer Entry Date 31/08/1977
Date Reported 29/07/1977
Age : 40 YEARS Sex FEMALE Height
Weight Date Of Onset 28/07/1977
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER SOLUBLE
ASPIRIN,PHENERGAN ADMINISTERED
Included Term : FEBRILE
INJECTION SITE REACTION
Included Term : SWOLLEN PAINFUL ARM AT INJECTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE NOS S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 27/07/1977 AND CEASED 27/07/1977
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 16087 Sequence 1
Computer Entry Date 31/08/1977
Date Reported 02/08/1977
Age : 33 YEARS Sex FEMALE Height
Weight Date Of Onset 08/07/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
PROMETHAZINE GIVEN
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 02/07/1976 AND CEASED 02/07/1976
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 16095 Sequence 1
Computer Entry Date 31/08/1977
Date Reported 05/08/1977
Age : 26 YEARS Sex FEMALE Height
Weight Date Of Onset 14/07/1977
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RIGORS
SWEATING INCREASED
ANOREXIA
WEIGHT DECREASE
SPEECH DISORDER
COORDINATION ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLAGUE VACCINE S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/07/1977
SMALLPOX VACCINE O INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/07/1977
CHOLERA VACCINE O INJECTION
INTRAMUSCULAR
TYPHOID VACCINE O INJECTION
INTRAMUSCULAR
SABIN VACCINE O INJECTION
INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 16096 Sequence 1
Computer Entry Date 31/08/1977
Date Reported 05/08/1977
Age : 25 YEARS Sex MALE Height
Weight Date Of Onset 22/07/1977
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
DIZZINESS
MALAISE
RIGORS
SYNCOPE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLAGUE VACCINE S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/07/1977
SMALLPOX VACCINE O INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/07/1977
TYPHOID VACCINE O INJECTION
INTRAMUSCULAR
CHOLERA VACCINE O INJECTION
INTRAMUSCULAR
SABIN VACCINE O INJECTION
INTRAMUSCULAR
TETANUS VACCINE ADSORBED O INJECTION
INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 16099 Sequence 1
Computer Entry Date 31/08/1977
Date Reported 16/08/1977
Age : 2 YEARS Sex FEMALE Height 88
Weight 14 Date Of Onset 12/08/1977
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS
Included Term : IRRITABLE
RASH ERYTHEMATOUS
RASH MACULO-PAPULAR
PHOTOPHOBIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES VIRUS VACCINE S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/08/1977
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 16116 Sequence 1
Computer Entry Date 31/08/1977
Date Reported 27/06/1977
Age : 5 MONTHS Sex MALE Height
Weight Date Of Onset 17/06/1977
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER I.V
FLUIDS ADMINISTERED.
NERVOUSNESS
Included Term : IRRITABILITY
ANOREXIA
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/06/1977 AND CEASED 16/06/1977
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 16372 Sequence 1
Computer Entry Date 31/10/1977
Date Reported 14/10/1977
Age : 22 YEARS Sex FEMALE Height 152
Weight 51 Date Of Onset 27/08/1977
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN RX
HYDROCORTISONE 100MG IV, FABAHISTINE ORAL. LOCAL RESPONSE
Included Term : PAIN SEVERE INJECTION SITE
PERSISTED FOR 4 DAYS.
OEDEMA
Included Term : SWELLING GROSS,
URTICARIA
Included Term : URTICARIA GENERALISED
INJECTION SITE INFLAMMATION
Included Term : WHEAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/08/1977
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 16404 Sequence 1
Computer Entry Date 31/10/1977
Date Reported 07/07/1977
Age : 14 MONTHS Sex MALE Height
Weight Date Of Onset 28/06/1977
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS GRAND MAL MEASLES
VACCINE WITHDRAWN.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES VIRUS VACCINE S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 16419 Sequence 1
Computer Entry Date 30/11/1977
Date Reported 13/10/1977
Age : 3 MONTHS Sex FEMALE Height
Weight 5 Date Of Onset 11/10/1977
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CIRCULATORY FAILURE PAT
RECOVERED SLOWLY
Included Term : SHOCK
PALLOR
SWEATING INCREASED
Included Term : COLDNESS
PAIN
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE NOS S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 11/10/1977
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 16676 Sequence 1
Computer Entry Date 31/01/1978
Date Reported 15/11/1977
Age : 59 YEARS Sex MALE Height 181
Weight 90 Date Of Onset 18/06/1977
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANAPHYLACTOID REACTION DRUG
WITHDRAWAL GIVEN ADRENALINE 300RG,HYDROCORTISONE 200MG,
25MG IV
180677,
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 2.0 UT
DAILY INTRAVENOUS
DRUG ADMINISTRATION BEGAN 18/06/1977
ICD Code : TETANUS
TETANUS VACCINE ADSORBED S INJECTION 500.0 ML
DAILY INTRAVENOUS
DRUG ADMINISTRATION BEGAN 17/06/1977
ICD Code : TETANUS
DIGOXIN O TABLET 250.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 18/06/1977 AND CONTINUED
ICD Code : OTR&NOS DISORD OF HEART RHYTHM
VISKEN O TABLET 10.0 MG
DAILY PER ORAL
ICD Code : ESSENTIAL BENIGN HYPERTENSION
BENZYLPENICILLIN NOS O INJECTION 6.0 MG
DAILY INTRAVENOUS
DRUG ADMINISTRATION BEGAN 18/06/1977 AND CEASED 20/06/1977
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 17110 Sequence 1
Computer Entry Date 30/04/1978
Date Reported 13/03/1978
Age Sex MALE Height
Weight Date Of Onset 03/03/1978
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER DRUG
WITHDRAWAL,BED-REST.
Included Term : PYREXIA
SWEATING INCREASED
Included Term : PROFUSE SWEATING
ARTHRALGIA
Included Term : JOINT PAIN
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
YELLOW FEVER VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/02/1978
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 17178 Sequence 1
Computer Entry Date 30/04/1978
Date Reported 20/03/1978
Age : 3 MONTHS Sex MALE Height 66
Weight 6 Date Of Onset 08/03/1978
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER GIVEN
TEMPRA DROPS.
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/03/1978
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 17376 Sequence 1
Computer Entry Date 30/04/1978
Date Reported 17/04/1978
Age : 9 WEEKS Sex FEMALE Height
Weight Date Of Onset 30/11/1977
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PALLOR
SOMNOLENCE
Included Term : LETHARGY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 17424 Sequence 1
Computer Entry Date 31/05/1978
Date Reported 22/05/1978
Age : 55 YEARS Sex MALE Height 175
Weight 76 Date Of Onset 16/05/1978
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HERPES SIMPLEX
TREATMENT UNKNOWN
Included Term : HERPES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/04/1978
ICD Code : OTR SERUM REACTN POST MED CARE
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 17425 Sequence 1
Computer Entry Date 31/05/1978
Date Reported 22/05/1978
Age Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HERPES SIMPLEX
TREATMENT UNKOWN
Included Term : HERPES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
ICD Code : OTR SERUM REACTN POST MED CARE
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 17430 Sequence 1
Computer Entry Date 31/05/1978
Date Reported 12/05/1978
Age : 51 YEARS Sex MALE Height 178
Weight 62 Date Of Onset 05/05/1978
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PHARYNGITIS VACCINE
WITHDRAWN
Included Term : INFLUENZA-LIKE ILLNESS, SORE THROAT,
BRONCHITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/04/1978
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 17456 Sequence 1
Computer Entry Date 31/05/1978
Date Reported 19/05/1978
Age : 19 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ENCEPHALOPATHY
TREATMENT UNKOWN
Included Term : ENCEPHALITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/04/1978 AND CEASED 06/04/1978
ICD Code : OTR SERUM REACTN POST MED CARE
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 17500 Sequence 1
Computer Entry Date 31/05/1978
Date Reported 11/05/1978
Age : 5 YEARS Sex FEMALE Height
Weight Date Of Onset 05/05/1978
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR RX
VACCINIAL IG (HUMAN) FROM CSL.- 12 ML.
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION 1.0 DF
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 26/04/1978
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 17502 Sequence 1
Computer Entry Date 31/05/1978
Date Reported 10/05/1978
Age : 45 YEARS Sex FEMALE Height 155
Weight 64 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DEPRESSION DRUG
WITHDRAWAL
Included Term : DEEP DEPRESSION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 30/04/1978 AND CEASED 30/04/1978
ICD Code : INFLUENZA,UNQUALIFIED
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 17548 Sequence 1
Computer Entry Date 31/05/1978
Date Reported 11/05/1978
Age : 3 MONTHS Sex MALE Height
Weight Date Of Onset 29/03/1978
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 17578 Sequence 1
Computer Entry Date 31/05/1978
Date Reported 17/05/1978
Age : 71 YEARS Sex FEMALE Height 173
Weight 73 Date Of Onset 17/04/1978
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA PERIPHERAL RX
INDOCID & DI-GESIC. RECOVERED OVER NEXT 4-5 DAYS.
Included Term : SWELLING KNEE PAINFUL
FEVER
RENAL PAIN
Included Term : LOIN PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/04/1978
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range :
0 11
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 17580 Sequence 1
Computer Entry Date 31/05/1978
Date Reported 08/05/1978
Age : 71 YEARS Sex FEMALE Height 164
Weight 68 Date Of Onset 06/05/1978
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT
Included Term : SWELLING OF RIGHT PAROTID GLAND
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 05/05/1978
ENDURON O 1.0 DF
1 TIME
ICD Code : ESSENTIAL BENIGN HYPERTENSION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 17593 Sequence 1
Computer Entry Date 31/05/1978
Date Reported 27/04/1978
Age Code AD - Adult Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : ACUTE FEBRILE EPISODE
FEVER
Included Term : RECHALLENGE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RABIES VACCINE-MERIEUX S INJECTION
INTRAPERITONEAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 17594 Sequence 1
Computer Entry Date 31/05/1978
Date Reported 27/04/1978
Age Code AD - Adult Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : ACUTE FEBRILE EPISODE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RABIES VACCINE-MERIEUX S INJECTION
INTRAPERITONEAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 17595 Sequence 1
Computer Entry Date 31/05/1978
Date Reported 27/04/1978
Age Code AD - Adult Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : ACUTE FEBRILE EPISODE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RABIES VACCINE-MERIEUX S INJECTION
INTRAPERITONEAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 17596 Sequence 1
Computer Entry Date 31/05/1978
Date Reported 27/04/1978
Age Code AD - Adult Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : ACUTE FEBRILE EPISODE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RABIES VACCINE-MERIEUX S INJECTION
INTRAPERITONEAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 17597 Sequence 1
Computer Entry Date 31/05/1978
Date Reported 27/04/1978
Age Code AD - Adult Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : ACUTE FEBRILE EPISODE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RABIES VACCINE-MERIEUX S INJECTION
INTRAPERITONEAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 17598 Sequence 1
Computer Entry Date 31/05/1978
Date Reported 27/04/1978
Age Code AD - Adult Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : ACUTE FEBRILE EPISODE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RABIES VACCINE-MERIEUX S INJECTION
INTRAPERITONEAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 17599 Sequence 1
Computer Entry Date 31/05/1978
Date Reported 27/04/1978
Age Code AD - Adult Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : ACUTE FEBRILE EPISODE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RABIES VACCINE-MERIEUX S INJECTION
INTRAPERITONEAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 17680 Sequence 1
Computer Entry Date 30/06/1978
Date Reported 03/06/1978
Age : 70 YEARS Sex FEMALE Height 147
Weight 44 Date Of Onset 31/05/1978
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FACE OEDEMA
INFLUENZA VACCINE WITHDRAWN
Included Term : SWELLIN FACE SEVERE
URTICARIA
PRURITUS
Included Term : ITCHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/05/1978
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
LANOXIN O TABLET 250.0 RG
DAILY PER ORAL
ICD Code : CONGESTIVE HEART FAILURE
OROXINE O TABLET 150.0 MG
DAILY PER ORAL
ICD Code : CONGESTIVE HEART FAILURE
TRIAMTERENE O TABLET 100.0 MG
DAILY PER ORAL
ICD Code : CONGESTIVE HEART FAILURE
CHLOROTHIAZIDE O TABLET 500.0 MG
DAILY PER ORAL
ICD Code : CONGESTIVE HEART FAILURE
ALLOPURINOL O TABLET 300.0 MG
DAILY PER ORAL
ICD Code : GOUT
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 17735 Sequence 1
Computer Entry Date 30/06/1978
Date Reported 29/05/1978
Age : 13 YEARS Sex FEMALE Height
Weight Date Of Onset 04/04/1978
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS DRUG
WITHDRAWAL,25MG PHENERGAN IMI.
Included Term : WIDESPREAD ERYTHEMATOUS ARM RASH
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RUBELLA VACCINE S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/04/1978 AND CEASED 04/04/1978
ICD Code : OTR SERUM REACTN POST MED CARE
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 17776 Sequence 1
Computer Entry Date 30/06/1978
Date Reported 06/06/1978
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 19/05/1978
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
TREMOR TRIPLE
ANTIGEN WITHDRAWN. RX PANADOL.
Included Term : SHAKES GENERALIZED
MUSCLE CONTRACTIONS INVOLUNTARY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 19/05/1978
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 17800 Sequence 1
Computer Entry Date 30/06/1978
Date Reported 19/06/1978
Age : 11 YEARS Sex FEMALE Height
Weight Date Of Onset 11/06/1978
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
PHENERGAN GIVEN
Description : ITCHY PUNCTATE ERYTHEMATOUS RASH
RASH MACULO-PAPULAR
Included Term : MACULO-PAPULAR RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S
DRUG ADMINISTRATION BEGAN 11/06/1978
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 17974 Sequence 1
Computer Entry Date 31/07/1978
Date Reported 12/07/1978
Age : 3 YEARS Sex FEMALE Height
Weight Date Of Onset 05/07/1978
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN PATIENT
RECOVERED . RESPONDED TO MAXOLON
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION 1.0 DF
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 05/07/1978
ICD Code : OTR SERUM REACTN POST MED CARE
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 18046 Sequence 1
Computer Entry Date 31/08/1978
Date Reported 26/07/1978
Age : 28 YEARS Sex MALE Height 183
Weight 73 Date Of Onset 26/07/1978
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPOTENSION CHOLERA
WITHDRAWAL.1ML 1/1000 SC ADRENALINE.100MGS IV HYDROC
Included Term : SUDDEN FALL BP TO 70% 4 HOURS
OBSERVATION THEN ALLOWED HOME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CHOLERA VACCINE S INJECTION 1.0 DF
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/07/1978 AND CEASED 26/07/1978
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 18084 Sequence 1
Computer Entry Date 31/08/1978
Date Reported 22/05/1978
Age : 26 YEARS Sex FEMALE Height
Weight Date Of Onset 28/04/1978
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPOTENSION PAT LAID
SUPINE AND SHE REC WITHIN SEVERAL MINUTES
PALLOR
SWEATING INCREASED
SOMNOLENCE
Included Term : DROWSY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 5.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/04/1978
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 18254 Sequence 1
Computer Entry Date 31/08/1978
Date Reported 30/08/1978
Age : 3 MONTHS Sex FEMALE Height
Weight Date Of Onset 19/07/1978
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SOMNOLENCE DRUG
WITHDRAWAL PAT RECOVERED
Included Term : LETHARGIC
CONVULSIONS
Included Term : MINOR FIT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/07/1978
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 18271 Sequence 1
Computer Entry Date 31/08/1978
Date Reported 14/07/1976
Age : 51 YEARS Sex FEMALE Height
Weight Date Of Onset 12/06/1976
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RIGORS PAT FELT
BETTER AFTER VENTOLIN BUT FUNCTION NOT GREATLY BENE
SUGGEST
ADDING VENTOLIN VIA IPPR AND CONTEPLATE STEROIDS IF
IMPROMEN
T DOESNT CONTINUE
FEVER
DYSPNOEA
Included Term : SHORTNESS BREATH
COUGHING
Included Term : DRY COUGH
PHARYNGITIS
Included Term : SORE THROAT
INFLUENZA
Included Term : INFLUENZA VIRUS
MYALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION
INTRAMUSCULAR
ICD Code : INFLUENZA,UNQUALIFIED
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range :
0 1 FULL BLOOD COUNT PRIOR TO DISCHARGE DIFFERENTIAL WHITE CELLS
COUNT ABNORMAL WITH SLIGHT NEUTORPHILIA ALLERGY TESTS CLEAR
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 18279 Sequence 1
Computer Entry Date 31/08/1978
Date Reported 22/08/1978
Age : 16 MONTHS Sex MALE Height
Weight 13 Date Of Onset 16/08/1978
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER DRUG
CEASED . PATIENT RECOVERED AFTER FOUR DAYS.
NERVOUSNESS
Included Term : ITTITABLE
RASH MORBILLIFORM
Included Term : GENERALIZED MORBILLIFORM RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES VIRUS VACCINE S INJECTION 1.0 DF
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 07/08/1978
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 18299 Sequence 1
Computer Entry Date 31/08/1978
Date Reported 24/08/1978
Age : 4 YEARS Sex FEMALE Height
Weight Date Of Onset 05/07/1978
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING DRUG
WITHDRAWN PAT.RECOVERED
ABDOMINAL PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID CHOLERA VACCINE S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/07/1978
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 18386 Sequence 1
Computer Entry Date 30/09/1978
Date Reported 08/09/1978
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset 28/06/1978
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
LIRUGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/06/1974
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 18523 Sequence 1
Computer Entry Date 31/10/1978
Date Reported 28/08/1978
Age : 53 YEARS Sex MALE Height
Weight 79 Date Of Onset 31/07/1978
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ENCEPHALOPATHY DIPLOPIC
SIGNS SETTLED RAPIDLY & SENSORY SYMPTOMS IMPROVED O
Included Term : ENCEPHALOMYELITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 13/07/1978
ICD Code : OTHER PROPHYLACTIC PROCEDURES
CHOLERA VACCINE O INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 13/07/1978
ICD Code : OTHER PROPHYLACTIC PROCEDURES
TRIMETHOPRIM-SULFAMETHOXAZOLE O TABLET 4.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 28/07/1978 AND CEASED 09/08/1978
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range :
0 1
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 18828 Sequence 1
Computer Entry Date 30/11/1978
Date Reported 31/10/1978
Age Sex FEMALE Height
Weight Date Of Onset 01/08/1978
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANGIOEDEMA
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S SYRUP 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 01/08/1978 AND CEASED 01/08/1978
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 18852 Sequence 1
Computer Entry Date 30/11/1978
Date Reported 14/11/1978
Age : 52 YEARS Sex MALE Height 190
Weight 86 Date Of Onset 10/11/1978
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA DRUG
WITHDRAWAL
Included Term : NAUSEA RECHALL
HEADACHE
Included Term : SEVERE HEADACHE RECHALL
FEVER
Included Term : PYREXIA RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CHOLERA VACCINE S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/10/1978 AND CEASED 27/10/1978
CHOLERA VACCINE S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/11/1978 AND CEASED 10/11/1978
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 18887 Sequence 1
Computer Entry Date 30/11/1978
Date Reported 08/11/1978
Age : 4 YEARS Sex FEMALE Height
Weight Date Of Onset 01/11/1978
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS LIRUGEN
WITHDRAWAL OBSERVATION 4 HOURS CAMDEN HOSP
Included Term : CONVULSION PITET MAL
BRADYCARDIA
EXTRASYSTOLES
Included Term : ECTOPIC BEAT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
LIRUGEN S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/11/1978
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 18946 Sequence 1
Computer Entry Date 30/11/1978
Date Reported 21/11/1978
Age : 32 YEARS Sex FEMALE Height 178
Weight 56 Date Of Onset 18/11/1978
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ECZEMA GIVEN
VACCINAL IMMUNOGLOBULIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/11/1978
TYPHOID VACCINE S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/11/1978
CHOLERA VACCINE S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/11/1978
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 18964 Sequence 1
Computer Entry Date 30/11/1978
Date Reported 27/11/1978
Age : 4 YEARS Sex FEMALE Height
Weight 7 Date Of Onset 27/11/1978
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER DRUG
WITHDRAWAL SUPPORTIVE TREATMENT FROM 261178 ONWARD
CONJUNCTIVITIS
Included Term : SORE EYES
EARACHE
TYMPANIC MEMBRANE PERFORATION
Included Term : EAR RUPTURED RIGHT DRUM
RHINITIS
Included Term : RUNNY NOSE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES VIRUS VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 17/11/1978
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 19075 Sequence 1
Computer Entry Date 31/12/1978
Date Reported 11/12/1978
Age : 22 MONTHS Sex FEMALE Height 86
Weight 12 Date Of Onset 00/07/1978
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HAEMATURIA
ALBUMINURIA
Included Term : PROTEINURIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/07/1978
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 19113 Sequence 1
Computer Entry Date 31/01/1979
Date Reported 18/12/1978
Age : 6 MONTHS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA DRUG
WITHDRAWAL.TEMPORA DRUGS ADM.
Included Term : SORE ARM
FEVER
LACRIMAL GLAND DISORDER
Included Term : CRYING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 19120 Sequence 1
Computer Entry Date 31/01/1979
Date Reported 03/01/1979
Age : 6 MONTHS Sex FEMALE Height
Weight Date Of Onset 29/12/1978
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
Included Term : VOMITING RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S TABLET
PER ORAL
DRUG ADMINISTRATION BEGAN 27/10/1978
SABIN VACCINE S TABLET
PER ORAL
DRUG ADMINISTRATION BEGAN 29/12/1978
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 19139 Sequence 1
Computer Entry Date 31/01/1979
Date Reported 05/12/1978
Age : 13 MONTHS Sex FEMALE Height 66
Weight 9 Date Of Onset 10/11/1978
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA DRUG
WITHDRAWAL.PANADOL AND AMOXIL
RASH
FEVER
CONJUNCTIVITIS
PHARYNGITIS
Included Term : SORE THROAT AND EARS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES VIRUS VACCINE S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/11/1978
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 19409 Sequence 1
Computer Entry Date 28/02/1979
Date Reported 02/12/1978
Age : 15 MONTHS Sex MALE Height
Weight Date Of Onset 16/10/1978
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
POLARAMINE
Included Term : URTICARIAL RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES VIRUS VACCINE S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 19550 Sequence 1
Computer Entry Date 28/02/1979
Date Reported 15/02/1979
Age : 11 YEARS Sex FEMALE Height
Weight Date Of Onset 06/02/1979
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/02/1979
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 19832 Sequence 1
Computer Entry Date 31/03/1979
Date Reported 13/03/1979
Age : 65 YEARS Sex FEMALE Height 158
Weight 73 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CARCINOMA CA
EXCISED
Included Term : BASAL CELL CARCINOMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 1 CLINICALLY & HISTOLOGICALLY A BASAL CELL CARCINOMA.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 19994 Sequence 1
Computer Entry Date 30/04/1979
Date Reported 17/04/1979
Age : 20 YEARS Sex MALE Height 152
Weight 73 Date Of Onset 20/03/1979
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
Included Term : URTICARIA ACUTE
MYOCARDITIS
PERICARDITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/03/1979
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 20400 Sequence 1
Computer Entry Date 30/06/1979
Date Reported 11/06/1979
Age : 89 YEARS Sex FEMALE Height
Weight Date Of Onset 05/06/1979
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HERPES ZOSTER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 31/05/1979
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 20408 Sequence 1
Computer Entry Date 30/06/1979
Date Reported 07/06/1979
Age : 15 MONTHS Sex MALE Height
Weight 12 Date Of Onset 03/06/1979
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S INJECTION 0.5 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/05/1979
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 20409 Sequence 1
Computer Entry Date 30/06/1979
Date Reported 18/06/1979
Age : 9 YEARS Sex FEMALE Height 147
Weight 28 Date Of Onset 13/06/1979
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES VIRUS VACCINE S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 20410 Sequence 1
Computer Entry Date 30/06/1979
Date Reported 18/06/1979
Age : 3 YEARS Sex FEMALE Height
Weight Date Of Onset 05/06/1979
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES VIRUS VACCINE S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 31/10/1978
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 20433 Sequence 1
Computer Entry Date 30/06/1979
Date Reported 12/06/1979
Age : 52 YEARS Sex FEMALE Height 155
Weight 64 Date Of Onset 21/05/1979
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANAPHYLACTOID REACTION IM
ADRENALINE 1:1000 1ML SOLU-CORTEF 250 MG IM PHENERGAN
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 21/05/1979
ICD Code : OTHER PROPHYLACTIC PROCEDURES
BECOTIDE O INHALANT 4.0 DF
DAILY INHALATION
INTAL O INHALANT 4.0 DF
DAILY INHALATION
THYROXINE SODIUM O TABLET 3.0 DF
DAILY PER ORAL
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 20474 Sequence 1
Computer Entry Date 31/10/1979
Date Reported 24/10/1979
Age : 35 YEARS Sex MALE Height 178
Weight 63 Date Of Onset 27/09/1979
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN ROHYPNOL
CEASED.
Included Term : STOMACH CRAMPS
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ROHYPNOL S TABLET 500.0 RG
TOTAL PER ORAL
DRUG ADMINISTRATION BEGAN 27/09/1979
SMALLPOX VACCINE S 1.0 DF
TOTAL
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 20750 Sequence 1
Computer Entry Date 31/08/1979
Date Reported 25/07/1979
Age : 21 MONTHS Sex FEMALE Height
Weight Date Of Onset 14/11/1978
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
THROMBOCYTOPENIA
Included Term : IDIOPATHIC THROMBOCYTOPENIC PURPURA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
LIRUGEN S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/11/1978
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S SYRUP 1.0 DF
TOTAL PER ORAL
DRUG ADMINISTRATION BEGAN 09/11/1978
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range :
0 1 PLATELETS 211178 LESS THAN 10,000 APRIL 79 195,000
EARLY DEC 78 LESS THAN 10,000 JUNE 79 10,000
LATE DEC 78 34,000
JAN 79 64,000
MARCH 79 40,000
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 20916 Sequence 1
Computer Entry Date 31/08/1979
Date Reported 23/08/1979
Age : 27 YEARS Sex FEMALE Height 162
Weight 53 Date Of Onset 20/08/1979
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHADENOPATHY CENDEVAX
CEASED. NAPROSYN
Included Term : LYMPHADENITIS
ARTHRITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/08/1979
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 20957 Sequence 1
Computer Entry Date 30/09/1979
Date Reported 10/08/1979
Age : 44 YEARS Sex MALE Height
Weight Date Of Onset 09/07/1979
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Included Term : PAIN IN LEFT TRICEPS
PARAESTHESIA
Included Term : PAIN, PINS AND NEEDLES LEFT ARM
PARESIS
Included Term : WEAKNESS LIMB
MUSCLE ATROPHY
Included Term : FLABBY MUSCLES
NEUROPATHY
Included Term : IMPAIRMENT OF SENSATION
NEUROPATHY
Included Term : NERVE ROOT RADICULOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLAGUE VACCINE S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/07/1979
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 20990 Sequence 1
Computer Entry Date 30/09/1979
Date Reported 07/09/1979
Age : 8 YEARS Sex MALE Height
Weight Date Of Onset 05/09/1979
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION NIL
Included Term : ERYTHEMATOUS PATCH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/08/1979
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 20995 Sequence 1
Computer Entry Date 30/09/1979
Date Reported 14/09/1979
Age : 4 YEARS Sex FEMALE Height
Weight Date Of Onset 01/08/1979
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
THROMBOCYTOPENIA RIMEVAX
WITHDRAWN.
PURPURA
Included Term : BRUISING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S INJECTION 0.5 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/07/1979
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range :
0 1 LOWEST RECORDED PLATELET COUNT = LESS THAN 5X10 TO THE POWER
OF 9/L
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 21023 Sequence 1
Computer Entry Date 30/09/1979
Date Reported 19/09/1979
Age : 33 YEARS Sex MALE Height 173
Weight 70 Date Of Onset 20/08/1979
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS SMALLPOX
VACCINE CEASED.
DEMENTIA
DYSARTHRIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S 1.0 DF
TOTAL
DRUG ADMINISTRATION BEGAN 13/08/1979
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 21257 Sequence 1
Computer Entry Date 31/10/1979
Date Reported 25/10/1979
Age : 58 YEARS Sex FEMALE Height
Weight Date Of Onset 24/10/1979
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS TET.
TOXOID CEASED.
RASH MACULO-PAPULAR
Included Term : VESICLES
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/10/1979
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 21389 Sequence 1
Computer Entry Date 30/11/1979
Date Reported 17/09/1979
Age Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION DRUG
CEASED. HYDROCORTISONE 100MG IM 270879. 280879 RASH OBS
Included Term : INDURATION OLD INJECTION SITE 2ND INJ.
HYDROCORTISONE 100MG IM.
RASH ERYTHEMATOUS
Included Term : ERYTHEMA 3 PLUS
PAIN
Included Term : TENDER 2 PLUS
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/08/1979
PENICILLIN NOS O
DRUG ADMINISTRATION BEGAN 19/08/1979
AMOXYCILLIN TRIHYDRATE O CAPSULE 750.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 19/08/1979 AND CONTINUED
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 21473 Sequence 1
Computer Entry Date 30/11/1979
Date Reported 12/11/1979
Age : 53 YEARS Sex FEMALE Height
Weight Date Of Onset 19/08/1979
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ENCEPHALOPATHY
Included Term : ENCEPHALO MYELITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SMALLPOX VACCINE S
DRUG ADMINISTRATION BEGAN 04/08/1979
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CHOLERA VACCINE O
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPHOID VACCINE O
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 21760 Sequence 1
Computer Entry Date 31/12/1979
Date Reported 01/11/1979
Age : 9 YEARS Sex FEMALE Height
Weight Date Of Onset 01/11/1979
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
ANTIHISTAMINE.
FEVER
DYSPNOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/11/1979
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 21787 Sequence 1
Computer Entry Date 31/01/1980
Date Reported 21/12/1979
Age : 19 YEARS Sex MALE Height 175
Weight 65 Date Of Onset 11/10/1979
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MENINGISM
Included Term : MALAISE
MENINGISM
Included Term : HEADACHE
MENINGISM
Included Term : NECK STIFFNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/09/1979
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
BCG VACCINE O
DRUG ADMINISTRATION BEGAN 03/09/1979
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 1 1MONODIFF TEST 021179 NEGATIVE
LUMBAR PUNCTURE MACROSCOPICALLY CLEAR.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
OTHER LABORATORY TESTS
Lab Normal Range :
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 21798 Sequence 1
Computer Entry Date 31/01/1980
Date Reported 14/12/1979
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CYANOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 21805 Sequence 1
Computer Entry Date 31/01/1980
Date Reported 02/01/1980
Age : 50 YEARS Sex FEMALE Height 157
Weight 57 Date Of Onset 31/12/1979
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION CALAMINE
& FENAMINE SLOW.
Included Term : LOCAL REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
OPCLOR O EYE DROPS 4.0 DF
DAILY CONJUNCTIVAL
DRUG ADMINISTRATION BEGAN 31/12/1979
ICD Code : CONJUNCTIVITIS AND OPHTHALMIA
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 31/12/1979
ICD Code : OPEN WOUND OF FINGER(S)
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 22101 Sequence 1
Computer Entry Date 29/02/1980
Date Reported 13/02/1980
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 12/02/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ENCEPHALOPATHY SETTLED
WITH ORAL SEDATION & OBSERV. IN HOSP.
Included Term : CEREBRAL IRRITATION HIGH PITCHED CRY
FEVER
Included Term : MILD FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/02/1980
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 22132 Sequence 1
Computer Entry Date 29/02/1980
Date Reported 21/02/1980
Age : 54 YEARS Sex FEMALE Height 173
Weight 69 Date Of Onset 04/02/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INFLAMMATION
POLARAMINE 2MG QID.
Included Term : INFLAMED ARM
PRURITUS
Included Term : ITCHY
OEDEMA
Included Term : OEDEMATOUS ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/02/1980 AND CEASED 02/02/1980
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 22163 Sequence 1
Computer Entry Date 31/03/1980
Date Reported 03/03/1980
Age : 16 MONTHS Sex MALE Height
Weight Date Of Onset 05/02/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
HYPOTONIA
Description : HYPOTONIC
CYANOSIS
Description : CYANOSED
PHOTOPHOBIA
Description : PHOTOPHOBIC
PURPURA
Description : PURPURIC SPOTS
RIGORS
Description : SHIVERING
RESPIRATORY DISORDER
Description : TACHYPNOEA
RASH
RESPIRATORY DISORDER
Description : RESPIRATION 32
ANAPHYLACTOID REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/02/1980
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 22313 Sequence 1
Computer Entry Date 31/03/1980
Date Reported 24/03/1980
Age : 16 YEARS Sex MALE Height 167
Weight 70 Date Of Onset 31/01/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DYSPNOEA IV
SALINE & SOLUCORTEF.
Included Term : RESPIRATORY DIFFICULTY
BRONCHOSPASM
MYALGIA
Included Term : MUSCLE CRAMPS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 31/01/1980 AND CEASED 31/01/1980
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 22402 Sequence 1
Computer Entry Date 30/04/1980
Date Reported 28/03/1980
Age : 72 YEARS Sex FEMALE Height 162
Weight 60 Date Of Onset 27/03/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS NIL.
Included Term : ERYTHEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/03/1980
ICD Code : OTHER PROPHYLACTIC PROCEDURES
PROCAINE PENICILLIN O INJECTION 1.5 MU
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/03/1980 AND CEASED 20/03/1980
ICD Code : OTR&NOS INFEC&PARASIT DISEASES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 22410 Sequence 1
Computer Entry Date 30/04/1980
Date Reported 31/03/1980
Age : 4 YEARS Sex MALE Height 104
Weight 18 Date Of Onset 24/03/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
APPLICATION SITE REACTION
PHENERGAN IM & BETNOVATE LOCALLY.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/03/1980
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 22579 Sequence 1
Computer Entry Date 31/05/1980
Date Reported 28/04/1980
Age : 58 YEARS Sex FEMALE Height
Weight 58 Date Of Onset 22/04/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RIGORS REST IN
BED, SOLPRIN 1-2 4/24PRN, OBSERVATIONS - TEMP, SKIN
Included Term : SHIVERING
HYPOTHERMIA
Included Term : INABILITY TO KEEP WARM
SOMNOLENCE
Included Term : LETHARGY
PHARYNGITIS
Included Term : THROAT SORE
SYNCOPE
Included Term : COLLAPSED AT HOME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/04/1980 AND CEASED 22/04/1980
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 22605 Sequence 1
Computer Entry Date 31/05/1980
Date Reported 05/05/1980
Age : 12 MONTHS Sex Height
Weight 10 Date Of Onset 05/05/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER NIL
STATED.
CYANOSIS
PURPURA
Included Term : PETECHIAL RASH
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/05/1980
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 22608 Sequence 1
Computer Entry Date 31/05/1980
Date Reported 06/05/1980
Age : 73 YEARS Sex MALE Height 176
Weight 80 Date Of Onset 18/04/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANGIOEDEMA
CELESTONE 1/2 STRENGTH, PREDNISONE, CALAMINE LOTION, NO EGGS
Included Term : GIANT URTICARIA 1 WEEK.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/04/1980
ICD Code : CHRONIC BRONCHITIS
AMESEC O CAPSULE 3.0 DF
DAILY PER ORAL
LANOXIN O TABLET 1.0 DF
DAILY PER ORAL
ECOTRIN O TABLET 2.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/00/1979 AND CONTINUED
ICD Code : OSTEOARTHRITIS
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 22618 Sequence 1
Computer Entry Date 31/05/1980
Date Reported 05/05/1980
Age : 69 YEARS Sex MALE Height
Weight Date Of Onset 28/04/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DEATH NIL.
Included Term : DIED SUDDENLY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/04/1980
ICD Code : OTHER PROPHYLACTIC PROCEDURES
VENTOLIN O INHALANT
INHALATION
ALDACTONE O TABLET 50.0 MG
DAILY PER ORAL
BETAMIN O TABLET
PER ORAL
0Laboratory Data
===============
0Outcome : DEATH, MAYBE DRUG
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 22619 Sequence 1
Computer Entry Date 31/05/1980
Date Reported 05/05/1980
Age : 70 YEARS Sex MALE Height
Weight Date Of Onset 20/04/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DEATH NIL.
Included Term : DIED SUDDENLY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/04/1980
ICD Code : OTHER PROPHYLACTIC PROCEDURES
MOGADON O
AMYTAL O
0Laboratory Data
===============
0Outcome : DEATH, MAYBE DRUG
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 22826 Sequence 1
Computer Entry Date 31/05/1980
Date Reported 23/05/1980
Age : 25 YEARS Sex MALE Height
Weight Date Of Onset 20/05/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE NIL.
NAUSEA
INJECTION SITE PAIN
Included Term : LOCAL PAINFUL REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/05/1980
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 22852 Sequence 1
Computer Entry Date 31/05/1980
Date Reported 27/05/1980
Age : 11 MONTHS Sex MALE Height 77
Weight 11 Date Of Onset 22/04/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PNEUMONIA
HOSPITALISATION.
Included Term : BRONCHIOLITIS
PNEUMONIA
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 26/10/1979
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPLE ANTIGEN S INJECTION 0.5 ML
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 21/04/1980
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 22888 Sequence 1
Computer Entry Date 30/06/1980
Date Reported 21/05/1980
Age : 80 YEARS Sex FEMALE Height 155
Weight 59 Date Of Onset 06/05/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA NIL
REPORTED.
MENINGISM
Included Term : MENINGISMUS
BRONCHITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION
INTRAMUSCULAR
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 22889 Sequence 1
Computer Entry Date 30/06/1980
Date Reported 21/05/1980
Age : 39 YEARS Sex FEMALE Height 122
Weight 50 Date Of Onset 07/05/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH NIL
REPORTED.
INJECTION SITE REACTION
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION
INTRAMUSCULAR
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 22890 Sequence 1
Computer Entry Date 30/06/1980
Date Reported 21/05/1980
Age : 70 YEARS Sex FEMALE Height 147
Weight 50 Date Of Onset 21/05/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PNEUMONIA NIL
REPORTED.
Included Term : BRONCHOPNEUMONIA
ARTHRALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION
INTRAMUSCULAR
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 22891 Sequence 1
Computer Entry Date 30/06/1980
Date Reported 21/05/1980
Age : 60 YEARS Sex MALE Height 165
Weight 57 Date Of Onset 13/05/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RESPIRATORY DISORDER NIL
REPORTED.
Included Term : COAD AGGRAVATED
ABDOMINAL PAIN
Included Term : ABDOMINAL UPSET
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION
INTRAMUSCULAR
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 22892 Sequence 1
Computer Entry Date 30/06/1980
Date Reported 21/05/1980
Age : 83 YEARS Sex MALE Height 172
Weight 63 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA NIL
REPORTED.
SINUSITIS
Included Term : SINUS
UPPER RESP TRACT INFECTION
Included Term : URTI
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION
INTRAMUSCULAR
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 22893 Sequence 1
Computer Entry Date 30/06/1980
Date Reported 21/05/1980
Age : 78 YEARS Sex MALE Height 160
Weight 58 Date Of Onset 06/05/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEPATITIS NIL
REPORTED.
Included Term : MILD HEPATITIS
PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION
INTRAMUSCULAR
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 22894 Sequence 1
Computer Entry Date 30/06/1980
Date Reported 21/05/1980
Age : 65 YEARS Sex FEMALE Height 160
Weight 58 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA NIL
REPORTED.
BRONCHITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION
INTRAMUSCULAR
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 22895 Sequence 1
Computer Entry Date 30/06/1980
Date Reported 21/05/1980
Age : 68 YEARS Sex FEMALE Height 152
Weight 48 Date Of Onset 12/05/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA NIL
REPORTED.
BRONCHITIS
ARTHRALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION
INTRAMUSCULAR
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 22950 Sequence 1
Computer Entry Date 30/06/1980
Date Reported 09/06/1980
Age : 26 MONTHS Sex MALE Height 90
Weight 13 Date Of Onset 02/10/1979
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS NIL.
Included Term : FEBRILE CONVULSION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/10/1979
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 23087 Sequence 1
Computer Entry Date 31/07/1980
Date Reported 11/06/1980
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset 31/05/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER ADMITTED
TO HORNSBY HOSP.
CONVULSIONS
Included Term : SUSPECTED CONVULSION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/05/1980
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 23100 Sequence 1
Computer Entry Date 31/07/1980
Date Reported 01/07/1980
Age : 19 MONTHS Sex MALE Height
Weight Date Of Onset 15/05/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
ADRENALINE 1/1000 0.1CC SC STAT, HYDROCORTISONE 25MG IM.
FACE OEDEMA
Description : SWOLLEN FACE
OEDEMA PERIPHERAL
Description : SWELLING OF ARMS
NAUSEA
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES VIRUS VACCINE S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/05/1980
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 23133 Sequence 1
Computer Entry Date 31/07/1980
Date Reported 04/07/1980
Age : 14 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABSCESS
Included Term : LARGE FLUCTUANT ABSCESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S INJECTION 1.0 DF
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 29/02/1980
ISONIAZID O
RIFAMPICIN O
0Laboratory Data
===============
HISTOLOGY
Lab Normal Range :
0 CULTURE & MICROSCOPY OF PUS REVEALED ACID FAST BACILLI.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 23264 Sequence 1
Computer Entry Date 31/07/1980
Date Reported 28/07/1980
Age : 5 YEARS Sex FEMALE Height 122
Weight 16 Date Of Onset 06/06/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION AMOXIL
8MLS 3 TIMES DAILY, RECOVERED IN 4 DAYS.
Included Term : LOCAL RED SWELLING
FEVER
Included Term : RUNNING TEMPERATURE
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 5.0 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/06/1980
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O DROPS 2.0 DF
TOTAL PER ORAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 23268 Sequence 1
Computer Entry Date 31/07/1980
Date Reported 28/07/1980
Age : 5 YEARS Sex FEMALE Height 91
Weight 16 Date Of Onset 19/06/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION NIL
REPORTED.
Included Term : LOCAL RED SWELLING ON ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 5.0 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/06/1980
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O DROPS 2.0 DF
TOTAL PER ORAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 23528 Sequence 1
Computer Entry Date 30/09/1980
Date Reported 03/09/1980
Age : 4 YEARS Sex MALE Height 112
Weight 22 Date Of Onset 07/08/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION PARENTS
ADMINISTERED PANQUIL AND SPONGING, REACTION GONE NEX
Included Term : LOCAL SLIGHTLY RAISED SWELLING
FEVER
Included Term : VERY HIGH FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/08/1980
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 23540 Sequence 1
Computer Entry Date 30/09/1980
Date Reported 03/09/1980
Age : 26 YEARS Sex FEMALE Height
Weight Date Of Onset 12/05/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEURITIS ADMIT TO
ST VINCENTS HOSP MELB WITH PARAESTHESIA OF LIMBS
Included Term : GUILLAIN-BARRE SYNDROME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/04/1980
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 23825 Sequence 1
Computer Entry Date 31/10/1980
Date Reported 13/10/1980
Age : 14 MONTHS Sex MALE Height
Weight Date Of Onset 15/09/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS PATIENT
ADMITTED TO HOSPITAL FOR 3-4 DAYS. BATCH NO M69 G44.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S INJECTION 1.0 ML
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 08/09/1980
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 23826 Sequence 1
Computer Entry Date 31/10/1980
Date Reported 13/10/1980
Age : 18 MONTHS Sex Height
Weight Date Of Onset 25/09/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS PATIENT
ADMITTED TO HOSPITAL FOR 3-4 DAYS. BATCH NO M69 G44.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S INJECTION 0.5 ML
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 25/09/1980
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 23827 Sequence 1
Computer Entry Date 31/10/1980
Date Reported 13/10/1980
Age : 22 MONTHS Sex MALE Height
Weight Date Of Onset 25/09/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS PATIENT
ADMITTED TO HOSPITAL FOR 3-4 DAYS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S INJECTION 0.5 ML
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 17/09/1980
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 23874 Sequence 1
Computer Entry Date 31/10/1980
Date Reported 16/10/1980
Age : 43 YEARS Sex FEMALE Height
Weight Date Of Onset 24/04/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OPTIC NEURITIS
Included Term : ACUTE RIGHT OPTIC NEURITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S 1.0 DF
TOTAL
DRUG ADMINISTRATION BEGAN 16/04/1980
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 1OPTIC ATROPHY VR < 6/60.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 24057 Sequence 1
Computer Entry Date 30/11/1980
Date Reported 07/11/1980
Age : 3 MONTHS Sex MALE Height
Weight 7 Date Of Onset 04/11/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER NIL.
FEVER AND VOMITING FOR APPROX. 24HRS, ON 061180 RASH OC
FACE.
VOMITING
RASH MACULO-PAPULAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/11/1980
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 24101 Sequence 1
Computer Entry Date 30/11/1980
Date Reported 21/11/1980
Age : 25 MONTHS Sex FEMALE Height
Weight Date Of Onset 19/11/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES REACTION
2WKS AFTER INJ.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES VIRUS VACCINE S INJECTION
INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 24147 Sequence 1
Computer Entry Date 31/12/1980
Date Reported 17/11/1980
Age : 38 YEARS Sex FEMALE Height
Weight 57 Date Of Onset 29/10/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ENCEPHALOPATHY
Included Term : POST VACCINIAL ENCEPHALITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID CHOLERA VACCINE S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/10/1980
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 24263 Sequence 1
Computer Entry Date 31/12/1980
Date Reported 10/12/1980
Age : 20 MONTHS Sex MALE Height
Weight Date Of Onset 09/12/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR OE - 1HR
LATER PALLOR ONLY.
Included Term : PALE
CYANOSIS
Included Term : COLD AND CYANOSED
SOMNOLENCE
Included Term : SLEEPY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES VIRUS VACCINE S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/12/1980
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 24270 Sequence 1
Computer Entry Date 31/12/1980
Date Reported 22/11/1980
Age : 28 YEARS Sex MALE Height 188
Weight 70 Date Of Onset 21/11/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA DEPO-
MEDROL 40MG IM AND BRONKEPHRINE.
URTICARIA
Included Term : HIVES
URTICARIA
Included Term : WHEALS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 14/11/1980
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPHOID VACCINE S INJECTION 1.0 DF
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 21/11/1980
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 24515 Sequence 1
Computer Entry Date 28/02/1981
Date Reported 28/01/1981
Age : 5 YEARS Sex MALE Height
Weight 19 Date Of Onset 27/01/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE
SUPPORTIVE.
ANAPHYLACTOID REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 0.5 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/01/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 24516 Sequence 1
Computer Entry Date 28/02/1981
Date Reported 28/01/1981
Age : 5 YEARS Sex FEMALE Height
Weight 20 Date Of Onset 27/01/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE
SUPPORTIVE, RECOVERY IMMEDIATELY.
ANAPHYLACTOID REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 0.5 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/01/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 24604 Sequence 1
Computer Entry Date 28/02/1981
Date Reported 02/10/1980
Age : 5 YEARS Sex FEMALE Height
Weight Date Of Onset 02/10/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
PROMETHAZINE 5MG STAT, 5MG TDS 1-2 DAYS.
Included Term : URTICARIAL RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 02/10/1980
ICD Code : OPEN WOUND SHOULDER&UPPER ARM
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 24638 Sequence 1
Computer Entry Date 28/02/1981
Date Reported 11/02/1981
Age Code AB - Baby Sex MALE Height
Weight Date Of Onset 03/02/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SOMNOLENCE NIL
Included Term : UNUSUALLY SLEEPY 2-3 DAYS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
POLIOMYELITIS VIRUS VACCINE S SOLUTION 1.0 DF
TOTAL PER ORAL
DRUG ADMINISTRATION BEGAN 01/09/1980
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
POLIOMYELITIS VIRUS VACCINE S SOLUTION 1.0 DF
TOTAL PER ORAL
DRUG ADMINISTRATION BEGAN 03/11/1980
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
POLIOMYELITIS VIRUS VACCINE S SOLUTION 1.0 DF
TOTAL PER ORAL
DRUG ADMINISTRATION BEGAN 02/02/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPLE ANTIGEN O INJECTION 0.5 ML
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 12/08/1980
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPLE ANTIGEN O INJECTION 0.5 ML
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 26/09/1980
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPLE ANTIGEN O INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 16/12/1980
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 24647 Sequence 1
Computer Entry Date 30/11/1987
Date Reported 10/02/1981
Age : 15 MONTHS Sex MALE Height
Weight 10 Date Of Onset 28/01/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANAPHYLACTOID REACTION OXYGEN
AND ADRENALINE.
Included Term : ANAPHYLATIC REACTION
PALLOR
BRONCHOSPASM
Included Term : WHEEZE
CYANOSIS
SYNCOPE
Included Term : COLLAPSE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 24918 Sequence 1
Computer Entry Date 30/04/1981
Date Reported 03/04/1981
Age : 6 YEARS Sex FEMALE Height 125
Weight 24 Date Of Onset 02/04/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
APPLICATION SITE REACTION
ANTIHISTAMINE ADMIN.
Included Term : APPLICATION SITE REACTION (9CM DIA.)
BRONCHOSPASM
Included Term : WHEEZE
PHARYNGITIS
Included Term : TIGHTENING IN THROAT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 01/04/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 24919 Sequence 1
Computer Entry Date 30/04/1981
Date Reported 06/04/1981
Age : 6 YEARS Sex FEMALE Height 117
Weight 21 Date Of Onset 02/04/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
ANTIHISTAMINE ADMIN.
Included Term : FEVER(37.5)
APPLICATION SITE REACTION
Included Term : APPLICATION SITE REACTION (5CM)
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 30/03/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 25174 Sequence 1
Computer Entry Date 31/05/1981
Date Reported 14/05/1981
Age : 78 YEARS Sex MALE Height
Weight Date Of Onset 07/05/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA NUELIN
AND BRONDECON CEASED.
Included Term : ACHES IN JOINTS
MALAISE
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/05/1981
ICD Code : OTHER PROPHYLACTIC PROCEDURES
BRONDECON O SOLUTION 15.0 ML
AS NECESSARY PER ORAL
ICD Code : CHRONIC BRONCHITIS
NUELIN O TABLET 500.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/12/1980
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 25311 Sequence 1
Computer Entry Date 30/06/1981
Date Reported 11/06/1981
Age : 28 YEARS Sex FEMALE Height 163
Weight 59 Date Of Onset 10/06/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
MALAISE
CONFUSION
RASH MACULO-PAPULAR
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S INJECTION 1.0 DF
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 29/05/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
BIPHASIL O
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 25324 Sequence 1
Computer Entry Date 30/06/1981
Date Reported 26/03/1981
Age : 14 MONTHS Sex MALE Height
Weight Date Of Onset 26/02/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FLUSHING NIL
COUGHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S INJECTION 0.5 ML
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 26/02/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 25325 Sequence 1
Computer Entry Date 30/06/1981
Date Reported 26/03/1981
Age : 12 MONTHS Sex FEMALE Height
Weight Date Of Onset 19/03/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
COUGHING NIL.
CYANOSIS
TACHYCARDIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S INJECTION 0.5 ML
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 19/03/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 25326 Sequence 1
Computer Entry Date 30/06/1981
Date Reported 26/03/1981
Age : 16 MONTHS Sex FEMALE Height
Weight Date Of Onset 26/02/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
COUGHING
NIL.SEQUELAE-GEN. RASH,RUNNY EYES 1 WK LATER.
VOMITING
PALLOR
Included Term : VERY PALE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S INJECTION 0.5 ML
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 26/02/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 25327 Sequence 1
Computer Entry Date 30/06/1981
Date Reported 11/06/1981
Age : 12 MONTHS Sex FEMALE Height
Weight Date Of Onset 18/03/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING NIL
FEVER
RASH MACULO-PAPULAR
RASH ERYTHEMATOUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S 1.0 DF
TOTAL
DRUG ADMINISTRATION BEGAN 18/03/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 25328 Sequence 1
Computer Entry Date 30/06/1981
Date Reported 11/06/1981
Age : 12 MONTHS Sex FEMALE Height
Weight Date Of Onset 00/03/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING NIL
COUGHING
CYANOSIS
FEVER
RASH MACULO-PAPULAR
RASH ERYTHEMATOUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S 1.0 DF
TOTAL
DRUG ADMINISTRATION BEGAN 00/03/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 25351 Sequence 1
Computer Entry Date 30/06/1981
Date Reported 17/06/1981
Age : 37 MONTHS Sex FEMALE Height
Weight Date Of Onset 24/11/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR NIL
TACHYCARDIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PNEUMOVAX S 5.0 ML
TOTAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 25389 Sequence 1
Computer Entry Date 30/06/1981
Date Reported 24/06/1981
Age : 14 MONTHS Sex MALE Height
Weight Date Of Onset 17/06/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
RASH MORBILLIFORM
TREMOR
ATAXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 03/06/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range :
0 1 MONOCYTES-28,PROTEIN NORMAL.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 25403 Sequence 1
Computer Entry Date 30/06/1981
Date Reported 19/06/1981
Age : 21 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEPATITIS
Included Term : HEPATITIS B
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PNEUMOVAX S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 00/03/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PREDNISOLONE O
Drug Administration Ceased 00/04/1980
VINCRISTINE SULPHATE O
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 25449 Sequence 1
Computer Entry Date 31/07/1981
Date Reported 30/06/1981
Age : 12 MONTHS Sex FEMALE Height
Weight Date Of Onset 18/11/1980
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH NIL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PNEUMOVAX S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 17/11/1980
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 25457 Sequence 1
Computer Entry Date 31/07/1981
Date Reported 26/06/1981
Age : 12 YEARS Sex FEMALE Height 158
Weight 41 Date Of Onset 00/00/1968
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
EYE ABNORMALITY NIL
Included Term : RUBELLA OPHTHALMOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RUBELLA VACCINE S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 25540 Sequence 1
Computer Entry Date 31/07/1981
Date Reported 15/07/1981
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 16/06/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE
REASSURANCE TO PATIENT.
Included Term : FAINTED
SKIN COLD CLAMMY
Included Term : SKIN COLD AND CLAMMY
ARRHYTHMIA
Included Term : PULSE IRREGULAR AND THREADY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S INJECTION 0.5 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/06/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 25541 Sequence 1
Computer Entry Date 31/07/1981
Date Reported 15/07/1981
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 15/06/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR
REASSURANCE.
Included Term : PALE
TREMOR
Included Term : SHAKY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S INJECTION 0.5 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/06/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 25542 Sequence 1
Computer Entry Date 31/07/1981
Date Reported 15/07/1981
Age : 13 YEARS Sex FEMALE Height
Weight Date Of Onset 09/06/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
REASSURANCE.
Included Term : FELT FAINT
FEVER
FLUSHING
SKIN COLD CLAMMY
Included Term : CLAMMY
PALLOR
Included Term : SKIN PALE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S INJECTION 0.5 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/06/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 25543 Sequence 1
Computer Entry Date 31/07/1981
Date Reported 15/07/1981
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 15/06/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS TO HOSP.
FOR OBSERVATION.
Included Term : FELT FAINT
TREMOR
Included Term : SHAKY
SKIN COLD CLAMMY
Included Term : CLAMMY SKIN
PALLOR
Included Term : PALE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S INJECTION 0.5 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/06/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 25546 Sequence 1
Computer Entry Date 31/07/1981
Date Reported 13/07/1981
Age : 5 MONTHS Sex MALE Height
Weight 70 Date Of Onset 25/06/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
Included Term : LOCAL REACTION ERYTHEMA
AGITATION
Included Term : CEREBRAL IRRITATION
SOMNOLENCE
Included Term : DROWSINESS
OEDEMA
Included Term : SWELLING LOCAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/06/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26079 Sequence 1
Computer Entry Date 31/10/1981
Date Reported 12/10/1981
Age : 6 YEARS Sex FEMALE Height
Weight Date Of Onset 23/09/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 15/09/1981
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26085 Sequence 1
Computer Entry Date 31/10/1981
Date Reported 12/10/1981
Age : 18 MONTHS Sex FEMALE Height
Weight Date Of Onset 10/10/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
STRIDOR
PROMETHAZINE INJ.REACTION STARTED TO SUBSIDE BEFORE ADMIN..
COUGHING
FLUSHING
RASH ERYTHEMATOUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 10/10/1981
ICD Code : OTHER PROPHYLACTIC PROCEDURES
RIMEVAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 10/10/1981
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26096 Sequence 1
Computer Entry Date 31/10/1981
Date Reported 21/10/1981
Age : 29 MONTHS Sex FEMALE Height
Weight Date Of Onset 08/10/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER NO
MEDICATION ADMIN..
Included Term : FEBRILE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S 1.0 DF
TOTAL
DRUG ADMINISTRATION BEGAN 01/10/1981
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26104 Sequence 1
Computer Entry Date 31/10/1981
Date Reported 19/10/1981
Age : 15 MONTHS Sex MALE Height
Weight Date Of Onset 07/08/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER OBSERVED
WHILE IN HOSPITAL.
Included Term : HIGH TEMPERATURE
RIGORS
SKIN DISCOLOURATION
Included Term : PERIPHERAL MOTTLING
AGITATION
Included Term : IRRITABILITY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26135 Sequence 1
Computer Entry Date 31/10/1981
Date Reported 20/10/1981
Age : 14 MONTHS Sex MALE Height
Weight Date Of Onset 16/10/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING FLUIDS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S INJECTION 0.5 ML
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 14/10/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26136 Sequence 1
Computer Entry Date 31/10/1981
Date Reported 22/10/1981
Age : 15 MONTHS Sex FEMALE Height
Weight Date Of Onset 28/01/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ECZEMA TOPICAL
STEROIDS FOR 9 MONTHS PLUS OTHER ANTIPRURITICS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
LIRUGEN S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26244 Sequence 1
Computer Entry Date 30/11/1981
Date Reported 29/10/1981
Age : 16 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INSOMNIA
Included Term : BROKEN SLEEP
FEVER
Included Term : TEMP. 38.5
BRONCHOSPASM
Included Term : WHEEZING
RHINITIS
Included Term : RUNNY NOSE
COUGHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES VIRUS VACCINE S
DRUG ADMINISTRATION BEGAN 00/09/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26283 Sequence 1
Computer Entry Date 30/11/1981
Date Reported 10/11/1981
Age : 19 MONTHS Sex MALE Height
Weight Date Of Onset 09/11/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ORCHITIS PANADOL
ADMIN.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MUMPS VIRUS VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 04/11/1981 AND CEASED 04/11/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26332 Sequence 1
Computer Entry Date 30/11/1981
Date Reported 16/11/1981
Age : 4 MONTHS Sex MALE Height 60
Weight 7 Date Of Onset 16/11/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SOMNOLENCE PANADOL
ADMIN..
Included Term : DROWSY
FEVER
Included Term : FEBRILE
VISION ABNORMAL
Included Term : DIFFICULTY FOCUSING EYES
HYPOTONIA
Included Term : FLOPPY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26336 Sequence 1
Computer Entry Date 30/11/1981
Date Reported 23/11/1981
Age : 12 MONTHS Sex FEMALE Height
Weight Date Of Onset 23/07/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
FLUSHING
Included Term : BRIGHT RED COLOUR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT TREATMENT
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26362 Sequence 1
Computer Entry Date 31/12/1981
Date Reported 27/11/1981
Age : 12 MONTHS Sex FEMALE Height
Weight Date Of Onset 14/11/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEPATIC NECROSIS
Included Term : REYES SYNDROME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S
DRUG ADMINISTRATION BEGAN 07/11/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
BIOCHEMISTRY
Lab Normal Range :
0 1 LIVER BIOPSY CONFIRMED REACTION
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26378 Sequence 1
Computer Entry Date 31/12/1981
Date Reported 05/12/1981
Age : 19 MONTHS Sex FEMALE Height 48
Weight 9 Date Of Onset 04/12/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
COUGHING
SYMPTOMATIC TREATMENT
RASH ERYTHEMATOUS
RASH MACULO-PAPULAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 02/12/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26385 Sequence 1
Computer Entry Date 31/12/1981
Date Reported 02/12/1981
Age : 17 YEARS Sex MALE Height 178
Weight 68 Date Of Onset 08/11/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
HOSPITALIZATION.PENICILLIN ADMIN.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MUMPSVAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 06/11/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
MICROBIOLOGY BLOOD CULTURE
Lab Normal Range :
0 BLOOD CULTURES POSITIVE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26418 Sequence 1
Computer Entry Date 31/12/1981
Date Reported 03/12/1981
Age : 46 YEARS Sex MALE Height 173
Weight 73 Date Of Onset 20/11/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
SUPPORTIVE
VOMITING
HEADACHE
MUMPS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MUMPSVAX S INJECTION 1.0 DF
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 05/11/1981
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26427 Sequence 1
Computer Entry Date 31/12/1981
Date Reported 12/12/1981
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset 10/11/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES
MUMPS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/10/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26432 Sequence 1
Computer Entry Date 31/12/1981
Date Reported 17/12/1981
Age : 17 MONTHS Sex FEMALE Height 82
Weight 10 Date Of Onset 08/12/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 24/11/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CHLORAL HYDRATE O SOLUTION 2.5 ML
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 26/11/1981 AND CEASED 28/11/1981
ICD Code : DISTURBANCE OF SLEEP
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26554 Sequence 1
Computer Entry Date 31/01/1982
Date Reported 30/12/1981
Age : 2 MONTHS Sex FEMALE Height
Weight 6 Date Of Onset 16/12/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CIRCULATORY FAILURE
HOSPITALISATION AND OBSERVATION.
Included Term : SHOCKED
FEVER
Included Term : FEVER 40.6
TWITCHING
CONSCIOUSNESS FLUCTUATING
Included Term : PRECOMATOSE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PERTUSSIS VACCINE S
DRUG ADMINISTRATION BEGAN 16/12/1981
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26558 Sequence 1
Computer Entry Date 31/01/1982
Date Reported 12/01/1982
Age : 24 YEARS Sex FEMALE Height 168
Weight 47 Date Of Onset 20/12/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 19/12/1981
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26559 Sequence 1
Computer Entry Date 31/01/1982
Date Reported 29/12/1981
Age : 30 YEARS Sex MALE Height 173
Weight 65 Date Of Onset 20/12/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 19/12/1981
ICD Code : OTHER PROPHYLACTIC PROCEDURES
CHOLERA VACCINE O
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26583 Sequence 1
Computer Entry Date 31/01/1982
Date Reported 27/12/1981
Age : 42 YEARS Sex FEMALE Height 160
Weight 72 Date Of Onset 25/12/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 24/12/1981
ICD Code : OTHER PROPHYLACTIC PROCEDURES
PHENOXYMETHYLPENICILLIN O 1.0 GM
DAILY
DRUG ADMINISTRATION BEGAN 24/12/1981
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26594 Sequence 1
Computer Entry Date 31/01/1982
Date Reported 24/12/1981
Age : 13 MONTHS Sex MALE Height
Weight Date Of Onset 14/12/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR ASPIRIN
GIVEN FOR FEVER.
FEVER
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/12/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26606 Sequence 1
Computer Entry Date 31/01/1982
Date Reported 10/01/1982
Age : 22 MONTHS Sex MALE Height
Weight Date Of Onset 25/11/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR TREATED
WITH BRICANYL SYRUP, AVIL SYRUP.
CYANOSIS
OEDEMA PERIORBITAL
URTICARIA
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S
DRUG ADMINISTRATION BEGAN 25/11/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26618 Sequence 1
Computer Entry Date 31/01/1982
Date Reported 23/12/1981
Age : 5 MONTHS Sex MALE Height 66
Weight 8 Date Of Onset 21/12/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
PHENOBARBITONE GIVEN, MERBENTYL CEASED.
APNOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
DRUG ADMINISTRATION BEGAN 16/12/1981
POLIOMYELITIS VIRUS VACCINE S
DRUG ADMINISTRATION BEGAN 16/12/1981
MERBENTYL S SOLUTION 7.5 ML
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/11/1981 AND CEASED 21/12/1981
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26652 Sequence 1
Computer Entry Date 31/01/1982
Date Reported 18/12/1981
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 09/12/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DYSPNOEA
COUGHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
SUBCUTANEOUS
ICD Code : OTHER PROPHYLACTIC PROCEDURES
SABIN VACCINE S PER ORAL
PER ORAL
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26653 Sequence 1
Computer Entry Date 31/01/1982
Date Reported 18/12/1981
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 15/12/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DYSPNOEA
Included Term : BREATHING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S
ICD Code : OTHER PROPHYLACTIC PROCEDURES
SABIN VACCINE S
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26774 Sequence 1
Computer Entry Date 28/02/1982
Date Reported 03/02/1982
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset 26/11/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
COUGHING NIL
FATIGUE
Included Term : LETHARGY
TACHYCARDIA
LACRIMATION ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S INJECTION 1.0 DF
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 26/11/1981
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26775 Sequence 1
Computer Entry Date 28/02/1982
Date Reported 03/02/1982
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset 26/11/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
COUGHING NIL
FATIGUE
Included Term : LETHARGY
TACHYCARDIA
LACRIMATION ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S INJECTION 1.0 DF
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 26/11/1981
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26776 Sequence 1
Computer Entry Date 28/02/1982
Date Reported 02/02/1982
Age : 4 YEARS Sex MALE Height 105
Weight 17 Date Of Onset 02/02/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
MAXOLON,AVIL ADMIN.
RHINITIS
Included Term : CORYZA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S INJECTION 1.0 DF
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 02/02/1982
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26780 Sequence 1
Computer Entry Date 28/02/1982
Date Reported 03/02/1982
Age : 4 MONTHS Sex MALE Height
Weight 19 Date Of Onset 11/01/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ENCEPHALOPATHY PANADOL
ADMIN..
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
TOTAL
DRUG ADMINISTRATION BEGAN 11/01/1982
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26822 Sequence 1
Computer Entry Date 28/02/1982
Date Reported 08/02/1982
Age : 2 WEEKS Sex FEMALE Height
Weight Date Of Onset 28/01/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR NIL
Included Term : VESICULATION
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S 1.0 DF
TOTAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 26936 Sequence 1
Computer Entry Date 31/03/1982
Date Reported 22/02/1982
Age : 36 MONTHS Sex MALE Height
Weight 15 Date Of Onset 21/02/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
RASH ERYTHEMATOUS
RASH MACULO-PAPULAR
Included Term : RASH PAPULAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S INJECTION 0.5 ML
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 12/02/1982
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 27010 Sequence 1
Computer Entry Date 31/03/1982
Date Reported 25/03/1981
Age : 48 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEPHRITIS
LASIX,PREDNISOLONE AND IV SOLU-MEDROL,BILATERAL SUBCLAVIAN C
INSERTED
AND 3 UNITS OF BLOOD GIVEN.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S
IMMUNOSUPPRESSANT NOS S
0Laboratory Data
===============
HISTOLOGY
Lab Normal Range :
0 1 RENAL BIOPSY-SEVERE ACTIVE FOCAL AND SEGMENTAL GLOMERULONEPH.
DUE TO ANTI GLOMERULAR BASEMENT MEMBRANE ANTIBODIES.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 27018 Sequence 1
Computer Entry Date 31/05/1982
Date Reported 02/03/1982
Age Code AB - Baby Sex MALE Height
Weight Date Of Onset 26/02/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CYANOSIS NIL
PALLOR
Included Term : PALE
HYPOTONIA
Included Term : LIMP
SWEATING INCREASED
Included Term : CLAMMY
DYSPNOEA
Included Term : BREATHING IRREGULARLY
SOMNOLENCE
Included Term : DROWSY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 26/02/1982
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 27164 Sequence 1
Computer Entry Date 30/04/1982
Date Reported 24/03/1982
Age : 14 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR
OBSERVATION, NO ACTIVE TREATMENT NECESSARY.
AGITATION
Included Term : SCREAMING
SOMNOLENCE
Included Term : LETHARGIC
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 27165 Sequence 1
Computer Entry Date 30/04/1982
Date Reported 26/03/1982
Age : 20 MONTHS Sex MALE Height
Weight Date Of Onset 00/01/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
DIARRHOEA
ANGIOEDEMA
Included Term : ANGIO OEDEMA
CONVULSIONS
Included Term : FITTING
BRONCHOSPASM
Included Term : WHEEZY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES VIRUS VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 00/01/1982 AND CEASED 00/01/1982
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 27231 Sequence 1
Computer Entry Date 30/04/1982
Date Reported 16/04/1982
Age : 12 MONTHS Sex FEMALE Height
Weight Date Of Onset 16/04/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR NO
SPECIFIC TREATMENT
Included Term : PALE
CYANOSIS
DYSPNOEA
Included Term : SHALLOW BREATHING
TACHYCARDIA
SOMNOLENCE
Included Term : SLEEPY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 27316 Sequence 1
Computer Entry Date 31/05/1982
Date Reported 23/04/1982
Age : 17 YEARS Sex FEMALE Height
Weight Date Of Onset 23/04/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/04/1982
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 27317 Sequence 1
Computer Entry Date 31/05/1982
Date Reported 23/04/1982
Age : 17 YEARS Sex FEMALE Height
Weight Date Of Onset 23/04/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/04/1982
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 27318 Sequence 1
Computer Entry Date 31/05/1982
Date Reported 23/04/1982
Age : 17 YEARS Sex FEMALE Height
Weight Date Of Onset 23/04/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/04/1982
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 27319 Sequence 1
Computer Entry Date 31/05/1982
Date Reported 23/04/1982
Age : 17 YEARS Sex FEMALE Height
Weight Date Of Onset 23/04/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/04/1982
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 27320 Sequence 1
Computer Entry Date 31/05/1982
Date Reported 23/04/1982
Age : 17 YEARS Sex FEMALE Height
Weight Date Of Onset 23/04/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/04/1982
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 27321 Sequence 1
Computer Entry Date 31/05/1982
Date Reported 23/04/1982
Age : 17 YEARS Sex FEMALE Height
Weight Date Of Onset 23/04/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/04/1982
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 27322 Sequence 1
Computer Entry Date 31/05/1982
Date Reported 23/04/1982
Age : 17 YEARS Sex FEMALE Height
Weight Date Of Onset 23/04/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/04/1982
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 27323 Sequence 1
Computer Entry Date 31/05/1982
Date Reported 23/04/1982
Age : 17 YEARS Sex FEMALE Height
Weight Date Of Onset 23/04/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/04/1982
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 27324 Sequence 1
Computer Entry Date 31/05/1982
Date Reported 23/04/1982
Age : 17 YEARS Sex FEMALE Height
Weight Date Of Onset 23/04/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/04/1982
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 27325 Sequence 1
Computer Entry Date 31/05/1982
Date Reported 23/04/1982
Age : 17 YEARS Sex FEMALE Height
Weight Date Of Onset 23/04/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/04/1982
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 27354 Sequence 1
Computer Entry Date 31/05/1982
Date Reported 06/04/1982
Age : 20 YEARS Sex MALE Height
Weight Date Of Onset 04/03/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANOREXIA
VOMITING
WEIGHT DECREASE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID CHOLERA VACCINE S 1.0 DF
1 TIME
Drug Administration Ceased 03/03/1982
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 27430 Sequence 1
Computer Entry Date 31/05/1982
Date Reported 14/05/1982
Age : 6 MONTHS Sex FEMALE Height
Weight Date Of Onset 07/05/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FACE OEDEMA
OEDEMA PERIPHERAL
Included Term : SWOLLEN HANDS
SKIN EXFOLIATION
SKIN DISORDER
Included Term : BLOTCHY SKIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
DRUG ADMINISTRATION BEGAN 06/05/1982
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 27488 Sequence 1
Computer Entry Date 31/05/1982
Date Reported 18/05/1982
Age : 15 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING NIL.
FEVER
Included Term : HOT
HYPOTHERMIA
Included Term : COLD
SOMNOLENCE
Included Term : DROWSY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 27588 Sequence 1
Computer Entry Date 30/06/1982
Date Reported 27/05/1982
Age : 50 YEARS Sex FEMALE Height 163
Weight 51 Date Of Onset 07/05/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
NAUSEA
ARTHRALGIA
Included Term : HAND JOINTS SWOLLEN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/11/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ALDOMET O TABLET 250.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/00/1959
AQUAMOX O TABLET 1.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/00/1959
OROXINE O TABLET 100.0 RG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/00/1959
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 27649 Sequence 1
Computer Entry Date 30/06/1982
Date Reported 05/06/1982
Age : 3 YEARS Sex MALE Height
Weight Date Of Onset 04/06/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT
Included Term : PAROTITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MUMPSVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 19/05/1982
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 27767 Sequence 1
Computer Entry Date 30/06/1982
Date Reported 24/06/1982
Age : 52 YEARS Sex FEMALE Height 157
Weight 60 Date Of Onset 24/05/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA
Included Term : MUSCLE SORENESS
ARTHRALGIA
Included Term : JOINT SORENESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/05/1982
TOFRANIL O TABLET 25.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 01/12/1981 AND CONTINUED
0Laboratory Data
===============
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 27814 Sequence 1
Computer Entry Date 31/07/1982
Date Reported 30/06/1982
Age : 15 YEARS Sex MALE Height
Weight Date Of Onset 28/05/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
HEADACHE
ABDOMINAL PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MUMPS VIRUS VACCINE S
DRUG ADMINISTRATION BEGAN 14/05/1982
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 1 VIROLOGY - MUMPS VIRUS ISOLATED.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 27926 Sequence 1
Computer Entry Date 31/07/1982
Date Reported 30/06/1982
Age : 12 MONTHS Sex MALE Height
Weight Date Of Onset 00/00/1972
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PARALYSIS FLACCID
ORTOPAEDIC CARE, PERMANENT INJURY.
Included Term : PARESIS LOWER MOTOR NEURONE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S SOLUTION
PER ORAL
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 27927 Sequence 1
Computer Entry Date 31/07/1982
Date Reported 30/06/1982
Age Sex MALE Height
Weight Date Of Onset 00/00/1974
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PARALYSIS FLACCID
Included Term : PARESIS LOWER MOTOR NEURONE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S SOLUTION
PER ORAL
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 28123 Sequence 1
Computer Entry Date 31/08/1982
Date Reported 09/08/1982
Age : 14 YEARS Sex FEMALE Height
Weight Date Of Onset 04/08/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION HC CREAM
AND PARACETAMOL
Included Term : INJECTION SITE OEDEMA, ERYTHEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 04/08/1982
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 28239 Sequence 1
Computer Entry Date 31/08/1982
Date Reported 18/08/1982
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 09/08/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PAIN PANADOL
AND HOT DRINKS
Included Term : PAIN (L) SIDE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/08/1982
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 28240 Sequence 1
Computer Entry Date 31/08/1982
Date Reported 18/08/1982
Age : 13 YEARS Sex FEMALE Height
Weight Date Of Onset 09/08/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA 0.1ML
1/1000 ADRENALINE.
Included Term : WHEALS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/08/1982
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 28247 Sequence 1
Computer Entry Date 31/08/1982
Date Reported 19/08/1982
Age : 4 YEARS Sex FEMALE Height
Weight Date Of Onset 16/08/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
THERAPEUTIC INEFFICACY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES VIRUS VACCINE S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 28251 Sequence 1
Computer Entry Date 31/08/1982
Date Reported 19/08/1982
Age : 6 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
THERAPEUTIC INEFFICACY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES VIRUS VACCINE S
DRUG ADMINISTRATION BEGAN 00/00/1977
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 28280 Sequence 1
Computer Entry Date 31/08/1982
Date Reported 26/08/1982
Age : 11 MONTHS Sex FEMALE Height
Weight 11 Date Of Onset 20/08/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PHENOBARBITONE.
CONVULSIONS
Included Term : GENERALISED SEIZURE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/08/1982
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 28350 Sequence 1
Computer Entry Date 30/09/1982
Date Reported 04/09/1982
Age : 5 YEARS Sex MALE Height 107
Weight 18 Date Of Onset 24/08/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT
Included Term : SUBMANDIBULAR SWELLING, PAROTIDITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MUMPSVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 03/08/1982
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 28362 Sequence 1
Computer Entry Date 30/09/1982
Date Reported 06/09/1982
Age : 38 YEARS Sex MALE Height
Weight Date Of Onset 10/08/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CHEST PAIN
Included Term : CHEST PAIN, CENTRAL, CRUSHING
INJECTION SITE REACTION
Included Term : STIFFNESS AND PAIN IN ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CHOLERA VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 10/08/1982
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPHOID VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 10/08/1982
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 28465 Sequence 1
Computer Entry Date 30/09/1982
Date Reported 16/09/1982
Age : 18 MONTHS Sex FEMALE Height
Weight Date Of Onset 16/09/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS
Included Term : IRRITABILITY
PALLOR
Description : PALE
RIGORS
Description : SHIVERY
FEVER
Description : FEVER 38.5 C (RECTAL)
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 16/09/1982
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 28516 Sequence 1
Computer Entry Date 30/09/1982
Date Reported 23/09/1982
Age : 8 WEEKS Sex MALE Height
Weight Date Of Onset 09/09/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
AGITATION
OBSERVATION.
Included Term : SCREAMING
FLUSHING
PALLOR
Included Term : PALE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.1 ML
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/09/1982
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 28577 Sequence 1
Computer Entry Date 30/09/1982
Date Reported 27/09/1982
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 16/09/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
AGITATION PANADOL
GIVEN.
Included Term : CRYING
VOMITING
FEVER
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 16/09/1982
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 28837 Sequence 1
Computer Entry Date 30/11/1982
Date Reported 25/10/1982
Age : 6 MONTHS Sex FEMALE Height 64
Weight 8 Date Of Onset 28/06/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
VOMITING
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S PER ORAL 0.2 ML
1 TIME PER ORAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 28860 Sequence 1
Computer Entry Date 30/11/1982
Date Reported 08/11/1982
Age : 12 MONTHS Sex MALE Height
Weight Date Of Onset 04/11/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PURPURA
PHENERGAN SYRUP.
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 04/11/1982
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 28880 Sequence 1
Computer Entry Date 30/11/1982
Date Reported 11/11/1982
Age : 14 MONTHS Sex MALE Height
Weight Date Of Onset 08/11/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : FEBRILE
MALAISE
Included Term : SICK-LOOKING
PHARYNGITIS
Included Term : PHARYNX RED
RHINITIS
Included Term : RHINORRHOEA
RASH MACULO-PAPULAR
Included Term : RASH, DARK MACULES ON TRUNK
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES VIRUS VACCINE S
DRUG ADMINISTRATION BEGAN 27/10/1982
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 28915 Sequence 1
Computer Entry Date 30/11/1982
Date Reported 09/11/1982
Age : 7 YEARS Sex Height
Weight Date Of Onset 15/08/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MUMPS ASPIRIN
GIVEN.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MUMPSVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 06/08/1982
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 29014 Sequence 1
Computer Entry Date 31/12/1982
Date Reported 26/11/1982
Age : 28 MONTHS Sex FEMALE Height
Weight Date Of Onset 11/11/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR
EFCORTELAN GIVEN.
Description : PALE
SWEATING INCREASED
Description : CLAMMY
PRURITUS
Included Term : ITCHING
RASH ERYTHEMATOUS
Description : RED FACE, ARMS LEGS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 11/11/1982
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 29031 Sequence 1
Computer Entry Date 31/12/1982
Date Reported 09/12/1982
Age : 10 MONTHS Sex FEMALE Height
Weight Date Of Onset 30/11/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES
Included Term : MEASLES INFECTION SEVERE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMEVAX S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 25/11/1982
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 29062 Sequence 1
Computer Entry Date 31/12/1982
Date Reported 02/12/1982
Age : 5 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MUMPS
SYMPTOMATIC.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MUMPS VIRUS VACCINE S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 29065 Sequence 1
Computer Entry Date 31/12/1982
Date Reported 07/12/1982
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset 07/11/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Description : TEMPERATURE
RASH
Description : RASH ON ABDOMEN
URTICARIA
Description : WHEALS ON TOUCHING
MEASLES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES VIRUS VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 03/11/1982
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 29082 Sequence 1
Computer Entry Date 31/12/1982
Date Reported 06/12/1982
Age : 4 MONTHS Sex FEMALE Height
Weight 5 Date Of Onset 25/11/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
1.25ML 4/24
Included Term : FEBRILE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
DRUG ADMINISTRATION BEGAN 24/11/1982
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 29208 Sequence 1
Computer Entry Date 31/12/1982
Date Reported 24/12/1982
Age : 49 YEARS Sex MALE Height
Weight 67 Date Of Onset 11/10/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
GLOMERULONEPHRITIS
METHYLPREDNISOLONE, RENAL DIALYSIS, POSITIVE PRESSURE VENTIL
PULMONARY HAEMORRHAGE
PERICARDIAL EFFUSION
PLEURAL EFFUSION
RESPIRATORY INSUFFICIENCY
Included Term : RESPIRATORY FAILURE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/10/1982
ICD Code : OTHER PROPHYLACTIC PROCEDURES
AMOXYCILLIN TRIHYDRATE S
0Laboratory Data
===============
ELECTROLYTES
Lab Normal Range :
0 1 1 RENAL BIOPSY SHOWED ACUTE GLOMERULONEPHRITIS WITH MANY
CRESCENTS.
SERUM CREAT. 0.13 291082
SERUM CREAT. 0.68 201182
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : DEATH, MAYBE DRUG
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 29242 Sequence 1
Computer Entry Date 31/12/1982
Date Reported 22/12/1982
Age Sex MALE Height
Weight Date Of Onset 20/12/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION NIL.
Included Term : SKIN INDURATION
INJECTION SITE REACTION
Included Term : SKIN OEDEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
SUBCUTANEOUS
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 29330 Sequence 1
Computer Entry Date 31/01/1983
Date Reported 10/01/1983
Age : 29 YEARS Sex FEMALE Height
Weight Date Of Onset 09/01/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHADENOPATHY
Included Term : LYMPHADENOPATHY INGUINAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CHOLERA VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 06/01/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPHOID VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 06/01/1983
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 29389 Sequence 1
Computer Entry Date 31/01/1983
Date Reported 12/01/1983
Age : 4 YEARS Sex MALE Height 102
Weight 18 Date Of Onset 30/12/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT
Included Term : PAROTITIS RIGHT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 10/12/1982
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT TREATMENT
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 29446 Sequence 1
Computer Entry Date 31/01/1983
Date Reported 12/01/1983
Age : 10 YEARS Sex MALE Height
Weight Date Of Onset 16/08/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MUMPS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MUMPSVAX S INJECTION 0.5 ML
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 12/08/1982
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 29447 Sequence 1
Computer Entry Date 31/01/1983
Date Reported 06/01/1983
Age : 20 YEARS Sex FEMALE Height 173
Weight 62 Date Of Onset 17/03/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PNEUMOVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 17/03/1982
HEPARIN CALCIUM O 18.0 KU
DAILY
DRUG ADMINISTRATION BEGAN 10/03/1982 AND CEASED 17/03/1982
ICD Code : OTHER PROPHYLACTIC PROCEDURES
CEFOXITIN SODIUM O INJECTION 8.0 GM
DAILY INTRAVENOUS
DRUG ADMINISTRATION BEGAN 10/03/1982 AND CEASED 13/03/1982
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 29517 Sequence 1
Computer Entry Date 31/01/1983
Date Reported 21/01/1983
Age : 36 YEARS Sex FEMALE Height
Weight Date Of Onset 11/01/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Included Term : ERYTHEMA AND SWELLING SEVERE
ASTHENIA
Included Term : WEAKNESS SEVERE
FATIGUE
Included Term : LETHARGY
MALAISE
SOMNOLENCE
Included Term : DROWSINESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/01/1983
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 29567 Sequence 1
Computer Entry Date 28/02/1983
Date Reported 01/02/1983
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset 01/02/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
COMA
Included Term : UNCONSCIOUS
CONVULSIONS
Included Term : ARM AND LEG MOVEMENTS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MUMPS VIRUS VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 01/02/1983
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT TREATMENT
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 29590 Sequence 1
Computer Entry Date 28/02/1983
Date Reported 06/02/1983
Age : 7 WEEKS Sex MALE Height
Weight 5 Date Of Onset 04/02/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
ANTIHISTAMINES, PARACETAMOL GIVEN. HYDROCORTISONE CREAM.
Included Term : FEVER UP TO 38C
RASH ERYTHEMATOUS
Included Term : RASH ERYTHEMATOUS, BODY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 02/02/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 02/02/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 29625 Sequence 1
Computer Entry Date 28/02/1983
Date Reported 09/02/1983
Age : 39 YEARS Sex MALE Height 178
Weight 70 Date Of Onset 02/02/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA SECOND
INJECTION NOT GIVEN.
FEVER
HEADACHE
INJECTION SITE INFLAMMATION
Included Term : INFLAMMATION 15CM DIAM UPPER ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CHOLERA VACCINE S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 02/02/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPHOID VACCINE S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 02/02/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 29664 Sequence 1
Computer Entry Date 28/02/1983
Date Reported 19/01/1983
Age : 33 YEARS Sex MALE Height
Weight Date Of Onset 18/01/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BACK PAIN
Included Term : BACK ACHE
MALAISE
RIGORS
Included Term : SHIVERING INCREASED
DYSPNOEA
DEATH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CHOLERA VACCINE S
DRUG ADMINISTRATION BEGAN 17/01/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPHOID VACCINE S
DRUG ADMINISTRATION BEGAN 17/01/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : DEATH AS REACTION
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 29720 Sequence 1
Computer Entry Date 28/02/1983
Date Reported 18/02/1983
Age : 3 YEARS Sex MALE Height 84
Weight 12 Date Of Onset 05/02/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
TESTIS DISORDER
Included Term : INFLAMMATION OF RIGHT TESTIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MUMPS VIRUS VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 13/01/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ERYTHROMYCIN O SOLUTION 500.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 04/02/1983 AND CEASED 08/02/1983
ICD Code : COUGH
BRONDECON O SOLUTION 12.0 ML
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 02/02/1983 AND CEASED 08/02/1983
ICD Code : COUGH
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 29788 Sequence 1
Computer Entry Date 28/02/1983
Date Reported 28/02/1983
Age : 32 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
THERAPEUTIC INEFFICACY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 00/11/1979
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CENDEVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 00/00/1980
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CENDEVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 00/00/1980
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 1 NOV 79 - NO A/B TITRE RECORDABLE
1980 - TITRE SAID TO BE LOWEST LEVEL POSSIBLE.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 29790 Sequence 1
Computer Entry Date 31/03/1983
Date Reported 28/02/1983
Age : 56 YEARS Sex MALE Height 188
Weight 73 Date Of Onset 00/00/1981
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN
Included Term : ACUTE LIVER PAIN
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION
SYSTEMIC
DRUG ADMINISTRATION BEGAN 00/00/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ANATENSOL O TABLET 2.5 MG
DAILY PER ORAL
MODECATE O INJECTION
SYSTEMIC
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 29797 Sequence 1
Computer Entry Date 31/03/1983
Date Reported 25/02/1983
Age : 7 MONTHS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
CONVULSIONS
Included Term : CONVULSION GENERALIZED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 29803 Sequence 1
Computer Entry Date 31/03/1983
Date Reported 01/03/1983
Age : 2 YEARS Sex FEMALE Height
Weight Date Of Onset 24/02/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS GRAND MAL OBSERVED
4 HOURS IN HOSP.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S
DRUG ADMINISTRATION BEGAN 15/02/1983
0Laboratory Data
===============
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 29858 Sequence 1
Computer Entry Date 31/03/1983
Date Reported 14/03/1983
Age : 14 MONTHS Sex MALE Height
Weight Date Of Onset 10/03/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
PROMETHAZINE GIVEN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/03/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 30027 Sequence 1
Computer Entry Date 30/04/1983
Date Reported 05/04/1983
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Included Term : INFLAMMATION 2CM AT INJ SITE
RASH
Included Term : RASH OVER HEAD AND NECK
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MUMPSVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT TREATMENT
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 30062 Sequence 1
Computer Entry Date 30/04/1983
Date Reported 06/04/1983
Age : 9 YEARS Sex MALE Height
Weight Date Of Onset 03/03/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
PHENERGAN AND ALPHA-KERI LOTION.
Included Term : RASH SEVERE
PRURITUS
Included Term : ITCHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID CHOLERA VACCINE S INJECTION 0.4 ML
TOTAL INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 30089 Sequence 1
Computer Entry Date 30/04/1983
Date Reported 11/04/1983
Age : 6 MONTHS Sex Height
Weight 7 Date Of Onset 30/03/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
SYRUP GIVEN FOR TEMP. FATHER RESUC CHILD WITH MOUTH
Included Term : TEMPERATURE 39 AT 3.30PM
RESPIRATORY DEPRESSION
Included Term : RESPIRATORY ARREST 9.15PM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 30/03/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 30411 Sequence 1
Computer Entry Date 30/04/1983
Date Reported 21/04/1983
Age : 8 YEARS Sex MALE Height
Weight Date Of Onset 16/04/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT
Included Term : PAROTITIS BILATERAL
ABDOMINAL PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 02/04/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 30447 Sequence 1
Computer Entry Date 31/05/1983
Date Reported 29/04/1983
Age : 15 MONTHS Sex MALE Height
Weight 11 Date Of Onset 28/04/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
SALIVARY GLAND ENLARGEMENT
Included Term : SWELLING OF PAROTID GLANDS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 14/04/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 30474 Sequence 1
Computer Entry Date 31/05/1983
Date Reported 26/04/1983
Age : 73 YEARS Sex MALE Height
Weight 73 Date Of Onset 08/04/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONJUNCTIVITIS
Included Term : SORE L EYE
INJECTION SITE REACTION
Included Term : PAINFUL L ARM
RHINITIS
Included Term : NOSE RUNNY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PNEUMOVAX S
DRUG ADMINISTRATION BEGAN 06/04/1983
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 30475 Sequence 1
Computer Entry Date 31/05/1983
Date Reported 26/04/1983
Age : 70 YEARS Sex FEMALE Height
Weight 88 Date Of Onset 08/04/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : FEVERISH
CONJUNCTIVITIS
Included Term : SORE EYES
COUGHING
RHINITIS
Included Term : SNEEZING
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PNEUMOVAX S
DRUG ADMINISTRATION BEGAN 06/04/1983
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 30512 Sequence 1
Computer Entry Date 31/05/1983
Date Reported 03/05/1983
Age : 31 YEARS Sex FEMALE Height 168
Weight 54 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
THERAPEUTIC INEFFICACY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S
DRUG ADMINISTRATION BEGAN 00/00/1975
CENDEVAX S
DRUG ADMINISTRATION BEGAN 00/00/1982
CENDEVAX S
DRUG ADMINISTRATION BEGAN 00/00/1983
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 30522 Sequence 1
Computer Entry Date 31/05/1983
Date Reported 04/05/1983
Age : 52 YEARS Sex FEMALE Height
Weight Date Of Onset 15/02/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Included Term : ERYTHEMA,BLISTERING,BURNING INJ SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 13/02/1983
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 30619 Sequence 1
Computer Entry Date 31/05/1983
Date Reported 14/05/1983
Age : 29 MONTHS Sex FEMALE Height
Weight Date Of Onset 13/07/1982
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
FEVER
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 06/07/1982
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 30620 Sequence 1
Computer Entry Date 31/05/1983
Date Reported 14/05/1983
Age : 22 MONTHS Sex MALE Height
Weight 12 Date Of Onset 12/05/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS VALIUM
IM GIVEN.
Included Term : CONVULSION FEBRILE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 04/05/1983
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 30621 Sequence 1
*************** UNAUTHORISED REPORT
***************
0Computer Entry Date 31/05/1983
Date Reported 14/05/1983
Age : 13 MONTHS Sex FEMALE Height
Weight Date Of Onset 11/04/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
FEVER
COUGHING
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 06/04/1983
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 30634 Sequence 1
Computer Entry Date 31/05/1983
Date Reported 23/05/1983
Age : 2 YEARS Sex MALE Height
Weight Date Of Onset 25/04/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 30667 Sequence 1
Computer Entry Date 31/05/1983
Date Reported 22/05/1983
Age : 5 YEARS Sex MALE Height 106
Weight 17 Date Of Onset 05/05/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION ZADINE
GIVEN.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 0.1 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 04/05/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 30691 Sequence 1
Computer Entry Date 31/05/1983
Date Reported 12/05/1983
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 05/05/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER OATMEAL
BATHS, CELESTONE M CREAM, PERIACTIN AND ASPIRIN GIVE
Included Term : FEBRILE
PRURITUS
RASH MACULO-PAPULAR
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RUBELLA VACCINE S
DRUG ADMINISTRATION BEGAN 03/05/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 30789 Sequence 1
Computer Entry Date 30/06/1983
Date Reported 03/06/1983
Age : 18 MONTHS Sex MALE Height 80
Weight 11 Date Of Onset 02/06/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
GAIT ABNORMAL
Included Term : UNABLE TO WALK
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 01/06/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 30823 Sequence 1
Computer Entry Date 30/06/1983
Date Reported 13/05/1983
Age : 15 MONTHS Sex MALE Height
Weight Date Of Onset 25/03/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
ANTIBIOTICS GIVEN.
Included Term : TEMPERATURE HIGH
LYMPHADENOPATHY
Included Term : NECK GLANDS SWOLLEN
RIGORS
Included Term : SHIVERS
RASH
Included Term : RASH ROSE PINK ON CHEST
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 09/03/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 30925 Sequence 1
Computer Entry Date 30/06/1983
Date Reported 17/06/1983
Age : 2 MONTHS Sex FEMALE Height
Weight 5 Date Of Onset 07/06/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR
Included Term : CIRCUM-ORAL PALLOR
TWITCHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/06/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 30947 Sequence 1
Computer Entry Date 30/06/1983
Date Reported 10/06/1983
Age : 75 YEARS Sex FEMALE Height 159
Weight Date Of Onset 02/06/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANGIOEDEMA
ADRENALINE, HYDROCORTISONE AND FABAHISTIN GIVEN.
Included Term : ANGIONCUROTIC OEDEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/06/1983
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 30948 Sequence 1
Computer Entry Date 30/06/1983
Date Reported 24/06/1983
Age : 12 YEARS Sex FEMALE Height 160
Weight 54 Date Of Onset 23/06/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S
DRUG ADMINISTRATION BEGAN 21/06/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 30976 Sequence 1
Computer Entry Date 31/07/1983
Date Reported 20/06/1983
Age : 52 YEARS Sex FEMALE Height 175
Weight 79 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 31011 Sequence 1
Computer Entry Date 31/07/1983
Date Reported 07/07/1983
Age : 17 MONTHS Sex MALE Height
Weight Date Of Onset 05/06/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT
ERYTHROMYCIN GIVEN
Included Term : PAROTITIS
TESTIS DISORDER
Included Term : ORCHITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 01/06/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 31020 Sequence 1
Computer Entry Date 31/07/1983
Date Reported 05/07/1983
Age : 15 MONTHS Sex MALE Height 81
Weight 12 Date Of Onset 01/07/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
PHENERGAN GIVEN.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 29/06/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 31032 Sequence 1
Computer Entry Date 31/07/1983
Date Reported 06/07/1983
Age : 19 YEARS Sex FEMALE Height 160
Weight 53 Date Of Onset 02/05/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
LYMPHADENOPATHY
Included Term : LUMPS BEHIND EARS
OEDEMA PERIPHERAL
Included Term : SWELLING 1 FINGER
RASH
Included Term : RASH ABDOMINAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S
DRUG ADMINISTRATION BEGAN 20/04/1983
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 31048 Sequence 1
Computer Entry Date 31/07/1983
Date Reported 11/07/1983
Age : 75 YEARS Sex FEMALE Height 163
Weight 61 Date Of Onset 03/07/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MONILIASIS
Included Term : ORAL THRUSH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PNEUMOCOCCAL VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/06/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 31063 Sequence 1
Computer Entry Date 31/07/1983
Date Reported 04/07/1983
Age : 3 MONTHS Sex MALE Height
Weight 7 Date Of Onset 22/06/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Included Term : ERYTHEMA AND INDURATION INJ SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
SABIN VACCINE O
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 31220 Sequence 1
Computer Entry Date 31/07/1983
Date Reported 18/07/1983
Age : 13 MONTHS Sex MALE Height
Weight Date Of Onset 15/07/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR CALAMINE
LOTION APPLIED.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S
DRUG ADMINISTRATION BEGAN 07/07/1983
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 31356 Sequence 1
Computer Entry Date 31/07/1983
Date Reported 21/07/1983
Age : 32 YEARS Sex MALE Height 170
Weight 65 Date Of Onset 15/06/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEPATITIS
Included Term : HEPATITIS B
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S 20.0 RG
2 TIMES
DRUG ADMINISTRATION BEGAN 01/05/1983 AND CEASED 08/06/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 31424 Sequence 1
Computer Entry Date 31/08/1983
Date Reported 22/07/1983
Age : 22 MONTHS Sex FEMALE Height 83
Weight 12 Date Of Onset 06/06/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPOTONIA
Included Term : BECAME FLOPPY
STUPOR
Included Term : EYES ROLLED UP, DIFFICULT TO AROUSE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 06/06/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
INSULIN NOS O
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 31445 Sequence 1
Computer Entry Date 31/08/1983
Date Reported 30/07/1983
Age : 71 YEARS Sex FEMALE Height
Weight 67 Date Of Onset 26/04/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ALLERGIC REACTION ORAL
STEROIDS GIVEN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 26/04/1983
BETALOC O
MODURETIC O
MOGADON O
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 31556 Sequence 1
Computer Entry Date 31/08/1983
Date Reported 24/06/1983
Age : 45 YEARS Sex FEMALE Height 158
Weight Date Of Onset 23/06/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
Included Term : GIDDINESS
PALPITATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CHOLERA VACCINE S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/06/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPHOID VACCINE S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 23/06/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 31697 Sequence 1
Computer Entry Date 31/08/1983
Date Reported 08/08/1983
Age : 15 MONTHS Sex MALE Height
Weight Date Of Onset 12/07/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA PERIORBITAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S
DRUG ADMINISTRATION BEGAN 12/07/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 31723 Sequence 1
Computer Entry Date 31/08/1983
Date Reported 22/08/1983
Age : 16 MONTHS Sex MALE Height
Weight 12 Date Of Onset 15/08/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES
SYMPTOMATIC TREATMENT.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 11/08/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 31768 Sequence 1
Computer Entry Date 31/08/1983
Date Reported 23/08/1983
Age : 58 YEARS Sex MALE Height 173
Weight 76 Date Of Onset 11/08/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID CHOLERA VACCINE S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 11/08/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 31837 Sequence 1
Computer Entry Date 30/09/1983
Date Reported 30/08/1983
Age : 51 YEARS Sex FEMALE Height 163
Weight 53 Date Of Onset 10/08/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONFUSION
RESTRAINT. VALIUM GIVEN. RECURRENCE OF SYMPTOMS 6 DAYS LATE
Included Term : DISORIENTATION
HOSPITALIZATION.
DELUSION
DIZZINESS
HALLUCINATION
Included Term : HALLUCINATION AUDITORY
DEPERSONALIZATION
TINNITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PROCAINE PENICILLIN S INJECTION 1.5 MU
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/08/1983
ICD Code : OTHER PROPHYLACTIC PROCEDURES
TETANUS VACCINE ADSORBED S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/08/1983
ICD Code : OTHER PROPHYLACTIC PROCEDURES
THYROXINE SODIUM O
OGEN O
MICROVAL O
0Laboratory Data
===============
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 32049 Sequence 1
Computer Entry Date 31/10/1983
Date Reported 23/09/1983
Age : 44 YEARS Sex FEMALE Height
Weight 67 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
NEURITIS
Included Term : R.FACIAL WEAKNESS
HEADACHE
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID CHOLERA VACCINE S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 32050 Sequence 1
Computer Entry Date 31/10/1983
Date Reported 23/09/1983
Age : 21 YEARS Sex MALE Height
Weight Date Of Onset 09/09/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BACK PAIN
Included Term : BACK ACHE
FEVER
INJECTION SITE REACTION
Included Term : RED ARM
EOSINOPHILIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID CHOLERA VACCINE S
DRUG ADMINISTRATION BEGAN 07/09/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
KENACOMB OTIC O
DRUG ADMINISTRATION BEGAN 07/06/1983 AND CEASED 04/07/1983
ICD Code : OTITIS EXTERNA
AMOXIL S 750.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 24/08/1983 AND CEASED 31/08/1983
ICD Code : OTHER DISEASES OF SWEAT GLANDS
MINOCYCLINE HYDROCHLORIDE S 200.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 31/08/1983 AND CEASED 06/09/1983
ICD Code : OTHER ACNE OF SEBACEOUS GLANDS
ASPIRIN O
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range :
0 1 ESR W.B.C. N. L. M. EOSIN
190983 68 24,900 75% 4% 2% 19%
210983 50 13,800 48% 16% 3% 33%
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 32158 Sequence 1
Computer Entry Date 31/10/1983
Date Reported 14/10/1983
Age : 16 MONTHS Sex MALE Height
Weight 8 Date Of Onset 14/10/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PARACETAMOL FOR 3 DAYS.
NERVOUSNESS
Included Term : IRRITABLE
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 32283 Sequence 1
Computer Entry Date 31/10/1983
Date Reported 12/10/1983
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 11/10/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE
Included Term : COLLAPSE
CIRCULATORY FAILURE
Included Term : PULSE WEAK AND IRREGULAR
DYSPNOEA
Included Term : DIFFICULTY BREATHING
MYDRIASIS
Included Term : PUPILS DILATED
SKIN COLD CLAMMY
Included Term : COLD AND CLAMMY
PALLOR
ABDOMINAL PAIN
Included Term : ABDOMINAL CRAMP
TINNITUS
Included Term : RINGING IN EAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 11/10/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 32284 Sequence 1
Computer Entry Date 31/10/1983
Date Reported 14/10/1983
Age : 11 YEARS Sex FEMALE Height
Weight Date Of Onset 11/10/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN
TINNITUS
Included Term : RINGING IN THE EAR
TWITCHING
Included Term : MUSCULAR TWITCHING
MYDRIASIS
Included Term : PUPILS DILATED, FIXED STARE
PALLOR
RESPIRATORY DISORDER
Included Term : BREATHING RAPID
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 11/10/1983
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 32523 Sequence 1
Computer Entry Date 30/11/1983
Date Reported 04/11/1983
Age : 20 YEARS Sex MALE Height 188
Weight Date Of Onset 28/10/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER REST,
FLUIDS, PANADOL, OBSERVATION.
HEADACHE
PHOTOPHOBIA
SOMNOLENCE
Included Term : DROWSY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 28/10/1983
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 32574 Sequence 1
Computer Entry Date 30/11/1983
Date Reported 14/11/1983
Age : 15 MONTHS Sex FEMALE Height
Weight 12 Date Of Onset 11/11/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
NERVOUSNESS
Included Term : VERY IRRITABLE
LACRIMATION ABNORMAL
Included Term : EYES RUNNY
RASH MACULO-PAPULAR
Included Term : RASH MACULAR, FACE, TRUNK, ARMS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/11/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 32591 Sequence 1
Computer Entry Date 30/11/1983
Date Reported 11/11/1983
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 26/08/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BRONCHOSPASM
COUGHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 25/08/1983
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 32602 Sequence 1
Computer Entry Date 30/11/1983
Date Reported 21/11/1983
Age : 14 YEARS Sex FEMALE Height
Weight Date Of Onset 04/11/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RUBELLA VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 20/10/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 32643 Sequence 1
Computer Entry Date 30/11/1983
Date Reported 12/11/1983
Age : 18 MONTHS Sex FEMALE Height 76
Weight 8 Date Of Onset 03/11/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BREATH HOLDING
BRONCHOSPASM
HYPOTONIA
Description : FLACCID
HYPERTONIA
Description : RIGIDITY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 03/11/1983
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 32874 Sequence 1
Computer Entry Date 31/12/1983
Date Reported 08/12/1983
Age Code AD - Adult Sex FEMALE Height
Weight Date Of Onset 00/11/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
Included Term : JOINT PAINS
FACE OEDEMA
Included Term : FACE SWOLLEN
HEADACHE
INJECTION SITE REACTION
SWEATING INCREASED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 32949 Sequence 1
Computer Entry Date 31/12/1983
Date Reported 17/12/1983
Age : 76 YEARS Sex FEMALE Height
Weight 10 Date Of Onset 16/12/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PARACETAMOL GIVEN.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 14/12/1983
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 33205 Sequence 1
Computer Entry Date 31/01/1984
Date Reported 24/01/1984
Age : 54 YEARS Sex MALE Height 178
Weight 73 Date Of Onset 20/01/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
Included Term : JOINT ACHES AND PAINS
OEDEMA PERIORBITAL
Included Term : OEDEMA OF L EYE
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME SYSTEMIC
ICD Code : MULT OPN WNDS OF OTR&UNSP LOCA
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 33215 Sequence 1
Computer Entry Date 31/01/1984
Date Reported 23/01/1984
Age : 30 MONTHS Sex FEMALE Height
Weight 13 Date Of Onset 15/01/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES ELIXIR
PARACETAMOL, CALAMINE LOTION
Included Term : MEASLES-LIKE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 13/01/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 33296 Sequence 1
Computer Entry Date 29/02/1984
Date Reported 08/02/1984
Age : 0 WEEKS Sex MALE Height
Weight Date Of Onset 20/01/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
APNOEA FIRST
AID - RESUSCITATION. OBSERVED IN HOSPITAL.
HYPOTONIA
Included Term : FLACCIDITY
PALLOR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 20/01/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 33436 Sequence 1
Computer Entry Date 29/02/1984
Date Reported 23/02/1984
Age : 8 YEARS Sex MALE Height 120
Weight 30 Date Of Onset 21/02/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT PATIENT
TREATED WITH ANALGESICS AND CLEAR FLUIDS.
Included Term : BILATERAL PAROTITIS
PANCREATITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION 1.0 DF
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 08/02/1984
ICD Code : OTR SERUM REACTN POST MED CARE
0Laboratory Data
===============
BIOCHEMISTRY
Lab Normal Range :
0 1 AMYLASE RETURNED TO NORMAL
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 33441 Sequence 1
Computer Entry Date 29/02/1984
Date Reported 26/02/1984
Age : 27 YEARS Sex FEMALE Height 170
Weight 52 Date Of Onset 26/02/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 33630 Sequence 1
Computer Entry Date 31/03/1984
Date Reported 19/03/1984
Age : 34 YEARS Sex FEMALE Height 168
Weight 58 Date Of Onset 08/03/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PURPURA NO
TREATMENT.
Included Term : RASH PETECHIAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CHOLERA VACCINE S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPHOID VACCINE S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 33648 Sequence 1
Computer Entry Date 31/03/1984
Date Reported 01/02/1984
Age : 30 MONTHS Sex FEMALE Height
Weight Date Of Onset 00/00/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FACE OEDEMA PANQUIL,
TOPICAL CELESTONE FOR RELIEF.
OEDEMA PERIPHERAL
Included Term : ARM AND LEG SWELLING
PRURITUS
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 33723 Sequence 1
Computer Entry Date 30/04/1984
Date Reported 28/03/1984
Age : 15 MONTHS Sex MALE Height
Weight Date Of Onset 29/12/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS
Included Term : IRRITABILITY
FATIGUE
Included Term : LETHARGY
VOMITING
FEVER
DIARRHOEA
Included Term : LOOSE MOTIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 19/12/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 33724 Sequence 1
Computer Entry Date 30/04/1984
Date Reported 28/03/1984
Age : 16 MONTHS Sex MALE Height
Weight Date Of Onset 04/03/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
VOMITING
DIARRHOEA
Included Term : LOOSE MOTIONS
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 24/02/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 33742 Sequence 1
Computer Entry Date 30/04/1984
Date Reported 28/03/1984
Age : 40 YEARS Sex FEMALE Height
Weight Date Of Onset 26/03/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
ANTIHISTAMINE
Included Term : INJECTION SITE SWELLING BLISTERING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 26/03/1984
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 33743 Sequence 1
Computer Entry Date 30/04/1984
Date Reported 29/03/1984
Age : 53 YEARS Sex MALE Height 180
Weight 76 Date Of Onset 01/02/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
ARTHRITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 30/01/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 33747 Sequence 1
Computer Entry Date 30/04/1984
Date Reported 29/03/1984
Age : 40 YEARS Sex MALE Height
Weight 68 Date Of Onset 21/03/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN DILOSYN
GIVEN.
PRURITUS
Included Term : ITCHY R ARM AND SHOULDER
RASH MACULO-PAPULAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/03/1984
ICD Code : OTHER PROPHYLACTIC PROCEDURES
INDERAL O 120.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 02/01/1984 AND CONTINUED
ICD Code : ESSENTIAL BENIGN HYPERTENSION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 33776 Sequence 1
Computer Entry Date 30/04/1984
Date Reported 31/03/1984
Age : 16 MONTHS Sex FEMALE Height
Weight Date Of Onset 21/03/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT
Included Term : PAROTITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 02/03/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 33908 Sequence 1
Computer Entry Date 30/04/1984
Date Reported 03/04/1984
Age : 7 YEARS Sex MALE Height
Weight Date Of Onset 29/12/1983
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN NO
SPECIFIC TREATMENT, SETTLED IN 10-15 MINS.
CYANOSIS
Included Term : CENTRAL CYANOSIS
PALLOR
TACHYCARDIA
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 29/12/1983
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 34008 Sequence 1
Computer Entry Date 30/04/1984
Date Reported 11/04/1984
Age : 25 YEARS Sex FEMALE Height 156
Weight 53 Date Of Onset 29/03/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Included Term : LOCAL REACTION
OEDEMA
PRURITUS
Included Term : PRURITUS OF HANDS AND FEET
CONJUNCTIVITIS
NAUSEA
WEIGHT INCREASE
Included Term : WEIGHT GAIN OF 3KG IN 2 DAYS
MYALGIA
FEVER
Included Term : TEMP OF 38 DEG C.
HEADACHE
FATIGUE
Included Term : TIREDNESS AND LETHARGY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/03/1984
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 34122 Sequence 1
Computer Entry Date 30/04/1984
Date Reported 12/04/1984
Age : 4 YEARS Sex FEMALE Height
Weight Date Of Onset 16/03/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CYANOSIS
SOMNOLENCE
Included Term : DROWSINESS
FEVER
OEDEMA
Included Term : OEDEMA SKIN SEVERE
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 16/03/1984
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 34137 Sequence 1
Computer Entry Date 31/05/1984
Date Reported 24/04/1984
Age : 23 YEARS Sex MALE Height 175
Weight 74 Date Of Onset 10/04/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BRONCHOSPASM
HYDROCORTISONE GIVEN.
Included Term : WHEEZE
PRURITUS
RASH
Included Term : RASH, GENERALIZED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
YELLOW FEVER VACCINE S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 34277 Sequence 1
Computer Entry Date 31/05/1984
Date Reported 25/05/1984
Age : 45 YEARS Sex FEMALE Height 159
Weight 58 Date Of Onset 14/05/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
Included Term : NECK AND SHOULDER PAIN
BACK PAIN
NAUSEA
VOMITING
ABDOMINAL PAIN
Included Term : ABDOMINAL CRAMPS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/05/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 34345 Sequence 1
Computer Entry Date 31/05/1984
Date Reported 23/05/1984
Age Code AC - Child Sex Height
Weight Date Of Onset 07/05/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MUMPS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 0.5 ML
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 04/05/1984
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 34388 Sequence 1
Computer Entry Date 30/06/1984
Date Reported 28/05/1984
Age : 58 YEARS Sex FEMALE Height 177
Weight 70 Date Of Onset 26/05/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
OEDEMA PERIPHERAL
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/05/1984
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 34472 Sequence 1
Computer Entry Date 30/06/1984
Date Reported 06/06/1984
Age : 40 YEARS Sex FEMALE Height 175
Weight 70 Date Of Onset 28/05/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA
ANALGESIC ADMINISTERED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 ML
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 19/05/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 34473 Sequence 1
Computer Entry Date 30/06/1984
Date Reported 06/06/1984
Age : 71 YEARS Sex MALE Height 178
Weight 85 Date Of Onset 14/05/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA
ANALGESIC ADMINISTERED
Included Term : GENERAL MYALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 ML
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 09/05/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 34629 Sequence 1
Computer Entry Date 31/07/1984
Date Reported 29/06/1984
Age : 22 YEARS Sex FEMALE Height
Weight Date Of Onset 15/06/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA PERIORBITAL STEMETIL
AND REST.
Included Term : SWOLLEN EYES
NAUSEA
DIZZINESS
INJECTION SITE REACTION
INJECTION SITE REACTION
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 18/05/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
H-B-VAX (PRE 1991) S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 15/06/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 34650 Sequence 1
Computer Entry Date 31/07/1984
Date Reported 27/06/1984
Age : 29 YEARS Sex FEMALE Height
Weight Date Of Onset 20/06/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA ORAL
STEROIDS AND ANTIHISTAMINES GIVEN.
Included Term : RASH URTICARIAL
RASH ERYTHEMATOUS
Included Term : ERYTHEMATOUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/06/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 34659 Sequence 1
Computer Entry Date 31/07/1984
Date Reported 05/07/1984
Age : 23 YEARS Sex FEMALE Height
Weight Date Of Onset 04/07/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
PROMETHAZINE 25 MG, ONCE AT NIGHT,ORAL (14).
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
DAILY SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 03/07/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 34662 Sequence 1
Computer Entry Date 31/07/1984
Date Reported 05/07/1984
Age : 38 YEARS Sex MALE Height 168
Weight 64 Date Of Onset 03/03/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PAPILLOEDEMA STEROIDS
GIVEN, PARTIAL IMPROVEMENT.
Included Term : OPTIC NEURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 ML
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 25/02/1984
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 34731 Sequence 1
Computer Entry Date 31/07/1984
Date Reported 09/07/1984
Age : 34 YEARS Sex FEMALE Height 166
Weight 54 Date Of Onset 04/07/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Included Term : INJECTION SITE PAIN AND SWELLING
LYMPHADENOPATHY
Included Term : AXILLARY GLAND SWELLING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 04/07/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 34852 Sequence 1
Computer Entry Date 31/07/1984
Date Reported 13/07/1984
Age : 18 MONTHS Sex FEMALE Height
Weight Date Of Onset 13/07/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
Included Term : FEBRILE CONVULSION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S
DRUG ADMINISTRATION BEGAN 30/06/1984
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 34885 Sequence 1
Computer Entry Date 31/07/1984
Date Reported 17/07/1984
Age : 23 YEARS Sex FEMALE Height
Weight Date Of Onset 00/07/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Included Term : LOCAL SWELLING,PAIN,TENDERNESS,ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PNEUMOVAX S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 00/07/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 34925 Sequence 1
Computer Entry Date 31/07/1984
Date Reported 20/07/1984
Age : 47 YEARS Sex MALE Height 183
Weight 85 Date Of Onset 19/07/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
VOMITING
DIARRHOEA
ABDOMINAL PAIN
Included Term : STOMACH CRAMPS
DIARRHOEA
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S
DRUG ADMINISTRATION BEGAN 19/07/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 35005 Sequence 1
Computer Entry Date 31/08/1984
Date Reported 27/07/1984
Age : 12 YEARS Sex MALE Height
Weight Date Of Onset 22/06/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT NO
TREATMENT GIVEN.
Included Term : PAROTITIS, UNILATERAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 15/06/1984
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 35040 Sequence 1
Computer Entry Date 31/08/1984
Date Reported 27/07/1984
Age : 11 YEARS Sex FEMALE Height 122
Weight 35 Date Of Onset 19/07/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA ASPRIN
AND BED REST.
FEVER
Included Term : FEBRILE
MALAISE
Included Term : GENERALLY UNWELL
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S
DRUG ADMINISTRATION BEGAN 17/07/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 35189 Sequence 1
Computer Entry Date 31/08/1984
Date Reported 22/08/1984
Age : 16 MONTHS Sex MALE Height
Weight 18 Date Of Onset 05/08/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER ORAL
ANTIHISTAMINES GIVEN.
ANGIOEDEMA
Included Term : GIANT URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
1 TIME INTRAVENOUS
MEASLES MUMPS VACCINE S INJECTION 1.0 DF
1 TIME INTRAVENOUS
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 35232 Sequence 1
Computer Entry Date 31/08/1984
Date Reported 23/08/1984
Age : 5 YEARS Sex MALE Height 120
Weight 31 Date Of Onset 23/08/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES NO
TREATMENT.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/08/1984
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 35269 Sequence 1
Computer Entry Date 31/08/1984
Date Reported 28/08/1984
Age : 4 YEARS Sex FEMALE Height
Weight Date Of Onset 14/08/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
CONSERVATIVE,REST,FLUIDS AND ANTIPYRTETICS.
Included Term : FEBRILE
COUGHING
CONJUNCTIVITIS
RASH MACULO-PAPULAR
Included Term : MEASLES RASH
PHARYNGITIS
Included Term : VERY SORE THROAT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/08/1984
ICD Code : OTR SERUM REACTN POST MED CARE
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 35337 Sequence 1
Computer Entry Date 30/09/1984
Date Reported 12/09/1984
Age : 47 YEARS Sex MALE Height
Weight Date Of Onset 19/07/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONFUSION
CESSATION OF TEGRETOL. DISCHARGED FIT AND WELL ON DILANTIN D
ON
250784.
SUICIDE ATTEMPT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DILANTIN S CAPSULE 450.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 17/07/1984 AND CONTINUED
ICD Code : OTHER&UNSPECIFIED EPILEPSY
TEGRETOL S TABLET 400.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 17/07/1984 AND CEASED 20/07/1984
ICD Code : OTHER&UNSPECIFIED EPILEPSY
NORMISON S CAPSULE 10.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 18/07/1984 AND CONTINUED
ICD Code : SPECIFIC DISORDERS OF SLEEP
PANADOL S TABLET 6.0 GM
AS NECESSARY PER ORAL
DRUG ADMINISTRATION BEGAN 18/07/1984 AND CONTINUED
ICD Code : OTHER DISTURBANCE OF SENSATION
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/07/1984
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 35384 Sequence 1
Computer Entry Date 30/09/1984
Date Reported 10/09/1984
Age : 39 YEARS Sex FEMALE Height 158
Weight 68 Date Of Onset 22/06/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
MALAISE
ARTHRALGIA
FATIGUE
HEPATIC FUNCTION ABNORMAL
ABDOMINAL PAIN
HEADACHE
BACK PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/06/1984 AND CEASED 15/06/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
BIOCHEMISTRY
Lab Normal Range :
0 1 ALK PHOS SGPT GGT T.PROT ALB T.BILI
300784 96 38 127 67 45
230884 92 62 123 76 48 10
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 35454 Sequence 1
Computer Entry Date 30/09/1984
Date Reported 11/09/1984
Age : 31 YEARS Sex FEMALE Height 153
Weight 45 Date Of Onset 08/09/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 06/09/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 35467 Sequence 1
Computer Entry Date 30/09/1984
Date Reported 10/09/1984
Age : 38 YEARS Sex FEMALE Height 158
Weight 49 Date Of Onset 23/08/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Included Term : LOCAL PAIN AND SWELLING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/08/1984 AND CEASED 23/08/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 35468 Sequence 1
Computer Entry Date 30/09/1984
Date Reported 17/09/1984
Age : 43 YEARS Sex FEMALE Height 168
Weight 60 Date Of Onset 24/08/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION NIL
TREATMENT GIVEN.
Included Term : TENDERNESS L ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 ML
2 TIMES INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/08/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 35595 Sequence 1
Computer Entry Date 31/10/1984
Date Reported 17/08/1984
Age : 15 MONTHS Sex FEMALE Height
Weight 13 Date Of Onset 14/08/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
RASH ERYTHEMATOUS
Included Term : ERYTHEMA OF SKIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 26/07/1984
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 35779 Sequence 1
Computer Entry Date 31/10/1984
Date Reported 16/10/1984
Age : 7 YEARS Sex MALE Height
Weight Date Of Onset 13/10/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 13/10/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 35916 Sequence 1
Computer Entry Date 31/10/1984
Date Reported 25/10/1984
Age : 25 YEARS Sex MALE Height 175
Weight 73 Date Of Onset 23/10/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
SYMPTOMATIC ANALGESICS AND STEMETIL.
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/10/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CHOLERA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/10/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 35960 Sequence 1
Computer Entry Date 30/11/1984
Date Reported 29/10/1984
Age : 35 YEARS Sex MALE Height
Weight Date Of Onset 26/10/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SWEATING INCREASED
OBSERVATION AND REST
Included Term : SWEATING
DIZZINESS
TREMOR
Included Term : SHAKY
FATIGUE
Included Term : WEAK
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S INJECTION 1.0 ML
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/10/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 35977 Sequence 1
Computer Entry Date 30/11/1984
Date Reported 30/10/1984
Age : 7 MONTHS Sex FEMALE Height 64
Weight 7 Date Of Onset 03/08/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
ANTIPYRETIC ADMINISTERED FOR TREATMENT.
CONVULSIONS
Included Term : GENERALIZED CONVULSION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/08/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 35995 Sequence 1
Computer Entry Date 30/11/1984
Date Reported 17/10/1984
Age : 21 YEARS Sex MALE Height
Weight Date Of Onset 15/10/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER HOSPITAL
ADMISSION.
COUGHING
Included Term : COUGH
RHINITIS
Included Term : RHINORRHOEA
PNEUMONIA LOBAR
Included Term : EXTENSIVE (L)UPPER LOBE PNEUMONIA
OTITIS MEDIA
Included Term : BILATERAL OTITIS MEDIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION 1.0 DF
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 10/10/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 36044 Sequence 1
Computer Entry Date 30/11/1984
Date Reported 29/10/1984
Age : 13 YEARS Sex FEMALE Height 158
Weight 73 Date Of Onset 19/10/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN
LYMPHADENOPATHY
Included Term : POSTERIOR CERVICAL,RETRO-AURICULOR,
LYMPHADENOPATHY
Included Term : PAINFUL ADENITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S INJECTION 1.0 DF
TOTAL INTRAVENOUS
DRUG ADMINISTRATION BEGAN 18/10/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 36046 Sequence 1
Computer Entry Date 30/11/1984
Date Reported 31/10/1984
Age : 14 MONTHS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER ADMITTED
TO HOSPITAL FOR ANTIPYRETIC AND ANTIBIOTIC TREATMEN
Included Term : FEBRILE
OTITIS MEDIA
CONVULSIONS
Description : FEBRILE CONVULSION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION
INTRAVENOUS
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 36068 Sequence 1
Computer Entry Date 30/11/1984
Date Reported 01/11/1984
Age : 2 MONTHS Sex FEMALE Height 55
Weight 5 Date Of Onset 23/08/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS STERILE
ERYTHROMYCIN ADMINISTERED AS TREATMENT UNTIL CULTURES COME B
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/08/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
MICROBIOLOGY
Lab Normal Range :
0 SWABS TAKEN ON THE 23/08/84 WITH NO GROWTH.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 36069 Sequence 1
Computer Entry Date 30/11/1984
Date Reported 05/11/1984
Age : 3 MONTHS Sex MALE Height
Weight 5 Date Of Onset 16/10/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS STERILE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/10/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 36132 Sequence 1
Computer Entry Date 30/11/1984
Date Reported 06/11/1984
Age : 13 MONTHS Sex FEMALE Height
Weight Date Of Onset 11/10/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PURPURA
Included Term : PURPURIC RASH
FEVER
RHINITIS
Included Term : RHINNORRHOEA
PHARYNGITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES VIRUS VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 03/10/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:58 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 36295 Sequence 1
Computer Entry Date 30/11/1984
Date Reported 27/11/1984
Age Code AD - Adult Sex MALE Height
Weight Date Of Onset 23/11/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 36403 Sequence 1
Computer Entry Date 31/12/1984
Date Reported 22/11/1984
Age : 4 MONTHS Sex MALE Height 51
Weight 4 Date Of Onset 22/11/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
STRIDOR
BRONCHOSPASM
Included Term : WHEEZING
FEVER
PALLOR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 22/11/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 1 FEVER TO 39 C
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 36507 Sequence 1
Computer Entry Date 31/12/1984
Date Reported 12/12/1984
Age : 41 YEARS Sex FEMALE Height 152
Weight 60 Date Of Onset 10/12/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
PROMETHAZINE AND CALAMINE GIVEN.
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PNEUMOVAX S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/12/1984 AND CONTINUED
HEPARIN SODIUM S INJECTION 15.0 KU
DAILY INTRAVENOUS
DRUG ADMINISTRATION BEGAN 07/12/1984 AND CEASED 12/12/1984
ICD Code : OTHER PROPHYLACTIC PROCEDURES
THIOPENTONE SODIUM S
ALCURONIUM CHLORIDE S
FENTANYL CITRATE S
SCOLINE S
TEMAZEPAM O CAPSULE 10.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 05/12/1984 AND CONTINUED
ICD Code : SPECIFIC DISORDERS OF SLEEP
PHENERGAN O TABLET 75.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 10/12/1984 AND CONTINUED
ICD Code : OTHER PURITIS CONDITIONS
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 36514 Sequence 1
Computer Entry Date 31/12/1984
Date Reported 11/12/1984
Age : 34 YEARS Sex MALE Height
Weight Date Of Onset 30/11/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN STEMETIL
GIVEN.
NAUSEA
SWEATING INCREASED
Included Term : SWEATS
HEPATIC FUNCTION ABNORMAL
Included Term : ABNORMAL LFT'S
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/11/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
BIOCHEMISTRY
Lab Normal Range :
0 1 LFT'S ALT GGT ALK PHOS
30/11/84 92 27 80
10/12/84 113 26 68
15/01/85 100 30 75
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 36557 Sequence 1
Computer Entry Date 31/12/1984
Date Reported 06/12/1984
Age : 8 MONTHS Sex MALE Height
Weight 10 Date Of Onset 17/09/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS
INJECTION SITE ABSCESS
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 2.0 DF
TOTAL INTRAVENOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 36558 Sequence 1
Computer Entry Date 31/12/1984
Date Reported 21/12/1984
Age : 42 YEARS Sex FEMALE Height 160
Weight 105 Date Of Onset 14/12/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
Included Term : OEDEMA,ERYTHEMATOUS
INJECTION SITE PAIN
Included Term : PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 14/12/1984
MODURETIC O TABLET 1.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/00/1982 AND CONTINUED
ICD Code : ESSENTIAL BENIGN HYPERTENSION
TRANDATE O TABLET 2.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/00/1983 AND CONTINUED
ICD Code : ESSENTIAL BENIGN HYPERTENSION
MYCOSTATIN O TABLET 6.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 14/12/1984
ICD Code : VAGINITIS&VULVITIS
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 36559 Sequence 1
Computer Entry Date 31/12/1984
Date Reported 21/12/1984
Age : 71 YEARS Sex FEMALE Height 155
Weight 52 Date Of Onset 06/12/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
PHENERGAN 25MG 1 DF NIGHT.
Included Term : ERYTHEMA,OEDEMA,PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 06/12/1983
CLINORIL O TABLET 3.0 DF
DAILY PER ORAL
ICD Code : UNSPECIFIED ARTHRITIS
MURELAX O TABLET 15.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 06/12/1984 AND CEASED 08/12/1984
TOFRANIL O TABLET 2.0 DF
DAILY PER ORAL
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 36918 Sequence 1
Computer Entry Date 31/01/1985
Date Reported 07/01/1985
Age : 70 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PNEUMOCOCCAL VACCINE S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/12/1984
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 36965 Sequence 1
Computer Entry Date 31/01/1985
Date Reported 29/01/1985
Age : 22 YEARS Sex FEMALE Height 165
Weight 63 Date Of Onset 25/01/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FACE OEDEMA
Included Term : FACIAL SWELLING
OEDEMA
RASH MACULO-PAPULAR
Included Term : MACULO-PAPULAR RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID CHOLERA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/01/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 36977 Sequence 1
Computer Entry Date 31/01/1985
Date Reported 24/01/1985
Age : 15 YEARS Sex MALE Height 170
Weight 57 Date Of Onset 22/01/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
TREMOR INJ
PROMETHAZINE 25 MG IM.
Included Term : SHAKING
HYPERTENSION
Included Term : RISE IN BLOOD PRESSURE
TACHYCARDIA
Included Term : RISE IN PULSE RATE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/01/1985
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 36978 Sequence 1
Computer Entry Date 31/01/1985
Date Reported 19/01/1985
Age : 54 YEARS Sex FEMALE Height 158
Weight 63 Date Of Onset 15/01/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION ZADINE
1MG BD.
Included Term : LEFT ARM SWELLED UP
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/01/1985
ICD Code : OTHER PROPHYLACTIC PROCEDURES
BACTRIM DS O TABLET 2.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 15/01/1985
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 37023 Sequence 1
Computer Entry Date 28/02/1985
Date Reported 29/01/1985
Age : 18 MONTHS Sex FEMALE Height
Weight 11 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MORBILLIFORM PANADOL
GIVEN.
FEVER
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 37047 Sequence 1
Computer Entry Date 28/02/1985
Date Reported 01/02/1985
Age : 14 MONTHS Sex FEMALE Height
Weight Date Of Onset 30/01/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
PHENERGAN GIVEN.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 30/01/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 37050 Sequence 1
Computer Entry Date 28/02/1985
Date Reported 31/01/1985
Age Sex FEMALE Height
Weight Date Of Onset 28/01/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
INJECTION SITE MASS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 24/01/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 37076 Sequence 1
Computer Entry Date 28/02/1985
Date Reported 07/02/1985
Age : 44 YEARS Sex FEMALE Height
Weight Date Of Onset 08/08/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
MALAISE
Included Term : INCREASING MALAISE
PALLOR
NAUSEA
RIGORS
Included Term : SHIVERING
SWEATING INCREASED
Included Term : PROFUSE PERSPIRATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/08/1984
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 37111 Sequence 1
Computer Entry Date 28/02/1985
Date Reported 11/02/1985
Age : 3 MONTHS Sex FEMALE Height
Weight Date Of Onset 09/12/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS ABSCESS
INCISED - PUS ++ EXPRESSED. AMOXIL GIVEN.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 05/12/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 37112 Sequence 1
Computer Entry Date 28/02/1985
Date Reported 11/02/1985
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 21/01/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS
OBSERVATION PLUS LOCAL HEAT.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 21/01/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 37190 Sequence 1
Computer Entry Date 28/02/1985
Date Reported 01/02/1985
Age : 25 YEARS Sex MALE Height 178
Weight 82 Date Of Onset 25/01/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
METOCLOPRAMIDE FOR VOMITING.
NAUSEA
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/01/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
INDERAL O TABLET 40.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/00/1982
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 37274 Sequence 1
Computer Entry Date 28/02/1985
Date Reported 19/02/1985
Age : 4 MONTHS Sex MALE Height 56
Weight 5 Date Of Onset 15/12/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS DRAINAGE
AND AMOXYCILLIN.
Included Term : DELTOID ABSCESS
INJECTION SITE ABSCESS
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/12/1984
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 37282 Sequence 1
Computer Entry Date 28/02/1985
Date Reported 11/02/1985
Age : 17 MONTHS Sex MALE Height
Weight 12 Date Of Onset 00/02/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE MASS
OBSERVED.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 01/02/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 37367 Sequence 1
Computer Entry Date 31/03/1985
Date Reported 23/02/1985
Age : 43 YEARS Sex FEMALE Height 158
Weight 56 Date Of Onset 19/02/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
PHENERGAN AND AMOXIL
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 18/02/1985
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 37398 Sequence 1
Computer Entry Date 31/03/1985
Date Reported 25/02/1985
Age : 2 MONTHS Sex MALE Height
Weight 5 Date Of Onset 26/01/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE MASS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 26/01/1985
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 37493 Sequence 1
Computer Entry Date 31/03/1985
Date Reported 05/03/1985
Age : 3 MONTHS Sex MALE Height
Weight Date Of Onset 20/02/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SYSTEMIC
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 37559 Sequence 1
Computer Entry Date 31/03/1985
Date Reported 21/02/1985
Age : 48 YEARS Sex FEMALE Height 168
Weight 65 Date Of Onset 20/02/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION ZADINE
GIVEN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 14/02/1985
ICD Code : OTHER PROPHYLACTIC PROCEDURES
SINEQUAN O CAPSULE 50.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 04/02/1985 AND CONTINUED
ICD Code : DEPRESSION
NORMISON O CAPSULE 1.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 14/01/1985
ICD Code : SPECIFIC DISORDERS OF SLEEP
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 37578 Sequence 1
Computer Entry Date 31/03/1985
Date Reported 14/03/1985
Age : 48 YEARS Sex FEMALE Height 158
Weight 57 Date Of Onset 12/03/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE MASS
Included Term : ERYTHEMATOUS MASS AT INJECTION SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/03/1985
AMOXIL O
DRUG ADMINISTRATION BEGAN 28/02/1985 AND CEASED 05/03/1985
ICD Code : OTHR DISEASES OF URINARY TRACT
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 37668 Sequence 1
Computer Entry Date 31/03/1985
Date Reported 27/03/1985
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SYSTEMIC
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 37798 Sequence 1
Computer Entry Date 30/04/1985
Date Reported 04/04/1985
Age : 5 MONTHS Sex FEMALE Height 64
Weight 7 Date Of Onset 03/04/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PERSONALITY DISORDER
Included Term : PERSISTENT SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
TOTAL INTRAVENOUS
DRUG ADMINISTRATION BEGAN 03/04/1985
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 37828 Sequence 1
Computer Entry Date 30/04/1985
Date Reported 09/04/1985
Age : 22 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
Included Term : MACULOPAPULAR ERUPTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 DF
2 TIMES INTRAMUSCULAR
ICD Code : OTHER PROPHYLACTIC PROCEDURES
BIPHASIL O
ICD Code : CONTRACEPTION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 37844 Sequence 1
Computer Entry Date 30/04/1985
Date Reported 22/03/1985
Age : 18 MONTHS Sex MALE Height
Weight 10 Date Of Onset 18/03/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION PANADOL
GIVEN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 18/03/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 37867 Sequence 1
Computer Entry Date 30/04/1985
Date Reported 18/04/1985
Age : 40 YEARS Sex FEMALE Height 173
Weight 68 Date Of Onset 05/04/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
ANTIHISTAMINES (OF NO EFFECT)
MALAISE
FATIGUE
Included Term : LETHARGY
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 37868 Sequence 1
Computer Entry Date 30/04/1985
Date Reported 18/04/1985
Age : 5 YEARS Sex FEMALE Height 117
Weight 20 Date Of Onset 05/04/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
ANTIHISTAMINES (OF NO EFFECT)
MALAISE
FATIGUE
Included Term : LETHARGY
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 37907 Sequence 1
Computer Entry Date 30/04/1985
Date Reported 15/04/1985
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 25/01/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS REACTION
RESOLVED 6-7WEEKS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/01/1985
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 37939 Sequence 1
Computer Entry Date 30/04/1985
Date Reported 16/04/1985
Age : 3 YEARS Sex FEMALE Height
Weight 13 Date Of Onset 19/03/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING RESOLVED
SPONTANEOUSLY.
HAEMATEMESIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S DROPS 2.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 19/03/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 5.0 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 19/03/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 37999 Sequence 1
Computer Entry Date 30/04/1985
Date Reported 19/04/1985
Age : 43 YEARS Sex FEMALE Height 163
Weight 60 Date Of Onset 12/04/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.1 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/04/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PHENERGAN O
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38000 Sequence 1
Computer Entry Date 30/04/1985
Date Reported 18/04/1985
Age : 2 YEARS Sex MALE Height
Weight Date Of Onset 12/12/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OPTIC ATROPHY TREATED
BY NEUROLOGIST WITH PREDNISOLONE, CONDITION ARRESTED
NEURITIS CRANIAL
PAPILLOEDEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 0.2 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/12/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38038 Sequence 1
Computer Entry Date 30/04/1985
Date Reported 22/04/1985
Age : 3 MONTHS Sex MALE Height
Weight Date Of Onset 21/04/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/04/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38111 Sequence 1
Computer Entry Date 31/05/1985
Date Reported 30/04/1985
Age : 4 MONTHS Sex MALE Height 64
Weight 7 Date Of Onset 22/04/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38116 Sequence 1
Computer Entry Date 31/05/1985
Date Reported 26/04/1985
Age : 15 MONTHS Sex MALE Height
Weight 9 Date Of Onset 12/08/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 00/08/1984
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38124 Sequence 1
Computer Entry Date 31/05/1985
Date Reported 26/04/1985
Age : 18 MONTHS Sex MALE Height
Weight 12 Date Of Onset 26/04/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 0.5 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/04/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38177 Sequence 1
Computer Entry Date 31/05/1985
Date Reported 02/05/1985
Age Sex MALE Height
Weight Date Of Onset 27/04/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PARACETAMOL GIVEN. REACTION SETTLED WITHIN 24HRS.
Included Term : FEBRILE REACTION
RIGORS
MYALGIA
MENINGITIS-LIKE REACTION
Included Term : MENINGISM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
VAXIGRIP S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/04/1985
ICD Code : INFLUENZA,UNQUALIFIED
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 1 FEVER-40 DEG.CELCIUS
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38265 Sequence 1
Computer Entry Date 31/05/1985
Date Reported 10/05/1985
Age : 3 YEARS Sex MALE Height
Weight Date Of Onset 28/04/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT
SALIVARY GLAND PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MUMPSVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 17/04/1985
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38302 Sequence 1
Computer Entry Date 31/05/1985
Date Reported 08/05/1985
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 11/02/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
Drug Administration Ceased 09/02/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38307 Sequence 1
Computer Entry Date 31/05/1985
Date Reported 10/05/1985
Age : 69 YEARS Sex MALE Height 176
Weight 79 Date Of Onset 09/05/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS IMMUNOGLOBULIN S INJECTION 250.0 UT
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/05/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 08/05/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
AMOXIL O 750.0 MG
DAILY
ICD Code : OTR&NOS INFEC&PARASIT DISEASES
DYMADON O TABLET
PER ORAL
ICD Code : OTHER DISTURBANCE OF SENSATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38308 Sequence 1
Computer Entry Date 31/05/1985
Date Reported 07/05/1985
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset 06/05/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ERYTHEMA NODOSUM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 26/04/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38332 Sequence 1
Computer Entry Date 31/05/1985
Date Reported 17/04/1985
Age : 30 YEARS Sex MALE Height 166
Weight 74 Date Of Onset 02/03/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SOMNOLENCE
RECOVERED 12HRS LATER
Included Term : DROWSY
COMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 02/03/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38356 Sequence 1
Computer Entry Date 31/05/1985
Date Reported 31/05/1985
Age : 0 WEEKS Sex MALE Height
Weight 7 Date Of Onset 16/05/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS
SEQUELEA-MUCH SETTLED AFTER 10DAYS BUT MASS REMAINS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/04/1985
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38383 Sequence 1
Computer Entry Date 31/05/1985
Date Reported 17/05/1985
Age : 11 YEARS Sex MALE Height
Weight Date Of Onset 07/05/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE MAXOLON
GIVEN.
Included Term : FAINTED
VOMITING
URINARY INCONTINENCE
Included Term : PASSED URINE
ABDOMINAL PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 07/05/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38392 Sequence 1
Computer Entry Date 31/05/1985
Date Reported 23/05/1985
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 28/03/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE MASS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38397 Sequence 1
Computer Entry Date 31/05/1985
Date Reported 23/05/1985
Age : 70 YEARS Sex MALE Height 173
Weight 70 Date Of Onset 07/05/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONSCIOUSNESS FLUCTUATING HOSPITAL
ADMISSION AND OBSERVATION.
Included Term : DIMINISHED CONSCIOUSNESS
ATAXIA
COORDINATION ABNORMAL
Included Term : DYSDIADOCHOKINESIS
VERTIGO
HEADACHE
Included Term : HEADACHE,NECK PAIN
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 07/05/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
RHUSAL S TABLET 2.6 GM
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 07/05/1985 AND CEASED 08/05/1985
ICD Code : PHLEB&THROMBOPH,OTR&UNSP SITES
BRUFEN S TABLET 1.2 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 07/05/1985 AND CEASED 08/05/1985
ICD Code : PHLEB&THROMBOPH,OTR&UNSP SITES
LASIX O 40.0 MG
DAILY
ICD Code : ACUTE MYOCARD INFARC,NO HYPERT
MIDAMOR O 5.0 MG
DAILY
ICD Code : ACUTE MYOCARD INFARC,NO HYPERT
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38403 Sequence 1
Computer Entry Date 31/05/1985
Date Reported 22/05/1985
Age : 2 MONTHS Sex MALE Height 53
Weight 5 Date Of Onset 13/05/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS ABSCESS
PRICKED AND EXPRESSED. TREATED COINCIDENTALLY FOR
ERYTHROM
YCIN.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 30/04/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38417 Sequence 1
Computer Entry Date 31/05/1985
Date Reported 23/05/1985
Age : 18 MONTHS Sex FEMALE Height
Weight Date Of Onset 06/02/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
PARACETAMOL GIVEN.
Included Term : CONVULSION FEBRILE
APNOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 27/01/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 1 FEVER-42 DEGREES CELSIUS.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38418 Sequence 1
Computer Entry Date 31/05/1985
Date Reported 23/05/1985
Age : 18 MONTHS Sex FEMALE Height
Weight Date Of Onset 06/02/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
PARACETAMOL GIVEN.
Included Term : CONVULSION FEBRILE
APNOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 27/01/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 1 FEVER-42 DEGREES CELSIUS.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38419 Sequence 1
Computer Entry Date 31/05/1985
Date Reported 23/05/1985
Age : 18 MONTHS Sex FEMALE Height
Weight Date Of Onset 06/02/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
PARACETAMOL GIVEN.
Included Term : CONVULSION FEBRILE
APNOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 27/01/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 1 FEVER- 42 DEGREES CELSIUS
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38445 Sequence 1
Computer Entry Date 31/05/1985
Date Reported 06/05/1985
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38513 Sequence 1
Computer Entry Date 30/06/1985
Date Reported 31/05/1985
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ENCEPHALOPATHY
Included Term : ENCEPHALITIS
DEATH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 1 SEE ORIGINAL REPORT FOR AUTOPSY REPORT.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : DEATH AS REACTION
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38515 Sequence 1
Computer Entry Date 30/06/1985
Date Reported 27/05/1985
Age : 40 YEARS Sex MALE Height 174
Weight 75 Date Of Onset 27/05/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION PATIENT
TOOK VEGININ FOR PAIN.
ATAXIA
TINNITUS
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/05/1985
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38522 Sequence 1
Computer Entry Date 30/06/1985
Date Reported 03/06/1985
Age : 41 YEARS Sex FEMALE Height 168
Weight 60 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/05/1985
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38626 Sequence 1
Computer Entry Date 30/06/1985
Date Reported 13/06/1985
Age : 5 YEARS Sex FEMALE Height
Weight Date Of Onset 07/02/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE MASS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38634 Sequence 1
Computer Entry Date 30/06/1985
Date Reported 19/06/1985
Age : 5 MONTHS Sex Height
Weight 6 Date Of Onset 18/06/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
TOTAL INTRAVENOUS
DRUG ADMINISTRATION BEGAN 17/06/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38655 Sequence 1
Computer Entry Date 30/06/1985
Date Reported 14/06/1985
Age : 48 YEARS Sex FEMALE Height 158
Weight 57 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
RIGORS
ARTHRALGIA
ARTHROPATHY
FEVER
HYPERTONIA
Included Term : STIFF NECK
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 12/05/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CHOLERA VACCINE S INJECTION 1.0 DF
1 TIME INTRAVENOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38655 Sequence 2
Computer Entry Date 28/02/1986
Date Reported 29/11/1985
Age : 48 YEARS Sex FEMALE Height 158
Weight 55 Date Of Onset 16/06/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE SOLCODE
GIVEN
FEVER
RIGORS
HYPERTONIA
Included Term : STIFF NECK
OEDEMA
RASH
ARTHRALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/06/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CHOLERA VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/06/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38699 Sequence 1
Computer Entry Date 30/06/1985
Date Reported 20/06/1985
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset 14/06/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38724 Sequence 1
Computer Entry Date 30/06/1985
Date Reported 29/05/1985
Age : 21 MONTHS Sex MALE Height
Weight Date Of Onset 28/05/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES CALAMINE
LOTION APPLIED. SEPTRIN GIVEN.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/05/1985
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38725 Sequence 1
Computer Entry Date 30/06/1985
Date Reported 18/06/1985
Age : 14 YEARS Sex MALE Height
Weight Date Of Onset 06/06/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/06/1985
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 1 TEMP 42DEG.CEL.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38726 Sequence 1
Computer Entry Date 30/06/1985
Date Reported 20/06/1985
Age : 2 MONTHS Sex FEMALE Height 82
Weight 11 Date Of Onset 19/06/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/06/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38737 Sequence 1
Computer Entry Date 30/06/1985
Date Reported 29/06/1985
Age Code AD - Adult Sex FEMALE Height
Weight Date Of Onset 31/01/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S INJECTION 1.0 DF
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 29/01/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38740 Sequence 1
Computer Entry Date 30/06/1985
Date Reported 27/05/1985
Age Code AC - Child Sex MALE Height
Weight Date Of Onset 08/11/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ATTENUVAX S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/11/1984
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38741 Sequence 1
Computer Entry Date 30/06/1985
Date Reported 27/05/1985
Age Code AC - Child Sex Height
Weight Date Of Onset 08/11/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ATTENUVAX S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/11/1984
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38742 Sequence 1
Computer Entry Date 30/06/1985
Date Reported 27/05/1985
Age Code AC - Child Sex MALE Height
Weight Date Of Onset 08/11/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ATTENUVAX S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/11/1984
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38742 Sequence 2
Computer Entry Date 30/06/1985
Date Reported 27/05/1985
Age Code AC - Child Sex MALE Height
Weight Date Of Onset 29/11/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ATTENUVAX S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/11/1984
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38743 Sequence 1
Computer Entry Date 30/06/1985
Date Reported 27/05/1985
Age Code AC - Child Sex MALE Height
Weight Date Of Onset 12/11/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ATTENUVAX S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/11/1984
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38744 Sequence 1
Computer Entry Date 30/06/1985
Date Reported 27/05/1985
Age Code AC - Child Sex FEMALE Height
Weight Date Of Onset 06/11/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ATTENUVAX S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/11/1984
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38744 Sequence 2
Computer Entry Date 30/06/1985
Date Reported 27/05/1985
Age Code AC - Child Sex FEMALE Height
Weight Date Of Onset 12/11/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ATTENUVAX S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/11/1984
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38745 Sequence 1
Computer Entry Date 30/06/1985
Date Reported 27/05/1985
Age Code AC - Child Sex Height
Weight Date Of Onset 20/11/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ATTENUVAX S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/11/1984
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38746 Sequence 1
Computer Entry Date 30/06/1985
Date Reported 27/05/1985
Age Code AC - Child Sex Height
Weight Date Of Onset 27/11/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ATTENUVAX S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/11/1984
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38968 Sequence 1
Computer Entry Date 31/07/1985
Date Reported 13/07/1985
Age : 33 YEARS Sex FEMALE Height 165
Weight 48 Date Of Onset 10/07/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
ANTIHISTAMINES, PREDNISONE.
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 06/07/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CHOLERA VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 06/07/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38988 Sequence 1
Computer Entry Date 31/07/1985
Date Reported 16/07/1985
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
Included Term : VOMITED
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 38989 Sequence 1
Computer Entry Date 31/07/1985
Date Reported 16/07/1985
Age : 4 MONTHS Sex Height
Weight Date Of Onset 09/05/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
EMOTIONAL LABILITY PANADOL
SOL 2 ORALLY WAS GIVEN.
Included Term : SCREAMING INCREASED
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/05/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 39030 Sequence 1
Computer Entry Date 31/07/1985
Date Reported 20/06/1985
Age : 47 YEARS Sex MALE Height 178
Weight 73 Date Of Onset 19/06/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ALLERGIC REACTION
Included Term : ALLERGIC REACTION R UPPER ARM
PRURITUS
Included Term : ITCHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/06/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CILICAINE VK S 2.0 GM
DAILY
DRUG ADMINISTRATION BEGAN 13/06/1985 AND CEASED 18/06/1985
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 39036 Sequence 1
Computer Entry Date 31/07/1985
Date Reported 18/07/1985
Age : 33 MONTHS Sex FEMALE Height 90
Weight 14 Date Of Onset 18/07/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT
Included Term : PAROTID SWELLING - UNILATERAL
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 04/07/1985
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 39042 Sequence 1
Computer Entry Date 31/07/1985
Date Reported 11/07/1985
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 20/06/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHADENOPATHY
Included Term : SWOLLEN GLANDS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 20/06/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 39043 Sequence 1
Computer Entry Date 31/07/1985
Date Reported 11/07/1985
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 20/06/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHADENOPATHY
Included Term : SWOLLEN GLANDS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 20/06/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 39044 Sequence 1
Computer Entry Date 31/07/1985
Date Reported 11/07/1985
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 27/06/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA PERIPHERAL
Included Term : SWOLLEN RIGHT ARM
ARTHRALGIA
PARAESTHESIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 27/06/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 39045 Sequence 1
Computer Entry Date 31/07/1985
Date Reported 11/07/1985
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 29/06/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SKIN NODULE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 28/06/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 39046 Sequence 1
Computer Entry Date 31/07/1985
Date Reported 11/07/1985
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 26/06/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ATAXIA
Included Term : UNSTEADINESS OF LEGS
ARTHRALGIA
Included Term : PAINFUL KNEES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 26/06/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 39047 Sequence 1
Computer Entry Date 31/07/1985
Date Reported 11/07/1985
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 24/06/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHADENOPATHY
Included Term : GLANDULAR FEVER-LIKE SYMPTOMS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 24/06/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 39048 Sequence 1
Computer Entry Date 31/07/1985
Date Reported 11/07/1985
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 26/06/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES
Included Term : RUBELLA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 24/06/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 39049 Sequence 1
Computer Entry Date 31/07/1985
Date Reported 11/07/1985
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 21/06/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHADENOPATHY
Included Term : SWOLLEN GLANDS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 20/06/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 39050 Sequence 1
Computer Entry Date 31/07/1985
Date Reported 25/07/1985
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 20/06/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
LYMPHADENOPATHY
Included Term : SWOLLEN GLANDS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 20/06/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 39072 Sequence 1
Computer Entry Date 31/07/1985
Date Reported 07/07/1985
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 01/04/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS STERILE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
2 TIMES INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 39084 Sequence 1
Computer Entry Date 31/07/1985
Date Reported 23/07/1985
Age : 63 YEARS Sex FEMALE Height
Weight 62 Date Of Onset 19/06/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANGIOEDEMA
PREDNISONE.
Included Term : ANGIONEUROTIC OEDEMA
PRURITUS
Included Term : ITCH
DERMATITIS
Included Term : PAPULAR DERMATITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 31/05/1985
ICD Code : INFLUENZA,UNQUALIFIED
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 39087 Sequence 1
Computer Entry Date 31/07/1985
Date Reported 25/07/1985
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 39168 Sequence 1
Computer Entry Date 31/08/1985
Date Reported 03/08/1985
Age : 30 YEARS Sex FEMALE Height
Weight Date Of Onset 12/07/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS REST.
NAPROSYN GIVEN.
Included Term : MONO ARTHRITIS ANKLE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 04/06/1985
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 39198 Sequence 1
Computer Entry Date 31/08/1985
Date Reported 08/08/1985
Age : 8 MONTHS Sex MALE Height
Weight Date Of Onset 08/04/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
ANTIBIOTICS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 03/04/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 39208 Sequence 1
Computer Entry Date 31/08/1985
Date Reported 13/08/1985
Age : 21 MONTHS Sex FEMALE Height
Weight Date Of Onset 08/02/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
OEDEMA PERIORBITAL
Included Term : EYELID OEDEMA
FEVER
PRURITUS
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 07/02/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 39260 Sequence 1
Computer Entry Date 31/08/1985
Date Reported 12/08/1985
Age : 54 YEARS Sex Height
Weight 75 Date Of Onset 02/08/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Included Term : LOCAL REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS IMMUNOGLOBULIN S INJECTION 250.0 UT
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 31/07/1985
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 39283 Sequence 1
Computer Entry Date 31/08/1985
Date Reported 19/08/1985
Age Sex FEMALE Height
Weight Date Of Onset 15/08/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION
SUBCUTANEOUS
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 39363 Sequence 1
Computer Entry Date 30/09/1985
Date Reported 27/08/1985
Age : 35 YEARS Sex MALE Height 188
Weight 101 Date Of Onset 13/08/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
TENOSYNOVITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID CHOLERA VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 08/08/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 39417 Sequence 1
Computer Entry Date 30/09/1985
Date Reported 28/08/1985
Age : 35 YEARS Sex FEMALE Height
Weight Date Of Onset 28/12/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA ORAL
ANTIHISTAMINES GIVEN
Included Term : URTICARIAL REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S INJECTION 1.0 ML
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/11/1984 AND CEASED 24/12/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
THYROXINE SODIUM O 200.0 RG
DAILY
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 39418 Sequence 1
Computer Entry Date 30/09/1985
Date Reported 28/08/1985
Age Sex FEMALE Height
Weight Date Of Onset 00/07/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA
Included Term : SORE ARM
RIGORS
Included Term : SHIVERING
ARTHRALGIA
Included Term : JOINT PAINS
NAUSEA
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S INJECTION 1.0 ML
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/07/1985 AND CEASED 00/07/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 39426 Sequence 1
Computer Entry Date 30/09/1985
Date Reported 04/09/1985
Age : 9 WEEKS Sex FEMALE Height
Weight 5 Date Of Onset 02/09/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
TWITCHING ORAL
PHENOBARBITONE
DYSKINESIA
Included Term : NODDING OF HEAD
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/09/1985 AND CEASED 02/09/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 39493 Sequence 1
Computer Entry Date 30/09/1985
Date Reported 13/09/1985
Age : 16 MONTHS Sex FEMALE Height
Weight Date Of Onset 10/08/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER ADMITTED
TO HOSP FOR 24 HOURS ONLY. TREATED WITH PANADOL AN
CONVULSIONS
Included Term : CONVULSION, 10 MINUTES.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S
DRUG ADMINISTRATION BEGAN 31/07/1985
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 39523 Sequence 1
Computer Entry Date 30/09/1985
Date Reported 17/09/1985
Age : 65 YEARS Sex FEMALE Height 163
Weight 57 Date Of Onset 13/09/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DEPRESSION
Included Term : DEPRESSED
CONFUSION
Included Term : CONFUSED
ARTHROSIS
Included Term : STIFF IN NECK AND JAW
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 13/09/1985 AND CEASED 13/09/1985
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 39613 Sequence 1
Computer Entry Date 30/09/1985
Date Reported 26/09/1985
Age : 62 YEARS Sex MALE Height
Weight Date Of Onset 00/11/1984
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE STEROIDS
GIVEN
SWEATING INCREASED
Included Term : SWEATS
OPTIC NEURITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S INJECTION
INTRAMUSCULAR
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range :
0 1 CSF PLEOCYTOSIS 20 WHITE CELLS/CM2
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 39664 Sequence 1
Computer Entry Date 31/10/1985
Date Reported 04/10/1985
Age : 12 MONTHS Sex MALE Height 75
Weight 8 Date Of Onset 21/06/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DEATH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 07/06/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : DEATH AS REACTION
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 39681 Sequence 1
Computer Entry Date 31/10/1985
Date Reported 14/10/1985
Age : 22 YEARS Sex FEMALE Height
Weight 75 Date Of Onset 31/08/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA PERIORBITAL IM
PHENERGAN 25MG 1/9/85 STAT. S/C ADRENALIN 0.5ML S/C 1/
Included Term : PERIORBITAL OEDEMA OVER 5
MINUTES
LARYNX OEDEMA
Included Term : THROAT SWOLLEN
URTICARIA
TONGUE OEDEMA
Included Term : SWOLLEN TONGUE
STOMATITIS ULCERATIVE
Included Term : ULCERS IN MOUTH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S 1.0 DF
TOTAL
Drug Administration Ceased 29/08/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CAPADEX O
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 40045 Sequence 1
Computer Entry Date 31/10/1985
Date Reported 17/10/1985
Age : 37 YEARS Sex FEMALE Height 163
Weight 65 Date Of Onset 06/09/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
LYMPHADENOPATHY
ANOREXIA
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S INJECTION 1.0 ML
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/09/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 40083 Sequence 1
Computer Entry Date 30/11/1985
Date Reported 30/10/1985
Age : 23 MONTHS Sex FEMALE Height
Weight Date Of Onset 19/10/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH BACTRIM
SUSPENSION COMMENCED 291085, RECOVERED ABOUT 7 DAYS
FEVER
RHINITIS
Included Term : RHINORRHOEA
PHARYNGITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S
DRUG ADMINISTRATION BEGAN 17/10/1985
TRIPLE ANTIGEN S
DRUG ADMINISTRATION BEGAN 17/10/1985
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 40167 Sequence 1
Computer Entry Date 30/11/1985
Date Reported 04/11/1985
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 04/09/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS
PERSISTING SMALL (<1CM) NON TENDER INDUCTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 28/08/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 40191 Sequence 1
Computer Entry Date 31/12/1985
Date Reported 06/11/1985
Age : 15 MONTHS Sex MALE Height
Weight Date Of Onset 22/09/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ATAXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 16/09/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 40215 Sequence 1
Computer Entry Date 30/11/1985
Date Reported 14/11/1985
Age : 5 MONTHS Sex MALE Height
Weight 8 Date Of Onset 30/10/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ERYTHEMA MULTIFORME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
SABIN VACCINE S
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 40392 Sequence 1
Computer Entry Date 30/11/1985
Date Reported 20/11/1985
Age : 48 YEARS Sex FEMALE Height
Weight 65 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
TOTAL INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 40419 Sequence 1
Computer Entry Date 30/11/1985
Date Reported 24/11/1985
Age : 15 MONTHS Sex MALE Height
Weight Date Of Onset 24/11/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT
Included Term : PAROTITIS
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/11/1985
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 40666 Sequence 1
Computer Entry Date 31/12/1985
Date Reported 12/12/1985
Age : 43 YEARS Sex MALE Height 175
Weight 67 Date Of Onset 12/04/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SINUSITIS
LARYNGITIS
BRONCHITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 10/04/1985
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 40726 Sequence 1
Computer Entry Date 31/12/1985
Date Reported 18/12/1985
Age : 8 WEEKS Sex MALE Height
Weight Date Of Onset 14/08/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
OBSERVATION, LATER PHYSIOTHERAPY.
Included Term : BRACHIAL NERVE PALSY, LEFT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 12/08/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O SOLUTION 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 12/08/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 40750 Sequence 1
Computer Entry Date 31/01/1986
Date Reported 30/12/1985
Age : 15 MONTHS Sex FEMALE Height 78
Weight 9 Date Of Onset 28/12/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : FEBRILE REACTION
RASH MORBILLIFORM
Included Term : MORBILLIFORM RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S
Drug Administration Ceased 19/12/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 40806 Sequence 1
Computer Entry Date 31/01/1986
Date Reported 19/12/1985
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 29/10/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR
Included Term : PALE
CYANOSIS
Included Term : ORAL CYANOSIS
COMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.1 ML
1 TIME
DRUG ADMINISTRATION BEGAN 29/10/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 40809 Sequence 1
Computer Entry Date 31/01/1986
Date Reported 09/01/1986
Age : 70 YEARS Sex FEMALE Height 159
Weight 55 Date Of Onset 20/12/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
VOMITING
HEADACHE
CONSTIPATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MONIARIX S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/12/1985 AND CEASED 19/12/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DONNATAB S 2.0 DF
DAILY
DRUG ADMINISTRATION BEGAN 20/12/1985 AND CEASED 23/12/1985
TOFRANIL S 25.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 20/12/1985 AND CEASED 23/12/1985
URISPAS S 3.0 DF
DAILY
DRUG ADMINISTRATION BEGAN 20/12/1985 AND CEASED 23/12/1985
BRUFEN S 1.2 GM
DAILY
DRUG ADMINISTRATION BEGAN 15/12/1985 AND CEASED 23/12/1985
MINIPRESS O TABLET 1.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/00/1981
LANOXIN O TABLET 250.0 RG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/00/1984
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 41161 Sequence 1
Computer Entry Date 28/02/1986
Date Reported 13/02/1986
Age : 33 YEARS Sex FEMALE Height 168
Weight 59 Date Of Onset 30/07/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHADENOPATHY
Included Term : LYMPHADENOPATHY, OCCIPIT,POST AURIC
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/07/1985
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 1RUBELLA ANTIBODIES <10 PRE CENDEVAX, 20 POST CENDEVAX
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 41262 Sequence 1
Computer Entry Date 28/02/1986
Date Reported 21/02/1986
Age : 55 YEARS Sex FEMALE Height 170
Weight 79 Date Of Onset 15/02/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 14/02/1986
ICD Code : OTR&UNSP INJURY UNSPECIF SITE
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 41269 Sequence 1
Computer Entry Date 28/02/1986
Date Reported 12/02/1986
Age : 13 YEARS Sex MALE Height 137
Weight 35 Date Of Onset 12/02/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
TESTIS DISORDER
TONSILLITIS RX MOXACIN.
Included Term : R.ORCHITIS
FEVER
Included Term : FEBRILE
LYMPHADENOPATHY
PHARYNGITIS
Included Term : TONSILLITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S
DRUG ADMINISTRATION BEGAN 22/01/1986
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 41270 Sequence 1
Computer Entry Date 28/02/1986
Date Reported 21/02/1986
Age : 62 YEARS Sex FEMALE Height 160
Weight 60 Date Of Onset 19/02/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/02/1986
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 41647 Sequence 1
Computer Entry Date 30/04/1986
Date Reported 04/04/1986
Age : 44 YEARS Sex FEMALE Height 160
Weight 63 Date Of Onset 03/04/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Included Term : LOCAL SWELLING INJECTION SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 02/04/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 41702 Sequence 1
Computer Entry Date 30/04/1986
Date Reported 26/03/1986
Age : 18 MONTHS Sex Height
Weight Date Of Onset 26/03/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
Included Term : GIANT URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/03/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 41742 Sequence 1
Computer Entry Date 30/04/1986
Date Reported 09/04/1986
Age : 42 YEARS Sex MALE Height 180
Weight 95 Date Of Onset 03/04/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SOMNOLENCE
CONSERVATIVE
Included Term : DROWSINESS
ARTHRALGIA
Included Term : JOINT PAIN
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/04/1986
ICD Code : MULT OPN WNDS OF OTR&UNSP LOCA
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 41743 Sequence 1
Computer Entry Date 30/04/1986
Date Reported 09/04/1986
Age : 23 YEARS Sex FEMALE Height 163
Weight 60 Date Of Onset 03/04/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
MONITORED AND CONSERVATIVE
ARTHRALGIA
Included Term : JOINT PAIN
FEVER
Included Term : LOW-GRADE FEVER
ARTHROSIS
Included Term : JAW CLICKING
STOMATITIS ULCERATIVE
Included Term : MOUTH ULCERS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/04/1986
ICD Code : MULT OPN WNDS OF OTR&UNSP LOCA
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 41816 Sequence 1
Computer Entry Date 30/04/1986
Date Reported 21/04/1986
Age : 73 YEARS Sex FEMALE Height 163
Weight 65 Date Of Onset 13/04/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
PREDNISONE GIVEN
RASH VESICULAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/04/1986
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 41817 Sequence 1
Computer Entry Date 30/04/1986
Date Reported 22/04/1986
Age : 13 MONTHS Sex FEMALE Height
Weight 9 Date Of Onset 15/04/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
CONJUNCTIVITIS
Included Term : RED EYES
RASH
NERVOUSNESS
Included Term : IRRITABLE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 08/04/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 41921 Sequence 1
Computer Entry Date 31/05/1986
Date Reported 21/04/1986
Age : 66 YEARS Sex FEMALE Height
Weight 49 Date Of Onset 19/04/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 0.5 ML
1 TIME INTRAVENOUS
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 41965 Sequence 1
Computer Entry Date 31/05/1986
Date Reported 06/05/1986
Age : 52 YEARS Sex MALE Height 185
Weight 95 Date Of Onset 20/08/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
HOSPITALISED - IV DECADRON
RIGORS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 DF
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 19/08/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 41966 Sequence 1
Computer Entry Date 31/05/1986
Date Reported 09/05/1986
Age : 56 YEARS Sex FEMALE Height 163
Weight 64 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA VOLTAREN
BD.
F/I
260986 ARTHRALGIA PERSISTED TILL THE END OF JUNE, STILL
RECOVERE
D
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 DF
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 24/02/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 41977 Sequence 1
Computer Entry Date 31/05/1986
Date Reported 14/05/1986
Age : 60 YEARS Sex MALE Height 168
Weight 47 Date Of Onset 19/04/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BULLOUS ERUPTION
Included Term : BLISTERING LESIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 18/04/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42028 Sequence 1
Computer Entry Date 31/05/1986
Date Reported 19/05/1986
Age : 14 MONTHS Sex FEMALE Height
Weight 10 Date Of Onset 17/05/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL.
RASH
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 08/05/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42104 Sequence 1
Computer Entry Date 31/05/1986
Date Reported 12/05/1986
Age : 17 YEARS Sex FEMALE Height 158
Weight 78 Date Of Onset 09/05/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION ANTHISAN
CREAM
Included Term : SWELLING
PRURITUS
Included Term : ITCH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S
Drug Administration Ceased 06/05/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42105 Sequence 1
Computer Entry Date 31/05/1986
Date Reported 15/05/1986
Age : 18 YEARS Sex FEMALE Height 163
Weight 53 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
PRURITUS
Included Term : ITCHINESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S 1.0 ML
1 TIME
DRUG ADMINISTRATION BEGAN 01/05/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42113 Sequence 1
Computer Entry Date 31/05/1986
Date Reported 20/05/1986
Age : 41 YEARS Sex FEMALE Height
Weight Date Of Onset 14/05/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 14/05/1986
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42127 Sequence 1
Computer Entry Date 31/05/1986
Date Reported 20/05/1986
Age : 41 YEARS Sex FEMALE Height 163
Weight 55 Date Of Onset 14/05/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VERTIGO
MALAISE
FEVER
VERTIGO
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42140 Sequence 1
Computer Entry Date 31/05/1986
Date Reported 23/05/1986
Age : 12 MONTHS Sex FEMALE Height
Weight 10 Date Of Onset 22/05/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MORBILLIFORM
Included Term : MORBILLIFORM RASH
FEVER
Included Term : TEMPERATURE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 14/05/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42142 Sequence 1
Computer Entry Date 31/05/1986
Date Reported 20/05/1986
Age : 26 YEARS Sex MALE Height 180
Weight 75 Date Of Onset 14/04/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
SYMPTOMATIC
NAUSEA
ARTHRALGIA
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S
DRUG ADMINISTRATION BEGAN 11/04/1986
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42143 Sequence 1
Computer Entry Date 31/05/1986
Date Reported 20/05/1986
Age : 11 YEARS Sex MALE Height
Weight Date Of Onset 09/05/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANAPHYLACTOID REACTION SC
ADRENALINE 0.3MLS (1 IN 1000)-IMMEDIATE RESPONSE. SEQUEL
Included Term : ACUTE ANAPHYLAXIS BACK OF
HEAD - 24 HOURS HOSPITALIZATION.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 5.0 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/05/1986
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42152 Sequence 1
Computer Entry Date 31/05/1986
Date Reported 20/05/1986
Age : 11 MONTHS Sex MALE Height
Weight Date Of Onset 22/02/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PHOLCODINE LINCTUS GIVEN FOR NASTY DRY COUGH,MAXOLON SYRUP W
Included Term : FEBRILE VOMITING
COUGHING
Included Term : COUGH
VOMITING
DIARRHOEA
RASH MORBILLIFORM
RHINITIS
Included Term : NASAL CONGESTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/02/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42154 Sequence 1
Computer Entry Date 31/05/1986
Date Reported 19/05/1986
Age : 15 MONTHS Sex FEMALE Height
Weight 15 Date Of Onset 00/03/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : FEBRILE ILLNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42159 Sequence 1
Computer Entry Date 31/05/1986
Date Reported 21/05/1986
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset 08/06/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
TESTIS DISORDER
Included Term : ORCHITIS (BILATERAL)
FEVER
RIGORS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 05/06/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42196 Sequence 1
Computer Entry Date 31/05/1986
Date Reported 23/05/1986
Age Code A6 - Sixties Sex MALE Height 170
Weight 60 Date Of Onset 19/05/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH CEASED
AMOXIL. PIRITON,CELESTONE V-CREAM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
AMOXIL S CAPSULE 3.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 19/05/1986 AND CEASED 20/05/1986
ICD Code : OTR&NOS INFEC&PARASIT DISEASES
INFLUENZA VACCINE S INJECTION
INTRAVENOUS
DRUG ADMINISTRATION BEGAN 19/05/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42333 Sequence 1
Computer Entry Date 30/06/1986
Date Reported 19/05/1986
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 08/04/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION PANADOL
4 HOURLY.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/04/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42338 Sequence 1
Computer Entry Date 30/06/1986
Date Reported 19/05/1986
Age : 16 MONTHS Sex MALE Height
Weight Date Of Onset 16/05/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RHINITIS
COUGHING
Included Term : COUGH
RASH MACULO-PAPULAR
Included Term : MEASLES RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S
DRUG ADMINISTRATION BEGAN 09/05/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42362 Sequence 1
Computer Entry Date 30/06/1986
Date Reported 02/06/1986
Age : 26 YEARS Sex FEMALE Height
Weight Date Of Onset 29/04/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
NERVOUSNESS
Included Term : IRRITABILITY
RHINITIS
Included Term : NASAL CONGESTION
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 29/04/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42366 Sequence 1
Computer Entry Date 30/06/1986
Date Reported 20/05/1986
Age : 15 MONTHS Sex MALE Height
Weight Date Of Onset 19/05/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER ERYC
GIVEN FOR BILAT OTITIS MEDIA, DYMADON FOR FEVER.
Included Term : FEBRILE
FATIGUE
Included Term : LETHARGY
OTITIS MEDIA
Included Term : BILATERAL OTITIS MEDIA
RASH MACULO-PAPULAR
Included Term : MEASLES-LIKE RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S
DRUG ADMINISTRATION BEGAN 15/05/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42387 Sequence 1
Computer Entry Date 30/06/1986
Date Reported 31/05/1986
Age : 24 MONTHS Sex FEMALE Height
Weight 12 Date Of Onset 24/05/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
PROMETHAZINE 8MG TDS.
Included Term : URTICARIAL RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CHOLERA VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 23/05/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPHOID VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 23/05/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42454 Sequence 1
Computer Entry Date 30/06/1986
Date Reported 11/06/1986
Age : 22 YEARS Sex MALE Height
Weight Date Of Onset 10/06/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANAPHYLACTIC SHOCK
ADRENALINE, HYDROCORTISONE, PROMETHAZINE AND SALINE DRIP
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42455 Sequence 1
Computer Entry Date 30/06/1986
Date Reported 06/06/1986
Age : 4 MONTHS Sex MALE Height
Weight 7 Date Of Onset 03/06/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HAEMORRHAGE RECTUM
Included Term : BLEEDING PER RECTUM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S SOLUTION 2.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 02/06/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 02/06/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42457 Sequence 1
Computer Entry Date 30/06/1986
Date Reported 14/06/1986
Age : 5 YEARS Sex FEMALE Height
Weight Date Of Onset 28/04/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/04/1986 AND CEASED 26/04/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42458 Sequence 1
Computer Entry Date 30/06/1986
Date Reported 10/06/1986
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset 02/05/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/05/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42459 Sequence 1
Computer Entry Date 30/06/1986
Date Reported 06/06/1986
Age : 33 YEARS Sex FEMALE Height 151
Weight 58 Date Of Onset 03/06/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER REST
ANALGESICS STEMETIL.
VISION ABNORMAL
Included Term : BLURRED VISION
ANOREXIA
VOMITING
RENAL PAIN
Included Term : LOIN PAIN
FEVER
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/04/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/06/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42461 Sequence 1
Computer Entry Date 30/06/1986
Date Reported 11/06/1986
Age : 18 MONTHS Sex MALE Height
Weight 12 Date Of Onset 11/06/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS PANADOL.
Included Term : IRRITABLE
FEVER
Included Term : FEBRILE
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/06/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42485 Sequence 1
Computer Entry Date 30/06/1986
Date Reported 23/06/1986
Age : 25 YEARS Sex FEMALE Height
Weight Date Of Onset 31/07/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION SIMILAR
REACTION TO TETANUS TOXOID
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/07/1985
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42522 Sequence 1
Computer Entry Date 30/06/1986
Date Reported 19/06/1986
Age : 46 YEARS Sex FEMALE Height
Weight Date Of Onset 03/05/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
VOMITING
MALAISE
Included Term : UNWELL
NAUSEA
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/05/1986
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42578 Sequence 1
Computer Entry Date 30/06/1986
Date Reported 20/06/1986
Age : 15 MONTHS Sex FEMALE Height
Weight Date Of Onset 15/06/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
FEVER
CONJUNCTIVITIS
Included Term : EYES REDDENED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 10/06/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42580 Sequence 1
Computer Entry Date 30/06/1986
Date Reported 23/06/1986
Age : 5 YEARS Sex FEMALE Height
Weight Date Of Onset 28/04/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
THROMBOCYTOPENIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 07/04/1986
SABIN VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 07/04/1986
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range :
0 1 PLATELET COUNT 28000 ON 3/5/86
3000 ON 6/5/86
PLATELET COUNT UP TO 135,000 BY 14/5/86.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42604 Sequence 1
Computer Entry Date 30/06/1986
Date Reported 28/05/1986
Age : 10 MONTHS Sex MALE Height
Weight 11 Date Of Onset 21/03/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANAEMIA HAEMOLYTIC DCP
Included Term : COOMBS POSITIVE HAEMOLYTIC ANAEMIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES VIRUS VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 09/03/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42739 Sequence 1
Computer Entry Date 31/07/1986
Date Reported 23/06/1986
Age : 1 YEARS Sex FEMALE Height
Weight Date Of Onset 19/06/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
SYMPTOMATIC
RASH MACULO-PAPULAR
Included Term : RASH MACULAR
FACE OEDEMA
COUGHING
Included Term : DRY COUGH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 17/06/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42751 Sequence 1
Computer Entry Date 31/07/1986
Date Reported 18/06/1986
Age : 28 YEARS Sex FEMALE Height
Weight Date Of Onset 28/05/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION ORBENIN
250 MG QID X 5/7
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/05/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42760 Sequence 1
Computer Entry Date 31/07/1986
Date Reported 02/07/1986
Age : 16 MONTHS Sex FEMALE Height
Weight Date Of Onset 27/06/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
Included Term : MEASLES LIKE ERUPTION
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 19/06/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42898 Sequence 1
Computer Entry Date 31/07/1986
Date Reported 17/07/1986
Age : 13 MONTHS Sex FEMALE Height
Weight 10 Date Of Onset 17/07/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MORBILLIFORM
Included Term : MORBILLIFORM RASH GENERALIZED
FEVER
NERVOUSNESS
Included Term : IRRITABILITY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 07/07/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42912 Sequence 1
Computer Entry Date 31/07/1986
Date Reported 03/07/1986
Age : 29 YEARS Sex FEMALE Height
Weight Date Of Onset 27/06/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RIGORS
Included Term : CHILLS
HEADACHE
VOMITING
MALAISE
DIARRHOEA
Included Term : LOOSE MOTIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/06/1986
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42931 Sequence 1
Computer Entry Date 31/07/1986
Date Reported 24/07/1986
Age : 14 MONTHS Sex MALE Height
Weight 11 Date Of Onset 17/07/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
SYMPTOMATIC, PHENOBARBITONE.
Included Term : FEBRILE CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S
DRUG ADMINISTRATION BEGAN 11/07/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 42990 Sequence 1
Computer Entry Date 31/08/1986
Date Reported 28/07/1986
Age : 35 YEARS Sex FEMALE Height 165
Weight 60 Date Of Onset 14/07/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION NIL
SPEC. (PANADOL ETC).
Included Term : INJECTION SITE SWELLING
MYALGIA
ARTHRALGIA
HEADACHE
ASTHENIA
Included Term : WEAKNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 DF
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 14/07/1986
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 43036 Sequence 1
Computer Entry Date 31/08/1986
Date Reported 06/08/1986
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
HYDROCORT 50MG IMI,STAT.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 43151 Sequence 1
Computer Entry Date 31/08/1986
Date Reported 15/08/1986
Age : 34 YEARS Sex FEMALE Height 165
Weight Date Of Onset 11/08/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ASTHENIA
ANTIHISTAMINES/BED REST
Included Term : WEAKNESS
MALAISE
PARAESTHESIA
Included Term : GENERALISED TINGLING
PALPITATION
VOMITING
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 11/08/1986
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 43157 Sequence 1
Computer Entry Date 31/08/1986
Date Reported 18/08/1986
Age : 20 MONTHS Sex MALE Height
Weight 11 Date Of Onset 18/08/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PARACETAMOL GIVEN FOR 3 DAYS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 09/08/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 43227 Sequence 1
Computer Entry Date 31/08/1986
Date Reported 12/08/1986
Age : 28 YEARS Sex FEMALE Height
Weight 67 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 43323 Sequence 1
Computer Entry Date 30/09/1986
Date Reported 28/08/1986
Age : 7 MONTHS Sex MALE Height
Weight Date Of Onset 21/08/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS
Included Term : IRRITABILITY
FEVER
Included Term : FEBRILE
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/08/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 43324 Sequence 1
Computer Entry Date 30/09/1986
Date Reported 03/09/1986
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PHENERGAN SYRUP 5MLS,DYMADON 3.5 MLS
Included Term : FEBRILE
NERVOUSNESS
Included Term : IRRITABILITY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/08/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 43325 Sequence 1
Computer Entry Date 30/09/1986
Date Reported 28/08/1986
Age : 3 MONTHS Sex MALE Height
Weight Date Of Onset 21/08/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : FEBRILE
NERVOUSNESS
Included Term : IRRITABILITY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/08/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 43415 Sequence 1
Computer Entry Date 30/09/1986
Date Reported 04/09/1986
Age : 19 MONTHS Sex FEMALE Height
Weight Date Of Onset 03/09/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FLUSHING TEMPRA
FEVER
VOMITING
NERVOUSNESS
Description : CRYING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/09/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 43416 Sequence 1
Computer Entry Date 30/09/1986
Date Reported 02/09/1986
Age : 60 YEARS Sex MALE Height 185
Weight 70 Date Of Onset 29/08/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPOAESTHESIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/08/1986
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 43619 Sequence 1
Computer Entry Date 30/09/1986
Date Reported 15/09/1986
Age : 3 MONTHS Sex MALE Height
Weight Date Of Onset 03/09/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
AGITATION ADVISED
CHANGED TO C.D.T. VACCINE.
Included Term : RESTLESS
SOMNOLENCE
Included Term : DROWSY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.1 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/09/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 43946 Sequence 1
Computer Entry Date 31/10/1986
Date Reported 29/09/1986
Age : 5 MONTHS Sex MALE Height
Weight 6 Date Of Onset 12/09/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
WAS GIVEN. PATIENT WAS SPONGED AND COOLED BY FAN.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/09/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 43964 Sequence 1
Computer Entry Date 31/10/1986
Date Reported 02/10/1986
Age : 9 MONTHS Sex FEMALE Height
Weight Date Of Onset 29/01/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS IV AND
RECTAL VALIUM,INTUBATION DUE TO DECREASE IN RESP. FUN
Included Term : IRRITABLE
PHENOBARBITONE,PROPHYLACTIC ANTIBIOTICS TO COVER MENINGITIS
VOMITING
FEVER
Included Term : FEBRILE
DIARRHOEA
CONVULSIONS
Included Term : FEBRILE CONVULSION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/01/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 43967 Sequence 1
Computer Entry Date 31/10/1986
Date Reported 01/10/1986
Age : 9 MONTHS Sex MALE Height 142
Weight 31 Date Of Onset 00/01/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DEAFNESS
Included Term : UNILATERAL TOTAL HEARING LOSS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MUMPS VIRUS VACCINE S 1.0 ML
1 TIME
DRUG ADMINISTRATION BEGAN 22/01/1986 AND CEASED 22/01/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 43969 Sequence 1
Computer Entry Date 31/10/1986
Date Reported 20/09/1986
Age : 30 YEARS Sex FEMALE Height 163
Weight 53 Date Of Onset 12/09/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
Included Term : MACULO PAPULAR RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CHLOROQUINE S 300.0 MG
WEEKLY
DRUG ADMINISTRATION BEGAN 11/09/1986 AND CEASED 19/09/1986
ICD Code : OTHER PROPHYLACTIC PROCEDURES
MENCEVAX AC S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 12/09/1986
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 43971 Sequence 1
Computer Entry Date 31/10/1986
Date Reported 27/10/1986
Age : 16 MONTHS Sex FEMALE Height 89
Weight 11 Date Of Onset 30/01/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
Included Term : SEIZURES, AFEBRILE X 2
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES VIRUS VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 20/01/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 44126 Sequence 1
Computer Entry Date 31/10/1986
Date Reported 22/10/1986
Age : 49 YEARS Sex FEMALE Height 167
Weight 71 Date Of Onset 21/10/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION NIL
TREATMENT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/10/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 44159 Sequence 1
Computer Entry Date 31/10/1986
Date Reported 01/10/1986
Age : 39 YEARS Sex FEMALE Height
Weight Date Of Onset 26/09/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
TONGUE OEDEMA
PHENERGAN 50 MG I.V. GIVEN. INITIAL HEPATITIS B VACCINE GIV
Included Term : TONGUE SWELLING PRODUCED
NO REACTION.
PARAESTHESIA
Included Term : ARMS BURNING
BRONCHOSPASM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S INJECTION 0.1 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/09/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/09/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 44280 Sequence 1
Computer Entry Date 30/11/1986
Date Reported 30/10/1986
Age : 18 MONTHS Sex FEMALE Height
Weight 12 Date Of Onset 21/10/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/10/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 44384 Sequence 1
Computer Entry Date 30/11/1986
Date Reported 14/11/1986
Age : 49 YEARS Sex FEMALE Height
Weight Date Of Onset 12/11/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION COLD
PACKS,ASPIRIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/11/1986
ICD Code : ATTACK BY ANIMAL
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 44395 Sequence 1
Computer Entry Date 30/11/1986
Date Reported 19/11/1986
Age : 41 YEARS Sex MALE Height 170
Weight 75 Date Of Onset 18/11/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SWEATING INCREASED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/11/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 44396 Sequence 1
Computer Entry Date 30/11/1986
Date Reported 20/11/1986
Age : 3 MONTHS Sex MALE Height
Weight Date Of Onset 03/11/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER TEPID
BATHING REACTION OCCURRED 40 MINUTES AFTER INJECTION.
Included Term : PYREXIA REFERRED
TO CASUALTY.
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.1 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/11/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 44397 Sequence 1
Computer Entry Date 30/11/1986
Date Reported 20/11/1986
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 04/09/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL REACTION
OCCURRED 3 HOURS AFTER IMMUNISATION. CONSULTED G.P.
Included Term : SCREAMING BRISBANE
HOSPITAL. FURTHER IMMUNISATION TO BE C.D.T. SETTLED
30
MINUTES LATER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/09/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 44398 Sequence 1
Computer Entry Date 30/11/1986
Date Reported 20/11/1986
Age : 3 MONTHS Sex MALE Height
Weight Date Of Onset 27/10/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FACE OEDEMA REACTION
OCCURRED 9 HOURS AFTER IMMUNISATION, AND RESOLVED 2
Included Term : SWELLING UNDER EYES AND ACROSS NOSE PATIENT
CONSULTED FAMILY DOCTOR FOR ASSESSMENT AND FURTHER I
INJECTION SITE REACTION
Included Term : LOCALIZED REACTION
RASH
Included Term : BLOTCHY RASH
SOMNOLENCE
Included Term : SLEPT MORE THAN USUAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.1 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/10/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 44399 Sequence 1
Computer Entry Date 30/11/1986
Date Reported 20/11/1986
Age : 11 MONTHS Sex MALE Height
Weight Date Of Onset 03/04/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING REACTION
OCCURRED 11/2 HOURS AFTER IMMUNISATION. CONSULTED G
OBSERVAT
ION FOR 5 DAYS, SLOWLY RECOVERED. CHANGED TO C.D.T.
PALLOR
Included Term : PALE
HYPOTONIA
Included Term : LIMP
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/04/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 44417 Sequence 1
Computer Entry Date 30/11/1986
Date Reported 20/11/1986
Age : 18 MONTHS Sex FEMALE Height
Weight Date Of Onset 12/11/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
PARACETAMOL AND FLUIDS GIVEN.
FEVER
FATIGUE
Included Term : LETHARGY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/11/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 44418 Sequence 1
Computer Entry Date 30/11/1986
Date Reported 13/11/1986
Age : 6 MONTHS Sex FEMALE Height
Weight Date Of Onset 12/11/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER REACTION
OCCURRED 48 HOURS AFTER INJECTION. FLUIDS AND PARA
INJECTION SITE REACTION
FATIGUE
Included Term : LETHARGY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/11/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 44478 Sequence 1
Computer Entry Date 30/11/1986
Date Reported 19/11/1986
Age : 18 YEARS Sex FEMALE Height
Weight Date Of Onset 19/11/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
CLEMASTINE TWICE DAILY GIVEN.
Included Term : SWELLING AROUND INJECTION SITE
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 17/11/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 44479 Sequence 1
Computer Entry Date 30/11/1986
Date Reported 19/11/1986
Age : 32 YEARS Sex MALE Height 180
Weight 70 Date Of Onset 13/11/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
CLEMASTINE 2MG I.M. GIVEN.
Included Term : SWELLING OF WHOLE UPPER ARM
LYMPHADENOPATHY
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 11/11/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 44480 Sequence 1
Computer Entry Date 30/11/1986
Date Reported 20/11/1986
Age : 19 MONTHS Sex FEMALE Height 87
Weight 13 Date Of Onset 19/11/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS PANADOL
GIVEN
Included Term : IRRITABILITY
SOMNOLENCE
FEVER
INJECTION SITE REACTION
Description : SWOLLEN RED ARM
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/11/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 44481 Sequence 1
Computer Entry Date 30/11/1986
Date Reported 20/11/1986
Age : 15 MONTHS Sex FEMALE Height
Weight 9 Date Of Onset 19/11/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MORBILLIFORM BENADRYL
EXPECTORANT GIVEN
BRONCHOSPASM
Included Term : WHEEZY CHEST
FEVER
Included Term : FEBRILE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/11/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 44609 Sequence 1
Computer Entry Date 31/12/1986
Date Reported 10/12/1986
Age : 7 MONTHS Sex MALE Height
Weight Date Of Onset 17/09/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS 2 DOSES
PANADOL GIVEN 3 HOURS APART
Included Term : IRRITABILITY
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/09/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 44689 Sequence 1
Computer Entry Date 31/12/1986
Date Reported 17/12/1986
Age : 23 YEARS Sex MALE Height 183
Weight 85 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE
Included Term : COLLAPSE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME SYSTEMIC
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 44693 Sequence 1
Computer Entry Date 31/12/1986
Date Reported 17/12/1986
Age : 35 YEARS Sex MALE Height 175
Weight Date Of Onset 12/11/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION NIL
TREATMENT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 12/11/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 44742 Sequence 1
Computer Entry Date 31/01/1987
Date Reported 23/12/1986
Age : 12 YEARS Sex MALE Height
Weight Date Of Onset 09/08/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MUMPS
VERTIGO
VOMITING
ATAXIA
DEAFNESS
Included Term : DEAFNESS SENSORINEURAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/07/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 1 DEAFNESS CONFIRMED AS SENSORINEURAL ON 30/9
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 44794 Sequence 1
Computer Entry Date 31/01/1987
Date Reported 06/01/1987
Age : 15 MONTHS Sex FEMALE Height
Weight 11 Date Of Onset 13/12/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS IV AND
PR DIAZEPAM.
Included Term : FEBRILE CONVULSION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION
SYSTEMIC
DRUG ADMINISTRATION BEGAN 04/12/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 44808 Sequence 1
Computer Entry Date 31/01/1987
Date Reported 06/01/1987
Age : 6 MONTHS Sex FEMALE Height
Weight Date Of Onset 28/10/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
X 4 DOSES OR MORE. CHANGED TO C.D.T.
Included Term : SCREAMING
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 28/10/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 44823 Sequence 1
Computer Entry Date 31/01/1987
Date Reported 06/01/1987
Age : 11 YEARS Sex MALE Height
Weight Date Of Onset 09/12/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
TESTIS DISORDER REST AND
STEROIDS.
Included Term : ORCHITIS, R SIDED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 18/11/1986
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 44856 Sequence 1
Computer Entry Date 31/01/1987
Date Reported 13/01/1987
Age : 5 MONTHS Sex FEMALE Height
Weight Date Of Onset 11/09/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER TEMPRA
DROPS GIVEN 4 TIMES X 4 HOURLY, FUTURE VACCINATION TO
CRYING ABNORMAL
Included Term : SCREAMING
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 11/09/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 44873 Sequence 1
Computer Entry Date 31/01/1987
Date Reported 08/01/1987
Age : 19 MONTHS Sex MALE Height
Weight Date Of Onset 08/01/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE MASS PANADOL
GIVEN
Description : LUMP L MID THIGH
INJECTION SITE MASS
Description : TENDERNESS L GROIN
NERVOUSNESS
Included Term : IRRITABILITY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/01/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 44944 Sequence 1
Computer Entry Date 31/01/1987
Date Reported 19/01/1987
Age : 10 YEARS Sex FEMALE Height
Weight 39 Date Of Onset 18/01/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MORBILLIFORM CALAMINE
LOTION.
Included Term : MORBILLIFORM RASH
ABDOMINAL PAIN
Included Term : ABDOMINAL PAINS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RUBELLA VACCINE S
DRUG ADMINISTRATION BEGAN 08/01/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 44949 Sequence 1
Computer Entry Date 31/01/1987
Date Reported 20/01/1987
Age : 45 YEARS Sex FEMALE Height
Weight Date Of Onset 08/01/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S
DRUG ADMINISTRATION BEGAN 05/01/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 45047 Sequence 1
Computer Entry Date 28/02/1987
Date Reported 02/02/1987
Age : 30 MONTHS Sex FEMALE Height
Weight 13 Date Of Onset 30/01/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PARACETAMOL.
Included Term : HIGH FEVER
RASH MORBILLIFORM
Included Term : MORBILLIFORM RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/01/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 45134 Sequence 1
Computer Entry Date 28/02/1987
Date Reported 30/09/1986
Age : 46 YEARS Sex FEMALE Height
Weight Date Of Onset 07/11/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION RX
PENICILLIN V, PIRITON.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S
DRUG ADMINISTRATION BEGAN 31/10/1985
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 45180 Sequence 1
Computer Entry Date 28/02/1987
Date Reported 11/02/1987
Age : 33 YEARS Sex MALE Height 183
Weight 100 Date Of Onset 05/02/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BALANOPOSTHITIS
ANTIHISTAMINES AND ANTIBIOTICS GIVEN
Included Term : BALANITIS
OEDEMA GENITAL
Description : OEDEMA OF FORESKIN
FEVER
STOMATITIS ULCERATIVE
Included Term : ULCERATED MOUTH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/02/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 45181 Sequence 1
Computer Entry Date 28/02/1987
Date Reported 12/02/1987
Age : 15 MONTHS Sex FEMALE Height
Weight Date Of Onset 11/02/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ECZEMA
Included Term : ECZEMATOUS RASH
CONJUNCTIVITIS
NERVOUSNESS
Included Term : IRRITABILITY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/02/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 45268 Sequence 1
Computer Entry Date 28/02/1987
Date Reported 24/02/1987
Age : 46 YEARS Sex FEMALE Height
Weight Date Of Onset 10/02/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
REST,ANTIHISTAMINES. STEROID CREAM.
HEADACHE
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 45298 Sequence 1
Computer Entry Date 31/03/1987
Date Reported 27/02/1987
Age : 13 YEARS Sex FEMALE Height
Weight Date Of Onset 09/10/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
COMA PATIENT
ADMITTED TO HOSPITAL
Included Term : UNRESPONSIVE AND STUPOROSED
FEVER
Included Term : FEBRILE
MYDRIASIS
Included Term : DILATED, SLUGGISH PUPILS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/10/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 45318 Sequence 1
Computer Entry Date 31/03/1987
Date Reported 26/02/1987
Age : 2 MONTHS Sex MALE Height 55
Weight 4 Date Of Onset 26/02/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
PARACETAMOL DROPS. COLD COMPRESS INTERMITTENT TO SITE OF INJ
Included Term : RED,VIOLATEOUS,TENDER AND SWOLLEN
INJECTION SITE REACTION
Included Term : AREA ABOUT 6CM DIAMETER
NERVOUSNESS
Included Term : VERY IRRITABLE
CRYING ABNORMAL
Included Term : CONSTANT CRYING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/02/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 45463 Sequence 1
Computer Entry Date 31/03/1987
Date Reported 11/03/1987
Age : 14 YEARS Sex FEMALE Height 158
Weight 45 Date Of Onset 23/02/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
MALAISE
HEADACHE
PHARYNGITIS
Included Term : SORE THROAT
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 13/02/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 45514 Sequence 1
Computer Entry Date 31/03/1987
Date Reported 25/03/1987
Age : 42 YEARS Sex FEMALE Height
Weight Date Of Onset 24/03/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
DEPRESSION
MYALGIA
Included Term : SORE NECK
VOMITING
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 24/03/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 45587 Sequence 1
Computer Entry Date 31/03/1987
Date Reported 11/03/1987
Age : 5 MONTHS Sex MALE Height
Weight 101 Date Of Onset 11/03/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER COLD
COMPRESS,FLUIDS AND PARACETAMOL.
Included Term : FEBRILE
RASH
Included Term : BLOTCHY RASH ALL OVER BODY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S PER ORAL
PER ORAL
DRUG ADMINISTRATION BEGAN 11/03/1987
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 45659 Sequence 1
Computer Entry Date 31/03/1987
Date Reported 20/03/1987
Age : 51 YEARS Sex MALE Height
Weight Date Of Onset 09/03/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
TERFENADINE
Included Term : FEBRILE REACTION
RIGORS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S
DRUG ADMINISTRATION BEGAN 09/03/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 45688 Sequence 1
Computer Entry Date 30/04/1987
Date Reported 26/03/1987
Age : 19 MONTHS Sex FEMALE Height
Weight Date Of Onset 19/03/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PARACETAMOL GIVEN
NERVOUSNESS
Included Term : IRRITABILITY
FATIGUE
Included Term : LETHARGY
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
DRUG ADMINISTRATION BEGAN 19/03/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O 2.0 DF
1 TIME
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 45689 Sequence 1
Computer Entry Date 30/04/1987
Date Reported 26/03/1987
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 00/02/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
FEVER
NERVOUSNESS
Included Term : IRRITABILITY
FATIGUE
Included Term : LETHARGY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 00/02/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O 2.0 DF
1 TIME
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 45713 Sequence 1
Computer Entry Date 30/04/1987
Date Reported 01/04/1987
Age : 54 YEARS Sex FEMALE Height
Weight Date Of Onset 07/01/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION NIL
TREATMENT
Included Term : ERYTHEMATOUS WHEAL AT INJECTION SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 07/01/1987
ICD Code : OTR LOC SKIN&SUBCUT TIS INFECT
PANADEINE O 2.0 DF
AS NECESSARY
DRUG ADMINISTRATION BEGAN 07/01/1987 AND CEASED 09/01/1987
ICD Code : PAIN
ERYTHROMYCIN O 750.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 07/01/1987 AND CEASED 12/01/1987
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 45799 Sequence 1
Computer Entry Date 30/04/1987
Date Reported 03/04/1987
Age : 9 YEARS Sex FEMALE Height
Weight Date Of Onset 03/12/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR REST;
OBSERVATION.
SWEATING INCREASED
Included Term : SWEATING
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 03/12/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 45800 Sequence 1
Computer Entry Date 30/04/1987
Date Reported 03/04/1987
Age : 9 YEARS Sex FEMALE Height
Weight Date Of Onset 03/12/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS REST AND
OBSERVATION.
PALLOR
NAUSEA
SWEATING INCREASED
Included Term : SWEATING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 03/12/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 45801 Sequence 1
Computer Entry Date 30/04/1987
Date Reported 03/04/1987
Age : 6 YEARS Sex FEMALE Height
Weight Date Of Onset 03/12/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE S/C
ADRENALINE; OXYGEN.
Included Term : COLLAPSE
VOMITING
SWEATING INCREASED
Included Term : SWEATING
PALLOR
CYANOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 03/12/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 45830 Sequence 1
Computer Entry Date 30/04/1987
Date Reported 30/03/1987
Age : 68 YEARS Sex MALE Height
Weight Date Of Onset 17/03/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA SYMPTOMS
TOOK 7 DAYS TO SUBSIDE.
ARTHRALGIA
DIZZINESS
CHEST PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/03/1987
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 45836 Sequence 1
Computer Entry Date 30/04/1987
Date Reported 16/04/1987
Age : 75 YEARS Sex FEMALE Height 162
Weight 58 Date Of Onset 12/04/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
ARTHRALGIA
MYALGIA
NAUSEA
SLEEP DISORDER
Included Term : DISTURBED SLEEPING PATTERN
DIZZINESS
Included Term : LIGH-HEADEDNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 08/04/1987
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 45893 Sequence 1
Computer Entry Date 30/04/1987
Date Reported 08/04/1987
Age : 73 YEARS Sex FEMALE Height 145
Weight 56 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/03/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 45908 Sequence 1
Computer Entry Date 30/04/1987
Date Reported 09/04/1987
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 08/01/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Included Term : SWELLING AND BRUISING OF ARM
CRYING ABNORMAL
Included Term : SCREAMED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/01/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 45977 Sequence 1
Computer Entry Date 30/04/1987
Date Reported 10/04/1987
Age : 57 YEARS Sex FEMALE Height
Weight Date Of Onset 04/03/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS
DICLOFENAC SODIUM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S INJECTION 2.0 DF
TOTAL INTRAVENOUS
DRUG ADMINISTRATION BEGAN 00/12/1985 AND CEASED 24/02/1986
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 46044 Sequence 1
Computer Entry Date 30/04/1987
Date Reported 23/04/1987
Age : 52 YEARS Sex FEMALE Height 152
Weight 54 Date Of Onset 26/03/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
POLARAMINE TAB 2MG 4DF DAILY
FACE OEDEMA
Included Term : LIP OEDEMA
OEDEMA PERIORBITAL
Included Term : EYELID OEDEMA
PHARYNGITIS
Included Term : SORE THROAT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 19/03/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 46045 Sequence 1
Computer Entry Date 30/04/1987
Date Reported 23/04/1987
Age : 21 YEARS Sex MALE Height
Weight Date Of Onset 14/04/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
Included Term : TONIC/ELONIC MOVEMENTS OF BOTH ARMS
PALLOR
Included Term : PALE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
LIGNOCAINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 14/04/1987
ICD Code : OTHER AND UNSPECIFIED ACCIDENTS
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 14/04/1987
ICD Code : OTHER AND UNSPECIFIED ACCIDENTS
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 46197 Sequence 1
Computer Entry Date 31/05/1987
Date Reported 01/05/1987
Age : 64 YEARS Sex FEMALE Height 160
Weight 59 Date Of Onset 29/04/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Included Term : ERYTHEMA,INDURATION,PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 29/04/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
METHOTREXATE O 2.5 MG
WEEKLY
ICD Code : OTHER RHEUMATOID ARTHRITIS
INDOCID O 3.0 DF
DAILY
ICD Code : OTHER RHEUMATOID ARTHRITIS
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 46230 Sequence 1
Computer Entry Date 31/05/1987
Date Reported 28/04/1987
Age : 17 YEARS Sex MALE Height
Weight 58 Date Of Onset 19/01/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MONIARIX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 19/01/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
BACTRIM DS O 2.0 DF
DAILY
NILSTAT O
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 46262 Sequence 1
Computer Entry Date 31/05/1987
Date Reported 12/05/1987
Age : 13 MONTHS Sex MALE Height 77
Weight 12 Date Of Onset 07/02/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PURPURA HOSPITAL
ADMISSION FOR 3/7 INVESTIGATION
Included Term : BRUISING
FEVER
Included Term : TEMPERATURE
RASH MORBILLIFORM
Included Term : MEASLES TYPE RASH
THROMBOCYTOPENIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 00/01/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
AMOXIL O
DRUG ADMINISTRATION BEGAN 06/02/1986
ICD Code : ACUTE TONSILLITIS
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range :
0 7/2/86
PLATELETS 7000
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
HISTOLOGY
Lab Normal Range :
0 BONE MARROW BIOPSY 10/2/86 CONSISTENT WITH IDIOPATHIC THROMBOCYTOPENIC
PURPURA
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 46320 Sequence 1
Computer Entry Date 31/05/1987
Date Reported 01/05/1987
Age : 73 YEARS Sex FEMALE Height 158
Weight 60 Date Of Onset 16/03/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : FEBRILE
ASTHENIA
Included Term : WEAK
FATIGUE
Included Term : LETHARGY
MYALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 46344 Sequence 1
Computer Entry Date 31/05/1987
Date Reported 06/05/1987
Age : 15 MONTHS Sex MALE Height
Weight 10 Date Of Onset 02/05/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PARACETAMOL GIVEN
STRIDOR
Included Term : CROUP
RHINITIS
Included Term : RUNNING NOSE
LACRIMATION ABNORMAL
Included Term : WATERY EYES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ATTENUVAX S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/05/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 46420 Sequence 1
Computer Entry Date 31/05/1987
Date Reported 12/05/1987
Age : 42 YEARS Sex FEMALE Height
Weight Date Of Onset 11/05/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
LYMPHANGITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 11/05/1987
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 46589 Sequence 1
Computer Entry Date 30/06/1987
Date Reported 23/05/1987
Age : 22 MONTHS Sex FEMALE Height
Weight Date Of Onset 20/05/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
Included Term : URTICARIAL RASH
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/05/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 46605 Sequence 1
Computer Entry Date 30/06/1987
Date Reported 29/05/1987
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 00/03/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MONOPLEGIA DEFINITE
IMPROVEMENT OVER 2/12, THIRD INJECTION CDT.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 46609 Sequence 1
Computer Entry Date 30/06/1987
Date Reported 04/06/1987
Age : 72 YEARS Sex FEMALE Height
Weight Date Of Onset 11/05/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : PYREXIAL REACTION
FATIGUE
Included Term : LETHARGY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 11/05/1987
SLOW-K O
LASIX O
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 46661 Sequence 1
Computer Entry Date 30/06/1987
Date Reported 03/06/1987
Age : 34 YEARS Sex FEMALE Height 168
Weight 50 Date Of Onset 11/05/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DEATH FOETAL
Included Term : MISCARRIAGE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 46680 Sequence 1
Computer Entry Date 30/06/1987
Date Reported 12/06/1987
Age : 13 MONTHS Sex FEMALE Height 72
Weight 9 Date Of Onset 04/06/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MORBILLIFORM
Included Term : MORBILLIFORM RASH
LYMPHADENOPATHY
FATIGUE
Included Term : LETHARGY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 02/06/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 46815 Sequence 1
Computer Entry Date 31/07/1987
Date Reported 29/06/1987
Age : 26 YEARS Sex FEMALE Height 169
Weight 65 Date Of Onset 26/06/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA SELF
MEDICATION WITH ASPIRIN
FEVER
INJECTION SITE REACTION
Included Term : SWELLING AT INJECTION SITE
OEDEMA PERIORBITAL
Included Term : EYES PUFFY
ACCOMMODATION ABNORMAL
Included Term : DIFFICULTY FOCUSING
NAUSEA
ASTHENIA
Included Term : WEAK
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MONIARIX S INJECTION 0.5 ML
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/06/1987
ICD Code : OTHER DISEASES OF LUNG
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 46945 Sequence 1
Computer Entry Date 31/07/1987
Date Reported 04/06/1987
Age : 14 YEARS Sex FEMALE Height
Weight 50 Date Of Onset 07/05/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE OBSERVED
BY LMO
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ANTIBIOTIC NOS S
ICD Code : OTR&NOS INFEC&PARASIT DISEASES
M-M-VAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/05/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 47000 Sequence 1
Computer Entry Date 31/07/1987
Date Reported 06/07/1987
Age : 18 MONTHS Sex FEMALE Height 72
Weight 9 Date Of Onset 04/07/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
PARACETAMOL.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 22/06/1987
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 47150 Sequence 1
Computer Entry Date 31/07/1987
Date Reported 30/06/1987
Age : 70 YEARS Sex MALE Height 183
Weight 70 Date Of Onset 26/06/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BRONCHOSPASM
Included Term : ASTHMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S
DRUG ADMINISTRATION BEGAN 23/06/1987
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 47458 Sequence 1
Computer Entry Date 31/08/1987
Date Reported 10/08/1987
Age : 20 MONTHS Sex MALE Height
Weight Date Of Onset 07/08/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION PANADOL
GIVEN.
FEVER
OEDEMA PERIPHERAL
Included Term : OEDEMA OF LOWER LIMB
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/08/1987
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 47614 Sequence 1
Computer Entry Date 31/08/1987
Date Reported 07/08/1987
Age : 22 YEARS Sex MALE Height
Weight 75 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
PHENERGAN.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/08/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 47697 Sequence 1
Computer Entry Date 30/09/1987
Date Reported 09/09/1987
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
INSOMNIA
INJECTION SITE ABSCESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 47734 Sequence 1
Computer Entry Date 30/09/1987
Date Reported 02/09/1987
Age : 71 YEARS Sex FEMALE Height
Weight Date Of Onset 29/08/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CHEST PAIN
PROMETHAZINE INJECTION AND TABLETS, COLD COMPRESSES
Included Term : CHEST TIGHTNESS
DYSPHAGIA
Included Term : THROAT CONSTRICTION
RASH ERYTHEMATOUS
PRURITUS
Included Term : ITCHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/08/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 47755 Sequence 1
Computer Entry Date 30/09/1987
Date Reported 05/08/1987
Age : 39 YEARS Sex FEMALE Height 170
Weight 60 Date Of Onset 30/06/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
INJECTION SITE MASS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S INJECTION 0.1 ML
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 29/06/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 47836 Sequence 1
Computer Entry Date 30/09/1987
Date Reported 31/08/1987
Age : 67 YEARS Sex MALE Height 175
Weight 92 Date Of Onset 18/07/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PARESIS AMITTED
TO HOSPITAL.
Included Term : WEAKNESS BOTH LIMBS
PARAESTHESIA
NEURITIS
Included Term : GUILLAIN-BARRE SYNDROME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/06/1987
ICD Code : BRONCHITIS,UNQUALIFIED
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 47868 Sequence 1
Computer Entry Date 30/09/1987
Date Reported 07/09/1987
Age : 13 YEARS Sex FEMALE Height
Weight Date Of Onset 03/08/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RUBELLA VACCINE S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/06/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 48077 Sequence 1
Computer Entry Date 30/09/1987
Date Reported 10/09/1987
Age : 54 YEARS Sex FEMALE Height 170
Weight 64 Date Of Onset 30/04/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/04/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 48102 Sequence 1
Computer Entry Date 30/09/1987
Date Reported 23/09/1987
Age : 19 MONTHS Sex FEMALE Height 83
Weight 12 Date Of Onset 21/09/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS GENERAL
NURSING CARE
Description : FEBRILE CONVULSION
RASH MACULO-PAPULAR
RASH ERYTHEMATOUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION 1.0 DF
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 17/09/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 48232 Sequence 1
Computer Entry Date 31/10/1987
Date Reported 01/10/1987
Age : 4 MONTHS Sex MALE Height
Weight 9 Date Of Onset 01/10/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION TEMPRA
DROPS X 2 DOSES - PHENERGAN. ICE PACKS TO SIT. HOSPIT
CRYING ABNORMAL
Included Term : SCREAMING
AGITATION
Included Term : RESTLESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 01/10/1987
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 48245 Sequence 1
Computer Entry Date 31/10/1987
Date Reported 30/09/1987
Age : 21 YEARS Sex FEMALE Height 165
Weight 60 Date Of Onset 23/09/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE IM
ADRENALINE/HYDROCORTISONE/PHENERGAN.
CYANOSIS
Included Term : CYANOTIC
RESPIRATORY DEPRESSION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/09/1987
ICD Code : OPEN HAND WOUND NOT FING ALONE
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 48262 Sequence 1
Computer Entry Date 31/10/1987
Date Reported 29/09/1987
Age : 35 YEARS Sex FEMALE Height
Weight Date Of Onset 27/09/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RIGORS
Included Term : CHILLS
MALAISE
Included Term : UNWELLNESS
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
YELLOW FEVER VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/09/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 48327 Sequence 1
Computer Entry Date 31/10/1987
Date Reported 15/10/1987
Age : 36 YEARS Sex FEMALE Height 163
Weight 55 Date Of Onset 07/10/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS ORAL
TERFENADINE 60MG - 2 DOSES
Included Term : ITCHY
RASH ERYTHEMATOUS
Included Term : RED RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/10/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 48380 Sequence 1
Computer Entry Date 31/10/1987
Date Reported 09/10/1987
Age : 57 YEARS Sex FEMALE Height 158
Weight 65 Date Of Onset 03/10/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/10/1987
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 48812 Sequence 1
Computer Entry Date 30/11/1987
Date Reported 20/10/1987
Age : 15 YEARS Sex FEMALE Height
Weight Date Of Onset 07/09/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANAPHYLACTOID REACTION INFUSION
CEASED. VENTILATION AND PROMETHAZINE GIVEN.
Included Term : ACUTE ANAPHYLACTOID REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS IMMUNOGLOBULIN S INJECTION 200.0 UT
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/09/1987
VENTOLIN O INHALANT
INHALATION
ICD Code : ASTHMA
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 48934 Sequence 1
Computer Entry Date 30/11/1987
Date Reported 07/10/1987
Age : 4 YEARS Sex MALE Height
Weight Date Of Onset 06/09/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
SALIVARY GLAND ENLARGEMENT
Included Term : PAROTID ENLARGEMENT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/09/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49027 Sequence 1
Computer Entry Date 30/11/1987
Date Reported 21/11/1987
Age : 18 MONTHS Sex FEMALE Height
Weight 15 Date Of Onset 17/11/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE OBSERVED
IN HOSPITAL 4 HOURS.
Included Term : LETHARGY
CRYING ABNORMAL
Description : SCREAMED_WHEN MOVED
PALLOR
FEVER
Description : TEMPERATURE 38.5
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/11/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49028 Sequence 1
Computer Entry Date 30/11/1987
Date Reported 24/11/1987
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS FIRST
ABCESS TOOK 1 MONTH TO DEVELOP, 2ND ABSCESS DEVELOPED
WEEKS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/11/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/11/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49029 Sequence 1
Computer Entry Date 30/11/1987
Date Reported 17/11/1987
Age : 19 MONTHS Sex FEMALE Height
Weight Date Of Onset 05/11/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS
OBSERVATION.
Included Term : IRRITABILITY
VOMITING
FATIGUE
Included Term : LETHARGY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/11/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49030 Sequence 1
Computer Entry Date 30/11/1987
Date Reported 06/11/1987
Age : 18 MONTHS Sex FEMALE Height
Weight Date Of Onset 05/11/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PAIN ICE PACK
TO INJECTION SITE.
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/11/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49031 Sequence 1
Computer Entry Date 30/11/1987
Date Reported 06/11/1987
Age : 0 WEEKS Sex Height
Weight 6 Date Of Onset 05/11/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL TEMPRA
DROPS, ICE PACKS, PHENERGAN (HOSPITAL)
Included Term : SCREAMING
AGITATION
Included Term : AGITATED
INJECTION SITE PAIN
Included Term : SITE SORE TO TOUCH
OEDEMA
Included Term : SWELLING
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/11/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49032 Sequence 1
Computer Entry Date 30/11/1987
Date Reported 11/11/1987
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 26/03/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
CRYING ABNORMAL
Included Term : SCREAM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/03/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49033 Sequence 1
Computer Entry Date 30/11/1987
Date Reported 11/11/1987
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 14/04/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER CHANGED
TO CDT PROGRAM.
VOMITING
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/04/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49034 Sequence 1
Computer Entry Date 30/11/1987
Date Reported 10/11/1987
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 27/07/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : CRIED
AGITATION
Included Term : AGITATED
TWITCHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/07/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49035 Sequence 1
Computer Entry Date 30/11/1987
Date Reported 11/11/1987
Age : 2 MONTHS Sex Height
Weight Date Of Onset 20/07/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
CRYING ABNORMAL
Included Term : SCREAM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/07/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49036 Sequence 1
Computer Entry Date 30/11/1987
Date Reported 11/11/1987
Age : 5 MONTHS Sex MALE Height
Weight Date Of Onset 25/06/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
CRYING ABNORMAL
Included Term : SCREAM
MALAISE
Included Term : UNWELL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/06/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49037 Sequence 1
Computer Entry Date 30/11/1987
Date Reported 11/11/1987
Age : 30 MONTHS Sex FEMALE Height
Weight Date Of Onset 02/07/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMED
OEDEMA
Included Term : SWOLLEN RED ARM
ANOREXIA
Included Term : REFUSED TO FEED
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/07/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49038 Sequence 1
Computer Entry Date 30/11/1987
Date Reported 10/11/1987
Age : 24 MONTHS Sex MALE Height
Weight Date Of Onset 06/08/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL DTP
COURSE CHANGED TO CDT.
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/08/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49039 Sequence 1
Computer Entry Date 30/11/1987
Date Reported 10/11/1987
Age : 30 MONTHS Sex FEMALE Height
Weight Date Of Onset 03/08/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONSCIOUSNESS FLUCTUATING DTP
COURSE CHANGED TO CDT
Included Term : SEMI-CONSCIOUS, MOANING
FEVER
Included Term : FEBRILE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/08/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49040 Sequence 1
Computer Entry Date 30/11/1987
Date Reported 10/11/1987
Age : 24 MONTHS Sex FEMALE Height
Weight Date Of Onset 09/09/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
Included Term : PROJECTILE VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/09/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49041 Sequence 1
Computer Entry Date 30/11/1987
Date Reported 10/11/1987
Age : 30 MONTHS Sex FEMALE Height
Weight Date Of Onset 10/09/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL DTP
COURSE CHANGED TO CDT. TREATED WITH TEMPRA AND ANTIHIST
Included Term : SCREAMING, UNCONTROLLED
VOMITING
Included Term : VOMITED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/09/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49042 Sequence 1
Computer Entry Date 30/11/1987
Date Reported 13/11/1987
Age : 13 YEARS Sex FEMALE Height
Weight Date Of Onset 04/11/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONFUSION
Included Term : CONFUSED
AGITATION
Included Term : AGITATED
FACE OEDEMA
Included Term : OEDEMATOUS IN THE FACE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RUBELLA VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 04/11/1987
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49045 Sequence 1
Computer Entry Date 30/11/1987
Date Reported 14/11/1987
Age : 40 YEARS Sex FEMALE Height 170
Weight 63 Date Of Onset 09/11/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
SYSTEMIC
DRUG ADMINISTRATION BEGAN 09/11/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49451 Sequence 1
Computer Entry Date 30/11/1987
Date Reported 23/11/1987
Age : 6 WEEKS Sex FEMALE Height
Weight 4 Date Of Onset 14/11/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS
Included Term : IRRITABILITY
RASH MACULO-PAPULAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/11/1987
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49503 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 26/11/1987
Age : 24 YEARS Sex FEMALE Height 168
Weight 60 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RIGORS
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/11/1987
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49520 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 06/12/1987
Age : 8 YEARS Sex FEMALE Height
Weight Date Of Onset 03/12/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR BATCH
E4456
VOMITING
CYANOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 03/12/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49521 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 05/12/1987
Age : 6 YEARS Sex FEMALE Height
Weight Date Of Onset 03/12/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE BATCH
E4456
CONVULSIONS
CYANOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 03/12/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49522 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 06/12/1987
Age : 4 YEARS Sex MALE Height
Weight Date Of Onset 03/12/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR BATCH
E4456
CYANOSIS
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 03/12/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49523 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 06/12/1987
Age : 9 YEARS Sex MALE Height
Weight Date Of Onset 03/12/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR BATCH
E4456
CYANOSIS
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 03/12/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49524 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 27/11/1987
Age : 12 YEARS Sex MALE Height
Weight Date Of Onset 26/11/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
RASH MACULO-PAPULAR
Included Term : RASH RED MACULES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 18/11/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49525 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 02/12/1987
Age : 14 MONTHS Sex FEMALE Height
Weight Date Of Onset 27/11/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH BATCH
E4456
FEVER
NERVOUSNESS
Included Term : IRRITABILITY
COUGHING
Included Term : COUGH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/11/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49526 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 02/12/1987
Age : 14 MONTHS Sex MALE Height
Weight Date Of Onset 30/11/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH BATCH
E4456
FEVER
COUGHING
Included Term : COUGH
LACRIMATION ABNORMAL
Included Term : RUNNY EYES
NERVOUSNESS
Included Term : IRRITABILITY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/11/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49548 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 30/11/1987
Age : 15 MONTHS Sex MALE Height
Weight 12 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
ATAXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49582 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 03/12/1987
Age : 74 YEARS Sex FEMALE Height
Weight Date Of Onset 15/06/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYELITIS
PREDNISOLONE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S
DRUG ADMINISTRATION BEGAN 11/06/1987
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49589 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 16/12/1987
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 24/09/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
FEVER
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/09/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49590 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 16/12/1987
Age : 6 MONTHS Sex FEMALE Height
Weight Date Of Onset 19/11/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : FEVER 40.2
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/11/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49591 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 15/12/1987
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 25/11/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/11/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49592 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 16/12/1987
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 29/09/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
ANOREXIA
INSOMNIA
CRYING ABNORMAL
Included Term : HIGH PITCHED CRY
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/09/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O SYRUP 2.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 29/09/1987
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49593 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 16/12/1987
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 22/09/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : CRYING
ANOREXIA
INSOMNIA
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/09/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O SYRUP 2.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 22/09/1987
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49594 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 16/12/1987
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 27/08/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
Included Term : VOMITED
PALLOR
SWEATING INCREASED
Included Term : SWEATY
CRYING ABNORMAL
Included Term : SCREAMING AND DISTURBED BEHAVIOUR
ANOREXIA
FEVER
COUGHING
DIARRHOEA
APNOEA
Included Term : APNOEIC ATTACK
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/08/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S SYRUP 2.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 27/08/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49595 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 16/12/1987
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 30/06/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
VALLERGAN GIVEN AT HOSPITAL
Included Term : SCREAMING
FEVER
Included Term : ELEVATED TEMPERATURE
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/06/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S SYRUP 2.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 30/06/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49596 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 16/12/1987
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 19/09/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/09/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49597 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 16/12/1987
Age : 6 MONTHS Sex Height
Weight Date Of Onset 07/10/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
CRYING ABNORMAL
Included Term : SCREAMING
ANOREXIA
INSOMNIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/10/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49598 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 16/12/1987
Age : 6 MONTHS Sex FEMALE Height
Weight Date Of Onset 06/10/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
VOMITING
Included Term : VOMITED
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/10/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49599 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 16/12/1987
Age : 3 MONTHS Sex FEMALE Height
Weight Date Of Onset 22/09/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
FEVER
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/09/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49600 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 16/12/1987
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 04/05/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
CRYING ABNORMAL
Included Term : CRYING
HYPERACUSIS
Included Term : SENSITIVE TO NOISE
HYPERAESTHESIA
Included Term : SENSITIVE TO TOUCH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/05/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49604 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 11/12/1987
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset 10/12/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT
Included Term : PAROTID SWELLING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMPARIX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/11/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49605 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 15/12/1987
Age : 18 MONTHS Sex FEMALE Height
Weight Date Of Onset 02/12/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS GRAND MAL
Included Term : GRAND MAL FEBRILE CONVULSION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/12/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49645 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 15/12/1987
Age Code AB - Baby Sex MALE Height 122
Weight 22 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER SAME
REACTION OCCURRED ON RECHALLENGE
INJECTION SITE REACTION
INJECTION SITE REACTION
Included Term : RECHALLENGE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49645 Sequence 2
Computer Entry Date 31/12/1987
Date Reported 15/12/1987
Age : 5 YEARS Sex MALE Height 122
Weight 22 Date Of Onset 10/12/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49647 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 18/12/1987
Age : 1 YEARS Sex FEMALE Height
Weight Date Of Onset 15/12/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
SYMPTOMATIC
EMOTIONAL LABILITY
Included Term : IRRITABLE
ANOREXIA
RASH MACULO-PAPULAR
Included Term : MEASLES RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/12/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49755 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 01/12/1987
Age : 3 MONTHS Sex MALE Height
Weight Date Of Onset 03/02/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS STERILE
ERYTHROMYCIN USED TO TREAT REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 03/02/1987 AND CEASED 03/02/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49777 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 16/12/1987
Age : 16 MONTHS Sex FEMALE Height
Weight Date Of Onset 10/12/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
PHENOBARBITONE 30MG BD.
Included Term : FEBRILE CONVULSION
RHINITIS
Included Term : RUNNY NOSE
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES VIRUS VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 00/12/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49779 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 18/11/1987
Age : 27 YEARS Sex Height
Weight Date Of Onset 17/11/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION CSL
BATCH NO 211/8
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/11/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49780 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 18/11/1987
Age : 4 MONTHS Sex Height
Weight Date Of Onset 17/11/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION CSL
BATCH NO 211/8
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/11/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49781 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 18/11/1987
Age : 4 MONTHS Sex Height
Weight Date Of Onset 17/11/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION CSL
BATCH NO 211/8
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/11/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49782 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 18/11/1987
Age : 6 MONTHS Sex Height
Weight Date Of Onset 17/11/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION CSL
BATCH NO 211/8
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/11/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49783 Sequence 1
Computer Entry Date 31/12/1987
Date Reported 18/11/1987
Age : 6 MONTHS Sex Height
Weight Date Of Onset 17/11/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION CSL
BATCH NO 211/8
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 MG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/11/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 49993 Sequence 1
Computer Entry Date 31/01/1988
Date Reported 07/01/1988
Age : 11 YEARS Sex FEMALE Height
Weight Date Of Onset 18/05/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS CHILD
PUT TO BED IN SCHOOL SICK BAY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/05/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50068 Sequence 1
Computer Entry Date 31/01/1988
Date Reported 21/12/1987
Age : 26 YEARS Sex FEMALE Height 160
Weight 56 Date Of Onset 06/11/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH REACTION
TREATED WITH ANTIHISTAMINE 1DF TOTAL
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S
DRUG ADMINISTRATION BEGAN 05/11/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50103 Sequence 1
Computer Entry Date 31/01/1988
Date Reported 12/01/1988
Age : 20 MONTHS Sex FEMALE Height
Weight Date Of Onset 07/01/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION REACTION
TREATED WITH PANQUIL (PANADOL AND PHENERGAN)
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
DRUG ADMINISTRATION BEGAN 07/01/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50104 Sequence 1
Computer Entry Date 31/01/1988
Date Reported 12/01/1988
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 23/12/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER REACTION
TREATED WITH PANQUIL, THEN HOSPITALIZATION
Included Term : HIGH TEMPERATURE
NERVOUSNESS
Included Term : IRRITABILITY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
DRUG ADMINISTRATION BEGAN 23/12/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50105 Sequence 1
Computer Entry Date 31/01/1988
Date Reported 12/01/1988
Age : 2 MONTHS Sex Height
Weight Date Of Onset 16/12/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION REACTION
TREATED WITH TEMPRA AND PHENERGAN
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/12/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50115 Sequence 1
Computer Entry Date 31/01/1988
Date Reported 18/01/1988
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 29/10/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
INJECTION SITE REACTION
Included Term : RED SWOLLEN ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/10/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50116 Sequence 1
Computer Entry Date 31/01/1988
Date Reported 18/01/1988
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 09/12/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
FEVER
Included Term : FEBRILE
INJECTION SITE REACTION
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/12/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50117 Sequence 1
Computer Entry Date 31/01/1988
Date Reported 18/01/1988
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 13/10/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER FEVER
TREATED WITH PANADOL
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/10/1986
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50118 Sequence 1
Computer Entry Date 31/01/1988
Date Reported 18/01/1988
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 09/04/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER REACTION
TREATED WITH INJECTION AND ICE BATH
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/04/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50119 Sequence 1
Computer Entry Date 31/01/1988
Date Reported 18/01/1988
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 12/11/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
FEVER
FEEDING DISORDER NEONATAL
Included Term : REFUSAL TO SUCK
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/11/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50120 Sequence 1
Computer Entry Date 31/01/1988
Date Reported 18/01/1988
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 10/11/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : CRYING AND SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/11/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50121 Sequence 1
Computer Entry Date 31/01/1988
Date Reported 18/01/1988
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 27/10/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/10/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50122 Sequence 1
Computer Entry Date 31/01/1988
Date Reported 18/01/1988
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 17/11/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/11/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50123 Sequence 1
Computer Entry Date 31/01/1988
Date Reported 18/01/1988
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 29/10/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
FEVER
INJECTION SITE REACTION
Included Term : RED ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/10/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50124 Sequence 1
Computer Entry Date 31/01/1988
Date Reported 18/01/1988
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 21/10/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/10/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S DROPS 2.0 DF
1 TIME PER ORAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50125 Sequence 1
Computer Entry Date 31/01/1988
Date Reported 18/01/1988
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 21/10/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/10/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50154 Sequence 1
Computer Entry Date 31/01/1988
Date Reported 08/12/1987
Age : 28 YEARS Sex MALE Height
Weight Date Of Onset 04/09/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
PENICILLIN/KEFLIN CEASED
REACTION
TREATED WITH TOPICAL STEROIDS, ANTIHISTAMINES & OTH
PRURITUS
Included Term : ITCHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BENZYLPENICILLIN NOS S INJECTION 1.0 MU
DAILY INTRAVENOUS
DRUG ADMINISTRATION BEGAN 03/09/1987 AND CEASED 04/09/1987
FLUCLOXACILLIN SODIUM S INJECTION 1.0 GM
DAILY INTRAVENOUS
DRUG ADMINISTRATION BEGAN 03/09/1987 AND CEASED 04/09/1987
KEFLIN S INJECTION 4.0 GM
DAILY INTRAVENOUS
DRUG ADMINISTRATION BEGAN 04/09/1987 AND CEASED 06/09/1987
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/09/1987
TETANUS IMMUNOGLOBULIN S INJECTION 250.0 UT
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/09/1987
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50180 Sequence 1
Computer Entry Date 31/01/1988
Date Reported 25/01/1988
Age : 18 MONTHS Sex FEMALE Height
Weight 12 Date Of Onset 21/01/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
Included Term : MEASLE-LIKE RASH
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 11/01/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50189 Sequence 1
Computer Entry Date 31/01/1988
Date Reported 08/01/1988
Age : 24 YEARS Sex FEMALE Height 180
Weight 68 Date Of Onset 11/12/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER REACTION
TREATED WITH ASPIRIN/PANADOL
Included Term : FEBRILE
ARTHRALGIA
RIGORS
BACK PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 09/12/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range :
0 1
BLOOD TEST :27/11/87 NORMAL
15/12/87 WCC 12,600 INCREASED RCC 4 DECREASED
ESR 85 INCREASED DIFF: N GAMMA GT 38 INCREASED
(0-35)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50196 Sequence 1
Computer Entry Date 31/01/1988
Date Reported 07/01/1988
Age : 47 YEARS Sex MALE Height 170
Weight 78 Date Of Onset 05/01/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE REACTION
TREATED WITH PARACETAMOL AND FLUIDS
ARTHRALGIA
LYMPHADENOPATHY
DEPERSONALIZATION
FATIGUE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 04/01/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50322 Sequence 1
Computer Entry Date 31/01/1988
Date Reported 22/01/1988
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50674 Sequence 1
Computer Entry Date 28/02/1988
Date Reported 05/02/1988
Age : 19 MONTHS Sex MALE Height
Weight 12 Date Of Onset 04/02/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER REACTION
TREATED WITH PHENERGAN
Included Term : TEMPERATURE ELEVATION
Description : TEMPERATURE ELEVATED
NERVOUSNESS
Included Term : IRRITABILITY
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50685 Sequence 1
Computer Entry Date 28/02/1988
Date Reported 30/01/1988
Age : 12 YEARS Sex MALE Height
Weight Date Of Onset 20/12/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
VOMITING
RIGORS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/12/1987 AND CEASED 24/12/1987
ICD Code : BURN CONFINED TO LOWER LIMB(S)
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50689 Sequence 1
Computer Entry Date 28/02/1988
Date Reported 08/02/1988
Age : 1 YEARS Sex FEMALE Height
Weight 10 Date Of Onset 14/12/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
NERVOUSNESS
Included Term : IRRITABILITY
RASH MACULO-PAPULAR
Included Term : MEASLES RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S
DRUG ADMINISTRATION BEGAN 07/12/1987
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50707 Sequence 1
Computer Entry Date 28/02/1988
Date Reported 26/01/1988
Age : 9 YEARS Sex MALE Height
Weight Date Of Onset 15/11/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHADENOPATHY
Included Term : LEFT PAROTID SWELLING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID CHOLERA VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 13/11/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50710 Sequence 1
Computer Entry Date 28/02/1988
Date Reported 27/01/1988
Age : 37 YEARS Sex MALE Height
Weight Date Of Onset 16/07/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
THROMBOCYTOPENIA REACTION
TREATED WITH STEROIDS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S
DRUG ADMINISTRATION BEGAN 10/07/1987
ICD Code : MULT OPN WNDS OF OTR&UNSP LOCA
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50711 Sequence 1
Computer Entry Date 28/02/1988
Date Reported 26/01/1988
Age : 29 YEARS Sex FEMALE Height 150
Weight 40 Date Of Onset 24/01/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
Included Term : URTICARIAL RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S INJECTION
INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 23/01/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50720 Sequence 1
Computer Entry Date 28/02/1988
Date Reported 29/01/1988
Age : 44 YEARS Sex MALE Height 175
Weight 70 Date Of Onset 29/01/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RENAL PAIN REACTION
TREATED WITH PHENERGAN 50MG IV AND PUSH IV N SALINE
Included Term : KIDNEY PAIN
URTICARIA
Included Term : URTICARIAL RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CRYSTAPEN S INJECTION 600.0 MG
DAILY INTRAVENOUS
DRUG ADMINISTRATION BEGAN 29/01/1988 AND CEASED 29/01/1988
ICD Code : OTR&NOS INFEC&PARASIT DISEASES
FLOXAPEN S INJECTION 1.0 GM
DAILY INTRAVENOUS
DRUG ADMINISTRATION BEGAN 29/01/1988 AND CEASED 29/01/1988
ICD Code : OTR&NOS INFEC&PARASIT DISEASES
TETANUS VACCINE ADSORBED S
DRUG ADMINISTRATION BEGAN 29/01/1988
TETANUS IMMUNOGLOBULIN S
DRUG ADMINISTRATION BEGAN 29/01/1988
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50802 Sequence 1
Computer Entry Date 28/02/1988
Date Reported 16/02/1988
Age : 1 YEARS Sex MALE Height
Weight Date Of Onset 12/02/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/02/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50868 Sequence 1
Computer Entry Date 28/02/1988
Date Reported 18/12/1987
Age : 5 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER TREATED
WITH FLUIDS AND PANADOL - LEFT HOSPITAL AFTER 1 DAY
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S 5.0 ML
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50874 Sequence 1
Computer Entry Date 28/02/1988
Date Reported 20/01/1988
Age : 2 MONTHS Sex MALE Height
Weight 6 Date Of Onset 04/11/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Included Term : ERYTHEMA
PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/11/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50875 Sequence 1
Computer Entry Date 28/02/1988
Date Reported 20/01/1988
Age : 2 MONTHS Sex FEMALE Height
Weight 5 Date Of Onset 11/11/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMED
TACHYCARDIA
Included Term : RAPID PULSE
PALLOR
Included Term : PALE
HYPOTONIA
Included Term : LIMP
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/11/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50876 Sequence 1
Computer Entry Date 28/02/1988
Date Reported 22/01/1988
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 06/01/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION REACTION
TREATED WITH STEROID OINTMENT
Included Term : LOCAL ERYTHEMIC REACTION
FEVER
Included Term : TEMPERATURE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/01/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50877 Sequence 1
Computer Entry Date 28/02/1988
Date Reported 20/01/1988
Age : 4 MONTHS Sex MALE Height
Weight 5 Date Of Onset 25/11/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS
Included Term : IRRITABLE
CRYING ABNORMAL
Included Term : SCREAMED
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/11/1987 AND CEASED 25/11/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50878 Sequence 1
Computer Entry Date 28/02/1988
Date Reported 21/01/1988
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 18/01/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION REACTION
TREATED WITH DYMADON, ICE PACK AND CORTISONE OINTME
Included Term : LARGE INFLAMED AREA
NERVOUSNESS
Included Term : IRRITATION
FEVER
Included Term : PYREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/01/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50915 Sequence 1
Computer Entry Date 28/02/1988
Date Reported 19/02/1988
Age : 30 YEARS Sex FEMALE Height
Weight 60 Date Of Onset 15/09/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
Included Term : MACULAR RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S INJECTION 5.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/09/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50934 Sequence 1
Computer Entry Date 28/02/1988
Date Reported 15/02/1988
Age : 18 MONTHS Sex FEMALE Height 80
Weight 10 Date Of Onset 13/02/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER REACTION
TREATED WITH CALAMINE LOTION
Included Term : FEBRILE
RASH MORBILLIFORM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 04/02/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50955 Sequence 1
Computer Entry Date 28/02/1988
Date Reported 18/02/1988
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 08/12/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER REACTION
TREATED WITH PANADOL
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 08/12/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50956 Sequence 1
Computer Entry Date 28/02/1988
Date Reported 18/02/1988
Age : 3 MONTHS Sex MALE Height
Weight Date Of Onset 07/05/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER REACTION
TREATED WITH PANADOL
SEQUELAE
...ASTHMA
CRYING ABNORMAL
Included Term : SCREAMING
ANOREXIA
HYPERTENSION INTRACRANIAL
Included Term : BULGING FONTANELLE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 07/05/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50957 Sequence 1
Computer Entry Date 28/02/1988
Date Reported 18/02/1988
Age : 22 MONTHS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE REACTION
TREATED WITH PANADOL REPEATED BY 4
Included Term : LETHARGIC
SEQUELAE...NIGHT TERROR WITH VOMITING 1 WEEK LATER
INJECTION SITE REACTION
FEVER
RIGORS
Included Term : SHIVERING
ASTHENIA
Included Term : WEAKNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 09/02/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50958 Sequence 1
Computer Entry Date 28/02/1988
Date Reported 18/02/1988
Age : 7 MONTHS Sex Height
Weight Date Of Onset 09/11/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
FEVER
CRYING ABNORMAL
Included Term : PERSISTENT CRYING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 09/11/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50959 Sequence 1
Computer Entry Date 28/02/1988
Date Reported 18/02/1988
Age : 7 MONTHS Sex FEMALE Height
Weight Date Of Onset 23/11/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL REACTION
TREATED WITH PANADOL - CHANGED TO CDT
Included Term : SCREAMING
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 23/11/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50960 Sequence 1
Computer Entry Date 28/02/1988
Date Reported 18/02/1988
Age : 18 MONTHS Sex FEMALE Height
Weight Date Of Onset 00/02/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER CHANGED
TO CDT
CRYING ABNORMAL
TREMOR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
DRUG ADMINISTRATION BEGAN 00/02/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50961 Sequence 1
Computer Entry Date 28/02/1988
Date Reported 18/02/1988
Age : 19 MONTHS Sex FEMALE Height
Weight Date Of Onset 16/02/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER REACTION
TREATED BY PANADOL - REPEATED BY 3
CRYING ABNORMAL
AGITATION
Included Term : RESTLESSNESS MARKED
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 16/02/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 50962 Sequence 1
Computer Entry Date 28/02/1988
Date Reported 23/02/1988
Age : 7 MONTHS Sex FEMALE Height
Weight Date Of Onset 07/12/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL CHANGED
TO CDT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 07/12/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51198 Sequence 1
Computer Entry Date 31/03/1988
Date Reported 09/03/1988
Age : 22 MONTHS Sex FEMALE Height
Weight Date Of Onset 02/03/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER REACTION
TREATED WITH PARACETAMOL 4/24 PRN.
Included Term : HIGH FEVER
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/03/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51226 Sequence 1
Computer Entry Date 31/03/1988
Date Reported 11/03/1988
Age : 22 MONTHS Sex FEMALE Height
Weight 12 Date Of Onset 02/03/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL,
VALIUM, ANTI-CONVULSING DRUG, WARM BATHS, SPONGES A
Included Term : HIGH TEMPERATURE 4 DAY
COURSE OF CELESTONE TABLETS - BETAMETHASONE .5MG
RIGORS
Included Term : SHAKES
INJECTION SITE REACTION
Included Term : UNABLE TO WALK AFTER INJECTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/03/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51235 Sequence 1
Computer Entry Date 31/03/1988
Date Reported 01/03/1988
Age : 8 YEARS Sex MALE Height
Weight Date Of Onset 22/02/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE
OBSERVATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 22/02/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51241 Sequence 1
Computer Entry Date 31/03/1988
Date Reported 24/02/1988
Age Code AD - Adult Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51257 Sequence 1
Computer Entry Date 31/03/1988
Date Reported 29/02/1988
Age : 15 MONTHS Sex FEMALE Height 82
Weight 11 Date Of Onset 28/02/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MORBILLIFORM
Included Term : MORBILLIFORM RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMPARIX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 25/02/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51290 Sequence 1
Computer Entry Date 31/03/1988
Date Reported 15/03/1988
Age : 22 YEARS Sex FEMALE Height 170
Weight 63 Date Of Onset 00/04/1986
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ASTHENIA
Included Term : WEAKNESS
FATIGUE
Included Term : LETHARGY
WEIGHT DECREASE
Included Term : WEIGHT LOSS
NAUSEA
DIARRHOEA
PAIN
Included Term : PAIN IN BOTH AXILLAE
FEVER
SWEATING INCREASED
Included Term : SWEATING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S
DRUG ADMINISTRATION BEGAN 00/03/1986
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51292 Sequence 1
Computer Entry Date 31/03/1988
Date Reported 14/03/1988
Age : 42 YEARS Sex FEMALE Height 157
Weight 54 Date Of Onset 25/01/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FACE OEDEMA REACTION
TREATED WITH ANTIHISTAMINES
Included Term : FACIAL OEDEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/01/1988
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51324 Sequence 1
Computer Entry Date 31/03/1988
Date Reported 15/03/1988
Age : 6 YEARS Sex MALE Height 124
Weight 19 Date Of Onset 28/02/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/02/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51348 Sequence 1
Computer Entry Date 31/03/1988
Date Reported 25/03/1988
Age : 6 MONTHS Sex FEMALE Height
Weight Date Of Onset 13/01/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER REACTION
TREATED WITH PANADOL AND TEPID SPONGING
CRYING ABNORMAL
Included Term : SCREAMING
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 13/01/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51349 Sequence 1
Computer Entry Date 31/03/1988
Date Reported 25/01/1988
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 12/01/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL REACTION
TREATED WITH TEMPRA 4 HOURLY
Included Term : SCREAMING
FEVER
Included Term : HIGH TEMPERATURE
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 12/01/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51350 Sequence 1
Computer Entry Date 31/03/1988
Date Reported 25/03/1988
Age : 15 YEARS Sex MALE Height
Weight Date Of Onset 15/03/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 15/03/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51374 Sequence 1
Computer Entry Date 31/03/1988
Date Reported 16/03/1988
Age : 1 DAYS Sex MALE Height
Weight Date Of Onset 10/03/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS CLEAR
AIRWAYS ECM HAND BAGGED WITH OXYGEN
Included Term : TONIC SEIZURE
APNOEA
CYANOSIS
BRADYCARDIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/03/1988
IMMUNOGLOBULIN HUMAN NORMAL S 100.0 UT
1 TIME
DRUG ADMINISTRATION BEGAN 10/03/1988
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51378 Sequence 1
Computer Entry Date 31/03/1988
Date Reported 15/03/1988
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 13/01/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SKIN COLD CLAMMY REACTION
TREATED WITH PANADOL
Included Term : COLD AND CLAMMY CHANGED
VACCINE TO CDT
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51379 Sequence 1
Computer Entry Date 31/03/1988
Date Reported 15/03/1988
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 21/12/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER REACTION
TREATED WITH PANADOL
CHANGED
TO CDT VACCINE
DYSPNOEA
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/12/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51398 Sequence 1
Computer Entry Date 31/03/1988
Date Reported 10/03/1988
Age : 24 YEARS Sex FEMALE Height 147
Weight 50 Date Of Onset 05/03/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HERPES SIMPLEX
Included Term : COLD SORES ON LIP
INJECTION SITE PAIN
DYSPEPSIA
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S 20.0 RG
1 TIME
DRUG ADMINISTRATION BEGAN 04/03/1988
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51398 Sequence 2
Computer Entry Date 30/09/1988
Date Reported 15/09/1988
Age : 24 YEARS Sex FEMALE Height 143
Weight 51 Date Of Onset 08/09/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
Included Term : ITCHINESS
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51487 Sequence 1
Computer Entry Date 30/04/1988
Date Reported 30/03/1988
Age : 16 MONTHS Sex MALE Height
Weight Date Of Onset 03/03/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PARALYSIS
Included Term : LEFT 6TH NERVE PALSY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S
DRUG ADMINISTRATION BEGAN 01/03/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51550 Sequence 1
Computer Entry Date 30/04/1988
Date Reported 31/03/1988
Age : 60 YEARS Sex MALE Height 180
Weight 70 Date Of Onset 00/00/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS SAME
REACTION OCCURRED ON RECHALLENGE
Included Term : ACUTE POLYARTHRITIS
ARTHRITIS
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51588 Sequence 1
Computer Entry Date 30/04/1988
Date Reported 30/03/1988
Age : 25 YEARS Sex MALE Height 178
Weight 87 Date Of Onset 28/03/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE BED REST
SOLUBLE ASPIRIN 2 EVERY 4 HOURS
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/03/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51611 Sequence 1
Computer Entry Date 30/04/1988
Date Reported 05/04/1988
Age : 28 YEARS Sex FEMALE Height 163
Weight 50 Date Of Onset 01/04/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HERPES ZOSTER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/03/1988
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51697 Sequence 1
Computer Entry Date 30/04/1988
Date Reported 20/04/1988
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 17/02/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL NIL
Included Term : HIGH PITCHED CRY
VOMITING
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 17/02/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51698 Sequence 1
Computer Entry Date 30/04/1988
Date Reported 20/04/1988
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 22/03/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
GIVEN.
ANOREXIA
NERVOUSNESS
Included Term : IRRITABILITY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 22/03/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51699 Sequence 1
Computer Entry Date 30/04/1988
Date Reported 20/04/1988
Age : 8 MONTHS Sex MALE Height
Weight Date Of Onset 17/12/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
AND COOL BATHS
Included Term : HIGH PITCHED SCREAMING
FEVER
VOMITING
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 17/12/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51700 Sequence 1
Computer Entry Date 30/04/1988
Date Reported 20/04/1988
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 05/01/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
GIVEN, COOL BATHING.
CRYING ABNORMAL
Included Term : SCREAMING
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 05/01/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51781 Sequence 1
Computer Entry Date 30/04/1988
Date Reported 20/04/1988
Age : 32 YEARS Sex FEMALE Height 173
Weight 65 Date Of Onset 15/04/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
Included Term : PAIN AT INJECTION SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/04/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51799 Sequence 1
Computer Entry Date 31/05/1988
Date Reported 02/05/1988
Age : 34 YEARS Sex MALE Height 185
Weight 109 Date Of Onset 29/04/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S INJECTION 1.0 ML
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/04/1988 AND CEASED 29/04/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51811 Sequence 1
Computer Entry Date 31/05/1988
Date Reported 02/05/1988
Age : 18 YEARS Sex FEMALE Height 158
Weight 47 Date Of Onset 29/04/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
ANOREXIA
Included Term : APPETITE DECREASED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/04/1988
ICD Code : SERUM HEPATITIS POST MED CARE
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51843 Sequence 1
Computer Entry Date 31/05/1988
Date Reported 04/05/1988
Age : 18 MONTHS Sex FEMALE Height
Weight 12 Date Of Onset 03/05/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
Included Term : FIT
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 1.0 MG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/05/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51851 Sequence 1
Computer Entry Date 31/05/1988
Date Reported 03/05/1988
Age : 12 YEARS Sex Height
Weight Date Of Onset 26/04/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SOMNOLENCE
Included Term : DROWSINESS
RASH
BRADYCARDIA
Included Term : SLOW PULSE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RUBELLA VACCINE S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/04/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51867 Sequence 1
Computer Entry Date 31/05/1988
Date Reported 05/05/1988
Age : 41 YEARS Sex FEMALE Height 170
Weight 60 Date Of Onset 09/04/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
ANTIHISTAMINES GIVEN.
RASH MACULO-PAPULAR
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S INJECTION 20.0 GM
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/04/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51908 Sequence 1
Computer Entry Date 31/05/1988
Date Reported 04/05/1988
Age : 15 MONTHS Sex MALE Height
Weight 12 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER SAME
REACTION OCCURRED ON EARLIER EXPOSURE.
FEVER
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51908 Sequence 2
Computer Entry Date 31/05/1988
Date Reported 04/05/1988
Age : 15 MONTHS Sex MALE Height
Weight 12 Date Of Onset 15/04/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE
Included Term : LETHARGY
CYANOSIS
Included Term : CYANOSED
STRIDOR
Included Term : RESPIRATORY STRIDOR
HYPOTONIA
RIGORS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 15/04/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 51909 Sequence 1
Computer Entry Date 31/05/1988
Date Reported 29/04/1988
Age : 26 YEARS Sex FEMALE Height
Weight 52 Date Of Onset 00/03/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANOREXIA SAME
REACTION OCCURRED ON PREVIOUS EXPOSURE, FEB 88.
NAUSEA
ANOREXIA
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S 20.0 RG
1 TIME
DRUG ADMINISTRATION BEGAN 00/03/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 52135 Sequence 1
Computer Entry Date 31/05/1988
Date Reported 08/04/1988
Age : 18 YEARS Sex FEMALE Height 153
Weight 60 Date Of Onset 16/09/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS
ERYTHROMYCIN GIVEN-NO EFFECT. ISONIAZID AND RIFAMPICIN GIVEN
SEQUALAE
.RESIDUAL PAINFUL CERVICAL LYMPH NODE - ONE.
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 00/09/1987
0Laboratory Data
===============
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 52155 Sequence 1
Computer Entry Date 31/05/1988
Date Reported 13/05/1988
Age : 27 YEARS Sex FEMALE Height
Weight Date Of Onset 10/05/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA CALAMINE
LOTION ANTIHISTAMINES GIVEN.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/05/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 52204 Sequence 1
Computer Entry Date 31/05/1988
Date Reported 17/05/1988
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 06/01/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL TEMPRA
GIVEN SAME REACTION OCCURRED ON RECHALLENGE
Included Term : SCREAMING
FEVER
FEVER
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/01/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 52205 Sequence 1
Computer Entry Date 31/05/1988
Date Reported 17/05/1988
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 09/03/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
4 HOURLY
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/03/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 52206 Sequence 1
Computer Entry Date 31/05/1988
Date Reported 17/05/1988
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 03/03/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL TEMPRA
GIVEN CHANGED TO C.D.T. FOR 3RD DOSE
Included Term : SCREAMING
EMOTIONAL LABILITY
Included Term : IRRITABLE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/03/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 52265 Sequence 1
Computer Entry Date 31/05/1988
Date Reported 20/05/1988
Age : 31 YEARS Sex MALE Height 179
Weight 72 Date Of Onset 17/05/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
DYSARTHRIA
DIZZINESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION 1.0 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 17/05/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 17/05/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 52418 Sequence 1
Computer Entry Date 30/06/1988
Date Reported 01/06/1988
Age : 36 YEARS Sex FEMALE Height
Weight 46 Date Of Onset 16/12/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEPATITIS
HEPATITIS A IN 1981.
Included Term : HEPATITIS CHRONIC ACTIVE
SPIDER NAEVI
NEUROPATHY PERIPHERAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 16/12/1987
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range :
0 1 11 ABNORMAL LFT'S WHICH SLOWLY SETTLED, A LIVER BIOPSY ON 9.3.88
SHOWED CHRONIC ACTIVE HEPATITIS.
SEROLOGY RESULTS FOR HEP B: HBSAG-NEGATIVE 7/3/88
HBCAG-NEGATIVE 16/3/88
HBSAB-POSITIVE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY
Lab Normal Range :
0 ANTISMOOTH MUSCLE ANTIBODY WAS POSITIVE. LIVER BIOPSY HAD SHOWN ACTIVE
DISEASE WITH SOME PIECE MEAL NECROSIS WITHOUT EVIDENCE OF ETHANOL.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
HISTOLOGY
Lab Normal Range :
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 52743 Sequence 1
Computer Entry Date 30/06/1988
Date Reported 03/06/1988
Age : 3 MONTHS Sex MALE Height
Weight Date Of Onset 01/02/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
GIVEN.
Included Term : SCREAMING
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 MG
1 TIME
DRUG ADMINISTRATION BEGAN 01/02/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 52744 Sequence 1
Computer Entry Date 30/06/1988
Date Reported 03/06/1988
Age Sex MALE Height
Weight Date Of Onset 09/03/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER TEMPRA
DROPS GIVEN
Included Term : FEBRILE
VOMITING
Included Term : PROJECTILE VOMITING
NERVOUSNESS
Included Term : IRRITABILITY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 09/03/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 52748 Sequence 1
Computer Entry Date 30/06/1988
Date Reported 02/06/1988
Age : 59 YEARS Sex MALE Height
Weight Date Of Onset 00/03/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS NON-
STEROIDALS AFTER ASPIRIN, THEN PREDNISOLONE. ARTHRITIS
Included Term : POLYARTHRITIS GENERALISED SEVERITY
ARTHRITIS RHEUMATOID
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 02/03/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 1
INITIAL LOW RA TITRE 1.40
3 WEEKS LATER TITRE 1.320
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 52749 Sequence 1
Computer Entry Date 30/06/1988
Date Reported 03/06/1988
Age : 33 YEARS Sex FEMALE Height
Weight Date Of Onset 10/04/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN SAME
REACTION OCCURRED ON RECHALL
Included Term : UPPER QUADRANT PAIN
HEPATIC FUNCTION ABNORMAL
Included Term : ABNORMAL LFTS
HEPATIC FUNCTION ABNORMAL
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S 20.0 RG
1 TIME
DRUG ADMINISTRATION BEGAN 01/04/1987
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 52791 Sequence 1
Computer Entry Date 30/06/1988
Date Reported 06/06/1988
Age : 54 YEARS Sex FEMALE Height 171
Weight 61 Date Of Onset 12/05/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
JAUNDICE
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ERYTHROCIN S
DRUG ADMINISTRATION BEGAN 18/04/1988 AND CEASED 12/05/1988
ICD Code : ACUTE APICAL PERIODONTITIS
DOLOXENE CO S
DRUG ADMINISTRATION BEGAN 21/04/1988 AND CEASED 12/05/1988
ICD Code : PAIN
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/05/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
BIOCHEMISTRY
Lab Normal Range :
0 1 15/4/87 19/5/88 27/5/88 20/5/88
BILI (6-24) 5 94 152 HEPATITIS A NEGATIVE
GGT (0-30) 11 196 82 HEPATITIS B NEGATIVE
ALP (30-110) 41 296 233
AST (10-45) 21 158 54
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 52805 Sequence 1
Computer Entry Date 30/06/1988
Date Reported 03/06/1988
Age : 38 YEARS Sex MALE Height 170
Weight 65 Date Of Onset 04/05/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PARACETAMOL GIVEN
MYALGIA
ARTHRITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/05/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 52814 Sequence 1
Computer Entry Date 30/06/1988
Date Reported 07/06/1988
Age : 59 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE FOLINIC
ACID, PREDNISOLONE 75MG IM AND VINCRISTINE 1.5MG IV
PLATELET
S X 2UNITS ALSO GIVEN.
PHARYNGITIS
Included Term : SORE THROAT
RHINITIS
Included Term : CORYZA
THROMBOCYTOPENIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PREMARIN S 300.0 MG
DAILY
PROVERA S 1.0 DF
DAILY
METHOTREXATE S 17.0 MG
WEEKLY
DRUG ADMINISTRATION BEGAN 00/11/1987
ICD Code : OTHER RHEUMATOID ARTHRITIS
TOFRANIL S 50.0 MG
DAILY
ICD Code : DEPRESSION
ORUDIS S 200.0 MG
DAILY
ICD Code : OTHER RHEUMATOID ARTHRITIS
THEO-DUR S 400.0 MG
DAILY
ICD Code : OTR RESPIRATORY SYSTM DISEASES
VENTOLIN S INHALANT
INHALATION
ICD Code : OTR RESPIRATORY SYSTM DISEASES
ATROVENT S INHALANT
INHALATION
ICD Code : OTR RESPIRATORY SYSTM DISEASES
DOXYCYCLINE HYDROCHLORIDE S 100.0 MG
DAILY
FLUVAX S 1.0 DF
1 TIME
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 52855 Sequence 1
Computer Entry Date 30/06/1988
Date Reported 20/04/1988
Age : 40 YEARS Sex FEMALE Height 158
Weight 76 Date Of Onset 04/03/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PAIN
Included Term : SHOULDER AND NECK PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/03/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 52855 Sequence 2
Computer Entry Date 30/06/1988
Date Reported 20/04/1988
Age : 40 YEARS Sex FEMALE Height 158
Weight 76 Date Of Onset 05/04/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FACE OEDEMA
Included Term : FACIAL OEDEMA
ARTHRALGIA
FEVER
Included Term : FEBRILE
FATIGUE
RIGORS
DYSPNOEA
Included Term : BREATHING DIFFICULTIES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/04/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 52882 Sequence 1
Computer Entry Date 30/06/1988
Date Reported 21/06/1988
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 28/01/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS PANADOL
GIVEN 4 HOURLY
Included Term : IRRITABILITY
CRYING ABNORMAL
Included Term : CRYING
ANOREXIA
Included Term : REFUSING FOOD
WEIGHT DECREASE
Included Term : LOSS IN WEIGHT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 28/01/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 52898 Sequence 1
Computer Entry Date 30/06/1988
Date Reported 16/06/1988
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 13/04/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
4 HOURLY
Included Term : SCREAMING
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/04/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 52899 Sequence 1
Computer Entry Date 30/06/1988
Date Reported 16/06/1988
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 20/04/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
4 HOURLY SAME REACTION HAD OCCURRED ON PREVIOUS EXP
VOMITING
VOMITING
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/04/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 52900 Sequence 1
Computer Entry Date 30/06/1988
Date Reported 16/06/1988
Age : 52 YEARS Sex FEMALE Height
Weight Date Of Onset 00/05/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FLATULENCE SAME
REACTION OCCURRED ON RECHALLENGE
NAUSEA
HEADACHE
RIGORS
Included Term : SHIVERS
DIARRHOEA
FLATULENCE
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BRONCOSTAT S TABLET 2.0 DF
TOTAL PER ORAL
DRUG ADMINISTRATION BEGAN 23/05/1988 AND CEASED 24/05/1988
ICD Code : CHRONIC SINUSITIS
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55002 Sequence 1
Computer Entry Date 31/07/1988
Date Reported 01/07/1988
Age : 68 YEARS Sex FEMALE Height 168
Weight 64 Date Of Onset 20/06/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INFLUENZA
CHLOROMYXIN AND STOXIL ADMINISTERED.
HERPES SIMPLEX
CORNEAL ULCERATION
Included Term : CORNEAL ULCER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/06/1988
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55004 Sequence 1
Computer Entry Date 31/07/1988
Date Reported 27/06/1988
Age Code A5 - Fifties Sex FEMALE Height 160
Weight Date Of Onset 24/04/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RESPIRATORY DISORDER 3
COURSES ANTIBIOTICS. SAME REACTION OCCURRED ON RECHALLENG
LATER.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BRONCOSTAT S TABLET 6.0 DF
TOTAL PER ORAL
DRUG ADMINISTRATION BEGAN 19/04/1988 AND CEASED 21/05/1988
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55005 Sequence 1
Computer Entry Date 31/07/1988
Date Reported 29/06/1988
Age : 8 YEARS Sex FEMALE Height 138
Weight 30 Date Of Onset 13/06/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT
Included Term : PAROTID ENLARGEMENT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 26/05/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55021 Sequence 1
Computer Entry Date 31/07/1988
Date Reported 29/06/1988
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 23/06/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE OXYGEN
ADMINISTERED. MERUVAX BATCH NO. E4742.
HYPERTONIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/06/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55022 Sequence 1
Computer Entry Date 31/07/1988
Date Reported 29/06/1988
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 23/06/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE PAT
RESTED. MERUVAX BATCH NO. E4742
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/06/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55023 Sequence 1
Computer Entry Date 31/07/1988
Date Reported 29/06/1988
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 22/06/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE OXYGEN
ADMINISTERED. PAT RESTED AND RECOVERED AFTER HALF AN
MERUVAX
BATCH NO. E4742.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 22/06/1988 AND CEASED 29/06/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55041 Sequence 1
Computer Entry Date 31/07/1988
Date Reported 27/06/1988
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 07/04/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL TEMPRA 4
HOURLY
Included Term : HIGH PITCHED SCREAMING
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 07/04/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55051 Sequence 1
Computer Entry Date 31/07/1988
Date Reported 30/06/1988
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 21/06/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER SEDATION
Included Term : FEBRILE
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/06/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55081 Sequence 1
Computer Entry Date 31/07/1988
Date Reported 29/06/1988
Age : 66 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS SAME
REACTION OCCURRED ON RECHALLENGE 1/6/88 - 3/6/88
PRURITUS
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BRONCOSTAT S
DRUG ADMINISTRATION BEGAN 01/05/1988 AND CEASED 03/05/1988
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55187 Sequence 1
Computer Entry Date 31/07/1988
Date Reported 20/07/1988
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 03/05/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
Included Term : SCREAMING
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/05/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55191 Sequence 1
Computer Entry Date 31/07/1988
Date Reported 15/07/1988
Age : 36 YEARS Sex MALE Height 183
Weight 94 Date Of Onset 10/07/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA
ARTHRALGIA
NAUSEA
DEPRESSION
FATIGUE
Included Term : LETHARGY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/07/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55208 Sequence 1
Computer Entry Date 31/07/1988
Date Reported 12/07/1988
Age : 39 YEARS Sex FEMALE Height 165
Weight 51 Date Of Onset 00/06/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA
Included Term : SOFT BOWEL MOTION
DIARRHOEA
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BRONCOSTAT S TABLET 2.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/06/1988 AND CONTINUED FOR 3 DAYS
ICD Code : CHRONIC BRONCHITIS
VIBRA-TABS 50 O TABLET 2.0 DF
DAILY PER ORAL
NEMDYN O
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55209 Sequence 1
Computer Entry Date 31/07/1988
Date Reported 07/07/1988
Age : 6 YEARS Sex FEMALE Height
Weight Date Of Onset 25/03/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
CYANOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 25/03/1988 AND CEASED 25/03/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55210 Sequence 1
Computer Entry Date 31/07/1988
Date Reported 07/07/1988
Age : 6 YEARS Sex FEMALE Height
Weight Date Of Onset 25/03/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
CYANOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 25/03/1988 AND CEASED 25/03/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55229 Sequence 1
Computer Entry Date 31/07/1988
Date Reported 13/07/1988
Age : 1 YEARS Sex MALE Height
Weight Date Of Onset 13/07/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
OBSERVATION
Included Term : RED RASH
COUGHING
FEVER
TACHYCARDIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMPARIX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/07/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55268 Sequence 1
Computer Entry Date 31/07/1988
Date Reported 20/07/1988
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 11/05/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING FOR 3 HOURS
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 11/05/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55398 Sequence 1
Computer Entry Date 31/08/1988
Date Reported 10/08/1988
Age : 31 YEARS Sex FEMALE Height 160
Weight Date Of Onset 01/06/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BRONCHOSPASM AGGRAVATED
SEQUELAE: SLOW IMPROVEMENT - ASTHMA MORE UNSTABLE. INCREASE
Included Term : ASTHMA AGGRAVATED STEROIDS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BRONCOSTAT S 2.0 DF
DAILY
DRUG ADMINISTRATION BEGAN 31/05/1988 AND CEASED 01/06/1988
ICD Code : INFLUENZA,UNQUALIFIED
PREDNISONE O TABLET 10.0 MG
DAILY PER ORAL
BECOTIDE O INHALANT 12.0 DF
DAILY INHALATION
VENTOLIN O INHALANT 18.0 DF
DAILY INHALATION
INTAL O INHALANT 4.0 DF
DAILY INHALATION
0Laboratory Data
===============
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55407 Sequence 1
Computer Entry Date 31/08/1988
Date Reported 09/08/1988
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 02/06/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
3-4 HOURLY FOR 5 DAYS.
CRYING ABNORMAL
Included Term : SCREAMING
SOMNOLENCE
Included Term : DROWSINESS
ANOREXIA
Included Term : APPETITE LOST
WEIGHT DECREASE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/06/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55408 Sequence 1
Computer Entry Date 31/08/1988
Date Reported 04/08/1988
Age : 8 MONTHS Sex MALE Height
Weight Date Of Onset 05/05/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
Included Term : SCREAMING
FEVER
OEDEMA PERIPHERAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/05/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55409 Sequence 1
Computer Entry Date 31/08/1988
Date Reported 01/08/1988
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 26/05/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
PARACETAMOL 4 HOURLY FOR 24 HOURS
Included Term : SCREAMING
FEVER
INJECTION SITE INFLAMMATION
ANOREXIA
Included Term : LOSS OF APPETITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/05/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55410 Sequence 1
Computer Entry Date 31/08/1988
Date Reported 01/08/1988
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 27/05/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONJUNCTIVITIS
CASUALTY, AND OBSERVATION.
Included Term : EYE INFLAMED
HYPERTONIA
CONSCIOUSNESS FLUCTUATING
Included Term : CONSCIOUSNESS LEVEL DEPRESSED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/05/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55418 Sequence 1
Computer Entry Date 31/08/1988
Date Reported 05/08/1988
Age : 13 MONTHS Sex MALE Height
Weight 10 Date Of Onset 21/07/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ERYTHEMA MULTIFORME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 19/07/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55422 Sequence 1
Computer Entry Date 31/08/1988
Date Reported 02/08/1988
Age : 43 YEARS Sex FEMALE Height 170
Weight 75 Date Of Onset 26/07/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE REST
SAME REACTION HAD OCCURRED ON AN EARLIER EXPOSURE
CHEST PAIN
Included Term : TIGHT CHEST
RASH
OEDEMA PERIORBITAL
Included Term : PUFFY EYE LIDS
HEADACHE
Included Term : RECHALLENGE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/07/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55465 Sequence 1
Computer Entry Date 31/08/1988
Date Reported 16/08/1988
Age : 7 MONTHS Sex MALE Height
Weight Date Of Onset 02/08/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
ELIXIR 4 HOURLY
MYALGIA
Included Term : SORE ARM
CRYING ABNORMAL
Included Term : UNSTABLE SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/08/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55467 Sequence 1
Computer Entry Date 31/08/1988
Date Reported 11/08/1988
Age : 5 MONTHS Sex FEMALE Height
Weight Date Of Onset 02/06/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL TEMPRA 4
HOURLY
Included Term : SCREAMING
INJECTION SITE REACTION
Included Term : SWOLLEN LUMP ON ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/06/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55550 Sequence 1
Computer Entry Date 31/08/1988
Date Reported 19/08/1988
Age : 15 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S
DRUG ADMINISTRATION BEGAN 15/10/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55552 Sequence 1
Computer Entry Date 31/08/1988
Date Reported 13/08/1988
Age : 30 MONTHS Sex MALE Height
Weight Date Of Onset 10/06/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS PANADOL
4/24 - 2-3 DAYS, TEPID SPONGE.
Included Term : IRRITABILITY
FEVER
ANOREXIA
Included Term : ANOREXIC
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/06/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 1 DURATION OF REACTION - 3 DAYS.
HOURS ELAPSED SINCE IMMUNIZATION - 6 HOURS.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55614 Sequence 1
Computer Entry Date 31/08/1988
Date Reported 18/08/1988
Age : 45 YEARS Sex MALE Height 176
Weight 85 Date Of Onset 00/05/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANAMAX
WAS GIVEN SAME REACTION OCCURRED ON RECHALLENGE
Included Term : FEBRILE REACTION
FEVER
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BRONCOSTAT S TABLET 2.0 DF
DAILY PER ORAL
ICD Code : BRONCHITIS,UNQUALIFIED
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55647 Sequence 2
Computer Entry Date 31/08/1988
Date Reported 27/07/1988
Age Code AD - Adult Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BRONCHOSPASM
Included Term : ASTHMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/05/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55718 Sequence 1
Computer Entry Date 31/08/1988
Date Reported 23/08/1988
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 15/06/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PANADOL,FLUIDS.
MALAISE
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/06/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55727 Sequence 1
Computer Entry Date 31/08/1988
Date Reported 29/08/1988
Age : 24 YEARS Sex FEMALE Height 170
Weight 68 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
ATAXIA
DIZZINESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S 3.0 DF
TOTAL
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 55970 Sequence 1
Computer Entry Date 30/09/1988
Date Reported 31/08/1988
Age : 1 YEARS Sex MALE Height
Weight Date Of Onset 21/04/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
THERAPEUTIC INEFFICACY
Included Term : VACCINE FAILURE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/03/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56021 Sequence 1
Computer Entry Date 30/09/1988
Date Reported 02/09/1988
Age : 9 YEARS Sex FEMALE Height 132
Weight 28 Date Of Onset 11/08/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT
Included Term : PAROTITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 27/07/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56023 Sequence 1
Computer Entry Date 30/09/1988
Date Reported 02/09/1988
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 29/06/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER TO
W.V.H. CASUALITY. PANADOL ELIXIR 4/24 - FOR 1/7 AND TEPID
Included Term : FEBRILE
ANOREXIA
NERVOUSNESS
Included Term : IRRITABILITY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/06/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56024 Sequence 1
Computer Entry Date 30/09/1988
Date Reported 02/09/1988
Age : 7 MONTHS Sex MALE Height
Weight Date Of Onset 21/06/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
DROPS 3 HOURLY FOR 18 HOURS
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/06/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56028 Sequence 1
Computer Entry Date 30/09/1988
Date Reported 07/09/1988
Age : 31 YEARS Sex FEMALE Height 160
Weight 56 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION IM
PHENERGAN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56030 Sequence 1
Computer Entry Date 30/09/1988
Date Reported 06/09/1988
Age : 48 YEARS Sex MALE Height 172
Weight 70 Date Of Onset 05/09/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CHEST PAIN
SYMPTOMATIC
BACK PAIN
GLOSSITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 3.0 DF
TOTAL INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56040 Sequence 1
Computer Entry Date 30/09/1988
Date Reported 02/09/1988
Age : 17 MONTHS Sex FEMALE Height
Weight 11 Date Of Onset 25/08/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
Included Term : MEASLES RASH
FEVER
Included Term : FEBRILE
SALIVARY GLAND ENLARGEMENT
Included Term : L PAROTITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S
DRUG ADMINISTRATION BEGAN 09/08/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56055 Sequence 1
Computer Entry Date 30/09/1988
Date Reported 29/08/1988
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 09/08/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
PHENERGAN GIVEN,PO.
Included Term : WHEAL
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 08/08/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
POLIOMYELITIS VIRUS VACCINE S DROPS 2.0 DF
TOTAL PER ORAL
DRUG ADMINISTRATION BEGAN 08/08/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56127 Sequence 1
Computer Entry Date 30/09/1988
Date Reported 25/08/1988
Age : 10 YEARS Sex FEMALE Height
Weight Date Of Onset 15/06/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/06/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56327 Sequence 1
Computer Entry Date 30/09/1988
Date Reported 05/09/1988
Age : 14 MONTHS Sex FEMALE Height
Weight Date Of Onset 05/09/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MUMPS
SYMPTOMATIV TREATMENT.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 03/06/1987 AND CEASED 03/06/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56341 Sequence 1
Computer Entry Date 30/09/1988
Date Reported 08/09/1988
Age : 13 MONTHS Sex FEMALE Height 84
Weight Date Of Onset 05/09/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES
ANALGESICS - ANTIPYRETICS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMPARIX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 30/08/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56383 Sequence 1
Computer Entry Date 30/09/1988
Date Reported 14/09/1988
Age : 11 YEARS Sex FEMALE Height 147
Weight 40 Date Of Onset 31/08/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN BED REST
- FLUIDS ORALLY 24 HOURS
MYALGIA
VOMITING
DIARRHOEA
HEADACHE
Included Term : HEADACHES
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RUBELLA VACCINE S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 30/08/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56400 Sequence 1
Computer Entry Date 30/09/1988
Date Reported 15/09/1988
Age Sex Height
Weight Date Of Onset 08/09/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MOUTH DRY
PALLOR
PARAESTHESIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56401 Sequence 1
Computer Entry Date 30/09/1988
Date Reported 08/09/1988
Age : 72 YEARS Sex FEMALE Height 135
Weight 45 Date Of Onset 04/09/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ALLERGIC REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE NOS S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 29/08/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56437 Sequence 1
Computer Entry Date 30/09/1988
Date Reported 13/09/1988
Age : 70 YEARS Sex MALE Height 180
Weight 69 Date Of Onset 23/05/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
DAILY SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 21/05/1988
ICD Code : EMPHYSEMA
PLENDIL S TABLET 10.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 12/05/1988 AND CEASED 04/08/1988
ICD Code : ESSENTIAL BENIGN HYPERTENSION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56447 Sequence 1
Computer Entry Date 30/09/1988
Date Reported 12/09/1988
Age : 24 YEARS Sex FEMALE Height
Weight 55 Date Of Onset 00/06/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
HOT FLUSHES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 00/06/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56619 Sequence 1
Computer Entry Date 30/09/1988
Date Reported 27/09/1988
Age : 41 YEARS Sex FEMALE Height
Weight Date Of Onset 15/09/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DYSPNOEA
CHEST PAIN
Included Term : CHEST TIGHTNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION 1.0 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 12/09/1988 AND CEASED 12/09/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
MENCEVAX AC S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 12/09/1988 AND CEASED 12/09/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56626 Sequence 1
Computer Entry Date 30/09/1988
Date Reported 23/09/1988
Age : 6 MONTHS Sex MALE Height
Weight 6 Date Of Onset 21/09/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
EMOTIONAL LABILITY
Included Term : IRRITABILITY
CRYING ABNORMAL
Included Term : CRYING
INJECTION SITE INFLAMMATION
Included Term : SWOLLEN UPPER ARM
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/09/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56666 Sequence 1
Computer Entry Date 31/10/1988
Date Reported 25/09/1988
Age : 40 YEARS Sex FEMALE Height 170
Weight 85 Date Of Onset 08/09/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PARAESTHESIA
MOUTH DRY
Included Term : DRY MOUTH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S
DRUG ADMINISTRATION BEGAN 08/09/1988 AND CEASED 08/09/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56667 Sequence 1
Computer Entry Date 31/10/1988
Date Reported 28/09/1988
Age : 62 YEARS Sex FEMALE Height 158
Weight 51 Date Of Onset 02/09/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MOUTH DRY
Included Term : DRY MOUTH
PARAESTHESIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S
DRUG ADMINISTRATION BEGAN 02/09/1988 AND CEASED 02/09/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56668 Sequence 1
Computer Entry Date 31/10/1988
Date Reported 28/09/1988
Age : 35 YEARS Sex FEMALE Height 155
Weight 64 Date Of Onset 02/09/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MOUTH DRY
Included Term : DRY MOUTH
PARAESTHESIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S
DRUG ADMINISTRATION BEGAN 02/09/1988 AND CEASED 02/09/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56714 Sequence 1
Computer Entry Date 31/10/1988
Date Reported 06/10/1988
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 05/10/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
MONITORING.
CYANOSIS
HYPOVENTILATION
PALLOR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/10/1988 AND CEASED 05/10/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56719 Sequence 1
Computer Entry Date 31/10/1988
Date Reported 04/10/1988
Age : 40 YEARS Sex FEMALE Height
Weight Date Of Onset 30/08/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ERYTHEMA MULTIFORME ORAL
PREDNISOLONE 40MG AND PHENERGAN 25MG TDS.
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
AMOXYCILLIN TRIHYDRATE S
DRUG ADMINISTRATION BEGAN 19/08/1988 AND CONTINUED FOR 5 DAYS
TETANUS VACCINE ADSORBED S INJECTION
INTRAVENOUS
DRUG ADMINISTRATION BEGAN 19/08/1986
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56733 Sequence 1
Computer Entry Date 31/10/1988
Date Reported 06/10/1988
Age Code AB - Baby Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DEATH NEONATAL
Included Term : COT DEATH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/08/1988
ICD Code : OTHER DISEASES OF LIVER
0Laboratory Data
===============
0Outcome : DEATH AS REACTION
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56734 Sequence 1
Computer Entry Date 31/10/1988
Date Reported 06/10/1988
Age Code AB - Baby Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DEATH NEONATAL
Included Term : COT DEATH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/05/1988
ICD Code : OTHER DISEASES OF LIVER
0Laboratory Data
===============
0Outcome : DEATH AS REACTION
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56839 Sequence 1
Computer Entry Date 31/10/1988
Date Reported 11/10/1988
Age : 30 YEARS Sex MALE Height 176
Weight 73 Date Of Onset 03/10/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
ABDOMINAL PAIN
Included Term : UPPER ABDOMINAL PAIN
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID ORAL VACCINE S CAPSULE 1.0 DF
ALTERNATE DAYS PER ORAL
DRUG ADMINISTRATION BEGAN 01/10/1988 AND CEASED 05/10/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56840 Sequence 1
Computer Entry Date 31/10/1988
Date Reported 11/10/1988
Age : 28 YEARS Sex FEMALE Height
Weight Date Of Onset 07/10/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
DIARRHOEA
ABDOMINAL PAIN
Included Term : UPPER ABDOMINAL PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID ORAL VACCINE S CAPSULE 1.0 DF
ALTERNATE DAYS PER ORAL
DRUG ADMINISTRATION BEGAN 03/10/1988 AND CEASED 07/10/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56918 Sequence 1
Computer Entry Date 31/10/1988
Date Reported 21/10/1988
Age : 19 MONTHS Sex FEMALE Height
Weight Date Of Onset 19/10/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION PANADOL
1DF,SEDATIVE 1 DF ONLY,COOL BATHING.
PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/10/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56919 Sequence 1
Computer Entry Date 31/10/1988
Date Reported 21/10/1988
Age : 5 YEARS Sex FEMALE Height
Weight Date Of Onset 19/10/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
PANADOL,FLUIDS,ICE AND REST.
FEVER
VOMITING
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/10/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56923 Sequence 1
Computer Entry Date 31/10/1988
Date Reported 14/10/1988
Age : 54 YEARS Sex FEMALE Height
Weight Date Of Onset 07/10/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
ANALGESICS
DIARRHOEA
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S
DRUG ADMINISTRATION BEGAN 06/10/1988
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56946 Sequence 1
Computer Entry Date 31/10/1988
Date Reported 22/10/1988
Age : 15 MONTHS Sex FEMALE Height
Weight 10 Date Of Onset 07/10/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
COUGHING
PALLOR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMPARIX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/10/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56976 Sequence 1
Computer Entry Date 31/10/1988
Date Reported 21/10/1988
Age : 19 YEARS Sex FEMALE Height 168
Weight 59 Date Of Onset 27/09/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS MAXOLON
TABLETS.
FEVER
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/09/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 56986 Sequence 1
Computer Entry Date 30/11/1988
Date Reported 26/10/1988
Age : 15 MONTHS Sex MALE Height
Weight Date Of Onset 30/09/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
RASH
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57004 Sequence 1
Computer Entry Date 30/11/1988
Date Reported 28/10/1988
Age : 27 YEARS Sex FEMALE Height
Weight Date Of Onset 13/10/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/10/1988
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57087 Sequence 1
Computer Entry Date 30/11/1988
Date Reported 28/10/1988
Age : 18 YEARS Sex FEMALE Height 168
Weight 66 Date Of Onset 28/10/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PARAESTHESIA
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/10/1988 AND CEASED 28/10/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57151 Sequence 1
Computer Entry Date 30/11/1988
Date Reported 25/10/1988
Age : 24 YEARS Sex FEMALE Height 156
Weight 54 Date Of Onset 23/09/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
FEVER
SWEATING INCREASED
Included Term : SWEATS
FATIGUE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/09/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57151 Sequence 2
Computer Entry Date 30/11/1988
Date Reported 25/10/1988
Age : 24 YEARS Sex FEMALE Height 156
Weight 54 Date Of Onset 20/10/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE
Included Term : LETHARGIC
NAUSEA
VOMITING
FEVER
SWEATING INCREASED
Included Term : SWEATS
PRURITUS
VOMITING
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/10/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57230 Sequence 1
Computer Entry Date 30/11/1988
Date Reported 20/10/1988
Age : 27 YEARS Sex FEMALE Height 170
Weight 70 Date Of Onset 17/10/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MENINGITIS-LIKE REACTION BED
REST, ASPALGIN/PANADOL (INEFFECTIVE)
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/10/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57298 Sequence 1
Computer Entry Date 30/11/1988
Date Reported 07/11/1988
Age : 41 YEARS Sex FEMALE Height
Weight Date Of Onset 24/10/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
HYDROCORTISONE 1% CREAM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/10/1988
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57300 Sequence 1
Computer Entry Date 30/11/1988
Date Reported 07/11/1988
Age : 23 YEARS Sex FEMALE Height
Weight Date Of Onset 20/10/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/10/1988
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57306 Sequence 1
Computer Entry Date 30/11/1988
Date Reported 09/11/1988
Age : 13 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANAPHYLACTOID REACTION
ADRENALINE & OXYGEN
PALLOR
Included Term : PALE
CONSCIOUSNESS FLUCTUATING
Included Term : WAXED IN & OUT OF CONSCIOUSNESS
BRADYPNOEA
Included Term : BREATHING STERTOROUS & THEN IRREG
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57321 Sequence 1
Computer Entry Date 30/11/1988
Date Reported 08/11/1988
Age : 20 YEARS Sex FEMALE Height 165
Weight 56 Date Of Onset 05/05/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
ANTIHISTAMINE - DEXCHLORPHENIRAMINE GIVEN. NO ADVERSE SYMPT
2ND AND
3RD DOSES.
DIZZINESS
NAUSEA
FATIGUE
VOMITING
DIARRHOEA
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/05/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIQUILAR O TABLET
PER ORAL
DRUG ADMINISTRATION BEGAN 00/12/1984 AND CONTINUED
ICD Code : CONTRACEPTION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57322 Sequence 1
Computer Entry Date 30/11/1988
Date Reported 08/11/1988
Age : 37 YEARS Sex MALE Height 175
Weight 88 Date Of Onset 19/02/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DYSPNOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/02/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 1 PATIENT B CORE ANTIBODY +VE.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57323 Sequence 1
Computer Entry Date 30/11/1988
Date Reported 08/11/1988
Age Sex FEMALE Height
Weight Date Of Onset 05/06/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
PARACETAMOL AND ASTEMIZOLE
RASH
URTICARIA
ARTHRALGIA
HEADACHE
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/06/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57324 Sequence 1
Computer Entry Date 30/11/1988
Date Reported 08/11/1988
Age : 22 YEARS Sex FEMALE Height 162
Weight 55 Date Of Onset 19/02/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
TREMOR
Included Term : SHAKING
DIZZINESS
Included Term : LIGHT-HEADED,DIZZY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/02/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57325 Sequence 1
Computer Entry Date 30/11/1988
Date Reported 08/11/1988
Age : 37 YEARS Sex MALE Height 188
Weight 85 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
NAUSEA
VERTIGO
MYALGIA
Included Term : POLYMYALGIA
ARTHRALGIA
Included Term : POLYARTHRALGIA
RIGORS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/04/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57326 Sequence 1
Computer Entry Date 30/11/1988
Date Reported 08/11/1988
Age : 10 YEARS Sex FEMALE Height
Weight Date Of Onset 28/06/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR REST.
SWEATING INCREASED
ASTHENIA
Included Term : WEAKNESS
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/06/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57327 Sequence 1
Computer Entry Date 30/11/1988
Date Reported 08/11/1988
Age : 31 YEARS Sex FEMALE Height 169
Weight 58 Date Of Onset 27/04/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
ANTIHISTAMINE,STEROID TREATMENT.
PRURITUS
PRURITUS
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/04/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57329 Sequence 1
Computer Entry Date 30/11/1988
Date Reported 15/11/1988
Age Sex FEMALE Height 165
Weight 58 Date Of Onset 19/04/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FLUSHING
NAUSEA
HYPOTENSION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/04/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57330 Sequence 1
Computer Entry Date 30/11/1988
Date Reported 08/11/1988
Age : 16 MONTHS Sex FEMALE Height
Weight Date Of Onset 09/02/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANAPHYLACTOID REACTION OXYGEN
AND ADRENALINE.
HYPOTONIA
CRYING ABNORMAL
COUGHING
SWEATING INCREASED
Description : SWEATING EXCESSIVE
CYANOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMPARIX S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/02/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57331 Sequence 1
Computer Entry Date 30/11/1988
Date Reported 09/11/1988
Age : 18 YEARS Sex FEMALE Height 166
Weight 60 Date Of Onset 21/09/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ORAL
PREDNISONE AND ANTIHISTAMINES.
FACE OEDEMA
Included Term : FACIAL OEDEMA
STOMATITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/09/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57333 Sequence 1
Computer Entry Date 30/11/1988
Date Reported 08/11/1988
Age : 44 YEARS Sex FEMALE Height 162
Weight 69 Date Of Onset 16/04/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER REST,
ANTIPYRETICS
HEADACHE
NAUSEA
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/04/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57341 Sequence 1
Computer Entry Date 30/11/1988
Date Reported 15/11/1988
Age : 42 YEARS Sex FEMALE Height 158
Weight 54 Date Of Onset 25/01/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA PERIORBITAL
ANTIHISTAMINES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 25/01/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57342 Sequence 1
Computer Entry Date 30/11/1988
Date Reported 14/11/1988
Age : 29 YEARS Sex MALE Height 174
Weight 66 Date Of Onset 18/09/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA STEMETIL
INJECTION.
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/09/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57417 Sequence 1
Computer Entry Date 30/11/1988
Date Reported 11/11/1988
Age : 18 MONTHS Sex FEMALE Height 70
Weight 10 Date Of Onset 09/11/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/11/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57420 Sequence 1
Computer Entry Date 30/11/1988
Date Reported 15/11/1988
Age Sex MALE Height
Weight Date Of Onset 00/10/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57421 Sequence 1
Computer Entry Date 30/11/1988
Date Reported 15/11/1988
Age Sex FEMALE Height
Weight Date Of Onset 00/10/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
MYALGIA
Included Term : GENERALISED ACHES
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57422 Sequence 1
Computer Entry Date 30/11/1988
Date Reported 15/11/1988
Age Sex MALE Height
Weight Date Of Onset 00/10/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57505 Sequence 1
Computer Entry Date 30/11/1988
Date Reported 21/11/1988
Age : 64 YEARS Sex MALE Height 76
Weight 7 Date Of Onset 31/10/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/10/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57520 Sequence 1
Computer Entry Date 30/11/1988
Date Reported 23/11/1988
Age : 33 YEARS Sex MALE Height 175
Weight 73 Date Of Onset 01/11/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
FATIGUE
NAUSEA
AGITATION
Included Term : RESTLESSNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S 10.0 RG
DAILY
DRUG ADMINISTRATION BEGAN 31/10/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57524 Sequence 1
Computer Entry Date 30/11/1988
Date Reported 28/11/1988
Age : 47 YEARS Sex FEMALE Height
Weight Date Of Onset 09/11/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
POLARAMINE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/10/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57546 Sequence 1
Computer Entry Date 31/12/1988
Date Reported 24/08/1988
Age : 4 MONTHS Sex FEMALE Height
Weight 6 Date Of Onset 07/06/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS LOCAL DT WAS
SUBSTITUTED FOR THIRD VACCINATION
Included Term : JACKSONIAN TYPE
CRYING ABNORMAL
Included Term : SCREAM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/06/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57551 Sequence 1
Computer Entry Date 31/12/1988
Date Reported 28/11/1988
Age : 37 YEARS Sex FEMALE Height 152
Weight 47 Date Of Onset 22/11/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
ANTIHISTAMINE (POLARAMINE) AND PANADOL
HEADACHE
DIARRHOEA
PRURITUS
RASH
URTICARIA
TINNITUS
ANOREXIA
DYSMENORRHOEA
MENSTRUAL DISORDER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/11/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57579 Sequence 1
Computer Entry Date 31/12/1988
Date Reported 01/12/1988
Age : 20 YEARS Sex FEMALE Height 158
Weight 60 Date Of Onset 29/11/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ERYTHEMA INDURATUM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/11/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57580 Sequence 1
Computer Entry Date 31/12/1988
Date Reported 28/11/1988
Age : 6 MONTHS Sex MALE Height
Weight 10 Date Of Onset 28/11/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
OEDEMA
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/11/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57587 Sequence 1
Computer Entry Date 31/12/1988
Date Reported 02/12/1988
Age : 3 MONTHS Sex MALE Height 64
Weight 7 Date Of Onset 01/12/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : FEVER (390)
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/11/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57602 Sequence 1
Computer Entry Date 31/12/1988
Date Reported 06/12/1988
Age : 7 MONTHS Sex FEMALE Height
Weight Date Of Onset 06/12/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
PHENERGAN IM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 06/12/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57630 Sequence 1
Computer Entry Date 31/12/1988
Date Reported 12/12/1988
Age : 43 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
SKIN COLD CLAMMY
PALLOR
DIZZINESS
Included Term : DIZZY
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAVENOUS
DRUG ADMINISTRATION BEGAN 17/10/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57641 Sequence 1
Computer Entry Date 31/12/1988
Date Reported 13/12/1988
Age : 15 MONTHS Sex FEMALE Height
Weight Date Of Onset 11/12/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 29/11/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57657 Sequence 1
Computer Entry Date 31/12/1988
Date Reported 16/12/1988
Age : 16 MONTHS Sex FEMALE Height
Weight 10 Date Of Onset 12/12/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OTITIS MEDIA
PANADOL,AMOXIL.
RASH MORBILLIFORM
FEVER
RHINITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMPARIX S
DRUG ADMINISTRATION BEGAN 06/12/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57703 Sequence 1
Computer Entry Date 31/12/1988
Date Reported 12/12/1988
Age : 15 MONTHS Sex FEMALE Height
Weight 11 Date Of Onset 08/11/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MORBILLIFORM
ANTIPYRETIC AND FLUCLOXACILLIN.
FEVER
PHARYNGITIS
LYMPHADENOPATHY CERVICAL
Included Term : CERVICAL LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 24/10/1988 AND CEASED 24/10/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57704 Sequence 1
Computer Entry Date 31/12/1988
Date Reported 13/12/1988
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57710 Sequence 1
Computer Entry Date 31/12/1988
Date Reported 19/12/1988
Age : 10 YEARS Sex FEMALE Height 135
Weight 30 Date Of Onset 17/12/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CENDEVAX S
DRUG ADMINISTRATION BEGAN 08/12/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57722 Sequence 1
Computer Entry Date 31/12/1988
Date Reported 06/12/1988
Age : 12 MONTHS Sex MALE Height
Weight Date Of Onset 06/12/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
DRUG ADMINISTRATION BEGAN 06/12/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57722 Sequence 2
Computer Entry Date 31/12/1988
Date Reported 06/12/1988
Age : 12 MONTHS Sex MALE Height
Weight Date Of Onset 06/12/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS
NERVOUSNESS
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
DRUG ADMINISTRATION BEGAN 06/12/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57722 Sequence 3
Computer Entry Date 31/12/1988
Date Reported 06/12/1988
Age : 12 MONTHS Sex MALE Height
Weight Date Of Onset 06/12/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
GIVEN.
CRYING ABNORMAL
Included Term : SCREAMING
ANOREXIA
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
DRUG ADMINISTRATION BEGAN 06/12/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57894 Sequence 1
Computer Entry Date 31/01/1989
Date Reported 19/12/1988
Age : 2 MONTHS Sex FEMALE Height 54
Weight 5 Date Of Onset 05/12/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS
SEQUELAE: HAEMATOMA AT SITE. DRAINED ABCESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 05/12/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 05/12/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57921 Sequence 1
Computer Entry Date 31/01/1989
Date Reported 27/12/1988
Age : 40 YEARS Sex MALE Height 178
Weight 98 Date Of Onset 22/12/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
PHENERGAN 25MG TDS PO.
Included Term : LOCALIZED URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/12/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57941 Sequence 1
Computer Entry Date 31/01/1989
Date Reported 21/12/1988
Age : 30 YEARS Sex FEMALE Height 164
Weight 62 Date Of Onset 07/11/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
Included Term : FAINTING
VOMITING
HEADACHE
FEVER
DIARRHOEA
ABDOMINAL PAIN
FATIGUE
Included Term : TIREDNESS
ABDOMINAL PAIN
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/11/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 57942 Sequence 1
Computer Entry Date 31/01/1989
Date Reported 21/12/1988
Age : 40 YEARS Sex FEMALE Height 165
Weight 60 Date Of Onset 05/10/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/10/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 58048 Sequence 1
Computer Entry Date 31/01/1989
Date Reported 04/01/1989
Age : 5 YEARS Sex FEMALE Height 102
Weight 15 Date Of Onset 03/01/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/01/1989
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 58132 Sequence 1
Computer Entry Date 31/01/1989
Date Reported 17/01/1989
Age : 54 YEARS Sex MALE Height 75
Weight 10 Date Of Onset 13/01/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES
Included Term : MEASLES-LIKE ILLNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-VAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 06/01/1984
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 58228 Sequence 1
Computer Entry Date 31/01/1989
Date Reported 25/01/1989
Age : 50 YEARS Sex MALE Height 172
Weight 58 Date Of Onset 26/12/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
MYALGIA
Included Term : BODY PAINS
ARTHRALGIA
MALAISE
HEPATIC FUNCTION ABNORMAL
WEIGHT DECREASE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/12/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
BIOCHEMISTRY
Lab Normal Range :
0 1
LIVER ENZYMES WERE RAISED
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 58691 Sequence 1
Computer Entry Date 28/02/1989
Date Reported 01/02/1989
Age : 39 YEARS Sex FEMALE Height 163
Weight 70 Date Of Onset 17/10/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SEPSIS
FLUCLOXACILLIN AND PENICILLIN
Included Term : SEPTICAEMIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/10/1988
ICD Code : OTHER DISEASES OF LIVER
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 58694 Sequence 1
Computer Entry Date 28/02/1989
Date Reported 01/02/1989
Age : 24 MONTHS Sex MALE Height
Weight 13 Date Of Onset 31/01/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
Included Term : GENERALIZED CONVULSIONS X 3.4
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 58729 Sequence 1
Computer Entry Date 28/02/1989
Date Reported 06/02/1989
Age : 59 YEARS Sex FEMALE Height 152
Weight 80 Date Of Onset 06/02/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Included Term : SEVERE BLISTERING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/02/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 58737 Sequence 1
Computer Entry Date 28/02/1989
Date Reported 07/02/1989
Age : 14 MONTHS Sex FEMALE Height
Weight Date Of Onset 05/02/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES
Included Term : MEASLES-LIKE ILLNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 25/01/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 58749 Sequence 1
Computer Entry Date 28/02/1989
Date Reported 08/02/1989
Age : 44 YEARS Sex MALE Height
Weight 75 Date Of Onset 21/07/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE
Included Term : TIREDNESS
MYALGIA
Included Term : MUSCLE ACHES
FEVER
Included Term : FEVERS
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 21/07/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 58764 Sequence 1
Computer Entry Date 28/02/1989
Date Reported 22/02/1989
Age : 4 MONTHS Sex FEMALE Height 77
Weight 5 Date Of Onset 15/11/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DEATH
Included Term : COT DEATH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/11/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
POLIOMYELITIS VIRUS VACCINE S DROPS 2.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 14/11/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : DEATH AS REACTION
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 58769 Sequence 1
Computer Entry Date 28/02/1989
Date Reported 08/02/1989
Age : 60 YEARS Sex FEMALE Height
Weight Date Of Onset 06/02/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
ANTIHISTAMINE AND TOPICAL STEROID ANTIBIOTIC
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 58770 Sequence 1
Computer Entry Date 28/02/1989
Date Reported 08/02/1989
Age Sex FEMALE Height
Weight Date Of Onset 07/02/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 58775 Sequence 1
Computer Entry Date 28/02/1989
Date Reported 08/02/1989
Age : 24 YEARS Sex FEMALE Height
Weight Date Of Onset 02/08/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
Included Term : FOCAL EPILEPSY
FATIGUE
OEDEMA PERIORBITAL
DYSTONIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 10.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/08/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
ELECTROGRAPHICS
Lab Normal Range :
0 1 EPILEPSY CONFIRMED BY E.E.G.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 58783 Sequence 1
Computer Entry Date 28/02/1989
Date Reported 09/02/1989
Age : 12 MONTHS Sex FEMALE Height 80
Weight 12 Date Of Onset 09/02/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MORBILLIFORM
Included Term : MORBILLIFORM RASH
FEVER
Included Term : FEBRILE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMPARIX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 30/01/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 58873 Sequence 1
Computer Entry Date 28/02/1989
Date Reported 15/02/1989
Age : 44 YEARS Sex FEMALE Height 167
Weight 57 Date Of Onset 06/02/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/02/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 58891 Sequence 1
Computer Entry Date 28/02/1989
Date Reported 15/02/1989
Age : 46 YEARS Sex FEMALE Height
Weight Date Of Onset 08/12/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
Included Term : FELT FAINT
CHEST PAIN
Included Term : CHEST TIGHTNESS
PARAESTHESIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
DRUG ADMINISTRATION BEGAN 08/12/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range :
0 1 BLOOD PICTURE SHOWED ATYPICAL LYMPHOCYTES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 58901 Sequence 1
Computer Entry Date 28/02/1989
Date Reported 17/02/1989
Age : 12 MONTHS Sex FEMALE Height 70
Weight 9 Date Of Onset 17/02/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMPARIX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 10/02/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 58902 Sequence 1
Computer Entry Date 28/02/1989
Date Reported 17/02/1989
Age : 18 MONTHS Sex FEMALE Height
Weight Date Of Onset 15/02/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
CONVULSIONS
Included Term : FEBRILE CONVULSION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/02/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 58951 Sequence 1
Computer Entry Date 28/02/1989
Date Reported 16/02/1989
Age : 7 WEEKS Sex FEMALE Height
Weight 4 Date Of Onset 08/02/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA
CRYING ABNORMAL
Included Term : SCREAMING
PALLOR
CYANOSIS
TREMOR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/02/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 58973 Sequence 1
Computer Entry Date 28/02/1989
Date Reported 21/02/1989
Age : 39 YEARS Sex FEMALE Height 168
Weight 75 Date Of Onset 00/01/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PURPURA
Included Term : ECCHYMOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/01/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 1PT AT TIME OF DIAGNOSIS WAS 60%, THIS REVERTED TO 98% 4 DAYS
LATER WITHOUT MEDICATION.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 58989 Sequence 1
Computer Entry Date 28/02/1989
Date Reported 23/02/1989
Age : 26 YEARS Sex FEMALE Height 153
Weight 57 Date Of Onset 07/02/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONCENTRATION IMPAIRED
AMNESIA
CONFUSION
Included Term : DISORIENTATED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/02/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 59091 Sequence 1
Computer Entry Date 31/03/1989
Date Reported 17/02/1989
Age : 2 MONTHS Sex MALE Height 61
Weight 6 Date Of Onset 06/02/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
INJECTION SITE INFLAMMATION
PURPURA
Included Term : PETECHIAL RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/02/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 59161 Sequence 1
Computer Entry Date 31/03/1989
Date Reported 07/03/1989
Age : 38 YEARS Sex FEMALE Height
Weight Date Of Onset 15/02/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
PHENERGAN 10MG NOCTE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 15/02/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 59166 Sequence 1
Computer Entry Date 31/03/1989
Date Reported 08/03/1989
Age : 32 MONTHS Sex MALE Height 108
Weight 20 Date Of Onset 08/03/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
ANTIHISTAMINE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/03/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 59208 Sequence 1
Computer Entry Date 31/03/1989
Date Reported 14/03/1989
Age : 64 YEARS Sex FEMALE Height
Weight 11 Date Of Onset 07/02/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VASODILATATION
ADRENALINE/OXYGEN/IVI HAEMACCEL 100ML/PHENERGAN SYRUP
VOMITING
Included Term : VOMITED
CYANOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RIMPARIX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 07/02/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 59281 Sequence 1
Computer Entry Date 31/03/1989
Date Reported 15/03/1989
Age : 20 YEARS Sex FEMALE Height 172
Weight 65 Date Of Onset 22/10/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ORAL
ANTIHISTAMINES
MALAISE
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/10/1988
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 59296 Sequence 1
Computer Entry Date 31/03/1989
Date Reported 16/03/1989
Age Sex FEMALE Height
Weight Date Of Onset 04/02/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 03/02/1989
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 59423 Sequence 1
Computer Entry Date 31/03/1989
Date Reported 16/03/1989
Age : 73 YEARS Sex MALE Height
Weight Date Of Onset 00/00/1959
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PARAESTHESIA
PENICILLIN INJECTIONS DAILY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 00/00/1959
ICD Code : OTR,MULT&UNSP OPEN WOUNDS OTHRSPEC TRUNK SITES,NO
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 59484 Sequence 1
Computer Entry Date 31/03/1989
Date Reported 22/03/1989
Age : 41 YEARS Sex MALE Height 188
Weight 76 Date Of Onset 12/10/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE SLEEP
NAUSEA
SOMNOLENCE
Included Term : DROWSINESS
ACCOMMODATION ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/10/1988 AND CEASED 12/10/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 59485 Sequence 1
Computer Entry Date 31/03/1989
Date Reported 22/03/1989
Age : 39 YEARS Sex FEMALE Height 163
Weight 68 Date Of Onset 13/10/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA PERIORBITAL
POLARAMINE
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/10/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 59486 Sequence 1
Computer Entry Date 31/03/1989
Date Reported 16/11/1988
Age : 26 YEARS Sex FEMALE Height 163
Weight Date Of Onset 12/10/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
RHINITIS
FATIGUE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/10/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 59499 Sequence 1
Computer Entry Date 31/03/1989
Date Reported 24/03/1989
Age : 14 MONTHS Sex MALE Height
Weight Date Of Onset 11/03/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA
FEVER
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S
DRUG ADMINISTRATION BEGAN 27/02/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 59539 Sequence 1
Computer Entry Date 30/04/1989
Date Reported 31/03/1989
Age : 82 YEARS Sex FEMALE Height
Weight 50 Date Of Onset 30/03/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANGIOEDEMA
INJECTION SITE REACTION
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS ANTITOXIN S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 28/03/1989
ICD Code : OPEN WOUND KNEE,LOWR LEG&ANKLE
LITHIUM CARBONATE O TABLET 500.0 MG
DAILY PER ORAL
BACLOFEN O 10.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 00/09/1988
ICD Code : ABNORMAL INVOLUNTARY MOVEMENT
LACTULOSE O SYRUP 10.0 ML
DAILY PER ORAL
NAPROSYN O TABLET 500.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 17/03/1989
ICD Code : UNSPECIFIED ARTHRITIS
CARBAMAZEPINE O 600.0 MG
DAILY
ICD Code : TRIGEMINAL NEURALGIA
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 59751 Sequence 1
Computer Entry Date 30/04/1989
Date Reported 09/04/1989
Age : 14 MONTHS Sex FEMALE Height
Weight Date Of Onset 07/04/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING OXYGEN,
CHEST X-RAY
CYANOSIS
DYSPNOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 59752 Sequence 1
Computer Entry Date 30/04/1989
Date Reported 07/04/1989
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 07/04/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL TEMPRA
DROPS, ICE PACKS, OBSERVING FOR 3 HOURS.
FEVER
INJECTION SITE REACTION
Included Term : INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 59756 Sequence 1
Computer Entry Date 30/04/1989
Date Reported 14/04/1989
Age : 15 MONTHS Sex FEMALE Height 75
Weight 10 Date Of Onset 10/03/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONJUNCTIVITIS
BULLOUS ERUPTION
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 06/03/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 59761 Sequence 1
Computer Entry Date 30/04/1989
Date Reported 07/04/1989
Age : 28 YEARS Sex FEMALE Height 150
Weight 60 Date Of Onset 21/02/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE
HEADACHE
NAUSEA
DIARRHOEA
PHARYNGITIS
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 10.0 RG
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/02/1989
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 59798 Sequence 1
Computer Entry Date 30/04/1989
Date Reported 12/04/1989
Age : 35 YEARS Sex FEMALE Height 166
Weight Date Of Onset 01/04/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE
Included Term : LETHARGY
JAUNDICE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/03/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ORUDIS SR S 1.0 DF
DAILY
DRUG ADMINISTRATION BEGAN 00/09/1988
VENTOLIN O INHALANT
INHALATION
ICD Code : ASTHMA
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range :
0 1 LFT ON 3/4/89 SHOWED BILIRUBIN 96, OTHERWISE NORMAL. FBE
SHOWED DECREASED RCC TO 3.3, HB 11.5, HAEMOCINT 33 LOW.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 59835 Sequence 1
Computer Entry Date 30/04/1989
Date Reported 13/04/1989
Age : 15 YEARS Sex MALE Height
Weight Date Of Onset 11/04/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
Included Term : MACULO PAPULAR RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS ANTITOXIN S
DRUG ADMINISTRATION BEGAN 11/04/1989
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 59861 Sequence 1
Computer Entry Date 30/04/1989
Date Reported 16/04/1989
Age : 45 YEARS Sex MALE Height 89
Weight 12 Date Of Onset 22/11/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS ANTITOXIN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 22/11/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 59867 Sequence 1
Computer Entry Date 30/04/1989
Date Reported 13/04/1989
Age : 8 WEEKS Sex FEMALE Height
Weight Date Of Onset 01/04/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ERYTHEMA MULTIFORME
PROMETHAZINE LIQUID (ORALLY TDS)
OEDEMA PERIPHERAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MICONAZOLE NITRATE S OINTMENT
TOPICAL
DRUG ADMINISTRATION BEGAN 19/03/1989 AND CEASED 01/04/1989
ICD Code : OTR ECZEMA&DERM DUE TO SUNBURN
TRIPLE ANTIGEN S
DRUG ADMINISTRATION BEGAN 30/03/1989
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 59879 Sequence 1
Computer Entry Date 30/04/1989
Date Reported 18/04/1989
Age : 45 YEARS Sex FEMALE Height
Weight Date Of Onset 23/03/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
ARTHRITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 18/03/1989
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 59900 Sequence 1
Computer Entry Date 30/04/1989
Date Reported 21/04/1989
Age : 6 YEARS Sex MALE Height
Weight Date Of Onset 09/04/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 06/04/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 59974 Sequence 1
Computer Entry Date 31/05/1989
Date Reported 13/04/1989
Age : 26 YEARS Sex FEMALE Height 166
Weight 55 Date Of Onset 13/04/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION 1.0 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 13/04/1989
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 60052 Sequence 1
Computer Entry Date 31/05/1989
Date Reported 29/04/1989
Age : 75 YEARS Sex FEMALE Height
Weight Date Of Onset 04/02/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BRONCHOSPASM AGGRAVATED
Included Term : EXACERBATION OF ASTHMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BRONCOSTAT S TABLET 3.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 01/02/1989 AND CEASED 02/02/1989
ICD Code : ASTHMA
VENTOLIN O 1.0 ML
DAILY
INTAL O 1.0 ML
DAILY
BECOTIDE O 4.0 DF
DAILY
NUELIN O
MODURETIC O
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 60072 Sequence 1
Computer Entry Date 31/05/1989
Date Reported 04/05/1989
Age Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DEAFNESS
Included Term : NEUROSENSORY DEAFNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MUMPS VIRUS VACCINE S
DRUG ADMINISTRATION BEGAN 09/09/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 60092 Sequence 1
Computer Entry Date 31/05/1989
Date Reported 04/05/1989
Age : 69 YEARS Sex FEMALE Height
Weight Date Of Onset 26/04/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PURPURA
Included Term : PETECHIAE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
WARFARIN SODIUM I
ICD Code : OTHER PROPHYLACTIC PROCEDURES
FLUVAX I
DRUG ADMINISTRATION BEGAN 24/04/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range :
0 1 WED APRIL 26 - PROTHROMBIN TEST 32 SECONDS AND RATIO 2.6.
WED.MAY 3 - PROTHROMBIN TEST 28 SECONDS AND RATIO 2.2
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 60102 Sequence 1
Computer Entry Date 31/05/1989
Date Reported 05/05/1989
Age : 5 MONTHS Sex FEMALE Height
Weight Date Of Onset 04/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL TEMPRA
DROPS .3ML REPEATED .6ML. PHENERGAN
Included Term : SCREAMING
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/05/1989
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 60108 Sequence 1
Computer Entry Date 31/05/1989
Date Reported 17/04/1989
Age : 23 YEARS Sex FEMALE Height 170
Weight 60 Date Of Onset 23/02/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE OBSERVED
MALAISE
PHARYNGITIS
LYMPHADENOPATHY
FATIGUE
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/02/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 60125 Sequence 1
Computer Entry Date 31/05/1989
Date Reported 09/05/1989
Age : 50 YEARS Sex FEMALE Height
Weight Date Of Onset 07/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA
FEVER
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/05/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 60179 Sequence 1
Computer Entry Date 31/05/1989
Date Reported 09/05/1989
Age : 66 YEARS Sex FEMALE Height 158
Weight Date Of Onset 04/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
FEVER
DYSPNOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 03/05/1989
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 60357 Sequence 1
Computer Entry Date 31/05/1989
Date Reported 11/05/1989
Age : 32 YEARS Sex FEMALE Height 155
Weight 48 Date Of Onset 03/04/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MIGRAINE PATIENT
PUT HERSELF TO BED.
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/04/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 60366 Sequence 1
Computer Entry Date 31/05/1989
Date Reported 19/05/1989
Age : 20 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
Included Term : URTICARIAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/05/1989
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 60495 Sequence 1
Computer Entry Date 31/05/1989
Date Reported 26/05/1989
Age : 1 YEARS Sex FEMALE Height
Weight Date Of Onset 05/04/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 60497 Sequence 1
Computer Entry Date 31/05/1989
Date Reported 20/05/1989
Age : 52 YEARS Sex MALE Height
Weight Date Of Onset 13/04/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN 19/4/89
& 11/5/89 2ND & 3RD DOSE OF JAPANESE ENCEPHALITIS VA
RISE TO
NO SIDE EFFECTS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 60498 Sequence 1
Computer Entry Date 31/05/1989
Date Reported 19/05/1989
Age : 22 YEARS Sex MALE Height
Weight Date Of Onset 13/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S INJECTION 0.5 ML
DAILY SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 03/05/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 60542 Sequence 1
Computer Entry Date 31/05/1989
Date Reported 22/05/1989
Age : 53 YEARS Sex FEMALE Height
Weight Date Of Onset 09/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
BETAMETHASONE CREAM 0.02%
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/05/1989
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 60552 Sequence 1
Computer Entry Date 31/05/1989
Date Reported 25/05/1989
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 22/02/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
Included Term : WHEALS
MALAISE
Included Term : UNWELL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/02/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 60597 Sequence 1
Computer Entry Date 30/06/1989
Date Reported 05/06/1989
Age : 68 YEARS Sex FEMALE Height 165
Weight 76 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
VOMITING
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 12/04/1989 AND CEASED 15/04/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 60642 Sequence 1
Computer Entry Date 30/06/1989
Date Reported 30/05/1989
Age : 30 YEARS Sex MALE Height
Weight Date Of Onset 00/00/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
CONCENTRATION IMPAIRED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/00/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 60643 Sequence 1
Computer Entry Date 30/06/1989
Date Reported 30/05/1989
Age : 20 YEARS Sex FEMALE Height
Weight Date Of Onset 17/04/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/04/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 60644 Sequence 1
Computer Entry Date 30/06/1989
Date Reported 30/05/1989
Age : 42 YEARS Sex MALE Height 186
Weight 92 Date Of Onset 26/04/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/04/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 60645 Sequence 1
Computer Entry Date 30/06/1989
Date Reported 30/05/1989
Age : 33 YEARS Sex FEMALE Height
Weight Date Of Onset 00/00/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 60645 Sequence 2
Computer Entry Date 30/06/1989
Date Reported 30/05/1989
Age : 33 YEARS Sex FEMALE Height
Weight Date Of Onset 00/00/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 60667 Sequence 1
Computer Entry Date 30/06/1989
Date Reported 31/05/1989
Age : 11 MONTHS Sex FEMALE Height
Weight Date Of Onset 17/04/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OCULOGYRIC CRISIS
FEVER
RASH
NYSTAGMUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/04/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 1BENIGN PAROXYSMAL TONIC UPWARD GAZE OF CHILDHOOD, 24 HOURS
AFTER THIRD TRIPLE ANTIGEN.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 60668 Sequence 1
Computer Entry Date 30/06/1989
Date Reported 31/05/1989
Age : 48 YEARS Sex FEMALE Height 163
Weight 60 Date Of Onset 29/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INFLUENZA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S INJECTION 1.0 ML
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 28/04/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION
INTRAVENOUS
DRUG ADMINISTRATION BEGAN 28/05/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 60671 Sequence 1
Computer Entry Date 30/06/1989
Date Reported 01/06/1989
Age : 47 YEARS Sex FEMALE Height 175
Weight 67 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
MYALGIA
ARTHRALGIA
MALAISE
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 60710 Sequence 1
Computer Entry Date 30/06/1989
Date Reported 07/06/1989
Age : 8 YEARS Sex MALE Height
Weight Date Of Onset 03/06/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANAPHYLACTIC SHOCK 02,
ADRENALINE, DEXAMETHASONE, HOSPITALISED.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/06/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 60751 Sequence 1
Computer Entry Date 30/06/1989
Date Reported 07/06/1989
Age : 52 YEARS Sex FEMALE Height 173
Weight 60 Date Of Onset 09/03/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HERPES ZOSTER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 DF
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/03/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PREMARIN O PER ORAL 625.0 RG
DAILY PER ORAL
PROVERA O PER ORAL 10.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 10/12/1988
OROXINE O PER ORAL 200.0 RG
DAILY PER ORAL
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 60985 Sequence 1
Computer Entry Date 30/06/1989
Date Reported 20/06/1989
Age : 45 YEARS Sex FEMALE Height 165
Weight 58 Date Of Onset 18/06/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA HISMANAL
NAUSEA
VOMITING
DIZZINESS
HEADACHE
MYALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/06/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 60990 Sequence 1
Computer Entry Date 30/06/1989
Date Reported 22/06/1989
Age : 6 MONTHS Sex MALE Height 67
Weight 9 Date Of Onset 13/06/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
PHENERGAN 2.5MLS. OBSERVED IN HOSPITAL 5 HRS
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/06/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61020 Sequence 1
Computer Entry Date 30/06/1989
Date Reported 20/06/1989
Age : 40 YEARS Sex FEMALE Height 175
Weight 75 Date Of Onset 15/06/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FACE OEDEMA
PARAESTHESIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/06/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61022 Sequence 1
Computer Entry Date 30/06/1989
Date Reported 20/06/1989
Age : 22 YEARS Sex FEMALE Height 159
Weight 53 Date Of Onset 31/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
NAUSEA
MALAISE
Included Term : LASSITUDE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/05/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61031 Sequence 1
Computer Entry Date 30/06/1989
Date Reported 28/06/1989
Age : 41 YEARS Sex FEMALE Height
Weight Date Of Onset 13/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA
ARTHRALGIA
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61058 Sequence 1
Computer Entry Date 30/06/1989
Date Reported 24/06/1989
Age : 23 YEARS Sex FEMALE Height 158
Weight 62 Date Of Onset 23/06/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RUBELLA VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 14/06/1989
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61068 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 26/06/1989
Age : 8 YEARS Sex MALE Height
Weight Date Of Onset 03/06/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA IV
DECADRON 4MG. IV ADRENALIN 0.25ML. IM ADRENALIN 0.25ML.
TRANSFER
RED TO HOSPITAL FOR OBSERVATION.
CONSCIOUSNESS FLUCTUATING
Included Term : ALTERED STATE OF CONSCIOUSNESS
TACHYCARDIA
DYSPNOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/06/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61082 Sequence 1
Computer Entry Date 30/06/1989
Date Reported 30/06/1989
Age : 32 YEARS Sex FEMALE Height 180
Weight 70 Date Of Onset 10/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE PANADOL
NAUSEA
PHOTOPHOBIA
HYPERACUSIS
HEADACHE
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 09/05/1989
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61173 Sequence 1
Computer Entry Date 31/07/1989
Date Reported 03/07/1989
Age : 18 MONTHS Sex FEMALE Height
Weight Date Of Onset 21/06/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
OEDEMA
Included Term : SWOLLEN ARM
COUGHING
Included Term : COUGH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 DF
DAILY
DRUG ADMINISTRATION BEGAN 21/06/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61305 Sequence 1
Computer Entry Date 31/07/1989
Date Reported 06/07/1989
Age : 7 YEARS Sex FEMALE Height
Weight Date Of Onset 23/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH VESICULAR
ANTIHISTAMINE
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/05/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61305 Sequence 2
Computer Entry Date 30/11/1989
Date Reported 15/11/1989
Age : 8 YEARS Sex FEMALE Height
Weight Date Of Onset 21/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
CALADRYL, POLARAMINE
Included Term : PAPULAR RASH
RASH MACULO-PAPULAR
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61306 Sequence 1
Computer Entry Date 31/07/1989
Date Reported 06/07/1989
Age : 6 YEARS Sex MALE Height
Weight Date Of Onset 26/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH VESICULAR
Included Term : VESICULAR RASH
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/05/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61306 Sequence 2
Computer Entry Date 30/11/1989
Date Reported 15/11/1989
Age : 7 YEARS Sex MALE Height
Weight Date Of Onset 22/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
CALADRYL, POLARAMINE
Included Term : PAPULAR RASH
RASH MACULO-PAPULAR
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61307 Sequence 1
Computer Entry Date 31/07/1989
Date Reported 06/07/1989
Age : 33 YEARS Sex FEMALE Height
Weight Date Of Onset 23/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH VESICULAR
ANTIHISTAMINE
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/05/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61307 Sequence 2
Computer Entry Date 30/11/1989
Date Reported 15/11/1989
Age : 33 YEARS Sex FEMALE Height
Weight Date Of Onset 22/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
CALADRYL, POLARAMINE
Included Term : PAPULAR RASH
RASH MACULO-PAPULAR
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61308 Sequence 1
Computer Entry Date 31/07/1989
Date Reported 06/07/1989
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 01/06/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
OBSERVATION
DIZZINESS
ABDOMINAL PAIN
Included Term : EPIGASTRIC PAIN
TACHYCARDIA
Included Term : TACHYCARDIC
PALLOR
HYPOTENSION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/06/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61309 Sequence 1
Computer Entry Date 31/07/1989
Date Reported 07/07/1989
Age : 33 YEARS Sex FEMALE Height
Weight Date Of Onset 18/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PARAESTHESIA
ADRENALINE, PROMETHAZINE, PREDNISOLONE.
CHEST PAIN
DYSPNOEA
PARAESTHESIA
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61310 Sequence 1
Computer Entry Date 31/07/1989
Date Reported 07/07/1989
Age : 21 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
DIARRHOEA
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61311 Sequence 1
Computer Entry Date 31/07/1989
Date Reported 06/07/1989
Age : 24 YEARS Sex FEMALE Height 167
Weight 61 Date Of Onset 01/03/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
ASTHENIA
Included Term : WEAKNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/02/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61317 Sequence 1
Computer Entry Date 31/07/1989
Date Reported 30/06/1989
Age : 39 YEARS Sex MALE Height 183
Weight 78 Date Of Onset 29/06/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
PROMETHAZINE AND PREDNISOLONE
Included Term : ERYTHEMATOUS RASH
PRURITUS
Included Term : ITCHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/06/1989
ICD Code : OTHER PROPHYLACTIC PROCEDURES
FLAGYL S 600.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 20/06/1989 AND CEASED 26/06/1989
ICD Code : OTR&UNSPEC ORAL SOFT TISSU DIS
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61342 Sequence 1
Computer Entry Date 31/07/1989
Date Reported 11/07/1989
Age : 14 YEARS Sex FEMALE Height 162
Weight 58 Date Of Onset 26/06/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BILIRUBINAEMIA
Included Term : RAISED BILIRUBIN
HYPERURICAEMIA
Included Term : RAISED URIC ACID
LYMPHOPENIA
THROMBOCYTOPENIA
FATIGUE
Included Term : TIREDNESS
NAUSEA
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/06/1989
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61343 Sequence 1
Computer Entry Date 31/07/1989
Date Reported 11/07/1989
Age : 35 YEARS Sex FEMALE Height 155
Weight 60 Date Of Onset 22/06/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS ORAL
POLARAMINE, S/C ADRENALINE, IM PHENERGAN
Included Term : ERYTHEMATOUS RASH
CONJUNCTIVITIS
Included Term : PUTTY EYES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/06/1989
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61344 Sequence 1
Computer Entry Date 31/07/1989
Date Reported 11/07/1989
Age : 8 YEARS Sex MALE Height
Weight Date Of Onset 20/06/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
Included Term : FACIAL RASH
PHARYNGITIS
Included Term : SORE THROAT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/06/1989 AND CEASED 20/06/1989
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61348 Sequence 1
Computer Entry Date 31/07/1989
Date Reported 11/07/1989
Age : 21 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61373 Sequence 1
Computer Entry Date 31/07/1989
Date Reported 11/07/1989
Age : 22 YEARS Sex FEMALE Height 152
Weight 47 Date Of Onset 19/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE A 2ND
INJ GIVEN 20/6/89 WITHOUT ADVERSE SYMPTOMS.
Included Term : LETHARGY
VOMITING
ANOREXIA
MALAISE
RIGORS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/05/1989
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61374 Sequence 1
Computer Entry Date 31/07/1989
Date Reported 11/07/1989
Age : 20 YEARS Sex FEMALE Height
Weight Date Of Onset 08/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PAIN
Included Term : PAIN IN LEFT ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/05/1989
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61390 Sequence 1
Computer Entry Date 31/07/1989
Date Reported 12/07/1989
Age : 46 YEARS Sex FEMALE Height 166
Weight 60 Date Of Onset 11/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE PANADOL
NAUSEA
VOMITING
HAEMATOMA
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 ML
DAILY
DRUG ADMINISTRATION BEGAN 11/07/1989
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61564 Sequence 1
Computer Entry Date 31/07/1989
Date Reported 20/07/1989
Age : 44 YEARS Sex MALE Height 182
Weight 90 Date Of Onset 15/06/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANGIOEDEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/06/1989
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61606 Sequence 1
Computer Entry Date 31/07/1989
Date Reported 26/07/1989
Age : 72 YEARS Sex MALE Height 170
Weight 78 Date Of Onset 25/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 21/07/1989
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61770 Sequence 1
Computer Entry Date 31/08/1989
Date Reported 02/08/1989
Age : 52 YEARS Sex FEMALE Height 160
Weight 48 Date Of Onset 05/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
PANADEINE FORTE ASPALGIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/07/1989
DUCENE O TABLET 5.0 MG
AS NECESSARY PER ORAL
DRUG ADMINISTRATION BEGAN 13/04/1988
ICD Code : ANXIETY NEUROSIS
SINEQUAN O TABLET 25.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 07/09/1988
ICD Code : ANXIETY NEUROSIS
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61771 Sequence 1
Computer Entry Date 31/08/1989
Date Reported 02/08/1989
Age : 26 YEARS Sex FEMALE Height
Weight 55 Date Of Onset 16/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
CONCENTRATION IMPAIRED
Included Term : VAGUENESS
DIZZINESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/05/1989
MICROGYNON 30 O TABLET 1.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/00/1984
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61781 Sequence 1
Computer Entry Date 30/11/1989
Date Reported 07/08/1989
Age : 51 YEARS Sex FEMALE Height 170
Weight 57 Date Of Onset 15/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS RHEUMATOID APPROX
1/52 AFTER 1ST HEPATITS VACCINE ACHES AND PAINS START
PROGRESS
ED ON FULL BLOWN RHEUMATOID ARTHRITIS ONE DAY AFTER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 10.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/05/1989
ICD Code : OTHER RHEUMATOID ARTHRITIS
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 1 POS RHEUMATOID FACTOR 155
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61781 Sequence 2
Computer Entry Date 31/01/1990
Date Reported 14/09/1989
Age : 51 YEARS Sex FEMALE Height 170
Weight 57 Date Of Onset 06/06/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS RHEUMATOID
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/06/1989
ICD Code : OTHER RHEUMATOID ARTHRITIS
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 1 POS RHEUMATOID FACTOR 115
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61889 Sequence 1
Computer Entry Date 31/08/1989
Date Reported 04/08/1989
Age : 15 MONTHS Sex MALE Height
Weight 13 Date Of Onset 12/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MORBILLIFORM
SEQUELAE: RHINORRHOEA
Included Term : RUBILLIFORM RASH
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S
DRUG ADMINISTRATION BEGAN 07/07/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61890 Sequence 1
Computer Entry Date 31/08/1989
Date Reported 04/08/1989
Age : 37 YEARS Sex FEMALE Height 165
Weight 52 Date Of Onset 17/03/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
ANALGESICS EG PANADOL OR ASPIRIN
FATIGUE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/03/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61891 Sequence 1
Computer Entry Date 31/08/1989
Date Reported 07/08/1989
Age : 35 YEARS Sex MALE Height
Weight Date Of Onset 26/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
HYDROCORTISONE, PHENERGAN, VENTOLIN AND ATROVENT VIA A NEBUL
LARYNGISMUS
Included Term : LARYNGOSPASM
URTICARIA
CONJUNCTIVITIS
Included Term : RED EYES
BRONCHOSPASM
Included Term : WHEEZE
NAUSEA
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAVENOUS
DRUG ADMINISTRATION BEGAN 26/07/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61924 Sequence 1
Computer Entry Date 31/08/1989
Date Reported 03/08/1989
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 02/08/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
CRYING ABNORMAL
Included Term : SCREAMING
NERVOUSNESS
Included Term : IRRITABLE
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/08/1989
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61928 Sequence 1
Computer Entry Date 31/08/1989
Date Reported 11/08/1989
Age : 36 YEARS Sex FEMALE Height
Weight 72 Date Of Onset 12/06/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/06/1989
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 61996 Sequence 1
Computer Entry Date 31/08/1989
Date Reported 10/08/1989
Age : 12 YEARS Sex MALE Height 155
Weight 50 Date Of Onset 09/08/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
ANTIHISTAMINE (TELDANE)
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/08/1989
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62009 Sequence 1
Computer Entry Date 31/08/1989
Date Reported 17/08/1989
Age : 18 YEARS Sex FEMALE Height 156
Weight 50 Date Of Onset 29/06/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
ABDOMINAL PAIN
URINE ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/06/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62010 Sequence 1
Computer Entry Date 31/08/1989
Date Reported 17/08/1989
Age : 36 YEARS Sex FEMALE Height 163
Weight 65 Date Of Onset 00/01/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
SIGNIFICANT REST
MALAISE
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/01/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62054 Sequence 1
Computer Entry Date 31/08/1989
Date Reported 22/08/1989
Age : 25 YEARS Sex MALE Height
Weight Date Of Onset 24/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA FIRST
DOSE OF VACCINE GIVEN 10/7/89 NO REACTION
DIARRHOEA
SWEATING INCREASED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION 1.0 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 24/07/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62054 Sequence 2
Computer Entry Date 31/08/1989
Date Reported 22/08/1989
Age : 25 YEARS Sex MALE Height
Weight Date Of Onset 07/08/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION 1.0 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 07/08/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62059 Sequence 1
Computer Entry Date 31/08/1989
Date Reported 25/08/1989
Age : 62 YEARS Sex FEMALE Height 158
Weight 63 Date Of Onset 12/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CHEST PAIN
MUCAINE/MYLANTA
DYSPEPSIA
Included Term : INDIGESTION
NAUSEA
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/05/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62060 Sequence 1
Computer Entry Date 31/08/1989
Date Reported 25/08/1989
Age : 54 YEARS Sex FEMALE Height 156
Weight 56 Date Of Onset 12/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CHEST PAIN MUCAINE
DYSPEPSIA
NAUSEA
DIZZINESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/05/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ENALAPRIL MALEATE O TABLET 20.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/00/1987
ICD Code : ESSENTIAL BENIGN HYPERTENSION
NIFEDIPINE O PER ORAL 40.0 MG
DAILY PER ORAL
ICD Code : ESSENTIAL BENIGN HYPERTENSION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62061 Sequence 1
Computer Entry Date 31/08/1989
Date Reported 25/08/1989
Age : 15 MONTHS Sex MALE Height
Weight Date Of Onset 13/03/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
ANTIHISTAMINES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S INJECTION 0.5 ML
DAILY SUBCUTANEOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62062 Sequence 1
Computer Entry Date 31/08/1989
Date Reported 25/08/1989
Age : 42 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH VESICULAR
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
TOTAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62191 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 29/08/1989
Age : 39 YEARS Sex FEMALE Height 168
Weight 58 Date Of Onset 31/08/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
MALAISE
VISION ABNORMAL
HEADACHE
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62192 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 29/08/1989
Age : 17 YEARS Sex FEMALE Height 163
Weight 58 Date Of Onset 31/08/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
MALAISE
HEADACHE
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 31/08/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62193 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 29/08/1989
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 22/08/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ACCOMMODATION ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/08/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62201 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 14/11/1988
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 05/09/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPOTONIA INFANT
PANADOL AND COOL BATHS X 3 FOR SEVERAL HOURS.
FEVER
CRYING ABNORMAL
TREMOR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 05/09/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62202 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 09/02/1989
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 15/12/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
X 4 HRLY.
CRYING ABNORMAL
INJECTION SITE REACTION
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 15/12/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62203 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 16/02/1989
Age : 3 MONTHS Sex MALE Height
Weight Date Of Onset 10/11/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR
SOMNOLENCE
CRYING ABNORMAL
ANOREXIA
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 10/11/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62204 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 18/01/1989
Age : 4 MONTHS Sex Height
Weight Date Of Onset 30/11/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER TEMPRA
DROPS 4/24 FOR 2 DAYS AND TEPID SPONGE
INJECTION SITE REACTION
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 30/11/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62205 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 13/03/1989
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 09/01/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
4 HRLY
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 09/01/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62206 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 03/04/1989
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 09/01/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL COOL
BATHS
INSOMNIA
FEVER
ANOREXIA
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 09/01/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62207 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 19/04/1989
Age : 3 MONTHS Sex MALE Height
Weight Date Of Onset 15/02/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
CONVULSIONS
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 15/02/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62208 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 26/04/1989
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 01/02/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
4/24, TEPID SPONGE
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 01/02/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62209 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 21/12/1988
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 26/10/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
ANTIPYRETIC, TEPID SPONGE
VOMITING
AGITATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 26/10/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62210 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 21/12/1988
Age : 1 MONTHS Sex MALE Height
Weight Date Of Onset 21/09/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER 5/B GP
AND ANTIPYRETIC MEDICATION FOR 48/24.
VOMITING
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 21/09/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62211 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 22/11/1988
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 28/09/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
PARACETAMOL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 28/09/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62212 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 22/11/1988
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 27/09/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
OEDEMA PERIORBITAL
FEVER
FACE OEDEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 27/09/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62213 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 08/09/1988
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 14/07/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
PHENERGAN
FEVER
ANOREXIA
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 14/07/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62214 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 13/09/1988
Age : 1 MONTHS Sex Height
Weight Date Of Onset 09/08/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING PANADOL
DROPS
CRYING ABNORMAL
DEHYDRATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 09/08/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 09/08/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62215 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 05/09/1988
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 04/07/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SOMNOLENCE BABY
PANADOL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 04/07/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62216 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 11/05/1989
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 22/09/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 22/09/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62217 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 23/01/1989
Age : 1 MONTHS Sex FEMALE Height
Weight Date Of Onset 03/11/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL,
TEPID BATHS
AGITATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 03/11/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62218 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 07/02/1989
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 01/12/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
CRYING ABNORMAL
ANOREXIA
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 01/12/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62219 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 14/02/1989
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 10/11/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
ANOREXIA
INSOMNIA
FEVER
PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 10/11/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62220 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 14/02/1989
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 20/12/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
VOMITING
FEVER
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 20/12/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62221 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 14/02/1989
Age : 3 MONTHS Sex MALE Height
Weight Date Of Onset 20/12/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION PANADOL
DROPS 4 HRLY X 48 HRS.
FEVER
INSOMNIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 20/12/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62222 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 10/02/1989
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 00/11/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
3-4 HRLY 36 HRS
CRYING ABNORMAL
AGITATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 00/11/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62223 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 23/01/1989
Age : 1 MONTHS Sex MALE Height
Weight Date Of Onset 03/11/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
FATIGUE
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 03/11/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62224 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 16/01/1989
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 01/11/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
4 HRLY FOR 48 HRLY
FEVER
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 01/11/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62225 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 10/01/1989
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 15/11/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANOREXIA PANADOL
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 15/11/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62226 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 11/01/1989
Age : 3 MONTHS Sex FEMALE Height
Weight Date Of Onset 09/11/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
ANTIPYRETICS AND TEPID SPONGE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 09/11/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62227 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 27/06/1989
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 27/04/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PAIN PANADOL
AND COOL BATHS
CRYING ABNORMAL
VOMITING
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S 1.0 DF
TOTAL
DRUG ADMINISTRATION BEGAN 27/04/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPLE ANTIGEN S 1.0 DF
TOTAL
DRUG ADMINISTRATION BEGAN 27/04/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62228 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 10/04/1989
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 23/01/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PARACETAMOL ALLERGY (ALWAYS VOMITS).
VOMITING
INSOMNIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 23/01/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62229 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 14/03/1989
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 17/01/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
AGITATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 17/01/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62230 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 02/05/1989
Age : 1 MONTHS Sex MALE Height
Weight Date Of Onset 14/02/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 14/02/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62231 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 02/05/1989
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 00/03/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
VOMITING
FATIGUE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 00/03/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62232 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 04/05/1989
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 09/02/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL DYMODON
2.5MLS X 3 HRLY.
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 09/02/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62233 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 04/05/1989
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 19/01/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
FEVER
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 19/01/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62234 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 10/05/1989
Age : 3 MONTHS Sex FEMALE Height
Weight Date Of Onset 08/03/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
AND TEPID SPONGE
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 08/03/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62235 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 25/05/1989
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 30/03/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANQUILL
2ML 5 HRLY.
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 30/03/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62236 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 29/05/1989
Age : 1 MONTHS Sex FEMALE Height
Weight Date Of Onset 03/03/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 03/03/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62237 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 06/06/1989
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 06/12/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL,
POLARAMINE
DYSPNOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 06/12/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62238 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 14/12/1988
Age : 3 MONTHS Sex FEMALE Height
Weight Date Of Onset 12/10/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
DROPS FOR 24/24
AGITATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 12/10/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62239 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 14/12/1988
Age : 3 MONTHS Sex FEMALE Height
Weight Date Of Onset 14/10/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
AGITATION
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 12/10/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62240 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 22/11/1988
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 27/09/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
AGITATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 27/09/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62241 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 13/12/1988
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 11/10/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
CYANOSIS
PAIN
PALLOR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 11/10/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62242 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 14/09/1988
Age : 3 MONTHS Sex MALE Height
Weight Date Of Onset 22/06/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
3 HRLY, TEPID BATHS.
AGITATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 22/06/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62243 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 14/09/1988
Age : 1 YEARS Sex FEMALE Height
Weight Date Of Onset 29/06/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
3 HRLY
CRYING ABNORMAL
AGITATION
PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 29/06/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62244 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 05/10/1988
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 28/09/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
DROPS EVERY 4/24 FOR 3 DOSES, TEPID BATH.
FEVER
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 28/09/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62245 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 08/11/1988
Age : 1 MONTHS Sex MALE Height
Weight Date Of Onset 13/09/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PAIN
HYPOTONIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 13/09/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62246 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 09/02/1989
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 01/12/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL.
ALLERGIC TO PENICILLIN.
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 01/12/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62247 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 15/02/1989
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 08/02/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER TEMPRA
DROPS, TEPID BATH AND PANADOL
CRYING ABNORMAL
AGITATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 08/02/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62248 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 09/05/1989
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 04/03/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 04/03/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62249 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 20/10/1987
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 25/08/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
PARACETAMOL DROPS. CEASE TRIPLE ANTIGEN.
FEVER
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 25/08/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 25/08/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62250 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 13/09/1989
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 19/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
DROPS
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 19/07/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62251 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 05/09/1989
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 01/06/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
4 HRLY
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 01/06/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62252 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 17/08/1989
Age : 1 MONTHS Sex MALE Height
Weight Date Of Onset 05/06/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS RIVOTRIL
1 WEEK, 1 DROP BD.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 MG
TOTAL
DRUG ADMINISTRATION BEGAN 01/06/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62253 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 08/08/1989
Age : 1 MONTHS Sex FEMALE Height
Weight Date Of Onset 02/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
HYPOTONIA
PALLOR
AGITATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 02/05/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62254 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 01/08/1989
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 23/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
4/24
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 23/05/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62255 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 20/07/1989
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 25/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
FEVER
OEDEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 25/05/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62256 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 11/07/1989
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 11/04/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
DIARRHOEA
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 11/04/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62257 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 11/07/1989
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 02/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 02/05/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62258 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 04/07/1989
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 10/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN TEMPRA
GIVEN BEFORE IMMUNISATION AND THEN 4 HRLY FOR 3-4 DAY
FEVER
ANOREXIA
SLEEP DISORDER
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 10/05/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62259 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 06/07/1989
Age : 6 MONTHS Sex FEMALE Height
Weight Date Of Onset 06/04/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR PANADOL
4-6 HRLY, TEPID BATHS
FEVER
AGITATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 06/04/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62260 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 21/06/1988
Age : 3 MONTHS Sex FEMALE Height
Weight Date Of Onset 26/04/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
FEVER
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 26/04/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62261 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 21/06/1988
Age : 1 MONTHS Sex MALE Height
Weight Date Of Onset 26/04/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
4 HRLY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 26/04/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62262 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 21/06/1988
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 27/04/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANOREXIA PANADOL
SLEEP DISORDER
CRYING ABNORMAL
ANOREXIA
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 26/04/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62263 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 27/06/1989
Age : 1 MONTHS Sex Height
Weight Date Of Onset 02/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
DROPS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 02/05/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62264 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 16/05/1989
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 14/03/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
INFANTS 4 HRLY FOR 2 DAYS
ANOREXIA
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 14/03/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62265 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 25/05/1989
Age : 4 WEEKS Sex MALE Height
Weight Date Of Onset 23/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 23/05/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62266 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 21/11/1988
Age : 5 YEARS Sex FEMALE Height
Weight Date Of Onset 21/11/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS CHILD
OBSERVED.
CYANOSIS
SYNCOPE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 21/11/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62267 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 08/03/1989
Age : 15 YEARS Sex FEMALE Height
Weight Date Of Onset 08/03/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION ICE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 08/03/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62268 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 08/03/1989
Age : 14 YEARS Sex FEMALE Height
Weight Date Of Onset 08/03/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE REST
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 08/03/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62269 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 07/11/1988
Age Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL TEMPRA
4/24, TEPID SPONGING
ANOREXIA
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S 0.5 ML
TOTAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62270 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 20/07/1988
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 27/05/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA PERIORBITAL
CASUALTY, OBSERVATION
RASH
COMA
HYPOTONIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 25/05/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62271 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 16/03/1988
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 13/01/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
0.6ML 3-4/24, TEPID SPONGING
ANOREXIA
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 13/01/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62272 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 17/08/1988
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 15/06/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL,
FLUIDS
NERVOUSNESS
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 15/06/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62273 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 01/03/1989
Age : 11 YEARS Sex FEMALE Height
Weight Date Of Onset 01/03/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE REST.
HEADACHE
Included Term : HEAD INJURY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RUBELLA VACCINE S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 01/03/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62314 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 31/08/1989
Age : 15 MONTHS Sex FEMALE Height 79
Weight 11 Date Of Onset 05/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62376 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 05/09/1989
Age : 31 YEARS Sex FEMALE Height 152
Weight 48 Date Of Onset 25/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEURITIS
Included Term : GUILLAIN-BARRE SYNDROME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 20.0 RG
DAILY
DRUG ADMINISTRATION BEGAN 22/06/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62380 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 06/09/1989
Age : 22 YEARS Sex FEMALE Height 167
Weight 62 Date Of Onset 15/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PAIN
INJECTION SITE REACTION
PAIN
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/07/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62381 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 06/09/1989
Age : 53 YEARS Sex MALE Height
Weight Date Of Onset 30/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/07/1989
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 1SMALL 4CM NODULES ON FACE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62382 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 06/09/1989
Age : 41 YEARS Sex MALE Height
Weight Date Of Onset 17/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/07/1989
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62383 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 06/09/1989
Age : 59 YEARS Sex MALE Height
Weight Date Of Onset 20/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/07/1989
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62384 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 06/09/1989
Age : 43 YEARS Sex MALE Height
Weight Date Of Onset 22/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/07/1989
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62386 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 06/09/1989
Age : 38 YEARS Sex FEMALE Height
Weight Date Of Onset 14/08/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DYSPNOEA
BRONCHOSPASM
Included Term : ASTHMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 ML
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/08/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62389 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 28/07/1989
Age : 35 YEARS Sex MALE Height
Weight Date Of Onset 27/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DYSPHONIA
URTICARIA
CONJUNCTIVITIS
DYSPNOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
DRUG ADMINISTRATION BEGAN 27/07/1989
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62391 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 29/08/1989
Age : 61 YEARS Sex MALE Height 180
Weight 79 Date Of Onset 27/08/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
NAUSEA
VOMITING
RIGORS
SWEATING INCREASED
FATIGUE
Included Term : WEAKNESS
DIARRHOEA
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 24/08/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62404 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 06/09/1989
Age : 41 YEARS Sex MALE Height
Weight Date Of Onset 03/09/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN
Included Term : EPIGASTRIC PAIN
NAUSEA
FLATULENCE
Included Term : BLOATING
FATIGUE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 01/09/1989
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
BIOCHEMISTRY
Lab Normal Range :
0 1 BILI ALP AST GGT
90 140 382 678
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62405 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 06/09/1989
Age : 14 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
JAUNDICE REACTION
OCCURRED AFTER FIRST AND SECOND INJECTION OF ENGERI
DIARRHOEA
DIARRHOEA
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/05/1989
0Laboratory Data
===============
BIOCHEMISTRY
Lab Normal Range :
0 1
BILIRUBIN INCREASED TO 67 LIVER ENZYMES NORMAL
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62449 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 11/09/1989
Age : 46 YEARS Sex FEMALE Height
Weight Date Of Onset 29/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA
PHENERGAN
PRURITUS
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
DAILY SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 28/07/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TETANUS IMMUNOGLOBULIN O
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62452 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 12/09/1989
Age : 6 MONTHS Sex MALE Height
Weight 8 Date Of Onset 11/09/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
CLEMASTINE 0.1MG IMI
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S 0.5 ML
DAILY
DRUG ADMINISTRATION BEGAN 11/09/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62508 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 18/09/1989
Age : 5 MONTHS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVA INCREASED OXYGEN
TENT.
CRYING ABNORMAL
PALLOR
CYANOSIS
HYPOTONIA
RESPIRATORY DISORDER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62530 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 14/09/1989
Age : 19 MONTHS Sex FEMALE Height
Weight Date Of Onset 21/04/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
CRYING ABNORMAL
PALLOR
ANAEMIA NORMOCYTIC
RETICULOCYTOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/04/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range :
0 1 HB 7.5 4% RETICULOCYTES ON 26/4/89
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62536 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 18/09/1989
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 13/09/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PANADOL/FLUID.
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/09/1989 AND CEASED 13/09/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 13/09/1989 AND CEASED 13/09/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62561 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 21/09/1989
Age : 21 YEARS Sex MALE Height 178
Weight 80 Date Of Onset 20/09/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH TELDANE
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/09/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62563 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 21/09/1989
Age : 15 YEARS Sex FEMALE Height
Weight 53 Date Of Onset 25/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE BED REST
FOR 2 1/2 WEEKS
DIARRHOEA
PARAESTHESIA
Included Term : NUMBNESS OF HANDS AND FEET
FATIGUE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/07/1989
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62564 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 21/09/1989
Age : 38 YEARS Sex FEMALE Height
Weight Date Of Onset 03/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
DIPROSONE CREAM, TELDANE TABLETS
INJECTION SITE REACTION
RASH
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/07/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62565 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 21/09/1989
Age : 45 YEARS Sex MALE Height 180
Weight 93 Date Of Onset 25/08/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
PREDNISOLONE 25MG BD FOR 3/24 THEN REDUCING DOSE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/08/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62566 Sequence 1
Computer Entry Date 30/09/1989
Date Reported 21/09/1989
Age : 50 YEARS Sex MALE Height
Weight Date Of Onset 05/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
ERYTHEMA MULTIFORME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/06/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62654 Sequence 1
Computer Entry Date 31/10/1989
Date Reported 26/09/1989
Age : 42 YEARS Sex FEMALE Height
Weight Date Of Onset 02/08/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
PREDNISOLONE
PERICARDITIS
FATIGUE
FACE OEDEMA
SWEATING INCREASED
ARTHRITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S
DRUG ADMINISTRATION BEGAN 01/08/1989 AND CEASED 01/08/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62656 Sequence 1
Computer Entry Date 31/10/1989
Date Reported 26/09/1989
Age : 20 YEARS Sex FEMALE Height 165
Weight 64 Date Of Onset 03/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
ARTHRALGIA
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/07/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62659 Sequence 1
Computer Entry Date 31/10/1989
Date Reported 26/09/1989
Age : 31 YEARS Sex MALE Height 175
Weight 65 Date Of Onset 19/09/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INFLUENZA
SEQUELAE: SECONDARY BACTERIAL INFECTION.
INFLUENZA
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
DAILY
DRUG ADMINISTRATION BEGAN 13/09/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62692 Sequence 1
Computer Entry Date 31/10/1989
Date Reported 29/09/1989
Age : 26 YEARS Sex MALE Height 176
Weight 79 Date Of Onset 22/09/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE
FEVER
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S
DRUG ADMINISTRATION BEGAN 21/09/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62698 Sequence 1
Computer Entry Date 31/10/1989
Date Reported 29/09/1989
Age : 60 YEARS Sex FEMALE Height 163
Weight 57 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INFECTION AGGRAVATED
SEQUELAE: 5/12 OF CONTINUING EBV.
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 00/04/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 1 EBV SEROLOGY INDICATES ACTIVE INFECTION.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62719 Sequence 1
Computer Entry Date 31/10/1989
Date Reported 04/10/1989
Age : 27 YEARS Sex FEMALE Height 179
Weight 78 Date Of Onset 31/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
NAUSEA
ARTHRALGIA
RASH
MYALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 31/07/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62761 Sequence 1
Computer Entry Date 31/10/1989
Date Reported 22/09/1989
Age : 67 YEARS Sex MALE Height 180
Weight 84 Date Of Onset 28/06/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANAPHYLACTIC SHOCK IV
PHENERGAN, SCI ADRENALINE 1MG
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62845 Sequence 1
Computer Entry Date 31/10/1989
Date Reported 11/10/1989
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 13/04/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE
Included Term : FAINTING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 13/04/1989 AND CEASED 13/04/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62846 Sequence 1
Computer Entry Date 31/10/1989
Date Reported 11/10/1989
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 13/04/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
FATIGUE
DELIRIUM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 13/04/1989 AND CEASED 13/04/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62853 Sequence 1
Computer Entry Date 31/10/1989
Date Reported 18/10/1989
Age : 48 YEARS Sex FEMALE Height
Weight Date Of Onset 21/08/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
UPPER RESP TRACT INFECTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MENCEVAX AC S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 14/08/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPH-VAX S CAPSULE 1.0 DF
3 TIMES PER ORAL
DRUG ADMINISTRATION BEGAN 08/08/1989 AND CEASED 13/08/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62853 Sequence 2
Computer Entry Date 31/10/1989
Date Reported 18/10/1989
Age : 48 YEARS Sex FEMALE Height
Weight Date Of Onset 28/08/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYELITIS
SEQUELAE. RESIDUAL WEAKNESS OF LEGS. 90% RECOVERY TO DATE
ASTHENIA
Included Term : WEAKNESS
PAIN
PARALYSIS
FEVER
PURPURA
HYPOREFLEXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MENCEVAX AC S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 14/08/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPH-VAX S CAPSULE 1.0 DF
3 TIMES PER ORAL
DRUG ADMINISTRATION BEGAN 08/08/1989 AND CEASED 13/08/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62942 Sequence 1
Computer Entry Date 31/10/1989
Date Reported 17/10/1989
Age : 30 YEARS Sex MALE Height
Weight Date Of Onset 10/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
PAIN
FLUSHING
INSOMNIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/10/1989
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62951 Sequence 1
Computer Entry Date 31/10/1989
Date Reported 17/10/1989
Age : 31 YEARS Sex FEMALE Height
Weight Date Of Onset 14/02/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
DIZZINESS
DYSPNOEA
SYNCOPE
FATIGUE
Included Term : LETHARGY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/02/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62977 Sequence 1
Computer Entry Date 31/10/1989
Date Reported 18/10/1989
Age : 16 MONTHS Sex MALE Height
Weight 13 Date Of Onset 10/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 10.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/07/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62978 Sequence 1
Computer Entry Date 31/10/1989
Date Reported 19/10/1989
Age : 48 YEARS Sex FEMALE Height 170
Weight 64 Date Of Onset 06/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
DIZZINESS
NAUSEA
ANOREXIA
HEADACHE
ABDOMINAL PAIN
FEVER
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/07/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62989 Sequence 1
Computer Entry Date 31/10/1989
Date Reported 20/10/1989
Age : 26 YEARS Sex FEMALE Height
Weight Date Of Onset 00/04/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
JAUNDICE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 10.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/04/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
BIOCHEMISTRY
Lab Normal Range :
0 1 18/9/89 2/1/90 RANGE
BILIRUBIN 40 5 (2-20UMOL/L)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 62991 Sequence 1
Computer Entry Date 31/10/1989
Date Reported 19/10/1989
Age : 19 YEARS Sex FEMALE Height 175
Weight 52 Date Of Onset 14/09/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S TABLET 3.0 DF
TOTAL PER ORAL
DRUG ADMINISTRATION BEGAN 13/09/1989 AND CEASED 17/09/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63001 Sequence 1
Computer Entry Date 31/10/1989
Date Reported 23/10/1989
Age : 21 YEARS Sex FEMALE Height
Weight Date Of Onset 17/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA HISTORY
OF MILD ALLERGY TO YEAST
BRONCHOSPASM
Included Term : ASTHMA
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63028 Sequence 1
Computer Entry Date 31/10/1989
Date Reported 25/10/1989
Age : 33 YEARS Sex FEMALE Height 167
Weight 79 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INFECTION VIRAL
FATIGUE
Description : CF SYNDROME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/10/1988
ICD Code : OTR SERUM REACTN POST MED CARE
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/12/1988
ICD Code : OTR SERUM REACTN POST MED CARE
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63029 Sequence 1
Computer Entry Date 31/10/1989
Date Reported 25/10/1989
Age : 21 YEARS Sex MALE Height 183
Weight 73 Date Of Onset 01/09/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN PAIN
RELIEF IN HOSPITAL. SECOND DOSE ADMINISTERED ON 21/09/8
Included Term : CRAMP ABDOMINAL PAIN APPARENT
ADVERSE EFFECT.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/08/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63030 Sequence 1
Computer Entry Date 31/10/1989
Date Reported 25/10/1989
Age : 29 YEARS Sex FEMALE Height
Weight 54 Date Of Onset 29/08/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/08/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
NORTRIPTYLINE HYDROCHLORIDE O PER ORAL 100.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/12/1987
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63030 Sequence 2
Computer Entry Date 31/10/1989
Date Reported 25/10/1989
Age : 29 YEARS Sex FEMALE Height
Weight 54 Date Of Onset 29/08/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
FATIGUE
DIZZINESS
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/08/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
NORTRIPTYLINE HYDROCHLORIDE O PER ORAL 100.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/12/1987
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63045 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 27/10/1989
Age : 28 YEARS Sex FEMALE Height 168
Weight 72 Date Of Onset 10/06/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OPTIC NEURITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/06/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63063 Sequence 1
Computer Entry Date 30/11/1989
Date Reported 25/10/1989
Age : 36 YEARS Sex FEMALE Height
Weight Date Of Onset 02/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
Included Term : JOINT PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 02/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 1 TETANUS ANTIBODY TITRE 7.42 IU/ML
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63064 Sequence 1
Computer Entry Date 30/11/1989
Date Reported 25/10/1989
Age : 30 YEARS Sex MALE Height
Weight Date Of Onset 12/09/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
INFLUENZA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 04/09/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 1 GIVEN DILUTED DOSE 0.1ML 16/10/89 WITH SIMILAR REACTION
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63065 Sequence 1
Computer Entry Date 30/11/1989
Date Reported 25/10/1989
Age : 18 YEARS Sex FEMALE Height
Weight Date Of Onset 22/09/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
INFLUENZA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S
DRUG ADMINISTRATION BEGAN 22/09/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63094 Sequence 1
Computer Entry Date 30/11/1989
Date Reported 31/10/1989
Age : 8 MONTHS Sex FEMALE Height
Weight 10 Date Of Onset 30/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63128 Sequence 1
Computer Entry Date 30/11/1989
Date Reported 30/10/1989
Age : 28 YEARS Sex FEMALE Height 170
Weight 67 Date Of Onset 16/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
Included Term : ITCHY NECK, ARM, CHEST & BACK
RASH
HEADACHE
DYSPHAGIA
Included Term : DIFFICULTY IN SWALLOWING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63132 Sequence 1
Computer Entry Date 30/11/1989
Date Reported 30/10/1989
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALPITATION
EXTRASYSTOLES
Included Term : UNIFOCAL VENTRICULAR ECTOPICS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63151 Sequence 1
Computer Entry Date 30/11/1989
Date Reported 02/11/1989
Age Code A3 - Thirties Sex FEMALE Height
Weight Date Of Onset 16/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63155 Sequence 1
Computer Entry Date 30/11/1989
Date Reported 07/11/1989
Age : 51 YEARS Sex FEMALE Height
Weight Date Of Onset 06/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
Included Term : POLYARTHRALGIA
ARTHRITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/05/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63155 Sequence 2
Computer Entry Date 30/11/1989
Date Reported 07/11/1989
Age : 51 YEARS Sex FEMALE Height
Weight Date Of Onset 06/06/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA VARIETY
OF ANTI-INFLAMMATORY DRUGS INCLUDING PLAQUENIL, BRUF
Included Term : POLYARTHRALGIA WITHOUT
BENEFIT. IMPROVED AFTER A SHORT COURSE OF PREDNISOLO
SALAZOPY
RIN AND ORUDIS SR.
ARTHRITIS AGGRAVATED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/06/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 1 POSITIVE RHEUMATOID FACTOR. RF 258 (<60) 06/09/89
111 18/10/89
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 14:59 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63179 Sequence 1
Computer Entry Date 30/11/1989
Date Reported 03/11/1989
Age : 34 YEARS Sex MALE Height 167
Weight 63 Date Of Onset 26/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
MALAISE
NAUSEA
DIARRHOEA
SWEATING INCREASED
VOMITING
CRAMPS
PARANOID REACTION
Included Term : PARANOIA
DYSURIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63183 Sequence 1
Computer Entry Date 30/11/1989
Date Reported 03/11/1989
Age : 14 MONTHS Sex MALE Height
Weight 10 Date Of Onset 31/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES
CALAMINE, PARACETAMOL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S
DRUG ADMINISTRATION BEGAN 24/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63219 Sequence 1
Computer Entry Date 30/11/1989
Date Reported 05/11/1989
Age : 49 YEARS Sex MALE Height 170
Weight 72 Date Of Onset 31/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 31/10/1989
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63234 Sequence 1
Computer Entry Date 30/11/1989
Date Reported 08/11/1989
Age : 28 YEARS Sex FEMALE Height
Weight Date Of Onset 17/08/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
Included Term : ITCHY
OEDEMA
Included Term : SWELLING
SKIN DISCOLOURATION
Included Term : BROWN STAIN ON FOREARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/08/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63235 Sequence 1
Computer Entry Date 30/11/1989
Date Reported 09/11/1989
Age : 13 YEARS Sex MALE Height
Weight Date Of Onset 25/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA
RASH VESICULAR
Included Term : VESICULATED ERUPTION
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63242 Sequence 1
Computer Entry Date 30/11/1989
Date Reported 08/11/1989
Age : 3 MONTHS Sex MALE Height
Weight 5 Date Of Onset 19/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHADENOPATHY
PYRIDOXINE HYDROCHLORIDE, INH
Included Term : LYMPHADENITIS
ABSCESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S INJECTION 0.1 ML
DAILY SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 18/07/1989
0Laboratory Data
===============
HISTOLOGY
Lab Normal Range :
0 PATHOLOGY/MICRO SHOWED TUBERCULOUS LYMPHADENITIS (BCG). 31/10/89 BIOPSY LEFT
AXILLARY GLAND. MICROSCOPIC EXAMINATION SHOWED NO DISTINCT LYMPH NODAL
TISSUE.SECTIONS SHOW EXTENSIVE AREAS OF NECROSIS (CASEATION) SURROUNDED BY
GRANULATION, TISSUE HEAVILY INFITRATED BY LYMPHOCYTES, PLASMA CELLS HISTIO-
CYTES & POLYMORPHS.ACID FAST STAIN SHOWS ACID FAST BACILLI.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63299 Sequence 1
Computer Entry Date 30/11/1989
Date Reported 10/11/1989
Age : 13 YEARS Sex MALE Height
Weight Date Of Onset 20/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
DIPROSONE CREAM
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63300 Sequence 1
Computer Entry Date 30/11/1989
Date Reported 10/11/1989
Age : 57 YEARS Sex FEMALE Height
Weight 47 Date Of Onset 29/09/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEPATIC FUNCTION ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/05/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/06/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ASCORBIC ACID O
CARDIPRIN 100 O TABLET 1.0 DF
DAILY PER ORAL
0Laboratory Data
===============
BIOCHEMISTRY
Lab Normal Range :
0 1 29/9/89 10/10/89 17/11/89 REF RANGE
BILI: 10 (<20 UMOL/L)
GGT: 47 23 (<35 U/L)
ALP: 76 89 (<120 U/L)
ALT: 235 57 (<35 U/L)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63315 Sequence 1
Computer Entry Date 30/11/1989
Date Reported 15/11/1989
Age Sex FEMALE Height 160
Weight 51 Date Of Onset 15/11/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS TELDANE
ORAL AND ARISTOCORT CREAM TO ERYTHEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
DRUG ADMINISTRATION BEGAN 15/11/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
RYTHMODAN S CAPSULE 100.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 25/10/1989 AND CEASED 15/11/1989
ICD Code : OTR&NOS DISORD OF HEART RHYTHM
LANOXIN PG S
FOLIC ACID S
NICOTINIC ACID S
PERSANTIN S 300.0 MG
DAILY
ICD Code : OTHER PURITIS CONDITIONS
WARFARIN SODIUM S
ATROMID-S S
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63318 Sequence 1
Computer Entry Date 30/11/1989
Date Reported 15/11/1989
Age : 10 MONTHS Sex MALE Height
Weight Date Of Onset 04/06/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
CALADRYL, POLARAMINE
RASH MACULO-PAPULAR
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/06/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63319 Sequence 1
Computer Entry Date 30/11/1989
Date Reported 15/11/1989
Age : 29 YEARS Sex FEMALE Height
Weight Date Of Onset 03/06/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
CALADRYL, POLARAMINE
RASH MACULO-PAPULAR
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/06/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63400 Sequence 1
Computer Entry Date 30/11/1989
Date Reported 15/11/1989
Age : 2 MONTHS Sex MALE Height
Weight 4 Date Of Onset 18/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63401 Sequence 1
Computer Entry Date 30/11/1989
Date Reported 15/11/1989
Age : 2 MONTHS Sex MALE Height
Weight 5 Date Of Onset 20/09/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL,
POLARAMINE
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 MG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/09/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63423 Sequence 1
Computer Entry Date 30/11/1989
Date Reported 22/11/1989
Age : 45 YEARS Sex FEMALE Height
Weight Date Of Onset 20/08/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
PREDNISONE 40 MG PO - REDUCING DOSE OVER 2/52
FEVER
ARTHRALGIA
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/08/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63424 Sequence 1
Computer Entry Date 30/11/1989
Date Reported 22/11/1989
Age : 35 YEARS Sex MALE Height
Weight Date Of Onset 26/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
HYDROCORTISONE IV, PHERGAN PO, VENTOLIN VIA NEBULISER
URTICARIA
LARYNGISMUS
Included Term : LARYNGOSPASM
BRONCHOSPASM
CHEST PAIN
PARAESTHESIA
HYPERVENTILATION
NAUSEA
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/07/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63425 Sequence 1
Computer Entry Date 30/11/1989
Date Reported 23/11/1989
Age : 50 YEARS Sex MALE Height
Weight Date Of Onset 16/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/10/1989
MODURETIC S
ICD Code : ESSENTIAL BENIGN HYPERTENSION
VERAPAMIL HYDROCHLORIDE S
ICD Code : ESSENTIAL BENIGN HYPERTENSION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63459 Sequence 1
Computer Entry Date 31/12/1989
Date Reported 27/11/1989
Age : 21 YEARS Sex MALE Height 178
Weight 67 Date Of Onset 18/11/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN BEDREST
& PANADOL
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S CAPSULE 3.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 18/11/1989 AND CEASED 22/11/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63516 Sequence 1
Computer Entry Date 31/12/1989
Date Reported 14/11/1989
Age : 6 MONTHS Sex FEMALE Height
Weight Date Of Onset 07/09/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
4/24 & COOL BATHS. OWN GP TO REVIEW
AGITATION
Included Term : UNSETTLED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/09/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63517 Sequence 1
Computer Entry Date 31/12/1989
Date Reported 18/09/1989
Age : 9 MONTHS Sex MALE Height
Weight Date Of Onset 24/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL BATH,
PANADOL SABIN GIVEN ONLY
Included Term : HIGH PITCH CRYING
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/07/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63518 Sequence 1
Computer Entry Date 31/12/1989
Date Reported 19/09/1989
Age : 7 MONTHS Sex MALE Height
Weight Date Of Onset 07/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BRONCHOSPASM GP
RECOMMENDS CHANGE TO C.D.T. GIVEN VENTOLIN 0.1ML TDS X 1
Included Term : WHEEZING HISTORY
OF WHEEZING IN MOTHERS FAMILY.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/07/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63519 Sequence 1
Computer Entry Date 31/12/1989
Date Reported 26/10/1989
Age : 7 MONTHS Sex FEMALE Height
Weight Date Of Onset 01/08/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING PANADOL.
TWO SIBS ALLERGIC TO T.A: CHANGE RECOMMENDED TO
Included Term : VOMITING PROJECTILE
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/08/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63520 Sequence 1
Computer Entry Date 31/12/1989
Date Reported 12/10/1989
Age : 5 MONTHS Sex MALE Height
Weight Date Of Onset 10/08/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
DROPS X 4. DISCONTINUE TA. SABIN ONLY GIVEN
CRYING ABNORMAL
Included Term : HIGH PITCHED UNCONTROLLABLE SCREAM
INJECTION SITE REACTION
Included Term : BRUISING ELBOW TO SHOULDER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/08/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63522 Sequence 1
Computer Entry Date 31/12/1989
Date Reported 30/11/1989
Age : 42 YEARS Sex FEMALE Height 161
Weight 60 Date Of Onset 16/11/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPERVENTILATION
DIZZINESS
Included Term : DIZZY
HYPOTENSION
ABDOMINAL PAIN
Included Term : ABDOMINAL DISCOMFORT
DYSPNOEA
Included Term : AIR HUNGER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/11/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63527 Sequence 1
Computer Entry Date 31/12/1989
Date Reported 30/11/1989
Age : 24 YEARS Sex FEMALE Height 160
Weight 55 Date Of Onset 23/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER REST
BILIRUBINAEMIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
BIOCHEMISTRY
Lab Normal Range :
0 1 23/10/89 BILIRUBIN 57 UMOL/L
25/10/89 BILIRUBIN 21 UMOL/L
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63549 Sequence 1
Computer Entry Date 31/12/1989
Date Reported 29/11/1989
Age : 41 YEARS Sex MALE Height 178
Weight 82 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
GOUT
GOUT
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63552 Sequence 1
Computer Entry Date 31/12/1989
Date Reported 30/11/1989
Age : 55 YEARS Sex MALE Height 180
Weight 80 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA REACTION
OCCURRED AFTER EACH HEP B VACCINE INJECTION AND LAS
MYALGIA
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63572 Sequence 1
Computer Entry Date 31/12/1989
Date Reported 05/12/1989
Age : 17 YEARS Sex FEMALE Height
Weight Date Of Onset 26/11/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS ZADINE
Included Term : ITCHING
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/11/1989
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63595 Sequence 1
Computer Entry Date 31/12/1989
Date Reported 02/12/1989
Age : 17 MONTHS Sex FEMALE Height
Weight Date Of Onset 25/11/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BRONCHOSPASM NO
RESPONSE TO VENTOLIN. ADMITTED TO HOSPITAL AND TREATED WI
Included Term : ASTHMA IV
AMINOPHYLLINE AND HYDROCORTISONE. IN HOSPITAL 36 HRS AND
ON
NUELIN PEDIATRIC 50MG, VENTOLIN SYRUP 3MLS QID.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S 0.5 ML
DAILY
DRUG ADMINISTRATION BEGAN 22/11/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63617 Sequence 1
Computer Entry Date 31/12/1989
Date Reported 02/11/1989
Age : 2 MONTHS Sex Height
Weight Date Of Onset 19/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63618 Sequence 1
Computer Entry Date 31/12/1989
Date Reported 02/11/1989
Age Code AB - Baby Sex Height
Weight Date Of Onset 24/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ALCOHOL O
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63619 Sequence 1
Computer Entry Date 31/12/1989
Date Reported 02/11/1989
Age : 18 MONTHS Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63620 Sequence 1
Computer Entry Date 31/12/1989
Date Reported 02/11/1989
Age Code AB - Baby Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63621 Sequence 1
Computer Entry Date 31/12/1989
Date Reported 02/11/1989
Age Code AB - Baby Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63639 Sequence 1
Computer Entry Date 31/12/1989
Date Reported 03/12/1989
Age : 5 YEARS Sex FEMALE Height
Weight Date Of Onset 20/08/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/08/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63679 Sequence 1
Computer Entry Date 31/12/1989
Date Reported 06/12/1989
Age : 17 YEARS Sex FEMALE Height 153
Weight 78 Date Of Onset 30/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE PANADOL
NAUSEA
VOMITING
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/10/1989 AND CEASED 30/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63715 Sequence 1
Computer Entry Date 31/12/1989
Date Reported 13/12/1989
Age : 23 YEARS Sex MALE Height
Weight 70 Date Of Onset 27/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
ANALGESICS, ANTIPYRETICS.
FEVER
ARTHRALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63730 Sequence 1
Computer Entry Date 31/12/1989
Date Reported 07/12/1989
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 10/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
PARACETAMOL
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 10/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63740 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 13/12/1989
Age : 31 YEARS Sex FEMALE Height
Weight 48 Date Of Onset 20/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEURITIS
Included Term : GUILLAIN-BARRE SYNDROME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/06/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63741 Sequence 1
Computer Entry Date 31/12/1989
Date Reported 15/12/1989
Age : 31 YEARS Sex FEMALE Height
Weight Date Of Onset 00/01/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
ANOREXIA
ABDOMINAL PAIN
HEPATIC FUNCTION ABNORMAL
Included Term : INCREASE IN LFTS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/01/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
BIOCHEMISTRY
Lab Normal Range :
0 1 REPEATED LFTS IN AUGUST WERE NORMAL
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63758 Sequence 1
Computer Entry Date 31/12/1989
Date Reported 14/12/1989
Age : 3 MONTHS Sex MALE Height
Weight Date Of Onset 13/12/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
OBSERVATION IN HOSPITAL
Included Term : SCREAMING
PALLOR
CYANOSIS
FATIGUE
Included Term : LETHARGY
DYSPNOEA
HYPERTONIA
Included Term : STIFF LIMBS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/12/1989
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63759 Sequence 1
Computer Entry Date 31/12/1989
Date Reported 14/12/1989
Age : 6 MONTHS Sex MALE Height 66
Weight 7 Date Of Onset 13/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/10/1989
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63764 Sequence 1
Computer Entry Date 31/12/1989
Date Reported 16/10/1989
Age : 21 YEARS Sex FEMALE Height 173
Weight 55 Date Of Onset 12/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING CEASED
TABLETS, HAD AN INJ FOR TYPHOID INSTEAD.
CRAMPS
Included Term : STOMACH CRAMPS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S TABLET 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 12/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63766 Sequence 1
Computer Entry Date 31/12/1989
Date Reported 18/12/1989
Age : 44 YEARS Sex FEMALE Height
Weight 62 Date Of Onset 00/08/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
Included Term : ITCHING
RASH
Included Term : RED RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/08/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63767 Sequence 1
Computer Entry Date 31/12/1989
Date Reported 18/12/1989
Age : 14 YEARS Sex FEMALE Height 160
Weight 50 Date Of Onset 00/09/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER VENTOLIN
BRONCHOSPASM AGGRAVATED
Included Term : ASTHMA AGGRAVATED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/09/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63800 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 18/12/1989
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 14/12/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DYSPHONIA
Included Term : HOARSE VOICE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/12/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63806 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 19/12/1989
Age : 51 YEARS Sex MALE Height
Weight 122 Date Of Onset 25/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA NSAID'S
MYALGIA
ARTHRALGIA
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
THYROXINE SODIUM O 200.0 RG
DAILY
DRUG ADMINISTRATION BEGAN 00/00/1982
ICD Code : MYXEDEMA
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63807 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 19/12/1989
Age : 21 YEARS Sex MALE Height 170
Weight 70 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA STEMETIL
GIVEN AFTER 2ND DOSE
VOMITING
NAUSEA
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63815 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 20/12/1989
Age : 57 YEARS Sex MALE Height
Weight Date Of Onset 00/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BRONCHOSPASM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : DEATH, MAYBE DRUG
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63816 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 20/12/1989
Age : 23 YEARS Sex MALE Height 168
Weight 47 Date Of Onset 19/12/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
VOMITING
MYALGIA
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/12/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63821 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 23/12/1989
Age : 19 YEARS Sex MALE Height
Weight Date Of Onset 17/12/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/12/1989
ICD Code : MULT OPN WNDS OF OTR&UNSP LOCA
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63824 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 29/12/1989
Age : 42 YEARS Sex FEMALE Height 165
Weight 65 Date Of Onset 22/12/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANAPHYLACTOID REACTION
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/12/1989 AND CEASED 25/12/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63834 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 27/12/1989
Age : 48 YEARS Sex FEMALE Height 165
Weight 60 Date Of Onset 10/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE MAXOLON,
ANTIBIOTICS.
Included Term : LETHARGY
NAUSEA
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/09/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63835 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 27/12/1989
Age : 22 YEARS Sex FEMALE Height 168
Weight 65 Date Of Onset 30/11/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DYSPNOEA
BRONCHOSPASM
MALAISE
DIZZINESS
PALPITATION
FEVER
DYSPNOEA
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/11/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63836 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 27/12/1989
Age : 56 YEARS Sex MALE Height 173
Weight 70 Date Of Onset 01/11/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FACE OEDEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 31/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63837 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 27/12/1989
Age : 20 MONTHS Sex FEMALE Height
Weight 13 Date Of Onset 09/09/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA PERIPHERAL
Included Term : INFLAMED LEG
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/09/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63841 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 21/12/1989
Age : 33 YEARS Sex FEMALE Height
Weight Date Of Onset 21/12/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
DIZZINESS
Included Term : FAINT
CHEST PAIN
Included Term : CHEST TIGHTNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/12/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63864 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 24/12/1989
Age : 23 YEARS Sex MALE Height
Weight Date Of Onset 00/08/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA REACTION
OCCURRED 2/52 AFTER 4TH INJECTION.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/08/1989
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 1 HEPATITIS B SURFACE ANTIBODY POSITIVE. ANTIBODY LEVEL
<10 M I.U/ML
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63903 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 02/01/1990
Age : 63 YEARS Sex MALE Height
Weight Date Of Onset 02/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/10/1989
BLOCADREN O TABLET 15.0 MG
DAILY PER ORAL
ICD Code : ESSENTIAL BENIGN HYPERTENSION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63904 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 02/01/1990
Age : 43 YEARS Sex MALE Height
Weight Date Of Onset 30/09/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CHEST PAIN
ARTHRITIS
Included Term : SWOLLEN R KNEE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/09/1989
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63913 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 09/01/1990
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 21/11/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
DROPS WITHOUT EFFECT, 2ND DTP NOT GIVEN.
SOMNOLENCE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/11/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63919 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 08/01/1990
Age : 39 YEARS Sex MALE Height 177
Weight 85 Date Of Onset 08/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH BLOOD
TESTS, ALLERGY CREAM.
ARTHRALGIA
Included Term : ACHES IN KNUCKLES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/05/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63920 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 08/01/1990
Age : 46 YEARS Sex FEMALE Height 170
Weight 65 Date Of Onset 16/12/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER MILD
REACTION WITH PREVIOUS INJECTION
FACE OEDEMA
Included Term : FACIAL CONGESTION
MYALGIA
Description : GENERALISED ACHES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/12/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63942 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 08/01/1990
Age : 55 YEARS Sex MALE Height 170
Weight 60 Date Of Onset 18/12/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH HISMANAL
MALAISE
PRURITUS
FACE OEDEMA
OEDEMA PERIPHERAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/12/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63944 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 04/01/1990
Age : 6 MONTHS Sex FEMALE Height 69
Weight Date Of Onset 26/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
4HRLY 24HRS.
Included Term : HIGH TEMPERATURE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 DF
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63952 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 04/01/1990
Age : 21 YEARS Sex FEMALE Height
Weight Date Of Onset 12/09/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA ASPIRIN,
SEPTRIN, SUDAFED, STEMETIL 5MG TDS
ANOREXIA
NAUSEA
HEADACHE
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/09/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63953 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 04/01/1990
Age : 20 YEARS Sex FEMALE Height
Weight 53 Date Of Onset 20/08/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PAIN
Included Term : HYPOCHONDRIAL PAIN
ANOREXIA
FLUSHING
NAUSEA
VOMITING
PRURITUS
MICTURITION FREQUENCY
Included Term : URINARY FREQUENCY
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/08/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
BIOCHEMISTRY
Lab Normal Range :
0 1 23/8/89 28/8/89
BILIRUBIN: 22 34
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63979 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 09/01/1990
Age : 62 YEARS Sex FEMALE Height 158
Weight 83 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/07/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63980 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 09/01/1990
Age : 28 YEARS Sex MALE Height 169
Weight 74 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BRONCHOSPASM
Included Term : WHEEZE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/07/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63981 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 09/01/1990
Age : 50 YEARS Sex FEMALE Height 155
Weight 60 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
HEADACHE
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/07/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63986 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 11/01/1990
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 14/11/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL ORAL
PANADOL- NO RELIEF, 2ND DTP NOT GIVEN.
NERVOUSNESS
Included Term : IRRITABILITY
FEVER
ANOREXIA
Included Term : ANOREXIC
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/11/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63987 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 11/01/1990
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 16/11/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING 3RD DTP
NOT GIVEN, CDT GIVEN INSTEAD.
FEVER
NERVOUSNESS
Included Term : IRRITABILITY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/11/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 63988 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 11/01/1990
Age : 7 MONTHS Sex MALE Height
Weight Date Of Onset 15/11/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER TEPID
BATH, PANADOL X 1.
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/11/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64016 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 16/01/1990
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 21/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : FEBRILE
ANOREXIA
NERVOUSNESS
Included Term : IRRITABILITY
INJECTION SITE REACTION
Included Term : SWOLLEN LEFT ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 0.5 ML
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64017 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 16/01/1990
Age : 20 MONTHS Sex FEMALE Height
Weight Date Of Onset 12/12/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : FEBRILE
ANOREXIA
NERVOUSNESS
Included Term : IRRITABILITY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 0.5 ML
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/12/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64019 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 15/01/1990
Age : 24 YEARS Sex FEMALE Height 173
Weight 64 Date Of Onset 05/01/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
HEADACHE
SWEATING INCREASED
Included Term : SWEATING
DIZZINESS
Included Term : FELT FAINT
VISION ABNORMAL
Included Term : BLURRED VISION
ASTHENIA
Included Term : FELT WEAK
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 04/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64089 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 16/01/1990
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 09/01/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE MASS
Included Term : RED LUMP
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
DAILY INTRAVENOUS
DRUG ADMINISTRATION BEGAN 09/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64092 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 17/01/1990
Age : 24 YEARS Sex FEMALE Height 160
Weight 55 Date Of Onset 04/01/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PARAESTHESIA
Included Term : NUMBNESS IN LEFT FACE, NECK AND ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MENCEVAX AC S INJECTION 1.0 DF
DAILY INTRAVENOUS
DRUG ADMINISTRATION BEGAN 04/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
VOLTAREN O
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64104 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 17/01/1990
Age : 40 YEARS Sex FEMALE Height 170
Weight 51 Date Of Onset 12/01/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE
Included Term : LETHARGY
ARTHRALGIA
Included Term : JOINT PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64148 Sequence 1
Computer Entry Date 31/01/1990
Date Reported 24/01/1990
Age : 5 MONTHS Sex FEMALE Height 63
Weight 7 Date Of Onset 19/10/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR BABY
HOSPITALISED AND GIVEN OXYGEN ONLY. DISCHARGED AFTER 24
CRYING ABNORMAL
SALIVA INCREASED
Included Term : DROOLING
RESPIRATORY DISORDER
Included Term : GRUNTING RESPIRATION
HYPOTONIA
Included Term : FLACCID
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 19/10/1988
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64174 Sequence 2
Computer Entry Date 31/01/1990
Date Reported 19/01/1990
Age : 21 YEARS Sex FEMALE Height 163
Weight 58 Date Of Onset 27/12/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
PROMETHAZINE.
FACE OEDEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
GR43175 (SUMATRIPTAN) TRIAL S
DRUG ADMINISTRATION BEGAN 02/10/1989 AND CONTINUED
ICD Code : MIGRAINE
PARACETAMOL S 1.0 GM
AS NECESSARY
MICROGYNON S 1.0 DF
DAILY
DRUG ADMINISTRATION BEGAN 00/00/1983 AND CONTINUED
ICD Code : CONTRACEPTION
HEPATITIS B VACCINE (PRE RECOMBINAN S
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64201 Sequence 1
Computer Entry Date 28/02/1990
Date Reported 25/01/1990
Age : 4 MONTHS Sex MALE Height 61
Weight 5 Date Of Onset 24/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL NOT
RELIEVED BY PANADOL.
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 24/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64221 Sequence 1
Computer Entry Date 28/02/1990
Date Reported 01/02/1990
Age : 5 YEARS Sex FEMALE Height 120
Weight 21 Date Of Onset 20/12/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/12/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64222 Sequence 1
Computer Entry Date 28/02/1990
Date Reported 29/01/1990
Age : 29 YEARS Sex FEMALE Height
Weight 56 Date Of Onset 18/01/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE
AZATIDINE MALEATE
FATIGUE
Included Term : LETHARGY
BRADYCARDIA
HYPOTENSION
PAIN
Included Term : SORE,BURNING FEELING ON ARM & CHEST
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64223 Sequence 1
Computer Entry Date 28/02/1990
Date Reported 01/02/1990
Age : 36 YEARS Sex FEMALE Height 150
Weight 50 Date Of Onset 08/01/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPERTENSION
ANTIHISTAMINE I.M. INJECTION.
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 1ASPIRATION NOT PERFORMED PRIOR TO INJECTION, SUSPECTED I.V.
INJECTION.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64224 Sequence 1
Computer Entry Date 28/02/1990
Date Reported 01/02/1990
Age : 8 YEARS Sex MALE Height 139
Weight 33 Date Of Onset 20/01/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64225 Sequence 1
Computer Entry Date 28/02/1990
Date Reported 01/02/1990
Age : 29 YEARS Sex FEMALE Height
Weight Date Of Onset 11/01/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
THROMBOCYTOPENIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DEMAZIN TABLET S 1.0 DF
DAILY
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range :
0 1 11/1/90 15/1/90 19/1/90 NORMAL RANGE
THROMBOCYTOPENIA 87 101 112 (130-500)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64252 Sequence 1
Computer Entry Date 28/02/1990
Date Reported 02/02/1990
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 02/11/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 02/11/1989
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64253 Sequence 1
Computer Entry Date 28/02/1990
Date Reported 01/02/1990
Age : 6 MONTHS Sex MALE Height 68
Weight 9 Date Of Onset 10/08/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 10/08/1989
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64274 Sequence 1
Computer Entry Date 28/02/1990
Date Reported 03/02/1990
Age : 12 MONTHS Sex FEMALE Height
Weight 11 Date Of Onset 01/02/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PARACETAMOL, FLUIDS, ELECTROLYTES ORALLY.
VOMITING
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64279 Sequence 1
Computer Entry Date 28/02/1990
Date Reported 06/02/1990
Age : 59 YEARS Sex FEMALE Height 168
Weight 70 Date Of Onset 17/01/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
PHOTOPHOBIA
HEADACHE
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION 1.0 MG
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
JAPANESE ENCEPHALITIS VACCINE S INJECTION 1.0 MG
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 16/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64293 Sequence 1
Computer Entry Date 28/02/1990
Date Reported 07/02/1990
Age : 39 YEARS Sex MALE Height
Weight 80 Date Of Onset 22/12/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ERYTHEMA MULTIFORME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 10.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/11/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64300 Sequence 1
Computer Entry Date 28/02/1990
Date Reported 18/01/1990
Age : 7 MONTHS Sex MALE Height
Weight Date Of Onset 28/11/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
4/24. NOT GIVEN 3RD TA.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/11/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64302 Sequence 1
Computer Entry Date 28/02/1990
Date Reported 06/02/1990
Age : 7 MONTHS Sex FEMALE Height
Weight Date Of Onset 04/12/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SOMNOLENCE PANADOL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/09/1989 AND CEASED 04/12/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64303 Sequence 1
Computer Entry Date 28/02/1990
Date Reported 08/02/1990
Age : 5 YEARS Sex MALE Height
Weight 18 Date Of Onset 18/01/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64349 Sequence 1
Computer Entry Date 28/02/1990
Date Reported 12/02/1990
Age : 3 YEARS Sex MALE Height 105
Weight 19 Date Of Onset 10/02/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR NIL
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/02/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64364 Sequence 1
Computer Entry Date 28/02/1990
Date Reported 31/01/1990
Age : 27 YEARS Sex MALE Height 180
Weight 74 Date Of Onset 05/01/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S CAPSULE 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 03/01/1990 AND CEASED 05/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64399 Sequence 1
Computer Entry Date 28/02/1990
Date Reported 23/05/1989
Age : 31 YEARS Sex MALE Height
Weight Date Of Onset 04/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 04/05/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64421 Sequence 1
Computer Entry Date 28/02/1990
Date Reported 19/02/1990
Age Sex FEMALE Height
Weight Date Of Onset 16/02/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL T.A
DISCONTINUED. 18/12 C.D.T GIVEN.
Included Term : SCREAMING
VOMITING
FEVER
Included Term : FEBRILE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
DRUG ADMINISTRATION BEGAN 16/02/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64431 Sequence 1
Computer Entry Date 28/02/1990
Date Reported 20/02/1990
Age : 6 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MENINGITIS-LIKE REACTION
L.PUNCTURE PERFORMED AFTER FIRST 3 TRIPLE ANTIGENS
HEADACHE
VOMITING
PHOTOPHOBIA
FEVER
MENINGITIS-LIKE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64431 Sequence 2
Computer Entry Date 28/02/1990
Date Reported 20/02/1990
Age : 6 YEARS Sex FEMALE Height
Weight Date Of Onset 01/02/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MENINGITIS-LIKE REACTION
HEADACHE
VOMITING
PHOTOPHOBIA
FEVER
MENINGITIS-LIKE REACTION
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S
DRUG ADMINISTRATION BEGAN 31/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64456 Sequence 1
Computer Entry Date 28/02/1990
Date Reported 28/02/1990
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 21/02/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION COLD
PACK
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/02/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64459 Sequence 1
Computer Entry Date 28/02/1990
Date Reported 19/01/1990
Age : 51 YEARS Sex FEMALE Height 160
Weight 64 Date Of Onset 07/06/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INSOMNIA
FATIGUE
INSOMNIA
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/06/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64459 Sequence 2
Computer Entry Date 28/02/1990
Date Reported 19/01/1990
Age : 51 YEARS Sex FEMALE Height 160
Weight 64 Date Of Onset 13/01/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INSOMNIA
FATIGUE
EARACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64460 Sequence 1
Computer Entry Date 28/02/1990
Date Reported 17/01/1990
Age : 37 YEARS Sex FEMALE Height 152
Weight 51 Date Of Onset 02/06/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PARAESTHESIA
Included Term : PINS AND NEEDLES IN NOSE
SWEATING INCREASED
PARAESTHESIA
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/06/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64461 Sequence 1
Computer Entry Date 28/02/1990
Date Reported 23/01/1990
Age : 38 YEARS Sex FEMALE Height 175
Weight 70 Date Of Onset 02/06/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INSOMNIA
RHINITIS
Included Term : CORYZA
INSOMNIA
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/06/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64462 Sequence 1
Computer Entry Date 28/02/1990
Date Reported 16/02/1990
Age : 18 YEARS Sex FEMALE Height 166
Weight 50 Date Of Onset 05/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER NIL
MYALGIA
Included Term : MUSCLE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/07/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64463 Sequence 1
Computer Entry Date 28/02/1990
Date Reported 16/02/1990
Age : 22 YEARS Sex FEMALE Height 168
Weight 60 Date Of Onset 06/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
MYALGIA
Included Term : MUSCLE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/07/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64464 Sequence 1
Computer Entry Date 28/02/1990
Date Reported 21/02/1990
Age : 34 YEARS Sex FEMALE Height 150
Weight 68 Date Of Onset 05/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PARAESTHESIA NIL
INJECTION SITE PAIN
PARAESTHESIA
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/05/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64465 Sequence 1
Computer Entry Date 28/02/1990
Date Reported 16/02/1990
Age : 43 YEARS Sex MALE Height
Weight Date Of Onset 01/11/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEPATIC FUNCTION ABNORMAL NIL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/08/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
BIOCHEMISTRY
Lab Normal Range :
0 1 1/11/89 ALT 68 U/L. GGT 88 U/L. OTHER LFT'S NORMAL.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64467 Sequence 1
Computer Entry Date 28/02/1990
Date Reported 20/02/1990
Age : 22 MONTHS Sex MALE Height
Weight Date Of Onset 19/02/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT NIL
Included Term : PAROTITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/02/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64468 Sequence 1
Computer Entry Date 28/02/1990
Date Reported 22/02/1990
Age : 17 YEARS Sex MALE Height 183
Weight 70 Date Of Onset 21/02/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT
Included Term : SWELLING OF PAROTID GLAND
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 31/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64481 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 10/01/1990
Age : 7 MONTHS Sex FEMALE Height
Weight Date Of Onset 23/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
ANTIPYRETIC
Included Term : EXCESSIVE CRYING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64490 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 26/02/1990
Age : 32 YEARS Sex MALE Height 185
Weight 76 Date Of Onset 21/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
PRURITUS
Included Term : ITCHING
RASH
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64497 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 28/02/1990
Age : 26 YEARS Sex FEMALE Height
Weight Date Of Onset 26/02/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
NAUSEA
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MENCEVAX AC S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 26/02/1990
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64518 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 01/03/1990
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset 28/02/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION ICE
TOPICALLY, PANADOL SYSTEMICALLY.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 28/02/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64530 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 28/02/1990
Age : 20 YEARS Sex FEMALE Height 163
Weight Date Of Onset 28/02/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
DIZZINESS
Included Term : GIDDINESS
COORDINATION ABNORMAL
Included Term : DISCOORDINATION
CONCENTRATION IMPAIRED
HYPOAESTHESIA
Included Term : NUMBNESS OF HARD PALATE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MENCEVAX AC S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 22/02/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64531 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 27/02/1990
Age : 6 YEARS Sex FEMALE Height
Weight 18 Date Of Onset 11/02/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER FLUIDS
AND REST ONLY.
VOMITING
ABDOMINAL PAIN
Included Term : CRAMP ABDOMINAL
CONSTIPATION
ANOREXIA
PURPURA
WEIGHT DECREASE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S CAPSULE 3.0 DF
TOTAL PER ORAL
DRUG ADMINISTRATION BEGAN 11/02/1990 AND CEASED 15/02/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64543 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 26/02/1990
Age : 18 YEARS Sex FEMALE Height
Weight Date Of Onset 02/02/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR TOPICAL
CORTICOSTEROID
INJECTION SITE REACTION
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 31/01/1990
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64544 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 26/02/1990
Age Sex FEMALE Height
Weight Date Of Onset 17/11/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH NIL
PRURITUS
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/11/1989
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64545 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 26/02/1990
Age : 33 YEARS Sex FEMALE Height 163
Weight 62 Date Of Onset 30/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
FATIGUE
DIZZINESS
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/10/1989
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64596 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 02/03/1990
Age : 20 MONTHS Sex MALE Height
Weight Date Of Onset 01/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL,
ICE PACKS, TEPID SPONGING.
Included Term : CONTINUOUS CRYING
INJECTION SITE REACTION
Included Term : SWOLLEN RED SITE
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/03/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64605 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 05/03/1990
Age : 10 MONTHS Sex MALE Height
Weight Date Of Onset 03/01/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
4/24 FOR 24 HOURS
INJECTION SITE PAIN
Included Term : SORE SWOLLEN ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64606 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 05/03/1990
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 08/01/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SOMNOLENCE PANADOL
4/24
Included Term : DROWSINESS
PALLOR
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64624 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 06/03/1990
Age : 36 YEARS Sex FEMALE Height 160
Weight 52 Date Of Onset 22/02/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION NIL
HEADACHE
NAUSEA
FEVER
Included Term : RAISED TEMPERATURE
DYSPNOEA
Included Term : BREATHLESSNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/02/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64631 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 05/03/1990
Age : 43 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
Included Term : UNWELL
MALAISE
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 DF
2 TIMES INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64631 Sequence 2
Computer Entry Date 31/03/1990
Date Reported 05/03/1990
Age : 43 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEPATIC FUNCTION ABNORMAL
Included Term : ALTERED LIVER FUNCTION TESTS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64633 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 05/03/1990
Age : 6 MONTHS Sex FEMALE Height
Weight Date Of Onset 18/12/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Included Term : OEDEMA, HAEMATOMA INJECTION SITE
FEVER
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 23/10/1989 AND CEASED 18/12/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64641 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 06/03/1990
Age : 45 YEARS Sex MALE Height 175
Weight Date Of Onset 04/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/03/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64644 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 05/03/1990
Age : 25 YEARS Sex FEMALE Height 167
Weight 56 Date Of Onset 03/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
NAUSEA
HEADACHE
FATIGUE
ABDOMINAL PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S PER ORAL
PER ORAL
DRUG ADMINISTRATION BEGAN 02/03/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64645 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 06/03/1990
Age : 54 YEARS Sex FEMALE Height 163
Weight 89 Date Of Onset 05/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ERYTHEMA NODOSUM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 05/03/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ISOPTIN S 320.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 00/00/1988
ICD Code : ESSENTIAL BENIGN HYPERTENSION
PROTHIADEN S 150.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 00/00/1988
ICD Code : DEPRESSION
VENTOLIN S INHALANT
INHALATION
DRUG ADMINISTRATION BEGAN 00/00/1987
ICD Code : ASTHMA
BECOTIDE S INHALANT
INHALATION
DRUG ADMINISTRATION BEGAN 00/00/1987
ICD Code : ASTHMA
ATROVENT S INHALANT
INHALATION
DRUG ADMINISTRATION BEGAN 00/00/1987
ICD Code : ASTHMA
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64651 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 07/03/1990
Age : 28 YEARS Sex MALE Height 178
Weight 101 Date Of Onset 28/02/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA
ABDOMINAL PAIN
Included Term : CRAMP ABDOMINAL
VOMITING
DYSPEPSIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID ORAL VACCINE S CAPSULE 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 28/02/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64728 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 15/03/1990
Age : 24 YEARS Sex FEMALE Height 168
Weight 64 Date Of Onset 07/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
AZATADINE AND PAIN KILLERS
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/03/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64735 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 08/03/1990
Age : 4 MONTHS Sex FEMALE Height 57
Weight 6 Date Of Onset 11/01/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER TO GP.
ADVISED NOT TO GIVE 2ND T/A.
Included Term : ELEVATED TEMPERATURE
CRYING ABNORMAL
PALLOR
Included Term : PALE
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 11/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64736 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 15/03/1990
Age : 5 MONTHS Sex FEMALE Height 46
Weight 9 Date Of Onset 07/12/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR NONE
HYPOTONIA
Included Term : FLACID
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/12/1989
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64754 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 12/03/1990
Age : 6 MONTHS Sex MALE Height 65
Weight 9 Date Of Onset 11/12/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING PANADOL.
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/09/1989 AND CEASED 11/12/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64755 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 12/03/1990
Age : 5 MONTHS Sex MALE Height
Weight Date Of Onset 15/01/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
SOMNOLENCE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64758 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 14/03/1990
Age : 31 YEARS Sex FEMALE Height 175
Weight 47 Date Of Onset 07/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PAIN
MYALGIA
NAUSEA
DIZZINESS
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/03/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64762 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 14/03/1990
Age : 35 YEARS Sex FEMALE Height 160
Weight 55 Date Of Onset 13/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER ASPIRIN
MYALGIA
Included Term : MUSCLE ACHE
CONJUNCTIVITIS
COUGHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S
DRUG ADMINISTRATION BEGAN 13/03/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64764 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 16/03/1990
Age : 28 YEARS Sex FEMALE Height 168
Weight 72 Date Of Onset 10/06/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OPTIC NEURITIS NIL
Included Term : BILATERAL OPTIC NEURITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/06/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64766 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 16/03/1990
Age Sex FEMALE Height 170
Weight 57 Date Of Onset 29/01/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH SIMILIAR
SYMPTOMS WHEN CONSUMING YEAST PRODUCTS
DYSPEPSIA
Included Term : GASTROINTESTINAL SYMPTOMS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64796 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 20/03/1990
Age Sex Height
Weight Date Of Onset 23/01/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64797 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 20/03/1990
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 25/01/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 25/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64817 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 19/03/1990
Age : 30 YEARS Sex FEMALE Height 172
Weight 62 Date Of Onset 00/09/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FLUSHING
OBSERVATION.
TACHYCARDIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64849 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 23/03/1990
Age : 33 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OPTIC NEURITIS
VISION ABNORMAL
Included Term : BLURRING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64858 Sequence 1
Computer Entry Date 31/03/1990
Date Reported 26/03/1990
Age : 9 YEARS Sex MALE Height
Weight Date Of Onset 09/02/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
HEADACHE
ABDOMINAL PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/02/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64884 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 26/03/1990
Age : 40 YEARS Sex FEMALE Height 170
Weight 65 Date Of Onset 23/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CHEST PAIN REST
Included Term : CHEST TIGHTNESS OF
DIZZINESS
FEVER
Included Term : WARMTH
ANXIETY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64891 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 28/03/1990
Age : 42 YEARS Sex FEMALE Height 170
Weight 60 Date Of Onset 24/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
MALAISE
DYSPNOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/03/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64897 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 28/03/1990
Age : 45 YEARS Sex MALE Height 178
Weight 76 Date Of Onset 23/12/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
ANTIHISTAMINE
Included Term : RASH RED
PRURITUS
Included Term : ITCHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/12/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64898 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 27/03/1990
Age : 34 YEARS Sex FEMALE Height 155
Weight 59 Date Of Onset 23/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE
Included Term : LETHARGY
MYALGIA
ARTHRALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64899 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 28/03/1990
Age : 50 YEARS Sex MALE Height
Weight Date Of Onset 00/01/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DILTIAZEM HYDROCHLORIDE O 180.0 MG
DAILY
ICD Code : ANGINA PECTORIS W/O HYPERTEN
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64903 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 02/04/1990
Age : 19 MONTHS Sex MALE Height
Weight 14 Date Of Onset 14/02/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
INJECTION SITE REACTION
Included Term : STERILE ABSCESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/02/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64904 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 28/03/1990
Age : 5 MONTHS Sex FEMALE Height
Weight Date Of Onset 17/01/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER CHANGED
TO C.D.T
Included Term : HIGH TEMPERATURE
VOMITING
AGITATION
Included Term : RESTLESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64930 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 04/04/1990
Age : 28 YEARS Sex FEMALE Height
Weight 60 Date Of Onset 31/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 31/03/1990
ICD Code : ATTACK BY ANIMAL
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64937 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 30/03/1990
Age : 17 MONTHS Sex FEMALE Height 79
Weight 10 Date Of Onset 00/02/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
Included Term : FEBRILE CONVULSIONS
MENINGITIS
Included Term : VIRAL MENINGITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64960 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 03/04/1990
Age : 18 YEARS Sex FEMALE Height 170
Weight 45 Date Of Onset 01/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
HEADACHE
DIZZINESS
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S 1.0 ML
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64971 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 03/04/1990
Age : 49 YEARS Sex MALE Height 170
Weight 85 Date Of Onset 12/11/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PHARYNGITIS
PANADEINE FOR PAIN, FEVER
FEVER
HEADACHE
PHARYNGITIS
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/11/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ALLOPURINOL O
ICD Code : GOUT
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64972 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 06/04/1990
Age : 16 YEARS Sex FEMALE Height 173
Weight 60 Date Of Onset 20/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA NIL
FATIGUE
HEADACHE
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/07/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64973 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 09/04/1990
Age : 44 YEARS Sex FEMALE Height
Weight Date Of Onset 23/05/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
TASTE PERVERSION
Included Term : FUNNY TASTE IN MOUTH
DIZZINESS
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/05/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64974 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 06/04/1990
Age : 32 YEARS Sex MALE Height 175
Weight 65 Date Of Onset 02/06/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VERTIGO STEROIDS
DIPLOPIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/05/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 1DEMYLENATION SHOWN ON MRI SCAN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 64988 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 06/04/1990
Age Sex Height
Weight Date Of Onset 03/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
PARACETAMOL
VISION ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MENCEVAX AC S INJECTION 0.5 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/03/1990
IMMUNOGLOBULIN HUMAN NORMAL S INJECTION 2.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/03/1990
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65009 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 05/04/1990
Age : 61 YEARS Sex FEMALE Height 158
Weight 47 Date Of Onset 29/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEURALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S
DRUG ADMINISTRATION BEGAN 29/03/1990
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65013 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 04/04/1990
Age : 7 MONTHS Sex FEMALE Height
Weight Date Of Onset 10/01/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
DIARRHOEA
FEVER
VOMITING
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65041 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 05/04/1990
Age : 45 YEARS Sex FEMALE Height
Weight Date Of Onset 31/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER BED
REST, ASPIRIN
Included Term : PYREXIA
RIGORS
SWEATING INCREASED
ARTHRALGIA
Included Term : JOINT PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/03/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65042 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 06/04/1990
Age : 64 YEARS Sex FEMALE Height
Weight Date Of Onset 17/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE TREATED
FOR HYPEROSMOLOR NON KETOTIC COMA
RHINITIS
Included Term : RHINORRHOEA
FEVER
FATIGUE
Included Term : LETHARGY
COMA DIABETIC
DIABETES MELLITUS REACTIVATED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S
DRUG ADMINISTRATION BEGAN 17/03/1990
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65045 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 09/04/1990
Age : 66 YEARS Sex FEMALE Height 168
Weight 57 Date Of Onset 05/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PARAESTHESIA CEASED
ATROMID-S
HEADACHE
MUSCLE WEAKNESS
MYALGIA
DIARRHOEA
PARAESTHESIA
Included Term : FORMICATION
Description : SEVERE TIGHT, CRAWLING FEELING ON HEAD
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ATROMID-S S 2.0 DF
DAILY
DRUG ADMINISTRATION BEGAN 03/04/1990 AND CEASED 06/04/1990
INFLUENZA VACCINE S
DRUG ADMINISTRATION BEGAN 28/03/1990
DYAZIDE O 1.0 DF
DAILY
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65068 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 10/04/1990
Age : 15 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
Included Term : CARPO PEDAL SPASMS
SYNCOPE
Included Term : FAINTING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65069 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 10/04/1990
Age Code AB - Baby Sex Height
Weight Date Of Onset 29/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/03/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65071 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 11/04/1990
Age : 22 YEARS Sex MALE Height 178
Weight 70 Date Of Onset 27/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
Included Term : FEELING FAINT
PARAESTHESIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/03/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65072 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 11/04/1990
Age : 7 YEARS Sex FEMALE Height 112
Weight 26 Date Of Onset 22/02/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PAIN
OBSERVATION IN HOSPITAL
Included Term : PAIN AT INJECTION SITE
AGITATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/02/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65074 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 09/04/1990
Age : 18 MONTHS Sex FEMALE Height 75
Weight 12 Date Of Onset 28/02/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OTITIS MEDIA
ANIBIOTICS FOR OTITIS MEDIA.
MEASLES
MEASLES
Included Term : GERMAN MEASLES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/02/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65076 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 09/04/1990
Age : 73 YEARS Sex FEMALE Height 155
Weight 65 Date Of Onset 15/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
Included Term : INFLAMMATORY RESPONSE
NAUSEA
DIARRHOEA
WEIGHT DECREASE
Included Term : WT LOSS
FATIGUE
SWEATING INCREASED
Included Term : SWEATING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
VAXIGRIP S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/03/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SEREPAX O TABLET 30.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/00/1970 AND CONTINUED
ICD Code : SPECIFIC DISORDERS OF SLEEP
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65086 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 11/04/1990
Age : 30 YEARS Sex FEMALE Height 160
Weight 53 Date Of Onset 09/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
RASH
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 28/08/1989 AND CEASED 09/04/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65091 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 14/04/1990
Age : 39 YEARS Sex FEMALE Height 158
Weight 60 Date Of Onset 04/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
POLARAMINE
DIZZINESS
Included Term : GIDDINESS
MYALGIA
Included Term : ACHING ALL OVER
HYPOTENSION
Included Term : DROP OF BP
MALAISE
Included Term : UNWELL
FATIGUE
Included Term : TIRED
SOMNOLENCE
Included Term : SLEEPY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/04/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65093 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 17/04/1990
Age : 50 YEARS Sex FEMALE Height 163
Weight 56 Date Of Onset 14/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PAIN NONE
Included Term : PAIN IN SHOULDER
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
DRUG ADMINISTRATION BEGAN 13/03/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CYTAMEN O
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65108 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 09/04/1990
Age : 15 YEARS Sex FEMALE Height
Weight Date Of Onset 04/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
ANTIBIOTIC
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/04/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65116 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 17/04/1990
Age : 41 YEARS Sex MALE Height
Weight 65 Date Of Onset 01/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION NIL
Included Term : SWELLING OF ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/03/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65117 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 16/04/1990
Age : 20 YEARS Sex MALE Height 162
Weight 80 Date Of Onset 12/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
REMAINDER OF COURSE COMPLETED WITH NO ILL EFFECT
Included Term : FEBRILE
DIZZINESS
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/07/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65118 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 17/04/1990
Age : 28 YEARS Sex FEMALE Height 168
Weight 65 Date Of Onset 12/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPERTONIA
Included Term : NECK STIFFNESS
MYALGIA
ARTHRALGIA
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/02/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65119 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 17/04/1990
Age : 35 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PEMPHIGOID REACTION ORAL
STEROIDS. PH OF PEMPHIGUS, 5-6 YEARS, ONGOING, ASYMPT
Included Term : SYMPTOMS OF PEMPHIGUS
VACCINATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65148 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 20/04/1990
Age : 15 MONTHS Sex FEMALE Height
Weight Date Of Onset 24/02/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 22/02/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65158 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 24/04/1990
Age Sex FEMALE Height
Weight Date Of Onset 27/02/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
PHENERGAN 25 MG IMI.
FACE OEDEMA
OEDEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ERVEVAX S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/02/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65160 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 19/04/1990
Age : 6 YEARS Sex FEMALE Height
Weight Date Of Onset 19/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR CHILD
LAY FLAT FOR AN HOUR
MALAISE
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S DROPS 2.0 DF
1 TIME PER ORAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65161 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 19/04/1990
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 19/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
PHENERGAN ORAL 2 ML.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S DROPS 2.0 DF
1 TIME PER ORAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65185 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 23/04/1990
Age : 44 YEARS Sex FEMALE Height
Weight Date Of Onset 21/12/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION REACTION
OCCURED UNDER ANTIHISTAMINE COVER. EARLIER POSSIBLE
TO
TEXANUS TOXOID.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 21/12/1989
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65188 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 19/04/1990
Age : 43 YEARS Sex FEMALE Height 160
Weight 56 Date Of Onset 12/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
STOMATITIS ULCERATIVE
Included Term : BLISTERS IN MOUTH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/04/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65191 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 20/04/1990
Age : 20 YEARS Sex FEMALE Height 160
Weight 70 Date Of Onset 07/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SKIN DISORDER NIL
Included Term : PITYRIASIS ROSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65211 Sequence 1
Computer Entry Date 30/04/1990
Date Reported 24/04/1990
Age : 7 MONTHS Sex FEMALE Height
Weight Date Of Onset 20/02/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER SAW GP.
ANALGESIA
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/02/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65249 Sequence 1
Computer Entry Date 31/05/1990
Date Reported 02/04/1990
Age : 5 MONTHS Sex MALE Height
Weight Date Of Onset 08/01/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
DRUG ADMINISTRATION BEGAN 08/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65286 Sequence 1
Computer Entry Date 31/05/1990
Date Reported 27/04/1990
Age : 22 YEARS Sex MALE Height
Weight 70 Date Of Onset 26/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA PERIORBITAL
PHENERGAN IMI 25MG. VENTOLIN NEB
Included Term : PUFFY ITCHY EYES
FACE OEDEMA
Included Term : SWOLLEN LIPS
RHINITIS
Included Term : RHINORRHOEA
URTICARIA
Included Term : URTICARIAL RASH
BRONCHOSPASM
Included Term : WHEEZING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
YELLOW FEVER VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 26/04/1990
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65299 Sequence 1
Computer Entry Date 31/05/1990
Date Reported 30/04/1990
Age : 14 YEARS Sex MALE Height 178
Weight Date Of Onset 06/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BRONCHOSPASM AGGRAVATED
Included Term : ASTHMA AGGRAVATED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65310 Sequence 1
Computer Entry Date 31/05/1990
Date Reported 30/04/1990
Age : 9 MONTHS Sex Height
Weight Date Of Onset 07/02/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
CRYING ABNORMAL
Included Term : SCREAMING
FEVER
Included Term : FEBRILE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
DRUG ADMINISTRATION BEGAN 07/02/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65322 Sequence 1
Computer Entry Date 31/05/1990
Date Reported 02/05/1990
Age Code AD - Adult Sex MALE Height
Weight Date Of Onset 00/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PAIN NIL
PARALYSIS
Included Term : PARALYSIS IN LEFT ANKLE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/03/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65354 Sequence 1
Computer Entry Date 31/05/1990
Date Reported 07/05/1990
Age : 71 YEARS Sex MALE Height 180
Weight 70 Date Of Onset 00/05/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ASTHENIA
EXPECTANT (SIC)
Included Term : WEAKNESS
MYALGIA
Included Term : MUSCLE AND BONE ACHES
PLEURAL PAIN
Included Term : PLEURITIC CHEST PAIN
WEIGHT DECREASE
Included Term : WT LOSS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S 2.0 DF
TOTAL
DRUG ADMINISTRATION BEGAN 02/02/1990 AND CEASED 16/03/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65370 Sequence 1
Computer Entry Date 31/05/1990
Date Reported 08/05/1990
Age : 72 YEARS Sex MALE Height 170
Weight 68 Date Of Onset 01/05/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BRONCHOSPASM AGGRAVATED ORAL
STEROIDS
Included Term : EXACERBATION OF ASTHMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 21/04/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
VOLTAREN S 150.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 20/04/1990 AND CEASED 24/04/1990
ICD Code : UNSPECIFIED ARTHRITIS
VENTOLIN O
BECLOFORTE O
ATROVENT O
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65372 Sequence 1
Computer Entry Date 31/05/1990
Date Reported 08/05/1990
Age : 61 YEARS Sex FEMALE Height 167
Weight 66 Date Of Onset 16/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BRONCHOSPASM AGGRAVATED ORAL
STEROIDS
Included Term : EXACERBATION OF ASTHMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 07/04/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
BECLOFORTE O
VENTOLIN O INHALANT
INHALATION
MOGADON O
ATROVENT O
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65374 Sequence 1
Computer Entry Date 31/05/1990
Date Reported 08/05/1990
Age : 76 YEARS Sex MALE Height
Weight Date Of Onset 20/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEUROPATHY PERIPHERAL
ARTHRALGIA
ASTHENIA
Included Term : WEAKNESS
PARAESTHESIA
HYPOREFLEXIA
NEURITIS
Included Term : GUILLAIN-BARRE SYNDROME
ATAXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/03/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
QUINIDINE O
0Laboratory Data
===============
ELECTROGRAPHICS
Lab Normal Range :
0 1 THE SENSORY ACTION POTENTIALS ARE ABSENT. THE MOTOR CONDUCTION
VELOCITIES IN THE 3 NERVES EXAMINED ARE REDUCED, THE DISTAL MOTOR LATENCY
IN THE LEFT NERVE IS PROLONGED. THE MOTOR CONDUCTION VELOCITY IN THE LEFT
PERONEAL NERVE COULD NOT BE OBTAINED. THE FINDINGS ARE THOSE OF A
PERIPHERAL NEUROPATHY. MOTOR CONDUCTION STUDIES:-
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
ELECTROGRAPHICS
Lab Normal Range :
0 NERVE SEGMENT LATENCY:PROXIMAL/DISTAL CONDUCTION:DISTAL/VELOCITY
LEFT MEDIAN (ELBOW-WRIST) 15.15 8.50 230 32.8
LEFT ULNER (ELBOW-WRIST) 10.30 2.50 260 33.1
LEFT PERONEAL (KNEE-ANKLE) NO RESPONSE
LEFT POSTERIOR TIBIAL 19.79 7.70 370 30.6
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65390 Sequence 1
Computer Entry Date 31/05/1990
Date Reported 10/05/1990
Age : 39 YEARS Sex FEMALE Height
Weight Date Of Onset 00/12/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ERYTHEMA NODOSUM SEVERAL
WEEKS AFTER INJECTION SHE DEVELOPED PAINFUL, BRUISED
CUTANEOU
S NODULES AT THE INJECTION SITES WHICH HAVE SLOWLY I
A FEW
MONTHS, PATIENT HAS PANNICULITIS & GIVEN COLD PACKS &
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 10.0 RG
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65392 Sequence 1
Computer Entry Date 31/05/1990
Date Reported 10/05/1990
Age Code AD - Adult Sex FEMALE Height
Weight Date Of Onset 20/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
Included Term : HIVES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65393 Sequence 1
Computer Entry Date 31/05/1990
Date Reported 10/05/1990
Age : 87 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
CORTISONE THERAPY
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
MOGADON O PER ORAL 1.0 DF
DAILY PER ORAL
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65422 Sequence 1
Computer Entry Date 31/05/1990
Date Reported 09/05/1990
Age : 33 YEARS Sex FEMALE Height 158
Weight 52 Date Of Onset 09/05/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
PHENERGAN 50 MG IM.
Included Term : FEELING FAINT
RASH MACULO-PAPULAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 09/05/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65463 Sequence 1
Computer Entry Date 31/05/1990
Date Reported 10/05/1990
Age : 65 YEARS Sex MALE Height
Weight Date Of Onset 09/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ENCEPHALOMYELITIS
EXTRAPYRAMIDAL DISORDER
DYSARTHRIA
COORDINATION ABNORMAL
Included Term : LIMB INCOORDINATION
NYSTAGMUS
AMNESIA
ABDOMINAL PAIN
ATAXIA
FEVER
TREMOR
HYPERTONIA
Included Term : RIGIDITY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
VAXIGRIP S 1.0 ML
DAILY
DRUG ADMINISTRATION BEGAN 30/03/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
LITHIUM CARBONATE O 1.2 GM
DAILY
ICD Code : UNSPECIFID AFFECTIVE PSYCHOSIS
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65472 Sequence 1
Computer Entry Date 31/05/1990
Date Reported 11/05/1990
Age : 32 YEARS Sex MALE Height
Weight Date Of Onset 16/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PNEUMOVAX 23 S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 16/03/1990
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65505 Sequence 1
Computer Entry Date 31/05/1990
Date Reported 16/05/1990
Age : 30 YEARS Sex FEMALE Height 180
Weight 82 Date Of Onset 09/05/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION 1.0 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/05/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65508 Sequence 1
Computer Entry Date 31/05/1990
Date Reported 09/05/1990
Age : 20 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE CPR AND
ADRENALINE. OBSERVED FOR FOUR HOURS IN HOSPITAL.
Included Term : COLLAPSED
CONVULSIONS
Included Term : CONVULSED
RESPIRATORY DEPRESSION
Included Term : STOPPED BREATHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/05/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65509 Sequence 1
Computer Entry Date 31/05/1990
Date Reported 17/05/1990
Age : 40 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65524 Sequence 1
Computer Entry Date 31/05/1990
Date Reported 18/05/1990
Age : 17 MONTHS Sex MALE Height
Weight 12 Date Of Onset 16/05/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
UPPER RESP TRACT INFECTION
RASH
LACRIMATION ABNORMAL
Included Term : LACRIMATION INCREASED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S
DRUG ADMINISTRATION BEGAN 09/05/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65603 Sequence 1
Computer Entry Date 31/05/1990
Date Reported 22/03/1990
Age : 29 YEARS Sex MALE Height
Weight Date Of Onset 15/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
SKIN EXFOLIATION
Included Term : SKIN PEELING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CLOXACILLIN SODIUM S INJECTION 6.0 GM
DAILY INTRAVENOUS
DRUG ADMINISTRATION BEGAN 13/03/1990 AND CEASED 14/03/1990
ICD Code : CLSD FX UPR END,NOS PT TIB&FIB
FLUCLOXACILLIN SODIUM S PER ORAL 4.0 GM
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 14/03/1990 AND CEASED 20/03/1990
ICD Code : CLSD FX UPR END,NOS PT TIB&FIB
CALCIPARINE S 10.0 KU
DAILY
DRUG ADMINISTRATION BEGAN 15/03/1990
TETANUS VACCINE ADSORBED S INJECTION 250.0 UT
1 TIME INTRAMUSCULAR
MORPHINE NOS S INJECTION
INTRAMUSCULAR
PHENERGAN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/03/1990
PETHIDINE HYDROCHLORIDE S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/03/1990
PANADOL S PER ORAL 6.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 13/03/1990 AND CEASED 19/03/1990
PANADEINE FORTE S PER ORAL 6.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 13/03/1990 AND CEASED 19/03/1990
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65626 Sequence 1
Computer Entry Date 31/05/1990
Date Reported 30/05/1990
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 27/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPOTONIA PANADOL
PALLOR
FEVER
CYANOSIS
RESPIRATORY DISORDER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
DRUG ADMINISTRATION BEGAN 27/03/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65831 Sequence 1
Computer Entry Date 30/06/1990
Date Reported 29/05/1990
Age : 7 MONTHS Sex FEMALE Height
Weight Date Of Onset 03/01/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER IV
CEFOTAXIME AND FLUCLOXACILLIN
MALAISE
PURPURA
Included Term : PURPURIC LESIONS
VASCULITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL
PER ORAL
DRUG ADMINISTRATION BEGAN 03/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65883 Sequence 1
Computer Entry Date 30/06/1990
Date Reported 01/06/1990
Age : 18 MONTHS Sex MALE Height 80
Weight 10 Date Of Onset 31/05/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
CRYING ABNORMAL
FEVER
Included Term : FEBRILE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 31/05/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65917 Sequence 1
Computer Entry Date 30/06/1990
Date Reported 05/06/1990
Age : 26 YEARS Sex FEMALE Height
Weight Date Of Onset 01/06/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INFLUENZA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S
DRUG ADMINISTRATION BEGAN 31/05/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65918 Sequence 1
Computer Entry Date 30/06/1990
Date Reported 05/06/1990
Age : 38 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
THERAPEUTIC INEFFICACY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 3.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/09/1989 AND CEASED 12/03/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 1 HEP B SEROLOGY 26/4/90 SHOWED ANTIBODY TITRE HEP B SURFACE
ANTIBODY < 1 U/L.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65943 Sequence 1
Computer Entry Date 30/06/1990
Date Reported 24/05/1990
Age : 9 MONTHS Sex FEMALE Height 65
Weight 8 Date Of Onset 00/01/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR
Included Term : PALE
OCULOGYRIC CRISIS
HYPOTONIA
Included Term : FLOPPY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65965 Sequence 1
Computer Entry Date 30/06/1990
Date Reported 06/06/1990
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 09/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
TWITCHING
FEVER
Included Term : FEBRILE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/04/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65966 Sequence 1
Computer Entry Date 30/06/1990
Date Reported 01/06/1990
Age : 38 YEARS Sex FEMALE Height 165
Weight 70 Date Of Onset 03/05/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SOMNOLENCE
Included Term : DROWSINESS
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/05/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65967 Sequence 1
Computer Entry Date 30/06/1990
Date Reported 01/06/1990
Age : 40 YEARS Sex FEMALE Height 165
Weight 58 Date Of Onset 31/05/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MOUTH DRY
TASTE PERVERSION
Included Term : BITTER TASTE
DIZZINESS
Included Term : FELT LIKE FAINTING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 31/05/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65968 Sequence 1
Computer Entry Date 30/06/1990
Date Reported 01/06/1990
Age : 49 YEARS Sex FEMALE Height 160
Weight 70 Date Of Onset 31/05/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
TASTE PERVERSION
Included Term : SOUR TASTE
MOUTH DRY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 31/05/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65971 Sequence 1
Computer Entry Date 30/06/1990
Date Reported 07/06/1990
Age : 63 YEARS Sex FEMALE Height
Weight 70 Date Of Onset 08/05/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PROTHROMBIN ACTIVITY DECREASED
SEQUELAE: SOFT TISSUE BRUISING. CEASED FLUVAX AND REDUCED WA
Included Term : PROLONGATION OF PROTHROMBIN TIME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX I 2.0 DF
TOTAL
DRUG ADMINISTRATION BEGAN 20/04/1990 AND CEASED 01/05/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
WARFARIN SODIUM I 4.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 00/03/1990
ZANTAC O 300.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 00/00/1989 AND CEASED 08/05/1990
NAPROSYN O 500.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 00/00/1989 AND CEASED 08/05/1990
ICD Code : OSTEOARTHRITIS
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range :
0 1 PROTHROMBIN TIME 2.6 ON WARFARIN 4MG/DAY, ROSE TO >10 AFTER
FLUVAX 2AMPS, ONE WEEK APART. REMAINED HIGH FOR TWO WEEKS.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65975 Sequence 1
Computer Entry Date 30/06/1990
Date Reported 07/06/1990
Age : 33 YEARS Sex MALE Height
Weight 89 Date Of Onset 08/02/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/02/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DOXYCYCLINE HYDROCHLORIDE O PER ORAL 50.0 MG
DAILY PER ORAL
ICD Code : OTHER DISEASES OF LUNG
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65975 Sequence 2
Computer Entry Date 30/06/1990
Date Reported 07/06/1990
Age : 33 YEARS Sex MALE Height
Weight 89 Date Of Onset 03/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S 10.0 RG
1 TIME
DRUG ADMINISTRATION BEGAN 03/04/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65976 Sequence 1
Computer Entry Date 30/06/1990
Date Reported 07/06/1990
Age : 59 YEARS Sex FEMALE Height 165
Weight 82 Date Of Onset 23/11/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA LOMOTIL
GIVEN.
HEADACHE
DIARRHOEA
HEPATIC FUNCTION ABNORMAL
Included Term : RAISED LFT'S
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/11/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
BIOCHEMISTRY
Lab Normal Range :
0 1 27/11/89 5/1/90
AST: 63 42
LD: 394 -
ALP: - 90
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65978 Sequence 1
Computer Entry Date 30/06/1990
Date Reported 08/06/1990
Age : 4 YEARS Sex FEMALE Height
Weight 20 Date Of Onset 20/12/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
GIVEN.
Included Term : HIGH TEMPERATURE
HEADACHE
SOMNOLENCE
Included Term : DROWSINESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 10.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/12/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65998 Sequence 1
Computer Entry Date 30/06/1990
Date Reported 07/06/1990
Age : 4 MONTHS Sex MALE Height 60
Weight 4 Date Of Onset 05/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL,
TEPID BATHING.
ANOREXIA
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/04/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 65998 Sequence 2
Computer Entry Date 30/06/1990
Date Reported 07/06/1990
Age : 4 MONTHS Sex MALE Height 60
Weight 4 Date Of Onset 06/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PANADOL S
DRUG ADMINISTRATION BEGAN 05/04/1990
ICD Code : PYREXIA OF UNKNOWN ORIGIN
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/04/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66028 Sequence 1
Computer Entry Date 30/06/1990
Date Reported 11/06/1990
Age : 39 YEARS Sex MALE Height 168
Weight 80 Date Of Onset 09/06/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
OEDEMA PERIPHERAL
Included Term : ARM OEDEMA
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : ATTACK BY ANIMAL
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66029 Sequence 1
Computer Entry Date 30/06/1990
Date Reported 12/06/1990
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 17/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/04/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66045 Sequence 1
Computer Entry Date 30/06/1990
Date Reported 11/06/1990
Age : 59 YEARS Sex FEMALE Height
Weight Date Of Onset 31/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
ANTIHISTAMINE, CELESTONE CREAM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 27/03/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66053 Sequence 1
Computer Entry Date 30/06/1990
Date Reported 14/06/1990
Age : 35 YEARS Sex MALE Height 178
Weight 80 Date Of Onset 06/06/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MIGRAINE
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/06/1990
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66091 Sequence 1
Computer Entry Date 30/06/1990
Date Reported 08/06/1990
Age : 2 MONTHS Sex FEMALE Height
Weight 6 Date Of Onset 19/02/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/02/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66101 Sequence 1
Computer Entry Date 30/06/1990
Date Reported 08/06/1990
Age : 10 WEEKS Sex MALE Height
Weight Date Of Onset 24/05/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
APNOEA
CYANOSIS
BRADYCARDIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/05/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66110 Sequence 1
Computer Entry Date 30/06/1990
Date Reported 14/06/1990
Age Code AB - Baby Sex MALE Height
Weight Date Of Onset 24/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION PANADOL
4 HRLY FOR 3 DAYS
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/04/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66164 Sequence 1
Computer Entry Date 30/06/1990
Date Reported 20/06/1990
Age : 2 MONTHS Sex FEMALE Height
Weight 5 Date Of Onset 18/06/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING S/C
ADRENALINE.
PALLOR
HYPOTONIA
RESPIRATORY DISORDER
NYSTAGMUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/06/1990 AND CEASED 18/06/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66167 Sequence 1
Computer Entry Date 30/06/1990
Date Reported 26/06/1990
Age : 8 MONTHS Sex FEMALE Height
Weight 7 Date Of Onset 19/06/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS
INJECTION SITE ABSCESS
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/06/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66208 Sequence 1
Computer Entry Date 31/07/1990
Date Reported 29/06/1990
Age : 43 YEARS Sex MALE Height
Weight Date Of Onset 13/06/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
HAEMATURIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CHOLERA VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 13/06/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66209 Sequence 1
Computer Entry Date 31/07/1990
Date Reported 29/06/1990
Age : 54 YEARS Sex FEMALE Height
Weight Date Of Onset 26/05/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA GIVEN
ANTIHISTAMINE AND HYDROCORTISONE CREAM BY LMO
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/05/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66210 Sequence 1
Computer Entry Date 31/07/1990
Date Reported 29/06/1990
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 27/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR PANADOL
HYPOTONIA
CYANOSIS
RESPIRATORY DISORDER
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/03/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66215 Sequence 1
Computer Entry Date 31/07/1990
Date Reported 25/06/1990
Age : 18 YEARS Sex FEMALE Height 184
Weight 90 Date Of Onset 23/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE PANADOL
FLUSHING
SOMNOLENCE
Included Term : DROWSY
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/03/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66330 Sequence 1
Computer Entry Date 31/07/1990
Date Reported 28/06/1990
Age : 17 YEARS Sex MALE Height
Weight 60 Date Of Onset 13/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ALLERGIC REACTION
PHENERGAN, HYDROCORTISONE
PRURITUS
Included Term : ITCHING
RASH
OEDEMA PERIORBITAL
BRONCHOSPASM
Included Term : WHEEZING
SWEATING INCREASED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 2.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/04/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66355 Sequence 1
Computer Entry Date 31/07/1990
Date Reported 27/06/1990
Age : 4 MONTHS Sex FEMALE Height 61
Weight 8 Date Of Onset 02/05/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S PER ORAL 2.0 DF
1 TIME PER ORAL
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66356 Sequence 1
Computer Entry Date 31/07/1990
Date Reported 27/06/1990
Age : 6 MONTHS Sex MALE Height 67
Weight 9 Date Of Onset 02/05/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : FEBRILE
INJECTION SITE REACTION
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 2.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/03/1990 AND CEASED 02/05/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66358 Sequence 1
Computer Entry Date 31/07/1990
Date Reported 25/06/1990
Age : 4 MONTHS Sex Height
Weight Date Of Onset 18/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR
FATIGUE
Included Term : LETHARGY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/04/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66359 Sequence 1
Computer Entry Date 31/07/1990
Date Reported 28/06/1990
Age : 4 MONTHS Sex FEMALE Height 58
Weight 5 Date Of Onset 28/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/04/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66360 Sequence 1
Computer Entry Date 31/07/1990
Date Reported 02/07/1990
Age : 21 YEARS Sex MALE Height 183
Weight 85 Date Of Onset 01/06/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
RASH
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/06/1990
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66403 Sequence 1
Computer Entry Date 31/07/1990
Date Reported 05/07/1990
Age : 48 YEARS Sex MALE Height 178
Weight 75 Date Of Onset 19/06/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BRONCHOSPASM
PREDNISOLONE, VENTOLIN INJECTION.
URTICARIA
CONJUNCTIVITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/06/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66434 Sequence 1
Computer Entry Date 31/07/1990
Date Reported 04/07/1990
Age : 65 YEARS Sex MALE Height 184
Weight 94 Date Of Onset 26/05/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PURPURA
RHINITIS
MALAISE
UPPER RESP TRACT INFECTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 18/05/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PANADOL O PER ORAL 500.0 MG
AS NECESSARY PER ORAL
DRUG ADMINISTRATION BEGAN 22/05/1990
ICD Code : AC UPR RESP INF,MULT,UNSP STES
SOLPRIN O PER ORAL 150.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/03/1989
ICD Code : OTHER PROPHYLACTIC PROCEDURES
ORUDIS SR O CAPSULE 200.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 03/11/1989
ICD Code : OSTEOARTHRITIS
CARDIZEM O 120.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 00/03/1989
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66459 Sequence 1
Computer Entry Date 31/07/1990
Date Reported 05/07/1990
Age : 8 MONTHS Sex FEMALE Height
Weight 10 Date Of Onset 21/02/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
PHENERGAN
URTICARIA
FACE OEDEMA
OEDEMA PERIORBITAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/02/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66460 Sequence 1
Computer Entry Date 31/07/1990
Date Reported 05/07/1990
Age : 3 MONTHS Sex MALE Height
Weight Date Of Onset 00/06/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HAEMATURIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/06/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66495 Sequence 1
Computer Entry Date 31/07/1990
Date Reported 04/07/1990
Age : 15 MONTHS Sex MALE Height
Weight 11 Date Of Onset 27/06/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/06/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66499 Sequence 1
Computer Entry Date 31/07/1990
Date Reported 05/07/1990
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 10/05/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66501 Sequence 1
Computer Entry Date 31/07/1990
Date Reported 02/07/1990
Age : 81 YEARS Sex FEMALE Height
Weight Date Of Onset 26/05/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 12/05/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66502 Sequence 1
Computer Entry Date 31/07/1990
Date Reported 06/06/1990
Age : 20 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION
SUBCUTANEOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66504 Sequence 1
Computer Entry Date 31/07/1990
Date Reported 10/07/1990
Age Code AB - Baby Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66505 Sequence 1
Computer Entry Date 31/07/1990
Date Reported 10/07/1990
Age Code AB - Baby Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RIGORS
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66511 Sequence 1
Computer Entry Date 31/07/1990
Date Reported 12/07/1990
Age : 33 YEARS Sex FEMALE Height 158
Weight 65 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DEATH FOETAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66525 Sequence 1
Computer Entry Date 31/07/1990
Date Reported 09/07/1990
Age : 26 YEARS Sex MALE Height 174
Weight 80 Date Of Onset 00/01/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DERMATITIS LICHENOID
Included Term : LICHEN PLANUS
DERMATITIS LICHENOID
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S
DRUG ADMINISTRATION BEGAN 00/01/1990
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66529 Sequence 1
Computer Entry Date 31/07/1990
Date Reported 12/07/1990
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION
INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66537 Sequence 1
Computer Entry Date 31/07/1990
Date Reported 16/07/1990
Age : 43 YEARS Sex MALE Height
Weight Date Of Onset 18/06/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
GENITAL ULCERATION
GENITAL ULCERATION
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/06/1990
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66546 Sequence 1
Computer Entry Date 31/07/1990
Date Reported 09/07/1990
Age : 27 YEARS Sex FEMALE Height
Weight Date Of Onset 08/06/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE ASPIRIN
AND REST.
PHOTOPHOBIA
MENINGITIS-LIKE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/06/1990
ICD Code : OTHER PROPHYLACTIC PROCEDURES
MENCEVAX AC S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/06/1990
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66579 Sequence 1
Computer Entry Date 31/07/1990
Date Reported 12/07/1990
Age : 36 YEARS Sex FEMALE Height 168
Weight 64 Date Of Onset 29/06/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS SALINE
BATHING OF LESIONS AND PROTECTIVE DRESSINGS
ERYTHEMA MULTIFORME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/06/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66626 Sequence 1
Computer Entry Date 31/07/1990
Date Reported 06/07/1990
Age : 2 YEARS Sex MALE Height
Weight Date Of Onset 00/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
ANTICONVULSANT THERAPY, NASOTRACHEAL INTUBATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S
DRUG ADMINISTRATION BEGAN 00/03/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66629 Sequence 1
Computer Entry Date 31/07/1990
Date Reported 19/07/1990
Age : 11 YEARS Sex FEMALE Height
Weight 39 Date Of Onset 27/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
NAUSEA
VOMITING
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S INJECTION 0.5 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/03/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66631 Sequence 1
Computer Entry Date 31/07/1990
Date Reported 24/07/1990
Age : 45 YEARS Sex FEMALE Height
Weight Date Of Onset 19/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Included Term : SUBCUTANEOUS LUMP
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/04/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66694 Sequence 1
Computer Entry Date 31/07/1990
Date Reported 23/07/1990
Age : 15 YEARS Sex MALE Height 162
Weight 51 Date Of Onset 19/06/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH CALAMINE
LOTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/06/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66707 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 01/07/1990
Age : 50 YEARS Sex FEMALE Height
Weight Date Of Onset 02/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S
DRUG ADMINISTRATION BEGAN 02/04/1990
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66711 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 27/07/1990
Age : 30 YEARS Sex MALE Height
Weight Date Of Onset 01/06/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
PHENERGAN
NAUSEA
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/06/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66712 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 27/07/1990
Age : 51 YEARS Sex MALE Height
Weight Date Of Onset 01/06/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
PHENERGAN
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/06/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66713 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 27/07/1990
Age : 22 YEARS Sex MALE Height
Weight Date Of Onset 01/06/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
PHENERGAN
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/06/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66717 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 26/06/1990
Age : 49 YEARS Sex FEMALE Height 160
Weight 75 Date Of Onset 12/06/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEPATITIS
DIZZINESS
Included Term : FAINTNESS
HEADACHE
SWEATING INCREASED
BACK PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PREMARIN S
PRIMOLUT-N S
CANESTEN S OINTMENT
VAGINAL
NIZORAL S 400.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 25/05/1990 AND CEASED 12/06/1990
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/05/1990
0Laboratory Data
===============
BIOCHEMISTRY
Lab Normal Range :
0 1 GGT, AST, ALP, ALT, PROTEIN ALB ESR WCC
13/06/90 835 242 119 311 78 42 44 6.0
22/06/90 322 23 101 66
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66718 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 23/07/1990
Age : 13 MONTHS Sex FEMALE Height
Weight 11 Date Of Onset 22/07/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S
DRUG ADMINISTRATION BEGAN 12/07/1990
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66720 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 25/07/1990
Age : 30 YEARS Sex FEMALE Height 161
Weight 52 Date Of Onset 18/06/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER BED REST
AND ASPIRIN
MYALGIA
PAIN
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S
DRUG ADMINISTRATION BEGAN 18/06/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O
DRUG ADMINISTRATION BEGAN 18/06/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPHOID VACCINE O PER ORAL
PER ORAL
DRUG ADMINISTRATION BEGAN 18/06/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66726 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 26/07/1990
Age : 35 YEARS Sex MALE Height 180
Weight 76 Date Of Onset 02/07/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANAPHYLACTOID REACTION
ADRENALINE, OXEGEN.
ANGINA PECTORIS
PARAESTHESIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 MG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/07/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66745 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 25/07/1990
Age : 15 MONTHS Sex MALE Height 82
Weight 14 Date Of Onset 04/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/04/1990 AND CEASED 04/04/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66746 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 25/07/1990
Age : 2 MONTHS Sex MALE Height 55
Weight 6 Date Of Onset 30/05/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
PANADOL/COMFORT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/05/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66749 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 24/07/1990
Age : 2 YEARS Sex FEMALE Height
Weight Date Of Onset 09/02/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MENINGITIS
RESPIRATORY DEPRESSION
CONVULSIONS
ANOREXIA
DYSTONIA
HYPOTONIA
FEVER
TWITCHING
STRIDOR
ACIDOSIS
LEUKOCYTOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S
DRUG ADMINISTRATION BEGAN 09/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range :
0 ACIDOSIS CONFIRMED BY BLOOD GASES WHICH SHOWED A PH OF 7.1, CO2 OF 73, AND A
PAO2 OF 190. BICARB. WAS NORMAL. WHITE CELL COUNT OF 21000. CSF SHOWED
550 CELLS WITH 102 RED CELLS, 10% POLYS. AND 90% MONOS.
MUMPS ISOLATED FROM CSF.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66750 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 30/07/1990
Age : 24 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA HISMANAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/07/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66796 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 01/08/1990
Age : 5 YEARS Sex FEMALE Height 107
Weight 17 Date Of Onset 29/07/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/07/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O PER ORAL
PER ORAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66832 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 06/08/1990
Age : 30 YEARS Sex FEMALE Height 170
Weight 63 Date Of Onset 00/11/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
ANTIHISTAMINE
MALAISE
DIZZINESS
TINNITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID ORAL VACCINE S TABLET 1.0 DF
TOTAL PER ORAL
DRUG ADMINISTRATION BEGAN 00/11/1989 AND CEASED 00/11/1989
ICD Code : OTHER PROPHYLACTIC PROCEDURES
THYROXINE SODIUM O PER ORAL 100.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/00/1979 AND CONTINUED
ICD Code : MYXEDEMA
TRIPHASIL O TABLET 1.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/00/1981 AND CONTINUED
ICD Code : CONTRACEPTION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66834 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 07/08/1990
Age : 37 YEARS Sex FEMALE Height 161
Weight 60 Date Of Onset 24/07/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA PERIPHERAL
PROMETHAZINE 50 MG.INJ.
Included Term : SWOLLEN HANDS AND FEET
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
NOROXIN S PER ORAL 800.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 24/07/1990 AND CEASED 24/07/1990
ICD Code : OTHR DISEASES OF URINARY TRACT
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/07/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66858 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 07/08/1990
Age : 41 YEARS Sex FEMALE Height 164
Weight 66 Date Of Onset 23/07/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
NAUSEA
DIZZINESS
FATIGUE
Included Term : TIRED
CHEST PAIN
HYPOTENSION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/06/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66883 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 23/07/1990
Age : 11 MONTHS Sex MALE Height
Weight 8 Date Of Onset 21/07/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
FEVER
HYPOTONIA
CONVULSIONS
TWITCHING
HYPERTONIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
POLIOMYELITIS VIRUS VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66892 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 10/08/1990
Age : 50 YEARS Sex FEMALE Height
Weight Date Of Onset 22/07/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S CAPSULE 3.0 DF
TOTAL PER ORAL
DRUG ADMINISTRATION BEGAN 21/07/1990 AND CEASED 25/07/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66901 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 10/08/1990
Age : 23 YEARS Sex MALE Height
Weight Date Of Onset 16/06/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE PANADOL
MYALGIA
HYPERTONIA
Included Term : JAW STIFFNESS
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 10.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/06/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66907 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 13/08/1990
Age : 24 YEARS Sex FEMALE Height 162
Weight 56 Date Of Onset 14/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION NIL
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/03/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66918 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 06/08/1990
Age : 7 MONTHS Sex FEMALE Height
Weight Date Of Onset 28/05/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL BABY
PANADOL AND NURSING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/05/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66930 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 13/08/1990
Age : 4 MONTHS Sex Height
Weight Date Of Onset 00/07/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/07/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66973 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 15/08/1990
Age : 57 YEARS Sex FEMALE Height
Weight Date Of Onset 15/08/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE
PARAESTHESIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
YELLOW FEVER VACCINE S INJECTION 0.5 ML
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 15/08/1990 AND CEASED 15/08/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
POLIOMYELITIS VIRUS VACCINE S DROPS 2.0 DF
TOTAL PER ORAL
DRUG ADMINISTRATION BEGAN 15/08/1990 AND CEASED 15/08/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66980 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 18/08/1990
Age : 49 YEARS Sex MALE Height 178
Weight 84 Date Of Onset 28/07/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
NAUSEA
DIARRHOEA
FATIGUE
Included Term : LETHARGY
PAIN
MYALGIA
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/07/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66981 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 16/08/1990
Age : 4 MONTHS Sex Height
Weight Date Of Onset 09/07/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DEATH
Included Term : SUDDEN INFANT DEATH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 06/07/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 06/07/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : DEATH, MAYBE DRUG
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66982 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 16/08/1990
Age : 7 MONTHS Sex Height
Weight Date Of Onset 21/07/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DEATH
Included Term : SUDDEN INFANT DEATH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 06/07/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 06/07/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : DEATH, MAYBE DRUG
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66983 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 17/08/1990
Age : 27 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RIGORS
FEVER
HEPATOMEGALY
SPLENOMEGALY
LEUKOCYTOSIS
ESR INCREASED
BILIRUBINAEMIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66984 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 09/08/1990
Age : 25 YEARS Sex FEMALE Height 175
Weight 75 Date Of Onset 20/07/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION 1.0 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 18/07/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66984 Sequence 2
Computer Entry Date 31/08/1990
Date Reported 09/08/1990
Age : 25 YEARS Sex FEMALE Height 175
Weight 75 Date Of Onset 20/07/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
ANTIHISTAMINES AND PREDNISOLONE
RASH
FACE OEDEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION 1.0 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 18/07/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66985 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 15/08/1990
Age : 55 YEARS Sex FEMALE Height 173
Weight 75 Date Of Onset 03/08/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RIGORS
Included Term : CHILLS
MYALGIA
Included Term : MUSCE PAIN
CRAMPS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION 1.0 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 01/08/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 66986 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 15/08/1990
Age : 60 YEARS Sex MALE Height 183
Weight 70 Date Of Onset 02/08/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RIGORS
Included Term : CHILLS
MYALGIA
Included Term : MUSCLE PAIN
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION 1.0 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 01/08/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67026 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 20/08/1990
Age : 34 YEARS Sex FEMALE Height
Weight Date Of Onset 12/08/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPERTONIA
Included Term : STIFF NECK
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MENCEVAX AC S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 11/08/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67036 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 20/08/1990
Age : 27 YEARS Sex FEMALE Height 175
Weight 70 Date Of Onset 00/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
PARAESTHESIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67037 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 20/08/1990
Age : 25 YEARS Sex MALE Height 173
Weight 78 Date Of Onset 14/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEPATIC FUNCTION ABNORMAL LIGHT
DIET, PARACETAMOL
HEADACHE
VOMITING
NAUSEA
MYALGIA
RIGORS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/04/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
BIOCHEMISTRY
Lab Normal Range :
0 1 BILI, ALP, AST, ALT, GGT
17/04/90 13 94 52 85 128
26/04/90 11 114 53 135 223
16/05/90 7 66 24 45 59
19/07/90 7 55 25 57 68
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67061 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 22/08/1990
Age : 5 MONTHS Sex MALE Height 69
Weight 9 Date Of Onset 30/05/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
CRYING ABNORMAL
VOMITING
INJECTION SITE REACTION
FEVER
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/04/1990 AND CEASED 30/05/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67072 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 23/08/1990
Age : 27 YEARS Sex MALE Height 173
Weight 60 Date Of Onset 23/08/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
Included Term : TONIC SEIZURE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/08/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CHOLERA VACCINE S
DRUG ADMINISTRATION BEGAN 23/08/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67073 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 24/08/1990
Age : 21 YEARS Sex MALE Height 175
Weight 60 Date Of Onset 30/07/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHROSIS
Included Term : NECK AND SHOULDER STIFFNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MENCEVAX AC S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 30/07/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67091 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 24/08/1990
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 28/07/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
APNOEA
CYANOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/07/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PARACETAMOL S 80.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 28/07/1990 AND CEASED 29/07/1990
ICD Code : PAIN
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67125 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 24/08/1990
Age : 11 MONTHS Sex Height
Weight Date Of Onset 20/06/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA HISMANAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
TOTAL INTRAVENOUS
DRUG ADMINISTRATION BEGAN 19/06/1990
SABIN VACCINE S
DRUG ADMINISTRATION BEGAN 19/06/1990
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67126 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 22/08/1990
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH SAME
REACTION OCCURRED AFTER EACH INJECTION.
INJECTION SITE REACTION
RASH
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
TOTAL INTRAVENOUS
DRUG ADMINISTRATION BEGAN 24/04/1990
ICD Code : OTHER PROPHYLACTIC PROCEDURES
TRIPLE ANTIGEN S INJECTION 0.5 ML
TOTAL INTRAVENOUS
DRUG ADMINISTRATION BEGAN 12/06/1990
ICD Code : OTHER PROPHYLACTIC PROCEDURES
TRIPLE ANTIGEN S INJECTION 0.5 ML
TOTAL INTRAVENOUS
DRUG ADMINISTRATION BEGAN 14/08/1990
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67127 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 23/08/1990
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset 21/08/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE
ADRENALINE 0.25ML, 1 IN 1000
CYANOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 0.5 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/08/1990
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67134 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 24/08/1990
Age : 42 YEARS Sex MALE Height
Weight Date Of Onset 10/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INFLUENZA-LIKE SYMPTOMS ANTI-
INFAMMATORY MEDICATION
ARTHRITIS
Description : SWELLING & PAIN IN LEFT ACHILLES TENDON & ANKLE
TENOSYNOVITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 10.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/01/1990
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 RHEUMATOID NEGATIVE, ANA NEGATIVE.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67145 Sequence 1
Computer Entry Date 31/08/1990
Date Reported 02/08/1990
Age : 2 MONTHS Sex FEMALE Height
Weight 2 Date Of Onset 24/05/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR
HYPOTONIA
APNOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/05/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67160 Sequence 1
Computer Entry Date 30/09/1990
Date Reported 23/08/1990
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 16/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
HYPOTONIA
COMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 14/03/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67163 Sequence 1
Computer Entry Date 30/09/1990
Date Reported 30/08/1990
Age : 19 YEARS Sex MALE Height 188
Weight 95 Date Of Onset 30/08/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
PHENERGAN, TELDENE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 29/08/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
H-B-VAX II S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/08/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67178 Sequence 1
Computer Entry Date 30/09/1990
Date Reported 24/08/1990
Age : 46 YEARS Sex MALE Height
Weight Date Of Onset 00/06/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ASTHENIA
Included Term : WEAKNESS
HEADACHE
NEURITIS
Included Term : GUILLAIN-BARRE SYNDROME
PARAESTHESIA
HYPOREFLEXIA
COORDINATION ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 28/03/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67216 Sequence 1
Computer Entry Date 30/09/1990
Date Reported 03/09/1990
Age : 29 YEARS Sex FEMALE Height
Weight Date Of Onset 00/01/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67303 Sequence 1
Computer Entry Date 30/09/1990
Date Reported 05/04/1990
Age : 47 YEARS Sex FEMALE Height
Weight Date Of Onset 28/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA PERIPHERAL
Included Term : SWELLING OF THE ARM
PAIN
PARAESTHESIA
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/03/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67309 Sequence 1
Computer Entry Date 30/09/1990
Date Reported 10/09/1990
Age : 49 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
DIZZINESS
PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67310 Sequence 1
Computer Entry Date 30/09/1990
Date Reported 10/09/1990
Age : 45 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PAIN
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
ICD Code : OTHER DISEASES OF LIVER
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67320 Sequence 1
Computer Entry Date 30/09/1990
Date Reported 06/09/1990
Age Sex FEMALE Height
Weight Date Of Onset 03/09/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
DIARRHOEA
VOMITING
INJECTION SITE REACTION
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/09/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67321 Sequence 1
Computer Entry Date 30/09/1990
Date Reported 07/09/1990
Age Sex FEMALE Height
Weight Date Of Onset 03/09/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/09/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67322 Sequence 1
Computer Entry Date 30/09/1990
Date Reported 06/09/1990
Age : 18 YEARS Sex FEMALE Height
Weight Date Of Onset 05/09/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S INJECTION 0.5 ML
DAILY INTRAVENOUS
DRUG ADMINISTRATION BEGAN 03/09/1990 AND CEASED 03/09/1990
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67323 Sequence 1
Computer Entry Date 30/09/1990
Date Reported 06/09/1990
Age : 67 YEARS Sex FEMALE Height
Weight Date Of Onset 08/08/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/08/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67324 Sequence 1
Computer Entry Date 30/09/1990
Date Reported 06/09/1990
Age : 22 YEARS Sex MALE Height
Weight Date Of Onset 08/08/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/08/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67325 Sequence 1
Computer Entry Date 30/09/1990
Date Reported 06/09/1990
Age : 21 YEARS Sex FEMALE Height
Weight Date Of Onset 15/08/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/08/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67326 Sequence 1
Computer Entry Date 30/09/1990
Date Reported 06/09/1990
Age : 31 YEARS Sex MALE Height
Weight Date Of Onset 03/09/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CHOLERA VACCINE S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPHOID VACCINE S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TETANUS VACCINE ADSORBED O INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67341 Sequence 1
Computer Entry Date 30/09/1990
Date Reported 12/09/1990
Age : 31 YEARS Sex FEMALE Height 154
Weight 42 Date Of Onset 03/07/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION ICEPACK
+ REST
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/07/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67386 Sequence 1
Computer Entry Date 30/09/1990
Date Reported 20/09/1990
Age : 24 YEARS Sex MALE Height
Weight Date Of Onset 17/09/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
TELDANE:SYMPTOMATIC
ARTHRALGIA
FATIGUE
Included Term : LETHARGY
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION 2.0 DF
TOTAL INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ENGERIX B S INJECTION 2.0 DF
TOTAL INTRAVENOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67400 Sequence 1
Computer Entry Date 30/09/1990
Date Reported 20/09/1990
Age : 44 YEARS Sex FEMALE Height 153
Weight 85 Date Of Onset 20/09/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MOUTH DRY
TASTE PERVERSION
PARAESTHESIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/09/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67401 Sequence 1
Computer Entry Date 30/09/1990
Date Reported 22/09/1990
Age : 30 YEARS Sex MALE Height
Weight Date Of Onset 22/09/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
YELLOW FEVER VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 22/09/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67416 Sequence 1
Computer Entry Date 30/09/1990
Date Reported 20/09/1990
Age : 61 YEARS Sex FEMALE Height 129
Weight 83 Date Of Onset 12/12/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE
Included Term : LETHARGY
MYALGIA
FATIGUE
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S
DRUG ADMINISTRATION BEGAN 12/12/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67490 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 25/09/1990
Age : 20 YEARS Sex MALE Height 160
Weight 65 Date Of Onset 05/09/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DYSPNOEA
PHENERGAN 25MGM IMI STAT
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S DROPS 2.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 05/09/1990 AND CEASED 06/09/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67499 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 26/09/1990
Age : 43 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYELITIS B12
1000MG-WEEKLY 6/52
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 4.0 DF
DAILY
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 1SUB-ACUTE COMBINED DEGENERATION OF POSTERIOR COLUMNS OF SPINAL
CORD
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67506 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 20/09/1990
Age : 40 YEARS Sex FEMALE Height 165
Weight 57 Date Of Onset 00/08/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
MYOPATHY
NEURITIS
Included Term : NEURITIS BRACHIAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S 2.0 DF
TOTAL
DRUG ADMINISTRATION BEGAN 00/05/1990 AND CEASED 00/06/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
ELECTROGRAPHICS
Lab Normal Range :
0 1 1EMG SHOWED A C5 PLEXUS LESION. BRACHIAL NEURITIS.
THE NERVE CONDUCTION STUDIES WERE NORMAL. MUSCLE SAMPLING SHOWED CHANGES
OF PREVIOUS DENERVATION REINNERVATION IN THE DELTOID, SUPRASPINATUS AND
INFRASPINATUS. THE STUDY FINDINGS ARE SUGGESTIVE OF A BRACHIAL PLEXIS
LESIONS INVOLVING PREDOMINENTLY C5 DERIVED FIBRES. HER FEATURES WOULD
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
OTHER LABORATORY TESTS
Lab Normal Range :
0 BE CONSISTENT WITH A BRACHIAL NEURITIS AND MAY BE RELATED TO THE
HEPATITIS VACCINATION
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67509 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 27/09/1990
Age : 15 MONTHS Sex FEMALE Height
Weight Date Of Onset 23/09/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT
ANOREXIA
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S
DRUG ADMINISTRATION BEGAN 06/09/1990 AND CEASED 06/09/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67510 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 26/09/1990
Age : 8 YEARS Sex FEMALE Height
Weight Date Of Onset 26/09/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
TWITCHING
NAUSEA
PALLOR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/09/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67511 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 25/09/1990
Age : 20 MONTHS Sex MALE Height
Weight Date Of Onset 15/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
CRYING ABNORMAL
FATIGUE
Included Term : LETHARGY
ANOREXIA
LACRIMATION ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S
DRUG ADMINISTRATION BEGAN 10/04/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67512 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 24/09/1990
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 30/07/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER CHANGE
TO CDT FOR 18/12 BOOSTER
CRYING ABNORMAL
VOMITING
ANOREXIA
HYPOTONIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
DAILY INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67542 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 27/09/1990
Age : 43 YEARS Sex FEMALE Height 163
Weight 74 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
PRURITUS
RASH MACULO-PAPULAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/04/1990
ICD Code : OTHER DISEASES OF LIVER
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67583 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 09/09/1990
Age : 19 YEARS Sex FEMALE Height
Weight Date Of Onset 00/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
OBSERVATION
INJECTION SITE REACTION
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PNEUMOVAX 23 S INJECTION
INTRAVENOUS
DRUG ADMINISTRATION BEGAN 00/04/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67627 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 01/10/1990
Age : 4 YEARS Sex FEMALE Height
Weight Date Of Onset 00/05/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEURITIS
PREDNISOLONE
Included Term : GUILLAIN-BARRE SYNDROME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/05/1990
0Laboratory Data
===============
BIOCHEMISTRY
Lab Normal Range :
0 CSF PROTEIN WAS MARKEDLY ELEVATED.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
ELECTROGRAPHICS
Lab Normal Range :
0 NERVE CONDUCTION STUDIES SHOWED INCREASED SLOWING OF MOTOR CONDUCTION
VELOCITIES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67632 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 03/10/1990
Age : 11 YEARS Sex FEMALE Height 152
Weight 37 Date Of Onset 05/08/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEURITIS
DIAGNOSIS SUPPORTED BY NERVE CONDUCTION STUDIES PLUS RAISED
Included Term : GUILLAIN-BARRE SYNDROME
URINARY RETENTION
FAECAL INCONTINENCE
HYPERTENSION
FLUSHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CHOLERA VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 00/06/1990
ICD Code : OTHER PROPHYLACTIC PROCEDURES
TYPHOID VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 00/06/1990
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67642 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 02/10/1990
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 24/07/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/07/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67643 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 03/10/1990
Age : 8 MONTHS Sex FEMALE Height
Weight Date Of Onset 19/06/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
CRYING ABNORMAL
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/06/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67644 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 02/10/1990
Age : 7 MONTHS Sex MALE Height
Weight Date Of Onset 17/07/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
AGITATION PANADOL.
HYPOTONIA
SOMNOLENCE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/07/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67645 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 03/10/1990
Age : 54 YEARS Sex FEMALE Height 168
Weight 57 Date Of Onset 00/03/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA PERIORBITAL
PRURITUS
RASH
DEPRESSION
ALOPECIA
NAIL DISORDER
THINKING ABNORMAL
FATIGUE
Included Term : TIREDNESS
DEPRESSION
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 07/03/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67647 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 08/10/1990
Age : 29 YEARS Sex FEMALE Height
Weight Date Of Onset 03/08/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
PHENERGAN
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/08/1990
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67666 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 04/10/1990
Age : 34 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MICTURITION DISORDER
MYELITIS
Included Term : MYELITIS TRANSVERSE
HYPOTONIA
PARAESTHESIA
HYPERREFLEXIA
BACK PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 09/06/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
INFLUENZA VACCINE S
DRUG ADMINISTRATION BEGAN 00/05/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
BIOCHEMISTRY
Lab Normal Range :
0 1 CSF PROTEIN OF 60 MGS. PERCENT,UPPER LIMIT NORMAL 40MGS.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67686 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 09/10/1990
Age : 33 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RETROBULBAR NEURITIS THERE
WAS A PREVIOUS HISTORY OF A SIMILAR EPISODE AT THE AGE
APPEARED
THE HEPATITIS B VACCINATION HAD TRIGGERED OFF A SEC
OF
RETROBULBAR NEURITIS THERE IS NO HISTORY OR SIGNS TO DIAG
OPTIC NEURITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67701 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 08/10/1990
Age : 8 WEEKS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Included Term : RASH AROUND THE INJECTION SITE
RASH
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/06/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67705 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 08/10/1990
Age : 74 YEARS Sex FEMALE Height
Weight Date Of Onset 29/05/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
TINNITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PNEUMOVAX 23 S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/05/1990
ICD Code : ACUTE TONSILLITIS
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67729 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 09/10/1990
Age : 53 YEARS Sex FEMALE Height
Weight Date Of Onset 17/08/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA PATIENT
GIVEN SECOND ENGERIX B 20/9/90, NEXT DAY DEVELOPED S
NAUSEA
VOMITING
PHOTOPHOBIA
ARTHRALGIA
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/08/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67759 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 11/10/1990
Age : 14 YEARS Sex FEMALE Height 165
Weight 49 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
INJECTION SITE REACTION
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67763 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 12/10/1990
Age : 30 YEARS Sex FEMALE Height
Weight 48 Date Of Onset 29/09/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
MYALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67773 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 08/10/1990
Age : 32 YEARS Sex FEMALE Height 160
Weight 54 Date Of Onset 16/06/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PAIN
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/06/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67788 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 17/10/1990
Age : 1 YEARS Sex FEMALE Height
Weight Date Of Onset 22/11/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL INFANT
PANADOL
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67789 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 09/10/1990
Age : 6 YEARS Sex FEMALE Height
Weight Date Of Onset 07/08/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL TEMPRA
X2 DOSES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 MG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/06/1990 AND CEASED 07/08/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67792 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 05/10/1990
Age : 35 YEARS Sex FEMALE Height 173
Weight 63 Date Of Onset 16/09/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN
DIARRHOEA
NAUSEA
FATIGUE
Included Term : TIREDNESS
RASH
PRURITUS
Included Term : ITCHY
FEVER
INSOMNIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID ORAL VACCINE S TABLET 3.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 16/09/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67816 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 11/10/1990
Age : 31 YEARS Sex MALE Height 174
Weight 77 Date Of Onset 00/07/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
VISION ABNORMAL
Included Term : BLURRED VISION
AMNESIA
APATHY
THINKING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/05/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
RADIOLOGY
Lab Normal Range :
0 1 MRI SCAN SHOWED A PATCHY DISEASE OF WHITE MATTER OF BOTH
HEMISPHERES.MULTIPLE SCLEROSIS COULD PRODUCE MRI APPEARANCE BUT CLINICAL
PRESENTATION IS NOT TYPICAL.CT BRAIN-NON SPECIFIC WHITE MATTER CHANGES IN
OCCIPITAL LOBES BILATERALLY.THE CHANGES NOTED ARE MAINLY OF WHITE MATTER
DISEASE.LINEAR AREAS OF DECREASED SIGNAL NOTED ALONG MID BRAIN & UPPER
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67819 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 15/10/1990
Age : 20 YEARS Sex FEMALE Height 160
Weight 58 Date Of Onset 00/05/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67829 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 16/10/1990
Age : 6 YEARS Sex FEMALE Height 115
Weight 18 Date Of Onset 00/05/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PAIN
PARAESTHESIA
COUGHING
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/05/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67839 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 22/10/1990
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset 16/10/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
HALLUCINATION
CONVULSIONS
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 16/10/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67856 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 17/10/1990
Age Sex Height
Weight Date Of Onset 05/10/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
DRUG ADMINISTRATION BEGAN 05/10/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67857 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 17/10/1990
Age : 2 MONTHS Sex Height
Weight Date Of Onset 00/09/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
PALLOR
SWEATING INCREASED
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67907 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 07/09/1990
Age : 59 YEARS Sex FEMALE Height
Weight Date Of Onset 06/09/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
VOMITING
ARTHRALGIA
FEVER
SWEATING INCREASED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID ORAL VACCINE S CAPSULE 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 05/09/1990
SABIN VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 06/09/1990
CHLOROQUINE S
DRUG ADMINISTRATION BEGAN 00/08/1990
TETANUS VACCINE ADSORBED S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 04/09/1990
IMMUNOGLOBULIN HUMAN NORMAL S INJECTION 5.0 ML
1 TIME INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67943 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 22/10/1990
Age : 41 YEARS Sex FEMALE Height 160
Weight 50 Date Of Onset 23/09/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PHARYNGITIS
Included Term : SORE THROAT
HEADACHE
MYALGIA
FATIGUE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S
DRUG ADMINISTRATION BEGAN 07/09/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
JAPANESE ENCEPHALITIS VACCINE S
DRUG ADMINISTRATION BEGAN 20/09/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67957 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 15/10/1990
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DYSPNOEA
Included Term : BREATHING DIFFICULTIES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
DRUG ADMINISTRATION BEGAN 00/08/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S
DRUG ADMINISTRATION BEGAN 00/08/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67958 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 20/08/1990
Age : 4 YEARS Sex MALE Height
Weight Date Of Onset 17/07/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/04/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/07/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67959 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 05/09/1990
Age : 6 MONTHS Sex FEMALE Height
Weight Date Of Onset 11/07/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
ANOREXIA
OEDEMA PERIORBITAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/05/1990 AND CEASED 11/07/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 67975 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 15/10/1990
Age : 1 YEARS Sex FEMALE Height
Weight Date Of Onset 14/10/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
RASH
COUGHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S
DRUG ADMINISTRATION BEGAN 12/10/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68017 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 23/10/1990
Age : 22 YEARS Sex FEMALE Height
Weight Date Of Onset 17/07/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SCOTOMA
ERYTHEMA NODOSUM
HEADACHE
FATIGUE
MALAISE
DIZZINESS
FEVER
VISION ABNORMAL
Included Term : A.M.P.P.E.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
AMOXIL S
ICD Code : AC UPR RESP INF,MULT,UNSP STES
TRIPHASIL S
ICD Code : CONTRACEPTION
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 1AMSLER GRID TEST CONFIRMS PRESENCE OF SCOTOMATA. FUNDAL
EXAMINATION REVEALED BILATERAL PARAFOVEAL MULTIFOCAL AREAS OF
DEPIGMENTATION. THE ANGIOGRAM SHOWS MULTI FOCAL AREAS OF BLOCKED
CHOROIDAL FLUORESCENCE WITH HYPERFLUORESCENT MARGINS.
AMPPE = ACUTE MULTIFOCAL PLACOID PIGMENT EPITHELIOPATHY
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68023 Sequence 1
Computer Entry Date 31/10/1990
Date Reported 27/10/1990
Age : 8 YEARS Sex FEMALE Height
Weight 31 Date Of Onset 16/10/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
SUPOSITIVE, BEDREST IV FLUIDS
FATIGUE
Included Term : LETHARGY
MALAISE
MENINGITIS-LIKE REACTION
Included Term : MENINGISM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 5.0 RG
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/10/1990
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 1CSF FINDINGS - CELL COUNT 290 LYMPHOCYTES. NO POLYMORPHS, NO
ORGANISMS. NO GROWTH ON CULTURE. DIAGNOSIS: VIRAL MENINGITIS. ? POST
VACCINATION MENINGITIS.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68030 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 29/10/1990
Age : 26 YEARS Sex FEMALE Height 154
Weight 44 Date Of Onset 23/10/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
SYNCOPE
HEADACHE
PALLOR
CONSCIOUSNESS FLUCTUATING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/10/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68031 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 30/10/1990
Age : 1 YEARS Sex FEMALE Height
Weight Date Of Onset 06/02/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/02/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68032 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 30/10/1990
Age : 1 YEARS Sex FEMALE Height
Weight Date Of Onset 06/02/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/02/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68033 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 26/10/1990
Age : 25 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ALLERGIC REACTION
Included Term : REACTS TO MINOR INSECT BITES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 3.0 DF
TOTAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68052 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 26/10/1990
Age Code AD - Adult Sex MALE Height
Weight Date Of Onset 22/08/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 22/08/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68052 Sequence 2
Computer Entry Date 30/11/1990
Date Reported 26/10/1990
Age Code AD - Adult Sex MALE Height
Weight Date Of Onset 25/08/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA APPEARED
TO BE A SHORT LIVED AND LESS INTENSE VERSION OF THE
Included Term : MUSCLE PAIN FATIGUE
SYNDROME
FATIGUE
HEADACHE
SWEATING INCREASED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 22/08/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68052 Sequence 3
Computer Entry Date 30/11/1990
Date Reported 26/10/1990
Age Code AD - Adult Sex MALE Height
Weight Date Of Onset 03/09/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DEPRESSION
SINEQUAN.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 22/08/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68052 Sequence 4
Computer Entry Date 30/11/1990
Date Reported 26/10/1990
Age Code AD - Adult Sex MALE Height
Weight Date Of Onset 03/10/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LIBIDO DECREASED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 22/08/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68053 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 31/10/1990
Age : 5 MONTHS Sex FEMALE Height
Weight Date Of Onset 26/07/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/07/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
MICROBIOLOGY
Lab Normal Range :
0 SWAB FOR CULTURE-RESULT:NO PATHOGENS ISOLATED
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68057 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 31/10/1990
Age : 23 YEARS Sex FEMALE Height
Weight Date Of Onset 00/09/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
THROMBOCYTOPENIA
PURPURA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 10.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/06/1990 AND CEASED 00/07/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CHLOROQUINE S 150.0 MG
WEEKLY
DRUG ADMINISTRATION BEGAN 00/07/1990 AND CEASED 00/08/1990
ICD Code : UNSPECIFIED FORMS OF MALARIA
MALOPRIM S 1.0 DF
WEEKLY
DRUG ADMINISTRATION BEGAN 00/07/1990 AND CEASED 00/08/1990
ICD Code : UNSPECIFIED FORMS OF MALARIA
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range :
0 1 1 PLATELET COUNT OF 12X109L. NORMAL BONE MARROW
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
HISTOLOGY
Lab Normal Range :
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68090 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 30/10/1990
Age : 24 YEARS Sex FEMALE Height 173
Weight 55 Date Of Onset 15/11/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN
Included Term : ABDOMINAL CRAMPS
DIARRHOEA
DIZZINESS
FEVER
Included Term : HIGH TEMPERATURE
ARTHRALGIA
Included Term : JOINT PAIN
MYALGIA
Included Term : MUSCLE PAIN
FATIGUE
Included Term : LETHARGY
NAUSEA
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/11/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIQUILAR ED O PER ORAL 1.0 DF
DAILY PER ORAL
ICD Code : CONTRACEPTION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68114 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 01/11/1990
Age Sex FEMALE Height 150
Weight 36 Date Of Onset 30/10/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
FEVER
RIGORS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68115 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 25/10/1990
Age : 66 YEARS Sex FEMALE Height 162
Weight 65 Date Of Onset 06/09/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA
ASTHENIA
Included Term : WEAKNESS
TINNITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 31/08/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
INTAL S 3.0 DF
DAILY
DRUG ADMINISTRATION BEGAN 00/00/1975
VENTOLIN S
DRUG ADMINISTRATION BEGAN 00/00/1975
DYAZIDE S 0.5 DF
DAILY
DRUG ADMINISTRATION BEGAN 00/00/1985
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68120 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 31/10/1990
Age : 41 YEARS Sex FEMALE Height 170
Weight 69 Date Of Onset 22/10/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
DIZZINESS
FATIGUE
Included Term : LETHARGY
INJECTION SITE PAIN
Included Term : ARM ACHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/10/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68121 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 02/11/1990
Age : 30 YEARS Sex MALE Height 171
Weight 68 Date Of Onset 19/10/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA SIMILAR
REACTIONS TO BOTH FIRST & SECOND INJ.
HEADACHE
DIZZINESS
Included Term : LIGHT HEADED
MYALGIA
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/10/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68123 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 05/11/1990
Age : 6 MONTHS Sex FEMALE Height
Weight Date Of Onset 20/08/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL,
TEPID SPONGE
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/08/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68130 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 01/11/1990
Age : 32 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
ANALGESIC & REST.
NAUSEA
ARTHRALGIA
MALAISE
Included Term : FELT UNWELL
ATAXIA
Included Term : LOSS OF SENSE OF BALANCE
DIZZINESS
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68139 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 20/09/1990
Age : 11 MONTHS Sex MALE Height 53
Weight Date Of Onset 06/08/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING INFANT
PANADOL
PALLOR
CYANOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68151 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 03/11/1990
Age : 33 YEARS Sex MALE Height 178
Weight 67 Date Of Onset 14/10/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA REST &
SLEEP
ASTHENIA
Included Term : WEAKNESS
HEADACHE
DIZZINESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 10.0 RG
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/10/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68152 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 03/11/1990
Age : 43 YEARS Sex FEMALE Height 158
Weight 92 Date Of Onset 00/09/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RHINITIS REST &
SLEEP
Included Term : SNEEZING
HEADACHE
NAUSEA
Included Term : SICKNESS
FATIGUE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 10.0 RG
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/09/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68162 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 29/10/1990
Age : 48 YEARS Sex FEMALE Height 162
Weight 77 Date Of Onset 05/07/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
Included Term : SHOULDER PAIN
TENOSYNOVITIS
Included Term : SUPRASPINATUS TENDONITIS SYNDROME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
DRUG ADMINISTRATION BEGAN 26/06/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68163 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 29/09/1990
Age : 15 MONTHS Sex FEMALE Height
Weight Date Of Onset 14/09/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 12/09/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68165 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 29/10/1990
Age : 37 YEARS Sex FEMALE Height 160
Weight 50 Date Of Onset 25/06/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/06/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68169 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 06/11/1990
Age : 20 MONTHS Sex FEMALE Height 77
Weight 11 Date Of Onset 05/11/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
ANGIOEDEMA
OEDEMA PERIORBITAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/11/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68176 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 05/11/1990
Age : 17 MONTHS Sex MALE Height
Weight Date Of Onset 15/07/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ENCEPHALOPATHY 200ML N.
SALINE, 500MG CEFOTAXIME IV, 500MG OF BENZINE PENIC
Description : ENCEPHALITIS
VASCULITIS TEGRETOL
120MG, & CHLORAMPHENICOL 500MG.
FEVER
RASH MORBILLIFORM
FATIGUE
Included Term : LETHARGY
NERVOUSNESS
Included Term : IRRITABILITY
HYPOTONIA
Description : LIMP
CONSCIOUSNESS FLUCTUATING
Description : SEMI COMATOSE
HYPERREFLEXIA
CONVULSIONS
MONOPLEGIA
HEMIANOPIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 11/07/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
RADIOLOGY
Lab Normal Range :
0 1 CT SCAN WHICH SHOWED SEVERAL AREAS OF LOW ATTENUATION MOST
MARKEDLY INVOLVING MOST OF HIS RIGHT OCCIPITAL LOBE EXTENDING INTO THE
BASAL GANGLIA AND TWO SMALLER AREAS ON THE LEFT OCCIPITAL REGION.
IMPRESSION THEN THAT HE HAD VASCULITIC EPISODES WITH POSSIBLE SEPTIC
EMBOLI. HE SEEMED TO HAVE SOME EVIDENCE OF SINOIDAL SINUSITIS.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
OTHER LABORATORY TESTS
Lab Normal Range :
0 VASCULITIS ? SECONDARY TO SEPTIC EMBOLISATION WITH RESULTANT MULTIPLE CEREBRAL
VASCULAR INFARCTION. LUMBAR PUNCTURE SHOWED 500 WHITE CELLS, 85% POLYMORPHS &
15% LYMPHOCYTES.
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68176 Sequence 1 (Continued)
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68190 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 07/11/1990
Age : 10 YEARS Sex MALE Height
Weight Date Of Onset 01/11/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ERYTHEMA MULTIFORME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S
DRUG ADMINISTRATION BEGAN 30/10/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
JAPANESE ENCEPHALITIS VACCINE S
DRUG ADMINISTRATION BEGAN 30/10/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68191 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 07/11/1990
Age : 7 YEARS Sex FEMALE Height
Weight Date Of Onset 01/11/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ERYTHEMA MULTIFORME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S
DRUG ADMINISTRATION BEGAN 30/10/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
JAPANESE ENCEPHALITIS VACCINE S
DRUG ADMINISTRATION BEGAN 30/10/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68192 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 08/11/1990
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 08/08/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE OBSERVED
FOR 2 HOURS & GIVEN FLUIDS ORALLY
HYPOTENSION
PALLOR
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 10.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/08/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68267 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 12/11/1990
Age : 14 MONTHS Sex MALE Height
Weight Date Of Onset 11/11/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MUMPS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 24/10/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68300 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 15/11/1990
Age : 31 YEARS Sex FEMALE Height
Weight Date Of Onset 00/05/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Included Term : EOSINOPHILIC GRANULOMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
INTRAVENOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
HISTOLOGY
Lab Normal Range :
0 1 FATTY TISSUE,WITH A CENTRAL AREA OF DENSELY ACCUMULATED
LYMPHOID FOLLICLES,SET IN FIBROUS TISSUE. CURVING THROUGH LESION THERE IS
A STRANGE LINEAR BAND OF NECROSIS. THIS BAND IS ABOUT .35MM WIDE,AND IS
THE EOSINOPHILIC TYPE OF NECROSIS,SIMILAR TO THAT SEEN IN FIBRINOID
NECROSIS FROM MANY CASES. UNDER POLARISED LIGHT,NO BIREFRINGENT FOREIGN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68312 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 16/11/1990
Age : 48 YEARS Sex FEMALE Height 170
Weight 70 Date Of Onset 13/09/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA NSAIDS
FEVER
MALAISE
FATIGUE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S
DRUG ADMINISTRATION BEGAN 11/08/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68315 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 07/11/1990
Age : 20 MONTHS Sex MALE Height
Weight Date Of Onset 20/05/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68333 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 20/11/1990
Age : 13 MONTHS Sex FEMALE Height
Weight Date Of Onset 04/11/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
VOMITING
RASH
LYMPHADENOPATHY
Included Term : SWOLLEN GLANDS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/11/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68341 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 19/11/1990
Age : 38 YEARS Sex MALE Height 179
Weight 74 Date Of Onset 14/01/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CHEST PAIN TREATED
WITH PREDNISONE AND ASPIRIN
ECG ABNORMAL
CHEST PAIN
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 6.0 DF
TOTAL INTRAVENOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
ELECTROGRAPHICS
Lab Normal Range :
0 1 ST ELEVATION IN ECG
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68358 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 19/11/1990
Age : 27 YEARS Sex FEMALE Height 170
Weight Date Of Onset 24/10/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/10/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
BREVINOR O PER ORAL 1.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/00/1988 AND CONTINUED
ICD Code : CONTRACEPTION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68360 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 16/11/1990
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 14/12/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION INFANT
PANADOL & TEPID BATHS
CRYING ABNORMAL
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/12/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68360 Sequence 2
Computer Entry Date 30/11/1990
Date Reported 16/11/1990
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 15/02/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
& PROMETHAZINE & TEPID BATHS
ANOREXIA
PALLOR
FEVER
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/02/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68363 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 21/11/1990
Age : 12 YEARS Sex MALE Height
Weight Date Of Onset 15/11/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
FLUCLOXACILLIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/11/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68397 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 21/11/1990
Age : 2 YEARS Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68398 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 21/11/1990
Age : 3 YEARS Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68402 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 18/11/1990
Age : 45 YEARS Sex FEMALE Height
Weight Date Of Onset 00/02/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INFLUENZA
Included Term : GLANDULAR FEVER
HEPATIC FUNCTION ABNORMAL
Included Term : ABNORMAL LIVER FUNCTION TESTS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68457 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 01/11/1990
Age : 49 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
POLIOMYELITIS VIRUS VACCINE S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68473 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 26/11/1990
Age : 13 MONTHS Sex MALE Height
Weight 9 Date Of Onset 24/11/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANGIOEDEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S
DRUG ADMINISTRATION BEGAN 16/11/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68474 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 27/11/1990
Age : 10 YEARS Sex MALE Height 135
Weight 39 Date Of Onset 27/11/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONFUSION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/11/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68488 Sequence 1
Computer Entry Date 30/11/1990
Date Reported 13/11/1990
Age : 48 YEARS Sex Height
Weight Date Of Onset 13/09/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/09/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68532 Sequence 1
Computer Entry Date 31/12/1990
Date Reported 16/11/1990
Age : 26 YEARS Sex FEMALE Height 168
Weight 71 Date Of Onset 30/10/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
ARTHRALGIA
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/10/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68535 Sequence 1
Computer Entry Date 31/12/1990
Date Reported 29/11/1990
Age : 47 YEARS Sex FEMALE Height
Weight Date Of Onset 00/00/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
DAILY INTRAMUSCULAR
Drug Administration Ceased 00/00/1985
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68535 Sequence 2
Computer Entry Date 31/12/1990
Date Reported 29/11/1990
Age : 47 YEARS Sex FEMALE Height
Weight Date Of Onset 20/11/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
PHENERGAN 25MG IM STAT.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.1 ML
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/11/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 1 A TETANUS ANTIBODY TITRE - 2.29. THE PROTECTIVE LEVEL IS
CONSIDERED TO BE 0.01.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68542 Sequence 1
Computer Entry Date 31/12/1990
Date Reported 16/10/1990
Age : 24 YEARS Sex FEMALE Height
Weight Date Of Onset 10/07/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA DEPENDENT
Included Term : OEDEMA ANKLE
OEDEMA PERIPHERAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/07/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68568 Sequence 1
Computer Entry Date 31/12/1990
Date Reported 26/11/1990
Age : 24 YEARS Sex MALE Height 185
Weight 105 Date Of Onset 25/11/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/11/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68575 Sequence 1
Computer Entry Date 31/12/1990
Date Reported 26/11/1990
Age : 15 MONTHS Sex MALE Height
Weight Date Of Onset 00/07/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANAPHYLACTOID REACTION
ADRENALINE 0.2MLS
Included Term : ANAPHYLAXIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68608 Sequence 1
Computer Entry Date 31/12/1990
Date Reported 04/12/1990
Age : 12 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS
INJECTION SITE ABSCESS
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68675 Sequence 1
Computer Entry Date 31/12/1990
Date Reported 03/12/1990
Age : 22 YEARS Sex MALE Height
Weight Date Of Onset 13/02/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
HEADACHE
PARAESTHESIA
VISION ABNORMAL
Included Term : OSCILLOPSIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CHOLERA VACCINE S
DRUG ADMINISTRATION BEGAN 13/02/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PANADOL O 12.0 DF
DAILY
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68688 Sequence 1
Computer Entry Date 31/12/1990
Date Reported 05/12/1990
Age : 34 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HERPES ZOSTER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/10/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68688 Sequence 2
Computer Entry Date 31/12/1990
Date Reported 05/12/1990
Age : 34 YEARS Sex MALE Height
Weight Date Of Onset 08/11/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/10/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68701 Sequence 1
Computer Entry Date 31/12/1990
Date Reported 06/12/1990
Age : 5 MONTHS Sex FEMALE Height
Weight 7 Date Of Onset 06/12/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR PANADOL
& PHENERGAN
Included Term : PALE
CRYING ABNORMAL
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/12/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68702 Sequence 1
Computer Entry Date 31/12/1990
Date Reported 10/12/1990
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 06/12/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS TEPID
SPONGED, TEA TO SITE, TEMPRA DROPS
Included Term : IRRITABLE
CRYING ABNORMAL
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/12/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68703 Sequence 1
Computer Entry Date 31/12/1990
Date Reported 10/12/1990
Age : 8 MONTHS Sex FEMALE Height
Weight Date Of Onset 06/12/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION ICE &
TEMPRA DROPS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/12/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68718 Sequence 1
Computer Entry Date 31/12/1990
Date Reported 14/12/1990
Age : 5 MONTHS Sex FEMALE Height
Weight Date Of Onset 11/12/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
VOMITING
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/10/1990 AND CEASED 11/12/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68719 Sequence 1
Computer Entry Date 31/12/1990
Date Reported 01/12/1990
Age : 1 YEARS Sex MALE Height
Weight Date Of Onset 29/11/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANAPHYLACTOID REACTION REACTION
ONSET 10 MINUTES AFTER VACCINATION.
Included Term : ANAPHYLAXIS
CYANOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/11/1990 AND CEASED 29/11/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68723 Sequence 1
Computer Entry Date 31/12/1990
Date Reported 11/12/1990
Age : 46 YEARS Sex MALE Height 183
Weight Date Of Onset 17/05/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS
SEQUELAE- POSSIBLE RHEUMATOID ARTHRITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
DRUG ADMINISTRATION BEGAN 17/05/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 1 10/9/90 31/10/90
RHEUMATOID FACTOR: POS 40 NEG
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68737 Sequence 1
Computer Entry Date 31/12/1990
Date Reported 10/12/1990
Age : 33 YEARS Sex MALE Height
Weight Date Of Onset 18/10/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
OEDEMA
PURPURA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/10/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
HISTOLOGY
Lab Normal Range :
0 1 DIAGNOSED AS HENOCH-SCHONLEIN PURPURA BY BIOPSY TAKEN 3/52 AGO
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68738 Sequence 1
Computer Entry Date 31/12/1990
Date Reported 11/12/1990
Age : 15 MONTHS Sex MALE Height
Weight Date Of Onset 10/12/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES
MUMPS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 28/11/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68749 Sequence 1
Computer Entry Date 31/12/1990
Date Reported 12/12/1990
Age : 25 YEARS Sex FEMALE Height
Weight Date Of Onset 12/12/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
MAXALON,PANADOL
HEADACHE
FATIGUE
Included Term : LETHARGY
NAUSEA
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/12/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68762 Sequence 1
Computer Entry Date 31/12/1990
Date Reported 10/12/1990
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 03/10/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
FEVER
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
TOTAL INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68850 Sequence 1
Computer Entry Date 31/12/1990
Date Reported 19/12/1990
Age : 20 YEARS Sex FEMALE Height
Weight Date Of Onset 00/00/1985
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION E
Included Term : INJECTION SITE GRANULOMA
INJECTION SITE REACTION
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S
0Laboratory Data
===============
HISTOLOGY
Lab Normal Range :
0 1 HISTOLOGY= LYMPHOCYTES, EOSINOPHILIS, NECROSIS
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68863 Sequence 1
Computer Entry Date 31/12/1990
Date Reported 19/12/1990
Age : 27 YEARS Sex FEMALE Height 178
Weight 53 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
Included Term : ITCHY
RASH
PRURITUS
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/09/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ENGERIX B S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68911 Sequence 1
Computer Entry Date 31/12/1990
Date Reported 12/12/1990
Age : 2 MONTHS Sex FEMALE Height 60
Weight 5 Date Of Onset 17/10/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : PYREXIA
AGITATION
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/10/1990 AND CEASED 17/10/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68984 Sequence 1
Computer Entry Date 31/01/1991
Date Reported 01/11/1990
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 05/10/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Included Term : LOCAL REACTION
FEVER
Included Term : TEMPERATURE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/10/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 68985 Sequence 1
Computer Entry Date 31/01/1991
Date Reported 01/11/1990
Age : 1 YEARS Sex MALE Height
Weight Date Of Onset 05/10/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Included Term : LOCAL REACTION
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/10/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69033 Sequence 1
Computer Entry Date 31/01/1991
Date Reported 03/01/1991
Age : 3 MONTHS Sex FEMALE Height
Weight Date Of Onset 22/11/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
PHENOBARBITONE, CLONAZEPAM, ORAL PHENYTOIN
Included Term : MYOCLONIC SEIZURES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FERGON S SOLUTION 1.0 ML
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 09/11/1990 AND CONTINUED
SABIN VACCINE S DROPS 2.0 DF
TOTAL PER ORAL
DRUG ADMINISTRATION BEGAN 19/11/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPLE ANTIGEN S INJECTION 0.5 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/11/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69040 Sequence 1
Computer Entry Date 31/01/1991
Date Reported 24/12/1990
Age : 30 YEARS Sex MALE Height
Weight Date Of Onset 14/12/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS ANTI
INFLAMMATORY DRUGS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 13/12/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69066 Sequence 1
Computer Entry Date 31/01/1991
Date Reported 07/01/1991
Age : 32 YEARS Sex FEMALE Height 157
Weight 70 Date Of Onset 02/01/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
HYPERTONIA
Included Term : NECK STIFFNESS
HEADACHE
VISION ABNORMAL
Included Term : VISUAL DISTURBANCE
VERTIGO
NAUSEA
RIGORS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
DRUG ADMINISTRATION BEGAN 02/01/1991
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69067 Sequence 1
Computer Entry Date 31/01/1991
Date Reported 08/01/1991
Age : 30 YEARS Sex FEMALE Height 157
Weight 47 Date Of Onset 03/01/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MIGRAINE PANADOL,
MERSYNDOL TABS
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/01/1991
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69073 Sequence 1
Computer Entry Date 31/01/1991
Date Reported 09/01/1991
Age : 37 YEARS Sex FEMALE Height 160
Weight 57 Date Of Onset 29/11/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA
FATIGUE
ARTHROSIS
WEIGHT DECREASE
Included Term : WEIGHT LOSS
FEVER
Included Term : TEMPERATURE
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 20.0 RG
1 TIME
DRUG ADMINISTRATION BEGAN 22/11/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69090 Sequence 1
Computer Entry Date 31/01/1991
Date Reported 07/01/1991
Age : 13 MONTHS Sex FEMALE Height
Weight 9 Date Of Onset 07/01/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : FIBRIAL
LACRIMATION ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S
DRUG ADMINISTRATION BEGAN 03/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69101 Sequence 1
Computer Entry Date 31/01/1991
Date Reported 08/01/1991
Age : 54 YEARS Sex MALE Height 170
Weight 76 Date Of Onset 03/12/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SERUM SICKNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/12/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69147 Sequence 1
Computer Entry Date 31/01/1991
Date Reported 16/01/1991
Age : 13 MONTHS Sex MALE Height
Weight Date Of Onset 01/06/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
ANOREXIA
Included Term : REFUSING FOOD
FEVER
Included Term : FEBRIL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/06/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69180 Sequence 1
Computer Entry Date 31/01/1991
Date Reported 17/01/1991
Age : 23 YEARS Sex FEMALE Height 160
Weight 56 Date Of Onset 05/12/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
ABDOMINAL PAIN
Included Term : CRAMP ABDOMINAL
FATIGUE
Included Term : TIRED
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S PER ORAL 1.0 DF
ALTERNATE DAYS PER ORAL
DRUG ADMINISTRATION BEGAN 04/12/1990 AND CEASED 08/12/1990
ICD Code : OTHER PROPHYLACTIC PROCEDURES
NORDETTE NOS O 1.0 DF
DAILY
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69195 Sequence 1
Computer Entry Date 31/01/1991
Date Reported 21/01/1991
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 16/01/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
COMA
HYPOTONIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/01/1990 AND CEASED 16/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69201 Sequence 1
Computer Entry Date 31/01/1991
Date Reported 16/01/1991
Age : 28 YEARS Sex FEMALE Height
Weight Date Of Onset 19/12/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE
Included Term : COLLAPSED
HYPERTENSION
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 19/12/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CHOLERA VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 19/12/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
FIBRE NOS S TABLET
PER ORAL
CHLORQUIN S 1.0 DF
1 TIME
MALOPRIM S 1.0 DF
1 TIME
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69237 Sequence 1
Computer Entry Date 31/01/1991
Date Reported 24/01/1991
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 03/01/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
CRYING ABNORMAL
AGITATION
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/01/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69238 Sequence 1
Computer Entry Date 31/01/1991
Date Reported 24/01/1991
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 03/01/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
CRYING ABNORMAL
AGITATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/01/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69239 Sequence 1
Computer Entry Date 31/01/1991
Date Reported 24/01/1991
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 03/01/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
CRYING ABNORMAL
DIARRHOEA
AGITATION
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/01/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69240 Sequence 1
Computer Entry Date 31/01/1991
Date Reported 24/01/1991
Age : 18 MONTHS Sex FEMALE Height
Weight Date Of Onset 03/01/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
CRYING ABNORMAL
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/01/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69241 Sequence 1
Computer Entry Date 31/01/1991
Date Reported 24/01/1991
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 03/01/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
AND FREQUENT TIPED SPONGES
CRYING ABNORMAL
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/01/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69261 Sequence 1
Computer Entry Date 31/01/1991
Date Reported 23/01/1991
Age : 27 YEARS Sex FEMALE Height
Weight Date Of Onset 11/01/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PAIN
Included Term : SORE NECK
BACK PAIN
VOMITING
ASTHENIA
Included Term : WEAKNESS
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ERVEVAX S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 02/01/1991
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69261 Sequence 2
Computer Entry Date 31/01/1991
Date Reported 23/01/1991
Age : 27 YEARS Sex FEMALE Height
Weight Date Of Onset 11/01/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ERVEVAX S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 02/01/1991
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range :
0 1 FBE- REACTIVE LYMPHOCYTES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69263 Sequence 1
Computer Entry Date 31/01/1991
Date Reported 04/11/1990
Age : 6 YEARS Sex MALE Height
Weight Date Of Onset 27/10/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN
CHEST PAIN
INSOMNIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/10/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69265 Sequence 1
Computer Entry Date 31/01/1991
Date Reported 23/01/1991
Age : 1 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
COUGHING
RHINITIS
BRONCHOSPASM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69266 Sequence 1
Computer Entry Date 31/01/1991
Date Reported 23/01/1991
Age : 8 MONTHS Sex MALE Height
Weight Date Of Onset 00/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
RHINITIS
FEVER
COUGHING
BRONCHOSPASM
INSOMNIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69267 Sequence 1
Computer Entry Date 31/01/1991
Date Reported 29/01/1991
Age : 18 MONTHS Sex FEMALE Height
Weight Date Of Onset 22/01/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT LPV
COVER, OBSERVATION
Included Term : PAROTITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S
DRUG ADMINISTRATION BEGAN 04/01/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69270 Sequence 1
Computer Entry Date 31/01/1991
Date Reported 14/01/1991
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 22/10/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/10/1990
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69280 Sequence 1
Computer Entry Date 31/01/1991
Date Reported 13/09/1990
Age : 69 YEARS Sex MALE Height
Weight Date Of Onset 17/08/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
HOSPITALISED, IV ANTIBIOTICS
SWEATING INCREASED
Included Term : SWEATS
RIGORS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE INTRAVESICAL S INJECTION 120.0 MG
1 TIME INTRAVESICAL
DRUG ADMINISTRATION BEGAN 16/08/1990
ICD Code : UNSPECIFIED NEOPLASM BLADDER
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69316 Sequence 1
Computer Entry Date 28/02/1991
Date Reported 30/01/1991
Age : 37 YEARS Sex MALE Height
Weight Date Of Onset 28/01/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/01/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69319 Sequence 1
Computer Entry Date 28/02/1991
Date Reported 09/01/1991
Age : 8 YEARS Sex FEMALE Height
Weight 28 Date Of Onset 05/01/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69333 Sequence 1
Computer Entry Date 28/02/1991
Date Reported 31/01/1991
Age Code AD - Adult Sex FEMALE Height
Weight Date Of Onset 17/01/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/01/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69344 Sequence 1
Computer Entry Date 28/02/1991
Date Reported 30/01/1991
Age : 16 MONTHS Sex MALE Height
Weight 10 Date Of Onset 28/01/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 17/01/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69353 Sequence 1
Computer Entry Date 28/02/1991
Date Reported 01/02/1991
Age : 1 MONTHS Sex FEMALE Height
Weight 5 Date Of Onset 17/12/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
LYMPHADENOPATHY
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69364 Sequence 1
Computer Entry Date 28/02/1991
Date Reported 31/01/1991
Age : 64 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEPATIC FUNCTION ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 10.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/07/1990
0Laboratory Data
===============
BIOCHEMISTRY
Lab Normal Range :
0 1 06/11/90 04/12/90
GGT 438 96
ALK 254 65
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69376 Sequence 1
Computer Entry Date 28/02/1991
Date Reported 03/02/1991
Age : 8 MONTHS Sex FEMALE Height
Weight 8 Date Of Onset 01/02/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
POLIOMYELITIS VIRUS VACCINE S DROPS
PER ORAL
DRUG ADMINISTRATION BEGAN 01/02/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPLE ANTIGEN S
DRUG ADMINISTRATION BEGAN 01/02/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69466 Sequence 1
Computer Entry Date 28/02/1991
Date Reported 11/02/1991
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 12/12/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
COUGHING
RHINITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/12/1990 AND CEASED 12/12/1990
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69467 Sequence 1
Computer Entry Date 28/02/1991
Date Reported 07/02/1991
Age : 6 MONTHS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
ZADINE/PANADOL
RHINITIS
TACHYCARDIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 MG
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69518 Sequence 2
Computer Entry Date 28/02/1991
Date Reported 13/02/1991
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 08/01/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
& PHENERGAN
RASH
COUGHING
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/01/1991 AND CEASED 08/01/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69519 Sequence 1
Computer Entry Date 28/02/1991
Date Reported 13/02/1991
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 08/01/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION PANADOL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/01/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69528 Sequence 1
Computer Entry Date 28/02/1991
Date Reported 19/02/1991
Age : 5 MONTHS Sex MALE Height 64
Weight 9 Date Of Onset 06/02/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
NERVOUSNESS
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/02/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69572 Sequence 1
Computer Entry Date 28/02/1991
Date Reported 14/02/1991
Age : 45 YEARS Sex FEMALE Height
Weight Date Of Onset 16/07/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
HEADACHE
MALAISE
MYALGIA
INJECTION SITE REACTION
NAUSEA
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 10.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/07/1990
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69672 Sequence 1
Computer Entry Date 28/02/1991
Date Reported 21/02/1991
Age : 6 MONTHS Sex MALE Height 65
Weight Date Of Onset 03/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER VITAMIN
C, CALCIUM, MAGNESIUM, HOMEOPATHIC TRIPLE ANTIGEN RE
SEQUELAE
:- IMPERTIGO WHOOPING COUGH, FLU. - DAMAGE TO IMMUNE
FACE OEDEMA
Included Term : SWOLLEN FACE
PAIN
HYPERTONIA
CRYING ABNORMAL
COUGHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 03/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 03/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69675 Sequence 1
Computer Entry Date 28/02/1991
Date Reported 25/02/1991
Age : 30 YEARS Sex MALE Height
Weight 95 Date Of Onset 11/02/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/01/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69699 Sequence 1
Computer Entry Date 31/03/1991
Date Reported 25/02/1991
Age : 15 MONTHS Sex MALE Height
Weight 12 Date Of Onset 22/02/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT
Included Term : PAROTID ENLARGEMENT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/02/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69704 Sequence 1
Computer Entry Date 31/03/1991
Date Reported 27/02/1991
Age : 23 YEARS Sex MALE Height
Weight 85 Date Of Onset 14/02/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 10.0 RG
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/02/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S
DRUG ADMINISTRATION BEGAN 11/02/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69752 Sequence 1
Computer Entry Date 31/03/1991
Date Reported 26/02/1991
Age : 6 YEARS Sex MALE Height 110
Weight 15 Date Of Onset 16/02/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
Included Term : MACULAR ERYTHEMA
OEDEMA PERIORBITAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 10.0 RG
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/02/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69804 Sequence 1
Computer Entry Date 31/03/1991
Date Reported 01/03/1991
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 14/02/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
Included Term : UNWELL
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/02/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL
PER ORAL
DRUG ADMINISTRATION BEGAN 14/02/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69805 Sequence 1
Computer Entry Date 31/03/1991
Date Reported 01/03/1991
Age : 8 MONTHS Sex FEMALE Height
Weight Date Of Onset 14/02/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PENICILLIN
MALAISE
Included Term : UNWELL
INJECTION SITE REACTION
INFECTION BACTERIAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/02/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69850 Sequence 1
Computer Entry Date 31/03/1991
Date Reported 06/03/1991
Age : 3 MONTHS Sex FEMALE Height
Weight Date Of Onset 05/02/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA
PARACETAMOL
ANOREXIA
CRYING ABNORMAL
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/02/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69857 Sequence 1
Computer Entry Date 31/03/1991
Date Reported 01/03/1991
Age Sex MALE Height
Weight Date Of Onset 25/02/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
Included Term : RUBELLA SYNDROME
FEVER
COUGHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S 0.5 ML
TOTAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69887 Sequence 1
Computer Entry Date 31/03/1991
Date Reported 09/03/1991
Age : 15 MONTHS Sex FEMALE Height
Weight Date Of Onset 08/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
COUGHING
DYSPNOEA
CYANOSIS
VOMITING
PALLOR
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S INJECTION 0.5 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 08/03/1981
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69906 Sequence 1
Computer Entry Date 31/03/1991
Date Reported 08/03/1991
Age : 30 YEARS Sex FEMALE Height 173
Weight 65 Date Of Onset 22/01/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PARONIRIA
DYSPEPSIA
FEVER
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/01/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69920 Sequence 1
Computer Entry Date 31/03/1991
Date Reported 13/03/1991
Age : 15 MONTHS Sex MALE Height
Weight 11 Date Of Onset 03/02/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
AGITATION
INSOMNIA
RASH MACULO-PAPULAR
LYMPHADENOPATHY
SPLENOMEGALY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 5.0 ML
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 22/01/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69949 Sequence 1
Computer Entry Date 31/03/1991
Date Reported 15/03/1991
Age : 6 YEARS Sex MALE Height 107
Weight 17 Date Of Onset 14/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S
DRUG ADMINISTRATION BEGAN 08/03/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 69975 Sequence 1
Computer Entry Date 31/03/1991
Date Reported 15/03/1991
Age : 18 MONTHS Sex MALE Height
Weight 10 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
ANXIETY
INSOMNIA
SPLENOMEGALY
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 22/01/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70003 Sequence 1
Computer Entry Date 31/03/1991
Date Reported 18/03/1991
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS AGGRAVATED INFANT
BORN WITH CEREBRAL PALSY.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TEGRETOL O 200.0 MG
DAILY
ICD Code : OTHER&UNSPECIFIED EPILEPSY
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70009 Sequence 1
Computer Entry Date 31/03/1991
Date Reported 20/03/1991
Age : 37 YEARS Sex FEMALE Height 170
Weight 70 Date Of Onset 17/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/03/1991 AND CEASED 17/03/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70010 Sequence 1
Computer Entry Date 31/03/1991
Date Reported 19/03/1991
Age : 46 YEARS Sex FEMALE Height 167
Weight 60 Date Of Onset 21/01/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANOREXIA
WEIGHT DECREASE
Included Term : WEIGHT LOSS
HYPOTENSION
CRAMPS
DYSURIA
ANOREXIA
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/01/1991 AND CEASED 14/01/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CALCIUM NOS O
VITAMIN NOS O
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70059 Sequence 1
Computer Entry Date 31/03/1991
Date Reported 09/03/1991
Age : 14 MONTHS Sex MALE Height
Weight Date Of Onset 06/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ERYTHEMA MULTIFORME
PHENERGAN & PANADOL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 01/03/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70063 Sequence 1
Computer Entry Date 31/03/1991
Date Reported 19/03/1991
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 07/01/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
NERVOUSNESS
Included Term : IRRITABILITY
INSOMNIA
Included Term : NOT SLEEPING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
Drug Administration Ceased 07/01/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70071 Sequence 1
Computer Entry Date 31/03/1991
Date Reported 21/03/1991
Age : 75 YEARS Sex FEMALE Height 152
Weight Date Of Onset 18/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PHOTOSENSITIVITY REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
THEO-DUR S 1.6 GM
DAILY
FLUVAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 11/03/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70088 Sequence 1
Computer Entry Date 31/03/1991
Date Reported 21/03/1991
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 22/02/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
1.2MLS 3 HOURLY
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
TOTAL
DRUG ADMINISTRATION BEGAN 22/02/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70100 Sequence 1
Computer Entry Date 31/03/1991
Date Reported 25/03/1991
Age : 17 MONTHS Sex MALE Height
Weight Date Of Onset 06/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 03/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70113 Sequence 1
Computer Entry Date 31/03/1991
Date Reported 26/03/1991
Age : 17 YEARS Sex FEMALE Height 173
Weight 60 Date Of Onset 21/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA HISMANAL
& PREDNISOLONE 25MG DAILY.
HAEMATURIA
ERYTHEMA MULTIFORME
OEDEMA PERIORBITAL
FACE OEDEMA
HYPOTENSION
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S
DRUG ADMINISTRATION BEGAN 19/03/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S
DRUG ADMINISTRATION BEGAN 19/03/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CHLOROQUINE S TABLET 2.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 19/03/1991
ICD Code : OTHER PROPHYLACTIC PROCEDURES
DISPRIN S 2.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 20/03/1991
ICD Code : HEADACHE
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70136 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 26/03/1991
Age : 60 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70137 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 26/03/1991
Age Code AD - Adult Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70145 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 27/03/1991
Age : 35 YEARS Sex FEMALE Height 165
Weight 60 Date Of Onset 00/04/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INFLUENZA
SEQUELAE:- SCARRING
Included Term : FLU-LIKE SYMPTOMS
HERPES ZOSTER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S
DRUG ADMINISTRATION BEGAN 00/04/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70149 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 26/03/1991
Age Sex FEMALE Height
Weight Date Of Onset 13/03/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
MYALGIA
NAUSEA
FATIGUE
ARTHRALGIA
VOMITING
ABDOMINAL PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
DRUG ADMINISTRATION BEGAN 00/02/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70151 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 29/03/1991
Age : 6 YEARS Sex FEMALE Height
Weight Date Of Onset 00/00/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS REACTION
ONE DAY AFTER ADMINISTRATION OF HEPATITIS B VACCINE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 00/00/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70152 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 29/03/1991
Age : 6 WEEKS Sex MALE Height
Weight Date Of Onset 00/10/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DEATH
Included Term : S.I.D.S.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 00/10/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : DEATH AS REACTION
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70160 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 27/03/1991
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset 12/02/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR
FEVER
RIGORS
VOMITING
CIRCULATORY FAILURE
CONVULSIONS
CYANOSIS
CONSCIOUSNESS FLUCTUATING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/02/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 12/02/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70161 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 27/03/1991
Age : 18 MONTHS Sex Height
Weight Date Of Onset 00/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/03/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70162 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 27/03/1991
Age : 50 YEARS Sex FEMALE Height
Weight Date Of Onset 00/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
POLARAMINE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 00/03/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70163 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 27/03/1991
Age : 46 YEARS Sex FEMALE Height
Weight Date Of Onset 09/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN FLUIDS
AND PARACETAMOL
MYALGIA
FEVER
HEADACHE
RIGORS
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S CAPSULE
PER ORAL
DRUG ADMINISTRATION BEGAN 07/03/1991 AND CEASED 10/03/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70168 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 25/03/1991
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 15/01/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S
DRUG ADMINISTRATION BEGAN 15/01/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S
DRUG ADMINISTRATION BEGAN 15/01/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70169 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 25/03/1991
Age : 1 YEARS Sex MALE Height
Weight Date Of Onset 12/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
INJECTION SITE PAIN
VOMITING
ABDOMINAL PAIN
Included Term : GASTRIC DISCOMFORT
CRYING ABNORMAL
INSOMNIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/03/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70170 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 25/03/1991
Age : 8 MONTHS Sex Height
Weight Date Of Onset 03/08/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
COUGHING
FATIGUE
Included Term : LETHARGY
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 03/08/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70187 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 15/03/1991
Age : 13 YEARS Sex FEMALE Height
Weight Date Of Onset 05/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR REST,
CALOMINE LOTION, ICE PACK
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RUBELLA VACCINE S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70192 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 02/04/1991
Age : 20 MONTHS Sex FEMALE Height
Weight Date Of Onset 12/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
PHENERGAN 3MG TDS
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/03/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70199 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 03/04/1991
Age : 4 MONTHS Sex MALE Height 61
Weight 6 Date Of Onset 06/02/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
ANOREXIA
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/02/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70200 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 03/04/1991
Age : 2 YEARS Sex FEMALE Height
Weight Date Of Onset 01/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FLUSHING
OBSERVATION, ELEVATION OF LEGS.
COUGHING
VOMITING
PALLOR
FATIGUE
Included Term : LETHARGY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S INJECTION 1.0 DF
DAILY INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70225 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 19/03/1991
Age : 66 YEARS Sex FEMALE Height
Weight Date Of Onset 21/09/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALPITATION
ANTIHISTAMINES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/09/1990 AND CEASED 21/09/1990
ICD Code : OTR LOC SKIN&SUBCUT TIS INFECT
NIFEDIPINE S CAPSULE 30.0 MG
DAILY PER ORAL
Drug Administration Ceased 28/09/1990
ICD Code : ANGINA PECTORIS W/O HYPERTEN
ASPIRIN S PER ORAL 150.0 MG
DAILY PER ORAL
Drug Administration Ceased 28/09/1990
ICD Code : CHRON ISCH HEART DIS NO HYPER
ANGININE S
Drug Administration Ceased 28/09/1990
ICD Code : ANGINA PECTORIS W/O HYPERTEN
VERAPAMIL HYDROCHLORIDE S PER ORAL
PER ORAL
Drug Administration Ceased 28/09/1990
ICD Code : CHRON ISCH HEART DIS NO HYPER
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70226 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 03/04/1991
Age : 3 MONTHS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
RASH MORBILLIFORM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION
SUBCUTANEOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70255 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 05/04/1991
Age : 13 MONTHS Sex MALE Height
Weight 10 Date Of Onset 04/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
UPPER RESP TRACT INFECTION
RASH MORBILLIFORM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S
DRUG ADMINISTRATION BEGAN 23/03/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70319 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 06/04/1991
Age : 15 MONTHS Sex FEMALE Height
Weight Date Of Onset 04/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
PALLOR
CYANOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S INJECTION 0.5 ML
TOTAL SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 04/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70324 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 27/03/1991
Age : 1 YEARS Sex Height
Weight Date Of Onset 26/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR 12.5MG
IM PHENERGAN
VOMITING
OEDEMA
CYANOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S
DRUG ADMINISTRATION BEGAN 26/03/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70331 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 11/04/1991
Age : 64 YEARS Sex FEMALE Height 155
Weight 62 Date Of Onset 09/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FACE OEDEMA
STEROIDS, PREDNISOLONE, TELDANE, VIBRAMYCIN & STEROID OINTME
PRURITUS
OEDEMA PERIORBITAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TELDANE S TABLET 2.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 18/02/1991
ICD Code : OTR ECZ&DER DUE OTR&UNSP CAUSE
FLUVAX S INJECTION
INTRAVENOUS
LOPRESOR O TABLET 150.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/00/1984
ICD Code : ESSENTIAL BENIGN HYPERTENSION
FELDENE O CAPSULE 20.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/00/1985
ICD Code : UNSPECIFIED ARTHRITIS
ADALAT O PER ORAL 30.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/00/1984
ICD Code : ANGINA PECTORIS W/O HYPERTEN
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70345 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 24/04/1991
Age : 1 MONTHS Sex FEMALE Height
Weight 4 Date Of Onset 12/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 12/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70347 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 21/03/1991
Age : 1 YEARS Sex MALE Height
Weight Date Of Onset 21/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CYANOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 21/03/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70351 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 09/04/1991
Age : 25 YEARS Sex FEMALE Height
Weight Date Of Onset 03/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
PHENERGAN INJECTION
FLUSHING
HYPOTENSION
SWEATING INCREASED
SKIN COLD CLAMMY
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 03/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70353 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 15/04/1991
Age : 14 MONTHS Sex FEMALE Height
Weight Date Of Onset 09/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 08/04/1991 AND CEASED 08/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70356 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 15/04/1991
Age : 3 MONTHS Sex FEMALE Height
Weight Date Of Onset 11/02/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
PARACETAMOL/TEPID BATHS
FEVER
NERVOUSNESS
Included Term : IRRITABLE
ANOREXIA
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 11/02/1991 AND CEASED 11/02/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70363 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 11/04/1991
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70368 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 11/04/1991
Age Sex FEMALE Height
Weight Date Of Onset 11/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE NEB.
VENTOLIN, PHENERGAN IM.
BRONCHOSPASM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
VAXIGRIP S INJECTION 0.5 ML
DAILY SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 11/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70371 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 15/03/1991
Age : 1 YEARS Sex FEMALE Height
Weight 7 Date Of Onset 14/02/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES
THERAPEUTIC INEFFICACY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S 1.0 ML
1 TIME
DRUG ADMINISTRATION BEGAN 07/02/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70376 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 16/04/1991
Age : 14 MONTHS Sex MALE Height
Weight 10 Date Of Onset 06/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ERYTHEMA MULTIFORME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 28/02/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70385 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 15/04/1991
Age : 39 YEARS Sex FEMALE Height
Weight Date Of Onset 14/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS
INFECTION VIRAL
HEPATITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
DRUG ADMINISTRATION BEGAN 05/03/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SALBUTAMOL O 800.0 RG
DAILY
ICD Code : ASTHMA
BECLOMETHASONE DIPROPIONATE O 400.0 RG
DAILY
ICD Code : ASTHMA
THEOPHYLLINE O 600.0 MG
DAILY
ICD Code : ASTHMA
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70409 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 16/04/1991
Age : 18 YEARS Sex FEMALE Height 174
Weight 80 Date Of Onset 05/02/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
TREMOR
Included Term : FELT SHAKEY
SWEATING INCREASED
HEADACHE
ANOREXIA
Included Term : LOSS OF APPETITE
PARAESTHESIA
VERTIGO
ARTHRALGIA
HEADACHE
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/02/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70419 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 13/04/1991
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 21/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
NAUSEA
VOMITING
ARTHRALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ERVEVAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 21/03/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70436 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 23/04/1991
Age : 6 YEARS Sex MALE Height
Weight Date Of Onset 18/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CYANOSIS
PALLOR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 18/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70437 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 18/04/1991
Age : 6 MONTHS Sex MALE Height 64
Weight 6 Date Of Onset 31/01/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL.
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 31/01/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70441 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 18/04/1991
Age : 20 MONTHS Sex FEMALE Height
Weight 10 Date Of Onset 17/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
RASH MORBILLIFORM
VOMITING
COUGHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S
DRUG ADMINISTRATION BEGAN 10/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70451 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 19/04/1991
Age : 6 YEARS Sex MALE Height
Weight 25 Date Of Onset 14/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE PANADOL
& ANTIHISTAMINE
ABDOMINAL PAIN
URTICARIA
FEVER
RHINITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
DRUG ADMINISTRATION BEGAN 13/03/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70452 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 17/04/1991
Age : 1 YEARS Sex FEMALE Height
Weight Date Of Onset 18/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONJUNCTIVITIS
PARACETAMOL SYRUP.
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S 1.0 ML
1 TIME
DRUG ADMINISTRATION BEGAN 28/02/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70460 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 19/04/1991
Age : 39 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ASTHENIA
Included Term : WEAKNESS
TREMOR
NAUSEA
VOMITING
SWEATING INCREASED
SKIN DISCOLOURATION
ASTHENIA
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 1 SEROLOGY CHECK ASSUMED PERFORMED AFTER 3RD DOSE HBSAG POSITIVE
HBEAB - POSITIVE HBEAG NEGATIVE.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70470 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 20/04/1991
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 19/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
DRUG ADMINISTRATION BEGAN 16/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70473 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 22/04/1991
Age : 39 YEARS Sex FEMALE Height 160
Weight 57 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MORBILLIFORM
OEDEMA
RHINITIS
Included Term : SNEEZING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 13/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
MICROVAL O TABLET 1.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/04/1991
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70475 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 23/04/1991
Age : 58 YEARS Sex FEMALE Height 161
Weight 82 Date Of Onset 17/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONJUNCTIVITIS
HERPES ZOSTER
Included Term : SHINGLES
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
VAXIGRIP S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 14/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70478 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 23/04/1991
Age : 41 YEARS Sex MALE Height
Weight Date Of Onset 17/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA STEROID
INJECTION, ORAL PREDNISOLONE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 10.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/04/1991
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70507 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 22/04/1991
Age : 50 YEARS Sex Height
Weight Date Of Onset 09/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/04/1991 AND CEASED 09/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70508 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 22/04/1991
Age : 25 YEARS Sex FEMALE Height
Weight Date Of Onset 09/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
BACK PAIN
Included Term : BACK ACHE
HEADACHE
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/04/1991 AND CEASED 09/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70509 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 22/04/1991
Age : 40 YEARS Sex FEMALE Height
Weight Date Of Onset 08/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 08/04/1991 AND CEASED 08/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70510 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 22/04/1991
Age : 20 YEARS Sex FEMALE Height
Weight Date Of Onset 09/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/04/1991 AND CEASED 09/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70511 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 22/04/1991
Age : 25 YEARS Sex Height
Weight Date Of Onset 08/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 08/04/1991 AND CEASED 08/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70512 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 22/04/1991
Age : 30 YEARS Sex FEMALE Height
Weight Date Of Onset 10/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE PANADOL
MALAISE
AGITATION
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/04/1991 AND CEASED 09/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70513 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 22/04/1991
Age : 30 YEARS Sex FEMALE Height
Weight Date Of Onset 10/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION PANADOL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/04/1991 AND CEASED 09/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70514 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 22/04/1991
Age : 30 YEARS Sex FEMALE Height
Weight Date Of Onset 09/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
MALAISE
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/04/1991 AND CEASED 09/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70515 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 22/04/1991
Age : 25 YEARS Sex FEMALE Height
Weight Date Of Onset 10/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RIGORS
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/04/1991 AND CEASED 09/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70516 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 22/04/1991
Age : 35 YEARS Sex FEMALE Height
Weight Date Of Onset 10/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION HISMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/04/1991 AND CEASED 09/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70517 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 22/04/1991
Age : 30 YEARS Sex FEMALE Height
Weight Date Of Onset 10/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/04/1991 AND CEASED 09/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70518 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 22/04/1991
Age : 30 YEARS Sex FEMALE Height
Weight Date Of Onset 11/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/04/1991 AND CEASED 09/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70519 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 22/04/1991
Age : 25 YEARS Sex FEMALE Height
Weight Date Of Onset 11/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/04/1991 AND CEASED 09/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70520 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 22/04/1991
Age : 25 YEARS Sex FEMALE Height
Weight Date Of Onset 11/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 15.0 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/04/1991 AND CEASED 09/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70521 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 11/04/1991
Age : 68 YEARS Sex FEMALE Height
Weight Date Of Onset 10/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
ARTHRALGIA
ALBUMINURIA
Included Term : PROTEINURIA
OEDEMA DEPENDENT
Description : ANCLE OEDEMA
PURPURA ALLERGIC
VASCULITIS
HAEMATURIA
ESR INCREASED
EPISCLERITIS
RENAL FUNCTION ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 04/03/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
IMODIUM O
BACTRIM O
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range :
0 1 1ESR 38
HENOCH-SCHONLEIN PURPURA
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY CREATININE
Lab Normal Range : 50-120 MMOL/L
025/03/1992 02/04/1992 12/04/1992 15/04/1992 07/06/1992
126 141 150 130 140
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70522 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 19/04/1991
Age : 20 YEARS Sex FEMALE Height
Weight Date Of Onset 09/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA SUBJECT
HAD NEGATIVE PHASE I & 2 ANTIBODIES & A NEGATIVE SKI
GIVEN
PARACETAMOL FOR HEADACHES
HEADACHE
INJECTION SITE REACTION
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70523 Sequence 1
Computer Entry Date 30/04/1991
Date Reported 19/04/1991
Age : 2 MONTHS Sex Height
Weight Date Of Onset 19/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
CRYING ABNORMAL
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/03/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70552 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 30/04/1991
Age : 42 YEARS Sex FEMALE Height
Weight Date Of Onset 29/04/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
NAUSEA
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PNEUMOVAX 23 S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/04/1990
ICD Code : ASTHMA
VENTOLIN O INHALANT 6.0 DF
DAILY INHALATION
ICD Code : ASTHMA
BECLOFORTE O 8.0 DF
DAILY
ICD Code : ASTHMA
AUSTYN O 2.0 DF
DAILY
ICD Code : ASTHMA
ATROVENT O INHALANT 6.0 DF
DAILY INHALATION
ICD Code : ASTHMA
VOLTAREN O 2.0 DF
DAILY
DRUG ADMINISTRATION BEGAN 18/04/1990
ICD Code : LUMBALGIA
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70559 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 03/05/1991
Age : 65 YEARS Sex MALE Height
Weight Date Of Onset 13/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
HEADACHE
MYALGIA
COUGHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70571 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 01/05/1991
Age : 71 YEARS Sex FEMALE Height
Weight 54 Date Of Onset 07/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DYSPNOEA D/C
METHOTREXATE, GIVEN 2 PULSE DOSES OF METHYLPREDNISOLONE.
COUGHING
HYPOXIA
Included Term : HYPOXAEMIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
AMITRIPTYLINE HYDROCHLORIDE S 50.0 MG
DAILY
ORUVAIL SR S 200.0 MG
DAILY
Drug Administration Ceased 10/04/1991
ICD Code : OTHER RHEUMATOID ARTHRITIS
ECOTRIN S 650.0 MG
DAILY
LASIX S 40.0 MG
DAILY
AMOXIL S 1.5 GM
DAILY
DRUG ADMINISTRATION BEGAN 02/04/1991 AND CEASED 07/04/1991
ICD Code : OTHER DISEASES OF LUNG
METHOTREXATE S 5.0 MG
WEEKLY
DRUG ADMINISTRATION BEGAN 00/01/1991 AND CEASED 07/04/1991
ICD Code : OTHER RHEUMATOID ARTHRITIS
FLUVAX S 1.0 DF
DAILY
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
FEFOL S
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70586 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 01/05/1991
Age : 2 MONTHS Sex MALE Height 61
Weight Date Of Onset 06/02/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
CRYING ABNORMAL
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 06/02/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70592 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 26/04/1991
Age Code AD - Adult Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEURITIS
Included Term : GUILLAIN-BARRE SYNDROME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70593 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 15/03/1991
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 06/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANAPHYLACTOID REACTION
ADRENALIN & PHYSICAL STIMULATION
CYANOSIS
BRADYCARDIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HEPATITIS B VACCINE (PRE RECOMBINAN S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70598 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 02/05/1991
Age : 25 YEARS Sex FEMALE Height
Weight 51 Date Of Onset 26/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
EARACHE
MYALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/03/1991
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70602 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 30/04/1991
Age : 6 MONTHS Sex FEMALE Height
Weight Date Of Onset 28/02/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
CRYING ABNORMAL
NERVOUSNESS
Included Term : IRRITABILITY
FEVER
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S 0.5 ML
DAILY
DRUG ADMINISTRATION BEGAN 20/12/1990 AND CEASED 30/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O DROPS 2.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 20/12/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70614 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 02/05/1991
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 19/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
ANTIHISTAMINE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/03/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70619 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 06/05/1991
Age : 16 MONTHS Sex MALE Height
Weight Date Of Onset 02/05/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 24/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70677 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 03/05/1991
Age : 40 YEARS Sex FEMALE Height
Weight Date Of Onset 20/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/03/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70696 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 07/05/1991
Age : 17 MONTHS Sex FEMALE Height 50
Weight 15 Date Of Onset 30/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT
Included Term : PAROTITIS LEFT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S 1.0 ML
1 TIME
DRUG ADMINISTRATION BEGAN 07/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70705 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 13/05/1991
Age : 31 YEARS Sex MALE Height 191
Weight 98 Date Of Onset 09/05/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
Included Term : OCCIPITAL HEADACHE
DIZZINESS
MALAISE
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 08/05/1991
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70716 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 09/05/1991
Age : 11 MONTHS Sex MALE Height
Weight Date Of Onset 09/05/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
COUGHING
VOMITING
PALLOR
SKIN COLD CLAMMY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70729 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 24/04/1991
Age : 6 MONTHS Sex Height
Weight Date Of Onset 00/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
CRYING ABNORMAL
VOMITING
DIARRHOEA
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70730 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 17/04/1991
Age : 51 YEARS Sex FEMALE Height
Weight Date Of Onset 15/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/02/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70731 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 23/04/1991
Age : 4 MONTHS Sex Height
Weight Date Of Onset 00/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
VOMITING
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70748 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 10/05/1991
Age : 5 YEARS Sex MALE Height
Weight 22 Date Of Onset 08/05/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
PHENERGAN.
VOMITING
SKIN EXFOLIATION
Included Term : SKIN HANDS & FEET PEELING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S
DRUG ADMINISTRATION BEGAN 07/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70792 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 15/05/1991
Age : 48 YEARS Sex FEMALE Height
Weight Date Of Onset 00/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70808 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 14/05/1991
Age : 24 YEARS Sex FEMALE Height 162
Weight 59 Date Of Onset 12/05/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
PREDNISOLONE
PRURITUS
Included Term : ITCHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70873 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 06/03/1991
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 07/01/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
VOMITING
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/01/1991 AND CEASED 06/03/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70874 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 20/05/1991
Age : 14 MONTHS Sex FEMALE Height
Weight 25 Date Of Onset 18/05/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MORBILLIFORM
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 08/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70892 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 17/05/1991
Age : 15 YEARS Sex FEMALE Height
Weight Date Of Onset 08/05/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FACE OEDEMA TELDANE
GIVEN (1 TAB).
PARAESTHESIA
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 08/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70893 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 17/05/1991
Age : 47 YEARS Sex MALE Height
Weight Date Of Onset 30/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 30/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70896 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 28/05/1991
Age : 44 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70896 Sequence 2
Computer Entry Date 31/05/1991
Date Reported 28/05/1991
Age : 44 YEARS Sex FEMALE Height
Weight Date Of Onset 19/05/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
ANTIHISTAMINE, PREDNISOLONE
FACE OEDEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70903 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 20/05/1991
Age : 46 YEARS Sex FEMALE Height 175
Weight 64 Date Of Onset 14/05/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 13/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70908 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 25/05/1991
Age : 28 YEARS Sex FEMALE Height
Weight Date Of Onset 00/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEURITIS
Included Term : GUILLAIN-BARRE SYNDROME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 70944 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 23/05/1991
Age : 18 YEARS Sex MALE Height 184
Weight 72 Date Of Onset 22/05/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 08/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71016 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 07/05/1991
Age : 65 YEARS Sex FEMALE Height
Weight Date Of Onset 17/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
FEVER
FATIGUE
Included Term : LETHARGY
ASTHENIA
Included Term : WEAKNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71017 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 25/05/1991
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 15/05/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
PARACETAMOL & PHENERGAN 0.3ML
CRYING ABNORMAL
CYANOSIS
TREMOR
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71042 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 27/05/1991
Age : 30 MONTHS Sex MALE Height
Weight Date Of Onset 00/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS
INJECTION SITE ABSCESS
Included Term : RECHALL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 1 DELAYED APPERANCE OF DEEP ABSCESS STERILE ON CULTURE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71053 Sequence 1
Computer Entry Date 31/05/1991
Date Reported 30/04/1991
Age Code AD - Adult Sex FEMALE Height
Weight Date Of Onset 03/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER FLOPEN
ABDOMINAL PAIN
Included Term : PAIN IN STOMACHE AND LIVER
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71061 Sequence 1
Computer Entry Date 30/06/1991
Date Reported 03/06/1991
Age : 15 MONTHS Sex MALE Height
Weight Date Of Onset 18/05/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MUMPS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 18/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71081 Sequence 1
Computer Entry Date 30/06/1991
Date Reported 30/05/1991
Age : 40 YEARS Sex FEMALE Height 167
Weight 54 Date Of Onset 22/01/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 23/11/1990 AND CEASED 22/12/1990
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71087 Sequence 1
Computer Entry Date 30/06/1991
Date Reported 31/05/1991
Age : 16 MONTHS Sex FEMALE Height
Weight 12 Date Of Onset 03/05/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS GRAND MAL
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71097 Sequence 1
Computer Entry Date 30/06/1991
Date Reported 30/05/1991
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 21/05/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR
ADRENALINE
HYPOTONIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PANADOL S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 21/05/1991
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71129 Sequence 1
Computer Entry Date 30/06/1991
Date Reported 04/06/1991
Age Code AD - Adult Sex FEMALE Height
Weight Date Of Onset 27/05/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
HEADACHE
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 27/05/1991 AND CEASED 27/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71135 Sequence 1
Computer Entry Date 30/06/1991
Date Reported 02/06/1991
Age : 12 MONTHS Sex MALE Height
Weight 11 Date Of Onset 02/06/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71145 Sequence 1
Computer Entry Date 30/06/1991
Date Reported 04/06/1991
Age : 20 YEARS Sex FEMALE Height
Weight Date Of Onset 26/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
PREDNISONE
FACE OEDEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/03/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71158 Sequence 1
Computer Entry Date 30/06/1991
Date Reported 21/05/1991
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 26/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR
SOMNOLENCE
VOMITING
FLUSHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/03/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71161 Sequence 1
Computer Entry Date 30/06/1991
Date Reported 06/06/1991
Age : 29 YEARS Sex FEMALE Height
Weight Date Of Onset 23/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
COORDINATION ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
VAXIGRIP S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 16/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71170 Sequence 1
Computer Entry Date 30/06/1991
Date Reported 05/06/1991
Age : 39 YEARS Sex FEMALE Height 152
Weight 54 Date Of Onset 19/08/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
DRUG ADMINISTRATION BEGAN 17/08/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71171 Sequence 1
Computer Entry Date 30/06/1991
Date Reported 05/06/1991
Age : 47 YEARS Sex FEMALE Height 162
Weight 47 Date Of Onset 26/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
ASTHENIA
Included Term : WEAKNESS
ARTHRALGIA
DYSURIA
SOMNOLENCE
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 20.0 RG
1 TIME
DRUG ADMINISTRATION BEGAN 25/03/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DILANTIN O
MYSOLINE O
VENTOLIN O
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71270 Sequence 1
Computer Entry Date 30/06/1991
Date Reported 10/06/1991
Age : 13 YEARS Sex FEMALE Height 165
Weight 56 Date Of Onset 08/06/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71283 Sequence 1
Computer Entry Date 30/06/1991
Date Reported 11/06/1991
Age : 25 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q FEVER VACCINE S
DRUG ADMINISTRATION BEGAN 09/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71283 Sequence 2
Computer Entry Date 30/06/1991
Date Reported 11/06/1991
Age : 25 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS
CORTISONE INJ.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q FEVER VACCINE S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 PATIENT HAD AN ATTACK OF POLYARTHRITIS LAST CHRISTMAS AND A SPECIFIC CAUSE WAS
NOT FOUND. ON THAT OCCASION THE ARTHRITIS ONLY LASTED 3 DAYS.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71302 Sequence 1
Computer Entry Date 30/06/1991
Date Reported 14/06/1991
Age : 37 YEARS Sex FEMALE Height 177
Weight 77 Date Of Onset 23/05/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR
CONVULSIONS
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71333 Sequence 1
Computer Entry Date 30/06/1991
Date Reported 17/06/1991
Age : 59 YEARS Sex FEMALE Height 165
Weight 75 Date Of Onset 15/06/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INSOMNIA
HOT FLUSHES
PALPITATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71360 Sequence 1
Computer Entry Date 30/06/1991
Date Reported 17/06/1991
Age : 13 MONTHS Sex MALE Height
Weight Date Of Onset 07/05/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FLUSHING 12.5MG
IM PHENERGAN
ANXIETY
Included Term : DISTRESSED
ALLERGIC REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 07/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71371 Sequence 1
Computer Entry Date 30/06/1991
Date Reported 18/06/1991
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 16/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR
CYANOSIS
SOMNOLENCE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 16/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71388 Sequence 1
Computer Entry Date 30/06/1991
Date Reported 17/06/1991
Age : 1 YEARS Sex FEMALE Height
Weight Date Of Onset 04/06/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION 12.5MG
IM PROMETHAZINE.
FLUSHING
ANXIETY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 04/06/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71407 Sequence 1
Computer Entry Date 30/06/1991
Date Reported 20/06/1991
Age : 11 YEARS Sex FEMALE Height
Weight Date Of Onset 11/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH PUSTULAR
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ERVEVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71408 Sequence 1
Computer Entry Date 30/06/1991
Date Reported 20/06/1991
Age : 5 YEARS Sex FEMALE Height
Weight Date Of Onset 00/01/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ERYTHEMA MULTIFORME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/01/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA AND TETANUS VACCINE CDT S
DRUG ADMINISTRATION BEGAN 18/01/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S
DRUG ADMINISTRATION BEGAN 18/01/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71419 Sequence 1
Computer Entry Date 30/06/1991
Date Reported 13/06/1991
Age : 36 YEARS Sex MALE Height
Weight Date Of Onset 30/05/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION
SUBCUTANEOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL
PER ORAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71431 Sequence 1
Computer Entry Date 30/06/1991
Date Reported 26/06/1991
Age : 44 YEARS Sex FEMALE Height
Weight Date Of Onset 21/05/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION IV
ANTIBIOTICS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71432 Sequence 1
Computer Entry Date 30/06/1991
Date Reported 26/06/1991
Age : 42 YEARS Sex FEMALE Height
Weight Date Of Onset 14/05/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
PHENERGAN & CLOXACILLIN.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71472 Sequence 1
Computer Entry Date 30/06/1991
Date Reported 24/06/1991
Age : 18 YEARS Sex FEMALE Height
Weight Date Of Onset 04/06/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA
HEADACHE
RIGORS
FEVER
DIZZINESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CHOLERA VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 04/06/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPHOID VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 04/06/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71477 Sequence 1
Computer Entry Date 30/06/1991
Date Reported 24/06/1991
Age : 21 YEARS Sex FEMALE Height 162
Weight 55 Date Of Onset 23/05/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN
Included Term : ABDOMINAL CRAMPS
DIARRHOEA
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/05/1991 AND CEASED 23/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71478 Sequence 1
Computer Entry Date 30/06/1991
Date Reported 24/06/1991
Age : 47 YEARS Sex FEMALE Height 160
Weight 52 Date Of Onset 23/05/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN
Included Term : ABDOMINAL CRAMPS
VOMITING
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/05/1991 AND CEASED 23/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71479 Sequence 1
Computer Entry Date 30/06/1991
Date Reported 24/06/1991
Age : 28 YEARS Sex FEMALE Height 160
Weight 64 Date Of Onset 23/05/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE
INJECTION SITE INFLAMMATION
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71484 Sequence 1
Computer Entry Date 30/06/1991
Date Reported 26/06/1991
Age : 27 YEARS Sex FEMALE Height 154
Weight 55 Date Of Onset 20/06/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
URTICARIA
ANGIOEDEMA
MALAISE
ARTHRALGIA
NAUSEA
VOMITING
DIZZINESS
Included Term : GIDDINESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION 1.0 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 18/06/1991
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71487 Sequence 1
Computer Entry Date 30/06/1991
Date Reported 26/06/1991
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 10/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
VOMITING
NERVOUSNESS
Included Term : IRRITABILITY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71536 Sequence 1
Computer Entry Date 08/08/1991
Date Reported 04/07/1991
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 27/06/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER DYMADON
ANOREXIA
Description : OFF FOOD
INJECTION SITE REACTION COLD
PACKS
Description : LARGE SWOLLEN LEG
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/06/1991 AND CEASED 27/06/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71557 Sequence 1
Computer Entry Date 08/08/1991
Date Reported 16/07/1991
Age : 50 YEARS Sex MALE Height
Weight Date Of Onset 28/06/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
ASTHENIA
Description : PROSTRATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
YELLOW FEVER VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 26/06/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71643 Sequence 1
Computer Entry Date 12/08/1991
Date Reported 07/07/1991
Age Code AB - Baby Sex FEMALE Height
Weight 9 Date Of Onset 18/11/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Description : PERSISTENT CRYING
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/11/1990 AND CEASED 18/11/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71671 Sequence 1
Computer Entry Date 12/08/1991
Date Reported 19/07/1991
Age : 37 YEARS Sex FEMALE Height 173
Weight 60 Date Of Onset 00/06/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
Description : ARTHRALGIA IN ELBOWS AND KNEE JOINTS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/06/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71672 Sequence 1
Computer Entry Date 12/08/1991
Date Reported 19/07/1991
Age : 1 YEARS Sex FEMALE Height 61
Weight 9 Date Of Onset 18/07/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS
Included Term : IRRITABILITY
ANOREXIA
RASH MACULO-PAPULAR
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 01/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71699 Sequence 1
Computer Entry Date 12/08/1991
Date Reported 18/07/1991
Age : 4 YEARS Sex MALE Height 107
Weight 19 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
INJECTION SITE INFLAMMATION
PRURITUS
Included Term : ITCHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/06/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71701 Sequence 1
Computer Entry Date 12/08/1991
Date Reported 18/07/1991
Age : 4 YEARS Sex MALE Height 107
Weight 19 Date Of Onset 09/07/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
Included Term : ITCHING
RASH MACULO-PAPULAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71756 Sequence 1
Computer Entry Date 14/08/1991
Date Reported 19/07/1991
Age : 4 YEARS Sex MALE Height
Weight Date Of Onset 14/06/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
Description : PAPULAR RASH
PRURITUS
Included Term : ITCHING
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/06/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71758 Sequence 1
Computer Entry Date 14/08/1991
Date Reported 19/07/1991
Age : 4 YEARS Sex MALE Height
Weight Date Of Onset 09/07/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
Description : PAPULAR RASH
PRURITUS
Included Term : ITCHING
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71759 Sequence 1
Computer Entry Date 14/08/1991
Date Reported 19/07/1991
Age : 52 YEARS Sex FEMALE Height
Weight Date Of Onset 04/07/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : LARGE LOCAL REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71760 Sequence 1
Computer Entry Date 14/08/1991
Date Reported 19/07/1991
Age : 52 YEARS Sex FEMALE Height
Weight Date Of Onset 07/07/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
TACHYCARDIA
HEADACHE
MYALGIA
Description : JOINT ACHES
ARTHRALGIA
Description : MUSCLE PAINS
MALAISE
Description : VERY ILL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71764 Sequence 1
Computer Entry Date 14/08/1991
Date Reported 19/07/1991
Age : 52 YEARS Sex FEMALE Height
Weight Date Of Onset 14/07/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CHEST PAIN
CORTISONE
HEPATOMEGALY
Description : ENLARGED LIVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71766 Sequence 1
Computer Entry Date 14/08/1991
Date Reported 19/07/1991
Age : 52 YEARS Sex FEMALE Height
Weight Date Of Onset 20/07/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CORTISONE S
ICD Code : PAIN IN CHEST
TETANUS VACCINE ADSORBED S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71805 Sequence 1
Computer Entry Date 15/08/1991
Date Reported 23/07/1991
Age : 11 MONTHS Sex MALE Height
Weight Date Of Onset 06/06/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANGIOEDEMA
Included Term : ANGIONEUROTIC OEDEMA
URTICARIA
Description : URTICARIAL RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/06/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
POLIOMYELITIS VIRUS VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/06/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/06/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:00 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71908 Sequence 1
Computer Entry Date 19/08/1991
Date Reported 11/07/1991
Age : 4 MONTHS Sex MALE Height
Weight 7 Date Of Onset 10/07/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL MOTHER
GAVE DOUBLE DOSE OF PANADOL WITH NO APPARENT EFFECT.
Included Term : SCREAMING
FEVER
Description : TEMP 38.8 DEG C PLUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/07/1991 AND CEASED 10/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71938 Sequence 1
Computer Entry Date 19/08/1991
Date Reported 26/07/1991
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 23/07/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SOMNOLENCE
Description : BABY IMMEDIATELY WENT INTO DEEP SLEEP
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71951 Sequence 1
Computer Entry Date 19/08/1991
Date Reported 03/07/1991
Age : 51 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RIGORS PANADOL
AND REST
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
YELLOW FEVER VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 26/06/1991
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71987 Sequence 1
Computer Entry Date 20/08/1991
Date Reported 24/07/1991
Age : 20 YEARS Sex MALE Height 178
Weight 84 Date Of Onset 23/07/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE RAPID
RESPONSE TO HYDROCORTISONE 250 MG IVI STAT FOLLOWED BY
NAUSEA
VOMITING
ARTHRALGIA
Description : KNEE PAIN, SPREAD TO ELBOWS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S PER ORAL 2.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 23/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPHOID VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 71999 Sequence 1
Computer Entry Date 20/08/1991
Date Reported 10/07/1991
Age : 15 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FACE OEDEMA TELDANE
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 08/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 08/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72002 Sequence 1
Computer Entry Date 20/08/1991
Date Reported 05/06/1991
Age : 13 YEARS Sex FEMALE Height
Weight Date Of Onset 04/06/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FLUSHING
PROMETHAZINE HCC 12.5 MG IM WAS ADMINISTERED AND THE CHILD R
INJECTION SITE INFLAMMATION 7
MINUTES.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/06/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72005 Sequence 1
Computer Entry Date 20/08/1991
Date Reported 11/07/1991
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 25/06/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
PARACETMOL 30MG 3 TIMES ON DAY OF INJECTION AND TEPID SPONGI
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/06/1991 AND CEASED 25/06/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72113 Sequence 1
Computer Entry Date 22/08/1991
Date Reported 16/07/1991
Age : 45 YEARS Sex MALE Height 176
Weight 76 Date Of Onset 21/06/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
Description : RED RASH BOTH CUBITAL FOSSAE, & GROINS
MALAISE
Description : FELT MIDLY UNWELL
PRURITUS
Included Term : ITCHING
OEDEMA DEPENDENT
Description : FEET TENDER AND SWOLLEN
TONGUE OEDEMA
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S
1 TIME
DRUG ADMINISTRATION BEGAN 19/06/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72121 Sequence 1
Computer Entry Date 22/08/1991
Date Reported 02/07/1991
Age : 5 MONTHS Sex FEMALE Height 50
Weight Date Of Onset 18/06/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANOREXIA
CRYING ABNORMAL
Description : HIGH PITCH CRYING
NERVOUSNESS
Included Term : IRRITABILITY
INJECTION SITE INFLAMMATION
Description : OEDEMA RIGHT THIGH AND BUTTOCK
DEHYDRATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/06/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72133 Sequence 1
Computer Entry Date 22/08/1991
Date Reported 22/07/1991
Age : 26 YEARS Sex MALE Height
Weight Date Of Onset 14/12/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEURITIS
Description : POLY NEURITIS
VISION ABNORMAL
Description : VISUAL DISTURBANCE
ARTHRALGIA
Description : POLYARTHRALGIA
MYALGIA
Description : POLY MYALGIA
MALAISE
Description : GENERALISED MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/06/1990
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72190 Sequence 1
Computer Entry Date 28/08/1991
Date Reported 08/08/1991
Age : 65 YEARS Sex FEMALE Height
Weight Date Of Onset 04/08/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72196 Sequence 1
Computer Entry Date 28/08/1991
Date Reported 05/08/1991
Age : 13 MONTHS Sex FEMALE Height
Weight 10 Date Of Onset 11/07/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHADENOPATHY
RASH
FEVER
Description : TEMPERATURE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 24/06/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72221 Sequence 1
Computer Entry Date 28/08/1991
Date Reported 07/08/1991
Age : 16 MONTHS Sex MALE Height
Weight 12 Date Of Onset 02/07/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
Description : UNWELL
LYMPHADENOPATHY
Description : URTI SYMPTOMS
FEVER ORAL
PANADOL 120MG AS NECESSARY.
RASH MACULO-PAPULAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 25/06/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72230 Sequence 1
Computer Entry Date 29/08/1991
Date Reported 06/08/1991
Age Code A5 - Fifties Sex FEMALE Height
Weight Date Of Onset 04/07/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS
ANTIBIOTICS (NAMES NOT SPECIFIED).
Description : LOCAL REACTION - RED SWOLLEN AND SORE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 03/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72278 Sequence 1
Computer Entry Date 30/08/1991
Date Reported 13/08/1991
Age : 44 YEARS Sex FEMALE Height 163
Weight 65 Date Of Onset 08/08/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA PERIPHERAL
RASH MACULO-PAPULAR
PRURITUS
Included Term : ITCHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 07/08/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72284 Sequence 1
Computer Entry Date 30/08/1991
Date Reported 12/08/1991
Age : 29 YEARS Sex FEMALE Height
Weight 52 Date Of Onset 00/07/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
Description : HEADACHE LIKE A MIGRAINE
RIGORS
Description : RIGORS, CHILLS
FLUSHING
HYPERAESTHESIA
Description : HYPERAESTHESIA OF EARS
MYALGIA
Description : MYALGIA OF NECK AND SHOULDER
ARTHRALGIA
Description : ARTHRALGIA OF NECK AND SHOULDERS
NAUSEA
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 10.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/03/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72285 Sequence 1
Computer Entry Date 30/08/1991
Date Reported 12/08/1991
Age : 38 YEARS Sex FEMALE Height
Weight 55 Date Of Onset 00/07/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
SWEATING INCREASED
RIGORS
FLUSHING
FATIGUE
Included Term : LETHARGY
NAUSEA
ANOREXIA
MYALGIA
ASTHENIA
Description : WEAKNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 10.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72286 Sequence 1
Computer Entry Date 30/08/1991
Date Reported 12/08/1991
Age : 49 YEARS Sex FEMALE Height
Weight 76 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
Description : INJECTION REALLY STUNG
RIGORS
SWEATING INCREASED
MALAISE
MYALGIA
FATIGUE
Included Term : LETHARGY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 10.0 RG
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72289 Sequence 1
Computer Entry Date 30/08/1991
Date Reported 06/08/1991
Age : 26 YEARS Sex MALE Height
Weight Date Of Onset 06/06/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 0.1 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/06/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72297 Sequence 1
Computer Entry Date 30/08/1991
Date Reported 14/08/1991
Age : 15 MONTHS Sex FEMALE Height
Weight Date Of Onset 14/08/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
Description : GENERALISED URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 01/08/1991 AND CEASED 01/08/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72316 Sequence 1
Computer Entry Date 02/09/1991
Date Reported 12/08/1991
Age : 22 YEARS Sex FEMALE Height
Weight Date Of Onset 09/07/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : PAIN & REDNESS & SWELLING AT INJ SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72318 Sequence 1
Computer Entry Date 02/09/1991
Date Reported 14/08/1991
Age Code AB - Baby Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72381 Sequence 1
Computer Entry Date 03/09/1991
Date Reported 19/08/1991
Age : 26 YEARS Sex MALE Height 176
Weight 79 Date Of Onset 22/09/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE
Included Term : LETHARGY
FEVER
LYMPHADENOPATHY
INJECTION SITE PAIN
Description : PAINFUL ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S
1 TIME
DRUG ADMINISTRATION BEGAN 11/08/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72404 Sequence 1
Computer Entry Date 03/09/1991
Date Reported 15/08/1991
Age : 34 YEARS Sex FEMALE Height
Weight Date Of Onset 02/07/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
DIZZINESS
NAUSEA
HEPATIC FUNCTION ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 02/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
BIOCHEMISTRY
Lab Normal Range :
0 ALK PHOS WAS 127 AND ALT WAS 85 ON THE 2/7/1991.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72430 Sequence 1
Computer Entry Date 04/09/1991
Date Reported 22/08/1991
Age : 55 YEARS Sex MALE Height
Weight Date Of Onset 02/08/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
Description : BLOTCHY RASH ALL OVER BODY.
PRURITUS
Included Term : ITCHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 01/08/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72431 Sequence 1
Computer Entry Date 04/09/1991
Date Reported 22/08/1991
Age : 10 MONTHS Sex MALE Height
Weight Date Of Onset 15/08/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/08/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ENGERIX B S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/08/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72432 Sequence 1
Computer Entry Date 04/09/1991
Date Reported 22/08/1991
Age : 37 YEARS Sex MALE Height
Weight Date Of Onset 04/07/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
Description : ARM WAS RED HOT AND SWOLLEN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY DRUG SPECIFIC ANTIBODY
Lab Normal Range :
0 A TETANUS ANTIBODY ASSEY DONE 1 MONTH AFTER THE ADT INJECTION GAVE A LEVEL OF
28.6 IU/ML
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72437 Sequence 1
Computer Entry Date 04/09/1991
Date Reported 22/08/1991
Age : 37 YEARS Sex MALE Height
Weight Date Of Onset 04/07/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
Description : FELT ILL
DIZZINESS
FEVER
Description : FEVERISH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72487 Sequence 1
Computer Entry Date 09/09/1991
Date Reported 25/08/1991
Age : 41 YEARS Sex FEMALE Height
Weight Date Of Onset 00/06/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA ZADINE
Description : ACHING JOINTS
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION
1 TIME INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72535 Sequence 1
Computer Entry Date 09/09/1991
Date Reported 27/08/1991
Age Sex MALE Height 178
Weight 68 Date Of Onset 18/08/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANAPHYLACTOID REACTION
Included Term : ANAPHYLAXIS
OEDEMA
Description : SWELLING AND RED WHEALS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/08/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPHOID ORAL VACCINE S PER ORAL
3 TIMES PER ORAL
DRUG ADMINISTRATION BEGAN 06/08/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72576 Sequence 1
Computer Entry Date 16/09/1991
Date Reported 09/08/1991
Age Sex MALE Height
Weight Date Of Onset 09/08/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SWEATING INCREASED
HYDROCORTISONE 100MG IM STAT, PROMETHAZINE 25MG ORAL TDS.
Description : SWEATING AND FEELING HOT
ASTHENIA
Included Term : WEAKNESS GENERALIZED
CHEILITIS
Description : OEDEMA OF LIPS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/08/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72585 Sequence 1
Computer Entry Date 16/09/1991
Date Reported 25/08/1991
Age : 4 MONTHS Sex FEMALE Height 59
Weight 6 Date Of Onset 15/08/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPOTONIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
AUGMENTIN S SYRUP 4.5 ML
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 08/08/1991 AND CEASED 15/08/1991
ICD Code : OTITIS MEDIA W/O MASTOIDIT NOS
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/08/1991
SABIN VACCINE S PER ORAL 1.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 15/08/1991
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72593 Sequence 1
Computer Entry Date 17/09/1991
Date Reported 29/08/1991
Age : 67 YEARS Sex FEMALE Height
Weight Date Of Onset 16/07/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH VESICULAR SYSTEMIC
STEROIDS
Description : RASH ON ELBOWS, HIPS AND LEGS
FACE OEDEMA
Description : CENTRAL FACIAL ERYTHEMA/OEDEMA/WEEPING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/07/1991
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72620 Sequence 1
Computer Entry Date 18/09/1991
Date Reported 08/08/1991
Age : 6 YEARS Sex MALE Height
Weight Date Of Onset 27/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE PANADOL
DOUBLE DOSE FOR 5 DAYS.
Description : UNWELL
FEVER
Description : TEMPERATURE TO 40 DEGRESS CELCIUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72683 Sequence 1
Computer Entry Date 23/09/1991
Date Reported 02/09/1991
Age : 19 MONTHS Sex MALE Height
Weight Date Of Onset 18/08/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS
Description : LUMP AT SITE OF INJECTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/11/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72684 Sequence 1
Computer Entry Date 23/09/1991
Date Reported 02/09/1991
Age : 15 MONTHS Sex MALE Height
Weight Date Of Onset 00/08/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Description : FEVER OF MORE THAN 30 DEGREES.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/08/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72685 Sequence 1
Computer Entry Date 23/09/1991
Date Reported 02/09/1991
Age : 9 WEEKS Sex MALE Height
Weight Date Of Onset 00/08/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Description : FEVER OF MORE THAN 39 DEGREES.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/08/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72686 Sequence 1
Computer Entry Date 23/09/1991
Date Reported 02/09/1991
Age Code A1 - Adolescent Sex FEMALE Height
Weight Date Of Onset 24/07/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
PENICILLIN AND GENTAMICIN.
FEVER
COMA
FAECAL INCONTINENCE
SEPSIS
Description : STAPH AUREUS SEPTICAEMIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S CAPSULE 1.0 DF
ALTERNATE DAYS PER ORAL
DRUG ADMINISTRATION BEGAN 10/07/1991 AND CEASED 14/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
MALOPRIM S
DRUG ADMINISTRATION BEGAN 17/07/1991
CHLOROQUINE S
DRUG ADMINISTRATION BEGAN 17/07/1991
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72687 Sequence 1
Computer Entry Date 23/09/1991
Date Reported 02/09/1991
Age : 55 YEARS Sex MALE Height
Weight Date Of Onset 18/08/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
ADRENALINE.
Description : URTICARIA ALL OVER BODY.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/08/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPH-VAX S CAPSULE 1.0 DF
ALTERNATE DAYS PER ORAL
DRUG ADMINISTRATION BEGAN 08/08/1991 AND CEASED 12/08/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY DRUG SPECIFIC ANTIBODY
Lab Normal Range :
0 TETANUS ANTIBODY ASSAY TITRE OF 5.7 IU/ML.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72690 Sequence 1
Computer Entry Date 23/09/1991
Date Reported 02/09/1991
Age : 25 YEARS Sex FEMALE Height
Weight Date Of Onset 19/08/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
HEADACHE
DIARRHOEA
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S CAPSULE 1.0 DF
ALTERNATE DAYS PER ORAL
DRUG ADMINISTRATION BEGAN 16/08/1991 AND CEASED 20/08/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72691 Sequence 1
Computer Entry Date 23/09/1991
Date Reported 02/09/1991
Age Code A4 - Forties Sex MALE Height
Weight Date Of Onset 17/07/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA
Description : MUSCLE ACHES AND PAINS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 TETANUS ANTIBODY ASSAY GAVE A TITRE OF 157.3 IU/ML. THE PROTECTIVE LEVEL IS
CONSIDERED TO BE 0.01 IU/ML.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72785 Sequence 1
Computer Entry Date 25/09/1991
Date Reported 13/09/1991
Age : 43 YEARS Sex MALE Height 178
Weight 68 Date Of Onset 07/09/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
Description : SORENESS INJECTION SITE
LYMPHADENOPATHY
Description : SMALL TENDER PALPABLE LYMPHNODIS.
MYALGIA
Description : GENERALISED BODY ACHES.
ARTHRALGIA
Description : ARTHRALIGIA IN JOINTS OF HANDS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 06/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72809 Sequence 1
Computer Entry Date 25/09/1991
Date Reported 03/09/1991
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 10/07/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL.
Description : TEMPERATURE OF 39 DEGREES.
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72833 Sequence 1
Computer Entry Date 26/09/1991
Date Reported 09/09/1991
Age : 36 YEARS Sex MALE Height
Weight Date Of Onset 07/01/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONFUSION
Description : FELT VAGUE.
FEVER
Description : FEBRIL 40 DEGREES.
SWEATING INCREASED
Description : HOT AND COLD SWEATS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 07/01/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72840 Sequence 1
Computer Entry Date 26/09/1991
Date Reported 05/09/1991
Age : 20 MONTHS Sex MALE Height
Weight Date Of Onset 05/09/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
VOMITING
FATIGUE
Included Term : LETHARGY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 05/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72852 Sequence 1
Computer Entry Date 26/09/1991
Date Reported 11/09/1991
Age : 21 YEARS Sex FEMALE Height 160
Weight 68 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
Description : SORE ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/03/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72856 Sequence 1
Computer Entry Date 26/09/1991
Date Reported 13/09/1991
Age Code A2 - Twenties Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/08/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY DRUG SPECIFIC ANTIBODY
Lab Normal Range :
0 TETANUS ANTIBODY ASSAY - TITRE OF 1.7 IU/ML. PROTECTIVE LEVEL IS CONSIDERED
TO BE 0.01 IU/ML.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72925 Sequence 1
Computer Entry Date 30/09/1991
Date Reported 13/09/1991
Age : 60 YEARS Sex FEMALE Height
Weight Date Of Onset 01/09/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
Description : FELT ILL.
INJECTION SITE INFLAMMATION
Description : ARM BECAME SORE AND INFLAMMED.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/08/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72927 Sequence 1
Computer Entry Date 30/09/1991
Date Reported 12/09/1991
Age : 57 YEARS Sex FEMALE Height
Weight Date Of Onset 15/08/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
ANTIHISTAMINE.
Description : ARM BECAME VERY SWOLLEN.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/08/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72955 Sequence 1
Computer Entry Date 01/10/1991
Date Reported 12/09/1991
Age : 10 MONTHS Sex MALE Height
Weight Date Of Onset 08/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
PARACETAMOL, LOCAL ICE
Description : RED INDURATED REACTION AROUND INJ SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/03/1991 AND CEASED 08/03/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 72958 Sequence 1
Computer Entry Date 01/10/1991
Date Reported 12/09/1991
Age : 10 MONTHS Sex MALE Height
Weight Date Of Onset 23/05/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION LOCAL
ICE AND PARACETAMOL
Description : LARGE RED INDURATED AREA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/05/1991 AND CEASED 23/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 TETANUS ANTIBODIES CHECKED - 1200
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73013 Sequence 1
Computer Entry Date 01/10/1991
Date Reported 12/09/1991
Age : 6 MONTHS Sex MALE Height
Weight 8 Date Of Onset 10/09/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
Description : SEVERE INFLAMMATION SWELLING AND PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73059 Sequence 1
Computer Entry Date 03/10/1991
Date Reported 23/09/1991
Age Sex MALE Height
Weight Date Of Onset 06/09/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
Description : SORE RED ARM AT SITE OF INJECTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CHOLERA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 06/09/1991 AND CEASED 06/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73070 Sequence 1
Computer Entry Date 04/10/1991
Date Reported 23/09/1991
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset 06/09/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
PARACETAMOL
INJECTION SITE INFLAMMATION
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/09/1991 AND CEASED 06/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73072 Sequence 1
Computer Entry Date 04/10/1991
Date Reported 23/09/1991
Age : 15 MONTHS Sex FEMALE Height
Weight Date Of Onset 00/09/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Description : BABY BECAME UPSET IMMEDIATELY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73085 Sequence 1
Computer Entry Date 04/10/1991
Date Reported 05/09/1991
Age : 46 YEARS Sex FEMALE Height 170
Weight 75 Date Of Onset 21/08/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
DIZZINESS
Description : FAINTNESS
FATIGUE
Description : LETHARGY
ASTHENIA
Included Term : WEAKNESS GENERALIZED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/08/1991 AND CEASED 21/08/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73155 Sequence 1
Computer Entry Date 10/10/1991
Date Reported 26/09/1991
Age : 54 YEARS Sex FEMALE Height 157
Weight 70 Date Of Onset 20/07/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RIGORS
ANTIBIOTICS.
Description : SHAKES.
FEVER
INJECTION SITE INFLAMMATION
Description : SWOLLEN, RED, ITCHY ARM.
MYALGIA
Description : ACHES AND PAINS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73159 Sequence 1
Computer Entry Date 10/10/1991
Date Reported 24/09/1991
Age : 50 YEARS Sex MALE Height
Weight Date Of Onset 04/09/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SWEATING INCREASED
ARTHRALGIA
Description : SEVERE JOINT PAINS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 TETANUS ANTIBODY ASSAY - TITRE OF 1.0 IU/L
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73160 Sequence 1
Computer Entry Date 10/10/1991
Date Reported 24/09/1991
Age Code AC - Child Sex FEMALE Height
Weight Date Of Onset 00/09/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER DYMADON
GIVEN PRIOR TO INJECTION (ROUTINE)
INJECTION SITE REACTION
Description : RED, SWOLLEN LOCAL REACTION.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73161 Sequence 1
Computer Entry Date 10/10/1991
Date Reported 24/09/1991
Age Code AC - Child Sex MALE Height
Weight Date Of Onset 00/09/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER DYMADON
WAS GIVEN BEFORE INJECTION (ROUTINE)
INJECTION SITE REACTION
Description : RED, SWOLLEN LOCAL REACTION.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73162 Sequence 1
Computer Entry Date 10/10/1991
Date Reported 24/09/1991
Age Code AB - Baby Sex FEMALE Height
Weight Date Of Onset 00/09/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER DYMADON
WAS GIVEN PRIOR TO INJECTION (ROUTINE)
INJECTION SITE REACTION
Description : RED, SWOLLEN LOCAL REACTION.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73193 Sequence 1
Computer Entry Date 11/10/1991
Date Reported 25/09/1991
Age : 2 YEARS Sex MALE Height
Weight 12 Date Of Onset 10/09/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
Description : REACTION INVOLVED ALL OF BUTTOCK.
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73219 Sequence 1
Computer Entry Date 18/10/1991
Date Reported 02/10/1991
Age : 6 MONTHS Sex MALE Height 58
Weight 6 Date Of Onset 10/05/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER INFANT
PANADEINE
Description : SLIGHT TEMPERATURE ELEVATION
VOMITING
CRYING ABNORMAL
Description : CRIED ALOT
INSOMNIA
Description : DID NOT SLEEP FOR 24 HOURS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S PER ORAL
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 10/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73245 Sequence 1
Computer Entry Date 21/10/1991
Date Reported 02/10/1991
Age : 21 YEARS Sex MALE Height 178
Weight 78 Date Of Onset 25/09/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN IVI
FLUIDS, TELDANE AND TAGAMET.
NAUSEA
HEADACHE
DIZZINESS
HYPOTENSION
BRADYCARDIA
CYANOSIS
PALLOR
Description : PALE
CIRCULATORY FAILURE
Description : PERIPHERAL SHUTDOWN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73277 Sequence 1
Computer Entry Date 21/10/1991
Date Reported 08/10/1991
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 13/08/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS
Included Term : IRRITABILITY
CRYING ABNORMAL
Description : INTERMITTENT SCREAMING.
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S 0.5 ML
DAILY
DRUG ADMINISTRATION BEGAN 13/08/1991 AND CEASED 13/08/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73293 Sequence 1
Computer Entry Date 21/10/1991
Date Reported 07/10/1991
Age : 67 YEARS Sex FEMALE Height 154
Weight 75 Date Of Onset 27/09/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
ANTIHISTAMINES
Description : SWOLLEN HOT RED ITCHY ARM.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
LOPRESOR O TABLET 150.0 MG
DAILY PER ORAL
LONG TERM
ICD Code : ESSENTIAL BENIGN HYPERTENSION
ALDOMET O TABLET 500.0 MG
DAILY PER ORAL
LONG TERM
ICD Code : ESSENTIAL BENIGN HYPERTENSION
DYAZIDE O TABLET 1.0 DF
DAILY PER ORAL
LONG TERM
ICD Code : ESSENTIAL BENIGN HYPERTENSION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73294 Sequence 1
Computer Entry Date 21/10/1991
Date Reported 06/08/1991
Age : 51 YEARS Sex FEMALE Height
Weight Date Of Onset 31/07/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PHOTOSENSITIVITY REACTION
Description : PHOTOSENSITIVE RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
YELLOW FEVER VACCINE S INJECTION 5.0 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 26/07/1991 AND CEASED 26/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73300 Sequence 1
Computer Entry Date 21/10/1991
Date Reported 08/10/1991
Age : 55 YEARS Sex FEMALE Height 152
Weight 49 Date Of Onset 30/09/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
PHENERGAN 30MG.
Description : WHOLE ARM SWOLLEN, RED AND ITCHY.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 28/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
BRONDECON O 20.0 MG
DAILY
ICD Code : COUGH
PANADOL O
ZADINE O 1.0 DF
DAILY
ICD Code : HAY FEVER
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73354 Sequence 1
Computer Entry Date 22/10/1991
Date Reported 08/10/1991
Age : 21 YEARS Sex MALE Height
Weight Date Of Onset 16/09/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S INJECTION 1.0 DF
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 12/09/1991 AND CEASED 12/09/1991
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73368 Sequence 1
Computer Entry Date 22/10/1991
Date Reported 07/11/1991
Age : 8 MONTHS Sex FEMALE Height
Weight Date Of Onset 08/08/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
4 HOURLY
Description : FEVER OF 40 DEGREES CELCIUS
NERVOUSNESS
Included Term : IRRITABILITY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/08/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73373 Sequence 1
Computer Entry Date 22/10/1991
Date Reported 08/10/1991
Age : 23 YEARS Sex FEMALE Height
Weight Date Of Onset 00/09/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
Description : ALLERGIC RASH ALL OVER BODY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CHOLERA VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73377 Sequence 1
Computer Entry Date 23/10/1991
Date Reported 08/10/1991
Age : 33 YEARS Sex FEMALE Height
Weight Date Of Onset 08/08/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PARAESTHESIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/08/1991 AND CEASED 08/08/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 TITRE OF 3.22 IU/ML.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73384 Sequence 1
Computer Entry Date 23/10/1991
Date Reported 08/10/1991
Age : 25 YEARS Sex FEMALE Height
Weight Date Of Onset 21/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA
CORTICOSTEROID INJECTION, ANTI-INFLAMMATORY DRUGS.
Description : PAIN IN SHOULDERS, NECK AND UPPER BACK
ARTHRITIS
Description : POLYARTHRITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q FEVER VACCINE S INJECTION 1.0 DF
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 18/04/1991 AND CEASED 18/04/1991
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73389 Sequence 1
Computer Entry Date 23/10/1991
Date Reported 08/10/1991
Age : 15 MONTHS Sex MALE Height
Weight Date Of Onset 03/10/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Description : FEVER 39 DEGREES
RASH MORBILLIFORM
Description : RASH ON FACE, BODY AND LIMBS
LYMPHADENOPATHY
Description : CERVICAL, AXILLARY NODE SWELLING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 27/09/1991 AND CEASED 27/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73429 Sequence 1
Computer Entry Date 24/10/1991
Date Reported 11/10/1991
Age Code AB - Baby Sex Height
Weight Date Of Onset 00/09/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SWEATING INCREASED
Description : SWEATY
SOMNOLENCE
Included Term : DROWSINESS
CRYING ABNORMAL
Description : MOANING BUT NO TRUE CRY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73430 Sequence 1
Computer Entry Date 24/10/1991
Date Reported 11/10/1991
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 11/09/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPOTONIA
Description : HYPOTONIC/HYPORESPONSIVE EPISODE
SWEATING INCREASED
Description : SWEATY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73431 Sequence 1
Computer Entry Date 24/10/1991
Date Reported 11/10/1991
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 27/09/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPOTONIA
Description : HYPOTONIC/HYPORESPONSIVE EPISODE
SWEATING INCREASED
Description : SWEATY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73442 Sequence 1
Computer Entry Date 25/10/1991
Date Reported 17/10/1991
Age : 12 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Description : HIGH TEMPERATURE
ANOREXIA
Description : OFF FOOD
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S 1.0 DF
DAILY
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPLE ANTIGEN O 1.0 DF
DAILY
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73443 Sequence 1
Computer Entry Date 25/10/1991
Date Reported 11/10/1991
Age : 20 YEARS Sex MALE Height
Weight Date Of Onset 25/09/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CIRCULATORY FAILURE PATIENT
WAS GIVEN 3 LITRES OF FLUID, WARMED ETC, ANTIHISTAMI
Included Term : SHOCK
Description : TOXIC SHOCK SYNDROME
NAUSEA
ABDOMINAL PAIN
MALAISE
Description : FELT UNWELL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 25/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73453 Sequence 1
Computer Entry Date 28/10/1991
Date Reported 17/10/1991
Age : 19 YEARS Sex FEMALE Height 168
Weight 72 Date Of Onset 00/06/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
ANTIHISTAMINE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/06/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73460 Sequence 1
Computer Entry Date 28/10/1991
Date Reported 17/10/1991
Age : 21 MONTHS Sex FEMALE Height
Weight Date Of Onset 14/10/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS GRAND MAL VALIUM
5MG IM.
Included Term : STATUS EPILEPTICUS
Description : PROLONGED GRAND MAL FIT.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES MUMPS VACCINE S 1.0 DF
DAILY
DRUG ADMINISTRATION BEGAN 14/10/1991 AND CEASED 14/10/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73495 Sequence 1
Computer Entry Date 29/10/1991
Date Reported 15/10/1991
Age : 53 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS
Description : ARTHRALGIA AND SWOLLEN WRISTS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73497 Sequence 1
Computer Entry Date 29/10/1991
Date Reported 15/10/1991
Age : 15 MONTHS Sex Height
Weight 10 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS
Included Term : IRRITABILITY
SLEEP DISORDER
Description : SLEEP DISTURBANCE.
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73564 Sequence 1
Computer Entry Date 01/11/1991
Date Reported 20/10/1991
Age : 56 YEARS Sex MALE Height 180
Weight Date Of Onset 27/02/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PNEUMONIA DIAZEPAM
PLEURISY
AGGRESSIVE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
1 TIME
DRUG ADMINISTRATION BEGAN 27/02/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73637 Sequence 1
Computer Entry Date 06/11/1991
Date Reported 11/10/1991
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : LOCALISED LUMP AT INJECTION SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/09/1991
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73820 Sequence 1
Computer Entry Date 13/11/1991
Date Reported 28/10/1991
Age : 2 YEARS Sex FEMALE Height
Weight Date Of Onset 20/07/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
RASH MORBILLIFORM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 10/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73829 Sequence 1
Computer Entry Date 13/11/1991
Date Reported 29/10/1991
Age : 45 YEARS Sex MALE Height 172
Weight 80 Date Of Onset 10/08/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
SYMPTOMATIC ONLY
Description : ACUTE FEBRILE ILLNESS.
ASTHENIA
Included Term : WEAKNESS GENERALIZED
MALAISE
TREMOR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 ML
1 TIME
DRUG ADMINISTRATION BEGAN 09/08/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73839 Sequence 1
Computer Entry Date 13/11/1991
Date Reported 01/11/1991
Age : 5 MONTHS Sex Height
Weight Date Of Onset 30/10/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPERTENSION INTRACRANIAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 30/10/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73875 Sequence 1
Computer Entry Date 14/11/1991
Date Reported 30/10/1991
Age : 3 MONTHS Sex MALE Height
Weight Date Of Onset 00/10/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/10/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73876 Sequence 1
Computer Entry Date 14/11/1991
Date Reported 30/10/1991
Age : 47 YEARS Sex MALE Height
Weight Date Of Onset 16/10/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION PANADOL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/10/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 A TETANUS ANTIBODY ASSAY GAVE LEVEL OF 15.1 IU/ML, PROTECTIVE LEVEL IS SAID TO
BE 0.01 IU/ML.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73958 Sequence 1
Computer Entry Date 18/11/1991
Date Reported 07/11/1991
Age : 2 YEARS Sex MALE Height 74
Weight 9 Date Of Onset 04/11/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
COUGHING
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 31/10/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73959 Sequence 1
Computer Entry Date 18/11/1991
Date Reported 07/11/1991
Age : 2 YEARS Sex MALE Height 73
Weight 9 Date Of Onset 07/11/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
COUGHING
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S
DRUG ADMINISTRATION BEGAN 31/10/1991 AND CEASED 31/10/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73983 Sequence 1
Computer Entry Date 19/11/1991
Date Reported 06/11/1991
Age : 10 MONTHS Sex Height
Weight Date Of Onset 00/10/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
SKIN DEPIGMENTATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/10/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73988 Sequence 1
Computer Entry Date 19/11/1991
Date Reported 04/11/1991
Age : 25 YEARS Sex MALE Height 182
Weight Date Of Onset 25/10/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN
DIARRHOEA
SWEATING INCREASED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 25/10/1991
METHADONE HYDROCHLORIDE O SYRUP 35.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 02/07/1991 AND CONTINUED
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 73998 Sequence 1
Computer Entry Date 19/11/1991
Date Reported 06/11/1991
Age : 26 YEARS Sex MALE Height
Weight Date Of Onset 00/06/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 10.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/06/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74029 Sequence 1
Computer Entry Date 20/11/1991
Date Reported 11/11/1991
Age : 38 YEARS Sex FEMALE Height
Weight Date Of Onset 00/06/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
PARAESTHESIA
VERTIGO
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
2 TIMES INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/06/1991 AND CEASED 01/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74054 Sequence 1
Computer Entry Date 21/11/1991
Date Reported 11/11/1991
Age : 35 YEARS Sex MALE Height
Weight 65 Date Of Onset 08/11/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HERPES ZOSTER
Included Term : SHINGLES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/10/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74060 Sequence 1
Computer Entry Date 21/11/1991
Date Reported 12/11/1991
Age : 65 YEARS Sex FEMALE Height
Weight Date Of Onset 24/07/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEURITIS
MYSTECLIN V AND VIBRAMYCIN.
PAIN
INJECTION SITE REACTION
LYMPHADENOPATHY
Description : HEALED INFLAMED TISSUE WITH SCAB AT SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O PER ORAL
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 03/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74062 Sequence 1
Computer Entry Date 21/11/1991
Date Reported 12/11/1991
Age : 28 YEARS Sex MALE Height
Weight Date Of Onset 15/08/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEURITIS
MYSTECLIN V AND VIBRAMYCIN.
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74064 Sequence 1
Computer Entry Date 21/11/1991
Date Reported 12/11/1991
Age Sex FEMALE Height
Weight Date Of Onset 05/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
UPPER RESP TRACT INFECTION
MYSTECLIN V AND VIBRAMYCIN.
Included Term : UPPER RESPIRATORY TRACT INFECTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 03/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74065 Sequence 1
Computer Entry Date 21/11/1991
Date Reported 12/11/1991
Age : 10 WEEKS Sex FEMALE Height
Weight Date Of Onset 25/10/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/10/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74066 Sequence 1
Computer Entry Date 21/11/1991
Date Reported 12/11/1991
Age : 2 YEARS Sex FEMALE Height
Weight Date Of Onset 06/11/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
ASPHYXIA
DEATH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/11/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 CHILD DIED FROM RESPIRATORY OBSTRUCTION FROM VOMITUS, PROB FOLLOWING A FIT.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : DEATH AS REACTION
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74178 Sequence 1
Computer Entry Date 26/11/1991
Date Reported 29/10/1991
Age : 5 MONTHS Sex MALE Height
Weight Date Of Onset 03/09/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74181 Sequence 1
Computer Entry Date 26/11/1991
Date Reported 13/11/1991
Age : 3 MONTHS Sex Height
Weight Date Of Onset 09/07/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Description : FEVERISH
VOMITING
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74182 Sequence 1
Computer Entry Date 26/11/1991
Date Reported 13/11/1991
Age : 7 MONTHS Sex Height
Weight Date Of Onset 11/06/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS
Included Term : IRRITABILITY
CRYING ABNORMAL
Included Term : SCREAMING
FEVER
INSOMNIA
Description : BABY HARDLY SLEPT
ANOREXIA
Description : BABY HARDLY ATE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/06/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74183 Sequence 1
Computer Entry Date 26/11/1991
Date Reported 13/11/1991
Age : 3 MONTHS Sex Height
Weight Date Of Onset 13/08/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : SORE LEG/LARGE LOCAL REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/08/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74184 Sequence 1
Computer Entry Date 26/11/1991
Date Reported 13/11/1991
Age : 4 MONTHS Sex Height
Weight Date Of Onset 10/09/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Description : CRYING AND MISERABLE
INJECTION SITE REACTION
Description : HOT, RED AND SWOLLEN AT INJECTION SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74185 Sequence 1
Computer Entry Date 26/11/1991
Date Reported 13/11/1991
Age : 2 MONTHS Sex Height
Weight Date Of Onset 10/09/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
VOMITING
PALLOR
Description : PALE
FATIGUE
Included Term : LETHARGY
Description : LISTLESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74186 Sequence 1
Computer Entry Date 26/11/1991
Date Reported 13/11/1991
Age : 4 MONTHS Sex Height
Weight Date Of Onset 08/10/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANOREXIA
Description : NOT FEEDING
SOMNOLENCE
Description : SLEEPING MORE THAN USUAL
FEVER
Description : FEVER OF 38.3 DEGREES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/10/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74187 Sequence 1
Computer Entry Date 26/11/1991
Date Reported 13/11/1991
Age : 5 MONTHS Sex Height
Weight Date Of Onset 10/09/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
FEVER
Description : SLIGHT FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74188 Sequence 1
Computer Entry Date 26/11/1991
Date Reported 13/11/1991
Age : 2 YEARS Sex FEMALE Height
Weight Date Of Onset 00/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
NERVOUSNESS
Included Term : IRRITABILITY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74189 Sequence 1
Computer Entry Date 26/11/1991
Date Reported 13/11/1991
Age : 2 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
INJECTION SITE REACTION
Description : RED ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74190 Sequence 1
Computer Entry Date 26/11/1991
Date Reported 13/11/1991
Age : 10 WEEKS Sex Height
Weight Date Of Onset 10/10/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
FEVER
Description : TEMPERATURE OF 37.5 DEGREES
SOMNOLENCE
Description : SLEPT ALL THE FOLLOWING DAY
INJECTION SITE REACTION
Description : INJ SITE WAS SWOLLEN AND HARD
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/10/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74192 Sequence 1
Computer Entry Date 26/11/1991
Date Reported 13/11/1991
Age : 9 MONTHS Sex Height
Weight Date Of Onset 15/10/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/10/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74196 Sequence 1
Computer Entry Date 26/11/1991
Date Reported 11/11/1991
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 00/01/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER GIVEN
PANADOL
Description : VERY HIGH TEMPERATURE 40.2 DEGREES.
INJECTION SITE REACTION
Description : SWELLING AT INJECTION SITE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
DRUG ADMINISTRATION BEGAN 00/01/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74197 Sequence 1
Computer Entry Date 26/11/1991
Date Reported 11/11/1991
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CATARACT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
DRUG ADMINISTRATION BEGAN 00/01/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PANADOL S PER ORAL
PER ORAL
DRUG ADMINISTRATION BEGAN 00/01/1991
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74211 Sequence 1
Computer Entry Date 27/11/1991
Date Reported 19/09/1991
Age : 73 YEARS Sex FEMALE Height 156
Weight Date Of Onset 18/05/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE
VOMITING
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74212 Sequence 1
Computer Entry Date 27/11/1991
Date Reported 21/11/1991
Age : 14 MONTHS Sex MALE Height
Weight Date Of Onset 12/11/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
Description : RASH ON TRUNK AND LIMBS
LYMPHADENOPATHY CERVICAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 28/10/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74290 Sequence 1
Computer Entry Date 05/12/1991
Date Reported 20/11/1991
Age : 20 YEARS Sex MALE Height
Weight Date Of Onset 04/10/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : PYREXIA
HEADACHE
VOMITING
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S
DRUG ADMINISTRATION BEGAN 04/10/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74406 Sequence 1
Computer Entry Date 12/12/1991
Date Reported 26/11/1991
Age Code A4 - Forties Sex MALE Height
Weight Date Of Onset 00/11/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : MASSIVE LOCAL REACTION IN ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/11/1991 AND CEASED 00/11/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74407 Sequence 1
Computer Entry Date 12/12/1991
Date Reported 26/11/1991
Age Code A5 - Fifties Sex FEMALE Height
Weight Date Of Onset 00/11/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : MASSIVE LOCAL REACTION IN ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/11/1991 AND CEASED 00/11/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74411 Sequence 1
Computer Entry Date 12/12/1991
Date Reported 26/11/1991
Age : 27 YEARS Sex FEMALE Height
Weight 65 Date Of Onset 15/11/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION GIVEN
FABAHISTINE
Description : DEVELOPED A RED ITCHY LUMP
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S INJECTION 1.0 DF
DAILY SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 14/11/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74412 Sequence 1
Computer Entry Date 12/12/1991
Date Reported 26/11/1991
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset 13/11/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION GIVEN
ANTIBIOTICS
Description : RED SWOLLEN LEG
FEVER
PHARYNGITIS
Included Term : TONSILLITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/11/1991 AND CEASED 12/11/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74413 Sequence 1
Computer Entry Date 12/12/1991
Date Reported 26/11/1991
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 24/09/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
Description : GIVEN PANADOL EVERY 4 HOURS
FEVER
Description : TEMPERATURE OF 37.6 DEGREES
APNOEA
Description : BABY STOPPED BREATHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/09/1991 AND CEASED 24/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74414 Sequence 1
Computer Entry Date 12/12/1991
Date Reported 26/11/1991
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 13/11/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Description : HIGH FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/11/1991 AND CEASED 12/11/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74481 Sequence 1
Computer Entry Date 16/12/1991
Date Reported 04/12/1991
Age : 32 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
Included Term : ITCHING
RASH
Description : RASH ALL OVER BODY, WORSE ON TRUNK,LIMBS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION
1 TIME INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74482 Sequence 1
Computer Entry Date 16/12/1991
Date Reported 04/12/1991
Age : 19 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
URTICARIA
Description : HIVES AROUND INJECTION SITE
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION
1 TIME INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74483 Sequence 1
Computer Entry Date 16/12/1991
Date Reported 04/12/1991
Age : 41 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RIGORS
Description : FELT COLD AND SHIVERING
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION
1 TIME INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74484 Sequence 1
Computer Entry Date 16/12/1991
Date Reported 04/12/1991
Age : 35 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PARAESTHESIA
Description : TINGLING/PINS & NEEDLES IN ARMS, FINGERS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION
1 TIME INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74502 Sequence 1
Computer Entry Date 17/12/1991
Date Reported 03/12/1991
Age : 14 YEARS Sex MALE Height
Weight 53 Date Of Onset 16/11/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MUMPS
PARACETAMOL
Description : FULL BLOWN MUMPS
ABDOMINAL PAIN
FEVER
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 30/10/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74508 Sequence 1
Computer Entry Date 17/12/1991
Date Reported 03/12/1991
Age : 4 YEARS Sex FEMALE Height
Weight 29 Date Of Onset 01/11/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR
THIRST
ASTHENIA
Included Term : WEAKNESS GENERALIZED
FATIGUE
Included Term : TIREDNESS
CONSCIOUSNESS FLUCTUATING
Description : DROP IN CONSCIOUS LEVEL.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 01/11/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74543 Sequence 1
Computer Entry Date 19/12/1991
Date Reported 02/12/1991
Age : 41 YEARS Sex FEMALE Height
Weight Date Of Onset 27/11/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS SWELLING
SETTLED AFTER PHENERGAN 25MG X 3 DOSES
Description : SWELLING/ARTHRALGIA OF HANDS/FEET/ANKLES
PRURITUS
Description : PRURITUS OF HANDS AND FEET
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
YELLOW FEVER VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 27/11/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74571 Sequence 1
Computer Entry Date 23/12/1991
Date Reported 04/12/1991
Age : 27 YEARS Sex FEMALE Height
Weight Date Of Onset 16/11/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PHARYNGITIS
PARACETAMOL AND PROMETHAZINE.
Included Term : THROAT SORE
RHINITIS
Description : RUNNY NOSE.
HEADACHE
DIARRHOEA
VOMITING
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S CAPSULE 1.0 DF
TOTAL PER ORAL
DRUG ADMINISTRATION BEGAN 16/11/1991 AND CEASED 16/11/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74572 Sequence 1
Computer Entry Date 23/12/1991
Date Reported 04/12/1991
Age : 46 YEARS Sex MALE Height
Weight Date Of Onset 20/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
TESTIS DISORDER
Description : VERY SORE TESTICLES.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S INJECTION
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 18/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74573 Sequence 1
Computer Entry Date 23/12/1991
Date Reported 04/12/1991
Age : 46 YEARS Sex MALE Height
Weight Date Of Onset 20/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
EPIDIDYMITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S INJECTION
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 18/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74574 Sequence 1
Computer Entry Date 23/12/1991
Date Reported 04/12/1991
Age : 8 WEEKS Sex FEMALE Height
Weight 5 Date Of Onset 02/10/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
Description : RASH ALL OVER HEAD, BODY AND LEGS
FEVER
Description : TEMP. 39 DEGREES.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74575 Sequence 1
Computer Entry Date 23/12/1991
Date Reported 04/12/1991
Age : 7 MONTHS Sex FEMALE Height
Weight Date Of Onset 10/11/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
PARACETAMOL AND PROMETHAZINE.
Description : RASH ON ARMS AND BACK
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/11/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74578 Sequence 1
Computer Entry Date 23/12/1991
Date Reported 04/12/1991
Age : 28 YEARS Sex MALE Height
Weight Date Of Onset 03/12/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
YELLOW FEVER VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 25/11/1991 AND CEASED 25/11/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74606 Sequence 1
Computer Entry Date 02/01/1992
Date Reported 09/12/1991
Age : 34 YEARS Sex MALE Height 175
Weight 75 Date Of Onset 06/12/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
Description : LOCAL SWELLING.
FEVER
ARTHRALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74620 Sequence 1
Computer Entry Date 02/01/1992
Date Reported 03/12/1991
Age : 6 MONTHS Sex FEMALE Height
Weight Date Of Onset 01/10/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA GIVEN
PANADOL DROPS
CRYING ABNORMAL
Included Term : SCREAMING
Description : SCREAMING HYSTERICALLY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/10/1991 AND CEASED 01/10/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74675 Sequence 1
Computer Entry Date 06/01/1992
Date Reported 19/12/1991
Age : 42 YEARS Sex FEMALE Height
Weight 63 Date Of Onset 05/12/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : ERYTHEMA/INDURATION 12X10CM AT INJ SITE
NAUSEA
FATIGUE
Included Term : LETHARGY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/12/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 TETANUS ANTIBODY TITRE 1.14IU/ML (PROTECTIVE LEVEL 0.01 IU/ML).
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74676 Sequence 1
Computer Entry Date 07/01/1992
Date Reported 19/12/1991
Age : 26 YEARS Sex FEMALE Height
Weight 50 Date Of Onset 05/12/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : SWELLING/PAIN/HEAT/REDNESS AT INJ SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CHOLERA VACCINE S INJECTION
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 04/12/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74677 Sequence 1
Computer Entry Date 07/01/1992
Date Reported 19/12/1991
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset 03/12/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SWEATING INCREASED
NAUSEA
FEVER
Included Term : FEBRILE REACTION
INJECTION SITE REACTION
Description : SWOLLEN, MOTTLED RED AND HOT ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/12/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 TETANUS ANTIBODY ASSAY TITRE OF 25.9 IU/ML.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74678 Sequence 1
Computer Entry Date 07/01/1992
Date Reported 20/12/1991
Age : 53 YEARS Sex MALE Height
Weight 90 Date Of Onset 25/11/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : INJECTION SITE BECAME SORE AND TENDER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/11/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range : 0.01 IU/ML
0 ANTIBODY ASSAY 10.09 IU/ML
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74679 Sequence 1
Computer Entry Date 07/01/1992
Date Reported 19/12/1991
Age : 36 YEARS Sex FEMALE Height
Weight 70 Date Of Onset 19/11/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : TENDERNESS AND LOCAL HEAT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/11/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range : 0.01 IU/ML
0 ANTIBODY ASSAY 42.81 IU/ML
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74680 Sequence 1
Computer Entry Date 07/01/1992
Date Reported 19/12/1991
Age : 41 YEARS Sex MALE Height
Weight 92 Date Of Onset 20/11/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : INJECTION SITE TENDER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/11/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range : 0.01 IU/ML
0 ANTIBODY ASSAY 15.40 IU/ML
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74681 Sequence 1
Computer Entry Date 07/01/1992
Date Reported 19/12/1991
Age : 28 YEARS Sex MALE Height
Weight 82 Date Of Onset 28/11/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : PAIN AND SWELLING AND REDNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/11/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range : 0.01IU/ML
0 ANTIBODY ASSAY 0.40 IU/ML.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74699 Sequence 1
Computer Entry Date 07/01/1992
Date Reported 10/12/1991
Age : 6 MONTHS Sex FEMALE Height 57
Weight 10 Date Of Onset 15/10/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE PANADOL
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
1 TIME
DRUG ADMINISTRATION BEGAN 15/10/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74700 Sequence 1
Computer Entry Date 07/01/1992
Date Reported 02/09/1991
Age : 4 MONTHS Sex MALE Height
Weight 7 Date Of Onset 19/06/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANOREXIA
FEVER
SOMNOLENCE
Included Term : DROWSINESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/06/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74705 Sequence 1
Computer Entry Date 07/01/1992
Date Reported 13/12/1991
Age : 19 YEARS Sex FEMALE Height
Weight Date Of Onset 09/11/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
MYALGIA
PARAESTHESIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 07/11/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74770 Sequence 1
Computer Entry Date 08/01/1992
Date Reported 13/12/1991
Age : 40 YEARS Sex FEMALE Height 173
Weight 60 Date Of Onset 05/09/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
FEVER
ARTHRALGIA
ABDOMINAL PAIN
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S
DRUG ADMINISTRATION BEGAN 05/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
FELDENE O
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74771 Sequence 1
Computer Entry Date 08/01/1992
Date Reported 13/12/1991
Age : 5 MONTHS Sex MALE Height
Weight Date Of Onset 05/12/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PARACETAMOL.
Description : TEMP 40 DEGREES.
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/12/1991
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74775 Sequence 1
Computer Entry Date 09/01/1992
Date Reported 17/12/1991
Age : 78 YEARS Sex MALE Height
Weight 70 Date Of Onset 04/12/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
APPLICATION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE INTRAVESICAL IPU S
ICD Code : MALIGNANT NEOPLASM OF BLADDER
0Laboratory Data
===============
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74796 Sequence 1
Computer Entry Date 10/01/1992
Date Reported 13/12/1991
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 06/06/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
RASH
FEVER
Description : TEMP 38.5 DEGREES.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 06/06/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74797 Sequence 1
Computer Entry Date 10/01/1992
Date Reported 13/12/1991
Age : 42 YEARS Sex FEMALE Height 163
Weight 60 Date Of Onset 05/09/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SERUM SICKNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S
Drug Administration Ceased 05/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74817 Sequence 1
Computer Entry Date 15/01/1992
Date Reported 20/12/1991
Age : 6 WEEKS Sex FEMALE Height
Weight 4 Date Of Onset 03/10/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ERYTHEMA MULTIFORME
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/10/1991 AND CEASED 01/10/1991
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74835 Sequence 1
Computer Entry Date 15/01/1992
Date Reported 17/12/1991
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 12/12/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL GIVEN
VALLERGAN
Included Term : SCREAMING
NERVOUSNESS
Included Term : IRRITABILITY
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/12/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74868 Sequence 1
Computer Entry Date 20/01/1992
Date Reported 24/12/1991
Age : 53 YEARS Sex FEMALE Height
Weight Date Of Onset 18/12/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION TREATED
WITH PANADEINE.
Description : SORE RED SWOLLEN LEFT ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/12/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74909 Sequence 1
Computer Entry Date 23/01/1992
Date Reported 30/12/1991
Age : 69 YEARS Sex FEMALE Height
Weight Date Of Onset 14/12/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
MYALGIA
Description : BODY ACHES AND PAINS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
DRUG ADMINISTRATION BEGAN 13/12/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74912 Sequence 1
Computer Entry Date 23/01/1992
Date Reported 02/01/1992
Age : 46 YEARS Sex MALE Height 176
Weight 70 Date Of Onset 18/01/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYOCARDITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S
DRUG ADMINISTRATION BEGAN 04/01/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
MENINGOCOCCAL VACCINE S
DRUG ADMINISTRATION BEGAN 11/12/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : DEATH, MAYBE DRUG
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 74967 Sequence 1
Computer Entry Date 29/01/1992
Date Reported 07/01/1992
Age : 3 YEARS Sex MALE Height
Weight 15 Date Of Onset 17/12/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/12/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75048 Sequence 1
Computer Entry Date 11/02/1992
Date Reported 15/01/1992
Age : 34 YEARS Sex MALE Height
Weight 75 Date Of Onset 18/10/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
Description : ACHING KNEES, ELBOWS AND WRISTS.
MYALGIA
Description : SORE CALF AND ARM MUSCLES
PHARYNGITIS
Description : SORE THROAT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 ML
1 TIME
DRUG ADMINISTRATION BEGAN 11/10/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75102 Sequence 1
Computer Entry Date 13/02/1992
Date Reported 16/01/1992
Age : 45 YEARS Sex FEMALE Height
Weight Date Of Onset 00/12/1988
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
Description : PATCHY, PAINFUL WEALS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION
INTRAVENOUS
DRUG ADMINISTRATION BEGAN 00/12/1988
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75103 Sequence 1
Computer Entry Date 13/02/1992
Date Reported 16/01/1992
Age : 45 YEARS Sex FEMALE Height
Weight Date Of Onset 00/01/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
Description : ITCHING OF THE THIGHS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION
INTRAVENOUS
DRUG ADMINISTRATION BEGAN 00/01/1989
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75104 Sequence 1
Computer Entry Date 13/02/1992
Date Reported 16/01/1992
Age : 45 YEARS Sex FEMALE Height
Weight Date Of Onset 16/07/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VERTIGO
VISION ABNORMAL
VOMITING
NYSTAGMUS
DIPLOPIA
EYE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 10.0 RG
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 26/06/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75194 Sequence 1
Computer Entry Date 17/02/1992
Date Reported 22/01/1992
Age : 17 YEARS Sex FEMALE Height
Weight Date Of Onset 02/01/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
ARTHRALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/01/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75195 Sequence 1
Computer Entry Date 17/02/1992
Date Reported 22/01/1992
Age : 46 YEARS Sex MALE Height
Weight Date Of Onset 24/12/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : INJECTION SITE SWELLING.
LYMPHADENOPATHY
RASH
PURPURA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/12/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75196 Sequence 1
Computer Entry Date 17/02/1992
Date Reported 24/01/1992
Age : 3 YEARS Sex FEMALE Height
Weight Date Of Onset 08/12/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
Description : URTICARIA ON NECK TRUNK AND LEGS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 5.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/12/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75197 Sequence 1
Computer Entry Date 17/02/1992
Date Reported 24/01/1992
Age : 1 YEARS Sex MALE Height
Weight Date Of Onset 07/12/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
Description : URTICARIA ON LEGS AND ARMS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 5.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/12/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75258 Sequence 1
Computer Entry Date 19/02/1992
Date Reported 17/01/1992
Age : 6 YEARS Sex MALE Height
Weight Date Of Onset 00/11/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS REQUIRED
SURGICAL DRAINAGE OF LEFT HIP.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX (PRE 1991) S
DRUG ADMINISTRATION BEGAN 00/11/1991
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75307 Sequence 1
Computer Entry Date 20/02/1992
Date Reported 30/01/1992
Age : 6 YEARS Sex MALE Height
Weight 22 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS GIVEN
FLUCLOXACILLIN AND HAD SURGERY-INCISION & DRAINING OF
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
1 TIME
DRUG ADMINISTRATION BEGAN 03/10/1991
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75313 Sequence 1
Computer Entry Date 21/02/1992
Date Reported 23/01/1992
Age : 43 YEARS Sex FEMALE Height 158
Weight 60 Date Of Onset 23/01/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 22/01/1992
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75339 Sequence 1
Computer Entry Date 21/02/1992
Date Reported 30/01/1992
Age : 29 YEARS Sex MALE Height
Weight Date Of Onset 10/01/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
DIARRHOEA
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MENCEVAX AC S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 06/01/1992
TYPHOID VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 06/01/1992
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75341 Sequence 1
Computer Entry Date 21/02/1992
Date Reported 01/02/1992
Age : 28 YEARS Sex MALE Height 180
Weight 75 Date Of Onset 28/01/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
MYALGIA
FEVER
URTICARIA
PHENERGAN 75MG DAILY.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
YELLOW FEVER VACCINE S
DRUG ADMINISTRATION BEGAN 21/01/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
POLIOMYELITIS VIRUS VACCINE S
DRUG ADMINISTRATION BEGAN 21/01/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TETANUS VACCINE ADSORBED S
DRUG ADMINISTRATION BEGAN 21/01/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPHOID VACCINE S
DRUG ADMINISTRATION BEGAN 21/01/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75343 Sequence 1
Computer Entry Date 21/02/1992
Date Reported 30/01/1992
Age : 4 MONTHS Sex FEMALE Height
Weight 6 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER GIVEN
BABY PANADOL
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/11/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75347 Sequence 1
Computer Entry Date 21/02/1992
Date Reported 04/02/1992
Age : 1 YEARS Sex MALE Height 80
Weight 11 Date Of Onset 15/05/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
Description : UNWELL.
RASH
FEVER
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 14/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75364 Sequence 1
Computer Entry Date 24/02/1992
Date Reported 29/01/1992
Age : 23 YEARS Sex FEMALE Height
Weight Date Of Onset 20/01/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
Description : RASH ON TRUNK AND LIMBS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 17/01/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S DROPS 3.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 17/01/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
IMMUNOGLOBULIN HUMAN NORMAL S INJECTION 2.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/01/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75380 Sequence 1
Computer Entry Date 24/02/1992
Date Reported 22/01/1992
Age : 4 MONTHS Sex MALE Height 62
Weight 7 Date Of Onset 03/01/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL DYMADON.
INSOMNIA
Description : UNSETTLED SLEEP.
RHINITIS
Description : RUNNY NOSE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 03/01/1992 AND CEASED 03/01/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S DROPS 2.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 03/01/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75383 Sequence 1
Computer Entry Date 24/02/1992
Date Reported 21/01/1992
Age : 4 MONTHS Sex MALE Height 63
Weight 6 Date Of Onset 12/12/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
INJECTION SITE REACTION
Description : REACTION OVER FRONT OF THIGH.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
DRUG ADMINISTRATION BEGAN 12/12/1991
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75419 Sequence 1
Computer Entry Date 25/02/1992
Date Reported 06/02/1992
Age : 54 YEARS Sex FEMALE Height
Weight Date Of Onset 04/01/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/01/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75449 Sequence 1
Computer Entry Date 25/02/1992
Date Reported 07/02/1992
Age : 29 YEARS Sex FEMALE Height
Weight Date Of Onset 03/02/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SWEATING INCREASED
PARONIRIA
Included Term : NIGHTMARES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S CAPSULE 1.0 DF
ALTERNATE DAYS PER ORAL
DRUG ADMINISTRATION BEGAN 03/02/1992 AND CEASED 14/02/1992
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75450 Sequence 1
Computer Entry Date 25/02/1992
Date Reported 30/01/1992
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 28/01/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL WAS
GIVEN MOUTH TO MOUTH RESUSCITATION BY MOTHER.
Included Term : SCREAMING
APNOEA
CYANOSIS
Description : BLUE ON LIPS.
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/01/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75532 Sequence 1
Computer Entry Date 28/02/1992
Date Reported 14/01/1992
Age : 45 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CEREBROVASCULAR DISORDER
VASCULITIS
PARAESTHESIA
SWEATING INCREASED
MYALGIA
Description : PAIN IN BOTH THIGHS.
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75540 Sequence 1
Computer Entry Date 28/02/1992
Date Reported 12/02/1992
Age : 39 YEARS Sex FEMALE Height
Weight Date Of Onset 00/12/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/12/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 ASSAY OF TETANUS ANTIBODY. THE PROTECTIVE LEVEL IS CONSIDERED TO BE 0.01 IU/ML
AND THE HALF LIFE IS APPROX 7 YEARS.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75553 Sequence 1
Computer Entry Date 02/03/1992
Date Reported 13/02/1992
Age : 17 YEARS Sex FEMALE Height 164
Weight 58 Date Of Onset 05/02/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
PHOTOPHOBIA
COUGHING
HEADACHE
RASH MACULO-PAPULAR
SALIVARY GLAND ENLARGEMENT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S
DRUG ADMINISTRATION BEGAN 22/01/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75554 Sequence 1
Computer Entry Date 02/03/1992
Date Reported 13/02/1992
Age : 2 MONTHS Sex MALE Height 60
Weight 6 Date Of Onset 14/11/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75557 Sequence 1
Computer Entry Date 02/03/1992
Date Reported 12/02/1992
Age : 34 YEARS Sex FEMALE Height 165
Weight 87 Date Of Onset 12/02/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
PRURITUS
Included Term : ITCHING
NAUSEA
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TAGAMET O 400.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 00/00/1986
ICD Code : ULCER OF DUODENUM W/O MENT PERF
OXAZEPAM O 30.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 00/00/1986
ICD Code : SPECIFIC DISORDERS OF SLEEP
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75578 Sequence 1
Computer Entry Date 04/03/1992
Date Reported 18/02/1992
Age : 13 MONTHS Sex FEMALE Height
Weight Date Of Onset 16/02/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HERPES SIMPLEX
Description : BLISTERING NOSE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 28/01/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75611 Sequence 1
Computer Entry Date 05/03/1992
Date Reported 18/02/1992
Age : 5 MONTHS Sex MALE Height
Weight Date Of Onset 12/11/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
INJECTION SITE REACTION
Description : RED SWOLLEN MUSCLE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/11/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CISAPRIDE O PER ORAL 4.0 DF
DAILY PER ORAL
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75626 Sequence 1
Computer Entry Date 05/03/1992
Date Reported 06/01/1992
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 21/10/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/10/1991 AND CEASED 21/10/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75648 Sequence 1
Computer Entry Date 06/03/1992
Date Reported 13/02/1992
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CYANOSIS
VOMITING
FEVER
CRYING ABNORMAL
Included Term : SCREAMING
PALLOR
HYPOTONIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75650 Sequence 1
Computer Entry Date 06/03/1992
Date Reported 19/02/1992
Age : 25 YEARS Sex FEMALE Height
Weight Date Of Onset 05/11/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
SYMPTOMATIC RECOVERY
PHARYNGITIS
Description : SORE THROAT.
HEADACHE
PHOTOPHOBIA
MENINGITIS-LIKE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/11/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75651 Sequence 1
Computer Entry Date 06/03/1992
Date Reported 19/02/1992
Age : 16 MONTHS Sex MALE Height
Weight Date Of Onset 23/07/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS
ANALGESIA.
Included Term : IRRITABILITY
MEASLES
SALIVARY GLAND ENLARGEMENT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 13/07/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 23/7/90: IGE = 161 U/ML (<15)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75656 Sequence 1
Computer Entry Date 06/03/1992
Date Reported 18/02/1992
Age : 10 MONTHS Sex MALE Height
Weight Date Of Onset 14/08/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ECZEMA
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
DRUG ADMINISTRATION BEGAN 14/08/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN O
DRUG ADMINISTRATION BEGAN 05/08/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75658 Sequence 1
Computer Entry Date 06/03/1992
Date Reported 19/02/1992
Age : 4 YEARS Sex MALE Height 53
Weight 18 Date Of Onset 00/06/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION MILD
CORTISONE CREAM.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/06/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75659 Sequence 1
Computer Entry Date 06/03/1992
Date Reported 19/02/1992
Age : 4 YEARS Sex MALE Height 53
Weight 18 Date Of Onset 00/07/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION MILD
CORTISONE CREAM.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
DRUG ADMINISTRATION BEGAN 09/07/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75663 Sequence 1
Computer Entry Date 06/03/1992
Date Reported 20/02/1992
Age : 3 MONTHS Sex MALE Height
Weight Date Of Onset 08/10/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL.
PALLOR
Description : PALE GREY.
VOMITING
FACE OEDEMA
Description : SWOLLEN FACE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/10/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75695 Sequence 1
Computer Entry Date 09/03/1992
Date Reported 24/02/1992
Age : 19 MONTHS Sex MALE Height
Weight Date Of Onset 06/02/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/02/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75696 Sequence 1
Computer Entry Date 09/03/1992
Date Reported 24/02/1992
Age : 7 WEEKS Sex MALE Height
Weight Date Of Onset 06/02/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/02/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75697 Sequence 1
Computer Entry Date 09/03/1992
Date Reported 24/02/1992
Age : 10 WEEKS Sex MALE Height
Weight Date Of Onset 06/02/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/02/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75698 Sequence 1
Computer Entry Date 09/03/1992
Date Reported 21/02/1992
Age : 8 WEEKS Sex MALE Height
Weight Date Of Onset 06/02/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPOTONIA
CYANOSIS
APNOEA
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S PER ORAL
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 06/02/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPLE ANTIGEN S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/02/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75699 Sequence 1
Computer Entry Date 09/03/1992
Date Reported 21/02/1992
Age : 8 WEEKS Sex FEMALE Height
Weight Date Of Onset 06/02/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPOTONIA
PARACETAMOL 125MG ORALLY PRN
VOMITING
PALLOR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S PER ORAL
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 06/02/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPLE ANTIGEN S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/02/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75701 Sequence 1
Computer Entry Date 09/03/1992
Date Reported 21/02/1992
Age : 4 MONTHS Sex Height
Weight Date Of Onset 00/12/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/12/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75702 Sequence 1
Computer Entry Date 09/03/1992
Date Reported 17/02/1992
Age : 42 YEARS Sex FEMALE Height
Weight Date Of Onset 15/02/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/02/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 TETANUS ANTIBODY ASSAY OF 2.95 IU/ML. THE PROTECTIVE LEVEL IS CONSIDERED TO BE
0.01 IU/ML AND THE HALF LIFE IS APPROXIMATELY 7 YEARS.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75703 Sequence 1
Computer Entry Date 09/03/1992
Date Reported 17/02/1992
Age Code AD - Adult Sex FEMALE Height
Weight Date Of Onset 03/02/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/02/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75704 Sequence 1
Computer Entry Date 09/03/1992
Date Reported 17/02/1992
Age Code AD - Adult Sex MALE Height
Weight Date Of Onset 03/02/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/02/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75802 Sequence 1
Computer Entry Date 13/03/1992
Date Reported 03/03/1992
Age : 3 YEARS Sex FEMALE Height
Weight 21 Date Of Onset 28/02/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR ORAL
ANTIHISTAMINE AND TOPICAL STERIOD CREAM.
LYMPHADENOPATHY
FEVER
Description : 37 DEGREES.
INJECTION SITE REACTION
Description : INDURATION OF VACCINATION SITE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/02/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75875 Sequence 1
Computer Entry Date 24/03/1992
Date Reported 09/03/1992
Age Sex FEMALE Height 155
Weight 51 Date Of Onset 06/03/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 03/03/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75884 Sequence 1
Computer Entry Date 24/03/1992
Date Reported 10/03/1992
Age Code A2 - Twenties Sex MALE Height
Weight Date Of Onset 24/02/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RIGORS
Included Term : CHILLS
ABDOMINAL PAIN
Included Term : CRAMP ABDOMINAL
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 24/02/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CHOLERA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 24/02/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75915 Sequence 1
Computer Entry Date 25/03/1992
Date Reported 13/03/1992
Age : 20 MONTHS Sex MALE Height
Weight Date Of Onset 30/01/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : LOCALISED RED SWELLING.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 30/01/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75916 Sequence 1
Computer Entry Date 25/03/1992
Date Reported 13/03/1992
Age : 13 MONTHS Sex FEMALE Height
Weight Date Of Onset 17/01/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : LOCALISED RED SWELLING.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 17/01/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75917 Sequence 1
Computer Entry Date 25/03/1992
Date Reported 13/03/1992
Age : 13 MONTHS Sex FEMALE Height
Weight Date Of Onset 07/01/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : LOCALISED RED SWELLING.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 07/01/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75918 Sequence 1
Computer Entry Date 25/03/1992
Date Reported 13/03/1992
Age : 14 MONTHS Sex FEMALE Height
Weight Date Of Onset 23/01/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : LOCALISED RED SWELLING.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/01/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75919 Sequence 1
Computer Entry Date 25/03/1992
Date Reported 13/03/1992
Age : 12 MONTHS Sex MALE Height
Weight Date Of Onset 23/01/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : LOCALISED RED SWELLING.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/01/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75920 Sequence 1
Computer Entry Date 25/03/1992
Date Reported 13/03/1992
Age : 11 MONTHS Sex FEMALE Height
Weight Date Of Onset 07/02/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : LOCALISED RED SWELLING.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 07/02/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75921 Sequence 1
Computer Entry Date 25/03/1992
Date Reported 13/03/1992
Age : 12 MONTHS Sex FEMALE Height
Weight Date Of Onset 07/02/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : LOCALISED RED SWELLING.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 07/02/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75925 Sequence 1
Computer Entry Date 25/03/1992
Date Reported 17/03/1992
Age : 3 YEARS Sex FEMALE Height
Weight Date Of Onset 28/02/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION ORAL
HISTAMINES, TOPICAL CORTICOSTEROIDS AND CALAMINE LOTION
Description : ERYTHEMATOUS INDURATION AT INJ SITE
RASH MACULO-PAPULAR
OEDEMA PERIORBITAL
LYMPHADENOPATHY
FEVER
Description : 37-38 DEGREES.
CONJUNCTIVITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S 5.0 RG
1 TIME
DRUG ADMINISTRATION BEGAN 27/02/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75960 Sequence 1
Computer Entry Date 26/03/1992
Date Reported 09/03/1992
Age : 8 MONTHS Sex MALE Height 65
Weight 10 Date Of Onset 03/10/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
GIVEN - NO EFFECT
Included Term : SCREAMING
ANOREXIA
Description : REFUSED FEED.
URTICARIA
Description : RAISED 2" WHEAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 03/10/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75974 Sequence 1
Computer Entry Date 26/03/1992
Date Reported 16/03/1992
Age : 9 YEARS Sex MALE Height
Weight Date Of Onset 15/03/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
Included Term : MACULAR RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/02/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 75989 Sequence 1
Computer Entry Date 26/03/1992
Date Reported 18/03/1992
Age : 14 WEEKS Sex MALE Height
Weight 5 Date Of Onset 20/02/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
Included Term : SCREAMING
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S DROPS 2.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 20/02/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76015 Sequence 1
Computer Entry Date 27/03/1992
Date Reported 12/03/1992
Age : 1 YEARS Sex FEMALE Height
Weight Date Of Onset 11/03/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76021 Sequence 1
Computer Entry Date 27/03/1992
Date Reported 04/03/1992
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 03/03/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Description : GIVEN 4ML PHENERGAN
FEVER
INJECTION SITE REACTION
Description : INJ SITE BRUISING & INFLAMMED SWELLING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76092 Sequence 1
Computer Entry Date 30/03/1992
Date Reported 25/03/1992
Age : 5 YEARS Sex FEMALE Height
Weight Date Of Onset 18/02/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S DROPS 2.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 18/02/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76097 Sequence 1
Computer Entry Date 30/03/1992
Date Reported 19/03/1992
Age : 33 YEARS Sex MALE Height 178
Weight 80 Date Of Onset 08/03/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA
CHEST PAIN
FATIGUE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76112 Sequence 1
Computer Entry Date 31/03/1992
Date Reported 23/03/1992
Age : 8 MONTHS Sex MALE Height
Weight Date Of Onset 15/03/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/02/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL
PER ORAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76115 Sequence 1
Computer Entry Date 31/03/1992
Date Reported 23/03/1992
Age : 42 YEARS Sex FEMALE Height
Weight Date Of Onset 03/03/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA
Description : ACHES AND PAINS ALL OVER BODY.
INJECTION SITE REACTION
Description : INJECTION SITE RED AND SORE.
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 02/03/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 SKIN TEST WAS DONE ON 28/2/92 AND READ ON 2/3/92 (72 HRS LATER). IT WAS
NEGATIVE. BLOOD TEST GAVE AN ANTIBODY TITRE OF LESS THAN 2.5 IU/ML.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76117 Sequence 1
Computer Entry Date 31/03/1992
Date Reported 24/03/1992
Age Code AD - Adult Sex MALE Height
Weight Date Of Onset 00/00/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ECZEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/00/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 PATCH TESTING WAS NEGATIVE TO THIOMERSAL BUT POSITIVE TO TETANUS TOXOID SERUM
(SIC) AFTER FIVE DAYS.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76120 Sequence 1
Computer Entry Date 31/03/1992
Date Reported 25/03/1992
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 22/01/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION PANADOL.
Description : HOT RED SWOLLEN LEG.
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/01/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76143 Sequence 1
Computer Entry Date 31/03/1992
Date Reported 17/03/1992
Age : 3 MONTHS Sex MALE Height 66
Weight 6 Date Of Onset 07/01/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL.
Description : VERY HOT 38 DEGREES.
CRYING ABNORMAL
Included Term : SCREAMING
ARTHRITIS
ANOREXIA
Description : DIFFICULTY FEEDING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/01/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76153 Sequence 1
Computer Entry Date 31/03/1992
Date Reported 26/03/1992
Age : 8 YEARS Sex MALE Height
Weight 27 Date Of Onset 04/03/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PLUSERIX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 13/02/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76277 Sequence 1
Computer Entry Date 06/04/1992
Date Reported 01/04/1992
Age : 60 YEARS Sex FEMALE Height
Weight Date Of Onset 21/03/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
MYALGIA
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MENCEVAX AC S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 18/03/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPHOID VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 19/03/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76286 Sequence 1
Computer Entry Date 08/04/1992
Date Reported 30/03/1992
Age : 18 WEEKS Sex FEMALE Height
Weight Date Of Onset 09/03/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION 3 GM
GLOBULIN.
Description : PATIENT GIVEN ORAL SABIN INTRAMUSCULARLY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/03/1992
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76316 Sequence 1
Computer Entry Date 10/04/1992
Date Reported 08/12/1991
Age : 46 YEARS Sex FEMALE Height 166
Weight 58 Date Of Onset 06/12/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION ZADINE
2MG DAILY.
Description : REDNESS & SWELLING OF UPPER ARM.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/11/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76402 Sequence 1
Computer Entry Date 15/04/1992
Date Reported 06/04/1992
Age : 21 DAYS Sex MALE Height 63
Weight Date Of Onset 13/02/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER TEPID
SPONGES AND DYMADON.
Description : TEMPERTATURE 39 DEGREES.
INJECTION SITE PAIN
Description : ARM SORE.
NERVOUSNESS
Included Term : IRRITABILITY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
DRUG ADMINISTRATION BEGAN 13/02/1992
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76446 Sequence 1
Computer Entry Date 16/04/1992
Date Reported 08/04/1992
Age : 9 WEEKS Sex MALE Height
Weight 7 Date Of Onset 08/01/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR
NERVOUSNESS
Included Term : IRRITABILITY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76450 Sequence 1
Computer Entry Date 21/04/1992
Date Reported 04/04/1992
Age : 11 YEARS Sex MALE Height 151
Weight 39 Date Of Onset 07/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE OXYGEN.
SWEATING INCREASED
BRADYCARDIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 01/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76495 Sequence 1
Computer Entry Date 21/04/1992
Date Reported 09/04/1992
Age : 8 WEEKS Sex FEMALE Height 52
Weight Date Of Onset 01/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
APNOEA
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76496 Sequence 1
Computer Entry Date 21/04/1992
Date Reported 09/04/1992
Age : 5 YEARS Sex MALE Height 102
Weight 14 Date Of Onset 08/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA IM
ADRENALINE 1:1000 0.1ML, ORAL PHENERGAN AND ORAL PREDNISO
PHARYNGITIS
Description : SCRATCHY THROAT.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 08/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 2.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 08/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PULMICORT O INHALANT 8.0 DF
DAILY INHALATION
DRUG ADMINISTRATION BEGAN 00/02/1991 AND CONTINUED
ICD Code : ASTHMA
BRICANYL O INHALANT 2.0 DF
DAILY INHALATION
DRUG ADMINISTRATION BEGAN 00/09/1991 AND CONTINUED
ICD Code : ASTHMA
INTAL O 8.0 DF
DAILY
DRUG ADMINISTRATION BEGAN 00/02/1991 AND CONTINUED
ICD Code : ASTHMA
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76500 Sequence 1
Computer Entry Date 21/04/1992
Date Reported 08/04/1992
Age : 64 YEARS Sex FEMALE Height 164
Weight 60 Date Of Onset 08/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : LOCAL REDNESS AND SWELLING.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 08/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76504 Sequence 1
Computer Entry Date 22/04/1992
Date Reported 14/04/1992
Age : 44 YEARS Sex FEMALE Height 163
Weight 70 Date Of Onset 04/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEPATITIS
ABDOMINAL PAIN
NAUSEA
DIARRHOEA
FATIGUE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/03/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
OGEN O TABLET 1.2 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 17/03/1992
ICD Code : ESSENTIAL BENIGN HYPERTENSION
0Laboratory Data
===============
BIOCHEMISTRY BILIRUBIN
Lab Normal Range : <19 UMOL/L
007/04/1992 14/04/1992 22/04/1992 06/05/1992 10/06/1992
46 13 11 8 6
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY AST = SGOT
Lab Normal Range : <40 U/L
007/04/1992 14/04/1992 22/04/1992 06/05/1992 10/06/1992
1142 97 25 16 11
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY GGT = SGGT = GGTP
Lab Normal Range : <45 U/L
007/04/1992 14/04/1992 22/04/1992 06/05/1992 10/06/1992
345 337 203 78 25
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY SAP = ALP
Lab Normal Range : 30-120 U/L
007/04/1992 14/04/1992 22/04/1992 06/05/1992 10/06/1992
132 165 112 79 67
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76504 Sequence 1 (Continued)
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76519 Sequence 1
Computer Entry Date 24/04/1992
Date Reported 09/04/1992
Age : 59 YEARS Sex FEMALE Height 168
Weight 70 Date Of Onset 02/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONFUSION
Included Term : DISORIENTATION
ATAXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 31/01/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
MULTIVITAMINS S 1.0 DF
DAILY
CALCIUM NOS S TABLET 1.0 DF
DAILY PER ORAL
ICD Code : OSTEOPOROSIS
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76523 Sequence 1
Computer Entry Date 24/04/1992
Date Reported 14/04/1992
Age Code AC - Child Sex Height
Weight Date Of Onset 09/01/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CIRCULATORY FAILURE
Included Term : COLLAPSE CIRCULATORY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S 1.0 DF
1 TIME
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76548 Sequence 1
Computer Entry Date 24/04/1992
Date Reported 13/04/1992
Age : 72 YEARS Sex FEMALE Height 168
Weight 66 Date Of Onset 06/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ASTHENIA STEMETIL
5MG PRN.
Included Term : WEAKNESS GENERALIZED
ATAXIA
Description : STAGGERING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ORUDIS SR S CAPSULE 200.0 MG
DAILY PER ORAL
LONG TERM
ICD Code : UNSPECIFIED ARTHRITIS
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 02/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76622 Sequence 1
Computer Entry Date 07/05/1992
Date Reported 15/04/1992
Age Code A3 - Thirties Sex FEMALE Height
Weight Date Of Onset 02/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : ARM BECAME RED, SWOLLEN AND SORE.
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 02/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76623 Sequence 1
Computer Entry Date 07/05/1992
Date Reported 15/04/1992
Age : 64 YEARS Sex MALE Height
Weight Date Of Onset 28/03/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Description : BETWEEN 39 AND 39.5 DEGREES.
RASH
MYALGIA
MARROW DEPRESSION
Included Term : BONE MARROW DEPRESSION
THROMBOCYTOPENIA
LEUCOPENIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 28/03/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76624 Sequence 1
Computer Entry Date 07/05/1992
Date Reported 15/04/1992
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset 07/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CHEILITIS
Description : SWOLLEN LIPS.
OEDEMA PERIPHERAL
Description : SWOLLEN FINGERS.
RASH
Description : OVER ENTIRE BODY.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 06/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
AMOXIL S
Drug Administration Ceased 05/04/1992
ICD Code : AC UPR RESP INF,MULT,UNSP STES
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 TETANUS ANTIBODY ASSAY - 36.6 IU/ML. THE PROTECTIVE LEVEL IS CONSIDERED TO BE
0.01 IU/ML AND ADVERSE REACTIONS ARE COMMONLY ASSOCIATED WITH HIGH LEVELS OF
ANTIBODY.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76625 Sequence 1
Computer Entry Date 07/05/1992
Date Reported 15/04/1992
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset 08/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
ADRENALINE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 08/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76627 Sequence 1
Computer Entry Date 07/05/1992
Date Reported 15/04/1992
Age : 45 YEARS Sex MALE Height
Weight Date Of Onset 10/12/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
THROMBOPHLEBITIS ARM SUPERFICIAL MOVELAT
CREAM
Description : THROMBOPHLEBITIS OF RIGHT WRIST & ARM
INJECTION SITE REACTION
Description : PERSISTENT PAIN IN RIGHT WRIST AND ARM.
ARTHRITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 10/12/1991
ICD Code : TOXIC EFFECT OF VENOM
PHENERGAN S INJECTION
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 10/12/1991
ICD Code : TOXIC EFFECT OF VENOM
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76632 Sequence 1
Computer Entry Date 07/05/1992
Date Reported 16/04/1992
Age : 31 YEARS Sex MALE Height
Weight 65 Date Of Onset 13/03/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEPATOMEGALY
HEPATITIS
ABDOMINAL PAIN
ABDOMINAL PAIN
FATIGUE
Included Term : LETHARGY
VOMITING IV
TREATMENT.
FEVER
Description : 38.5 DEGREES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S 10.0 RG
1 TIME
DRUG ADMINISTRATION BEGAN 11/03/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
BIOCHEMISTRY SAP = ALP
Lab Normal Range : IU/L
015/03/1992
195
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY AST = SGOT
Lab Normal Range :
015/03/1992
45
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY GGT = SGGT = GGTP
Lab Normal Range :
015/03/1992
185
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76637 Sequence 1
Computer Entry Date 07/05/1992
Date Reported 16/04/1992
Age : 19 YEARS Sex FEMALE Height
Weight Date Of Onset 00/02/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 10.0 RG
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 00/02/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76638 Sequence 1
Computer Entry Date 07/05/1992
Date Reported 16/04/1992
Age : 16 MONTHS Sex FEMALE Height
Weight Date Of Onset 22/02/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
Description : RASH ON TRUNK, ARMS, LEGS, FACE & NECK
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 13/02/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76644 Sequence 1
Computer Entry Date 07/05/1992
Date Reported 16/04/1992
Age : 73 YEARS Sex MALE Height 163
Weight 70 Date Of Onset 10/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
ARTHRALGIA
Included Term : JOINT ACHE
NAUSEA
DIZZINESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 09/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
FELDENE S 10.0 MG
1 TIME
Drug Administration Ceased 11/04/1992
ICD Code : UNSPECIFIED ARTHRITIS
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76664 Sequence 1
Computer Entry Date 08/05/1992
Date Reported 22/04/1992
Age : 59 YEARS Sex MALE Height 175
Weight 80 Date Of Onset 12/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEUROPATHY PERIPHERAL
Description : PERIPHERAL SENSORY NEUROPATHY.
DIZZINESS
Included Term : LIGHT-HEADED FEELING
ATAXIA
Description : DIFFICULTY WALKING.
HYPOAESTHESIA
Included Term : NUMBNESS
Description : BOTH HANDS AND FEET
NEURITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
VAXIGRIP S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 08/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
MINIPRESS S 5.0 MG
DAILY
ZYLOPRIM S 300.0 MG
DAILY
SLOW-K S 2.0 DF
DAILY
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76680 Sequence 1
Computer Entry Date 08/05/1992
Date Reported 22/04/1992
Age : 17 YEARS Sex MALE Height 172
Weight 58 Date Of Onset 19/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH PUSTULAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/04/1992
ICD Code : ASTHMA
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76723 Sequence 1
Computer Entry Date 11/05/1992
Date Reported 23/04/1992
Age : 53 YEARS Sex FEMALE Height
Weight Date Of Onset 15/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
PREDNISOLONE 40MG DAILY.
Included Term : PAPULAR RASH
Description : WIDESPREAD ERUPTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MESALAZINE S TABLET 750.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/08/1990
ICD Code : ULCERATIVE COLITIS
FLUVAX S INJECTION 1.0 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76726 Sequence 1
Computer Entry Date 11/05/1992
Date Reported 22/04/1992
Age : 46 YEARS Sex FEMALE Height 158
Weight 70 Date Of Onset 06/11/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ERYTHEMA NODOSUM
MENSTRUAL DISORDER
Description : OLIGOMENORRHOEA
LYMPHADENOPATHY
ALOPECIA
DIZZINESS
Included Term : FEELING FAINT
VERTIGO
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76750 Sequence 1
Computer Entry Date 12/05/1992
Date Reported 23/04/1992
Age : 46 YEARS Sex FEMALE Height
Weight Date Of Onset 04/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION PANADOL.
Description : LOCAL SWELLING, INFLAMMATION & STIFFNESS
NAUSEA
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 TETANUS ANTIBODY LEVEL 27.9 IU/ML.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76751 Sequence 1
Computer Entry Date 12/05/1992
Date Reported 23/04/1992
Age : 30 YEARS Sex FEMALE Height
Weight Date Of Onset 24/03/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
PANADEINE FORTE AND PHENERGAN.
Description : WHOLE ARM WAS SWOLLEN AND HOT.
SWEATING INCREASED
RIGORS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/03/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 TETANUS ANTIBODY LEVEL 18.3 IU/ML. DIPHTHERIA ANTIBODY LEVEL 1.6 IU/ML.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76752 Sequence 1
Computer Entry Date 12/05/1992
Date Reported 24/04/1992
Age : 59 YEARS Sex FEMALE Height 168
Weight 76 Date Of Onset 02/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONFUSION
Included Term : DISORIENTATION
ATAXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 31/03/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
MULTIVITAMINS O 1.0 DF
DAILY
CALCIUM PHOSPHATE O TABLET 1.0 DF
DAILY PER ORAL
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76753 Sequence 1
Computer Entry Date 12/05/1992
Date Reported 24/04/1992
Age : 74 YEARS Sex FEMALE Height
Weight Date Of Onset 30/03/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : HARD RED, ITCHY LUMP.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CORYZA VACCINE S INJECTION 0.2 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 30/03/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76754 Sequence 1
Computer Entry Date 12/05/1992
Date Reported 24/04/1992
Age : 37 YEARS Sex MALE Height
Weight Date Of Onset 08/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : 4 INCH LOCAL REACTION.
PARAESTHESIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 08/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76755 Sequence 1
Computer Entry Date 12/05/1992
Date Reported 24/04/1992
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset 08/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION PANADOL
AND FLUCLOXACILLIN.
Description : HARD, RED, SWOLLEN ARM.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76757 Sequence 1
Computer Entry Date 12/05/1992
Date Reported 23/04/1992
Age : 8 DAYS Sex FEMALE Height
Weight 4 Date Of Onset 20/03/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
SKIN DRY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S 5.0 RG
1 TIME
DRUG ADMINISTRATION BEGAN 19/03/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76772 Sequence 1
Computer Entry Date 13/05/1992
Date Reported 24/04/1992
Age : 69 YEARS Sex MALE Height
Weight Date Of Onset 11/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING STEMETIL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 10/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
GEMFIBROZIL S TABLET 1.2 GM
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 07/04/1992
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76773 Sequence 1
Computer Entry Date 13/05/1992
Date Reported 24/04/1992
Age : 69 YEARS Sex MALE Height
Weight Date Of Onset 14/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEPATITIS CHOLESTATIC
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 10/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
GEMFIBROZIL S TABLET 1.2 GM
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 07/04/1992
STEMETIL S
DRUG ADMINISTRATION BEGAN 11/04/1992
ICD Code : NAUSEA AND VOMITING
0Laboratory Data
===============
BIOCHEMISTRY ALT = SGPT
Lab Normal Range : 7-56 U/L
014/04/1992 16/04/1992 21/04/1992 09/05/1992 22/05/1992
190 202 202 30 34
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY SAP = ALP
Lab Normal Range : 38-126 U/L
014/04/1992 16/04/1992 21/04/1992 09/05/1992 22/05/1992
190 172 165 117 121
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY BILIRUBIN
Lab Normal Range : 0-20 UMOL/L
014/04/1992 16/04/1992 21/04/1992 09/05/1992 22/05/1992
61 37 21 15 10
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY GGT = SGGT = GGTP
Lab Normal Range : 8-78 U/L
014/04/1992 16/04/1992 21/04/1992 09/05/1992 22/05/1992
524 433 300 106 106
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76789 Sequence 1
Computer Entry Date 13/05/1992
Date Reported 28/04/1992
Age : 70 YEARS Sex MALE Height 170
Weight 75 Date Of Onset 11/03/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PHARYNGITIS
DYSPHAGIA
SKIN EXFOLIATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 ML
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 10/03/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TOLVON S TABLET 40.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 10/03/1992 AND CEASED 13/03/1992
ICD Code : DEPRESSION
MIDAMOR O 2.5 MG
DAILY
DINDEVAN O 25.0 MG
DAILY
LASIX O 20.0 MG
DAILY
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76799 Sequence 1
Computer Entry Date 14/05/1992
Date Reported 28/04/1992
Age : 51 YEARS Sex FEMALE Height 155
Weight 55 Date Of Onset 05/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
RASH ERYTHEMATOUS
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 02/04/1992
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76813 Sequence 1
Computer Entry Date 15/05/1992
Date Reported 02/05/1992
Age : 48 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76837 Sequence 1
Computer Entry Date 18/05/1992
Date Reported 04/05/1992
Age : 62 YEARS Sex MALE Height 175
Weight 60 Date Of Onset 25/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPERTONIA REST
Included Term : MUSCLE RIGIDITY
Description : MUSCLE SPASM
PARALYSIS
Description : UNABLE TO MOVE ARM.
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
VAXIGRIP S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76855 Sequence 1
Computer Entry Date 18/05/1992
Date Reported 04/05/1992
Age : 67 YEARS Sex FEMALE Height 155
Weight 65 Date Of Onset 30/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
VAXIGRIP S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 30/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76867 Sequence 1
Computer Entry Date 19/05/1992
Date Reported 04/05/1992
Age : 50 YEARS Sex FEMALE Height
Weight Date Of Onset 20/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76868 Sequence 1
Computer Entry Date 19/05/1992
Date Reported 04/05/1992
Age : 17 YEARS Sex FEMALE Height
Weight Date Of Onset 00/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76889 Sequence 1
Computer Entry Date 20/05/1992
Date Reported 07/05/1992
Age Sex FEMALE Height
Weight Date Of Onset 00/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
Description : ON THE FACE AND WHOLE BODY
LYMPHADENOPATHY
Description : GLANDULAR ENLARGEMENT
FACE OEDEMA
OEDEMA PERIORBITAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76895 Sequence 1
Computer Entry Date 20/05/1992
Date Reported 08/05/1992
Age : 3 YEARS Sex MALE Height 100
Weight 17 Date Of Onset 07/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 04/05/1992
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76900 Sequence 1
Computer Entry Date 20/05/1992
Date Reported 05/05/1992
Age : 6 MONTHS Sex FEMALE Height
Weight Date Of Onset 12/02/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
FEVER
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/02/1992
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76925 Sequence 1
Computer Entry Date 25/05/1992
Date Reported 10/05/1992
Age : 22 YEARS Sex FEMALE Height 165
Weight 65 Date Of Onset 07/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
Included Term : ITCHING
Description : ITCHING ON NECK SPREADING TO ARMS & LEGS
RASH
Description : RASH ON NECK SPREADING TO ARMS AND LEGS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 02/05/1992
ICD Code : OTHER PROPHYLACTIC PROCEDURES
BECLOFORTE O INHALANT 2.0 DF
DAILY INHALATION
DRUG ADMINISTRATION BEGAN 00/00/1990
ICD Code : ASTHMA
VENTOLIN O INHALANT
AS NECESSARY INHALATION
DRUG ADMINISTRATION BEGAN 00/00/1985
ICD Code : ASTHMA
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76926 Sequence 1
Computer Entry Date 25/05/1992
Date Reported 10/05/1992
Age : 66 YEARS Sex MALE Height 185
Weight 75 Date Of Onset 04/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANGIOEDEMA
Description : SWELLING IN THROAT AND TONGUE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 04/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
RENITEC O TABLET 10.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/00/1987
ICD Code : ESSENTIAL BENIGN HYPERTENSION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76931 Sequence 1
Computer Entry Date 25/05/1992
Date Reported 12/05/1992
Age : 75 YEARS Sex FEMALE Height
Weight Date Of Onset 26/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ASTHENIA
Included Term : WEAKNESS GENERALIZED
Description : PROXIMAL MUSCLE WEAKNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 22/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76932 Sequence 1
Computer Entry Date 25/05/1992
Date Reported 11/05/1992
Age : 67 YEARS Sex FEMALE Height 168
Weight 60 Date Of Onset 06/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
PANADEINE
MYALGIA
FEVER
AGITATION
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
FLUVAX S INJECTION
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 06/05/1992
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76977 Sequence 1
Computer Entry Date 27/05/1992
Date Reported 22/04/1992
Age : 50 YEARS Sex MALE Height
Weight Date Of Onset 16/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
Included Term : ITCHING
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 15/04/1992
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76984 Sequence 1
Computer Entry Date 27/05/1992
Date Reported 15/05/1992
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 11/03/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 11/03/1992
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76986 Sequence 1
Computer Entry Date 27/05/1992
Date Reported 11/05/1992
Age : 8 MONTHS Sex FEMALE Height 72
Weight 10 Date Of Onset 22/01/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/01/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 76995 Sequence 1
*************** UNAUTHORISED REPORT
***************
0Computer Entry Date 27/05/1992
Date Reported 15/05/1992
Age : 62 YEARS Sex MALE Height 175
Weight 75 Date Of Onset 22/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEUROPATHY
Description : (R) MONO NEURITIS OF CIRCUMFLEX NERVE
ASTHENIA
Included Term : WEAKNESS GENERALIZED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 22/04/1992
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77022 Sequence 1
Computer Entry Date 28/05/1992
Date Reported 18/05/1992
Age : 27 YEARS Sex FEMALE Height
Weight Date Of Onset 06/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
RIGORS
Included Term : CHILLS
SWEATING INCREASED
SOMNOLENCE
Included Term : DROWSINESS
MALAISE
PAIN
Description : SORE BODY
CONJUNCTIVITIS
Included Term : EYE DISCHARGE
Description : PUS DISCHARGED FROM EYES
HEADACHE
CHEST PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
VAXIGRIP S INJECTION
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 06/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77024 Sequence 1
Computer Entry Date 28/05/1992
Date Reported 14/05/1992
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 10/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ERYTHEMA MULTIFORME
PHENERGAN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CISAPRIDE CT S SOLUTION 2.6 ML
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 30/04/1992 AND CEASED 10/05/1992
ICD Code : OTHER DISEASES OF ESOPHAGUS
SABIN VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 06/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PANADOL S SYRUP 3.0 ML
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 06/05/1992
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 06/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77052 Sequence 1
Computer Entry Date 01/06/1992
Date Reported 14/05/1992
Age : 47 YEARS Sex MALE Height 182
Weight 80 Date Of Onset 14/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
PROMETHAZINE 50MG IMI.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
YELLOW FEVER VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 14/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA AND TETANUS VACCINE ADT S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 14/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
POLIOMYELITIS VIRUS VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 14/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 14/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPHOID VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 14/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77082 Sequence 1
Computer Entry Date 03/06/1992
Date Reported 18/05/1992
Age : 39 YEARS Sex FEMALE Height 175
Weight 55 Date Of Onset 29/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
Description : OVER ABDOMEN, MOUTH, BACK OF NECK.
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S INJECTION
SYSTEMIC
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77083 Sequence 1
Computer Entry Date 03/06/1992
Date Reported 14/02/1992
Age : 45 YEARS Sex FEMALE Height 168
Weight 63 Date Of Onset 11/01/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA
Description : SEVERE MUSCLE SORNESS
PARAESTHESIA
Description : PAIN IN ONE LEG, SHOULDER AND NECK.
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 11/01/1992
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77138 Sequence 1
Computer Entry Date 09/06/1992
Date Reported 15/05/1992
Age : 2 MONTHS Sex FEMALE Height 58
Weight 5 Date Of Onset 15/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PARACETAMOL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 0.5 ML
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 13/05/1992
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77155 Sequence 1
Computer Entry Date 15/06/1992
Date Reported 05/05/1992
Age : 52 YEARS Sex MALE Height
Weight Date Of Onset 14/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
JAUNDICE
ANAEMIA HAEMOLYTIC
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 12/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
HAEMATOLOGY HAEMOGLOBIN
Lab Normal Range :
016/04/1992
8.4
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
HAEMATOLOGY RETICULOCYTES
Lab Normal Range :
0 RETICULOCYTOSIS.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77164 Sequence 1
Computer Entry Date 15/06/1992
Date Reported 18/05/1992
Age : 51 YEARS Sex MALE Height 164
Weight 72 Date Of Onset 11/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PERICARDITIS ASPIRIN.
PERICARDIAL EFFUSION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
ELECTROGRAPHICS ELECTROCARDIOGRAPHY
Lab Normal Range :
0 PERICARDITIS CONFIRMED BY ECG AND CARDIAC ECHO.
ECHOCARDIOGRAM REPORTED AS SHOWING SMALL PERICARDIAL EFFUSION BUT CAUSE
UNCERTAIN AS SUBJECT HAS HISTORY OF 5-6 YEARS OF INTERMITTENT CHEST PAIN.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77167 Sequence 1
Computer Entry Date 15/06/1992
Date Reported 20/05/1992
Age : 19 MONTHS Sex FEMALE Height
Weight 11 Date Of Onset 18/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PROHIBIT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77185 Sequence 1
Computer Entry Date 15/06/1992
Date Reported 21/05/1992
Age : 64 YEARS Sex MALE Height 180
Weight 85 Date Of Onset 02/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ENCEPHALOPATHY
PARACETAMOL,
PARAESTHESIA
Description : TINGLING IN FEET
ANOREXIA
NAUSEA
FEVER
MYALGIA
FATIGUE
Included Term : LETHARGY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 02/04/1992
0Laboratory Data
===============
BIOCHEMISTRY GGT = SGGT = GGTP
Lab Normal Range : <50
027/04/1992
136
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77194 Sequence 1
Computer Entry Date 16/06/1992
Date Reported 22/05/1992
Age : 33 YEARS Sex FEMALE Height 155
Weight 55 Date Of Onset 19/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
FEVER
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77207 Sequence 1
Computer Entry Date 16/06/1992
Date Reported 22/05/1992
Age Code A2 - Twenties Sex FEMALE Height
Weight Date Of Onset 26/11/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHADENOPATHY
PRURITUS
URTICARIA
PARAESTHESIA
DYSKINESIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 12/11/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
POLIOMYELITIS VIRUS VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 12/11/1991
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77255 Sequence 1
Computer Entry Date 17/06/1992
Date Reported 29/05/1992
Age : 48 YEARS Sex FEMALE Height
Weight 60 Date Of Onset 19/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA TREATED
WITH PREDNISOLONE, PHENERGAN.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME INTRAVENOUS
ICD Code : OTHR AND UNSPECIFIED URTICARIA
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77269 Sequence 1
Computer Entry Date 18/06/1992
Date Reported 26/05/1992
Age : 23 YEARS Sex Height
Weight 75 Date Of Onset 02/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ERYTHEMA MULTIFORME TREATED
WITH ORAL PREDNISOLONE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
3 TIMES INTRAVENOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77274 Sequence 1
Computer Entry Date 18/06/1992
Date Reported 01/06/1992
Age : 80 YEARS Sex FEMALE Height 152
Weight 55 Date Of Onset 16/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : SWOLLEN RED UPPER LEFT ARM AT INJ SITE
PRURITUS
Included Term : ITCHING
Description : ITCHY UPPER ARMS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ISOPTIN O 160.0 MG
DAILY
LONG TERM
ICD Code : ESSENTIAL BENIGN HYPERTENSION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77287 Sequence 1
Computer Entry Date 19/06/1992
Date Reported 28/05/1992
Age : 16 MONTHS Sex MALE Height 80
Weight 11 Date Of Onset 27/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR PATIENT
GIVEN PHENERGAN 10MG IMI.
Description : PALE
BRONCHOSPASM
Included Term : WHEEZING EXPIRATORY
INJECTION SITE REACTION
Description : URTICARIA AT INJ SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77294 Sequence 1
Computer Entry Date 19/06/1992
Date Reported 25/05/1992
Age : 10 YEARS Sex MALE Height 143
Weight 34 Date Of Onset 16/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : ITCHY RED RASH AROUND INJ SITE
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
BACTRIM O TABLET 2.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/02/1992 AND CONTINUED
ICD Code : OTHER PROPHYLACTIC PROCEDURES
NILSTAT O TABLET 4.0 ML
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/02/1992 AND CONTINUED
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77312 Sequence 1
Computer Entry Date 23/06/1992
Date Reported 29/05/1992
Age : 27 YEARS Sex FEMALE Height
Weight Date Of Onset 06/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Description : FEELING FEVERISH
SWEATING INCREASED
MALAISE
SOMNOLENCE
Included Term : DROWSINESS
VOMITING
CHEST PAIN
INJECTION SITE REACTION
Description : INJ SITE RED HOT AND PAINFUL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
VAXIGRIP S INJECTION 1.0 DF
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 06/04/1992 AND CEASED 06/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77326 Sequence 1
Computer Entry Date 23/06/1992
Date Reported 21/05/1992
Age : 66 YEARS Sex FEMALE Height
Weight Date Of Onset 20/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
IRITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77356 Sequence 1
Computer Entry Date 24/06/1992
Date Reported 18/05/1992
Age : 36 YEARS Sex FEMALE Height
Weight Date Of Onset 09/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DYSPHONIA
Included Term : HOARSENESS
TONGUE OEDEMA
ADRENALINE, PHENERGAN, VENTOLIN
PARAESTHESIA
CONJUNCTIVITIS
DYSPNOEA
COUGHING
ACCOMMODATION ABNORMAL
EARACHE
PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77357 Sequence 1
Computer Entry Date 24/06/1992
Date Reported 18/05/1992
Age : 68 YEARS Sex FEMALE Height
Weight Date Of Onset 30/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DYSPHONIA
Included Term : HOARSENESS
FEVER
OTITIS EXTERNA
CONJUNCTIVITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 30/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77358 Sequence 1
Computer Entry Date 24/06/1992
Date Reported 18/05/1992
Age : 63 YEARS Sex FEMALE Height
Weight Date Of Onset 08/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : ERYTHEMA AND SWELLING AROUND INJ SITE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY DRUG SPECIFIC ANTIBODY
Lab Normal Range :
0 TETANUS ANTIBODY ASSAY OF 31.7 IU/ML.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77360 Sequence 1
Computer Entry Date 24/06/1992
Date Reported 18/05/1992
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset 01/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Description : HIGH FEVER OF 39 DEGREES
RASH ERYTHEMATOUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77495 Sequence 1
Computer Entry Date 01/07/1992
Date Reported 04/06/1992
Age : 81 YEARS Sex MALE Height
Weight 68 Date Of Onset 21/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEPHRITIS LASIX
Description : NEPHROTIC SYNDROME
DYSPNOEA
Included Term : BREATH SHORTNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
1 TIME SYSTEMIC
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
BIOCHEMISTRY
Lab Normal Range :
0 PROTEINURIA 3 GM PER 24 HOURS, CREATININE CLEARENCE OF 0.8 ML PER SECOND.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77522 Sequence 1
Computer Entry Date 01/07/1992
Date Reported 05/06/1992
Age : 18 YEARS Sex FEMALE Height
Weight Date Of Onset 11/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
ERYTHROMYCIN, FLUCLOXACILLIN
Description : TENDER AXILLA/RED & ABOUT TO BREAK DOWN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S INJECTION 1.0 DF
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 01/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77523 Sequence 1
Computer Entry Date 01/07/1992
Date Reported 05/06/1992
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset 13/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
TREMOR
PARACETAMOL SYRUP.
Included Term : SHAKING
CYANOSIS
Description : WENT BLUE, PALE & EYES ROLLED BACK
PALLOR
VOMITING
FEVER
Description : HIGH FEVER OF 39 DEGREES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77524 Sequence 1
Computer Entry Date 01/07/1992
Date Reported 05/06/1992
Age : 8 MONTHS Sex FEMALE Height
Weight Date Of Onset 19/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PANADOL S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77525 Sequence 1
Computer Entry Date 01/07/1992
Date Reported 05/06/1992
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 00/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION GIVEN A
ROUTINE PARACETAMOL BEFORE INJECTION
Description : DEVELOPED A SWOLLEN THIGH AT INJ SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77526 Sequence 1
Computer Entry Date 01/07/1992
Date Reported 05/06/1992
Age : 71 YEARS Sex MALE Height
Weight Date Of Onset 01/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DEATH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : DEATH AS REACTION
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77527 Sequence 1
Computer Entry Date 01/07/1992
Date Reported 05/06/1992
Age : 21 YEARS Sex FEMALE Height
Weight Date Of Onset 28/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : SWOLLEN, HOT AND PAINFUL INJ SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY DRUG SPECIFIC ANTIBODY
Lab Normal Range :
0 TETANUS ANTIBODY TITRE - 133.4 IU/ML.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77528 Sequence 1
Computer Entry Date 01/07/1992
Date Reported 05/06/1992
Age : 46 YEARS Sex MALE Height
Weight Date Of Onset 16/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DYSPNOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 09/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77529 Sequence 1
Computer Entry Date 01/07/1992
Date Reported 05/06/1992
Age : 69 YEARS Sex FEMALE Height
Weight Date Of Onset 15/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
JAUNDICE
ENCEPHALOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 20/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
THYROXINE SODIUM S
SPIRONOLACTONE S
0Laboratory Data
===============
HISTOLOGY LIVER BIOPSY
Lab Normal Range :
0 LIVER BIOPSY SHOWED SUB-MASSIVE NECROSIS WITH EXTENSIVE PARENCHYMAL COLLAPSE.
THERE WAS HISTOLOGICAL EVIDENCE OF ONGOING HEPATOCELLULAR DAMAGE. NO SPECIFIC
AETIOLOGICAL FACTORS WERE IDENTIFIED FROM THE BIOPSY.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : DEATH, MAYBE DRUG
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77530 Sequence 1
Computer Entry Date 01/07/1992
Date Reported 09/06/1992
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 03/03/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : LEG VERY SWOLLEN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 03/03/1992 AND CEASED 03/03/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77541 Sequence 1
Computer Entry Date 02/07/1992
Date Reported 10/06/1992
Age : 34 YEARS Sex FEMALE Height 160
Weight 53 Date Of Onset 19/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
POLARAMINE
Description : REDNESS AND SWELLING OF SHOULDER & INJECTION SITE
HEADACHE
Description : SEVERE HEADACHE
FEVER
Description : HIGH FEVER
MYALGIA
Description : GENERALISED MYALGIA
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77543 Sequence 1
Computer Entry Date 02/07/1992
Date Reported 10/06/1992
Age : 45 YEARS Sex FEMALE Height 153
Weight 65 Date Of Onset 11/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS TREATED
WITH ORUDIS SR 200 MG.
Description : NOTICABLE SWELLING AND ACHING OF L WRIST
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAVENOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SALBUTAMOL O
ICD Code : ASTHMA
BECOTIDE O INHALANT
INHALATION
ICD Code : ASTHMA
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77562 Sequence 1
Computer Entry Date 03/07/1992
Date Reported 08/06/1992
Age : 13 YEARS Sex FEMALE Height 150
Weight 55 Date Of Onset 26/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ERYTHEMA NODOSUM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77585 Sequence 1
Computer Entry Date 06/07/1992
Date Reported 10/06/1992
Age : 9 YEARS Sex MALE Height
Weight Date Of Onset 15/03/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
Description : RASH ON PALMS & FINGERS OF BOTH HANDS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 5.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/02/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77648 Sequence 1
Computer Entry Date 08/07/1992
Date Reported 15/06/1992
Age : 7 YEARS Sex FEMALE Height
Weight Date Of Onset 23/04/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE MASS EXCISION
BY PLASTIC SURGEON.
Description : SUBCUTANEOUS GRANULOMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
HISTOLOGY
Lab Normal Range :
0 SUBCUTANEOUS TISSUE FROM LEFT UPPER ARM SHOWING AN AREA OF CHRONIC
GRANULOMATOUS INFLAMMATION AND CENTRAL ABSCESS, THE CAUSE OF WHICH IS NOT
APPARENT, BUT WITH SOME FEATURES RAISING THE POSSIBILITY OF EITHER A
PENETRATING INJURY AND RESULTANT FOREIGN BODY REACTION AND ABSCESS OR
POSSIBLE (BUT UNLIKELY) SUBCUTANEOUS GRANULOMA ANNULARE.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77656 Sequence 1
Computer Entry Date 08/07/1992
Date Reported 16/06/1992
Age : 72 YEARS Sex MALE Height
Weight Date Of Onset 12/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEURITIS
Included Term : GUILLAIN-BARRE SYNDROME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S
BETALOC O TABLET 200.0 MG
DAILY PER ORAL
LONG TERM
ICD Code : ESSENTIAL BENIGN HYPERTENSION
TIMOPTOL O EYE DROPS 1.0 DF
DAILY CONJUNCTIVAL
LONG TERM
ICD Code : UNSPECIFIED GLAUCOMA
PILOCARPINE O EYE DROPS 1.0 DF
DAILY CONJUNCTIVAL
LONG TERM
ICD Code : UNSPECIFIED GLAUCOMA
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77673 Sequence 1
Computer Entry Date 09/07/1992
Date Reported 19/06/1992
Age : 12 MONTHS Sex FEMALE Height
Weight 9 Date Of Onset 12/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
ANTIHISTAMINE
DIARRHOEA
VOMITING
FEVER
ACIDOSIS
DEHYDRATION
CIRCULATORY FAILURE
Included Term : SHOCK
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 12/06/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77680 Sequence 1
Computer Entry Date 09/07/1992
Date Reported 11/06/1992
Age : 3 YEARS Sex MALE Height
Weight Date Of Onset 08/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VASCULITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PROHIBIT S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 08/06/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77688 Sequence 1
Computer Entry Date 09/07/1992
Date Reported 16/06/1992
Age : 75 YEARS Sex MALE Height
Weight Date Of Onset 05/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
DIURETICS.
MYALGIA
ALBUMINURIA
Included Term : PROTEINURIA
OEDEMA PERIPHERAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 28/03/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77695 Sequence 1
Computer Entry Date 09/07/1992
Date Reported 18/06/1992
Age Code A3 - Thirties Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PARAESTHESIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PNEUMOVAX 23 S
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77754 Sequence 1
Computer Entry Date 14/07/1992
Date Reported 20/06/1992
Age : 43 YEARS Sex FEMALE Height
Weight Date Of Onset 12/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VASCULITIS TREATED
WITH PREDNISOLONE.
Description : ARTHUS TYPE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/06/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77804 Sequence 1
Computer Entry Date 16/07/1992
Date Reported 23/06/1992
Age : 1 YEARS Sex MALE Height
Weight Date Of Onset 20/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT
Description : MARKED BILATERAL PEROTITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 15/06/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77806 Sequence 1
Computer Entry Date 16/07/1992
Date Reported 23/06/1992
Age : 20 YEARS Sex MALE Height
Weight Date Of Onset 22/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MENCEVAX AC S INJECTION 0.5 ML
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 22/06/1992
ICD Code : OTHER PROPHYLACTIC PROCEDURES
TYPHOID VACCINE S INJECTION 0.5 ML
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 22/06/1992
ICD Code : OTHER PROPHYLACTIC PROCEDURES
IMMUNOGLOBULIN HUMAN NORMAL S 2.0 ML
1 TIME
DRUG ADMINISTRATION BEGAN 22/06/1992
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77810 Sequence 1
Computer Entry Date 16/07/1992
Date Reported 23/06/1992
Age : 62 YEARS Sex MALE Height
Weight Date Of Onset 00/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEPATITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 04/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
BIOCHEMISTRY BILIRUBIN
Lab Normal Range : 1 - 24 UMOL/L
025/05/1992 03/06/1992 18/06/1992
64 22 10
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY SAP = ALP
Lab Normal Range : 30 - 120 U/L
025/05/1992 03/06/1992 18/06/1992
219(30-110 237 114
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY LDH
Lab Normal Range : *110-230, 100-280
025/05/1992 03/06/1992 18/06/1992
*309 207 121
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY AST = SGOT
Lab Normal Range : *10-45, <40
025/05/1992 03/06/1992 18/06/1992
*303 70 21
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY ALT = SGPT
Lab Normal Range : 0 - 35 U/L
025/05/1992
377
1ADP016P5
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77810 Sequence 1 (Continued)
BIOCHEMISTRY GGT = SGGT = GGTP
Lab Normal Range : *0-50, <50
025/05/1992 03/06/1992 18/06/1992
*196 275 101
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77815 Sequence 1
Computer Entry Date 16/07/1992
Date Reported 23/06/1992
Age : 7 MONTHS Sex MALE Height
Weight Date Of Onset 11/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
INJECTION SITE REACTION
Description : RAISED RED LUMP AT INJECTION SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/06/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77816 Sequence 1
Computer Entry Date 16/07/1992
Date Reported 23/06/1992
Age : 6 MONTHS Sex FEMALE Height
Weight Date Of Onset 11/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
VOMITING
INJECTION SITE REACTION
Description : RAISED RED SWOLLEN LUMP
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/06/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77817 Sequence 1
Computer Entry Date 16/07/1992
Date Reported 23/06/1992
Age : 47 YEARS Sex FEMALE Height
Weight Date Of Onset 00/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : RED ITCHY SWOLLEN LUMP
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77818 Sequence 1
Computer Entry Date 16/07/1992
Date Reported 23/06/1992
Age : 60 YEARS Sex MALE Height
Weight Date Of Onset 10/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN
SKIN COLD CLAMMY
Included Term : CLAMMY
SWEATING INCREASED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S CAPSULE 1.0 DF
TOTAL PER ORAL
DRUG ADMINISTRATION BEGAN 07/06/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPH-VAX S CAPSULE 1.0 DF
TOTAL PER ORAL
DRUG ADMINISTRATION BEGAN 09/06/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
BIOCHEMISTRY BILIRUBIN
Lab Normal Range :
010/06/1992
27
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
HAEMATOLOGY LYMPHOCYTES
Lab Normal Range :
010/06/1992
14.5
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77819 Sequence 1
Computer Entry Date 16/07/1992
Date Reported 23/06/1992
Age : 56 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SEPSIS GIVEN
ISONIAZID, RIFAMPICIN, ETHAMBUTOL, AMIKACIN, CYCLOSERI
INFECTION TBC
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE INTRAVESICAL S INJECTION
INTRAVESICAL
DRUG ADMINISTRATION BEGAN 00/01/1992
ICD Code : MALIGNANT NEOPLASM OF BLADDER
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77820 Sequence 1
Computer Entry Date 16/07/1992
Date Reported 22/06/1992
Age : 41 YEARS Sex FEMALE Height 162
Weight 60 Date Of Onset 22/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE
RASH
FEVER
COUGHING
HEADACHE
DYSPHONIA
Included Term : VOICE ALTERATION
Description : LOSS OF VOICE
RHINITIS
Description : NASAL OBSTRUCTION
SKIN EXFOLIATION
Description : FACIAL SKIN PEELING
MALAISE
Included Term : FEELING UNWELL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 12/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77821 Sequence 1
Computer Entry Date 16/07/1992
Date Reported 23/06/1992
Age : 45 YEARS Sex FEMALE Height
Weight Date Of Onset 05/11/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : SWOLLEN, SORE ARM.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/11/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77827 Sequence 1
Computer Entry Date 16/07/1992
Date Reported 22/06/1992
Age : 7 YEARS Sex FEMALE Height
Weight Date Of Onset 19/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
Description : TONIC CLONIC SEIZURE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PROHIBIT S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 19/06/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TEGRETOL O SOLUTION 35.0 ML
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/00/1986
ICD Code : OTHER&UNSPECIFIED EPILEPSY
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77841 Sequence 1
Computer Entry Date 17/07/1992
Date Reported 23/06/1992
Age : 58 YEARS Sex MALE Height
Weight Date Of Onset 13/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEURITIS 6 X
PLASMA EXCHANGE.
Included Term : GUILLAIN-BARRE SYNDROME
SPEECH DISORDER
DYSPHAGIA
Included Term : SWALLOWING DIFFICULT
ASTHENIA
Included Term : WEAKNESS GENERALIZED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
ELECTROGRAPHICS
Lab Normal Range :
0 EMG - DEMYELINE NEUROPATHY
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY
Lab Normal Range :
0 LP HIGH PROTEIN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77877 Sequence 1
Computer Entry Date 20/07/1992
Date Reported 25/06/1992
Age : 24 YEARS Sex MALE Height
Weight 70 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION 3.0 DF
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/06/1991
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77916 Sequence 1
Computer Entry Date 24/07/1992
Date Reported 16/06/1992
Age : 31 YEARS Sex FEMALE Height 162
Weight 54 Date Of Onset 25/02/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S INJECTION 1.0 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/02/1992
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77917 Sequence 1
Computer Entry Date 24/07/1992
Date Reported 16/06/1992
Age : 31 YEARS Sex FEMALE Height 162
Weight 54 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
Description : HIVE LIKE LESIONS ON LOWER LEGS & TRUNK
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S INJECTION 1.0 ML
TOTAL INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/02/1992
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77936 Sequence 1
Computer Entry Date 27/07/1992
Date Reported 29/06/1992
Age : 19 MONTHS Sex MALE Height
Weight 10 Date Of Onset 26/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH IV
FLUIDS REQUIRED FOR FEAR OF DEHYDRATION.
SKIN EXFOLIATION
Description : SKIN PEELING AND DISCHARGING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
EES S SYRUP 10.0 ML
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 23/05/1992 AND CEASED 28/05/1992
ICD Code : OTR&NOS INFEC&PARASIT DISEASES
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 25/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 77940 Sequence 1
Computer Entry Date 27/07/1992
Date Reported 24/06/1992
Age : 23 MONTHS Sex FEMALE Height
Weight Date Of Onset 24/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PROHIBIT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/06/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78008 Sequence 1
Computer Entry Date 28/07/1992
Date Reported 20/06/1992
Age : 18 MONTHS Sex MALE Height
Weight 12 Date Of Onset 12/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
Description : FEBRILE CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 11/06/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78026 Sequence 1
Computer Entry Date 29/07/1992
Date Reported 30/06/1992
Age Code A5 - Fifties Sex FEMALE Height
Weight Date Of Onset 00/06/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE NECROSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID CHOLERA VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/06/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78061 Sequence 1
Computer Entry Date 30/07/1992
Date Reported 06/07/1992
Age : 47 YEARS Sex FEMALE Height 168
Weight 62 Date Of Onset 04/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
DIARRHOEA
DIZZINESS
Included Term : GIDDINESS
PALPITATION
PARAESTHESIA
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S CAPSULE 1.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 03/07/1992 AND CEASED 04/07/1992
TRIPHASIL O PILL 1.0 DF
DAILY PER ORAL
ICD Code : CONTRACEPTION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78113 Sequence 1
Computer Entry Date 03/08/1992
Date Reported 25/06/1992
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 31/03/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 31/03/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78135 Sequence 1
Computer Entry Date 03/08/1992
Date Reported 08/07/1992
Age : 16 YEARS Sex FEMALE Height
Weight Date Of Onset 14/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
PRURITUS
Included Term : ITCHING
OEDEMA PERIPHERAL
Description : SWELLING OF THE FINGERS
OEDEMA PERIORBITAL
Description : SWELLING AROUND THE EYES.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/06/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 12/06/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 TETANUS ANTIBODY ASSAY - 62.9 IU/ML. THE PROTECTIVE LEVEL IS CONSIDERED TO BE
0.01 IU/ML AND THE HALF LIFE IS APPROXIMATELY 7 YEARS.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78136 Sequence 1
Computer Entry Date 03/08/1992
Date Reported 08/07/1992
Age : 16 YEARS Sex FEMALE Height
Weight Date Of Onset 01/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : PAINFUL AND TENDER AT INJ SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/06/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 29/06/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78137 Sequence 1
Computer Entry Date 03/08/1992
Date Reported 08/07/1992
Age Code A4 - Forties Sex FEMALE Height
Weight Date Of Onset 27/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
PARAESTHESIA
Description : TINGLING IN HAND
HYPOAESTHESIA
Description : DIMINISHED PAIN SENSATION
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/06/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/06/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HEPATITIS B IMMUNOGLOBULIN O INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/06/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY DRUG SPECIFIC ANTIBODY
Lab Normal Range :
0 TETANUS ANTIBODY ASSAY - 0.56 IU/ML. THE PROTECTIVE LEVEL IS CONSIDERED
TO BE - 0.01 IU/ML.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78141 Sequence 1
Computer Entry Date 03/08/1992
Date Reported 08/07/1992
Age : 6 YEARS Sex MALE Height
Weight Date Of Onset 21/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRANIAL NERVE LESION
PREDNISOLONE 50MG FOR 10/7 THAN REDUCING.
Description : BELL'S PALSY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/06/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 19/06/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78144 Sequence 1
Computer Entry Date 03/08/1992
Date Reported 08/07/1992
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 03/03/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/03/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78145 Sequence 1
Computer Entry Date 03/08/1992
Date Reported 08/07/1992
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 05/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78149 Sequence 1
Computer Entry Date 03/08/1992
Date Reported 09/07/1992
Age : 60 YEARS Sex MALE Height
Weight Date Of Onset 00/01/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
EPIDIDYMITIS SURGERY
AND ANTIBIOTICS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE INTRAVESICAL IPU S 720.0 MG
TOTAL
DRUG ADMINISTRATION BEGAN 00/10/1989 AND CEASED 00/01/1990
0Laboratory Data
===============
HISTOLOGY
Lab Normal Range :
0 MICROSCOPIC EXAMINATION REVEALED EXTENSIVE REPLACEMENT OF NORMAL ARCHITECTURE
BY AREAS OF NECROTISING GRANULOMATOUS INFLAMMATION. (FIG.1) ZIEHL-NEELSEN
STAIN (FIG. 2) CONFIMED THE PRESENCE OF ACID FAST BACILLI WITH MORPHOLOGY
CONSISTENT WITH MYCOBACTERIUM SPECIES.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78161 Sequence 1
Computer Entry Date 04/08/1992
Date Reported 05/07/1992
Age : 68 YEARS Sex MALE Height 175
Weight 91 Date Of Onset 24/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEURITIS
Included Term : GUILLAIN-BARRE SYNDROME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 03/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
VENTOLIN O 2.0 DF
AS NECESSARY
LONG TERM
ATROVENT O 8.0 DF
DAILY
LONG TERM
ZYLOPRIM O TABLET 300.0 MG
DAILY PER ORAL
LONG TERM
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78193 Sequence 1
Computer Entry Date 05/08/1992
Date Reported 02/05/1992
Age : 50 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS IMMUNOGLOBULIN S 1.0 DF
1 TIME
BENZYLPENICILLIN S INJECTION 1.0 DF
1 TIME INTRAVENOUS
FLUCLOXACILLIN SODIUM S INJECTION 1.0 DF
1 TIME INTRAVENOUS
FLUCLOXACILLIN SODIUM S PER ORAL
PER ORAL
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78194 Sequence 1
Computer Entry Date 05/08/1992
Date Reported 02/05/1992
Age : 50 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PARALYSIS
MYALGIA
MYELITIS
DEXAMETHASONE IV 4MG EVERY 4 H, CEFTRIAXONE 1 GM DAILY, METH
PREDNISO
LONE 100MG DAILY.
FATIGUE
Included Term : LETHARGY
HEADACHE
SENSORY DISTURBANCE
URINARY RETENTION
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS IMMUNOGLOBULIN S INJECTION 1.0 DF
1 TIME INTRAVENOUS
BENZYLPENICILLIN S INJECTION 1.0 DF
1 TIME INTRAVENOUS
FLUCLOXACILLIN SODIUM S INJECTION 1.0 DF
1 TIME INTRAVENOUS
FLUCLOXACILLIN SODIUM S PER ORAL
DAILY PER ORAL
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 CEREBROSPINAL FLUID (CSF) EXAMINATION REVEALED NEUTROPHIL PLEOCYTOSIS
(WHITE CELLS 1680 X10/6/L, 90% POLYMORPHS; RED CELLS 885 X 10/6/L), RAISED
PROTEIN (3900 MG/L), AND LOW GLUCOSE (1.6 MMOL/L). REPEAT CSF EXAMINATION
ON THE FOURTH HOSPITAL DAY REVEALED WHITE CELLS 65 X 10/6/L (75% MONONUCLEAR),
RED CELLS 40 X 10/6/L, PROTEIN 7200 MG/L, GLUCOSE 5 MMOL/L.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
RADIOLOGY
Lab Normal Range :
0 MRI SCAN REVEALED AREAS OF INCREASED SIGNAL INTENSITY ON T2-WEIGHTED IMAGES AT
C7-T2 AND T6-T7 VERTEBRAL LEVELS. AN MRI BRAIN SCAN WAS NORMAL.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78197 Sequence 1
Computer Entry Date 05/08/1992
Date Reported 08/07/1992
Age : 64 YEARS Sex MALE Height 167
Weight 60 Date Of Onset 24/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS TREATED
WITH VOLTAREN.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 22/06/1992
ICD Code : OTHER PROPHYLACTIC PROCEDURES
BRICANYL O INHALANT 4.0 DF
DAILY INHALATION
DRUG ADMINISTRATION BEGAN 23/08/1991
PULMICORT O INHALANT 6.0 DF
DAILY INHALATION
DRUG ADMINISTRATION BEGAN 23/08/1991
VENTOLIN NEBULES O INHALANT 5.0 MG
AS NECESSARY INHALATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78203 Sequence 1
Computer Entry Date 05/08/1992
Date Reported 08/07/1992
Age : 32 YEARS Sex MALE Height 186
Weight 90 Date Of Onset 30/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR TREATED
WITH CALOMINE.
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/06/1992
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78207 Sequence 1
Computer Entry Date 06/08/1992
Date Reported 18/02/1992
Age : 18 MONTHS Sex FEMALE Height
Weight Date Of Onset 09/07/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
ANOREXIA
FEVER
Description : TEMPERATURE 41 C.
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 09/07/1991
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78208 Sequence 1
Computer Entry Date 06/08/1992
Date Reported 14/07/1992
Age : 5 MONTHS Sex FEMALE Height
Weight Date Of Onset 19/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPOTONIA PANADOL
PALLOR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 19/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78209 Sequence 1
Computer Entry Date 06/08/1992
Date Reported 09/07/1992
Age : 5 MONTHS Sex FEMALE Height
Weight 5 Date Of Onset 07/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
Description : TEMPERATURE 39.5 C
SOMNOLENCE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78211 Sequence 1
Computer Entry Date 06/08/1992
Date Reported 18/07/1992
Age : 5 MONTHS Sex MALE Height
Weight Date Of Onset 30/03/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
Description : TEMPERATURE 41 C
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78239 Sequence 1
Computer Entry Date 06/08/1992
Date Reported 15/07/1992
Age : 16 MONTHS Sex FEMALE Height
Weight Date Of Onset 12/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
RHINITIS
Description : RUNNY NOSE
COUGHING
RASH MACULO-PAPULAR
MEASLES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 03/07/1992
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78255 Sequence 1
Computer Entry Date 07/08/1992
Date Reported 15/07/1992
Age : 4 YEARS Sex FEMALE Height 100
Weight 17 Date Of Onset 14/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 13/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78390 Sequence 1
Computer Entry Date 13/08/1992
Date Reported 22/07/1992
Age : 44 YEARS Sex MALE Height 153
Weight 52 Date Of Onset 22/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEPATITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLOPEN S TABLET 4.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 08/06/1992 AND CEASED 14/06/1992
TETANUS VACCINE ADSORBED S
DRUG ADMINISTRATION BEGAN 08/06/1992
0Laboratory Data
===============
BIOCHEMISTRY BILIRUBIN
Lab Normal Range : <20 UMOL/L
022/06/1992 24/06/1992 01/07/1992 08/07/1992 20/07/1992 03/08/1992
75 21 66 60 37 18
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY AST = SGOT
Lab Normal Range : < 45
022/06/1992 24/06/1992 01/07/1992 08/07/1992 20/07/1992 03/08/1992
109 115 67 53 58 33
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY ALT = SGPT
Lab Normal Range : < 45 IU/L
022/06/1992 24/06/1992 01/07/1992 08/07/1992 20/07/1992 03/08/1992
207 241 162 110 137 70
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY GGT = SGGT = GGTP
Lab Normal Range : < 60 IU/L
022/06/1992 24/06/1992 01/07/1992 08/07/1992 20/07/1992 03/08/1992
127 113 68 46 32 30
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY SAP = ALP
Lab Normal Range : <120 IU/L
022/06/1992 24/06/1992 01/07/1992 08/07/1992 20/07/1992 03/08/1992
104 106 86 101 78 62
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78390 Sequence 1 (Continued)
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78424 Sequence 1
Computer Entry Date 14/08/1992
Date Reported 18/07/1992
Age : 2 YEARS Sex MALE Height
Weight Date Of Onset 16/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PROHIBIT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78431 Sequence 1
Computer Entry Date 14/08/1992
Date Reported 24/07/1992
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DERMATITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S
DRUG ADMINISTRATION BEGAN 00/00/1990
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 PATCH TESTING FOR THIOMERSAL WAS POSITIVE.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78489 Sequence 1
Computer Entry Date 19/08/1992
Date Reported 22/07/1992
Age : 35 YEARS Sex FEMALE Height
Weight Date Of Onset 26/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
HEADACHE
OEDEMA PERIORBITAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S 10.0 RG
1 TIME
DRUG ADMINISTRATION BEGAN 24/06/1992
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78490 Sequence 1
Computer Entry Date 19/08/1992
Date Reported 22/07/1992
Age : 46 YEARS Sex MALE Height
Weight 70 Date Of Onset 01/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS CALAMINE
LOTION, PHENERGAN CREAM.
PRURITUS
FATIGUE
PHARYNGITIS
Included Term : THROAT SORE
RIGORS
Included Term : CHILLS
ARTHRALGIA
Description : SHOULDER PAIN.
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 10.0 RG
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 01/07/1992
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78511 Sequence 1
Computer Entry Date 20/08/1992
Date Reported 27/07/1992
Age : 10 WEEKS Sex MALE Height 1
Weight 2 Date Of Onset 16/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANOREXIA
HYPOTONIA
APNOEA
RESPIRATORY DEPRESSION
Included Term : RESPIRATORY ARREST
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 16/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
POLIOMYELITIS VIRUS VACCINE S SYRUP 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 16/07/1992 AND CONTINUED
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
FERGON O SYRUP 0.5 ML
DAILY PER ORAL
PENTA-VITE-INFANT O SOLUTION 0.4 ML
DAILY PER ORAL
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78536 Sequence 1
Computer Entry Date 24/08/1992
Date Reported 31/07/1992
Age : 2 YEARS Sex FEMALE Height 84
Weight 12 Date Of Onset 26/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
UPPER RESP TRACT INFECTION
Included Term : UPPER RESPIRATORY TRACT INFECTION
CONJUNCTIVITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 24/07/1992
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78572 Sequence 1
Computer Entry Date 24/08/1992
Date Reported 31/07/1992
Age : 17 MONTHS Sex FEMALE Height
Weight Date Of Onset 18/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
RASH
LYMPHADENOPATHY
LYMPHADENOPATHY CERVICAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 0.5 ML
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 17/06/1992 AND CEASED 17/06/1992
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78598 Sequence 1
Computer Entry Date 25/08/1992
Date Reported 30/07/1992
Age : 2 MONTHS Sex FEMALE Height
Weight 4 Date Of Onset 27/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
AGITATION
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 27/05/1992
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78608 Sequence 1
Computer Entry Date 25/08/1992
Date Reported 03/08/1992
Age : 8 WEEKS Sex MALE Height
Weight 4 Date Of Onset 22/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION PANADOL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78609 Sequence 1
Computer Entry Date 25/08/1992
Date Reported 04/08/1992
Age : 64 YEARS Sex FEMALE Height 163
Weight 56 Date Of Onset 23/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
Included Term : ITCHING
RASH ERYTHEMATOUS
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 20/07/1992 AND CEASED 20/07/1992
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78664 Sequence 1
Computer Entry Date 01/09/1992
Date Reported 08/08/1992
Age : 22 YEARS Sex FEMALE Height 165
Weight 53 Date Of Onset 29/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
SWEATING INCREASED
FATIGUE
Included Term : WEARINESS
SOMNOLENCE
Included Term : SLEEPINESS
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/05/1992
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78701 Sequence 1
Computer Entry Date 02/09/1992
Date Reported 13/08/1992
Age : 9 YEARS Sex FEMALE Height
Weight Date Of Onset 12/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78705 Sequence 1
Computer Entry Date 02/09/1992
Date Reported 05/08/1992
Age : 29 YEARS Sex FEMALE Height
Weight Date Of Onset 21/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : HOT SWOLLEN PAINFUL LUMP.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 20/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78707 Sequence 1
Computer Entry Date 02/09/1992
Date Reported 05/08/1992
Age : 25 YEARS Sex FEMALE Height
Weight Date Of Onset 21/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : RED HOT SWOLLEN, PAINFUL LUMP
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 20/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78709 Sequence 1
Computer Entry Date 02/09/1992
Date Reported 05/08/1992
Age : 59 YEARS Sex MALE Height
Weight Date Of Onset 21/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : RED, HOT, SWOLLEN, PAINFUL LUMP.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 20/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78711 Sequence 1
Computer Entry Date 02/09/1992
Date Reported 05/08/1992
Age : 27 YEARS Sex FEMALE Height
Weight Date Of Onset 21/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : RED, HOT. SWOLLEN, PAINFUL LUMP.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 20/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78714 Sequence 1
Computer Entry Date 02/09/1992
Date Reported 05/08/1992
Age : 20 YEARS Sex FEMALE Height
Weight Date Of Onset 21/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : RED, HOT, SWOLLEN, PAINFUL LUMP.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 20/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78715 Sequence 1
Computer Entry Date 02/09/1992
Date Reported 05/08/1992
Age : 28 YEARS Sex Height
Weight Date Of Onset 21/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : RED, HOT, SWOLLEN, PAINFUL LUMP.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 20/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78716 Sequence 1
Computer Entry Date 02/09/1992
Date Reported 05/08/1992
Age : 59 YEARS Sex FEMALE Height
Weight 64 Date Of Onset 20/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : RED, HOT, SWOLLEN AREA.
HEADACHE
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 20/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78774 Sequence 1
Computer Entry Date 07/09/1992
Date Reported 10/08/1992
Age : 19 WEEKS Sex MALE Height
Weight Date Of Onset 20/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DYSPHONIA
Description : LOSS OF VOICE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78777 Sequence 1
Computer Entry Date 07/09/1992
Date Reported 10/08/1992
Age : 73 YEARS Sex MALE Height
Weight Date Of Onset 00/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION FELDENE
AND CORTICOSTEROIDS.
MYALGIA
Description : STIFFNESS IN MUSCLES OF SHOULDER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 00/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78789 Sequence 1
Computer Entry Date 08/09/1992
Date Reported 04/08/1992
Age : 74 YEARS Sex FEMALE Height
Weight Date Of Onset 16/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CHEST PAIN
DEATH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 29/04/1992
0Laboratory Data
===============
0Outcome : DEATH AS REACTION
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78790 Sequence 1
Computer Entry Date 08/09/1992
Date Reported 10/08/1992
Age : 2 YEARS Sex MALE Height
Weight 13 Date Of Onset 07/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PARESIS
Description : BELL'S PALSY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/08/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78793 Sequence 1
Computer Entry Date 08/09/1992
Date Reported 03/08/1992
Age : 2 YEARS Sex MALE Height 93
Weight 15 Date Of Onset 30/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
STRABISMUS EYE
PATCHES
Included Term : SQUINT
Description : LEFT EYE SQUINT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PROHIBIT S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 30/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78813 Sequence 1
Computer Entry Date 08/09/1992
Date Reported 17/08/1992
Age : 64 YEARS Sex FEMALE Height 149
Weight Date Of Onset 12/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BRONCHOSPASM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78832 Sequence 1
Computer Entry Date 09/09/1992
Date Reported 18/08/1992
Age : 80 YEARS Sex FEMALE Height 160
Weight 57 Date Of Onset 13/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : LOCAL REDNESS AND SWELLING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 11/08/1992 AND CEASED 11/08/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78865 Sequence 1
Computer Entry Date 10/09/1992
Date Reported 27/08/1992
Age : 55 YEARS Sex MALE Height 173
Weight 79 Date Of Onset 25/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RIGORS
Included Term : CHILLS
Description : SHAKING & FELT EXTREMELY COLD
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 25/08/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78880 Sequence 1
Computer Entry Date 10/09/1992
Date Reported 25/08/1992
Age : 13 YEARS Sex FEMALE Height
Weight Date Of Onset 00/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : RED PAINFUL ARM AT INJ SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
DAILY SYSTEMIC
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78945 Sequence 1
Computer Entry Date 15/09/1992
Date Reported 17/08/1992
Age : 63 YEARS Sex FEMALE Height
Weight Date Of Onset 05/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYELITIS STEROIDS
AND PHYSIOTHERAPY.
URINARY INCONTINENCE
Included Term : URINE INCONTINENCE
PARAPLEGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 00/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78946 Sequence 1
Computer Entry Date 15/09/1992
Date Reported 17/08/1992
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 18/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
BRONCHITIS
RHINITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 17/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78966 Sequence 1
Computer Entry Date 15/09/1992
Date Reported 24/08/1992
Age : 15 YEARS Sex MALE Height
Weight Date Of Onset 09/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
MALAISE
HEADACHE
MYALGIA
EOSINOPHILIA
Description : SLIGHT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/07/1992
0Laboratory Data
===============
HAEMATOLOGY WHITE BLOOD CELLS
Lab Normal Range : 4-12
0 WBC 6.3, EOSINOPHILS 9% 0.57
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78982 Sequence 1
Computer Entry Date 16/09/1992
Date Reported 11/08/1992
Age : 4 MONTHS Sex MALE Height
Weight 8 Date Of Onset 11/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
PHENERGAN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 11/08/1992 AND CEASED 11/08/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78986 Sequence 1
Computer Entry Date 16/09/1992
Date Reported 25/08/1992
Age : 6 WEEKS Sex FEMALE Height
Weight Date Of Onset 03/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 29/07/1992
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 78994 Sequence 1
Computer Entry Date 16/09/1992
Date Reported 24/08/1992
Age : 31 YEARS Sex MALE Height
Weight Date Of Onset 24/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS LAY DOWN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 0.1 ML
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 24/08/1979
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79030 Sequence 1
Computer Entry Date 17/09/1992
Date Reported 21/08/1992
Age : 14 YEARS Sex FEMALE Height
Weight Date Of Onset 18/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONJUNCTIVITIS
Description : ITCHY EYES
BRONCHOSPASM
Included Term : ASTHMA
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/06/1992
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79126 Sequence 1
Computer Entry Date 22/09/1992
Date Reported 28/07/1992
Age : 46 YEARS Sex FEMALE Height 157
Weight 60 Date Of Onset 16/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA
VOMITING
MYALGIA
HYPOKALAEMIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 10/04/1992 AND CEASED 10/04/1992
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79136 Sequence 1
Computer Entry Date 22/09/1992
Date Reported 31/08/1992
Age : 68 YEARS Sex MALE Height
Weight Date Of Onset 24/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION HISMANAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 22/08/1992 AND CEASED 22/08/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
MENCEVAX AC S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 22/08/1992 AND CEASED 22/08/1992
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79160 Sequence 1
Computer Entry Date 23/09/1992
Date Reported 27/08/1992
Age : 37 YEARS Sex FEMALE Height
Weight Date Of Onset 00/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : ARM BECAME HOT AND INDURATED.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY DRUG SPECIFIC ANTIBODY
Lab Normal Range :
0 ANTIBODY ASSAY RESULTS: TETANUS ANTIBODY LEVEL - 14.2 IU/ML, DIPHTHERIA
ANTIBODY LEVEL 1.14 IU/ML.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79161 Sequence 1
Computer Entry Date 23/09/1992
Date Reported 27/08/1992
Age : 73 YEARS Sex FEMALE Height
Weight Date Of Onset 00/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : PAIN DOWN THE SIDE OF THE ARM.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY DRUG SPECIFIC ANTIBODY
Lab Normal Range :
0 ANTIBODY ASSAY RESULTS: TETANUS ANTIBODY LEVEL - 8.13 IU/ML, DIPHTHERIA
ANTIBODY LEVEL 1.36 IU/ML.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79162 Sequence 1
Computer Entry Date 23/09/1992
Date Reported 27/08/1992
Age : 52 YEARS Sex FEMALE Height
Weight Date Of Onset 00/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : PAIN DOWN TO FINGER TIPS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY DRUG SPECIFIC ANTIBODY
Lab Normal Range :
0 ANTIBODY ASSAY RESULTS: TETANUS ANTIBODY LEVEL - 2.2 IU/ML, DIPHTHERIA
ANTIBODY LEVEL 1.05 IU.ML.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79163 Sequence 1
Computer Entry Date 23/09/1992
Date Reported 27/08/1992
Age : 54 YEARS Sex FEMALE Height
Weight Date Of Onset 00/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION TREATED
WITH ANTIBIOTICS
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY DRUG SPECIFIC ANTIBODY
Lab Normal Range :
0 ANTIBODY ASSAY RESULTS: TETANUS ANTIBODY LEVEL - 7.15 IU/ML, DIPHTHERIA
ANTIBODY LEVEL 0.80 IU/ML.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79164 Sequence 1
Computer Entry Date 23/09/1992
Date Reported 27/08/1992
Age : 63 YEARS Sex FEMALE Height
Weight Date Of Onset 00/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : INJECTION SITE SWOLLEN, HOT, TENDER,
MALAISE
Description : UNWELL
FEVER
NAUSEA
VOMITING
OPISTHOTONOS
Description : NECK STIFFNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY DRUG SPECIFIC ANTIBODY
Lab Normal Range :
0 ANTIBODY ASSAY RESULTS: TETANUS ANTIBODY LEVEL - 3.7 IU/ML, DIPHTHERIA
ANTIBODY LEVEL 82.2 IU/ML.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79165 Sequence 1
Computer Entry Date 23/09/1992
Date Reported 27/08/1992
Age : 43 YEARS Sex FEMALE Height
Weight Date Of Onset 00/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : HOT, RED, ITCHY LUMPS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY DRUG SPECIFIC ANTIBODY
Lab Normal Range :
0 ANTIBODY ASSAY RESULTS: TETANUS ANTIBODY LEVEL - 21.4 IU/ML, DIPHTHERIA
ANTIBODY LEVEL 0.96 IU/ML.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79166 Sequence 1
Computer Entry Date 23/09/1992
Date Reported 27/08/1992
Age : 53 YEARS Sex FEMALE Height
Weight Date Of Onset 00/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : HOT, RED, ITCHY SWOLLEN WELTS.
ARTHRALGIA
Description : SORE ELBOW JOINT.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY DRUG SPECIFIC ANTIBODY
Lab Normal Range :
0 ANTIBODY ASSAY RESULTS : TETANUS ANTIBODY LEVEL - 35.7 IU/ML, DIPHTHERIA
ANTIBODY LEVEL 0.96 IU/ML.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79167 Sequence 1
Computer Entry Date 23/09/1992
Date Reported 27/08/1992
Age : 52 YEARS Sex FEMALE Height
Weight Date Of Onset 00/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : SITE OF INJECTION SWOLLEN AND TENDER.
LYMPHADENOPATHY
Description : SWOLLEN AXILLARY LYMPH NODES.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY DRUG SPECIFIC ANTIBODY
Lab Normal Range :
0 ANTIBODY ASSAY RESULTS: TETANUS ANTIBODY LEVEL - 19.0 IU/ML, DIPHTHERIA
ANTIBODY LEVEL 27.5 IU/ML.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79168 Sequence 1
Computer Entry Date 23/09/1992
Date Reported 27/08/1992
Age : 57 YEARS Sex FEMALE Height
Weight Date Of Onset 00/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : HOT PAINFUL TENDER AND SWOLLEN INJ SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY DRUG SPECIFIC ANTIBODY
Lab Normal Range :
0 ANTIBODY ASSAY RESULTS: TETANUS ANTIBODY LEVEL - 10.9 IU/ML, DIPHTHERIA
ANTIBODY LEVEL 1.29 IU/ML.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79169 Sequence 1
Computer Entry Date 23/09/1992
Date Reported 27/08/1992
Age : 55 YEARS Sex FEMALE Height
Weight Date Of Onset 00/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : SITE WAS PAINFULL, HOT, TENDER, SWOLLEN
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY DRUG SPECIFIC ANTIBODY
Lab Normal Range :
0 ANTIBODY ASSAY RESULTS: TETANUS ANTIBODY LEVEL - 18.2 IU/ML, DIPHTHERIA
ANTIBODY LEVEL - 8.54 IU/ML.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79170 Sequence 1
Computer Entry Date 23/09/1992
Date Reported 27/08/1992
Age : 46 YEARS Sex MALE Height
Weight Date Of Onset 00/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
Description : SEVERE PAIN IN WRIST AND ELBOW JOINTS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY DRUG SPECIFIC ANTIBODY
Lab Normal Range :
0 ANTIBODY ASSAY RESULTS: TETANUS ANTIBODY LEVEL - 4.78 IU/ML, DIPHTHERIA
ANTIBODY LEVEL 0.57 IU/ML.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79171 Sequence 1
Computer Entry Date 23/09/1992
Date Reported 27/08/1992
Age : 51 YEARS Sex FEMALE Height
Weight Date Of Onset 00/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
MALAISE
INJECTION SITE REACTION
Description : SITE WAS PAINFUL AND SWOLLEN.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY DRUG SPECIFIC ANTIBODY
Lab Normal Range :
0 ANTIBODY ASSAY RESULTS: TETANUS ANTIBODY LEVEL 0 25.9 IU/ML, DIPHTHERIA
ANTIBODY LEVEL - 1.59 IU/ML.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79172 Sequence 1
Computer Entry Date 23/09/1992
Date Reported 27/08/1992
Age : 56 YEARS Sex FEMALE Height
Weight Date Of Onset 00/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : SITE WAS HOT, PAINFUL AND SWOLLEN.
DIZZINESS
Included Term : LIGHT-HEADED FEELING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY DRUG SPECIFIC ANTIBODY
Lab Normal Range :
0 ANTIBODY ASSAY RESULTS: TETANUS ANTIBODY LEVEL - 14.3 IU/ML, DIPHTHERIA
ANTIBODY LEVEL 18.3 IU/ML.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79173 Sequence 1
Computer Entry Date 23/09/1992
Date Reported 27/08/1992
Age : 53 YEARS Sex FEMALE Height
Weight Date Of Onset 00/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : SITE WAS SWOLLEN AND TENDER.
HEADACHE
PARAESTHESIA
Description : TINGLING IN FINGERS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY DRUG SPECIFIC ANTIBODY
Lab Normal Range :
0 ANTIBODY ASSAY RESULTS: TETANUS ANTIBODY LEVEL - 24.5 IU/ML, DIPHTHERIA
ANTIBODY LEVEL - 0.17 IU/ML.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79174 Sequence 1
Computer Entry Date 23/09/1992
Date Reported 27/08/1992
Age : 61 YEARS Sex FEMALE Height
Weight Date Of Onset 00/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : SITE OF REACTION WAS PAINFUL,HOT,SWOLLEN
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SLOW-K O
COLOFAC O
CHLOTRIDE O
0Laboratory Data
===============
IMMUNOLOGY DRUG SPECIFIC ANTIBODY
Lab Normal Range :
0 ANTIBODY ASSAY RESULTS: TETANUS ANTIBODY LEVEL - 1.2 IU/ML, DIPHTHERIA
ANTIBODY LEVEL 6.02 IU/ML.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79175 Sequence 1
Computer Entry Date 23/09/1992
Date Reported 27/08/1992
Age : 40 YEARS Sex FEMALE Height
Weight Date Of Onset 00/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
FEVER
DIZZINESS
Included Term : LIGHT-HEADED FEELING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY DRUG SPECIFIC ANTIBODY
Lab Normal Range :
0 ANTIBODY ASSAY RESULTS: TETANUS ANTIBODY LEVEL - 7.69 IU/ML
DIPHTHERIA ANTIBODY LEVEL - 8.85 IU/ML.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79198 Sequence 1
Computer Entry Date 23/09/1992
Date Reported 04/09/1992
Age Sex FEMALE Height
Weight Date Of Onset 31/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT
Included Term : PAROTID ENLARGEMENT
Description : SWELLING OF PAROTID GLAND
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 23/07/1992 AND CEASED 23/07/1992
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79259 Sequence 1
Computer Entry Date 25/09/1992
Date Reported 10/09/1992
Age : 46 YEARS Sex FEMALE Height
Weight Date Of Onset 05/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 05/09/1992 AND CEASED 05/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79285 Sequence 1
Computer Entry Date 25/09/1992
Date Reported 02/09/1992
Age : 52 YEARS Sex FEMALE Height
Weight 60 Date Of Onset 01/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PULMONARY INFILTRATION STEROIDS
Description : PULMONARY VASCULITIS
FEVER
VASCULITIS
GLOMERULONEPHRITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 10.0 RG
1 TIME INTRAMUSCULAR
0Laboratory Data
===============
HISTOLOGY
Lab Normal Range :
0 SKIN BIOPSY - GRANULOMATOSIS VASCULITIS. RENAL BIOPSY - MESANGIAL
PROLIFERATIVE, GLOMERULONEPHITIS.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79293 Sequence 1
Computer Entry Date 25/09/1992
Date Reported 10/09/1992
Age : 52 YEARS Sex FEMALE Height
Weight 60 Date Of Onset 00/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VASCULITIS
FEVER
NEPHRITIS
Description : GLOMERULONEPHRITIS
VASCULITIS
Description : PULMONARY VASCULITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 10.0 RG
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 00/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
HISTOLOGY SKIN BIOPSY
Lab Normal Range :
0 SKIN BIOPSY SHOWED A GRANULOMATOUS REACTION.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79318 Sequence 1
Computer Entry Date 28/09/1992
Date Reported 03/09/1992
Age : 18 YEARS Sex FEMALE Height 160
Weight 55 Date Of Onset 07/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHADENOPATHY CERVICAL
INJECTION SITE REACTION COLD
COMPRESS APPLIED WITH SMALL RELIEF.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S INJECTION 0.1 ML
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 07/08/1992 AND CEASED 07/08/1992
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79333 Sequence 1
Computer Entry Date 28/09/1992
Date Reported 07/09/1992
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset 02/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/09/1992 AND CEASED 02/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79339 Sequence 1
Computer Entry Date 29/09/1992
Date Reported 10/09/1992
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 09/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/07/1992 AND CEASED 09/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79363 Sequence 1
Computer Entry Date 29/09/1992
Date Reported 07/09/1992
Age : 64 YEARS Sex MALE Height 180
Weight 102 Date Of Onset 15/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
Description : PAIN IN RIGHT AND LEFT SHOULDER.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/06/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79365 Sequence 1
Computer Entry Date 30/09/1992
Date Reported 08/09/1992
Age : 17 YEARS Sex FEMALE Height
Weight Date Of Onset 07/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : HOT, RED ITCHY LUMP.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S INJECTION 1.0 DF
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 07/08/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79380 Sequence 1
Computer Entry Date 30/09/1992
Date Reported 02/09/1992
Age : 3 YEARS Sex FEMALE Height
Weight Date Of Onset 26/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
HYDROCORTISONE CREAM
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PROHIBIT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/08/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79384 Sequence 1
Computer Entry Date 30/09/1992
Date Reported 15/09/1992
Age : 2 YEARS Sex FEMALE Height
Weight Date Of Onset 30/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ATAXIA
Description : LOSS OF BALANCE
CRYING ABNORMAL
Description : SCREAMING MORE THAN 3 HOURS.
HYPERKINESIA
Included Term : HYPERACTIVITY
FATIGUE
Included Term : LETHARGY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PROHIBIT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/08/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79411 Sequence 1
Computer Entry Date 01/10/1992
Date Reported 14/09/1992
Age : 41 YEARS Sex MALE Height 166
Weight 73 Date Of Onset 23/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA PERIPHERAL
Description : SWELLING OF HANDS, FEET AND TESTICLES.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 22/07/1992
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79440 Sequence 1
Computer Entry Date 02/10/1992
Date Reported 15/09/1992
Age : 3 YEARS Sex MALE Height
Weight Date Of Onset 03/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
VOMITING
HEADACHE
MYALGIA
Description : SORE LEGS UNABLE TO WALK
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 03/04/1992
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79534 Sequence 1
Computer Entry Date 09/10/1992
Date Reported 21/09/1992
Age : 2 YEARS Sex MALE Height
Weight Date Of Onset 16/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ERYTHEMA MULTIFORME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PROHIBIT S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 11/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79539 Sequence 1
Computer Entry Date 09/10/1992
Date Reported 18/09/1992
Age : 2 YEARS Sex FEMALE Height
Weight Date Of Onset 10/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
STOMATITIS ULCERATIVE
Description : MOUTH BLISTERS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PROHIBIT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79542 Sequence 1
Computer Entry Date 09/10/1992
Date Reported 17/09/1992
Age : 40 YEARS Sex MALE Height
Weight 72 Date Of Onset 14/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : RAISED RED TENDER LUMP.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S INJECTION
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 13/08/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79552 Sequence 1
Computer Entry Date 12/10/1992
Date Reported 23/09/1992
Age : 3 YEARS Sex Height 86
Weight 12 Date Of Onset 22/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PROHIBIT S INJECTION 1.0 DF
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/09/1992 AND CEASED 21/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79577 Sequence 1
Computer Entry Date 12/10/1992
Date Reported 22/09/1992
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 27/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
Included Term : SCREAMING
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/07/1992 AND CEASED 27/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
POLIOMYELITIS VIRUS VACCINE O SOLUTION 2.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 27/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79578 Sequence 1
Computer Entry Date 12/10/1992
Date Reported 22/09/1992
Age : 4 YEARS Sex FEMALE Height
Weight Date Of Onset 20/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA PERIPHERAL
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 16/09/1992 AND CEASED 16/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79604 Sequence 1
Computer Entry Date 13/10/1992
Date Reported 20/09/1992
Age : 3 YEARS Sex MALE Height 92
Weight 14 Date Of Onset 17/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
PARACETAMOL
FEVER
VOMITING
MENINGITIS-LIKE REACTION
Included Term : MENINGISM
Description : STIFF NECK
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PROHIBIT S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 15/09/1992 AND CEASED 15/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79664 Sequence 1
Computer Entry Date 13/10/1992
Date Reported 21/09/1992
Age : 50 YEARS Sex FEMALE Height
Weight Date Of Onset 00/00/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FACE OEDEMA
CORTICOSTEROIDS, AZATHIOPRINE
RASH
ARTHRITIS
ARTHRALGIA
BACK PAIN
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 ML
3 TIMES INTRAVENOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79683 Sequence 1
Computer Entry Date 14/10/1992
Date Reported 03/08/1992
Age : 8 WEEKS Sex MALE Height
Weight Date Of Onset 16/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR
HYPOTONIA
ANOREXIA
CYANOSIS
APNOEA
Description : STOPPED BREATHING
RESPIRATORY DEPRESSION
Included Term : RESPIRATORY ARREST
Description : CARDIO-RESPIRATORY ARREST.
ACIDOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
POLIOMYELITIS VIRUS VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 16/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 79717 Sequence 1
Computer Entry Date 14/10/1992
Date Reported 22/09/1992
Age : 4 YEARS Sex MALE Height
Weight Date Of Onset 13/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PURPURA
Description : BRUISING ON CHEST
THROMBOCYTOPENIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BACTRIM S
ICD Code : OTITIS MEDIA W/O MASTOIDIT NOS
PROHIBIT S INJECTION 0.5 ML
DAILY INTRAVENOUS
DRUG ADMINISTRATION BEGAN 05/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
HAEMATOLOGY PLATELETS
Lab Normal Range :
013/09/1992 18/09/1992
19,000 34,000
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80126 Sequence 1
Computer Entry Date 21/10/1992
Date Reported 15/09/1992
Age : 19 YEARS Sex FEMALE Height 153
Weight 50 Date Of Onset 14/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A VACCINE S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80138 Sequence 1
Computer Entry Date 21/10/1992
Date Reported 15/09/1992
Age : 33 YEARS Sex FEMALE Height 166
Weight 65 Date Of Onset 17/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A VACCINE S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/06/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80141 Sequence 1
Computer Entry Date 21/10/1992
Date Reported 30/09/1992
Age : 4 MONTHS Sex MALE Height
Weight 4 Date Of Onset 05/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE
Included Term : LETHARGY
PALLOR
HYPOTONIA
Description : BECAME LIMP
ANOREXIA
Description : RELUCTANT TO FEED.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/08/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80177 Sequence 1
Computer Entry Date 22/10/1992
Date Reported 29/09/1992
Age : 12 MONTHS Sex MALE Height
Weight Date Of Onset 29/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION ADVISED
ICE PACK AND PARACETAMOL
Description : REDDENED REGION AT INJECTION SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 29/09/1992 AND CEASED 29/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80203 Sequence 1
Computer Entry Date 22/10/1992
Date Reported 29/09/1992
Age : 20 MONTHS Sex MALE Height
Weight 10 Date Of Onset 12/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/09/1992 AND CEASED 11/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80204 Sequence 1
Computer Entry Date 22/10/1992
Date Reported 07/10/1992
Age : 18 MONTHS Sex MALE Height
Weight 10 Date Of Onset 00/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : PAINFULLY SWOLLEN LEG
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 1.0 DF
1 TIME SYSTEMIC
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80207 Sequence 1
Computer Entry Date 22/10/1992
Date Reported 02/10/1992
Age : 58 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OPTIC NEURITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
JAPANESE ENCEPHALITIS VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 00/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
RABIES VACCINE NOS S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 00/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TETANUS VACCINE ADSORBED S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL
PER ORAL
DRUG ADMINISTRATION BEGAN 00/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPHOID VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 00/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
YELLOW FEVER VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 00/09/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80218 Sequence 1
Computer Entry Date 22/10/1992
Date Reported 15/09/1992
Age : 38 YEARS Sex MALE Height 166
Weight 76 Date Of Onset 24/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A VACCINE S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/08/1992 AND CEASED 24/08/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80234 Sequence 1
Computer Entry Date 23/10/1992
Date Reported 06/10/1992
Age : 13 MONTHS Sex FEMALE Height
Weight Date Of Onset 00/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
NERVOUSNESS
Included Term : IRRITABILITY
RASH
FACE OEDEMA
Description : SWOLLEN FACE
MYALGIA
Description : SORE NECK.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 0.5 ML
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 09/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CHLOROMYCETIN S EYE DROPS 24.0 DF
DAILY CONJUNCTIVAL
DRUG ADMINISTRATION BEGAN 09/09/1992
ICD Code : CONJUNCTIVITIS AND OPHTHALMIA
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80243 Sequence 1
Computer Entry Date 26/10/1992
Date Reported 08/10/1992
Age : 55 YEARS Sex MALE Height
Weight Date Of Onset 19/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
Included Term : FEELING UNWELL
NAUSEA
SKIN COLD CLAMMY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80244 Sequence 1
Computer Entry Date 26/10/1992
Date Reported 08/10/1992
Age : 50 YEARS Sex MALE Height
Weight Date Of Onset 18/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
BETNOVATE OINTMENT
Description : INJECTION SITE PAINFUL.
MALAISE
Included Term : FEELING UNWELL
NAUSEA
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80245 Sequence 1
Computer Entry Date 26/10/1992
Date Reported 08/10/1992
Age : 49 YEARS Sex FEMALE Height
Weight Date Of Onset 22/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : SITE OF INJECTION VERY PAINFUL
SEPSIS
PENICILLIN
Description : INFECTION
LYMPHADENOPATHY
Description : SORE LEFT BREAST/AXILLARY GLANDS SWOLLEN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/08/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80246 Sequence 1
Computer Entry Date 26/10/1992
Date Reported 08/10/1992
Age : 55 YEARS Sex FEMALE Height
Weight Date Of Onset 27/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
Description : 2 X LARGE WELTS ON ARM NEAR INJ SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/08/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80247 Sequence 1
Computer Entry Date 26/10/1992
Date Reported 08/10/1992
Age : 29 YEARS Sex FEMALE Height
Weight Date Of Onset 18/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : INJ SITE WAS SORE, RED, SWOLLEN & ITCHY
HAEMORRHAGE ANTE-PARTUM
Description : SMALL DARK RED LOSS OF BLOOD FROM VAGINA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80249 Sequence 1
Computer Entry Date 26/10/1992
Date Reported 08/10/1992
Age : 73 YEARS Sex MALE Height
Weight Date Of Onset 00/05/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PARALYSIS
Description : NERVE PALSY
ENCEPHALOPATHY
ATAXIA
DEATH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 00/03/1991
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
HISTOLOGY
Lab Normal Range :
0 POST MORTEM: DISSEMINATED LEUCOENCEPHALITIS. SEE ORIGINAL REPORT FOR FURTHER
DETAILS.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : DEATH, MAYBE DRUG
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80254 Sequence 1
Computer Entry Date 26/10/1992
Date Reported 15/09/1992
Age : 19 YEARS Sex FEMALE Height 153
Weight 50 Date Of Onset 14/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A VACCINE S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/07/1992 AND CEASED 13/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80263 Sequence 1
Computer Entry Date 26/10/1992
Date Reported 01/10/1992
Age Code AD - Adult Sex FEMALE Height
Weight Date Of Onset 11/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEPATIC FUNCTION ABNORMAL
LYMPHOCYTOSIS
HEADACHE
DIARRHOEA
FEVER
FATIGUE
Included Term : TIREDNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S PER ORAL 1.0 DF
ALTERNATE DAYS PER ORAL
DRUG ADMINISTRATION BEGAN 01/09/1992 AND CEASED 05/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80278 Sequence 1
Computer Entry Date 26/10/1992
Date Reported 12/10/1990
Age : 5 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL,
AMOXIL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
DAILY INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80283 Sequence 1
Computer Entry Date 26/10/1992
Date Reported 12/10/1992
Age : 50 YEARS Sex FEMALE Height
Weight Date Of Onset 17/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION PATIENT
WAS PRESCRIBED ORAL FLUCLOXACILLIN
Description : PAIN AND TENDERNESS AT INJ SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/06/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY DRUG SPECIFIC ANTIBODY
Lab Normal Range :
0 TETANUS ANTIBODY ASSAY RESULT GAVE A LEVEL OF 0.48 IU/ML.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80284 Sequence 1
Computer Entry Date 26/10/1992
Date Reported 12/10/1992
Age : 53 YEARS Sex MALE Height
Weight Date Of Onset 14/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
Description : 2" DIAMETER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/04/1992 AND CEASED 14/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
FLUCLOXACILLIN SODIUM O 2.0 GM
DAILY
DRUG ADMINISTRATION BEGAN 14/04/1992
ICD Code : OTR&NOS INFEC&PARASIT DISEASES
0Laboratory Data
===============
IMMUNOLOGY DRUG SPECIFIC ANTIBODY
Lab Normal Range :
0 TETANUS ANTIBODY ASSAY RESULT GAVE A LEVEL OF 5.94 IU/ML
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80296 Sequence 1
Computer Entry Date 27/10/1992
Date Reported 08/10/1992
Age : 13 MONTHS Sex FEMALE Height 77
Weight 12 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
AMOXYCILLIN TRIHYDRATE S 8.0 ML
DAILY
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80333 Sequence 1
Computer Entry Date 27/10/1992
Date Reported 07/10/1992
Age : 41 YEARS Sex FEMALE Height 166
Weight 64 Date Of Onset 06/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
NAUSEA
VOMITING
SWEATING INCREASED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80345 Sequence 1
Computer Entry Date 27/10/1992
Date Reported 03/10/1992
Age : 8 MONTHS Sex MALE Height
Weight 11 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BRONCHOSPASM AGGRAVATED VENTOLIN
NEBULISER AND ATROVENT EVERY 3 HOURS
Included Term : ASTHMA AGGRAVATED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80382 Sequence 1
Computer Entry Date 29/10/1992
Date Reported 13/10/1992
Age : 18 MONTHS Sex FEMALE Height
Weight Date Of Onset 09/10/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
VOMITING
FEVER PANADOL
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/10/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80383 Sequence 1
Computer Entry Date 29/10/1992
Date Reported 13/10/1992
Age : 1 YEARS Sex MALE Height
Weight Date Of Onset 18/02/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/02/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80403 Sequence 1
Computer Entry Date 29/10/1992
Date Reported 14/10/1992
Age : 1 YEARS Sex FEMALE Height
Weight Date Of Onset 14/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PROHIBIT S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80436 Sequence 1
Computer Entry Date 02/11/1992
Date Reported 19/10/1992
Age : 4 YEARS Sex FEMALE Height
Weight Date Of Onset 16/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS ZADINE,
CALAMINE LOTION, ARISTOCORT.
RASH MACULO-PAPULAR
Included Term : MACULAR RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PROHIBIT S
DRUG ADMINISTRATION BEGAN 15/10/1992
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80437 Sequence 1
Computer Entry Date 02/11/1992
Date Reported 25/09/1992
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 25/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION PANADOL,
AMOXIL.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/08/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80448 Sequence 1
Computer Entry Date 02/11/1992
Date Reported 25/09/1992
Age Sex MALE Height
Weight Date Of Onset 25/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS PANADOL,
AMOXIL
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80450 Sequence 1
Computer Entry Date 02/11/1992
Date Reported 16/10/1992
Age : 28 YEARS Sex FEMALE Height 164
Weight 51 Date Of Onset 04/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRAMPS
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S CAPSULE 3.0 DF
TOTAL PER ORAL
DRUG ADMINISTRATION BEGAN 04/10/1992 AND CEASED 08/10/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80465 Sequence 1
Computer Entry Date 02/11/1992
Date Reported 19/10/1992
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 16/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
ABBOCILLIN AND PROTHAZINE
Description : WHEALS
RASH
Description : RASH ON FACE AND ABDOMEN
FEVER
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/09/1992 AND CEASED 16/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80466 Sequence 1
Computer Entry Date 02/11/1992
Date Reported 19/10/1992
Age : 31 YEARS Sex FEMALE Height
Weight Date Of Onset 29/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DYSPNOEA
Included Term : BREATHING DIFFICULT
SYNCOPE
Included Term : FAINTED
Description : COLLAPSED, UNCONSCIOUS FOR 5 MIN.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/09/1992 AND CEASED 29/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80504 Sequence 1
Computer Entry Date 04/11/1992
Date Reported 21/10/1992
Age Code A4 - Forties Sex FEMALE Height
Weight Date Of Onset 00/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
MYALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 00/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80508 Sequence 1
Computer Entry Date 04/11/1992
Date Reported 21/10/1992
Age : 26 YEARS Sex FEMALE Height
Weight Date Of Onset 18/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
ANALGESIC.
Description : SWELLING, REDNESS, PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/10/1992
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80553 Sequence 1
Computer Entry Date 05/11/1992
Date Reported 25/10/1992
Age : 87 YEARS Sex FEMALE Height 169
Weight Date Of Onset 25/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
Included Term : MACULAR RASH
PRURITUS
Included Term : ITCHING
TONGUE OEDEMA
INJECTION SITE REACTION
PARESIS
Description : LOSS OF USE OF LEGS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/04/1992 AND CEASED 28/10/1992
DILANTIN O PER ORAL 100.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/00/1974 AND CONTINUED
LECITHIN O 2.0 DF
DAILY
MULTI-B FORTE O 1.0 DF
DAILY
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80678 Sequence 1
Computer Entry Date 25/11/1992
Date Reported 29/10/1992
Age : 60 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : BLISTER, SWELLING ARM SHOULDER TO ELBOW.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/10/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80759 Sequence 1
Computer Entry Date 30/11/1992
Date Reported 04/11/1992
Age : 16 YEARS Sex MALE Height
Weight Date Of Onset 18/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN PANADOL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/10/1992 AND CEASED 18/10/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80761 Sequence 1
Computer Entry Date 30/11/1992
Date Reported 04/11/1992
Age Code AC - Child Sex FEMALE Height
Weight Date Of Onset 13/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE
Included Term : FAINTED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/10/1992 AND CEASED 13/10/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80762 Sequence 1
Computer Entry Date 30/11/1992
Date Reported 04/11/1992
Age Code AC - Child Sex FEMALE Height
Weight Date Of Onset 06/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/10/1992 AND CEASED 06/10/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80804 Sequence 1
Computer Entry Date 01/12/1992
Date Reported 10/11/1992
Age : 21 YEARS Sex MALE Height 170
Weight 60 Date Of Onset 00/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BACK PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80805 Sequence 1
Computer Entry Date 01/12/1992
Date Reported 10/11/1992
Age : 21 YEARS Sex MALE Height 170
Weight 60 Date Of Onset 03/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN ADMITTED
TO HOSPITAL FOR PAIN RELIEF.
LEUKOCYTOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/10/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
HAEMATOLOGY WHITE BLOOD CELLS
Lab Normal Range :
0 WCC - 17000.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80819 Sequence 1
Computer Entry Date 01/12/1992
Date Reported 06/11/1992
Age : 29 MONTHS Sex FEMALE Height
Weight Date Of Onset 02/11/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PARACETAMOL
VOMITING
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 02/11/1992 AND CEASED 02/11/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80824 Sequence 1
Computer Entry Date 02/12/1992
Date Reported 04/11/1992
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 09/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 ML
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 09/09/1992 AND CEASED 09/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80859 Sequence 1
Computer Entry Date 03/12/1992
Date Reported 09/11/1992
Age : 20 YEARS Sex FEMALE Height
Weight Date Of Onset 15/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
Description : DRY SCALY RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPHASIL O PILL 1.0 DF
1 TIME PER ORAL
LONG TERM
ICD Code : CONTRACEPTION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80895 Sequence 1
Computer Entry Date 07/12/1992
Date Reported 11/11/1992
Age : 25 YEARS Sex MALE Height
Weight 65 Date Of Onset 11/11/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE
Included Term : FAINTED
CONVULSIONS
Included Term : SPASMS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80898 Sequence 1
Computer Entry Date 07/12/1992
Date Reported 13/11/1992
Age : 3 YEARS Sex MALE Height
Weight 17 Date Of Onset 12/11/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CELLULITIS IVI
ANTIBIOTICS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PROHIBIT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/11/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80912 Sequence 1
Computer Entry Date 07/12/1992
Date Reported 11/11/1992
Age : 4 MONTHS Sex Height
Weight Date Of Onset 00/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : GROSS SWELLING & ERYTHEMA AT THE SITE.
TACHYCARDIA
SOMNOLENCE
Included Term : DROWSINESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/10/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80913 Sequence 1
Computer Entry Date 07/12/1992
Date Reported 11/11/1992
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : RED SWOLLEN AREA AT THE SITE OF INJ.
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80970 Sequence 1
Computer Entry Date 10/12/1992
Date Reported 13/11/1992
Age : 14 YEARS Sex FEMALE Height
Weight Date Of Onset 00/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHADENOPATHY
Description : INFECTIOUS MONONUCLEOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 00/08/1992
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 80989 Sequence 1
Computer Entry Date 10/12/1992
Date Reported 16/11/1992
Age : 4 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : PAIN AND INDURATION, ERYTHEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S INJECTION
INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81012 Sequence 1
Computer Entry Date 11/12/1992
Date Reported 13/11/1992
Age : 2 YEARS Sex MALE Height
Weight 15 Date Of Onset 11/11/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PROHIBIT S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 11/11/1992
ICD Code : OTHER PROPHYLACTIC PROCEDURES
FERGON O 10.0 ML
DAILY
DRUG ADMINISTRATION BEGAN 02/10/1992
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81021 Sequence 1
Computer Entry Date 11/12/1992
Date Reported 12/11/1992
Age : 40 YEARS Sex FEMALE Height 163
Weight 92 Date Of Onset 11/11/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 10/11/1992
AURORIX O 3.0 DF
DAILY
DRUG ADMINISTRATION BEGAN 00/10/1992
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81058 Sequence 1
Computer Entry Date 14/12/1992
Date Reported 18/11/1992
Age : 13 MONTHS Sex FEMALE Height
Weight Date Of Onset 27/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 24/08/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81061 Sequence 1
Computer Entry Date 15/12/1992
Date Reported 18/11/1992
Age : 44 YEARS Sex FEMALE Height
Weight Date Of Onset 18/11/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
DIZZINESS
HEADACHE
MYALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 10.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/11/1992
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81063 Sequence 1
Computer Entry Date 15/12/1992
Date Reported 18/11/1992
Age : 14 MONTHS Sex FEMALE Height
Weight 12 Date Of Onset 12/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES
OTITIS MEDIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 25/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
AMOXYCILLIN TRIHYDRATE S 7.0 ML
DAILY
DRUG ADMINISTRATION BEGAN 02/10/1992 AND CEASED 06/10/1992
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81075 Sequence 1
Computer Entry Date 15/12/1992
Date Reported 19/11/1992
Age : 4 YEARS Sex MALE Height
Weight Date Of Onset 14/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA
Description : PAIN IN LOWER LEGS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
DRUG ADMINISTRATION BEGAN 01/10/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81076 Sequence 1
Computer Entry Date 15/12/1992
Date Reported 19/11/1992
Age : 10 YEARS Sex MALE Height
Weight Date Of Onset 14/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA
Description : PAIN IN LOWER LEGS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
DRUG ADMINISTRATION BEGAN 01/10/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81077 Sequence 1
Computer Entry Date 15/12/1992
Date Reported 19/11/1992
Age : 8 YEARS Sex MALE Height
Weight Date Of Onset 14/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA
Description : PAIN IN LOWER LEGS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
DRUG ADMINISTRATION BEGAN 01/10/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81078 Sequence 1
Computer Entry Date 15/12/1992
Date Reported 19/11/1992
Age : 38 YEARS Sex MALE Height
Weight Date Of Onset 14/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA
Description : PAIN IN LOWER LEGS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
DRUG ADMINISTRATION BEGAN 01/10/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81079 Sequence 1
Computer Entry Date 15/12/1992
Date Reported 19/11/1992
Age : 34 YEARS Sex FEMALE Height
Weight Date Of Onset 14/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA
Description : PAIN IN LOWER LEGS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
DRUG ADMINISTRATION BEGAN 01/10/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81080 Sequence 1
Computer Entry Date 15/12/1992
Date Reported 25/11/1992
Age : 6 MONTHS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81081 Sequence 1
Computer Entry Date 15/12/1992
Date Reported 25/09/1992
Age : 8 MONTHS Sex MALE Height
Weight Date Of Onset 25/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
AMOXYCILLIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/08/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81120 Sequence 1
Computer Entry Date 16/12/1992
Date Reported 19/11/1992
Age : 10 MONTHS Sex FEMALE Height
Weight 5 Date Of Onset 02/03/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/03/1992 AND CEASED 02/03/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81121 Sequence 1
Computer Entry Date 16/12/1992
Date Reported 19/11/1992
Age : 10 MONTHS Sex Height
Weight 5 Date Of Onset 02/03/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/03/1992 AND CEASED 02/03/1992
ICD Code : PREMEDICATION
PANADOL S 3.0 DF
TOTAL
DRUG ADMINISTRATION BEGAN 02/03/1992
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81132 Sequence 1
Computer Entry Date 17/12/1992
Date Reported 23/11/1992
Age : 31 YEARS Sex MALE Height
Weight Date Of Onset 11/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
VOMITING
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S CAPSULE 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 10/10/1992 AND CEASED 10/10/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81135 Sequence 1
Computer Entry Date 18/12/1992
Date Reported 25/11/1992
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 18/03/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 18/03/1991
SABIN VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 18/03/1991
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81155 Sequence 1
Computer Entry Date 22/12/1992
Date Reported 24/11/1992
Age : 6 MONTHS Sex FEMALE Height
Weight Date Of Onset 22/11/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
FEVER PANADOL
DROPS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/09/1992 AND CEASED 22/09/1992
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81163 Sequence 1
Computer Entry Date 22/12/1992
Date Reported 25/11/1992
Age : 5 YEARS Sex FEMALE Height
Weight Date Of Onset 27/02/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
ANTIHISTAMINES, ORAL STEROIDS
Description : SEVERE SKIN ERUPTION.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
DRUG ADMINISTRATION BEGAN 25/02/1992
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81192 Sequence 1
Computer Entry Date 23/12/1992
Date Reported 27/11/1992
Age Sex MALE Height
Weight Date Of Onset 29/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
AGITATION
HEADACHE
SWEATING INCREASED
RIGORS
NAUSEA
VOMITING
MYALGIA
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S 0.5 ML
DRUG ADMINISTRATION BEGAN 29/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81193 Sequence 1
Computer Entry Date 23/12/1992
Date Reported 27/11/1992
Age Sex MALE Height
Weight Date Of Onset 29/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
MYALGIA
FEVER
INJECTION SITE REACTION
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S INJECTION 0.5 ML
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 29/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81194 Sequence 1
Computer Entry Date 23/12/1992
Date Reported 27/11/1992
Age : 35 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
ABDOMINAL PAIN
Included Term : CRAMP ABDOMINAL
VOMITING
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S CAPSULE 2.0 DF
TOTAL PER ORAL
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81195 Sequence 1
Computer Entry Date 23/12/1992
Date Reported 25/11/1992
Age : 46 YEARS Sex MALE Height
Weight Date Of Onset 21/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SKIN ULCERATION
FLUCLOXACILLIN
LYMPHADENOPATHY CERVICAL
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S INJECTION 0.1 ML
INTRAVENOUS
DRUG ADMINISTRATION BEGAN 07/10/1992
0Laboratory Data
===============
MICROBIOLOGY
Lab Normal Range :
0 ULCER GREW STAPH AUREUS
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81196 Sequence 1
Computer Entry Date 23/12/1992
Date Reported 25/11/1992
Age : 19 YEARS Sex FEMALE Height
Weight Date Of Onset 00/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHADENOPATHY CERVICAL
COMMENCED ON ISONIAZID.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S INJECTION 0.1 ML
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 17/08/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81197 Sequence 1
Computer Entry Date 23/12/1992
Date Reported 25/11/1992
Age : 45 YEARS Sex FEMALE Height
Weight Date Of Onset 19/11/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PARACETAMOL
RIGORS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 19/11/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81198 Sequence 1
Computer Entry Date 23/12/1992
Date Reported 25/11/1992
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81199 Sequence 1
Computer Entry Date 23/12/1992
Date Reported 25/11/1992
Age Code AD - Adult Sex FEMALE Height
Weight Date Of Onset 11/11/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
MALAISE
RASH
ERYTHEMA MULTIFORME TREATED
WITH ANTIBIOTICS AND THEN STEROIDS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 10/11/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81203 Sequence 1
Computer Entry Date 11/01/1993
Date Reported 26/11/1992
Age : 18 YEARS Sex FEMALE Height
Weight Date Of Onset 00/11/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
PRURITUS
Included Term : ITCHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S INJECTION 1.0 DF
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 00/11/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81204 Sequence 1
Computer Entry Date 11/01/1993
Date Reported 26/11/1992
Age Sex FEMALE Height
Weight Date Of Onset 00/04/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PURPURA
Included Term : BRUISE
Description : BRUISING RECURRING OVER 5 YEARS.
FEVER
ASTHENIA
Included Term : WEAKNESS GENERALIZED
TINNITUS
Included Term : EAR NOISES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 00/04/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81229 Sequence 1
Computer Entry Date 12/01/1993
Date Reported 19/11/1992
Age : 18 MONTHS Sex FEMALE Height
Weight Date Of Onset 03/10/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PARACETAMOL.
Description : TEMP 40'C.
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 03/10/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81244 Sequence 1
Computer Entry Date 12/01/1993
Date Reported 15/12/1992
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset 27/11/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE
PALLOR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/11/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81301 Sequence 1
Computer Entry Date 15/01/1993
Date Reported 02/12/1992
Age : 34 YEARS Sex FEMALE Height
Weight Date Of Onset 26/11/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PHARYNGITIS
Included Term : THROAT SORE
FEVER
FATIGUE
HEADACHE
RHINITIS
Description : BLOCKED NOSE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S CAPSULE 3.0 DF
TOTAL PER ORAL
DRUG ADMINISTRATION BEGAN 26/11/1992 AND CEASED 01/12/1992
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81303 Sequence 1
Computer Entry Date 18/01/1993
Date Reported 01/12/1992
Age : 1 YEARS Sex FEMALE Height
Weight Date Of Onset 05/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 30/06/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 TEMP = 42 C
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81304 Sequence 1
Computer Entry Date 18/01/1993
Date Reported 08/12/1992
Age : 49 YEARS Sex MALE Height 164
Weight 75 Date Of Onset 27/11/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
SWEATING INCREASED
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/11/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81315 Sequence 1
Computer Entry Date 18/01/1993
Date Reported 02/12/1992
Age : 66 YEARS Sex FEMALE Height
Weight Date Of Onset 00/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CELLULITIS
Description : CELLULITIS LEFT SHOULDER.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S
LIPEX O
DOXEPIN HYDROCHLORIDE O
PERSANTIN O
DONNATAB O
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81316 Sequence 1
Computer Entry Date 18/01/1993
Date Reported 02/12/1992
Age Sex Height
Weight Date Of Onset 00/11/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CELLULITIS
Description : CELLULITIS LEFT SHOULDER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81325 Sequence 1
Computer Entry Date 18/01/1993
Date Reported 04/12/1992
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 16/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
PANADEINE, BLOOD, REST.
PHOTOPHOBIA
VOMITING
FEVER
MENINGITIS-LIKE REACTION
Included Term : MENINGISM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RUBELLA VACCINE S
DRUG ADMINISTRATION BEGAN 14/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81326 Sequence 1
Computer Entry Date 18/01/1993
Date Reported 21/12/1992
Age Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
EPIDIDYMITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/09/1992
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81346 Sequence 1
Computer Entry Date 19/01/1993
Date Reported 02/12/1992
Age : 26 YEARS Sex FEMALE Height 162
Weight 53 Date Of Onset 09/11/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : RED SWOLLEN HOT TO TOUCH DELTOID
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81353 Sequence 1
Computer Entry Date 19/01/1993
Date Reported 03/12/1992
Age : 30 YEARS Sex MALE Height 158
Weight 68 Date Of Onset 02/12/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN
Included Term : CRAMP ABDOMINAL
MALAISE
SWEATING INCREASED
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S CAPSULE 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 01/12/1992
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81403 Sequence 1
Computer Entry Date 20/01/1993
Date Reported 04/12/1992
Age : 13 YEARS Sex FEMALE Height 160
Weight Date Of Onset 00/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 20.0 RG
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81442 Sequence 1
Computer Entry Date 22/01/1993
Date Reported 10/12/1992
Age : 14 YEARS Sex MALE Height
Weight Date Of Onset 30/11/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION HOT AND
COLD COMPRESSES.
Description : LARGE RED SWOLLEN AREA AT SITE OF INJ.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/11/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81508 Sequence 1
Computer Entry Date 28/01/1993
Date Reported 08/12/1992
Age : 3 MONTHS Sex MALE Height
Weight Date Of Onset 13/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
AGITATION
FEVER PANADOL
ANOREXIA
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/10/1992
ICD Code : DIAGNOSTIC X-RAY
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81523 Sequence 1
Computer Entry Date 29/01/1993
Date Reported 14/12/1992
Age : 3 YEARS Sex FEMALE Height 100
Weight 17 Date Of Onset 26/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
RASH
Description : RASH FROM SHOULDER TO ELBOW.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/10/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81524 Sequence 1
Computer Entry Date 29/01/1993
Date Reported 09/12/1992
Age : 9 MONTHS Sex MALE Height
Weight Date Of Onset 22/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
AGITATION
INSOMNIA
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81571 Sequence 1
Computer Entry Date 02/02/1993
Date Reported 15/12/1992
Age : 2 YEARS Sex MALE Height
Weight Date Of Onset 11/12/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
NERVOUSNESS
Included Term : IRRITABILITY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 11/12/1992
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81579 Sequence 1
Computer Entry Date 02/02/1993
Date Reported 15/12/1992
Age : 6 MONTHS Sex Height
Weight Date Of Onset 00/12/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE MASS
Description : TRANSCULENT LUMP 1 X 1.5 CM.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81585 Sequence 1
Computer Entry Date 02/02/1993
Date Reported 10/12/1992
Age : 18 MONTHS Sex FEMALE Height 85
Weight 11 Date Of Onset 10/12/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81590 Sequence 1
Computer Entry Date 02/02/1993
Date Reported 15/12/1992
Age : 8 MONTHS Sex MALE Height
Weight 8 Date Of Onset 23/11/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
DYSPNOEA
VALLERGAN 3MLS 8HRLY.
Description : BREATHING DISORDER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/11/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81599 Sequence 1
Computer Entry Date 02/02/1993
Date Reported 16/12/1992
Age : 20 YEARS Sex MALE Height 188
Weight 93 Date Of Onset 15/12/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
Included Term : ITCHING
RASH MACULO-PAPULAR
ANTIHISTAMINE, CALAMINE LOTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/12/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81630 Sequence 1
Computer Entry Date 04/02/1993
Date Reported 19/12/1992
Age : 5 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
Included Term : MEASLY RASH
Description : RUBELLA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81656 Sequence 1
Computer Entry Date 05/02/1993
Date Reported 21/12/1992
Age : 39 YEARS Sex FEMALE Height
Weight Date Of Onset 09/12/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH PIRITON
ORALLY, IMODIUM.
Description : FINE SKIN RASH ITCHY ALL OVER.
PRURITUS
Included Term : ITCHING
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 09/12/1992
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81668 Sequence 1
Computer Entry Date 05/02/1993
Date Reported 15/12/1992
Age : 8 WEEKS Sex FEMALE Height 59
Weight 5 Date Of Onset 20/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
DRUG ADMINISTRATION BEGAN 20/10/1992
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81671 Sequence 1
Computer Entry Date 05/02/1993
Date Reported 15/12/1992
Age : 8 WEEKS Sex MALE Height
Weight Date Of Onset 13/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
(4 DOSES)
Included Term : SCREAMING
TWITCHING
DYSKINESIA
Description : JERKY HEAD AND EYE MOVEMENTS.
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 13/10/1992
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81681 Sequence 1
Computer Entry Date 05/02/1993
Date Reported 17/12/1992
Age : 1 YEARS Sex MALE Height
Weight Date Of Onset 19/12/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
4 HOURLY.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
DRUG ADMINISTRATION BEGAN 19/12/1991
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81744 Sequence 1
Computer Entry Date 09/02/1993
Date Reported 21/12/1992
Age : 29 YEARS Sex FEMALE Height 168
Weight 56 Date Of Onset 09/11/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DYSPEPSIA
DIARRHOEA
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S CAPSULE 1.0 DF
ALTERNATE DAYS PER ORAL
DRUG ADMINISTRATION BEGAN 08/11/1992 AND CEASED 13/11/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIQUILAR ED O
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81821 Sequence 1
Computer Entry Date 15/02/1993
Date Reported 05/01/1993
Age : 31 YEARS Sex MALE Height 185
Weight 78 Date Of Onset 09/11/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DYSPEPSIA
Description : UPSET STOMACH
DIARRHOEA
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S CAPSULE 1.0 DF
ALTERNATE DAYS PER ORAL
DRUG ADMINISTRATION BEGAN 08/11/1992 AND CEASED 13/11/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81822 Sequence 1
Computer Entry Date 15/02/1993
Date Reported 22/12/1992
Age : 23 MONTHS Sex MALE Height 86
Weight 14 Date Of Onset 15/11/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
COMA HOSPITAL
OBSERVATION AND SEPTRIN.
Included Term : LOSS OF CONSCIOUSNESS
FEVER
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PROHIBIT S
DRUG ADMINISTRATION BEGAN 06/11/1992
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81838 Sequence 1
Computer Entry Date 15/02/1993
Date Reported 29/12/1992
Age : 23 YEARS Sex FEMALE Height 158
Weight 50 Date Of Onset 01/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS
Description : PAINFUL SWELLING OF ANKLES KNEES & HANDS
LYMPHADENOPATHY
FATIGUE
Included Term : TIREDNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
BREVINOR O 1.0 DF
DAILY
LONG TERM
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81845 Sequence 1
Computer Entry Date 16/02/1993
Date Reported 30/12/1992
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset 23/12/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS
Included Term : IRRITABILITY
FEVER
Included Term : FEBRILE REACTION
RASH
LYMPHADENOPATHY
PHARYNGITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 14/12/1992 AND CEASED 14/12/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81866 Sequence 1
Computer Entry Date 17/02/1993
Date Reported 11/01/1993
Age : 7 WEEKS Sex MALE Height 59
Weight 6 Date Of Onset 18/12/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR
INJECTION SITE REACTION
APNOEA
CYANOSIS
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/12/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O PER ORAL
PER ORAL
DRUG ADMINISTRATION BEGAN 18/12/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81881 Sequence 1
Computer Entry Date 17/02/1993
Date Reported 01/06/1992
Age Sex Height
Weight Date Of Onset 00/06/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ALOPECIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 19/04/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81885 Sequence 1
Computer Entry Date 17/02/1993
Date Reported 09/01/1993
Age : 13 YEARS Sex MALE Height
Weight Date Of Onset 06/01/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PARALYSIS SHORT
COURSE OF PREDNISONE
Included Term : PARALYSIS FACIAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
DRUG ADMINISTRATION BEGAN 04/01/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81894 Sequence 1
Computer Entry Date 17/02/1993
Date Reported 07/01/1993
Age : 44 YEARS Sex FEMALE Height 165
Weight 60 Date Of Onset 31/12/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE PANADOL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 DF
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 31/12/1992
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 81948 Sequence 1
Computer Entry Date 19/02/1993
Date Reported 13/01/1993
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : SMALL LUMP AT SITE OF INJECTION.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82022 Sequence 1
Computer Entry Date 23/02/1993
Date Reported 15/01/1993
Age : 48 YEARS Sex MALE Height
Weight Date Of Onset 11/11/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 11/11/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82023 Sequence 1
Computer Entry Date 23/02/1993
Date Reported 15/01/1993
Age : 48 YEARS Sex MALE Height
Weight Date Of Onset 13/11/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ASTHENIA
Included Term : WEAKNESS GENERALIZED
MALAISE
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 11/11/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82040 Sequence 1
Computer Entry Date 23/02/1993
Date Reported 14/01/1993
Age : 5 YEARS Sex FEMALE Height 109
Weight 20 Date Of Onset 13/01/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 12/01/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82045 Sequence 1
Computer Entry Date 23/02/1993
Date Reported 14/01/1993
Age : 5 YEARS Sex FEMALE Height 100
Weight 14 Date Of Onset 14/01/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 13/01/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82056 Sequence 1
Computer Entry Date 23/02/1993
Date Reported 25/01/1993
Age : 9 YEARS Sex MALE Height
Weight Date Of Onset 13/01/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
FEVER
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PNEUMOVAX 23 S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/01/1993
VENTOLIN O INHALANT
INHALATION
ICD Code : ASTHMA
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82066 Sequence 1
Computer Entry Date 24/02/1993
Date Reported 18/01/1993
Age : 10 WEEKS Sex FEMALE Height
Weight 4 Date Of Onset 06/01/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
OCULOGYRIC CRISIS
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/01/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PANADOL S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82094 Sequence 1
Computer Entry Date 24/02/1993
Date Reported 19/01/1993
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 09/12/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
OBSERVATION. SEEN BY PAEDIATRICIAN.
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 09/12/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82103 Sequence 1
Computer Entry Date 24/02/1993
Date Reported 21/01/1993
Age Sex MALE Height
Weight Date Of Onset 00/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PHARYNGITIS
ANTIBIOTICS
FATIGUE
Included Term : TIREDNESS
COUGHING
SWEATING INCREASED
DIZZINESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 10.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/10/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82109 Sequence 1
Computer Entry Date 24/02/1993
Date Reported 21/01/1993
Age : 5 YEARS Sex Height
Weight Date Of Onset 10/11/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PNEUMOVAX 23 S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 10/11/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82110 Sequence 1
Computer Entry Date 24/02/1993
Date Reported 21/01/1993
Age : 50 YEARS Sex MALE Height
Weight Date Of Onset 00/00/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA
ARTHRALGIA
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 10.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/00/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82135 Sequence 1
Computer Entry Date 25/02/1993
Date Reported 25/01/1993
Age : 41 YEARS Sex FEMALE Height 170
Weight 65 Date Of Onset 09/05/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
ANALGESIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MENCEVAX AC S
DRUG ADMINISTRATION BEGAN 07/05/1991
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82144 Sequence 1
Computer Entry Date 25/02/1993
Date Reported 25/01/1993
Age : 33 YEARS Sex FEMALE Height 165
Weight 60 Date Of Onset 04/01/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA
VOMITING
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
DRUG ADMINISTRATION BEGAN 03/01/1993
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82180 Sequence 1
Computer Entry Date 26/02/1993
Date Reported 20/01/1993
Age : 4 MONTHS Sex MALE Height
Weight 7 Date Of Onset 11/11/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
RASH
FEVER
Description : 39'C.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/11/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82277 Sequence 1
Computer Entry Date 03/03/1993
Date Reported 19/01/1993
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 19/01/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
PARMACRTAMOL 0.6ML.
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/01/1993 AND CEASED 19/01/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 2.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 19/01/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82278 Sequence 1
Computer Entry Date 03/03/1993
Date Reported 19/01/1993
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 19/01/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/01/1993 AND CEASED 19/01/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82280 Sequence 1
Computer Entry Date 03/03/1993
Date Reported 16/09/1992
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset 08/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 01/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82281 Sequence 1
Computer Entry Date 03/03/1993
Date Reported 16/09/1992
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset 09/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
HYPERTONIA
Included Term : RIGIDITY
APNOEA
Description : NOT BREATHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 01/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PANADOL S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82343 Sequence 1
Computer Entry Date 08/03/1993
Date Reported 27/01/1993
Age : 3 MONTHS Sex FEMALE Height
Weight Date Of Onset 27/10/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
Description : STIFF ACHING JOINTS.
INJECTION SITE REACTION
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/10/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82372 Sequence 1
Computer Entry Date 08/03/1993
Date Reported 04/12/1992
Age : 30 YEARS Sex FEMALE Height
Weight Date Of Onset 28/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RIGORS
Included Term : SHIVERING
FEVER
INJECTION SITE REACTION
HEADACHE
NAUSEA
DIARRHOEA
STOMATITIS ULCERATIVE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S INJECTION
SYSTEMIC
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82373 Sequence 1
Computer Entry Date 08/03/1993
Date Reported 04/12/1992
Age : 51 YEARS Sex FEMALE Height
Weight Date Of Onset 28/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BONE PAIN
Description : ACHING BONES
HEADACHE
FEVER
NAUSEA
DIARRHOEA
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S INJECTION
SYSTEMIC
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82374 Sequence 1
Computer Entry Date 08/03/1993
Date Reported 04/12/1992
Age : 59 YEARS Sex FEMALE Height
Weight Date Of Onset 28/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S INJECTION
SYSTEMIC
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82375 Sequence 1
Computer Entry Date 08/03/1993
Date Reported 04/12/1992
Age : 26 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S INJECTION
SYSTEMIC
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82388 Sequence 1
Computer Entry Date 09/03/1993
Date Reported 05/01/1993
Age : 12 MONTHS Sex FEMALE Height
Weight 8 Date Of Onset 20/11/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL,
SUPPORTIVE TREATMENT - FAN AND WET SHEET.
CONVULSIONS
COMA
Description : NOT ROUSABLE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82400 Sequence 1
Computer Entry Date 09/03/1993
Date Reported 08/02/1993
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset 04/02/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
FEVER
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 28/01/1993
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82406 Sequence 1
Computer Entry Date 09/03/1993
Date Reported 09/02/1993
Age Code AC - Child Sex MALE Height
Weight Date Of Onset 27/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
DRUG ADMINISTRATION BEGAN 27/10/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82408 Sequence 1
Computer Entry Date 09/03/1993
Date Reported 08/02/1993
Age : 57 YEARS Sex FEMALE Height 153
Weight 64 Date Of Onset 11/01/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE PANADOL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/01/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82409 Sequence 1
Computer Entry Date 09/03/1993
Date Reported 08/02/1993
Age : 57 YEARS Sex FEMALE Height 153
Weight 64 Date Of Onset 12/01/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/01/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PANADOL S TABLET 2.0 DF
2 TIMES PER ORAL
DRUG ADMINISTRATION BEGAN 11/01/1993
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82469 Sequence 1
Computer Entry Date 12/03/1993
Date Reported 08/02/1993
Age : 24 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ACNE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S CAPSULE 1.0 DF
PER ORAL
DRUG ADMINISTRATION BEGAN 25/01/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82470 Sequence 1
Computer Entry Date 12/03/1993
Date Reported 08/02/1993
Age : 24 YEARS Sex FEMALE Height
Weight Date Of Onset 29/01/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BULLOUS ERUPTION TREATED
WITH BLISTEX
Included Term : BLISTERS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S CAPSULE 1.0 DF
PER ORAL
DRUG ADMINISTRATION BEGAN 29/01/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82609 Sequence 1
Computer Entry Date 17/03/1993
Date Reported 27/01/1993
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 01/12/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
SUPPOSITORIES AND COOLING.
FEVER
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SYSTEMIC
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82618 Sequence 1
Computer Entry Date 17/03/1993
Date Reported 16/02/1993
Age : 43 YEARS Sex MALE Height 185
Weight 92 Date Of Onset 12/02/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA RESOLVED
BY PREDNISOLONE 25 MG 2 DAILY, SURGAM 300 MG 1 BD F
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82620 Sequence 1
Computer Entry Date 18/03/1993
Date Reported 11/02/1993
Age : 6 MONTHS Sex Height
Weight Date Of Onset 11/02/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
0.8ML.
Included Term : SCREAMING
NERVOUSNESS
Included Term : IRRITABILITY
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/02/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82637 Sequence 1
Computer Entry Date 18/03/1993
Date Reported 09/02/1993
Age : 6 MONTHS Sex FEMALE Height
Weight Date Of Onset 08/12/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
INJECTION SITE REACTION
Description : BRUISE AND SWELLING OF WHOLE THIGH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 ML
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/12/1992 AND CEASED 08/12/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82718 Sequence 1
Computer Entry Date 22/03/1993
Date Reported 20/02/1993
Age : 1 YEARS Sex FEMALE Height
Weight 6 Date Of Onset 18/02/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MORBILLIFORM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S
DRUG ADMINISTRATION BEGAN 09/02/1993 AND CEASED 14/02/1993
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82730 Sequence 1
Computer Entry Date 24/03/1993
Date Reported 08/02/1993
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 13/01/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S
DRUG ADMINISTRATION BEGAN 13/01/1993
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82731 Sequence 1
Computer Entry Date 24/03/1993
Date Reported 08/02/1993
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 13/01/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S
DRUG ADMINISTRATION BEGAN 13/01/1993
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82732 Sequence 1
Computer Entry Date 24/03/1993
Date Reported 08/02/1993
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 13/01/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S
DRUG ADMINISTRATION BEGAN 13/01/1993
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82733 Sequence 1
Computer Entry Date 24/03/1993
Date Reported 08/02/1993
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 13/01/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S
DRUG ADMINISTRATION BEGAN 13/01/1993
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82734 Sequence 1
Computer Entry Date 24/03/1993
Date Reported 08/02/1993
Age : 6 MONTHS Sex FEMALE Height
Weight Date Of Onset 13/01/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S
DRUG ADMINISTRATION BEGAN 13/01/1993
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82802 Sequence 1
Computer Entry Date 25/03/1993
Date Reported 16/02/1993
Age : 19 MONTHS Sex FEMALE Height
Weight 12 Date Of Onset 12/02/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA CALAMINE
LOTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PROHIBIT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/02/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82815 Sequence 1
Computer Entry Date 26/03/1993
Date Reported 25/02/1993
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 23/02/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CYANOSIS
HOSPITALISATION, TEMPORARILY STOPPED TRIAL MEDICATION.
HYPERTONIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CISAPRIDE TRIAL S PER ORAL 4.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 15/02/1993 AND CEASED 23/02/1993
ICD Code : OTHER DISEASES OF ESOPHAGUS
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 22/02/1993 AND CEASED 22/02/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82830 Sequence 1
Computer Entry Date 29/03/1993
Date Reported 24/02/1993
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 01/12/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PARACETAMOL 3.5 ORALY FOR 4 DOSES.
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 5.0 ML
1 TIME
DRUG ADMINISTRATION BEGAN 01/12/1992 AND CEASED 01/12/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82953 Sequence 1
Computer Entry Date 02/04/1993
Date Reported 22/02/1993
Age : 16 YEARS Sex FEMALE Height
Weight Date Of Onset 19/02/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION ICE PACK
AND PARACETAMOL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/02/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82954 Sequence 1
Computer Entry Date 02/04/1993
Date Reported 04/03/1993
Age : 6 MONTHS Sex MALE Height
Weight 8 Date Of Onset 12/11/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
FEVER
INJECTION SITE REACTION PANADOL,
COLD PACKS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/11/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O DROPS 2.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 12/11/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82955 Sequence 1
Computer Entry Date 02/04/1993
Date Reported 04/03/1993
Age : 35 YEARS Sex FEMALE Height 150
Weight 45 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE
Included Term : TIREDNESS
VOMITING
SWEATING INCREASED
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S
MOGADON O
MURELAX O
DESERIL O
AS NECESSARY
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 82995 Sequence 1
Computer Entry Date 05/04/1993
Date Reported 10/03/1993
Age : 18 YEARS Sex MALE Height 179
Weight 68 Date Of Onset 09/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INFECTION VIRAL REST,
SOLCODE, PHOLCODINE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A/B COMBINED VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/02/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83030 Sequence 1
Computer Entry Date 06/04/1993
Date Reported 09/03/1993
Age : 34 YEARS Sex FEMALE Height 167
Weight 63 Date Of Onset 08/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
HYDROCORTISONE 100MG IVI, PROMETHAZINE 25MG IVI.
Included Term : ERYTHEMA
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 08/03/1993
ICD Code : ASTHMA
VENTOLIN O INHALANT 2.0 DF
AS NECESSARY INHALATION
DRUG ADMINISTRATION BEGAN 31/08/1992
ICD Code : ASTHMA
PULMICORT O INHALANT 4.0 DF
DAILY INHALATION
DRUG ADMINISTRATION BEGAN 31/08/1992
ICD Code : ASTHMA
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83063 Sequence 1
Computer Entry Date 06/04/1993
Date Reported 12/03/1993
Age : 20 MONTHS Sex MALE Height
Weight 12 Date Of Onset 05/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PROHIBIT S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83077 Sequence 1
Computer Entry Date 06/04/1993
Date Reported 10/03/1993
Age : 19 YEARS Sex FEMALE Height
Weight Date Of Onset 10/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
DIPROSONE CREAM.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/03/1993
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83092 Sequence 1
Computer Entry Date 07/04/1993
Date Reported 11/03/1993
Age : 13 YEARS Sex FEMALE Height
Weight Date Of Onset 26/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PARACETAMOL.
HEADACHE
PARONIRIA
AGITATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/10/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83119 Sequence 1
Computer Entry Date 08/04/1993
Date Reported 10/03/1993
Age : 2 YEARS Sex MALE Height
Weight Date Of Onset 09/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83149 Sequence 1
Computer Entry Date 13/04/1993
Date Reported 10/03/1993
Age : 1 DAYS Sex FEMALE Height 52
Weight 3 Date Of Onset 01/12/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
Description : RASH ON BODY, LIMBS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/11/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83152 Sequence 1
Computer Entry Date 13/04/1993
Date Reported 18/03/1993
Age Sex Height
Weight Date Of Onset 16/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 16/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83153 Sequence 1
Computer Entry Date 13/04/1993
Date Reported 18/03/1993
Age Sex Height
Weight Date Of Onset 16/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
INJECTION SITE REACTION
VISION ABNORMAL
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 16/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83154 Sequence 1
Computer Entry Date 13/04/1993
Date Reported 18/03/1993
Age Sex Height
Weight Date Of Onset 16/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
FLUSHING
PARAESTHESIA
INJECTION SITE REACTION
NAUSEA
TACHYCARDIA
FATIGUE
Included Term : LETHARGY
ABDOMINAL PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 16/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83155 Sequence 1
Computer Entry Date 13/04/1993
Date Reported 18/03/1993
Age Sex Height
Weight Date Of Onset 16/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
NAUSEA
FATIGUE
Included Term : LETHARGY
ABDOMINAL PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 16/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83156 Sequence 1
Computer Entry Date 13/04/1993
Date Reported 18/03/1993
Age Sex Height
Weight Date Of Onset 16/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
VISION ABNORMAL
Included Term : VISION BLURRED
FLUSHING
PARAESTHESIA
HEADACHE
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 16/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83157 Sequence 1
Computer Entry Date 13/04/1993
Date Reported 18/03/1993
Age Sex Height
Weight Date Of Onset 16/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
FLUSHING
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 16/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83158 Sequence 1
Computer Entry Date 13/04/1993
Date Reported 18/03/1993
Age Sex Height
Weight Date Of Onset 16/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
FLUSHING
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 16/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83159 Sequence 1
Computer Entry Date 13/04/1993
Date Reported 18/03/1993
Age Sex Height
Weight Date Of Onset 16/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FLUSHING
INJECTION SITE REACTION
HEADACHE
ABDOMINAL PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 16/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83160 Sequence 1
Computer Entry Date 13/04/1993
Date Reported 18/03/1993
Age Sex Height
Weight Date Of Onset 16/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
VISION ABNORMAL
Included Term : VISION BLURRED
FLUSHING
INJECTION SITE REACTION
NAUSEA
FATIGUE
Included Term : LETHARGY
DYSPNOEA
Included Term : BREATH SHORTNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 16/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83161 Sequence 1
Computer Entry Date 13/04/1993
Date Reported 18/03/1993
Age Sex Height
Weight Date Of Onset 16/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
FLUSHING
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 16/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83163 Sequence 1
Computer Entry Date 13/04/1993
Date Reported 12/03/1993
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 12/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR
FATIGUE
Included Term : LETHARGY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPLE ANTIGEN S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/03/1993
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83166 Sequence 1
Computer Entry Date 13/04/1993
Date Reported 16/03/1993
Age : 18 YEARS Sex MALE Height 186
Weight 66 Date Of Onset 14/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
GASTROENTERITIS
ANALGESIA, REST.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A/B COMBINED VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/02/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83167 Sequence 1
Computer Entry Date 13/04/1993
Date Reported 16/03/1993
Age : 18 YEARS Sex MALE Height 180
Weight 67 Date Of Onset 13/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
GASTROENTERITIS REST,
PANADEINE, CLEAR FLUIDS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A/B COMBINED VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/02/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83168 Sequence 1
Computer Entry Date 14/04/1993
Date Reported 16/03/1993
Age Sex MALE Height 182
Weight 80 Date Of Onset 13/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
GASTROENTERITIS PANADOL,
REST, LIGHT DIET.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A/B COMBINED VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/02/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83170 Sequence 1
Computer Entry Date 14/04/1993
Date Reported 15/03/1993
Age : 14 YEARS Sex MALE Height 162
Weight 52 Date Of Onset 15/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PNEUMOVAX 23 S INJECTION 0.5 ML
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 15/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83171 Sequence 1
Computer Entry Date 14/04/1993
Date Reported 12/03/1993
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset 11/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
FEVER
PARESIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 11/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HAEMOPHILUS INFLUENZAE TYPE B VACCI S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 11/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83196 Sequence 1
Computer Entry Date 14/04/1993
Date Reported 15/03/1993
Age : 24 YEARS Sex FEMALE Height 154
Weight 58 Date Of Onset 12/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
ANALGESIC, REST
Description : REDNESS OF AREA EXTENDING UP TO EAR.
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 12/03/1993
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83216 Sequence 1
Computer Entry Date 16/04/1993
Date Reported 17/03/1993
Age : 2 YEARS Sex FEMALE Height
Weight Date Of Onset 15/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
PHENERGAN SYRUP 5ML BD.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PROHIBIT S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83227 Sequence 1
Computer Entry Date 19/04/1993
Date Reported 12/03/1993
Age : 20 MONTHS Sex MALE Height 91
Weight 14 Date Of Onset 11/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS
Included Term : IRRITABILITY
FATIGUE
Included Term : LETHARGY
FEVER
VOMITING
INJECTION SITE REACTION
Description : SEVERE LEFT ARM AND SHOULDER SWELLING.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83235 Sequence 1
Computer Entry Date 19/04/1993
Date Reported 16/03/1993
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 19/01/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
Included Term : SCREAMING
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/01/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 2.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 19/01/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83236 Sequence 1
Computer Entry Date 19/04/1993
Date Reported 15/03/1993
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 05/01/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
FATIGUE
Included Term : LETHARGY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/01/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 2.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 05/01/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83284 Sequence 1
Computer Entry Date 20/04/1993
Date Reported 12/03/1993
Age : 78 YEARS Sex MALE Height
Weight 70 Date Of Onset 26/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CYSTITIS
INFECTION TBC
APPLICATION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE INTRAVESICAL S INJECTION 120.0 MG
WEEKLY INTRAVESICAL
DRUG ADMINISTRATION BEGAN 02/10/1991 AND CEASED 06/11/1991
ICD Code : MALIGNANT NEOPLASM OF BLADDER
FLECAINIDE ACETATE S TABLET 200.0 MG
DAILY PER ORAL
OXAZEPAM O TABLET 45.0 MG
DAILY PER ORAL
DOTHIEPIN HYDROCHLORIDE O PER ORAL 50.0 MG
DAILY PER ORAL
THIOTEPA O
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83303 Sequence 1
Computer Entry Date 20/04/1993
Date Reported 18/03/1993
Age : 6 MONTHS Sex MALE Height
Weight 8 Date Of Onset 04/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
RASH
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S
DRUG ADMINISTRATION BEGAN 04/03/1993
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83344 Sequence 1
Computer Entry Date 22/04/1993
Date Reported 22/03/1993
Age : 17 YEARS Sex MALE Height 186
Weight 76 Date Of Onset 16/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE REST,
MERSYNDOL.
MYALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A/B COMBINED VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/02/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83347 Sequence 1
Computer Entry Date 22/04/1993
Date Reported 22/03/1993
Age : 18 YEARS Sex MALE Height 186
Weight 66 Date Of Onset 16/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INFECTION VIRAL
PANADEINE, PANADOL.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A/B COMBINED VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/02/1993
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83349 Sequence 1
Computer Entry Date 22/04/1993
Date Reported 19/03/1993
Age : 8 MONTHS Sex FEMALE Height
Weight 8 Date Of Onset 18/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S
DRUG ADMINISTRATION BEGAN 17/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83363 Sequence 1
Computer Entry Date 23/04/1993
Date Reported 23/03/1993
Age : 8 WEEKS Sex MALE Height
Weight Date Of Onset 27/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
HYPOTONIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 27/10/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83470 Sequence 1
Computer Entry Date 28/04/1993
Date Reported 22/03/1993
Age : 11 YEARS Sex MALE Height
Weight Date Of Onset 06/11/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABSCESS
ANTIBIOTICS/DRAINAGE/PHISOHEX/BACTROBAN.
Description : RECURRENT BOILS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/03/1992 AND CEASED 01/10/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
RHINOCORT O 1.0 DF
DAILY
DRUG ADMINISTRATION BEGAN 07/08/1992
ICD Code : CHRONIC NASOPHARYNGITIS
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83474 Sequence 1
Computer Entry Date 28/04/1993
Date Reported 22/03/1993
Age : 1 YEARS Sex MALE Height
Weight 12 Date Of Onset 19/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/03/1993 AND CEASED 09/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83557 Sequence 1
Computer Entry Date 30/04/1993
Date Reported 24/03/1993
Age : 1 YEARS Sex FEMALE Height
Weight Date Of Onset 20/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA
Description : RASH ON ARMS, LEGS, TRUNK.
MALAISE
UPPER RESP TRACT INFECTION
Included Term : UPPER RESPIRATORY TRACT INFECTION
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S
DRUG ADMINISTRATION BEGAN 11/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83587 Sequence 1
Computer Entry Date 30/04/1993
Date Reported 24/03/1993
Age : 3 YEARS Sex FEMALE Height
Weight 12 Date Of Onset 22/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
DIARRHOEA
DEHYDRATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83602 Sequence 1
Computer Entry Date 03/05/1993
Date Reported 29/03/1993
Age : 15 MONTHS Sex FEMALE Height
Weight 11 Date Of Onset 16/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
Description : RASH ON LEFT ARM.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 15/03/1993 AND CEASED 15/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83604 Sequence 1
Computer Entry Date 03/05/1993
Date Reported 24/03/1993
Age : 82 YEARS Sex MALE Height
Weight Date Of Onset 20/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
Included Term : MACULAR RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 19/03/1993
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83607 Sequence 1
Computer Entry Date 03/05/1993
Date Reported 23/03/1993
Age : 2 YEARS Sex MALE Height
Weight Date Of Onset 03/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OCULOGYRIC CRISIS
ANAPHYLACTOID REACTION GIVEN
ADRENALINE SC AND OBSERVATION IN HOSPITAL FOR FOUR HOU
Included Term : ANAPHYLACTIC REACTION
PALLOR
APNOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S
DRUG ADMINISTRATION BEGAN 03/03/1993
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83664 Sequence 1
Computer Entry Date 05/05/1993
Date Reported 31/03/1993
Age : 18 MONTHS Sex MALE Height
Weight 10 Date Of Onset 30/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS PANADOL
AND SUPPORTIVE CARE
INJECTION SITE REACTION
FEVER PANADOL.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/03/1993 AND CEASED 30/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83680 Sequence 1
Computer Entry Date 05/05/1993
Date Reported 30/03/1993
Age : 61 YEARS Sex FEMALE Height 173
Weight 70 Date Of Onset 25/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
PRURITUS
Included Term : ITCHING
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PREMARIN O 625.0 RG
DAILY
DRUG ADMINISTRATION BEGAN 00/00/1990
ICD Code : MENOPAUSAL SYMPTOMS
PROVERA O 10.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 00/00/1990
ICD Code : MENOPAUSAL SYMPTOMS
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83682 Sequence 1
Computer Entry Date 05/05/1993
Date Reported 30/03/1993
Age : 40 YEARS Sex MALE Height 168
Weight 70 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
PREDNISOLONE ORAL.
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
RULIDE O 300.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 11/03/1993
ICD Code : CHRONIC SINUSITIS
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83735 Sequence 1
Computer Entry Date 11/05/1993
Date Reported 01/04/1993
Age : 38 YEARS Sex FEMALE Height 163
Weight 63 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A VACCINE S 1.0 ML
1 TIME
DRUG ADMINISTRATION BEGAN 06/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83736 Sequence 1
Computer Entry Date 11/05/1993
Date Reported 30/03/1993
Age : 25 YEARS Sex MALE Height 172
Weight 65 Date Of Onset 03/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
ARTHRALGIA
Description : JOINT ACHES AND PAINS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S CAPSULE 1.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 01/03/1993 AND CEASED 05/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 01/03/1993 AND CEASED 01/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/03/1993 AND CEASED 01/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83740 Sequence 1
Computer Entry Date 11/05/1993
Date Reported 03/04/1993
Age : 20 YEARS Sex FEMALE Height
Weight Date Of Onset 04/02/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
PARAESTHESIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION
SYSTEMIC
DRUG ADMINISTRATION BEGAN 30/01/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83742 Sequence 1
Computer Entry Date 11/05/1993
Date Reported 03/04/1993
Age : 45 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 23/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83743 Sequence 1
Computer Entry Date 11/05/1993
Date Reported 03/04/1993
Age : 73 YEARS Sex FEMALE Height
Weight Date Of Onset 30/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BRONCHOSPASM VENTOLIN
NEBULISED.
Included Term : WHEEZING EXPIRATORY
HYPOTENSION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 30/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83744 Sequence 1
Computer Entry Date 11/05/1993
Date Reported 03/04/1993
Age : 45 YEARS Sex FEMALE Height
Weight Date Of Onset 25/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 24/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83745 Sequence 1
Computer Entry Date 11/05/1993
Date Reported 03/04/1993
Age : 74 YEARS Sex FEMALE Height
Weight Date Of Onset 27/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PULMONARY OEDEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 25/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83746 Sequence 1
Computer Entry Date 11/05/1993
Date Reported 03/04/1993
Age : 71 YEARS Sex MALE Height
Weight Date Of Onset 27/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
PULMONARY OEDEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 25/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83749 Sequence 1
Computer Entry Date 11/05/1993
Date Reported 03/04/1993
Age Code AE - Elderly adult Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SYSTEMIC
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83750 Sequence 1
Computer Entry Date 11/05/1993
Date Reported 03/04/1993
Age Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN
MYALGIA
HEADACHE
LEUKOCYTOSIS
DIVERTICULITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83761 Sequence 1
Computer Entry Date 12/05/1993
Date Reported 03/04/1993
Age : 2 MONTHS Sex Height
Weight Date Of Onset 10/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE
Included Term : COLLAPSE TRANSIENT
APNOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 10/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83763 Sequence 1
Computer Entry Date 12/05/1993
Date Reported 03/04/1993
Age : 82 YEARS Sex MALE Height
Weight Date Of Onset 17/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 16/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83764 Sequence 1
Computer Entry Date 12/05/1993
Date Reported 03/04/1993
Age : 78 YEARS Sex FEMALE Height
Weight Date Of Onset 17/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 16/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83766 Sequence 1
Computer Entry Date 12/05/1993
Date Reported 03/04/1993
Age : 65 YEARS Sex FEMALE Height
Weight Date Of Onset 16/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 09/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83767 Sequence 1
Computer Entry Date 12/05/1993
Date Reported 03/04/1993
Age : 20 MONTHS Sex MALE Height
Weight Date Of Onset 11/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : LEFT ARM AND SHOULDER SWELLING.
FEVER
VOMITING
FATIGUE
Included Term : LETHARGY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 09/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83777 Sequence 1
Computer Entry Date 12/05/1993
Date Reported 03/04/1993
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 02/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 02/10/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83778 Sequence 1
Computer Entry Date 12/05/1993
Date Reported 03/04/1993
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 04/12/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 04/12/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83779 Sequence 1
Computer Entry Date 12/05/1993
Date Reported 03/04/1993
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 17/02/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 17/02/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 17/02/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83782 Sequence 1
Computer Entry Date 12/05/1993
Date Reported 05/04/1993
Age : 54 YEARS Sex FEMALE Height
Weight Date Of Onset 27/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
PRURITUS
Included Term : ITCHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 26/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83784 Sequence 1
Computer Entry Date 12/05/1993
Date Reported 03/04/1993
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 03/02/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 03/02/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83785 Sequence 1
Computer Entry Date 12/05/1993
Date Reported 03/04/1993
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CYANOSIS
DYSPNOEA
HYPOTONIA
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 17/12/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 17/12/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83786 Sequence 1
Computer Entry Date 12/05/1993
Date Reported 03/04/1993
Age Code A7 - Seventies Sex FEMALE Height
Weight Date Of Onset 21/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 21/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83787 Sequence 1
Computer Entry Date 12/05/1993
Date Reported 03/04/1993
Age Code A7 - Seventies Sex FEMALE Height
Weight Date Of Onset 21/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 21/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83788 Sequence 1
Computer Entry Date 12/05/1993
Date Reported 03/04/1993
Age Code A7 - Seventies Sex FEMALE Height
Weight Date Of Onset 21/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 21/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83789 Sequence 1
Computer Entry Date 12/05/1993
Date Reported 03/04/1993
Age Code A7 - Seventies Sex FEMALE Height
Weight Date Of Onset 21/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 21/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83790 Sequence 1
Computer Entry Date 12/05/1993
Date Reported 03/04/1993
Age Code A7 - Seventies Sex MALE Height
Weight Date Of Onset 21/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 21/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83793 Sequence 1
Computer Entry Date 12/05/1993
Date Reported 03/04/1993
Age : 14 MONTHS Sex MALE Height
Weight Date Of Onset 17/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
STOMATITIS ULCERATIVE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 17/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPLE ANTIGEN O 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 10/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83805 Sequence 1
Computer Entry Date 12/05/1993
Date Reported 03/04/1993
Age : 17 MONTHS Sex MALE Height
Weight Date Of Onset 19/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PHARYNGITIS
Description : THROAT RED.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 19/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83806 Sequence 1
Computer Entry Date 12/05/1993
Date Reported 03/04/1993
Age : 3 MONTHS Sex FEMALE Height
Weight Date Of Onset 14/01/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR
APNOEA
VOMITING
FEVER
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 14/01/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 14/01/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83807 Sequence 1
Computer Entry Date 12/05/1993
Date Reported 03/04/1993
Age : 39 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 12/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83808 Sequence 1
Computer Entry Date 12/05/1993
Date Reported 03/04/1993
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 24/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPOTONIA
PALLOR
CYANOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 24/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PEDVAXHIB S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 24/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83809 Sequence 1
Computer Entry Date 12/05/1993
Date Reported 03/04/1993
Age : 50 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83833 Sequence 1
Computer Entry Date 12/05/1993
Date Reported 03/04/1993
Age : 24 YEARS Sex FEMALE Height
Weight Date Of Onset 13/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
INJECTION SITE REACTION
PAIN
Description : PAIN UP ARM TO NECK AND SIDE OF FACE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 12/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83834 Sequence 1
Computer Entry Date 12/05/1993
Date Reported 03/04/1993
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83835 Sequence 1
Computer Entry Date 12/05/1993
Date Reported 03/04/1993
Age : 5 MONTHS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SKIN DISCOLOURATION
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 18/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83873 Sequence 1
Computer Entry Date 13/05/1993
Date Reported 30/03/1993
Age : 18 MONTHS Sex FEMALE Height
Weight 12 Date Of Onset 28/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
THROMBOCYTOPENIA
INTRAGAM.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
VENTOLIN O SYRUP 9.0 ML
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/06/1992 AND CONTINUED
ICD Code : ASTHMA
0Laboratory Data
===============
HAEMATOLOGY PLATELETS
Lab Normal Range : 150-400
028/03/1993
8
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83885 Sequence 1
Computer Entry Date 13/05/1993
Date Reported 05/04/1993
Age : 18 YEARS Sex FEMALE Height 160
Weight 52 Date Of Onset 03/02/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ASTHENIA
Included Term : WEAKNESS GENERALIZED
DYSPNOEA
Included Term : BREATHING DIFFICULT
DYSPHAGIA
Included Term : SWALLOWING DIFFICULT
FATIGUE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S PER ORAL 0.2 ML
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 27/01/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 27/01/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83940 Sequence 1
Computer Entry Date 18/05/1993
Date Reported 14/04/1993
Age : 1 YEARS Sex FEMALE Height
Weight 9 Date Of Onset 03/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SOMNOLENCE
Included Term : DROWSINESS
HYPOTONIA
Description : LIMPNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 03/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83950 Sequence 1
Computer Entry Date 20/05/1993
Date Reported 05/04/1993
Age : 8 MONTHS Sex MALE Height
Weight Date Of Onset 02/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83991 Sequence 1
Computer Entry Date 20/05/1993
Date Reported 03/04/1993
Age Code AE - Elderly adult Sex FEMALE Height
Weight Date Of Onset 25/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
VOMITING
MALAISE
BRADYCARDIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 25/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
WARFARIN SODIUM O
DIGOXIN O
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 83992 Sequence 1
Computer Entry Date 20/05/1993
Date Reported 03/04/1993
Age : 13 MONTHS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MENINGITIS
FEVER
RASH MACULO-PAPULAR
LYMPHADENOPATHY CERVICAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 19/02/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84010 Sequence 1
Computer Entry Date 21/05/1993
Date Reported 30/03/1993
Age : 73 YEARS Sex FEMALE Height 160
Weight 60 Date Of Onset 30/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BRONCHOSPASM VENTOLIN
NEB.
Included Term : WHEEZING EXPIRATORY
HYPOTENSION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
MODURETIC S TABLET 1.0 DF
DAILY PER ORAL
TRANSIDERM-NITRO S EXTERNAL 25.0 MG
DAILY TRANSDERMAL
DRUG ADMINISTRATION BEGAN 30/03/1993 AND CEASED 30/03/1993
ICD Code : PAIN IN CHEST
TRYPTANOL S TABLET 50.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 29/03/1993 AND CEASED 30/03/1993
ICD Code : ANXIETY NEUROSIS
METFORMIN HYDROCHLORIDE S TABLET 500.0 MG
DAILY PER ORAL
LONG TERM
ICD Code : DIABETES MELLITUS
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84040 Sequence 1
Computer Entry Date 24/05/1993
Date Reported 19/04/1993
Age : 84 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
GANGRENE
INJECTION SITE PAIN
SEPSIS
NECROSIS NOS
Description : MYONECROSIS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SYSTEMIC
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : DEATH, MAYBE DRUG
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84125 Sequence 1
Computer Entry Date 25/05/1993
Date Reported 23/04/1993
Age : 68 YEARS Sex FEMALE Height 163
Weight 55 Date Of Onset 28/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : HOT RED SWOLLEN ARM.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/03/1993 AND CEASED 27/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84142 Sequence 1
Computer Entry Date 26/05/1993
Date Reported 23/04/1993
Age : 11 MONTHS Sex MALE Height
Weight 10 Date Of Onset 22/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
FATIGUE
Included Term : LETHARGY
CONFUSION
LYMPHADENOPATHY CERVICAL
Description : CERVICAL LYMPH NODES
VOMITING
FEVER
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84155 Sequence 1
Computer Entry Date 26/05/1993
Date Reported 22/04/1993
Age : 76 YEARS Sex FEMALE Height 160
Weight 65 Date Of Onset 20/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VERTIGO
VOMITING
CIRCULATORY FAILURE
Included Term : COLLAPSE CIRCULATORY
SWEATING INCREASED
PALPITATION
DYSPNOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BRICANYL S INHALANT 2.0 DF
2 TIMES INHALATION
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 20/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
RENITEC O 20.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 00/00/1989
ICD Code : ESSENTIAL BENIGN HYPERTENSION
BRICANYL O INHALANT 4.0 DF
DAILY INHALATION
ATROVENT O
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:01 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84180 Sequence 1
Computer Entry Date 27/05/1993
Date Reported 23/04/1993
Age : 75 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ASTHENIA STEROIDS
Included Term : WEAKNESS GENERALIZED
MYALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 25/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
BIOCHEMISTRY CREATINE PHOSPHOKINASE
Lab Normal Range : < 300
002/11/1992
489
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
HISTOLOGY MUSCLE BIOPSY
Lab Normal Range :
0 MUSCLE BIOPSY REVEALED EVIDENCE OF DENERATION BUT THERE WAS NO EVIDENCE OF
MYOPATHY
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84191 Sequence 1
Computer Entry Date 27/05/1993
Date Reported 25/04/1993
Age : 38 YEARS Sex FEMALE Height 175
Weight 70 Date Of Onset 18/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S
DRUG ADMINISTRATION BEGAN 16/04/1993
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84195 Sequence 1
Computer Entry Date 28/05/1993
Date Reported 29/04/1993
Age : 5 YEARS Sex FEMALE Height 112
Weight 19 Date Of Onset 29/01/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANAPHYLACTOID REACTION
ADRENALIN, ANTIHISTAMINE, HYDROCORTISONE.
Included Term : ANAPHYLACTIC REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/01/1993
SABIN VACCINE S SOLUTION
PER ORAL
DRUG ADMINISTRATION BEGAN 29/01/1993
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84228 Sequence 1
Computer Entry Date 31/05/1993
Date Reported 30/04/1993
Age : 53 YEARS Sex FEMALE Height
Weight Date Of Onset 19/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
Included Term : ITCHING
INJECTION SITE REACTION
PREDNISONE TABLETS.
Description : LOCAL REDNESS AND SWELLING.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84252 Sequence 1
Computer Entry Date 31/05/1993
Date Reported 06/05/1993
Age : 17 MONTHS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 1.0 DF
1 TIME SYSTEMIC
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84290 Sequence 1
Computer Entry Date 01/06/1993
Date Reported 07/05/1993
Age : 7 MONTHS Sex FEMALE Height 69
Weight 7 Date Of Onset 20/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : FIRM LUMP 1.2CM DIAM.
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84356 Sequence 1
Computer Entry Date 01/06/1993
Date Reported 04/05/1993
Age : 74 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
UPPER RESP TRACT INFECTION
Included Term : UPPER RESPIRATORY TRACT INFECTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 22/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84357 Sequence 1
Computer Entry Date 01/06/1993
Date Reported 04/05/1993
Age : 73 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DYSPNOEA
AUGMENTIN
UPPER RESP TRACT INFECTION
Included Term : UPPER RESPIRATORY TRACT INFECTION
BRONCHITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 22/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84370 Sequence 1
Computer Entry Date 02/06/1993
Date Reported 04/05/1993
Age : 15 MONTHS Sex MALE Height 80
Weight 10 Date Of Onset 26/02/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
NERVOUSNESS
Included Term : IRRITABILITY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 22/02/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84380 Sequence 1
Computer Entry Date 02/06/1993
Date Reported 03/05/1993
Age Sex Height
Weight Date Of Onset 02/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES
Description : RUBELLA FORM ILLNESS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SEPTRIN S 5.0 ML
DAILY
DRUG ADMINISTRATION BEGAN 30/04/1993 AND CONTINUED
ICD Code : AC UPR RESP INF,MULT,UNSP STES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84393 Sequence 1
Computer Entry Date 02/06/1993
Date Reported 10/05/1993
Age : 3 MONTHS Sex FEMALE Height
Weight 5 Date Of Onset 27/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
Included Term : MEASLY RASH
Description : RUBELLAFORM REACTION ON FACE, TRUNK,LEGS
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84432 Sequence 1
Computer Entry Date 03/06/1993
Date Reported 12/05/1993
Age : 76 YEARS Sex MALE Height
Weight 74 Date Of Onset 20/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ENCEPHALOPATHY
Included Term : ENCEPHALITIS TOXIC
CONVULSIONS
CONFUSION
APHASIA
Included Term : DYSPHASIA
HEMIPARESIS
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/03/1993
ICD Code : PROPHYLAXIS
EPILIM O PER ORAL 1.4 GM
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/00/1980 AND CONTINUED
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84445 Sequence 1
Computer Entry Date 04/06/1993
Date Reported 11/05/1993
Age : 32 YEARS Sex MALE Height 180
Weight 70 Date Of Onset 22/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEPATITIS CHOLESTATIC
MALAISE
NAUSEA
ABDOMINAL PAIN
Included Term : EPIGASTRIC PAIN NOT FOOD-RELATED
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLOXAPEN S CAPSULE 2.0 GM
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 16/03/1993 AND CEASED 21/03/1993
ICD Code : SYNOVITIS,BURSITIS&TENOSYNOVIT
DIPHTHERIA AND TETANUS VACCINE ADT S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 16/03/1993
0Laboratory Data
===============
BIOCHEMISTRY AST = SGOT
Lab Normal Range : UP TO 41
023/03/1993 29/03/1993 06/04/1993 19/04/1993
117 180 103 57
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY BILIRUBIN
Lab Normal Range : 2 - 20 UMOL/L
023/03/1993 29/03/1993 06/04/1993 19/04/1993
30 63 37 25
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY SAP = ALP
Lab Normal Range : 30 115 U/L
023/03/1993 29/03/1993 06/04/1993 19/04/1993
- 132 - 82
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY GGT = SGGT = GGTP
Lab Normal Range : UP TO 45
023/03/1993 29/03/1993 06/04/1993 19/04/1993
- 413 - 82
1ADP016P5
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84445 Sequence 1 (Continued)
BIOCHEMISTRY ALT = SGPT
Lab Normal Range : UP TO 45
023/03/1993 29/03/1993 06/04/1993 19/04/1993
- 386 - 188
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84472 Sequence 1
Computer Entry Date 07/06/1993
Date Reported 12/05/1993
Age : 23 YEARS Sex FEMALE Height
Weight Date Of Onset 17/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
ANTIHISTAMINE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
VAXIGRIP S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 17/04/1993
ICD Code : PROPHYLAXIS
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84477 Sequence 1
Computer Entry Date 07/06/1993
Date Reported 12/05/1993
Age : 24 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT
Description : UNILATERAL PAROTID ENLARGEMENT.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 07/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84478 Sequence 1
Computer Entry Date 07/06/1993
Date Reported 12/05/1993
Age : 10 MONTHS Sex FEMALE Height
Weight Date Of Onset 14/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84479 Sequence 1
Computer Entry Date 07/06/1993
Date Reported 12/05/1993
Age : 60 YEARS Sex MALE Height
Weight Date Of Onset 10/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DEAFNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 03/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84480 Sequence 1
Computer Entry Date 07/06/1993
Date Reported 12/05/1993
Age : 69 YEARS Sex MALE Height
Weight Date Of Onset 04/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
APHASIA
Included Term : DYSPHASIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 03/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84481 Sequence 1
Computer Entry Date 07/06/1993
Date Reported 12/05/1993
Age : 52 YEARS Sex MALE Height
Weight Date Of Onset 05/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
VERTIGO
Included Term : HEAD SPINNING
VISION ABNORMAL
Included Term : VISION BLURRED
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 05/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84482 Sequence 1
Computer Entry Date 07/06/1993
Date Reported 04/05/1993
Age : 5 MONTHS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS
Description : LUMP AT INJECTION SITE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 25/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84483 Sequence 1
Computer Entry Date 07/06/1993
Date Reported 12/05/1993
Age : 3 MONTHS Sex FEMALE Height
Weight Date Of Onset 03/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FACE OEDEMA
RASH
Description : RED BLOTCHY RAISED AREAS.
RHINITIS
Description : RUNNY NOSE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 03/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84484 Sequence 1
Computer Entry Date 07/06/1993
Date Reported 12/05/1993
Age : 40 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE
Included Term : COLLAPSE TRANSIENT
BRADYCARDIA
HYPOTENSION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME SYSTEMIC
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
AMOXIL S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84485 Sequence 1
Computer Entry Date 07/06/1993
Date Reported 12/05/1993
Age : 6 MONTHS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : SMALL LUMP IN ARM.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME SYSTEMIC
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84486 Sequence 1
Computer Entry Date 07/06/1993
Date Reported 12/05/1993
Age : 6 MONTHS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS REQUIRED
SURGICAL REMOVAL.
Description : ABSCESS IN DELTOID MUSCLE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 03/02/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84495 Sequence 1
Computer Entry Date 07/06/1993
Date Reported 13/05/1993
Age Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84515 Sequence 1
Computer Entry Date 08/06/1993
Date Reported 13/05/1993
Age : 8 WEEKS Sex FEMALE Height
Weight 3 Date Of Onset 11/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPOREFLEXIA
HYPOTENSION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84532 Sequence 1
Computer Entry Date 08/06/1993
Date Reported 17/05/1993
Age : 2 YEARS Sex MALE Height
Weight 14 Date Of Onset 24/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS
Included Term : IRRITABILITY
FEVER
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PROHIBIT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84537 Sequence 1
Computer Entry Date 08/06/1993
Date Reported 17/05/1993
Age : 3 MONTHS Sex FEMALE Height
Weight Date Of Onset 13/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONSTIPATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 1.0 DF
1 TIME SYSTEMIC
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84571 Sequence 1
Computer Entry Date 10/06/1993
Date Reported 18/05/1993
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME SYSTEMIC
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84572 Sequence 1
Computer Entry Date 10/06/1993
Date Reported 18/05/1993
Age : 52 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : UPPER ARM REACTION WITH SWELLING.
LYMPHADENOPATHY
Description : AXILLARY LYMPH NODE SWELLING.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SYSTEMIC
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84573 Sequence 1
Computer Entry Date 10/06/1993
Date Reported 18/05/1993
Age : 14 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
FEVER
ASTHENIA
Included Term : WEAKNESS GENERALIZED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 21/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84575 Sequence 1
Computer Entry Date 10/06/1993
Date Reported 18/05/1993
Age : 32 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANOREXIA
DIARRHOEA
ABDOMINAL PAIN
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 07/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84576 Sequence 1
Computer Entry Date 10/06/1993
Date Reported 18/05/1993
Age : 70 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
TINNITUS
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 06/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84589 Sequence 1
Computer Entry Date 11/06/1993
Date Reported 18/05/1993
Age : 32 YEARS Sex FEMALE Height 152
Weight 79 Date Of Onset 28/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
Description : UNWELL.
FATIGUE
Included Term : TIREDNESS
SYNCOPE
Included Term : COLLAPSE TRANSIENT
COORDINATION ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 26/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84592 Sequence 1
Computer Entry Date 11/06/1993
Date Reported 18/05/1993
Age : 21 MONTHS Sex MALE Height
Weight 14 Date Of Onset 14/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PARACETAMOL, VALIUM.
NERVOUSNESS
Included Term : IRRITABILITY
CRYING ABNORMAL
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 14/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84594 Sequence 1
Computer Entry Date 11/06/1993
Date Reported 18/05/1993
Age : 73 YEARS Sex MALE Height
Weight Date Of Onset 02/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
TREMOR
Included Term : SHAKING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 30/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
COUMADIN O
LONG TERM
ALLOPURINOL O
LONG TERM
LANOXIN O
LONG TERM
MODURETIC O
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84616 Sequence 1
Computer Entry Date 15/06/1993
Date Reported 19/05/1993
Age : 16 YEARS Sex MALE Height
Weight Date Of Onset 06/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONJUNCTIVITIS
MIOSIS
Included Term : CILIARY SPASM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84651 Sequence 1
Computer Entry Date 18/06/1993
Date Reported 21/05/1993
Age : 54 YEARS Sex FEMALE Height
Weight Date Of Onset 28/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : INJECTION SITE - HOT, SWOLLEN.
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 27/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84653 Sequence 1
Computer Entry Date 18/06/1993
Date Reported 21/05/1993
Age : 18 YEARS Sex MALE Height 186
Weight 66 Date Of Onset 22/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INFECTION VIRAL BED
REST.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A/B COMBINED VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/02/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84693 Sequence 1
Computer Entry Date 22/06/1993
Date Reported 26/05/1993
Age : 3 MONTHS Sex MALE Height
Weight Date Of Onset 21/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : RED, DRY, LUMPY AREA, YELLOW CRUSTATION.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 07/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 07/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84694 Sequence 1
Computer Entry Date 22/06/1993
Date Reported 26/05/1993
Age : 11 MONTHS Sex FEMALE Height 78
Weight 9 Date Of Onset 30/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Description : 38.5'C
CONVULSIONS
Included Term : SEIZURES CEREBRAL
APNOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 0.5 ML
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 26/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84696 Sequence 1
Computer Entry Date 22/06/1993
Date Reported 26/05/1993
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset 22/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
OEDEMA
Description : OEDEMA WHOLE OF UPPER ARM AND FOREARM
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84706 Sequence 1
Computer Entry Date 22/06/1993
Date Reported 26/05/1993
Age : 63 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
SWEATING INCREASED
RIGORS
Included Term : SHIVERING
HALLUCINATION
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PROTHIADEN O
SURGAM O
ZANTAC O
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84720 Sequence 1
Computer Entry Date 23/06/1993
Date Reported 27/05/1993
Age : 22 YEARS Sex FEMALE Height
Weight Date Of Onset 02/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANAPHYLACTOID REACTION
ADRENALINE, PHENERGAN.
Included Term : ANAPHYLACTIC REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 02/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84733 Sequence 1
Computer Entry Date 24/06/1993
Date Reported 27/05/1993
Age : 42 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
DYSPNOEA
Included Term : BREATH SHORTNESS
SWEATING INCREASED
NAUSEA
ASTHENIA
Included Term : WEAKNESS GENERALIZED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 05/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84750 Sequence 1
Computer Entry Date 24/06/1993
Date Reported 27/05/1993
Age : 13 MONTHS Sex FEMALE Height
Weight Date Of Onset 05/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Description : TEMPERATURE REACHED 37.5 DEGREES.
HYPOTONIA
Description : HYPORESPONSIVE.
FATIGUE
Included Term : LETHARGY
MENINGITIS-LIKE REACTION
Included Term : MENINGISM
Description : STIFFNESS OF NECK.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84773 Sequence 1
Computer Entry Date 25/06/1993
Date Reported 31/05/1993
Age : 3 MONTHS Sex FEMALE Height
Weight Date Of Onset 03/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FACE OEDEMA
FEVER
SOMNOLENCE
Included Term : DROWSINESS
RASH
RHINITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S INJECTION 0.5 ML
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 03/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84786 Sequence 1
Computer Entry Date 25/06/1993
Date Reported 31/05/1993
Age : 69 YEARS Sex MALE Height
Weight Date Of Onset 15/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPOTENSION
DYSPNOEA
Included Term : BREATH SHORTNESS
CHEST PAIN
SWEATING INCREASED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE INTRAVESICAL S INJECTION 1.0 DF
1 TIME INTRAVESICAL
DRUG ADMINISTRATION BEGAN 15/03/1993 AND CEASED 15/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
XYLOCAINE JELLY WITH HIBITANE S
DRUG ADMINISTRATION BEGAN 15/03/1993 AND CEASED 15/03/1993
0Laboratory Data
===============
ELECTROGRAPHICS ELECTROCARDIOGRAPHY
Lab Normal Range :
0 AN ELECTROCARDIOGRAPH SHOWED ST ELEVATION IN THE LATERAL CHEST LEADS.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84797 Sequence 1
Computer Entry Date 25/06/1993
Date Reported 31/05/1993
Age : 9 MONTHS Sex MALE Height
Weight Date Of Onset 20/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS
Included Term : IRRITABILITY
CRYING ABNORMAL
FEVER
Included Term : PYREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 0.5 ML
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 19/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84801 Sequence 1
Computer Entry Date 25/06/1993
Date Reported 31/05/1993
Age : 22 YEARS Sex FEMALE Height
Weight Date Of Onset 16/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S CAPSULE 1.0 DF
ALTERNATE DAYS PER ORAL
DRUG ADMINISTRATION BEGAN 10/05/1993 AND CEASED 14/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84831 Sequence 1
Computer Entry Date 25/06/1993
Date Reported 27/05/1993
Age : 9 MONTHS Sex FEMALE Height 70
Weight 9 Date Of Onset 16/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
INJECTION SITE REACTION
Description : INJ SITE WAS INDERATED FOR 1 MONTH.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84838 Sequence 1
Computer Entry Date 28/06/1993
Date Reported 27/05/1993
Age Sex Height
Weight Date Of Onset 17/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : SORE SHOULDER.
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 17/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
INTAL O INHALANT 4.0 DF
DAILY INHALATION
ICD Code : ASTHMA
VENTOLIN O
AS NECESSARY
ICD Code : ASTHMA
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84848 Sequence 1
Computer Entry Date 28/06/1993
Date Reported 27/05/1993
Age : 15 YEARS Sex MALE Height 160
Weight 48 Date Of Onset 21/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PNEUMOVAX 23 S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 20/05/1993
ICD Code : ASTHMA
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84896 Sequence 1
Computer Entry Date 28/06/1993
Date Reported 27/05/1993
Age : 25 YEARS Sex MALE Height
Weight Date Of Onset 16/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHOPENIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A VACCINE CT S
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84929 Sequence 1
Computer Entry Date 29/06/1993
Date Reported 27/05/1993
Age : 26 YEARS Sex MALE Height
Weight Date Of Onset 21/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84930 Sequence 1
Computer Entry Date 29/06/1993
Date Reported 27/05/1993
Age : 34 YEARS Sex MALE Height
Weight Date Of Onset 24/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FLUSHING
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/08/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84931 Sequence 1
Computer Entry Date 29/06/1993
Date Reported 27/05/1993
Age : 19 YEARS Sex FEMALE Height
Weight Date Of Onset 01/12/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/12/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84932 Sequence 1
Computer Entry Date 29/06/1993
Date Reported 27/05/1993
Age : 39 YEARS Sex MALE Height
Weight Date Of Onset 24/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/08/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84939 Sequence 1
Computer Entry Date 29/06/1993
Date Reported 26/05/1993
Age : 72 YEARS Sex FEMALE Height 160
Weight 76 Date Of Onset 14/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DYSPNOEA
PAIN PANADOL,
TORADOL.
HYPOTENSION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
LEUCOMAX CT S INJECTION 190.0 RG
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 14/05/1993
ICD Code : PROPHYLAXIS
FLUVAX S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/05/1993
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84942 Sequence 1
Computer Entry Date 29/06/1993
Date Reported 27/05/1993
Age : 22 YEARS Sex MALE Height
Weight Date Of Onset 27/01/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
Description : RASH PALMS HANDS, FOREARMS & ANKLES.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A VACCINE CT S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84943 Sequence 1
Computer Entry Date 29/06/1993
Date Reported 27/05/1993
Age : 22 YEARS Sex MALE Height
Weight Date Of Onset 16/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84944 Sequence 1
Computer Entry Date 29/06/1993
Date Reported 27/05/1993
Age : 22 YEARS Sex MALE Height
Weight Date Of Onset 15/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84968 Sequence 1
Computer Entry Date 29/06/1993
Date Reported 27/05/1993
Age : 26 YEARS Sex MALE Height
Weight Date Of Onset 28/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 84969 Sequence 1
Computer Entry Date 29/06/1993
Date Reported 27/05/1993
Age : 26 YEARS Sex MALE Height
Weight Date Of Onset 26/01/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/01/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85020 Sequence 1
Computer Entry Date 29/06/1993
Date Reported 01/06/1993
Age : 20 MONTHS Sex MALE Height
Weight 12 Date Of Onset 08/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PR
VALIUM.
Description : TEMP. 44 DEGREES.
CONVULSIONS
RASH MACULO-PAPULAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/08/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85042 Sequence 1
Computer Entry Date 30/06/1993
Date Reported 01/06/1993
Age : 38 YEARS Sex FEMALE Height 170
Weight 97 Date Of Onset 09/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE MAXOLON
INJECTION.
VOMITING
FEVER
PALPITATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 09/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85049 Sequence 1
Computer Entry Date 30/06/1993
Date Reported 01/06/1993
Age : 16 YEARS Sex FEMALE Height 163
Weight 57 Date Of Onset 27/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
PHENERGAN 10MG TABLETS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 MG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85051 Sequence 1
Computer Entry Date 30/06/1993
Date Reported 01/06/1993
Age : 3 YEARS Sex FEMALE Height
Weight Date Of Onset 02/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
RASH MACULO-PAPULAR
Included Term : PAPULAR RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
EES S PER ORAL 10.0 ML
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 28/04/1993 AND CEASED 02/05/1993
ICD Code : ACUTE BRONCHITIS&BRONCHIOLITIS
PROHIBIT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85052 Sequence 1
Computer Entry Date 30/06/1993
Date Reported 01/06/1993
Age : 28 YEARS Sex MALE Height 187
Weight 72 Date Of Onset 22/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
RASH
Description : ROSE COLOURED SPOTS ON CHEST AND ARMS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S 1.0 DF
3 TIMES
DRUG ADMINISTRATION BEGAN 18/05/1993 AND CEASED 22/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85069 Sequence 1
Computer Entry Date 01/07/1993
Date Reported 01/06/1993
Age : 35 YEARS Sex MALE Height
Weight Date Of Onset 05/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
THROAT TIGHTNESS
SALIVA INCREASED
PALLOR
Description : PALE
DIZZINESS
Included Term : FAINTNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 ML
1 TIME INTRAVENOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85084 Sequence 1
Computer Entry Date 01/07/1993
Date Reported 02/06/1993
Age : 23 YEARS Sex MALE Height 180
Weight 70 Date Of Onset 24/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
ANTIHISTAMINES
FEVER
NAUSEA
VOMITING
HEADACHE
FATIGUE
Included Term : LETHARGY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
MENCEVAX AC S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPH-VAX S CAPSULE 3.0 DF
TOTAL PER ORAL
DRUG ADMINISTRATION BEGAN 15/03/1993 AND CEASED 19/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85091 Sequence 1
Computer Entry Date 01/07/1993
Date Reported 02/06/1993
Age : 6 MONTHS Sex FEMALE Height
Weight Date Of Onset 01/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PERSONALITY DISORDER
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 31/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85106 Sequence 1
Computer Entry Date 02/07/1993
Date Reported 03/06/1993
Age : 15 MONTHS Sex FEMALE Height
Weight 10 Date Of Onset 28/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
FATIGUE
Included Term : LETHARGY
ANOREXIA
Description : REFUSAL TO EAT.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85109 Sequence 1
Computer Entry Date 02/07/1993
Date Reported 07/06/1993
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset 27/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA
FEVER
COUGHING
RASH ERYTHEMATOUS
NERVOUSNESS
Included Term : IRRITABILITY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PROHIBIT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85128 Sequence 1
Computer Entry Date 02/07/1993
Date Reported 07/06/1993
Age : 70 YEARS Sex FEMALE Height 158
Weight 54 Date Of Onset 09/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RHINITIS
Included Term : SNEEZING EXCESSIVE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85145 Sequence 1
Computer Entry Date 02/07/1993
Date Reported 08/06/1993
Age : 36 YEARS Sex MALE Height
Weight Date Of Onset 00/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PAIN
FEVER
INJECTION SITE PAIN
Description : HEAVY ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME SYSTEMIC
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85155 Sequence 1
Computer Entry Date 02/07/1993
Date Reported 03/06/1993
Age Code A7 - Seventies Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CYSTITIS
CHEMOTHERAPY BEFORE AND AFTER BCG TREATMENT.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE INTRAVESICAL S INJECTION
INTRAVESICAL
ICD Code : MALIGNANT NEOPLASM OF BLADDER
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85158 Sequence 1
Computer Entry Date 02/07/1993
Date Reported 03/06/1993
Age Code A7 - Seventies Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CYSTITIS REMOVAL
OF BLADDER.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE INTRAVESICAL S INJECTION
INTRAVESICAL
ICD Code : MALIGNANT NEOPLASM OF BLADDER
0Laboratory Data
===============
MICROBIOLOGY
Lab Normal Range :
0 BCG INFECTION OF BLADDER-M.BOVIS CULTIVATED FROM LESIONS IN BLADDER WALL.
ORGANISM RESISANT TO INH. SENSITIVE TO RIFAMPICIN AND ETHAMBUTOL.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85165 Sequence 1
Computer Entry Date 02/07/1993
Date Reported 03/06/1993
Age : 42 YEARS Sex MALE Height
Weight Date Of Onset 04/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MENINGITIS-LIKE REACTION
Included Term : MENINGISM
Description : NECK STIFFNESS AND HEADACHE.
MYALGIA
Description : TIREDNESS AND MUSCLE PAINS
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/05/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85178 Sequence 1
Computer Entry Date 05/07/1993
Date Reported 03/06/1993
Age : 49 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEUROPATHY PERIPHERAL
Description : BILATERAL PERIPHERAL NEUROPATHY IN CALVES
NEURITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 28/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PREMARIN O
ASPIRIN O
LASIX O
ROHYPNOL O
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85180 Sequence 1
Computer Entry Date 05/07/1993
Date Reported 08/06/1993
Age : 48 YEARS Sex FEMALE Height
Weight Date Of Onset 29/04/1987
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VASCULITIS
PREDNISONE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 21/04/1987
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
HAEMATOLOGY WHITE BLOOD CELLS
Lab Normal Range :
029/04/1987 15/07/1987
15,700 26,000
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
HAEMATOLOGY EOSINOPHILS
Lab Normal Range :
029/04/1987 15/07/1987
21% 56%
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
HAEMATOLOGY ERYTHROCYTE SEDIMENTATION RATE
Lab Normal Range :
029/04/1987 15/07/1987
60 82
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
IMMUNOLOGY
Lab Normal Range :
0 POSITIVE ANTI NUCLEAR ANTIBODY (1:640 HOMOGENEOUS) & RHEUMATOID FACTOR (1:32)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85187 Sequence 1
Computer Entry Date 05/07/1993
Date Reported 09/06/1993
Age Sex FEMALE Height
Weight Date Of Onset 00/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
JAUNDICE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 07/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SKULLCAP S TABLET
PER ORAL
VALERIAN S
0Laboratory Data
===============
BIOCHEMISTRY BILIRUBIN
Lab Normal Range : 1 - 25 UMOL/L
006/10/1992 14/05/1993 17/05/1993 21/05/1993 31/05/1993
8 200 285 180 74
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY SAP = ALP
Lab Normal Range : 30 - 120 U/L
006/10/1992 14/05/1993 17/05/1993 21/05/1993 31/05/1993
54 130 155 144 129
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY AST = SGOT
Lab Normal Range : 0 - 40 U/L
006/10/1992 14/05/1993 17/05/1993 21/05/1993 31/05/1993
24 1310 1254 1121 313
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY ALT = SGPT
Lab Normal Range :
006/10/1992 14/05/1993 17/05/1993 21/05/1993 31/05/1993
37 1930 1535 1402 740
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY GGT = SGGT = GGTP
Lab Normal Range : 5 - 50 U/L
006/10/1992 14/05/1993 17/05/1993 21/05/1993 31/05/1993
18 193 206 182 105
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85187 Sequence 1 (Continued)
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85207 Sequence 1
Computer Entry Date 05/07/1993
Date Reported 09/06/1993
Age : 9 MONTHS Sex FEMALE Height
Weight Date Of Onset 07/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
Included Term : HIVES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85212 Sequence 1
Computer Entry Date 05/07/1993
Date Reported 09/06/1993
Age : 15 MONTHS Sex FEMALE Height
Weight Date Of Onset 13/08/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RESPIRATORY DISORDER
Included Term : TACHYPNOEA
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 13/08/1991
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85227 Sequence 1
Computer Entry Date 05/07/1993
Date Reported 09/06/1993
Age : 2 YEARS Sex MALE Height
Weight Date Of Onset 26/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH VESICULAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PROHIBIT S INJECTION
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/05/1992 AND CEASED 14/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85299 Sequence 1
Computer Entry Date 07/07/1993
Date Reported 10/06/1993
Age Sex FEMALE Height
Weight Date Of Onset 00/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BRONCHITIS
ANTIBIOTICS.
PLEURISY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BRONCOSTAT S TABLET
PER ORAL
DRUG ADMINISTRATION BEGAN 00/04/1993
ICD Code : BRONCHITIS,UNQUALIFIED
VENTOLIN O
ESTRADERM O EXTERNAL
TRANSDERMAL
ICD Code : MENOPAUSAL SYMPTOMS
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85334 Sequence 1
*************** UNAUTHORISED REPORT
***************
0Computer Entry Date 07/07/1993
Date Reported 16/06/1993
Age : 80 YEARS Sex FEMALE Height 151
Weight 42 Date Of Onset 29/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEUROPATHY TEGRETOL
100MG BD INCREASING TO 100MG TDS.
Description : BRACHIAL NEURITIS (L) ARM
NEURALGIA
Description : TRIGEMINAL NEURALGIA RT SIDE OF FACE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 17/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
LITHIUM CARBONATE O TABLET 800.0 MG
DAILY PER ORAL
LONG TERM
ICD Code : UNSPECIFID AFFECTIVE PSYCHOSIS
ASPIRIN O 150.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 00/00/1990
ICD Code : TRANSIENT CEREB ISCH NO HYPERT
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85359 Sequence 1
Computer Entry Date 08/07/1993
Date Reported 17/06/1993
Age : 3 YEARS Sex MALE Height
Weight 14 Date Of Onset 26/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PHARYNGITIS
INTUBATION AND ANTIBIOTICS.
Included Term : EPIGLOTTITIS
THERAPEUTIC INEFFICACY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PROHIBIT S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 00/12/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85376 Sequence 1
Computer Entry Date 09/07/1993
Date Reported 21/06/1993
Age : 77 YEARS Sex MALE Height 173
Weight 70 Date Of Onset 20/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HERPES ZOSTER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85403 Sequence 1
Computer Entry Date 09/07/1993
Date Reported 22/06/1993
Age : 71 YEARS Sex FEMALE Height
Weight Date Of Onset 20/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEPATITIS CHOLESTATIC
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RANITIDINE S 300.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 25/03/1993 AND CEASED 27/04/1993
ICD Code : OTHER DISEASES OF ESOPHAGUS
INFLUENZA VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 01/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ATROVENT O 8.0 DF
DAILY
DRUG ADMINISTRATION BEGAN 27/01/1993 AND CONTINUED
VENTOLIN O 8.0 DF
DAILY
DRUG ADMINISTRATION BEGAN 27/01/1993 AND CONTINUED
TEMAZEPAM O
DRUG ADMINISTRATION BEGAN 00/00/1990 AND CONTINUED
BECOTIDE O 6.0 DF
DAILY
DRUG ADMINISTRATION BEGAN 27/01/1993 AND CONTINUED
0Laboratory Data
===============
BIOCHEMISTRY GGT = SGGT = GGTP
Lab Normal Range :
027/04/1993 21/05/1993
379 92
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY SAP = ALP
Lab Normal Range :
027/04/1993 21/05/1993
540 169
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
IMMUNOLOGY ANTINUCLEAR FACTOR = ANA
Lab Normal Range :
0 POSITIVE ANA TITRE OF 1:160.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85423 Sequence 1
Computer Entry Date 09/07/1993
Date Reported 16/06/1993
Age : 22 MONTHS Sex FEMALE Height
Weight 10 Date Of Onset 05/06/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA HISMANAL
ARISTOCORT.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PROHIBIT S
DRUG ADMINISTRATION BEGAN 29/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPLE ANTIGEN S
DRUG ADMINISTRATION BEGAN 29/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85445 Sequence 1
Computer Entry Date 12/07/1993
Date Reported 22/06/1993
Age : 52 YEARS Sex MALE Height
Weight Date Of Onset 05/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
VISION ABNORMAL
Included Term : VISION BLURRED
HEADACHE
ARTHRALGIA
Description : SHOULDER PAIN.
VERTIGO
Description : SPINNING HEAD.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S INJECTION 0.5 ML
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 05/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85454 Sequence 1
Computer Entry Date 12/07/1993
Date Reported 03/06/1993
Age : 74 YEARS Sex FEMALE Height
Weight Date Of Onset 29/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
JAUNDICE
PREDNISOLONE
ANAEMIA HAEMOLYTIC DCP
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 15/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ASPIRIN S
DRUG ADMINISTRATION BEGAN 15/04/1993 AND CEASED 29/04/1993
THYROXINE SODIUM O TABLET 50.0 RG
DAILY PER ORAL
LONG TERM
ICD Code : MYXEDEMA
0Laboratory Data
===============
HAEMATOLOGY HAEMOGLOBIN
Lab Normal Range :
029/04/1993 03/05/1993 08/05/1993
50 62 70
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85504 Sequence 1
Computer Entry Date 12/07/1993
Date Reported 24/06/1993
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 17/06/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
HYDROCORTISONE 1% CREAM.
Description : LOCALIZED PAPULAR RED LESION.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/06/1993 AND CEASED 15/06/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85506 Sequence 1
Computer Entry Date 12/07/1993
Date Reported 24/06/1993
Age : 39 YEARS Sex FEMALE Height 155
Weight 68 Date Of Onset 07/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PSORIASIS AGGRAVATED
Description : PSORIATIC ARTHRITIS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 19/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85527 Sequence 1
Computer Entry Date 13/07/1993
Date Reported 25/06/1993
Age : 65 YEARS Sex FEMALE Height
Weight Date Of Onset 17/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
DIZZINESS
DIARRHOEA
DEAFNESS
Description : DEAFNESS IN LEFT EAR
VERTIGO
VOMITING
TINNITUS
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 10/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
BECOTIDE O 1.0 DF
DAILY
OROXINE O 1.0 DF
DAILY
BETALOC O 1.0 DF
DAILY
ZOCOR O 1.0 DF
DAILY
CARDIZEM O 180.0 MG
DAILY
ASPIRIN O 0.5 DF
DAILY
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 TUNING FORK TESTING AND AUDIOMETRIC TESTING BOTH CONFIRM A SIGNIFICANT
LEFTSIDED SENSORY NEURAL DEAFNESS, HEARING IN HER RIGHT EAR APPEARS NORMAL.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85528 Sequence 1
Computer Entry Date 13/07/1993
Date Reported 25/06/1993
Age : 48 YEARS Sex FEMALE Height
Weight Date Of Onset 31/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 31/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85536 Sequence 1
Computer Entry Date 13/07/1993
Date Reported 25/06/1993
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
NERVOUSNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 31/03/1993 AND CEASED 31/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85555 Sequence 1
Computer Entry Date 13/07/1993
Date Reported 28/06/1993
Age : 45 YEARS Sex MALE Height 180
Weight 70 Date Of Onset 27/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
ADRENALINE AND IV PROMETHAZINE.
DIARRHOEA
ANAPHYLACTOID REACTION
FACE OEDEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUCLOXACILLIN SODIUM S CAPSULE 500.0 MG
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 27/05/1993
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 27/05/1993
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85557 Sequence 1
Computer Entry Date 13/07/1993
Date Reported 28/06/1993
Age : 1 YEARS Sex FEMALE Height 70
Weight 11 Date Of Onset 11/06/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : PAPULAR RASH AROUND INJECTION SITE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 0.4 ML
TOTAL INTRAVENOUS
DRUG ADMINISTRATION BEGAN 09/06/1993 AND CEASED 10/06/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85570 Sequence 1
Computer Entry Date 13/07/1993
Date Reported 28/06/1993
Age : 68 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INFECTION BACTERIAL ANTI-TB
THERAPY AND STERIODS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE INTRAVESICAL S INJECTION 2.0 DF
TOTAL INTRAVESICAL
DRUG ADMINISTRATION BEGAN 06/05/1993 AND CEASED 13/05/1993
ICD Code : OTHER MALIG N NO SPEC OF SITE
NIFEDIPINE O 20.0 MG
DAILY
RESPOLIN O INHALANT
INHALATION
PULMICORT O INHALANT
INHALATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85639 Sequence 1
Computer Entry Date 15/07/1993
Date Reported 03/06/1993
Age : 19 YEARS Sex MALE Height 183
Weight 77 Date Of Onset 05/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
GASTROENTERITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A/B COMBINED VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/02/1993
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85718 Sequence 1
Computer Entry Date 15/07/1993
Date Reported 22/06/1993
Age : 18 YEARS Sex FEMALE Height 166
Weight 57 Date Of Onset 06/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INFECTION VIRAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A/B COMBINED VACCINE CT S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 28/02/1993
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85788 Sequence 1
Computer Entry Date 20/07/1993
Date Reported 03/06/1993
Age : 18 YEARS Sex MALE Height 183
Weight 81 Date Of Onset 23/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH PANADOL,
SOLCODE, PHENERGAN.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A/B COMBINED VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/02/1993
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85797 Sequence 1
Computer Entry Date 20/07/1993
Date Reported 01/07/1993
Age : 77 YEARS Sex MALE Height 183
Weight 90 Date Of Onset 20/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CYSTITIS
ISONIAZID 300 MG DAILY.
Description : CYSTITIS, SEVERE
APPLICATION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE INTRAVESICAL S INJECTION 60.0 MG
WEEKLY INTRAVESICAL
DRUG ADMINISTRATION BEGAN 16/04/1993 AND CEASED 14/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ELIXOPHYLLIN O 60.0 ML
DAILY
BRICANYL O 4.0 DF
DAILY
DIAZEPAM O 5.0 MG
DAILY
TRITACE O 1.0 DF
AS NECESSARY
HISTALERT O 2.5 MG
DAILY
ENDONE O TABLET 20.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 30/04/1993
ICD Code : PAIN
PROLADONE O SUPPOSITORY 30.0 MG
DAILY PER RECTAL
DRUG ADMINISTRATION BEGAN 30/04/1993
ICD Code : PAIN
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85812 Sequence 1
Computer Entry Date 21/07/1993
Date Reported 02/07/1993
Age : 5 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS STERILE INCISION
AND DRAINAGE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85813 Sequence 1
Computer Entry Date 21/07/1993
Date Reported 02/07/1993
Age : 5 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS STERILE INCISION
AND DRAINAGE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85814 Sequence 1
Computer Entry Date 21/07/1993
Date Reported 02/07/1993
Age : 16 MONTHS Sex FEMALE Height
Weight 10 Date Of Onset 09/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : DEPIGMENTATION AT INJECTION SITE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85819 Sequence 1
Computer Entry Date 21/07/1993
Date Reported 02/07/1993
Age : 4 MONTHS Sex MALE Height
Weight 11 Date Of Onset 12/06/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 12/06/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85835 Sequence 1
Computer Entry Date 22/07/1993
Date Reported 02/07/1993
Age : 8 MONTHS Sex FEMALE Height 72
Weight 8 Date Of Onset 10/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
Included Term : PAPULAR RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S
1 TIME
DRUG ADMINISTRATION BEGAN 08/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85894 Sequence 1
Computer Entry Date 28/07/1993
Date Reported 06/07/1993
Age : 1 YEARS Sex Height
Weight Date Of Onset 26/02/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S
0Laboratory Data
===============
HISTOLOGY
Lab Normal Range :
0 LUMBAR PUNCTURE > PICTURE OF VIRAL MENINGITIS (HIGH LYMPHOCYTIC COUNTS
PROBABLY DUE TO M.M.R.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 85901 Sequence 1
Computer Entry Date 28/07/1993
Date Reported 08/07/1993
Age : 18 YEARS Sex MALE Height 183
Weight 81 Date Of Onset 09/06/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INFECTION VIRAL
PENICILLIN AND METRONIDAZOLE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A/B COMBINED VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/02/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HEPATITIS A/B COMBINED VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86013 Sequence 1
Computer Entry Date 03/08/1993
Date Reported 12/07/1993
Age : 7 MONTHS Sex FEMALE Height
Weight Date Of Onset 04/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
NERVOUSNESS
Included Term : IRRITABILITY
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 1.0 DF
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 03/07/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86076 Sequence 1
Computer Entry Date 05/08/1993
Date Reported 16/07/1993
Age : 67 YEARS Sex MALE Height 182
Weight 105 Date Of Onset 10/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
THROMBOPHLEBITIS DEEP FRAGMIN
INJECTIONS
Included Term : THROMBOSIS VENOUS DEEP
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INTRON A SAS S INJECTION 60.0 MU
DAILY INTRAVESICAL
DRUG ADMINISTRATION BEGAN 10/03/1993 AND CEASED 14/04/1993
ICD Code : MALIGNANT NEOPLASM OF BLADDER
BCG VACCINE INTRAVESICAL SAS S INJECTION 60.0 MG
DAILY INTRAVESICAL
DRUG ADMINISTRATION BEGAN 10/03/1993 AND CEASED 14/04/1993
ICD Code : MALIGNANT NEOPLASM OF BLADDER
BETALOC O 100.0 MG
DAILY
LONG TERM
ICD Code : ESSENTIAL BENIGN HYPERTENSION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86084 Sequence 1
Computer Entry Date 05/08/1993
Date Reported 19/07/1993
Age : 48 YEARS Sex FEMALE Height
Weight Date Of Onset 05/06/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86085 Sequence 1
Computer Entry Date 05/08/1993
Date Reported 19/07/1993
Age : 53 YEARS Sex MALE Height
Weight Date Of Onset 05/06/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86181 Sequence 1
Computer Entry Date 09/08/1993
Date Reported 22/07/1993
Age : 18 MONTHS Sex FEMALE Height 85
Weight 11 Date Of Onset 08/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPOTONIA
VALLERGAN.
ATAXIA
Included Term : BALANCE DIFFICULTY
CRYING ABNORMAL
Included Term : SCREAMING
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86182 Sequence 1
Computer Entry Date 09/08/1993
Date Reported 22/07/1993
Age : 4 YEARS Sex MALE Height
Weight Date Of Onset 10/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
URTICARIA
ANGIOEDEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/07/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86195 Sequence 1
Computer Entry Date 10/08/1993
Date Reported 21/07/1993
Age : 56 YEARS Sex FEMALE Height
Weight 77 Date Of Onset 02/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PAIN
Description : PAIN IN GROIN, RIGHT LEG TO 3-4TH TOE.
HYPOAESTHESIA
Included Term : NUMBNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 00/10/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86212 Sequence 1
Computer Entry Date 10/08/1993
Date Reported 23/07/1993
Age : 2 YEARS Sex MALE Height
Weight 14 Date Of Onset 16/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
VOMITING
DIARRHOEA
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
Drug Administration Ceased 16/07/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86238 Sequence 1
Computer Entry Date 11/08/1993
Date Reported 27/07/1993
Age : 12 YEARS Sex MALE Height
Weight Date Of Onset 00/00/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : SWELLING AND PAINFUL ARM.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
INTRAVENOUS
DRUG ADMINISTRATION BEGAN 00/00/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86239 Sequence 1
Computer Entry Date 11/08/1993
Date Reported 27/07/1993
Age Code A3 - Thirties Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : ARM VERY SWOLLEN, PAINFUL, HOT TO TOUCH.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
INTRAVENOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86240 Sequence 1
Computer Entry Date 11/08/1993
Date Reported 27/07/1993
Age : 14 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : ARM SWOLLEN.
LYMPHADENOPATHY
Included Term : GLANDS SWOLLEN
Description : GLANDS IN ARM AND NECK PALPABLE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION
INTRAVENOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86261 Sequence 1
Computer Entry Date 11/08/1993
Date Reported 23/07/1993
Age Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ALLERGIC REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S
DRUG ADMINISTRATION BEGAN 00/00/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86291 Sequence 1
Computer Entry Date 12/08/1993
Date Reported 29/07/1993
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 23/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
Included Term : MACULAR RASH
Description : RASH ON FACE, SCALP, TRUNK AND LIMBS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/07/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86303 Sequence 1
Computer Entry Date 12/08/1993
Date Reported 28/07/1993
Age : 3 MONTHS Sex MALE Height
Weight Date Of Onset 19/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86322 Sequence 1
Computer Entry Date 13/08/1993
Date Reported 30/07/1993
Age : 19 YEARS Sex FEMALE Height
Weight Date Of Onset 06/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
FATIGUE
SWEATING INCREASED
HEPATIC FUNCTION ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
2 TIMES SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 29/03/1993 AND CEASED 01/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
BIOCHEMISTRY AST = SGOT
Lab Normal Range :
001/07/1993
252
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY ALT = SGPT
Lab Normal Range :
001/07/1993
48
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY LDH
Lab Normal Range :
001/07/1993
1113
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86323 Sequence 1
Computer Entry Date 13/08/1993
Date Reported 30/07/1993
Age Code AB - Baby Sex MALE Height 90
Weight 12 Date Of Onset 08/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
ANOREXIA
RIGORS
Included Term : SHIVERING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 07/07/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86345 Sequence 1
Computer Entry Date 13/08/1993
Date Reported 30/07/1993
Age : 42 YEARS Sex FEMALE Height 149
Weight 61 Date Of Onset 12/06/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/06/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PREDNISONE O 7.0 MG
DAILY
LONG TERM
ICD Code : OTHER RHEUMATOID ARTHRITIS
METHOTREXATE O 10.0 MG
WEEKLY
LONG TERM
ICD Code : OTHER RHEUMATOID ARTHRITIS
PLAQUENIL O 20.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 00/10/1992
ICD Code : OTHER RHEUMATOID ARTHRITIS
ORUDIS SR O 200.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 00/06/1992
ICD Code : OTHER RHEUMATOID ARTHRITIS
CALTRATE O 600.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 00/01/1992
ICD Code : OTHER RHEUMATOID ARTHRITIS
FOLIC ACID O 500.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 00/12/1991
ICD Code : OTHER RHEUMATOID ARTHRITIS
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86348 Sequence 1
Computer Entry Date 13/08/1993
Date Reported 30/07/1993
Age Sex Height
Weight Date Of Onset 23/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
PHENERGAN AND ARISTOCORT.
Description : RASH OVER ARMS, ABDOMEN, BACK AND LEGS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/07/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
MARVELON S PILL 1.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 28/05/1993
ICD Code : CONTRACEPTION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86352 Sequence 1
Computer Entry Date 13/08/1993
Date Reported 28/07/1993
Age : 2 YEARS Sex FEMALE Height
Weight 12 Date Of Onset 21/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PARACETAMOL
VOMITING
SOMNOLENCE
Included Term : DROWSINESS
RASH
Description : RASH ABDOMINAL, BACK, LOWER LEGS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/07/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86364 Sequence 1
Computer Entry Date 13/08/1993
Date Reported 28/07/1993
Age : 74 YEARS Sex MALE Height
Weight Date Of Onset 10/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA PHYSIO.
ARTHRALGIA
ARTHROSIS
Description : FROZEN LEFT SHOULDER.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MINIPRESS S 2.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 09/05/1991
ICD Code : OTHER DISEASES OF ESOPHAGUS
DE-NOL S 4.0 DF
DAILY
DRUG ADMINISTRATION BEGAN 02/04/1993 AND CEASED 08/04/1993
ICD Code : OTHER DISEASES OF ESOPHAGUS
FLUVAX S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 08/04/1993
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86365 Sequence 1
Computer Entry Date 13/08/1993
Date Reported 28/07/1993
Age : 14 MONTHS Sex MALE Height
Weight 10 Date Of Onset 16/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BULLOUS ERUPTION
Description : BULLOUS RASH ON HANDS AND FEET.
FEVER
TONGUE ULCERATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/06/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PEDVAXHIB S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/07/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86384 Sequence 1
Computer Entry Date 17/08/1993
Date Reported 12/07/1993
Age : 18 YEARS Sex MALE Height 183
Weight 81 Date Of Onset 01/06/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PHARYNGITIS ORAL
ERYTHROMYCIN, FLUIDS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A/B COMBINED VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/03/1993
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86520 Sequence 1
Computer Entry Date 18/08/1993
Date Reported 15/07/1993
Age : 19 YEARS Sex MALE Height 182
Weight 63 Date Of Onset 03/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
GASTROENTERITIS FLUIDS
AND REST
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A/B COMBINED VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/02/1993
HEPATITIS A/B COMBINED VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/03/1993
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86528 Sequence 1
Computer Entry Date 18/08/1993
Date Reported 14/07/1993
Age : 31 YEARS Sex FEMALE Height
Weight Date Of Onset 23/02/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
GASTROENTERITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/11/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86529 Sequence 1
Computer Entry Date 18/08/1993
Date Reported 14/07/1993
Age : 31 YEARS Sex FEMALE Height
Weight Date Of Onset 14/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INFECTION VIRAL
PURPURA
UPPER RESP TRACT INFECTION
Included Term : UPPER RESPIRATORY TRACT INFECTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A VACCINE CT S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86530 Sequence 1
Computer Entry Date 18/08/1993
Date Reported 14/07/1993
Age : 27 YEARS Sex FEMALE Height
Weight Date Of Onset 09/06/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ESR INCREASED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A VACCINE CT S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86531 Sequence 1
Computer Entry Date 18/08/1993
Date Reported 14/07/1993
Age : 26 YEARS Sex MALE Height
Weight Date Of Onset 06/06/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
UPPER RESP TRACT INFECTION
Included Term : UPPER RESPIRATORY TRACT INFECTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A VACCINE CT S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86532 Sequence 1
Computer Entry Date 18/08/1993
Date Reported 14/07/1993
Age : 38 YEARS Sex MALE Height
Weight Date Of Onset 30/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
UPPER RESP TRACT INFECTION SENEGAR
AND CODRAL.
Included Term : UPPER RESPIRATORY TRACT INFECTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A VACCINE CT S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86533 Sequence 1
Computer Entry Date 18/08/1993
Date Reported 14/07/1993
Age : 38 YEARS Sex MALE Height
Weight Date Of Onset 21/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
UPPER RESP TRACT INFECTION BACTRIM,
PANADOL AND SUDAFED.
Included Term : UPPER RESPIRATORY TRACT INFECTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A VACCINE CT S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86568 Sequence 1
Computer Entry Date 20/08/1993
Date Reported 03/08/1993
Age Code A7 - Seventies Sex FEMALE Height
Weight Date Of Onset 01/06/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DEAFNESS
Description : DEAFNESS IN LEFT EAR.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 10/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86577 Sequence 1
Computer Entry Date 20/08/1993
Date Reported 03/08/1993
Age : 18 MONTHS Sex Height
Weight Date Of Onset 00/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAVENOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86579 Sequence 1
Computer Entry Date 20/08/1993
Date Reported 03/08/1993
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HOT FLUSHES
PARAESTHESIA
Included Term : PINS AND NEEDLES
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SYSTEMIC
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86614 Sequence 1
Computer Entry Date 24/08/1993
Date Reported 04/08/1993
Age : 51 YEARS Sex MALE Height 178
Weight 87 Date Of Onset 24/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FLUSHING
HYPOTENSION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 23/07/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
VITAMIN NOS O
ASPIRIN O TABLET 80.0 MG
DAILY PER ORAL
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86626 Sequence 1
Computer Entry Date 24/08/1993
Date Reported 05/08/1993
Age : 33 YEARS Sex FEMALE Height
Weight Date Of Onset 00/12/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
TREMOR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 00/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86627 Sequence 1
Computer Entry Date 24/08/1993
Date Reported 05/08/1993
Age Code AB - Baby Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS STERILE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86643 Sequence 1
Computer Entry Date 24/08/1993
Date Reported 04/08/1993
Age : 6 MONTHS Sex Height
Weight Date Of Onset 11/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
4/24.
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86644 Sequence 1
Computer Entry Date 24/08/1993
Date Reported 04/08/1993
Age : 7 MONTHS Sex FEMALE Height
Weight Date Of Onset 22/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PARACETAMOL EVERY 4 HOURS.
NERVOUSNESS
Included Term : IRRITABILITY
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/03/1993 AND CEASED 22/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86645 Sequence 1
Computer Entry Date 24/08/1993
Date Reported 04/08/1993
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 30/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 30/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 30/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86646 Sequence 1
Computer Entry Date 24/08/1993
Date Reported 04/08/1993
Age : 4 MONTHS Sex MALE Height
Weight 7 Date Of Onset 07/01/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
3-4 HOURLY.
Included Term : FEBRILE REACTION
CRYING ABNORMAL
Included Term : SCREAMING
HYPERTONIA
Description : STIFFNESS OF ARMS AND LEGS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 07/01/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86650 Sequence 1
Computer Entry Date 25/08/1993
Date Reported 04/08/1993
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 02/02/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANOREXIA PANADOL
CRYING ABNORMAL
Included Term : SCREAMING
FEVER
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/02/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86652 Sequence 1
Computer Entry Date 25/08/1993
Date Reported 04/08/1993
Age : 2 MONTHS Sex FEMALE Height 67
Weight 8 Date Of Onset 14/11/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/11/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86655 Sequence 1
Computer Entry Date 25/08/1993
Date Reported 04/08/1993
Age : 69 YEARS Sex FEMALE Height
Weight Date Of Onset 07/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
MYALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 05/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
IMDUR O 60.0 MG
DAILY
RENITEC O 10.0 MG
DAILY
OROXINE O 100.0 RG
DAILY
CARTIA O 1.0 DF
DAILY
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86671 Sequence 1
Computer Entry Date 25/08/1993
Date Reported 09/08/1993
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 01/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
TWITCHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PROHIBIT S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86707 Sequence 1
Computer Entry Date 26/08/1993
Date Reported 09/08/1993
Age : 13 MONTHS Sex MALE Height 77
Weight 9 Date Of Onset 02/08/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS
Included Term : IRRITABILITY
RASH MACULO-PAPULAR
Included Term : MACULAR RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/07/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86716 Sequence 1
Computer Entry Date 26/08/1993
Date Reported 10/08/1993
Age : 3 YEARS Sex MALE Height 97
Weight 14 Date Of Onset 03/08/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
ANTIHISTAMINE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/08/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86723 Sequence 1
Computer Entry Date 27/08/1993
Date Reported 10/08/1993
Age : 2 YEARS Sex MALE Height
Weight 14 Date Of Onset 30/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Description : FEVER 39' - 40'C.
PERIPHERAL ISCHAEMIA
Included Term : ISCHAEMIA PERIPHERAL
HALLUCINATION
FATIGUE
Included Term : LETHARGY
RASH
Description : RUBELLA TYPE RASH.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 1.0 ML
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 28/07/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86725 Sequence 1
Computer Entry Date 27/08/1993
Date Reported 10/08/1993
Age : 4 MONTHS Sex FEMALE Height
Weight 6 Date Of Onset 10/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86726 Sequence 1
Computer Entry Date 27/08/1993
Date Reported 10/08/1993
Age : 4 MONTHS Sex FEMALE Height
Weight 6 Date Of Onset 10/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
FATIGUE
Included Term : LETHARGY
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S DROPS 2.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 08/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86729 Sequence 1
Computer Entry Date 27/08/1993
Date Reported 10/08/1993
Age : 13 MONTHS Sex MALE Height
Weight Date Of Onset 24/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS
Included Term : IRRITABILITY
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 21/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86760 Sequence 1
Computer Entry Date 27/08/1993
Date Reported 13/08/1993
Age : 58 YEARS Sex MALE Height
Weight Date Of Onset 03/08/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
FEVER
ARTHRALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 03/08/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86761 Sequence 1
Computer Entry Date 27/08/1993
Date Reported 13/08/1993
Age : 51 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
TONGUE OEDEMA
DYSPHAGIA
TONGUE DISCOLOURATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86781 Sequence 1
Computer Entry Date 30/08/1993
Date Reported 11/08/1993
Age : 8 MONTHS Sex MALE Height
Weight Date Of Onset 04/08/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 25.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/07/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86808 Sequence 1
Computer Entry Date 30/08/1993
Date Reported 10/08/1993
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 06/06/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE
Included Term : LETHARGY
NERVOUSNESS
Included Term : IRRITABILITY
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 04/06/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86830 Sequence 1
Computer Entry Date 30/08/1993
Date Reported 16/08/1993
Age : 11 MONTHS Sex FEMALE Height
Weight Date Of Onset 07/06/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS PANADOL
AND TEPID BATH.
Included Term : IRRITABILITY
FEVER
VOMITING
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/06/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86838 Sequence 1
Computer Entry Date 31/08/1993
Date Reported 16/08/1993
Age : 56 YEARS Sex FEMALE Height 155
Weight 58 Date Of Onset 05/08/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA
ARTHRALGIA
DIZZINESS
Included Term : FAINTNESS
FATIGUE
Included Term : TIREDNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86851 Sequence 1
Computer Entry Date 31/08/1993
Date Reported 17/08/1993
Age Sex FEMALE Height
Weight Date Of Onset 01/06/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION ANTI-
TUBERCULOSIS DRUGS.
Description : EGG SIZE LUMP ON ARM.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S
1 TIME
DRUG ADMINISTRATION BEGAN 31/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86853 Sequence 1
Computer Entry Date 31/08/1993
Date Reported 17/08/1993
Age : 42 YEARS Sex FEMALE Height
Weight Date Of Onset 11/08/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : FLAT RED RING 3 1/2 X 2 1/2 INCHES.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/08/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86885 Sequence 1
Computer Entry Date 01/09/1993
Date Reported 18/08/1993
Age : 66 YEARS Sex MALE Height
Weight Date Of Onset 26/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 20/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ASPIRIN O PER ORAL 150.0 MG
DAILY PER ORAL
NIFEDIPINE O TABLET 40.0 MG
DAILY PER ORAL
BECLOFORTE O INHALANT 100.0 RG
DAILY INHALATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86893 Sequence 1
Computer Entry Date 01/09/1993
Date Reported 16/08/1993
Age : 40 YEARS Sex FEMALE Height 163
Weight 47 Date Of Onset 07/08/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
VOMITING
ABDOMINAL PAIN
DIARRHOEA
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME SYSTEMIC
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86919 Sequence 1
Computer Entry Date 01/09/1993
Date Reported 10/08/1993
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86927 Sequence 1
Computer Entry Date 01/09/1993
Date Reported 19/08/1993
Age : 15 MONTHS Sex MALE Height
Weight Date Of Onset 16/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS STERILE DRAINAGE
OF ABSCESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86934 Sequence 1
Computer Entry Date 01/09/1993
Date Reported 19/08/1993
Age : 8 MONTHS Sex FEMALE Height
Weight Date Of Onset 14/01/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS
Description : CHRONIC SUPPURATION OF (L) UPPER ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S
DRUG ADMINISTRATION BEGAN 14/01/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86939 Sequence 1
Computer Entry Date 01/09/1993
Date Reported 23/08/1993
Age : 8 YEARS Sex MALE Height
Weight Date Of Onset 16/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DYSTONIA COGENTIN
0.5MG.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 16/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
STEMETIL S TABLET 1.0 DF
1 TIME PER ORAL
ICD Code : VERTIGO
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86940 Sequence 1
Computer Entry Date 01/09/1993
Date Reported 23/08/1993
Age : 8 YEARS Sex MALE Height
Weight Date Of Onset 16/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 16/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
STEMETIL S TABLET 1.0 DF
1 TIME PER ORAL
ICD Code : VERTIGO
COGENTIN S INJECTION 0.5 MG
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 16/04/1993
ICD Code : HERED DYSTONIA MUSCULOR DEFORM
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86942 Sequence 1
Computer Entry Date 01/09/1993
Date Reported 20/08/1993
Age : 20 YEARS Sex FEMALE Height
Weight Date Of Onset 06/02/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PARAESTHESIA
NEURALGIA
FATIGUE
Included Term : TIREDNESS
PHARYNGITIS
Included Term : THROAT SORE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/01/1993
ICD Code : PROPHYLAXIS
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86951 Sequence 1
Computer Entry Date 02/09/1993
Date Reported 20/08/1993
Age : 13 YEARS Sex MALE Height
Weight Date Of Onset 05/06/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS NAPROXEN
1000MG DAILY AND INTRA-ARTICULAR STEROID INJ.
WEIGHT DECREASE
FEVER
SWEATING INCREASED
ARTHRALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S INJECTION 0.5 ML
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 11/05/1993
ICD Code : PROPHYLAXIS
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86970 Sequence 1
Computer Entry Date 02/09/1993
Date Reported 20/08/1993
Age : 10 MONTHS Sex MALE Height
Weight Date Of Onset 19/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : INDURATED AREA OF 4-5 CM DIAMETER.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 18/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86977 Sequence 1
Computer Entry Date 02/09/1993
Date Reported 20/08/1993
Age : 7 MONTHS Sex MALE Height
Weight Date Of Onset 02/06/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHROSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/06/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 86995 Sequence 1
Computer Entry Date 02/09/1993
Date Reported 23/08/1993
Age Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
JAUNDICE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUCLOXACILLIN SODIUM S TABLET 48.0 DF
TOTAL PER ORAL
ICD Code : OTR LOC SKIN&SUBCUT TIS INFECT
ENGERIX B S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87023 Sequence 1
Computer Entry Date 02/09/1993
Date Reported 24/08/1993
Age : 36 YEARS Sex FEMALE Height 175
Weight 50 Date Of Onset 10/08/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA
HISMANAL.
PRURITUS
Included Term : ITCHING
URTICARIA
INJECTION SITE REACTION
ERYTHEMA MULTIFORME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/08/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87025 Sequence 1
Computer Entry Date 02/09/1993
Date Reported 24/08/1993
Age : 13 MONTHS Sex FEMALE Height
Weight Date Of Onset 16/08/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
COUGHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S INJECTION 1.0 DF
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 16/08/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87036 Sequence 1
Computer Entry Date 02/09/1993
Date Reported 24/08/1993
Age : 1 YEARS Sex MALE Height
Weight 12 Date Of Onset 18/08/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CYANOSIS
TACHYCARDIA
RESPIRATORY DISORDER
Included Term : TACHYPNOEA
HYPOTONIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87042 Sequence 1
Computer Entry Date 02/09/1993
Date Reported 25/08/1993
Age : 16 MONTHS Sex FEMALE Height
Weight Date Of Onset 26/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Description : 38.4 DEGREES.
COUGHING
NERVOUSNESS
Included Term : IRRITABILITY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S
DRUG ADMINISTRATION BEGAN 23/07/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S
DRUG ADMINISTRATION BEGAN 23/07/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87073 Sequence 1
Computer Entry Date 03/09/1993
Date Reported 27/08/1993
Age : 11 MONTHS Sex FEMALE Height
Weight 6 Date Of Onset 24/08/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION PANADOL.
Description : SWOLLEN RIGHT THIGH.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 1.0 DF
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 24/08/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87076 Sequence 1
Computer Entry Date 03/09/1993
Date Reported 27/08/1993
Age : 8 YEARS Sex FEMALE Height
Weight Date Of Onset 06/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
Description : HIGH PITCHED SCREAMING.
RASH
PRURITUS
Included Term : ITCHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PANADOL S 2.0 DF
TOTAL
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87079 Sequence 1
Computer Entry Date 03/09/1993
Date Reported 26/08/1993
Age : 3 YEARS Sex FEMALE Height 95
Weight 15 Date Of Onset 18/08/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87093 Sequence 1
Computer Entry Date 03/09/1993
Date Reported 26/08/1993
Age : 3 YEARS Sex FEMALE Height
Weight Date Of Onset 14/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
RASH MACULO-PAPULAR
PURPURA
Included Term : ECCHYMOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 1.0 DF
1 TIME SYSTEMIC
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87094 Sequence 1
Computer Entry Date 03/09/1993
Date Reported 26/08/1993
Age : 26 YEARS Sex FEMALE Height 168
Weight 68 Date Of Onset 29/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
Description : PAIN TO NECK SHOULDER AND ARM.
DIZZINESS
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 29/07/1993 AND CEASED 29/07/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
VENTOLIN O
AS NECESSARY
DRUG ADMINISTRATION BEGAN 00/00/1987
ICD Code : ASTHMA
NORDETTE 28 O PILL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 00/00/1983
ICD Code : CONTRACEPTION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87099 Sequence 1
Computer Entry Date 06/09/1993
Date Reported 27/08/1993
Age : 15 MONTHS Sex MALE Height 75
Weight 7 Date Of Onset 26/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
DIARRHOEA
VOMITING
ATAXIA
Description : UNBALANCED.
NERVOUSNESS
Included Term : IRRITABILITY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 25/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87119 Sequence 1
Computer Entry Date 06/09/1993
Date Reported 27/08/1993
Age : 17 MONTHS Sex FEMALE Height
Weight Date Of Onset 04/06/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
VOMITING
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/06/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87243 Sequence 1
Computer Entry Date 08/09/1993
Date Reported 11/08/1993
Age : 19 YEARS Sex MALE Height 177
Weight 75 Date Of Onset 28/02/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
FATIGUE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A/B COMBINED VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/02/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87244 Sequence 1
Computer Entry Date 08/09/1993
Date Reported 11/08/1993
Age : 20 YEARS Sex FEMALE Height 164
Weight 51 Date Of Onset 28/02/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : INJECTION SITE REDNESS.
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A/B COMBINED VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/02/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87245 Sequence 1
Computer Entry Date 08/09/1993
Date Reported 11/08/1993
Age : 19 YEARS Sex MALE Height 183
Weight 75 Date Of Onset 28/02/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A/B COMBINED VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/02/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87246 Sequence 1
Computer Entry Date 08/09/1993
Date Reported 11/08/1993
Age : 18 YEARS Sex MALE Height 175
Weight 64 Date Of Onset 30/06/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PHARYNGITIS
Included Term : TONSILLITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A/B COMBINED VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/02/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87247 Sequence 1
Computer Entry Date 08/09/1993
Date Reported 11/08/1993
Age : 19 YEARS Sex MALE Height 182
Weight 80 Date Of Onset 19/06/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONJUNCTIVITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A/B COMBINED VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/02/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87248 Sequence 1
Computer Entry Date 08/09/1993
Date Reported 11/08/1993
Age : 18 YEARS Sex MALE Height 172
Weight 64 Date Of Onset 20/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INFECTION VIRAL
Description : VIRAL ILLNESS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A/B COMBINED VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/02/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87249 Sequence 1
Computer Entry Date 08/09/1993
Date Reported 11/08/1993
Age : 18 YEARS Sex MALE Height 185
Weight 95 Date Of Onset 03/06/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A/B COMBINED VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/02/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87250 Sequence 1
Computer Entry Date 08/09/1993
Date Reported 11/08/1993
Age : 19 YEARS Sex MALE Height 179
Weight 76 Date Of Onset 28/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONJUNCTIVITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A/B COMBINED VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/02/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87353 Sequence 1
Computer Entry Date 09/09/1993
Date Reported 30/08/1993
Age Sex FEMALE Height
Weight Date Of Onset 00/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LE SYNDROME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 00/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 THE ANTINUCLEAR ANTIBODY WAS 1/320 WITH A HOMOGENOUS PATTERN AND DOUBLE-
STRANDED DNA ANTIBODY TITRE 87% (NORMAL 0-50%).
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87354 Sequence 1
Computer Entry Date 09/09/1993
Date Reported 30/08/1993
Age Sex MALE Height
Weight Date Of Onset 00/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
POLYMYALGIA RHEUMATICA
PREDNISOLONE 15 MG/D.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 00/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87355 Sequence 1
Computer Entry Date 09/09/1993
Date Reported 30/08/1993
Age : 44 YEARS Sex FEMALE Height
Weight Date Of Onset 00/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS RHEUMATOID
NONSTEROIDAL-ANTINFLAMMATORY DRUGS AND D-PENICILLAMINE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 00/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SALBUTAMOL O
IPRATROPIUM BROMIDE O
BECLOMETHASONE DIPROPIONATE O
0Laboratory Data
===============
HAEMATOLOGY ERYTHROCYTE SEDIMENTATION RATE
Lab Normal Range :
0 ESR WAS 55 MM/HR AND RHEUMATOID FACTOR WAS POSITIVE AT A TITRE OF 512.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87385 Sequence 1
Computer Entry Date 13/09/1993
Date Reported 31/08/1993
Age : 44 YEARS Sex FEMALE Height 165
Weight 95 Date Of Onset 10/08/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FLUSHING
PARAESTHESIA
Included Term : BURNING SKIN
SKIN EXFOLIATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/08/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87392 Sequence 1
Computer Entry Date 13/09/1993
Date Reported 31/08/1993
Age : 30 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HERNIA CONGENITAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 26/02/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87406 Sequence 1
Computer Entry Date 13/09/1993
Date Reported 31/08/1993
Age : 35 YEARS Sex FEMALE Height
Weight Date Of Onset 19/08/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : LARGE LUMP ON LEFT ARM.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/08/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87427 Sequence 1
Computer Entry Date 13/09/1993
Date Reported 02/09/1993
Age : 4 YEARS Sex FEMALE Height
Weight Date Of Onset 27/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
Description : SITE RED AND SWOLLEN.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 0.5 ML
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87428 Sequence 1
Computer Entry Date 13/09/1993
Date Reported 02/09/1993
Age : 3 YEARS Sex FEMALE Height
Weight Date Of Onset 29/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
FEVER
NAUSEA
FATIGUE
Included Term : LETHARGY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87429 Sequence 1
Computer Entry Date 13/09/1993
Date Reported 02/09/1993
Age : 2 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
REHYDRATION
DEHYDRATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/07/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87441 Sequence 1
Computer Entry Date 13/09/1993
Date Reported 02/09/1993
Age : 68 YEARS Sex FEMALE Height
Weight Date Of Onset 27/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RIGORS
Included Term : CHILLS
FEVER
SWEATING INCREASED
THIRST
NAUSEA
SOMNOLENCE
Included Term : SLEEPINESS
URINARY RETENTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 24/07/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
VENTOLIN O INHALANT 5.0 MG
DAILY INHALATION
ICD Code : OTR RESPIRATORY SYSTM DISEASES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87451 Sequence 1
Computer Entry Date 14/09/1993
Date Reported 03/09/1993
Age : 17 MONTHS Sex MALE Height
Weight Date Of Onset 19/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PHARYNGITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 19/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
MEASLES, MUMPS, RUBELLA VACCINE S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 12/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87452 Sequence 1
Computer Entry Date 14/09/1993
Date Reported 03/09/1993
Age : 18 MONTHS Sex MALE Height 85
Weight 14 Date Of Onset 28/08/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PAIN
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
Description : REDNESS.
OEDEMA
Description : SWELLING.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/08/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/08/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87462 Sequence 1
Computer Entry Date 14/09/1993
Date Reported 03/09/1993
Age : 13 YEARS Sex MALE Height
Weight 65 Date Of Onset 07/06/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS NAPROXEN
1000MG DAILY, STEROIDS.
WEIGHT DECREASE
FEVER
ARTHRALGIA
Description : HIP AND KNEE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 0.5 ML
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 11/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87464 Sequence 1
Computer Entry Date 14/09/1993
Date Reported 03/09/1993
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 01/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 31/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87467 Sequence 1
Computer Entry Date 14/09/1993
Date Reported 03/09/1993
Age : 5 MONTHS Sex FEMALE Height
Weight Date Of Onset 01/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : 2CM LUMP AT INJECTION SITE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87470 Sequence 1
Computer Entry Date 14/09/1993
Date Reported 03/09/1993
Age : 13 MONTHS Sex MALE Height
Weight Date Of Onset 24/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
Included Term : FEELING UNWELL
FATIGUE
Included Term : LETHARGY
PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 21/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87483 Sequence 1
Computer Entry Date 14/09/1993
Date Reported 06/09/1993
Age : 9 WEEKS Sex MALE Height 57
Weight Date Of Onset 01/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
INJECTION SITE REACTION
Description : SWELLING IN LEFT THIGH.
CRYING ABNORMAL
SKIN DISCOLOURATION
Description : DISCOLOURATION OF LOWER LIMBS & PENIS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/07/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PEDVAXHIB O INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/07/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87487 Sequence 1
Computer Entry Date 14/09/1993
Date Reported 06/09/1993
Age : 6 MONTHS Sex MALE Height 68
Weight 8 Date Of Onset 27/08/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
RASH MACULO-PAPULAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 26/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87497 Sequence 1
Computer Entry Date 14/09/1993
Date Reported 01/09/1993
Age : 19 MONTHS Sex FEMALE Height
Weight Date Of Onset 01/08/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
PHENERGAN.
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
Description : RASH FROM NECK TO CHEST.
FACE OEDEMA
Description : SWOLLLEN LIPS.
MENINGITIS-LIKE REACTION
Included Term : MENINGISM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 01/08/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87502 Sequence 1
Computer Entry Date 14/09/1993
Date Reported 06/09/1993
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS STERILE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87508 Sequence 1
Computer Entry Date 14/09/1993
Date Reported 06/09/1993
Age : 2 YEARS Sex MALE Height
Weight Date Of Onset 16/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
DIARRHOEA
CRYING ABNORMAL
FEVER
HYPOTONIA
Description : LIMP.
VOMITING
APNOEA
Included Term : BREATHING ARRESTED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/07/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87510 Sequence 1
Computer Entry Date 14/09/1993
Date Reported 06/09/1993
Age : 9 MONTHS Sex MALE Height
Weight Date Of Onset 11/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS STERILE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S INJECTION 0.5 ML
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 10/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87517 Sequence 1
Computer Entry Date 14/09/1993
Date Reported 06/09/1993
Age : 14 MONTHS Sex MALE Height
Weight Date Of Onset 17/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
STOMATITIS ULCERATIVE
Included Term : MOUTH ULCERATION
FEVER
INFECTION VIRAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S INJECTION 0.5 ML
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 17/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 0.5 ML
SYSTEMIC
DRUG ADMINISTRATION BEGAN 10/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87519 Sequence 1
Computer Entry Date 14/09/1993
Date Reported 07/09/1993
Age : 44 YEARS Sex FEMALE Height 160
Weight 56 Date Of Onset 03/08/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/08/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87523 Sequence 1
Computer Entry Date 15/09/1993
Date Reported 07/09/1993
Age : 1 YEARS Sex MALE Height
Weight 9 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PARACETAMOL.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S
DRUG ADMINISTRATION BEGAN 27/08/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87642 Sequence 1
Computer Entry Date 16/09/1993
Date Reported 13/09/1993
Age : 82 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA
Description : SWELLING.
INJECTION SITE REACTION
Description : SWELLING.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87720 Sequence 1
Computer Entry Date 20/09/1993
Date Reported 15/09/1993
Age : 45 YEARS Sex FEMALE Height
Weight Date Of Onset 28/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/07/1993 AND CEASED 28/07/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87768 Sequence 1
Computer Entry Date 24/09/1993
Date Reported 16/09/1993
Age : 30 YEARS Sex FEMALE Height 175
Weight 90 Date Of Onset 18/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS RHEUMATOID AGGRAVATED
PREDNISONE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 16/07/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SALAZOPYRIN O TABLET 2.0 GM
DAILY PER ORAL
ICD Code : OTHER RHEUMATOID ARTHRITIS
FELDENE O CAPSULE 20.0 MG
DAILY PER ORAL
ICD Code : OTHER RHEUMATOID ARTHRITIS
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87813 Sequence 1
Computer Entry Date 28/09/1993
Date Reported 20/09/1993
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 24/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPOTONIA
Description : LIMP
PALLOR
CYANOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 24/03/1993
ICD Code : PROPHYLAXIS
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 24/03/1993
ICD Code : PROPHYLAXIS
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87815 Sequence 1
Computer Entry Date 28/09/1993
Date Reported 22/09/1993
Age : 19 MONTHS Sex FEMALE Height
Weight Date Of Onset 15/09/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE EES
200MG BD, AVIL SYRUP.
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/09/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87822 Sequence 1
Computer Entry Date 28/09/1993
Date Reported 20/09/1993
Age : 6 MONTHS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S 0.5 ML
1 TIME
ICD Code : PROPHYLAXIS
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87836 Sequence 1
Computer Entry Date 28/09/1993
Date Reported 22/09/1993
Age : 2 YEARS Sex MALE Height
Weight 14 Date Of Onset 16/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA
PARACETAMOL.
CRYING ABNORMAL
FEVER
HYPOTONIA
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/06/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87837 Sequence 1
Computer Entry Date 28/09/1993
Date Reported 22/09/1993
Age : 2 YEARS Sex MALE Height
Weight 14 Date Of Onset 16/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
APNOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/07/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PARACETAMOL S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87867 Sequence 1
Computer Entry Date 29/09/1993
Date Reported 21/09/1993
Age : 8 MONTHS Sex MALE Height
Weight 9 Date Of Onset 03/09/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
ANTIHISTAMINE
ANGIOEDEMA
ANAPHYLACTOID REACTION
Included Term : ANAPHYLACTIC REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/09/1993 AND CEASED 03/09/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87868 Sequence 1
Computer Entry Date 29/09/1993
Date Reported 23/09/1993
Age : 21 YEARS Sex MALE Height 175
Weight 72 Date Of Onset 24/06/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
Description : URTICARIA ON PALMS AND FINGERS.
SWEATING INCREASED
COUGHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87877 Sequence 1
Computer Entry Date 29/09/1993
Date Reported 21/09/1993
Age : 25 YEARS Sex FEMALE Height 165
Weight 70 Date Of Onset 14/09/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
PHENERGAN, VENTOLIN, HYDROCORTISONE.
FACE OEDEMA
Included Term : OEDEMA FACE
TACHYCARDIA
HYPERTENSION
DYSPNOEA
Included Term : BREATHING DIFFICULT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 14/09/1993 AND CEASED 14/09/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87888 Sequence 1
Computer Entry Date 30/09/1993
Date Reported 21/09/1993
Age : 5 MONTHS Sex MALE Height
Weight Date Of Onset 25/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : LEG SWOLLEN -WHOLE THIGH.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87889 Sequence 1
Computer Entry Date 30/09/1993
Date Reported 21/09/1993
Age : 5 MONTHS Sex MALE Height
Weight Date Of Onset 25/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DYSPNOEA
Included Term : BREATH SHORTNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 25/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 87979 Sequence 1
Computer Entry Date 01/10/1993
Date Reported 28/09/1993
Age : 10 YEARS Sex FEMALE Height 141
Weight 29 Date Of Onset 17/09/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT
Included Term : PAROTID ENLARGEMENT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 14/09/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88013 Sequence 1
Computer Entry Date 05/10/1993
Date Reported 29/09/1993
Age : 2 YEARS Sex FEMALE Height
Weight Date Of Onset 25/08/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 04/06/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88209 Sequence 1
Computer Entry Date 11/10/1993
Date Reported 23/09/1993
Age : 18 YEARS Sex MALE Height 179
Weight 68 Date Of Onset 06/08/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A/B COMBINED VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/02/1993
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88210 Sequence 1
Computer Entry Date 11/10/1993
Date Reported 23/09/1993
Age : 19 YEARS Sex MALE Height 175
Weight 65 Date Of Onset 04/08/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A/B COMBINED VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/02/1993
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88211 Sequence 1
Computer Entry Date 11/10/1993
Date Reported 23/09/1993
Age : 19 YEARS Sex MALE Height 189
Weight 84 Date Of Onset 09/08/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
PRURITUS
Included Term : ITCHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A/B COMBINED VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/02/1993
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88212 Sequence 1
Computer Entry Date 11/10/1993
Date Reported 23/09/1993
Age Sex Height
Weight Date Of Onset 23/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RHINITIS
Included Term : HAYFEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88213 Sequence 1
Computer Entry Date 11/10/1993
Date Reported 23/09/1993
Age : 26 YEARS Sex MALE Height
Weight Date Of Onset 16/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHOCYTOSIS
INFECTION FUNGAL
CANESTAN.
Included Term : INFECTION MYCOTIC
Description : SKIN LESIONS - FUNGAL.
INFECTION VIRAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/03/1993
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88214 Sequence 1
Computer Entry Date 11/10/1993
Date Reported 23/09/1993
Age : 27 YEARS Sex MALE Height
Weight Date Of Onset 01/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONJUNCTIVITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88215 Sequence 1
Computer Entry Date 12/10/1993
Date Reported 23/09/1993
Age : 23 YEARS Sex MALE Height
Weight Date Of Onset 26/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MIGRAINE
MERSYNDOL.
BRONCHOSPASM VENTOLIN
AND BECOTIDE.
Included Term : ASTHMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88246 Sequence 1
Computer Entry Date 12/10/1993
Date Reported 22/09/1993
Age : 46 YEARS Sex FEMALE Height
Weight Date Of Onset 02/08/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEPATIC FUNCTION ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX CT S
DRUG ADMINISTRATION BEGAN 28/07/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88247 Sequence 1
Computer Entry Date 12/10/1993
Date Reported 21/09/1993
Age : 20 YEARS Sex MALE Height 178
Weight 77 Date Of Onset 18/06/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
GASTROENTERITIS BED REST
AND CLEAR FLUIDS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A/B COMBINED VACCINE CT S 1.0 ML
1 TIME
DRUG ADMINISTRATION BEGAN 28/02/1993
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88275 Sequence 1
Computer Entry Date 13/10/1993
Date Reported 18/10/1993
Age : 40 YEARS Sex FEMALE Height
Weight Date Of Onset 13/08/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
Included Term : ITCHING
RASH
FEVER
FATIGUE
Included Term : HEAVINESS IN LIMBS
ASTHENIA
Included Term : WEAKNESS GENERALIZED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/08/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88284 Sequence 1
Computer Entry Date 13/10/1993
Date Reported 05/10/1993
Age : 34 YEARS Sex FEMALE Height
Weight 65 Date Of Onset 30/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS GRAND MAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ROFERON-A S INJECTION 9.0 MU
WEEKLY SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 08/03/1993 AND CONTINUED
ICD Code : OTHER DISEASES OF LIVER
INDERAL S TABLET 160.0 MG
DAILY PER ORAL
LONG TERM
ICD Code : PALPITATION
TOFRANIL S TABLET 125.0 MG
DAILY PER ORAL
LONG TERM
ICD Code : DEPRESSION
TETANUS VACCINE ADSORBED S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/04/1993 AND CEASED 30/04/1993
ICD Code : MULT OPN WNDS OF OTR&UNSP LOCA
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88301 Sequence 1
Computer Entry Date 13/10/1993
Date Reported 05/10/1993
Age : 3 YEARS Sex FEMALE Height
Weight Date Of Onset 27/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Description : 40 DEGREES.
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88302 Sequence 1
Computer Entry Date 13/10/1993
Date Reported 18/10/1993
Age : 11 YEARS Sex FEMALE Height 165
Weight 40 Date Of Onset 27/09/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BLINDNESS TEMPORARY
Included Term : BLINDNESS TRANSIENT
VISION ABNORMAL
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 26/08/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88330 Sequence 1
Computer Entry Date 13/10/1993
Date Reported 06/10/1993
Age : 2 YEARS Sex FEMALE Height
Weight 12 Date Of Onset 16/09/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNOVITIS
Description : SYNOVITIS IN KNEES AND ELBOWS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/09/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88339 Sequence 1
Computer Entry Date 14/10/1993
Date Reported 06/10/1993
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 19/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/07/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPLE ANTIGEN S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88340 Sequence 1
Computer Entry Date 14/10/1993
Date Reported 06/10/1993
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 19/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/07/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPLE ANTIGEN S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88341 Sequence 1
Computer Entry Date 14/10/1993
Date Reported 06/10/1993
Age : 3 MONTHS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
NERVOUSNESS
Included Term : IRRITABILITY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 00/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88345 Sequence 1
Computer Entry Date 14/10/1993
Date Reported 06/10/1993
Age : 6 MONTHS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : TEMPERATURE ELEVATION
Description : TEMP 40 DEGREES.
NERVOUSNESS
Included Term : IRRITABILITY
CRYING ABNORMAL
Included Term : SCREAMING
FATIGUE
Included Term : LETHARGY
ANOREXIA
Included Term : APPETITE DECREASED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88346 Sequence 1
Computer Entry Date 14/10/1993
Date Reported 06/10/1993
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
NERVOUSNESS
Included Term : IRRITABILITY
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88347 Sequence 1
Computer Entry Date 14/10/1993
Date Reported 06/10/1993
Age : 3 MONTHS Sex MALE Height
Weight Date Of Onset 01/08/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
INJECTION SITE REACTION
Description : RED LUMP ON RIGHT LEG.
LYMPHADENOPATHY
Description : SWELLING OF LYMPH NODES BEHIND EARS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/08/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/08/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88366 Sequence 1
Computer Entry Date 15/10/1993
Date Reported 07/10/1993
Age : 4 YEARS Sex FEMALE Height
Weight Date Of Onset 09/09/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE
Included Term : FAINTED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/09/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88399 Sequence 1
Computer Entry Date 15/10/1993
Date Reported 11/10/1993
Age : 1 MONTHS Sex FEMALE Height
Weight Date Of Onset 00/01/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/01/1993
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88442 Sequence 1
Computer Entry Date 19/10/1993
Date Reported 12/10/1993
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 28/08/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SEPSIS
Included Term : SEPTICAEMIA
MENINGITIS
THERAPEUTIC INEFFICACY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/08/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/08/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 05/08/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range :
0 DIAGNOSED (CSF AND BLOOD) HAEMOPHILUS INFLUENZAE TYPE B MENINGITIS AND
SEPTICAEMIA.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88452 Sequence 1
Computer Entry Date 20/10/1993
Date Reported 13/10/1993
Age : 36 YEARS Sex MALE Height 175
Weight 76 Date Of Onset 15/09/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA STEMETIL
VOMITING
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 10.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/09/1993 AND CEASED 15/09/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88469 Sequence 1
Computer Entry Date 21/10/1993
Date Reported 14/10/1993
Age : 30 MONTHS Sex FEMALE Height
Weight Date Of Onset 27/05/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PHENYTOIN, SODIUM VALPROATE.
Included Term : FEBRILE REACTION
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 27/05/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88496 Sequence 1
Computer Entry Date 21/10/1993
Date Reported 15/10/1993
Age : 9 MONTHS Sex MALE Height
Weight Date Of Onset 08/10/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER AVIL
SYRUP.
ECZEMA
Description : AGGRAVATION OF PRE-EXISTING ECZEMA.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/10/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPRIM O 3.0 ML
DAILY
DRUG ADMINISTRATION BEGAN 00/07/1993
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88548 Sequence 1
Computer Entry Date 26/10/1993
Date Reported 18/10/1993
Age : 3 YEARS Sex MALE Height
Weight 14 Date Of Onset 22/09/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
Description : RASH ON TRUNK AND ARMS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/09/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88551 Sequence 1
Computer Entry Date 26/10/1993
Date Reported 18/10/1993
Age : 34 YEARS Sex MALE Height
Weight Date Of Onset 06/10/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
DIZZINESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/08/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88553 Sequence 1
Computer Entry Date 26/10/1993
Date Reported 18/10/1993
Age : 1 MONTHS Sex FEMALE Height 53
Weight Date Of Onset 06/10/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S
DRUG ADMINISTRATION BEGAN 06/10/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88554 Sequence 1
Computer Entry Date 26/10/1993
Date Reported 18/10/1993
Age : 1 MONTHS Sex FEMALE Height 53
Weight Date Of Onset 06/10/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 06/10/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88578 Sequence 1
Computer Entry Date 28/10/1993
Date Reported 19/10/1993
Age : 6 MONTHS Sex FEMALE Height
Weight Date Of Onset 15/06/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
FEVER
Included Term : TEMPERATURE ELEVATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/06/1993 AND CEASED 15/06/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88579 Sequence 1
Computer Entry Date 28/10/1993
Date Reported 19/10/1993
Age : 40 YEARS Sex FEMALE Height
Weight Date Of Onset 16/08/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE
Included Term : TIREDNESS
PRURITUS
Included Term : ITCHING
RASH
ASTHENIA
Included Term : WEAKNESS GENERALIZED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/08/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88646 Sequence 1
Computer Entry Date 01/11/1993
Date Reported 22/10/1993
Age : 77 YEARS Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RENAL FAILURE ACUTE HIGH
DOSE PREDNISOLONE.
ANAEMIA HAEMOLYTIC
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SULINDAC S
AS NECESSARY
ICD Code : UNSPECIFIED ARTHRITIS
BRONCOSTAT S
AS NECESSARY
ICD Code : ACUTE BRONCHITIS&BRONCHIOLITIS
DAY AND NIGHT CAPSULES S CAPSULE
AS NECESSARY PER ORAL
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88719 Sequence 1
Computer Entry Date 04/11/1993
Date Reported 26/10/1993
Age Code A4 - Forties Sex FEMALE Height
Weight Date Of Onset 00/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : ARM SWOLLEN, INDURATED, TENDER, INFLAMED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 00/07/1993
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88722 Sequence 1
Computer Entry Date 05/11/1993
Date Reported 27/10/1993
Age : 4 YEARS Sex FEMALE Height
Weight Date Of Onset 15/10/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANOREXIA
ABDOMINAL PAIN
FATIGUE
Included Term : LETHARGY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID ORAL VACCINE S CAPSULE 1.0 DF
3 TIMES PER ORAL
DRUG ADMINISTRATION BEGAN 11/10/1993 AND CEASED 15/10/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88743 Sequence 1
Computer Entry Date 08/11/1993
Date Reported 28/10/1993
Age : 41 YEARS Sex FEMALE Height 164
Weight 57 Date Of Onset 15/10/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SPLENOMEGALY
MYALGIA
LYMPHADENOPATHY
Description : ENLARGED LYMPH NODES.
INJECTION SITE REACTION
Description : RED WELT DEVELOPED AROUND INJ SITE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/10/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88761 Sequence 1
Computer Entry Date 09/11/1993
Date Reported 28/10/1993
Age : 18 MONTHS Sex FEMALE Height
Weight 11 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS IV
ROCEPHIN.
Included Term : IRRITABILITY
FATIGUE
Included Term : LETHARGY
PALLOR
HYPOTONIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 22/10/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 22/10/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 88895 Sequence 1
Computer Entry Date 12/11/1993
Date Reported 07/10/1993
Age : 20 YEARS Sex MALE Height 179
Weight 78 Date Of Onset 16/08/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INFECTION VIRAL BED REST
AND FLUIDS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A/B COMBINED VACCINE CT S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/08/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89009 Sequence 1
Computer Entry Date 16/11/1993
Date Reported 02/11/1993
Age : 4 MONTHS Sex MALE Height
Weight 13 Date Of Onset 07/10/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
PHENERGAN 10 ML STAT.
Description : RASH ON TRUNK, ARMS AND BACK.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/10/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89011 Sequence 1
Computer Entry Date 16/11/1993
Date Reported 02/11/1993
Age : 14 MONTHS Sex MALE Height
Weight 11 Date Of Onset 26/10/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/10/1993
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89073 Sequence 1
Computer Entry Date 16/11/1993
Date Reported 05/11/1993
Age : 20 YEARS Sex FEMALE Height 160
Weight 58 Date Of Onset 27/10/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS PANADOL
AND CLARATYNE.
FATIGUE
FEVER
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/10/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89170 Sequence 1
Computer Entry Date 24/11/1993
Date Reported 09/11/1993
Age : 3 YEARS Sex MALE Height 84
Weight 12 Date Of Onset 27/10/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RIGORS PANADOL,
INCREASED FLUIDS AND TEPID SPONGING.
FEVER
Description : TEMP OF 40 DEGREES.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PNEUMOVAX 23 S INJECTION 1.0 ML
3 TIMES INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/09/1993 AND CEASED 29/09/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89199 Sequence 1
Computer Entry Date 25/11/1993
Date Reported 09/11/1993
Age : 32 YEARS Sex MALE Height
Weight Date Of Onset 00/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
Description : URTICARIAL RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 00/07/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89200 Sequence 1
Computer Entry Date 25/11/1993
Date Reported 12/11/1993
Age : 8 MONTHS Sex MALE Height
Weight Date Of Onset 19/10/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ECZEMA
Description : ECZEMATOUS RASH OVER DELTOID REGION.
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/10/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/10/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89209 Sequence 1
Computer Entry Date 25/11/1993
Date Reported 09/11/1993
Age : 56 YEARS Sex MALE Height
Weight Date Of Onset 26/10/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
ANTIBIOTICS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/10/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89210 Sequence 1
Computer Entry Date 25/11/1993
Date Reported 09/11/1993
Age : 20 YEARS Sex MALE Height
Weight Date Of Onset 25/10/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
DIARRHOEA
GASTROLYTE
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 25/10/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89218 Sequence 1
Computer Entry Date 26/11/1993
Date Reported 11/11/1993
Age : 33 YEARS Sex FEMALE Height 171
Weight 73 Date Of Onset 06/11/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANGIOEDEMA
Included Term : ANGIONEUROTIC OEDEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE (PRE RECOMBINAN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/11/1993
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89245 Sequence 1
Computer Entry Date 26/11/1993
Date Reported 15/11/1993
Age : 4 YEARS Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
TREMOR
Included Term : SHAKING
PALLOR
SYNCOPE
Included Term : FAINTED
CYANOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89313 Sequence 1
Computer Entry Date 29/11/1993
Date Reported 19/11/1993
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 30/10/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
COMA
ENCEPHALOPATHY
RHINITIS
Included Term : NASAL CONGESTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 26/10/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89315 Sequence 1
Computer Entry Date 29/11/1993
Date Reported 19/11/1993
Age : 25 YEARS Sex FEMALE Height 170
Weight 60 Date Of Onset 28/10/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALPITATION
FEVER
RIGORS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
YELLOW FEVER VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 27/10/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89328 Sequence 1
Computer Entry Date 30/11/1993
Date Reported 19/11/1993
Age : 19 MONTHS Sex MALE Height 82
Weight 14 Date Of Onset 16/11/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
FATIGUE
Included Term : LETHARGY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 16/11/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 16/11/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89333 Sequence 1
Computer Entry Date 30/11/1993
Date Reported 22/11/1993
Age : 26 YEARS Sex FEMALE Height 162
Weight 53 Date Of Onset 14/11/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
RASH MACULO-PAPULAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S PER ORAL 1.0 DF
ALTERNATE DAYS PER ORAL
DRUG ADMINISTRATION BEGAN 09/11/1993 AND CEASED 15/11/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPHASIL O
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89334 Sequence 1
Computer Entry Date 30/11/1993
Date Reported 19/11/1993
Age : 28 YEARS Sex FEMALE Height 158
Weight 58 Date Of Onset 04/11/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE
Included Term : FAINTED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/10/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89371 Sequence 1
Computer Entry Date 01/12/1993
Date Reported 24/11/1993
Age : 47 YEARS Sex FEMALE Height
Weight Date Of Onset 14/11/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
Description : WELTS AND HIVES.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S DROPS 2.0 DF
TOTAL PER ORAL
DRUG ADMINISTRATION BEGAN 11/11/1993
ICD Code : OTHER PROPHYLACTIC PROCEDURES
TYPHOID VACCINE S INJECTION 0.1 ML
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 11/11/1993
ICD Code : OTHER PROPHYLACTIC PROCEDURES
MENCEVAX AC S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 11/11/1993
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89376 Sequence 1
Computer Entry Date 01/12/1993
Date Reported 24/11/1993
Age : 30 YEARS Sex MALE Height 170
Weight 68 Date Of Onset 21/11/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
ARTHROSIS
Included Term : JOINT STIFFNESS
FEVER
ARTHRALGIA
MYALGIA
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MENCEVAX AC S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 20/11/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89390 Sequence 1
Computer Entry Date 01/12/1993
Date Reported 24/11/1993
Age : 9 YEARS Sex MALE Height 148
Weight Date Of Onset 19/10/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA HISMANAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 18/10/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89393 Sequence 1
Computer Entry Date 01/12/1993
Date Reported 25/11/1993
Age : 2 YEARS Sex FEMALE Height
Weight Date Of Onset 21/11/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
PHENERGAN
Included Term : HIVES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/11/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HAEMOPHILUS INFLUENZAE TYPE B VACCI S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/11/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89414 Sequence 1
Computer Entry Date 02/12/1993
Date Reported 25/11/1993
Age : 49 YEARS Sex MALE Height 178
Weight 70 Date Of Onset 15/10/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : SKIN RASH.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89418 Sequence 1
Computer Entry Date 02/12/1993
Date Reported 26/11/1993
Age : 36 YEARS Sex FEMALE Height
Weight Date Of Onset 22/11/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA
RIGORS
HEADACHE DISPIRIN
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S CAPSULE 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 20/11/1993 AND CEASED 20/11/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89422 Sequence 1
Computer Entry Date 02/12/1993
Date Reported 29/11/1993
Age : 28 YEARS Sex FEMALE Height
Weight Date Of Onset 11/11/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS TELDANE.
RASH ERYTHEMATOUS
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/11/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89430 Sequence 1
Computer Entry Date 06/12/1993
Date Reported 26/11/1993
Age : 18 MONTHS Sex FEMALE Height
Weight Date Of Onset 17/09/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL.
CRYING ABNORMAL
RIGORS
Included Term : SHIVERING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89452 Sequence 1
Computer Entry Date 06/12/1993
Date Reported 29/11/1993
Age : 9 MONTHS Sex MALE Height
Weight Date Of Onset 15/09/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
PRURITUS
Included Term : ITCHING
OEDEMA PERIORBITAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/09/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89462 Sequence 1
Computer Entry Date 07/12/1993
Date Reported 29/11/1993
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89474 Sequence 1
Computer Entry Date 08/12/1993
Date Reported 30/11/1993
Age : 21 YEARS Sex MALE Height 186
Weight 94 Date Of Onset 11/09/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR DILOSYN,
PREDNISONE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PANADOL S PER ORAL
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 10/09/1993 AND CEASED 12/09/1993
ICD Code : HEADACHE
TETANUS VACCINE ADSORBED S INJECTION
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/09/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89665 Sequence 1
Computer Entry Date 21/12/1993
Date Reported 07/12/1993
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 07/10/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION TEMPRA
DROPS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 07/10/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89666 Sequence 1
Computer Entry Date 21/12/1993
Date Reported 07/12/1993
Age : 3 MONTHS Sex FEMALE Height
Weight Date Of Onset 04/11/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION TEMPRA
DROPS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 04/11/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89675 Sequence 1
Computer Entry Date 21/12/1993
Date Reported 07/12/1993
Age : 22 YEARS Sex FEMALE Height
Weight Date Of Onset 24/11/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN
CONSTIPATION
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S CAPSULE 1.0 DF
ALTERNATE DAYS PER ORAL
DRUG ADMINISTRATION BEGAN 23/11/1993 AND CEASED 27/11/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89686 Sequence 1
Computer Entry Date 22/12/1993
Date Reported 07/12/1993
Age : 23 YEARS Sex FEMALE Height 172
Weight 80 Date Of Onset 17/11/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/11/1993 AND CEASED 17/11/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89737 Sequence 1
Computer Entry Date 23/12/1993
Date Reported 02/12/1993
Age : 10 MONTHS Sex MALE Height
Weight Date Of Onset 14/09/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FACE OEDEMA 4MLS
ORAL PHENERGAN AND PANADOL.
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/09/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
POLIOMYELITIS VIRUS VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 14/09/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PEDVAXHIB S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/09/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89745 Sequence 1
Computer Entry Date 23/12/1993
Date Reported 09/12/1993
Age : 8 MONTHS Sex MALE Height
Weight 8 Date Of Onset 17/11/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER DIAZEPAM
2MG AS NECESSARY
Included Term : FEBRILE REACTION
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S INJECTION
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89754 Sequence 1
Computer Entry Date 30/12/1993
Date Reported 13/12/1993
Age : 24 YEARS Sex FEMALE Height
Weight Date Of Onset 30/11/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID ORAL VACCINE S CAPSULE 1.0 DF
3 TIMES PER ORAL
DRUG ADMINISTRATION BEGAN 30/11/1993 AND CEASED 04/12/1993
ICD Code : DIAGNOSTIC X-RAY
POLIOMYELITIS VIRUS VACCINE S DROPS 3.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 30/11/1993
ICD Code : DIAGNOSTIC X-RAY
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/11/1993
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/11/1993
ICD Code : DIAGNOSTIC X-RAY
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89771 Sequence 1
Computer Entry Date 31/12/1993
Date Reported 10/12/1993
Age : 22 YEARS Sex FEMALE Height
Weight Date Of Onset 06/12/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RIGORS
INSOMNIA
NAUSEA
MYALGIA
INJECTION SITE PAIN
Description : LEFT DELTOID TENDER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/12/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CANESTEN O SUPPOSITORY
VAGINAL
DRUG ADMINISTRATION BEGAN 27/08/1993
ICD Code : MONILIASIS
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89782 Sequence 1
Computer Entry Date 04/01/1994
Date Reported 09/12/1993
Age : 6 MONTHS Sex MALE Height
Weight 9 Date Of Onset 30/11/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/11/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/11/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S DROPS 2.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 29/11/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89784 Sequence 1
Computer Entry Date 04/01/1994
Date Reported 09/12/1993
Age : 53 YEARS Sex FEMALE Height
Weight Date Of Onset 20/11/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
CELESTONE CREAM.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/11/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89785 Sequence 1
Computer Entry Date 04/01/1994
Date Reported 09/12/1993
Age Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89809 Sequence 1
Computer Entry Date 05/01/1994
Date Reported 13/12/1993
Age Sex MALE Height
Weight Date Of Onset 09/12/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
TASTE PERVERSION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/12/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89810 Sequence 1
Computer Entry Date 05/01/1994
Date Reported 13/12/1993
Age Sex FEMALE Height
Weight Date Of Onset 09/12/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
TASTE PERVERSION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/12/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89812 Sequence 1
Computer Entry Date 05/01/1994
Date Reported 13/12/1993
Age : 36 YEARS Sex FEMALE Height
Weight Date Of Onset 25/11/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
DIARRHOEA
MALAISE
Description : GENERALLY UNWELL.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/11/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89819 Sequence 1
Computer Entry Date 05/01/1994
Date Reported 13/12/1993
Age : 21 YEARS Sex FEMALE Height
Weight Date Of Onset 30/11/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
VOMITING
ABDOMINAL PAIN
Included Term : CRAMP ABDOMINAL
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S CAPSULE 1.0 DF
3 TIMES PER ORAL
DRUG ADMINISTRATION BEGAN 30/11/1993 AND CEASED 03/12/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89828 Sequence 1
Computer Entry Date 06/01/1994
Date Reported 13/12/1993
Age : 18 MONTHS Sex FEMALE Height
Weight 12 Date Of Onset 08/12/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
NERVOUSNESS
Included Term : IRRITABILITY
ARTHRALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/12/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/12/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89830 Sequence 1
Computer Entry Date 06/01/1994
Date Reported 13/12/1993
Age : 8 WEEKS Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 1.0 DF
1 TIME SYSTEMIC
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89831 Sequence 1
Computer Entry Date 06/01/1994
Date Reported 14/12/1993
Age : 25 YEARS Sex MALE Height
Weight Date Of Onset 09/12/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
FATIGUE
Included Term : LETHARGY
HEADACHE
MYALGIA
Included Term : MUSCLE ACHE
ARTHRALGIA
Included Term : JOINT ACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
YELLOW FEVER VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 03/12/1993 AND CEASED 03/12/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89852 Sequence 1
Computer Entry Date 07/01/1994
Date Reported 14/12/1993
Age : 2 MONTHS Sex MALE Height 54
Weight 5 Date Of Onset 01/12/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
Included Term : SCREAMING
SWEATING INCREASED
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/12/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HAEMOPHILUS INFLUENZAE TYPE B VACCI S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/12/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 01/12/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89881 Sequence 1
Computer Entry Date 07/01/1994
Date Reported 16/12/1993
Age : 14 MONTHS Sex FEMALE Height 75
Weight 8 Date Of Onset 30/06/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/06/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89891 Sequence 1
Computer Entry Date 07/01/1994
Date Reported 16/12/1993
Age : 1 YEARS Sex FEMALE Height
Weight 8 Date Of Onset 11/12/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/12/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
M-M-R II S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/12/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89963 Sequence 1
Computer Entry Date 13/01/1994
Date Reported 21/12/1993
Age : 30 YEARS Sex MALE Height
Weight Date Of Onset 11/12/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MENINGITIS-LIKE REACTION
SWEATING INCREASED
PHARYNGITIS
EARACHE
Included Term : EAR PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MENCEVAX AC S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 10/12/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
YELLOW FEVER VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 07/12/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 89971 Sequence 1
Computer Entry Date 13/01/1994
Date Reported 21/12/1993
Age : 63 YEARS Sex MALE Height 183
Weight 84 Date Of Onset 05/12/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
TREMOR
Included Term : SHAKING
SWEATING INCREASED
COUGHING
ANOREXIA
WEIGHT DECREASE
FATIGUE
Included Term : TIREDNESS
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID ORAL VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 05/12/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90065 Sequence 1
Computer Entry Date 18/01/1994
Date Reported 24/12/1993
Age : 10 MONTHS Sex FEMALE Height
Weight Date Of Onset 25/06/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FACE OEDEMA
PROMETHAZINE
FLUSHING
RASH
SOMNOLENCE
Included Term : DROWSINESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/06/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90079 Sequence 1
Computer Entry Date 18/01/1994
Date Reported 24/12/1993
Age : 28 YEARS Sex FEMALE Height
Weight 53 Date Of Onset 11/11/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
TERFENADINE.
RASH ERYTHEMATOUS
INJECTION SITE REACTION
Description : ERYTHEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/11/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90120 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age : 23 YEARS Sex MALE Height
Weight Date Of Onset 21/12/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN
Included Term : CRAMP ABDOMINAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S CAPSULE 1.0 DF
ALTERNATE DAYS PER ORAL
DRUG ADMINISTRATION BEGAN 21/12/1993 AND CONTINUED FOR 5 DAYS
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90147 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 00/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PURPURA
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90148 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age Code AB - Baby Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90149 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age : 7 MONTHS Sex FEMALE Height
Weight Date Of Onset 00/11/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90150 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age Code AB - Baby Sex MALE Height
Weight Date Of Onset 00/12/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90151 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age Code AB - Baby Sex FEMALE Height
Weight Date Of Onset 00/06/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90152 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age Code AB - Baby Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90153 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age Code AB - Baby Sex FEMALE Height
Weight Date Of Onset 00/04/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA PERIPHERAL
Included Term : OEDEMA LEGS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90154 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age Sex FEMALE Height
Weight Date Of Onset 00/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA PERIPHERAL
MYALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90155 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age : 5 MONTHS Sex FEMALE Height
Weight Date Of Onset 00/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA PERIPHERAL
MYALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90156 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age Code AB - Baby Sex MALE Height
Weight Date Of Onset 00/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90157 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age : 18 MONTHS Sex FEMALE Height
Weight Date Of Onset 00/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90158 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age Code AB - Baby Sex MALE Height
Weight Date Of Onset 00/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA PERIPHERAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90159 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age : 9 WEEKS Sex FEMALE Height
Weight Date Of Onset 00/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
MALAISE
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/06/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90160 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age : 19 MONTHS Sex FEMALE Height
Weight Date Of Onset 00/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/06/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90161 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age Code AB - Baby Sex FEMALE Height
Weight Date Of Onset 00/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/06/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90162 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age Sex MALE Height
Weight Date Of Onset 00/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/06/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90163 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age : 5 MONTHS Sex MALE Height
Weight Date Of Onset 00/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/06/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90164 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age Code AB - Baby Sex FEMALE Height
Weight Date Of Onset 00/06/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/06/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90165 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age Code AB - Baby Sex FEMALE Height
Weight Date Of Onset 00/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR
FATIGUE
Included Term : LETHARGY
NERVOUSNESS
Included Term : IRRITABILITY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90166 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age : 9 MONTHS Sex MALE Height
Weight Date Of Onset 00/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90167 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age Code AB - Baby Sex Height
Weight Date Of Onset 00/07/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CARDIAC ARREST
HYPOTONIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/07/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90168 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 00/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA PERIPHERAL
PALLOR
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/08/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90169 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age Code AB - Baby Sex MALE Height
Weight Date Of Onset 00/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/08/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90170 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age : 17 MONTHS Sex MALE Height
Weight Date Of Onset 00/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/08/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90171 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age : 4 YEARS Sex FEMALE Height
Weight Date Of Onset 00/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/08/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90172 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age : 3 MONTHS Sex FEMALE Height
Weight Date Of Onset 00/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/08/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90173 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age : 16 MONTHS Sex MALE Height
Weight Date Of Onset 00/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA
NERVOUSNESS
Included Term : IRRITABILITY
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/08/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90174 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age : 16 MONTHS Sex FEMALE Height
Weight Date Of Onset 00/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA
NERVOUSNESS
Included Term : IRRITABILITY
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/08/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90175 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age Code AB - Baby Sex MALE Height
Weight Date Of Onset 00/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/08/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90176 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 00/08/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/08/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90177 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age Code AB - Baby Sex MALE Height
Weight Date Of Onset 00/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90178 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 00/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90179 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age : 4 MONTHS Sex Height
Weight Date Of Onset 00/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90180 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age : 10 MONTHS Sex MALE Height
Weight Date Of Onset 00/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90181 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 00/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90182 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 00/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90183 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age Code AB - Baby Sex FEMALE Height
Weight Date Of Onset 00/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90184 Sequence 1
Computer Entry Date 19/01/1994
Date Reported 24/12/1993
Age Code AB - Baby Sex FEMALE Height
Weight Date Of Onset 00/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90250 Sequence 1
Computer Entry Date 21/01/1994
Date Reported 10/12/1993
Age : 23 YEARS Sex MALE Height
Weight Date Of Onset 02/08/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEPATIC FUNCTION ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A VACCINE CT S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 00/01/1993
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90462 Sequence 1
Computer Entry Date 02/02/1994
Date Reported 13/01/1994
Age : 75 YEARS Sex FEMALE Height 170
Weight 63 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PNEUMONIA RULIDE 1
BD.
THERAPEUTIC INEFFICACY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BRONCOSTAT S
DRUG ADMINISTRATION BEGAN 00/06/1993 AND CEASED 00/08/1993
TOLVON O 20.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 09/12/1992
NATRILIX O 1.0 DF
DAILY
CARDIZEM O 180.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 05/05/1993
ICD Code : CONGESTIVE HEART FAILURE
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90464 Sequence 1
Computer Entry Date 02/02/1994
Date Reported 13/01/1994
Age : 50 YEARS Sex FEMALE Height 160
Weight 101 Date Of Onset 03/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BRONCHITIS
ANTIBIOTICS.
PLEURISY
THERAPEUTIC INEFFICACY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BRONCOSTAT S
ATROVENT O INHALANT 2.0 DF
DAILY INHALATION
LONG TERM
ICD Code : ASTHMA
VENTOLIN O INHALANT 12.0 DF
DAILY INHALATION
LONG TERM
ICD Code : ASTHMA
ESTRADERM O EXTERNAL 1.0 DF
DAILY TRANSDERMAL
LONG TERM
ICD Code : MENOPAUSAL SYMPTOMS
PROVERA O 10.0 MG
DAILY
LONG TERM
ICD Code : MENOPAUSAL SYMPTOMS
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90465 Sequence 1
Computer Entry Date 02/02/1994
Date Reported 13/01/1994
Age : 55 YEARS Sex FEMALE Height 165
Weight 68 Date Of Onset 22/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BRONCHITIS DORYX
100MG DAILY.
THERAPEUTIC INEFFICACY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BRONCOSTAT S 2.0 DF
DAILY
DRUG ADMINISTRATION BEGAN 11/03/1993 AND CEASED 13/03/1993
ICD Code : PROPHYLAXIS
PULMICORT O INHALANT 4.0 DF
DAILY INHALATION
ICD Code : BRONCHIECTASIS
RHINOCORT O EYE DROPS 1.0 DF
DAILY CONJUNCTIVAL
FLUVAX S
DRUG ADMINISTRATION BEGAN 15/03/1993
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90491 Sequence 1
Computer Entry Date 03/02/1994
Date Reported 17/01/1994
Age Code AB - Baby Sex FEMALE Height
Weight 11 Date Of Onset 19/11/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS RECTAL
DIAZEPAM AND PARACETAMOL
Included Term : SEIZURES CEREBRAL
FEVER
RASH MACULO-PAPULAR
Description : RASH ON TRUNK AND THIGHS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/11/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/11/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90492 Sequence 1
Computer Entry Date 03/02/1994
Date Reported 14/01/1994
Age : 4 MONTHS Sex FEMALE Height
Weight 8 Date Of Onset 21/12/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPLE ANTIGEN S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90514 Sequence 1
Computer Entry Date 03/02/1994
Date Reported 14/01/1994
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset 04/01/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
PHENERGAN
Included Term : SCREAMING
PURPURA
Included Term : PETECHIAE
OEDEMA PERIPHERAL
CYANOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 04/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 04/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S SOLUTION 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 04/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90515 Sequence 1
Computer Entry Date 03/02/1994
Date Reported 14/01/1994
Age : 32 MONTHS Sex MALE Height 99
Weight 19 Date Of Onset 12/01/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VASCULITIS ALLERGIC
PREDNISONE
Description : VASCULITIC RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/01/1994
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90526 Sequence 1
Computer Entry Date 04/02/1994
Date Reported 14/01/1994
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : INDURATION AND REDNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90527 Sequence 1
Computer Entry Date 04/02/1994
Date Reported 14/01/1994
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : INDURATION AND REDNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90528 Sequence 1
Computer Entry Date 04/02/1994
Date Reported 14/01/1994
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : INDURATION AND REDNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90529 Sequence 1
Computer Entry Date 04/02/1994
Date Reported 14/01/1994
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : INDURATION AND REDNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90530 Sequence 1
Computer Entry Date 04/02/1994
Date Reported 14/01/1994
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : INDURATION AND REDNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90531 Sequence 1
Computer Entry Date 04/02/1994
Date Reported 14/01/1994
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : INDURATION AND REDNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90532 Sequence 1
Computer Entry Date 04/02/1994
Date Reported 14/01/1994
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : INDURATION AND REDNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90533 Sequence 1
Computer Entry Date 04/02/1994
Date Reported 14/01/1994
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : INDURATION AND REDNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90598 Sequence 1
Computer Entry Date 07/02/1994
Date Reported 21/01/1994
Age : 8 MONTHS Sex FEMALE Height
Weight Date Of Onset 27/10/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : FEBRILE REACTION
DYSPNOEA
Included Term : BREATHING DIFFICULT
PALLOR
HYPOTONIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 27/10/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90630 Sequence 1
Computer Entry Date 15/02/1994
Date Reported 24/01/1994
Age : 3 YEARS Sex MALE Height 100
Weight 18 Date Of Onset 05/12/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PARACETAMOL, REST, FLUIDS.
NERVOUSNESS
Included Term : IRRITABILITY
ANOREXIA
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/12/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90643 Sequence 1
Computer Entry Date 15/02/1994
Date Reported 24/01/1994
Age : 48 YEARS Sex MALE Height 165
Weight 61 Date Of Onset 02/11/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90644 Sequence 1
Computer Entry Date 15/02/1994
Date Reported 24/01/1994
Age : 20 YEARS Sex MALE Height 177
Weight 69 Date Of Onset 10/12/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VISION ABNORMAL
Included Term : VISION BLURRED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/12/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/12/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90667 Sequence 1
Computer Entry Date 16/02/1994
Date Reported 25/01/1994
Age : 5 YEARS Sex FEMALE Height 112
Weight 24 Date Of Onset 12/01/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90671 Sequence 1
Computer Entry Date 16/02/1994
Date Reported 25/01/1994
Age : 4 YEARS Sex MALE Height
Weight Date Of Onset 20/01/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR PLACED
IN PRONE POSITION - REVIVED WITHIN ONE MINUTE
CYANOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/01/1994 AND CEASED 20/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S DROPS 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 20/01/1994 AND CEASED 20/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90673 Sequence 1
Computer Entry Date 16/02/1994
Date Reported 25/01/1994
Age Sex FEMALE Height
Weight Date Of Onset 17/01/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 17/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90685 Sequence 1
Computer Entry Date 16/02/1994
Date Reported 27/01/1994
Age : 35 YEARS Sex MALE Height
Weight Date Of Onset 17/01/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS A VACCINE S 1.0 DF
2 TIMES
DRUG ADMINISTRATION BEGAN 02/12/1993 AND CEASED 05/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HEPATITIS B VACCINE (PRE RECOMBINAN S 1.0 DF
2 TIMES
DRUG ADMINISTRATION BEGAN 02/12/1993 AND CEASED 05/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90702 Sequence 1
Computer Entry Date 22/02/1994
Date Reported 27/01/1994
Age : 6 MONTHS Sex MALE Height 69
Weight 7 Date Of Onset 24/02/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PARACETAMOL, PROMETHAZINE.
Included Term : FEBRILE REACTION
NERVOUSNESS
Included Term : IRRITABILITY
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/02/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90738 Sequence 1
Computer Entry Date 24/02/1994
Date Reported 28/01/1994
Age : 2 YEARS Sex MALE Height
Weight 14 Date Of Onset 03/08/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 1.0 DF
1 TIME SYSTEMIC
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90776 Sequence 1
Computer Entry Date 28/02/1994
Date Reported 31/01/1994
Age : 74 YEARS Sex MALE Height
Weight 49 Date Of Onset 09/11/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPOTENSION
CEFOTAXIME, GENTAMICIN, ISONIAZID, RIFAMPICIN, HYDROCORTISON
THROMBOCYTOPENIA
SEPSIS
Included Term : SEPTICAEMIA
CONFUSION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE INTRAVESICAL S INJECTION 50.0 MG
1 TIME INTRAVESICAL
DRUG ADMINISTRATION BEGAN 09/11/1993 AND CEASED 09/11/1993
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90851 Sequence 1
Computer Entry Date 01/03/1994
Date Reported 01/02/1994
Age Sex FEMALE Height
Weight Date Of Onset 00/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
EOSINOPHILIC GRANULOMA
Included Term : EOSINOPHILIC FASCIITIS
MYALGIA
SYNOVITIS
EOSINOPHILIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : OTHER PROPHYLACTIC PROCEDURES
PEPCIDINE S
0Laboratory Data
===============
HAEMATOLOGY EOSINOPHILS
Lab Normal Range :
0 EOSINOPHILIA 1.31 X 10/9/L.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
HISTOLOGY MUSCLE BIOPSY
Lab Normal Range :
0 MUSCLE BIOPSY REVEALED EOSINOPHILIC FASCIITIS ON 27.08.93.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY CREATINE PHOSPHOKINASE
Lab Normal Range :
0 CPK - 682.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90884 Sequence 1
Computer Entry Date 11/03/1994
Date Reported 03/02/1994
Age : 48 YEARS Sex FEMALE Height 180
Weight 70 Date Of Onset 28/01/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 27/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90890 Sequence 1
Computer Entry Date 14/03/1994
Date Reported 03/02/1994
Age : 37 YEARS Sex FEMALE Height
Weight Date Of Onset 11/01/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
FATIGUE
Included Term : TIREDNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
POLIOMYELITIS VIRUS VACCINE S PER ORAL
1 TIME PER ORAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90900 Sequence 1
Computer Entry Date 14/03/1994
Date Reported 03/02/1994
Age : 22 YEARS Sex FEMALE Height
Weight Date Of Onset 00/01/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : LARGE RED WHEAL, NOT ITCHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90901 Sequence 1
Computer Entry Date 14/03/1994
Date Reported 03/02/1994
Age Sex MALE Height
Weight Date Of Onset 00/01/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : LARGE RED WHEAL, NOT ITCHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90902 Sequence 1
Computer Entry Date 14/03/1994
Date Reported 03/02/1994
Age : 35 YEARS Sex MALE Height
Weight Date Of Onset 00/01/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : LARGE RED WHEAL, NOT ITCHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90904 Sequence 1
Computer Entry Date 14/03/1994
Date Reported 04/02/1994
Age : 5 YEARS Sex FEMALE Height
Weight Date Of Onset 24/01/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BRADYCARDIA
PALLOR
SWEATING INCREASED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90907 Sequence 1
Computer Entry Date 15/03/1994
Date Reported 04/02/1994
Age : 4 YEARS Sex FEMALE Height
Weight 15 Date Of Onset 25/01/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
VOMITING
PALLOR
SWEATING INCREASED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HAEMOPHILUS INFLUENZAE TYPE B VACCI S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90919 Sequence 1
Computer Entry Date 15/03/1994
Date Reported 04/02/1994
Age : 2 MONTHS Sex FEMALE Height 58
Weight 4 Date Of Onset 25/01/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : SWELLING - RIGHT THIGH
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER O INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O DROPS 2.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 25/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90960 Sequence 1
Computer Entry Date 17/03/1994
Date Reported 08/02/1994
Age : 1 YEARS Sex FEMALE Height
Weight Date Of Onset 17/01/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
DIARRHOEA
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/01/1994 AND CEASED 17/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/01/1994 AND CEASED 17/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90962 Sequence 1
Computer Entry Date 17/03/1994
Date Reported 08/02/1994
Age : 31 YEARS Sex FEMALE Height
Weight Date Of Onset 20/01/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE
Included Term : TIREDNESS
ARTHRALGIA
Included Term : JOINT ACHE
CONCENTRATION IMPAIRED
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/01/1994
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90982 Sequence 1
Computer Entry Date 17/03/1994
Date Reported 11/02/1994
Age : 17 MONTHS Sex FEMALE Height
Weight Date Of Onset 17/01/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
DIARRHOEA
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/01/1994 AND CEASED 17/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/01/1994 AND CEASED 17/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 90983 Sequence 1
Computer Entry Date 17/03/1994
Date Reported 11/02/1994
Age : 8 MONTHS Sex FEMALE Height
Weight Date Of Onset 27/10/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PALLOR
DYSPNOEA
Included Term : BREATHING DIFFICULT
HYPOTONIA
BRONCHOSPASM
Included Term : WHEEZING EXPIRATORY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/10/1993 AND CEASED 27/10/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91005 Sequence 1
Computer Entry Date 18/03/1994
Date Reported 10/02/1994
Age : 38 YEARS Sex FEMALE Height
Weight Date Of Onset 17/12/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CHEST PAIN
Included Term : CHEST TIGHTNESS OF
MOUTH DRY
Included Term : THROAT DRY
ASTHENIA
Included Term : WEAKNESS GENERALIZED
FATIGUE
Included Term : TIREDNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/12/1993 AND CEASED 17/12/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DYAZIDE O
STEMETIL O
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91090 Sequence 1
Computer Entry Date 23/03/1994
Date Reported 11/02/1994
Age : 8 MONTHS Sex Height
Weight Date Of Onset 27/10/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/10/1993 AND CEASED 27/10/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91113 Sequence 1
Computer Entry Date 25/03/1994
Date Reported 16/02/1994
Age : 5 MONTHS Sex MALE Height
Weight 7 Date Of Onset 10/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
SOMNOLENCE
Included Term : DROWSINESS
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91128 Sequence 1
Computer Entry Date 25/03/1994
Date Reported 17/02/1994
Age : 27 YEARS Sex FEMALE Height
Weight Date Of Onset 15/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
Description : RASH BETWEEN NIPPLES & KNEES PLUS EYELID
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
POLIOMYELITIS VIRUS VACCINE S DROPS 3.0 DF
TOTAL PER ORAL
DRUG ADMINISTRATION BEGAN 07/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S DROPS 3.0 DF
TOTAL PER ORAL
DRUG ADMINISTRATION BEGAN 07/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPHOID VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 07/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
YELLOW FEVER VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 07/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91137 Sequence 1
Computer Entry Date 25/03/1994
Date Reported 18/02/1994
Age Sex Height
Weight Date Of Onset 04/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
AGITATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 MG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91138 Sequence 1
Computer Entry Date 25/03/1994
Date Reported 18/02/1994
Age : 8 WEEKS Sex FEMALE Height
Weight Date Of Onset 26/01/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS
ANTIBIOTICS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91139 Sequence 1
Computer Entry Date 25/03/1994
Date Reported 18/02/1994
Age : 8 WEEKS Sex FEMALE Height
Weight Date Of Onset 02/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91140 Sequence 1
Computer Entry Date 25/03/1994
Date Reported 18/02/1994
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 04/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91141 Sequence 1
Computer Entry Date 25/03/1994
Date Reported 18/02/1994
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset 03/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL,
PHENERGAN AND PREDNISOLONE
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HAEMOPHILUS INFLUENZAE TYPE B VACCI O INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91190 Sequence 1
Computer Entry Date 29/03/1994
Date Reported 21/02/1994
Age : 38 YEARS Sex FEMALE Height
Weight Date Of Onset 17/12/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CHEST PAIN
Included Term : CHEST TIGHTNESS OF
MOUTH DRY
Included Term : THROAT DRY
ASTHENIA
Included Term : WEAKNESS GENERALIZED
FATIGUE
Included Term : TIREDNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/12/1993 AND CEASED 17/12/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DYAZIDE O
STEMETIL O
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91260 Sequence 1
Computer Entry Date 05/04/1994
Date Reported 23/02/1994
Age : 36 YEARS Sex MALE Height 177
Weight 80 Date Of Onset 29/01/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
ANALGESIA
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 22/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91262 Sequence 1
Computer Entry Date 05/04/1994
Date Reported 23/02/1994
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset 20/01/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE
Description : VASO-VAGAL EPISODE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S DROPS 2.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 20/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 20/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91264 Sequence 1
Computer Entry Date 05/04/1994
Date Reported 24/02/1994
Age : 33 YEARS Sex FEMALE Height 150
Weight 48 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : AREA HOT, TENDER, RED.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91272 Sequence 1
Computer Entry Date 06/04/1994
Date Reported 22/02/1994
Age : 19 MONTHS Sex FEMALE Height 82
Weight 9 Date Of Onset 18/01/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPOTONIA
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 18/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PEDVAXHIB S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 18/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91282 Sequence 1
Computer Entry Date 06/04/1994
Date Reported 25/02/1994
Age : 48 YEARS Sex FEMALE Height 170
Weight 92 Date Of Onset 30/01/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
Description : RASH FACE, ARMS, ABDOMINAL, KNEES.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91293 Sequence 1
Computer Entry Date 06/04/1994
Date Reported 28/02/1994
Age : 27 YEARS Sex MALE Height
Weight Date Of Onset 14/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE
Included Term : LETHARGY
MYALGIA
Included Term : MUSCLE ACHE
FEVER
ANOREXIA
Included Term : APPETITE DECREASED
HEADACHE
BACK PAIN
SOMNOLENCE
Included Term : SLEEPINESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
YELLOW FEVER VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/02/1994 AND CEASED 09/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
RABIES VACCINE-MERIEUX S INJECTION 1.0 ML
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 09/02/1994 AND CEASED 09/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HAVRIX S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/02/1994 AND CEASED 09/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91301 Sequence 1
Computer Entry Date 07/04/1994
Date Reported 25/02/1994
Age : 5 YEARS Sex FEMALE Height
Weight Date Of Onset 17/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHADENOPATHY
Included Term : LYMPH NODES ENLARGED
INJECTION SITE REACTION
Description : LOCALISED AREA OF REDNESS 5CM X 3CM.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 17/02/1994 AND CEASED 17/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 17/02/1994 AND CEASED 17/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91364 Sequence 1
Computer Entry Date 11/04/1994
Date Reported 01/03/1994
Age : 5 YEARS Sex FEMALE Height
Weight 22 Date Of Onset 20/01/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 15/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
POLIOMYELITIS VIRUS VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 15/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA AND TETANUS VACCINE CDT S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 15/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91460 Sequence 1
Computer Entry Date 13/04/1994
Date Reported 09/03/1994
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 18/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS GRAND MAL
SYNCOPE
Included Term : FAINTED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 18/02/1994 AND CEASED 18/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91577 Sequence 1
Computer Entry Date 15/04/1994
Date Reported 10/03/1994
Age : 74 YEARS Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION
INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91578 Sequence 1
Computer Entry Date 15/04/1994
Date Reported 10/03/1994
Age : 71 YEARS Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION
INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91579 Sequence 1
Computer Entry Date 15/04/1994
Date Reported 10/03/1994
Age : 89 YEARS Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION
INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91580 Sequence 1
Computer Entry Date 15/04/1994
Date Reported 10/03/1994
Age : 63 YEARS Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION
INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91581 Sequence 1
Computer Entry Date 15/04/1994
Date Reported 10/03/1994
Age : 71 YEARS Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION
INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91620 Sequence 1
Computer Entry Date 18/04/1994
Date Reported 16/03/1994
Age : 25 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91654 Sequence 1
Computer Entry Date 19/04/1994
Date Reported 17/03/1994
Age : 28 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ACNE USING
OWN ACNE CREAM FROM CHEMIST.
Description : ACNE TYPE SPOTS ON FACE & NECK.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 03/03/1994 AND CEASED 07/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O PER ORAL 2.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 10/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA AND TETANUS VACCINE ADT O INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HAVRIX O INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ENGERIX B O INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91661 Sequence 1
Computer Entry Date 20/04/1994
Date Reported 17/03/1994
Age : 6 MONTHS Sex FEMALE Height
Weight Date Of Onset 08/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PARESIS
Description : LEG LIMP
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 08/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91662 Sequence 1
Computer Entry Date 20/04/1994
Date Reported 17/03/1994
Age : 7 MONTHS Sex FEMALE Height
Weight Date Of Onset 09/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : SUPERFICIAL REDNESS AND SWELLING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91663 Sequence 1
Computer Entry Date 20/04/1994
Date Reported 17/03/1994
Age : 14 MONTHS Sex FEMALE Height
Weight Date Of Onset 21/01/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
NERVOUSNESS
Included Term : IRRITABILITY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91667 Sequence 1
Computer Entry Date 20/04/1994
Date Reported 17/03/1994
Age : 31 YEARS Sex FEMALE Height
Weight Date Of Onset 11/03/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPERAESTHESIA
Description : TENDER SKIN FROM WAIST TO KNEES.
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
Description : ERYTHEMA RASH FROM WAIST TO KNEES.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
YELLOW FEVER VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
MENCEVAX AC S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91684 Sequence 1
Computer Entry Date 20/04/1994
Date Reported 22/03/1994
Age : 30 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
TINNITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91687 Sequence 1
Computer Entry Date 20/04/1994
Date Reported 22/03/1994
Age : 16 YEARS Sex MALE Height 175
Weight 73 Date Of Onset 12/03/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RHINITIS
Included Term : NOSE CONGESTION
Description : STUFFY NOSE
ARTHRALGIA
Included Term : JOINT PAIN
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 12/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91700 Sequence 1
Computer Entry Date 21/04/1994
Date Reported 17/03/1994
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 27/01/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MENINGITIS AMOXIL &
PANADOL INITIALLY, IV CEFTRIAXONE AND 2 DAYS RIFAMP
PALLOR
HYPOTONIA
TREMOR
Included Term : SHAKING
APNOEA
Description : STOPPED BREATHING
HYPERTENSION INTRACRANIAL
VOMITING
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/11/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
MICROBIOLOGY
Lab Normal Range :
0 CSF 28/1/94 ANTIGEN DETECTED - HAEMOPHILUS INFLUENZA TYPE B. 29/1/94 SCANTY
GROWTH HAEM. INFL. TYPE B CULTURE POSITIVE. FULLY SENSITIVE TO PENICILLIN,
CEFTRIAXONE, CHLOROMYCETIN, RIFAMPICIN. CELL COUNT CSF - POLYMORPHS 900,
LYMPHOCYTES 140, MONONUCLEARS 30, RBC 50, GLUCOSE 1.7 MMOL/L (N > 2.4MM/L),
PROTEIN 2 G/L (N < 0.45G/L).
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
MICROBIOLOGY
Lab Normal Range :
0 BLOOD CULTURE 28/1/94 - POSITIVE FOR HAEMOPHILUS TYPE B 30/1/94.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91721 Sequence 1
Computer Entry Date 21/04/1994
Date Reported 22/03/1994
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset 15/03/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
Description : RASH ON ABDOMEN, LIMBS & FACE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/03/1994 AND CEASED 15/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 15/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91736 Sequence 1
Computer Entry Date 22/04/1994
Date Reported 23/03/1994
Age : 9 WEEKS Sex MALE Height 62
Weight 6 Date Of Onset 17/03/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPOTONIA
Description : FLACCID
PALLOR
CYANOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S DROPS 2.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 17/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S INJECTION 0.5 MG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91795 Sequence 1
Computer Entry Date 26/04/1994
Date Reported 25/03/1994
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 01/03/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : REDNESS/SWELLING AT SITE OF INJECTION.
INJECTION SITE ABSCESS
INFECTION TBC
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 15/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PEDVAXHIB O INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
MICROBIOLOGY
Lab Normal Range :
0 PUS FROM THE ABSCESS SHOWED A POSITIVE ZIEHL-NEELSON STAIN.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91803 Sequence 1
Computer Entry Date 26/04/1994
Date Reported 24/03/1994
Age Sex Height
Weight Date Of Onset 18/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FLUSHING
DIZZINESS
MALAISE
Included Term : FEELING UNWELL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 18/02/1994 AND CEASED 18/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91805 Sequence 1
Computer Entry Date 26/04/1994
Date Reported 24/03/1994
Age Sex Height
Weight Date Of Onset 18/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FLUSHING
DIZZINESS
MALAISE
Included Term : FEELING UNWELL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 18/02/1994 AND CEASED 18/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91806 Sequence 1
Computer Entry Date 26/04/1994
Date Reported 24/03/1994
Age Sex Height
Weight Date Of Onset 18/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FLUSHING
DIZZINESS
MALAISE
Included Term : FEELING UNWELL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 18/02/1994 AND CEASED 18/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91807 Sequence 1
Computer Entry Date 26/04/1994
Date Reported 24/03/1994
Age Sex Height
Weight Date Of Onset 18/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FLUSHING
DIZZINESS
MALAISE
Included Term : FEELING UNWELL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 18/02/1994 AND CEASED 18/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91808 Sequence 1
Computer Entry Date 26/04/1994
Date Reported 24/03/1994
Age Sex Height
Weight Date Of Onset 18/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FLUSHING
DIZZINESS
MALAISE
Included Term : FEELING UNWELL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 18/02/1994 AND CEASED 18/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91809 Sequence 1
Computer Entry Date 26/04/1994
Date Reported 24/03/1994
Age Sex Height
Weight Date Of Onset 18/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FLUSHING
DIZZINESS
MALAISE
Included Term : FEELING UNWELL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 18/02/1994 AND CEASED 18/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91810 Sequence 1
Computer Entry Date 26/04/1994
Date Reported 24/03/1994
Age Sex Height
Weight Date Of Onset 18/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FLUSHING
DIZZINESS
MALAISE
Included Term : FEELING UNWELL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 18/02/1994 AND CEASED 18/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91811 Sequence 1
Computer Entry Date 26/04/1994
Date Reported 24/03/1994
Age Sex Height
Weight Date Of Onset 18/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FLUSHING
DIZZINESS
MALAISE
Included Term : FEELING UNWELL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 18/02/1994 AND CEASED 18/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91812 Sequence 1
Computer Entry Date 26/04/1994
Date Reported 24/03/1994
Age Sex Height
Weight Date Of Onset 18/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FLUSHING
DIZZINESS
MALAISE
Included Term : FEELING UNWELL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 18/02/1994 AND CEASED 18/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91813 Sequence 1
Computer Entry Date 26/04/1994
Date Reported 24/03/1994
Age Sex Height
Weight Date Of Onset 18/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FLUSHING
DIZZINESS
MALAISE
Included Term : FEELING UNWELL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 18/02/1994 AND CEASED 18/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91814 Sequence 1
Computer Entry Date 26/04/1994
Date Reported 24/03/1994
Age Sex Height
Weight Date Of Onset 18/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FLUSHING
DIZZINESS
MALAISE
Included Term : FEELING UNWELL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 18/02/1994 AND CEASED 18/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91815 Sequence 1
Computer Entry Date 26/04/1994
Date Reported 24/03/1994
Age Sex Height
Weight Date Of Onset 18/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FLUSHING
DIZZINESS
MALAISE
Included Term : FEELING UNWELL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 18/02/1994 AND CEASED 18/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91816 Sequence 1
Computer Entry Date 26/04/1994
Date Reported 24/03/1994
Age Sex Height
Weight Date Of Onset 18/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FLUSHING
DIZZINESS
MALAISE
Included Term : FEELING UNWELL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 18/02/1994 AND CEASED 18/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91832 Sequence 1
Computer Entry Date 27/04/1994
Date Reported 28/03/1994
Age : 27 YEARS Sex FEMALE Height
Weight Date Of Onset 24/03/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : REDNESS, SWELLING.
HEADACHE
MALAISE
PHARYNGITIS
Included Term : THROAT SORE
FEVER
MYALGIA
Description : SHOULDR GIRDLE PAIN AND STIFFNESS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91857 Sequence 1
Computer Entry Date 27/04/1994
Date Reported 28/03/1994
Age : 9 YEARS Sex MALE Height 110
Weight 32 Date Of Onset 12/12/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : PRURITIC RASH AT INJ SITE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/12/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91888 Sequence 1
Computer Entry Date 27/04/1994
Date Reported 29/03/1994
Age : 68 YEARS Sex MALE Height 173
Weight 59 Date Of Onset 21/03/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
COUGHING
DYSPNOEA
Included Term : BREATH SHORTNESS
SPUTUM INCREASED
Description : INCREASING PHLEGM PRODUCTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 14/03/1994 AND CEASED 14/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
VENTOLIN O INHALANT 2.0 DF
AS NECESSARY INHALATION
PULMICORT O INHALANT 4.0 DF
DAILY INHALATION
MUCAINE O 120.0 ML
DAILY
PREDNISOLONE O 5.0 MG
DAILY
CALTRATE S 1.0 DF
DAILY
ASPIRIN O 100.0 MG
DAILY
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91890 Sequence 1
Computer Entry Date 27/04/1994
Date Reported 29/03/1994
Age : 12 MONTHS Sex MALE Height 11
Weight Date Of Onset 22/03/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ERYTHEMA MULTIFORME
ANTIHISTAMINE
Description : RASH OVER TRUNK AND UPPER ARMS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 11/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91893 Sequence 1
Computer Entry Date 27/04/1994
Date Reported 29/03/1994
Age : 6 MONTHS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SKIN NODULE
Description : SWELLING IN LEFT THIGH.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 5.0 RG
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
BCG VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
0Laboratory Data
===============
HISTOLOGY
Lab Normal Range :
0 FOLLOWING SECOND HEPATITIS B VACCINATION, PATIENT DEVELOPED A PROGRESSIVELY
ENLARGING SWELLING IN LEFT THIGH. BIOPSY SHOWS THIS TO BE A XANTHO -
GRANULOMATOUS LESION.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91897 Sequence 1
Computer Entry Date 27/04/1994
Date Reported 31/03/1994
Age : 32 YEARS Sex FEMALE Height
Weight Date Of Onset 03/03/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ACNE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S CAPSULE 3.0 DF
TOTAL PER ORAL
DRUG ADMINISTRATION BEGAN 01/03/1994 AND CEASED 05/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91906 Sequence 1
Computer Entry Date 28/04/1994
Date Reported 31/03/1994
Age : 11 WEEKS Sex MALE Height
Weight 5 Date Of Onset 23/03/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL DYMADON,
PHENERGAN ONE DOSE.
Included Term : SCREAMING
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HAEMOPHILUS INFLUENZAE TYPE B VACCI S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 91967 Sequence 1
Computer Entry Date 29/04/1994
Date Reported 08/03/1994
Age : 2 MONTHS Sex MALE Height 59
Weight 6 Date Of Onset 20/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URINARY TRACT INFECTION SEPTRIN
LIQUID.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92041 Sequence 1
Computer Entry Date 02/05/1994
Date Reported 05/04/1994
Age : 25 YEARS Sex FEMALE Height 163
Weight 80 Date Of Onset 07/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INFLUENZA
VENTOLIN, PANADOL.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92075 Sequence 1
Computer Entry Date 03/05/1994
Date Reported 07/04/1994
Age : 27 YEARS Sex FEMALE Height
Weight Date Of Onset 30/03/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONFUSION
Description : SPACED OUT
ATAXIA
Included Term : BALANCE DIFFICULTY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
YELLOW FEVER VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPH-VAX S CAPSULE 3.0 DF
TOTAL PER ORAL
DRUG ADMINISTRATION BEGAN 24/03/1994
HAVRIX S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
POLIOMYELITIS VIRUS VACCINE S DROPS 2.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 24/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92097 Sequence 1
Computer Entry Date 03/05/1994
Date Reported 06/04/1994
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : SWELLING FROM THE KNEE TO THIGH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SYSTEMIC
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92111 Sequence 1
Computer Entry Date 03/05/1994
Date Reported 06/04/1994
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset 25/03/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
TACHYCARDIA OXYGEN,
OBSERVATION IN HOSPITAL.
Description : PULSE 120/MIN
FEVER
Description : 38 DEGREES
AGITATION
HYPOTONIA
TWITCHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92119 Sequence 1
Computer Entry Date 03/05/1994
Date Reported 12/04/1994
Age : 64 YEARS Sex FEMALE Height
Weight Date Of Onset 08/03/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : RED STREAKS UP ARM FROM INJECTION.
LYMPHANGITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PNEUMOVAX 23 S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 07/03/1994
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92120 Sequence 1
Computer Entry Date 03/05/1994
Date Reported 12/04/1994
Age : 57 YEARS Sex FEMALE Height
Weight Date Of Onset 05/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
ADRENALINE/SALBUTAMOL.
Description : SWELLING & ERYTHEMA OF THE UPPER ARM.
CHEST PAIN
Included Term : CHEST TIGHTNESS OF
DYSPNOEA
Included Term : BREATHING DIFFICULT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 05/04/1994
ICD Code : OTHER PROPHYLACTIC PROCEDURES
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92130 Sequence 1
Computer Entry Date 04/05/1994
Date Reported 11/04/1994
Age : 30 YEARS Sex FEMALE Height 163
Weight 55 Date Of Onset 30/01/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 10.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92131 Sequence 1
Computer Entry Date 04/05/1994
Date Reported 11/04/1994
Age : 30 YEARS Sex FEMALE Height 163
Weight 55 Date Of Onset 04/03/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92155 Sequence 1
Computer Entry Date 04/05/1994
Date Reported 11/04/1994
Age : 77 YEARS Sex MALE Height
Weight Date Of Onset 21/03/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SKIN DEPIGMENTATION
Description : HYPOPIGMENTATION BACKS OF HANDS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 19/03/1994
TRANSIDERM-NITRO S EXTERNAL
TOPICAL
ASPIRIN S 0.5 DF
DAILY
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92162 Sequence 1
Computer Entry Date 04/05/1994
Date Reported 08/04/1994
Age : 42 YEARS Sex MALE Height
Weight 75 Date Of Onset 03/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ERYTHEMA MULTIFORME
NAUSEA
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/03/1994
OROXINE O TABLET 200.0 RG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 24/07/1990
ICD Code : MYXEDEMA
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92197 Sequence 1
Computer Entry Date 04/05/1994
Date Reported 14/04/1994
Age : 70 YEARS Sex FEMALE Height 168
Weight 80 Date Of Onset 01/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VERTIGO
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 30/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PROTHIADEN O 150.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 00/00/1991
ZOCOR O 10.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 00/00/1991
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92210 Sequence 1
Computer Entry Date 04/05/1994
Date Reported 13/04/1994
Age : 89 YEARS Sex FEMALE Height 155
Weight 40 Date Of Onset 01/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANOREXIA
TACHYCARDIA
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PANADOL O 4.0 DF
DAILY
DRUG ADMINISTRATION BEGAN 22/03/1994
ICD Code : UNSPECIFIED ARTHRITIS
AGAROL O 10.0 ML
DAILY
QUINATE O TABLET 300.0 MG
DAILY PER ORAL
0Laboratory Data
===============
0Outcome : DEATH, MAYBE DRUG
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92230 Sequence 1
Computer Entry Date 05/05/1994
Date Reported 15/04/1994
Age : 37 YEARS Sex FEMALE Height 163
Weight 68 Date Of Onset 30/03/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : LOCAL ERYTHEMA AND SWELLING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S
DRUG ADMINISTRATION BEGAN 00/00/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92231 Sequence 1
Computer Entry Date 05/05/1994
Date Reported 15/04/1994
Age : 69 YEARS Sex FEMALE Height
Weight Date Of Onset 07/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA ORAL
POLARAMINE 2MG QID.
DYSPHONIA
Included Term : HOARSENESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 06/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TIMOLOL MALEATE O EYE DROPS 2.0 DF
DAILY CONJUNCTIVAL
LONG TERM
ICD Code : UNSPECIFIED GLAUCOMA
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92234 Sequence 1
Computer Entry Date 05/05/1994
Date Reported 15/04/1994
Age Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
THERAPEUTIC INEFFICACY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S 1.0 DF
1 TIME
ICD Code : PROPHYLAXIS
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 FAILURE TO SERO-CONVERT
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92254 Sequence 1
Computer Entry Date 05/05/1994
Date Reported 18/04/1994
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
UPPER RESP TRACT INFECTION
Included Term : UPPER RESPIRATORY TRACT INFECTION
THERAPEUTIC INEFFICACY
MENINGITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92255 Sequence 1
Computer Entry Date 05/05/1994
Date Reported 18/04/1994
Age : 19 WEEKS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MENINGITIS
PENICILLIN, AMOXYCILLIN, ERYTHROMYCIN.
UPPER RESP TRACT INFECTION
Included Term : UPPER RESPIRATORY TRACT INFECTION
FEVER
COUGHING
THERAPEUTIC INEFFICACY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92256 Sequence 1
Computer Entry Date 05/05/1994
Date Reported 18/04/1994
Age : 18 WEEKS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MENINGITIS
COUGHING
FEVER
NERVOUSNESS
Included Term : IRRITABILITY
THERAPEUTIC INEFFICACY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92297 Sequence 1
Computer Entry Date 06/05/1994
Date Reported 19/04/1994
Age Sex MALE Height
Weight Date Of Onset 11/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHADENOPATHY
Description : SWOLLEN LYMPH GLANDS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 08/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92302 Sequence 1
Computer Entry Date 09/05/1994
Date Reported 22/04/1994
Age : 12 YEARS Sex FEMALE Height
Weight 50 Date Of Onset 24/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
PANADEINE FORTE.
Description : PAINFUL R ARM, UPPERARM,ELBOW & WRIST.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 23/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92329 Sequence 1
Computer Entry Date 09/05/1994
Date Reported 26/04/1994
Age : 52 YEARS Sex FEMALE Height 161
Weight 72 Date Of Onset 13/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : INFLAMMED AREA AROUD SITE OF INJECTION.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 12/04/1994 AND CEASED 12/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92331 Sequence 1
Computer Entry Date 09/05/1994
Date Reported 26/04/1994
Age : 18 MONTHS Sex FEMALE Height 80
Weight 11 Date Of Onset 20/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BULLOUS ERUPTION
Included Term : BLISTERS
INJECTION SITE REACTION
Description : LOCAL REACTION
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 19/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92334 Sequence 1
Computer Entry Date 09/05/1994
Date Reported 21/04/1994
Age : 42 YEARS Sex FEMALE Height 158
Weight Date Of Onset 23/03/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
PRURITUS
Included Term : ITCHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
VAXIGRIP S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/03/1994
ICD Code : PROPHYLAXIS
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92341 Sequence 1
Computer Entry Date 10/05/1994
Date Reported 22/04/1994
Age : 82 YEARS Sex MALE Height
Weight 71 Date Of Onset 05/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
JAUNDICE
NAUSEA
Included Term : RETCHING
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 10/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
AUGMENTIN FORTE S PER ORAL 3.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 17/02/1994 AND CEASED 26/02/1994
ICD Code : OTR LOC SKIN&SUBCUT TIS INFECT
IMDUR O TABLET 60.0 MG
DAILY PER ORAL
ICD Code : CHRON ISCH HEART DIS NO HYPER
LASIX O TABLET 40.0 MG
DAILY PER ORAL
ICD Code : CONGESTIVE HEART FAILURE
SLOW-K O TABLET 2.0 DF
DAILY PER ORAL
ICD Code : CONGESTIVE HEART FAILURE
LANOXIN PG O TABLET 187.0 RG
DAILY PER ORAL
ICD Code : CONGESTIVE HEART FAILURE
CALTRATE O TABLET 1.2 GM
DAILY PER ORAL
ICD Code : OSTEOPOROSIS
PREDNISOLONE O TABLET 5.0 MG
DAILY PER ORAL
ICD Code : OTR DIS OF ARTERIES&ARTERIOLES
ERGOCALCIFEROL O 2.0 DF
WEEKLY
ICD Code : OSTEOPOROSIS
0Laboratory Data
===============
IMMUNOLOGY HEPATITIS A ANTIBODY
Lab Normal Range :
0 HEP A IGM - POSITIVE, HEP A IGG - POSITIVE.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
IMMUNOLOGY HEPATITIS B ANTIBODY
Lab Normal Range :
0 HEP B SAS - POSITIVE, HEP B A/B POSITIVE, HEP C POSITIVE.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY SAP = ALP
Lab Normal Range : 20-120 U/L
022/02/1994 08/04/1994 14/04/1994 17/04/1994
57 686 744 662
1ADP016P5
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92341 Sequence 1 (Continued)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY GGT = SGGT = GGTP
Lab Normal Range : < 115 U/L
022/02/1994 08/04/1994 14/04/1994 17/04/1994
17 700 762 648
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY AST = SGOT
Lab Normal Range : < 35 U/L
022/02/1994 08/04/1994 14/04/1994 17/04/1994
16 130 88 67
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY BILIRUBIN
Lab Normal Range : < 17 UMOL/L
022/02/1994 08/04/1994 14/04/1994 17/04/1994
9 365 178 114
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92357 Sequence 1
Computer Entry Date 10/05/1994
Date Reported 18/04/1994
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 04/09/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
FEVER
PARACETAMOL 60MG Q4H
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/09/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/09/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 2.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 03/09/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92360 Sequence 1
Computer Entry Date 10/05/1994
Date Reported 20/04/1994
Age Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
NAUSEA
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92368 Sequence 1
Computer Entry Date 11/05/1994
Date Reported 20/04/1994
Age : 23 YEARS Sex FEMALE Height 155
Weight 48 Date Of Onset 00/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S INJECTION 1.0 DF
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 08/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92387 Sequence 1
Computer Entry Date 12/05/1994
Date Reported 26/04/1994
Age : 21 YEARS Sex FEMALE Height
Weight Date Of Onset 14/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : INSTANT ITCHY RED REACTION.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 14/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92388 Sequence 1
Computer Entry Date 12/05/1994
Date Reported 20/04/1994
Age : 3 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BULLOUS ERUPTION ORAL
STEROIDS FOR 3-4 DAYS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/12/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HEPATITIS B VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/12/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/12/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92389 Sequence 1
Computer Entry Date 12/05/1994
Date Reported 20/04/1994
Age : 3 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BULLOUS ERUPTION ORAL
PREDNISONE 15MG/DAY FOR 7 DAYS
DYSPNOEA VENTOLIN
Included Term : BREATHING DIFFICULT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92390 Sequence 1
Computer Entry Date 12/05/1994
Date Reported 26/04/1994
Age Code AD - Adult Sex Height
Weight Date Of Onset 14/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : SORE RED AREAS AT THE INJECTION SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 14/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92391 Sequence 1
Computer Entry Date 12/05/1994
Date Reported 26/04/1994
Age Code AD - Adult Sex Height
Weight Date Of Onset 14/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : SORE, RED AREAS AT THE INJECTION SITE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 14/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92392 Sequence 1
Computer Entry Date 12/05/1994
Date Reported 26/04/1994
Age Code AD - Adult Sex Height
Weight Date Of Onset 14/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : SORE, RED AREAS AT THE INJECTION SITE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 14/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92398 Sequence 1
Computer Entry Date 12/05/1994
Date Reported 21/04/1994
Age : 1 YEARS Sex MALE Height
Weight Date Of Onset 11/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MORBILLIFORM
Description : RASH ON TRUNK AND FACE.
FEVER
MEASLES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92400 Sequence 1
Computer Entry Date 12/05/1994
Date Reported 26/04/1994
Age : 50 YEARS Sex FEMALE Height
Weight Date Of Onset 14/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : SORE, RED AND HOT AREA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 14/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92449 Sequence 1
Computer Entry Date 13/05/1994
Date Reported 28/04/1994
Age : 62 YEARS Sex MALE Height
Weight Date Of Onset 13/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ECZEMA
Description : ECZEMA BOTH HANDS AND ARMS
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 10/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
MYLANTA O 1.0 DF
DAILY
LONG TERM
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92455 Sequence 1
Computer Entry Date 13/05/1994
Date Reported 28/04/1994
Age Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VERTIGO
Description : ROTATIONAL VERTIGO
DIPLOPIA
Description : VISUAL DISTURBANCES
NAUSEA
VOMITING
HEADACHE
INJECTION SITE REACTION
ARTHRALGIA
Description : SHOULDER PAIN
RHINITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S 3.0 DF
TOTAL
DRUG ADMINISTRATION BEGAN 22/12/1988 AND CEASED 23/07/1989
ICD Code : PROPHYLAXIS
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92460 Sequence 1
Computer Entry Date 13/05/1994
Date Reported 29/04/1994
Age : 19 MONTHS Sex FEMALE Height 89
Weight 11 Date Of Onset 07/03/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
4-6/24
CRYING ABNORMAL
NERVOUSNESS
Included Term : IRRITABILITY
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92474 Sequence 1
Computer Entry Date 16/05/1994
Date Reported 29/04/1994
Age : 47 YEARS Sex FEMALE Height
Weight Date Of Onset 06/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92475 Sequence 1
Computer Entry Date 16/05/1994
Date Reported 29/04/1994
Age : 48 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92649 Sequence 1
Computer Entry Date 18/05/1994
Date Reported 28/04/1994
Age : 74 YEARS Sex FEMALE Height 150
Weight 99 Date Of Onset 30/01/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE BACTRIM
PAIN
Description : BLADDER
PAIN
Description : BACK
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INTRON A CT S INJECTION 1.6 MU
DAILY INTRAVENOUS
DRUG ADMINISTRATION BEGAN 06/01/1993 AND CEASED 10/02/1993
ICD Code : MALIGNANT NEOPLASM OF BLADDER
BCG VACCINE INTRAVESICAL CT S INJECTION 8.6 MG
DAILY INTRAVENOUS
DRUG ADMINISTRATION BEGAN 06/01/1993 AND CEASED 10/02/1993
ICD Code : MALIGNANT NEOPLASM OF BLADDER
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92650 Sequence 1
Computer Entry Date 18/05/1994
Date Reported 28/04/1994
Age Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MICTURITION FREQUENCY ASPIRIN
RIGORS
HEADACHE
PAIN
Description : BACK
MYALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INTRON A CT S INJECTION 14.2 MU
DAILY INTRAVENOUS
DRUG ADMINISTRATION BEGAN 24/04/1993 AND CEASED 28/04/1993
ICD Code : MALIGNANT NEOPLASM OF BLADDER
BCG VACCINE INTRAVESICAL CT S INJECTION 8.6 MG
DAILY INTRAVENOUS
DRUG ADMINISTRATION BEGAN 24/04/1993 AND CEASED 28/04/1993
ICD Code : MALIGNANT NEOPLASM OF BLADDER
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92674 Sequence 1
Computer Entry Date 18/05/1994
Date Reported 02/05/1994
Age : 32 YEARS Sex FEMALE Height
Weight Date Of Onset 24/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
COMA
Included Term : CONSCIOUSNESS, LOSS OF
CONVULSIONS
Included Term : FIT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 22/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92676 Sequence 1
Computer Entry Date 18/05/1994
Date Reported 02/05/1994
Age : 48 YEARS Sex FEMALE Height
Weight Date Of Onset 21/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
DOXYCYCLINE
Description : VERY SWOLLEN AND RED ARM.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 20/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92695 Sequence 1
Computer Entry Date 19/05/1994
Date Reported 12/05/1994
Age Sex FEMALE Height
Weight Date Of Onset 18/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FLUSHING
DIZZINESS
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 18/02/1994
ICD Code : PROPHYLAXIS
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92697 Sequence 1
Computer Entry Date 19/05/1994
Date Reported 03/05/1994
Age : 70 YEARS Sex MALE Height
Weight Date Of Onset 22/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INFLUENZA-LIKE SYMPTOMS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 22/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92698 Sequence 1
Computer Entry Date 19/05/1994
Date Reported 03/05/1994
Age : 72 YEARS Sex MALE Height
Weight Date Of Onset 23/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INFLUENZA-LIKE SYMPTOMS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 22/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92699 Sequence 1
Computer Entry Date 19/05/1994
Date Reported 03/05/1994
Age : 8 YEARS Sex FEMALE Height
Weight Date Of Onset 19/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : RED PAINFUL LUMP AT SITE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 19/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92720 Sequence 1
Computer Entry Date 19/05/1994
Date Reported 03/05/1994
Age : 4 YEARS Sex MALE Height 104
Weight 18 Date Of Onset 26/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
FEVER
RASH ERYTHEMATOUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 26/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92732 Sequence 1
Computer Entry Date 20/05/1994
Date Reported 04/05/1994
Age : 9 MONTHS Sex MALE Height
Weight Date Of Onset 17/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CARDIAC ARREST OXYGEN;
INTUBATION; 10% IV DEXTROSE; SODIUM BICARBONATE, SPP
APNOEA
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/07/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
POLIOMYELITIS VIRUS VACCINE S DROPS 2.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 16/07/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PENTA-VITE-INFANT O TABLET 450.0 RG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 12/06/1993 AND CONTINUED
ALPHA-TOCOPHEROL O TABLET 2.5 UT
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 12/06/1993 AND CONTINUED
FOLIC ACID O TABLET 50.0 RG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 12/06/1993 AND CONTINUED
FERGON O SOLUTION 0.5 ML
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 04/07/1993 AND CONTINUED
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92805 Sequence 1
Computer Entry Date 25/05/1994
Date Reported 18/05/1994
Age : 57 YEARS Sex MALE Height 170
Weight 75 Date Of Onset 11/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA
FEVER
LYMPHADENOPATHY
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 10/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92819 Sequence 1
Computer Entry Date 25/05/1994
Date Reported 09/05/1994
Age : 39 YEARS Sex FEMALE Height 168
Weight 65 Date Of Onset 26/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
PRURITUS
Included Term : ITCHING
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION 1.0 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 26/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92831 Sequence 1
Computer Entry Date 25/05/1994
Date Reported 09/05/1994
Age : 73 YEARS Sex FEMALE Height
Weight Date Of Onset 27/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/00/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
GOLD-50 O 50.0 MG
FORTNIGHTLY
ICD Code : OTHER RHEUMATOID ARTHRITIS
LOSEC O 20.0 MG
DAILY
ICD Code : OTHER DISEASES OF ESOPHAGUS
NATRILIX O 1.0 DF
DAILY
ICD Code : ESSENTIAL BENIGN HYPERTENSION
PREDNISOLONE O 5.0 MG
DAILY
ICD Code : OTHER RHEUMATOID ARTHRITIS
RIVOTRIL O
TIMPILO O EYE DROPS 2.0 DF
DAILY CONJUNCTIVAL
ICD Code : UNSPECIFIED GLAUCOMA
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 SKIN PRICK TEST WITH FLUVAX 1994 - 3MM WHEAL. INTRADERMAL SKIN TEST ALMOST
IMMEDIATELY - INDURATION 3CM DIAMETER AND LARGE FLARE. NORMAL CONTRIL 2MM
WHEAL.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92863 Sequence 1
Computer Entry Date 25/05/1994
Date Reported 11/05/1994
Age : 4 YEARS Sex MALE Height
Weight Date Of Onset 05/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
PHENERGAN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92902 Sequence 1
Computer Entry Date 27/05/1994
Date Reported 11/05/1994
Age : 69 YEARS Sex FEMALE Height 158
Weight 51 Date Of Onset 30/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
RIGORS
SWEATING INCREASED
NAUSEA
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 29/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92916 Sequence 1
Computer Entry Date 27/05/1994
Date Reported 12/05/1994
Age : 1 YEARS Sex MALE Height
Weight Date Of Onset 06/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : FEBRILE REACTION
NERVOUSNESS
Included Term : JITTERINESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 06/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PEDVAXHIB S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 06/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92918 Sequence 1
Computer Entry Date 30/05/1994
Date Reported 12/05/1994
Age : 70 YEARS Sex FEMALE Height
Weight Date Of Onset 03/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
Description : RASH ON BOTH ARMS, LEGS AND TRUNK.
INJECTION SITE REACTION
ANOREXIA
MYALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 26/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SINEQUAN O 25.0 MG
DAILY
LONG TERM
TAZAC O 2.0 DF
DAILY
DRUG ADMINISTRATION BEGAN 18/04/1994 AND CEASED 06/05/1994
ICD Code : OTHER DISEASES OF ESOPHAGUS
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92931 Sequence 1
Computer Entry Date 30/05/1994
Date Reported 10/05/1994
Age : 49 YEARS Sex FEMALE Height
Weight Date Of Onset 28/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : LOCAL SWELLING, RED AND SORE
HEADACHE
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 27/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92932 Sequence 1
Computer Entry Date 30/05/1994
Date Reported 10/05/1994
Age : 69 YEARS Sex FEMALE Height
Weight Date Of Onset 30/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ATAXIA
CONFUSION
AMNESIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 29/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CARDIZEM O
VENTOLIN O
BECOTIDE O
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92944 Sequence 1
Computer Entry Date 30/05/1994
Date Reported 12/05/1994
Age : 64 YEARS Sex FEMALE Height
Weight Date Of Onset 08/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RIGORS
Included Term : CHILLS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENALAPRIL MALEATE S TABLET 20.0 MG
DAILY PER ORAL
ICD Code : ESSENTIAL BENIGN HYPERTENSION
INFLUENZA VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 08/04/1994 AND CEASED 08/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92955 Sequence 1
Computer Entry Date 30/05/1994
Date Reported 12/05/1994
Age : 47 YEARS Sex MALE Height
Weight Date Of Onset 14/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
FEVER
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92956 Sequence 1
Computer Entry Date 30/05/1994
Date Reported 12/05/1994
Age : 30 YEARS Sex MALE Height
Weight Date Of Onset 29/09/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/09/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92959 Sequence 1
Computer Entry Date 30/05/1994
Date Reported 12/05/1994
Age : 33 YEARS Sex FEMALE Height
Weight Date Of Onset 29/09/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/09/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 92976 Sequence 1
Computer Entry Date 30/05/1994
Date Reported 16/05/1994
Age : 2 YEARS Sex MALE Height
Weight Date Of Onset 03/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL,
PHENERGAN 5MLS.
FATIGUE
Included Term : LETHARGY
CRYING ABNORMAL
Included Term : SCREAMING
PURPURA
Included Term : BRUISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 03/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 03/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93013 Sequence 1
Computer Entry Date 31/05/1994
Date Reported 17/05/1994
Age : 73 YEARS Sex FEMALE Height
Weight Date Of Onset 27/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 INTRADERMAL SKIN TEST PRODUCED ALMOST IMMEDIATE INDURATION OF 3 CM DIAMETER
AND LARGE FLARE. NORMAL CONTROL GAVE A 2 MM WHEAL.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93046 Sequence 1
Computer Entry Date 01/06/1994
Date Reported 19/05/1994
Age : 46 YEARS Sex MALE Height
Weight Date Of Onset 09/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
Included Term : JOINT ACHE
EYE PAIN
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
YELLOW FEVER VACCINE S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93131 Sequence 1
Computer Entry Date 03/06/1994
Date Reported 23/05/1994
Age : 48 YEARS Sex MALE Height
Weight Date Of Onset 29/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/04/1994 AND CEASED 27/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/04/1994 AND CEASED 27/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93144 Sequence 1
Computer Entry Date 03/06/1994
Date Reported 25/05/1994
Age : 15 YEARS Sex MALE Height
Weight Date Of Onset 14/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES
RASH MACULO-PAPULAR
COUGHING
CONJUNCTIVITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 14/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93174 Sequence 1
Computer Entry Date 06/06/1994
Date Reported 26/05/1994
Age : 81 YEARS Sex FEMALE Height 158
Weight 74 Date Of Onset 05/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH PSORIAFORM
PREDNISONE, DARK ROOM AND BETNOVATE CREAM
Included Term : PSORIAFORM RASH
RASH MACULO-PAPULAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
AGON S TABLET 15.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 01/04/1994 AND CEASED 05/05/1994
ICD Code : ESSENTIAL BENIGN HYPERTENSION
TRITACE S CAPSULE 10.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 18/02/1994 AND CEASED 05/05/1994
ICD Code : ESSENTIAL BENIGN HYPERTENSION
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 00/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
OROXINE O TABLET 75.0 RG
DAILY PER ORAL
TEMAZEPAM O
OXAZEPAM O
PARACETAMOL O
ASPIRIN O
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93176 Sequence 1
Computer Entry Date 06/06/1994
Date Reported 26/05/1994
Age : 25 YEARS Sex FEMALE Height
Weight Date Of Onset 01/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : ARM RED AND PAINFUL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 01/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93177 Sequence 1
Computer Entry Date 06/06/1994
Date Reported 26/05/1994
Age : 67 YEARS Sex FEMALE Height
Weight Date Of Onset 14/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : LARGE RED HOT AREA, NOT SORE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 12/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93187 Sequence 1
Computer Entry Date 06/06/1994
Date Reported 25/05/1994
Age : 39 YEARS Sex FEMALE Height
Weight Date Of Onset 22/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION ZYRTEC
STAT, ARISTOCORT, DECADRON 4 MG IM, PREDNISONE 37.5 M
Description : RED TENDER SWELLING AT INJ SITE 5X7CM
PRURITUS
Included Term : ITCHING
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 22/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93201 Sequence 1
Computer Entry Date 07/06/1994
Date Reported 26/05/1994
Age : 72 YEARS Sex FEMALE Height 160
Weight 56 Date Of Onset 07/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ESR INCREASED GIVEN
PREDNISOLONE 50 MG.
Description : ESR ROSE TO 113.
MYALGIA
Description : ACHING LEGS.
ASTHENIA
Included Term : EXHAUSTION
VOMITING
RASH
Description : BLOTHY RASH ON ARMS AND LEGS.
FEVER
RIGORS
SWEATING INCREASED
Description : PERSISTENT NIGHT SWEATS.
HEADACHE
PAIN
Included Term : NECK PAIN
EPISCLERITIS
Description : 26.04.94
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 07/04/1994 AND CEASED 07/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
RENITEC O 10.0 MG
DAILY
ICD Code : ESSENTIAL BENIGN HYPERTENSION
PARACETAMOL O 500.0 MG
AS NECESSARY
ICD Code : PAIN
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93252 Sequence 1
Computer Entry Date 08/06/1994
Date Reported 30/05/1994
Age : 73 YEARS Sex FEMALE Height 168
Weight 65 Date Of Onset 29/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FLUSHING
MICTURITION FREQUENCY
DYSURIA
HEADACHE
ASTHENIA
CONFUSION
SOMNOLENCE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
VAXIGRIP S INJECTION 1.0 ML
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/04/1994
MODURETIC S 1.0 DF
DAILY
DRUG ADMINISTRATION BEGAN 00/00/1992 AND CEASED 02/05/1994
ICD Code : ESSENTIAL BENIGN HYPERTENSION
PANAMAX S TABLET 20.0 MG
AS NECESSARY PER ORAL
Drug Administration Ceased 02/05/1994
ICD Code : SPONDYLITIS OSTEOARTHRITICA
VENTOLIN O INHALANT
INHALATION
DRUG ADMINISTRATION BEGAN 00/00/1990 AND CONTINUED
ICD Code : ASTHMA
BECOTIDE O INHALANT
INHALATION
DRUG ADMINISTRATION BEGAN 00/00/1990 AND CONTINUED
ICD Code : ASTHMA
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93258 Sequence 1
Computer Entry Date 08/06/1994
Date Reported 30/05/1994
Age : 60 YEARS Sex FEMALE Height
Weight Date Of Onset 01/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
PREDNISOLONE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 28/04/1994 AND CEASED 28/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93260 Sequence 1
Computer Entry Date 08/06/1994
Date Reported 30/05/1994
Age : 12 MONTHS Sex MALE Height
Weight 11 Date Of Onset 05/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
TWITCHING
PALLOR
RESPIRATORY DISORDER
Included Term : TACHYPNOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 05/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93263 Sequence 1
Computer Entry Date 08/06/1994
Date Reported 27/05/1994
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
INJECTION SITE REACTION
Description : RED SWOLLEN ARM.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93267 Sequence 1
Computer Entry Date 08/06/1994
Date Reported 30/05/1994
Age : 39 YEARS Sex MALE Height
Weight Date Of Onset 00/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : TENDER, RED ARM. DIFFICULTY IN LIFTING.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 31/03/1994
ICD Code : OTR&NOS INFEC&PARASIT DISEASES
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93422 Sequence 1
Computer Entry Date 14/06/1994
Date Reported 01/06/1994
Age : 26 YEARS Sex FEMALE Height
Weight 50 Date Of Onset 08/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VASCULITIS
PREDNISONE 50MG DAILY
ARTHRITIS AGGRAVATED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 04/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TENOXICAM O TABLET 20.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/00/1992 AND CONTINUED
ICD Code : PAIN IN JOINT
PLAQUENIL O TABLET 20.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/00/1988 AND CONTINUED
ICD Code : SYSTEMIC LUPUS ERYTHEMATOSUS
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93469 Sequence 1
Computer Entry Date 15/06/1994
Date Reported 03/06/1994
Age : 8 MONTHS Sex FEMALE Height
Weight Date Of Onset 20/01/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FACE OEDEMA
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93471 Sequence 1
Computer Entry Date 15/06/1994
Date Reported 03/06/1994
Age : 66 YEARS Sex FEMALE Height 149
Weight 76 Date Of Onset 05/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
Description : ACHES BOTH SHOULDER JOINTS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 03/05/1994 AND CEASED 03/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
RENITEC O TABLET 30.0 MG
DAILY PER ORAL
LONG TERM
ICD Code : ESSENTIAL BENIGN HYPERTENSION
ASPIRIN O 0.5 DF
DAILY
LONG TERM
ICD Code : ACUTE MYOCARD INFARC,NO HYPERT
NORVASC O TABLET 5.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/03/1994
ICD Code : ESSENTIAL BENIGN HYPERTENSION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93478 Sequence 1
Computer Entry Date 15/06/1994
Date Reported 03/06/1994
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
THERAPEUTIC INEFFICACY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93481 Sequence 1
Computer Entry Date 16/06/1994
Date Reported 02/06/1994
Age : 46 YEARS Sex MALE Height 175
Weight 81 Date Of Onset 25/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HAVRIX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
IMMUNOGLOBULIN - NORMAL S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
POLIOMYELITIS VIRUS VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 24/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93494 Sequence 1
Computer Entry Date 16/06/1994
Date Reported 06/06/1994
Age : 56 YEARS Sex FEMALE Height 150
Weight Date Of Onset 16/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA
VOMITING
EYE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
PREMARIN O TABLET
PER ORAL
COVERSYL O TABLET 8.0 MG
DAILY PER ORAL
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93501 Sequence 1
Computer Entry Date 16/06/1994
Date Reported 06/06/1994
Age : 27 YEARS Sex FEMALE Height 175
Weight 85 Date Of Onset 03/03/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : SEVERE PAIN DOWN LEFT ARM.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93502 Sequence 1
Computer Entry Date 16/06/1994
Date Reported 06/06/1994
Age : 34 YEARS Sex FEMALE Height 165
Weight 79 Date Of Onset 15/01/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
DAILY INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/01/1994 AND CEASED 14/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SANDOMIGRAN O TABLET
PER ORAL
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93503 Sequence 1
Computer Entry Date 16/06/1994
Date Reported 06/06/1994
Age : 66 YEARS Sex FEMALE Height
Weight Date Of Onset 18/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INFLUENZA-LIKE SYMPTOMS
PHARYNGITIS
Description : ACUTE
MYALGIA
COUGHING
Description : DRY
EYE PAIN
Description : BOTH
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CAPOTEN O TABLET 100.0 MG
DAILY PER ORAL
PLENDIL O TABLET 10.0 MG
DAILY PER ORAL
SOLPRIN O TABLET 0.5 DF
DAILY PER ORAL
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93504 Sequence 1
Computer Entry Date 16/06/1994
Date Reported 06/06/1994
Age : 55 YEARS Sex FEMALE Height 160
Weight 90 Date Of Onset 10/03/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
Description : SLIGHT REDNESS ON BOTH ARMS.
HYPERAESTHESIA
Description : LEFT ARM REALLY SUPERSENSITIVE.
DIARRHOEA
PRURITUS
Included Term : ITCHING
RASH
Description : RASH ON STOMACH AND ARM.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93507 Sequence 1
Computer Entry Date 16/06/1994
Date Reported 06/06/1994
Age : 68 YEARS Sex FEMALE Height
Weight Date Of Onset 10/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
BETNOVATE.
Description : RASH LOWER ARM, BOTH ARMS & LEGS.
PRURITUS
Included Term : ITCHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 05/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93514 Sequence 1
Computer Entry Date 16/06/1994
Date Reported 06/06/1994
Age : 8 MONTHS Sex FEMALE Height
Weight 11 Date Of Onset 20/01/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
POLARAMINE INFANT.
FACE OEDEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/01/1994 AND CEASED 20/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93516 Sequence 1
Computer Entry Date 16/06/1994
Date Reported 03/06/1994
Age : 3 YEARS Sex MALE Height
Weight Date Of Onset 15/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
AUTISM INFANTILE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PROHIBIT S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 15/05/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93563 Sequence 1
Computer Entry Date 20/06/1994
Date Reported 03/06/1994
Age : 35 YEARS Sex FEMALE Height 169
Weight 58 Date Of Onset 14/03/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93578 Sequence 1
Computer Entry Date 20/06/1994
Date Reported 06/06/1994
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 16/03/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
COMA
SYNCOPE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/03/1994 AND CEASED 16/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93579 Sequence 1
Computer Entry Date 20/06/1994
Date Reported 06/06/1994
Age : 5 MONTHS Sex FEMALE Height
Weight Date Of Onset 20/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE
COMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 20/04/1994 AND CEASED 20/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93581 Sequence 1
Computer Entry Date 20/06/1994
Date Reported 07/06/1994
Age : 51 YEARS Sex FEMALE Height
Weight Date Of Onset 27/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
ANALGESIA, COLD PACKS.
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PROZAC O
LARGACTIL O
PREMARIN O
CALTRATE O
0Laboratory Data
===============
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93587 Sequence 1
Computer Entry Date 20/06/1994
Date Reported 07/06/1994
Age : 53 YEARS Sex FEMALE Height 160
Weight 58 Date Of Onset 29/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
HYDROCORTISONE CREAM LOCALLY.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/05/1994 AND CEASED 24/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93594 Sequence 1
Computer Entry Date 20/06/1994
Date Reported 08/06/1994
Age : 37 YEARS Sex MALE Height 177
Weight 80 Date Of Onset 02/06/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 02/06/1994 AND CEASED 02/06/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93599 Sequence 1
Computer Entry Date 20/06/1994
Date Reported 14/06/1994
Age : 33 YEARS Sex FEMALE Height 156
Weight 70 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
Description : SORE ARM
NAUSEA
MOUTH DRY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 DF
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 21/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93601 Sequence 1
Computer Entry Date 20/06/1994
Date Reported 14/06/1994
Age : 22 YEARS Sex FEMALE Height 165
Weight Date Of Onset 22/03/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
Description : COULD NOT LIFT ARM, AND MUSCLE WAS SORE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 DF
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 21/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93602 Sequence 1
Computer Entry Date 20/06/1994
Date Reported 14/06/1994
Age : 22 YEARS Sex FEMALE Height 167
Weight Date Of Onset 21/03/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
Description : ACHING ARM
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 DF
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 21/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93610 Sequence 1
Computer Entry Date 20/06/1994
Date Reported 08/06/1994
Age : 36 YEARS Sex MALE Height
Weight Date Of Onset 00/12/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
THERAPEUTIC INEFFICACY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ZIDOVUDINE O 600.0 MG
DAILY
ICD Code : HIV INFECTION
ZALCITABINE O TABLET 75.0 MG
DAILY PER ORAL
ICD Code : HIV INFECTION
0Laboratory Data
===============
BIOCHEMISTRY BILIRUBIN
Lab Normal Range :
013/12/1993
40 UMOL/L
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY SAP = ALP
Lab Normal Range :
013/12/1993
190 U/L
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY GGT = SGGT = GGTP
Lab Normal Range :
013/12/1993
284 U/L
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY AST = SGOT
Lab Normal Range :
013/12/1993
1582 U/L
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY ALT = SGPT
Lab Normal Range :
013/12/1993
3648 U/L
1ADP016P5
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93610 Sequence 1 (Continued)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
IMMUNOLOGY HEPATITIS B ANTIBODY
Lab Normal Range :
015/10/1993 13/12/1993
114 POSITIVE
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93625 Sequence 1
Computer Entry Date 20/06/1994
Date Reported 10/06/1994
Age : 15 YEARS Sex MALE Height 181
Weight 61 Date Of Onset 07/06/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE
Included Term : FAINTED
CONVULSIONS
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/06/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93641 Sequence 1
Computer Entry Date 21/06/1994
Date Reported 10/06/1994
Age : 46 YEARS Sex FEMALE Height 165
Weight 75 Date Of Onset 18/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE
ARTHRALGIA
HYPERAESTHESIA
DIZZINESS
CHEST PAIN
SKIN ODOR ABNORMAL
Included Term : BODY ODOUR
ABDOMINAL PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93681 Sequence 1
Computer Entry Date 21/06/1994
Date Reported 09/06/1994
Age : 58 YEARS Sex FEMALE Height 150
Weight 50 Date Of Onset 10/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SWEATING INCREASED
Description : NIGHT SWEATS.
DEPRESSION
ANOREXIA
Included Term : APPETITE DECREASED
FATIGUE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
AMPRACE O TABLET 20.0 MG
DAILY PER ORAL
ICD Code : ESSENTIAL BENIGN HYPERTENSION
PROTHIADEN O CAPSULE 50.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/01/1993
ICD Code : DEPRESSION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93711 Sequence 1
Computer Entry Date 22/06/1994
Date Reported 16/06/1994
Age : 9 YEARS Sex FEMALE Height
Weight Date Of Onset 06/06/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE
Included Term : COLLAPSE TRANSIENT
DIZZINESS
OPISTHOTONOS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 06/06/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93789 Sequence 1
Computer Entry Date 24/06/1994
Date Reported 20/06/1994
Age : 22 YEARS Sex FEMALE Height 164
Weight 79 Date Of Onset 06/06/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
ERYTHROMYCIN 250 MG. QID.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S INJECTION 1.0 DF
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 06/06/1994 AND CEASED 06/06/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93798 Sequence 1
Computer Entry Date 27/06/1994
Date Reported 20/06/1994
Age Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : LGE DIFFUSE AREA INDURATION/TENDERNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93807 Sequence 1
Computer Entry Date 27/06/1994
Date Reported 20/06/1994
Age : 33 YEARS Sex FEMALE Height 160
Weight 55 Date Of Onset 16/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
ANTIHISTAMINE
Description : RASH ON NAPE, L&R SHOULDERS & L WRIST
PRURITUS
Included Term : ITCHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93820 Sequence 1
Computer Entry Date 27/06/1994
Date Reported 20/06/1994
Age : 22 YEARS Sex FEMALE Height 159
Weight 74 Date Of Onset 06/06/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
ERYTHROMYCIN 250 MG QI.D.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S INJECTION 1.0 DF
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 06/06/1994 AND CEASED 06/06/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93844 Sequence 1
Computer Entry Date 28/06/1994
Date Reported 22/06/1994
Age : 57 YEARS Sex FEMALE Height
Weight 70 Date Of Onset 02/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 12/04/1994 AND CEASED 12/04/1994
ICD Code : PROPHYLAXIS
BACTRIM DS O TABLET 2.0 DF
DAILY PER ORAL
ICD Code : COUGH
EUHYPNOS O CAPSULE
AS NECESSARY PER ORAL
LONG TERM
PANADEINE O
AS NECESSARY
LONG TERM
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93861 Sequence 1
Computer Entry Date 28/06/1994
Date Reported 22/06/1994
Age : 8 YEARS Sex MALE Height
Weight Date Of Onset 15/06/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 7.0 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 14/06/1994 AND CEASED 14/06/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93885 Sequence 1
Computer Entry Date 28/06/1994
Date Reported 24/06/1994
Age Sex FEMALE Height 163
Weight 75 Date Of Onset 01/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
Description : PITYRIASIS RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93926 Sequence 1
Computer Entry Date 30/06/1994
Date Reported 24/06/1994
Age : 11 MONTHS Sex MALE Height
Weight Date Of Onset 03/06/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MENINGITIS GIVEN
RIFAMPICIN FOR PROPHYLAXIS AFTER EPISODE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 1.0 DF
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 1.0 DF
PER ORAL
DRUG ADMINISTRATION BEGAN 00/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93928 Sequence 1
Computer Entry Date 30/06/1994
Date Reported 24/06/1994
Age : 7 MONTHS Sex MALE Height
Weight Date Of Onset 03/06/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MENINGITIS AMOXIL;
CEFOTAXIME IV; PENICILLIN IV.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/04/1993 AND CEASED 26/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY
Lab Normal Range :
0 VIRTUALLY NO IMMUNE RESPONSE TO DIPHTHERIAE DESPITE TWO DTP VACCINATIONS BUT A
VERY GOOD IMMUNE RESPONSE TO TETANUS.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93932 Sequence 1
Computer Entry Date 30/06/1994
Date Reported 27/06/1994
Age Sex FEMALE Height
Weight Date Of Onset 22/03/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LARYNX OEDEMA
Included Term : GLOTTIC OEDEMA
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 22/03/1994 AND CEASED 22/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93985 Sequence 1
Computer Entry Date 05/07/1994
Date Reported 16/06/1994
Age : 22 YEARS Sex FEMALE Height 159
Weight 74 Date Of Onset 06/06/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
ERYTHROMYCIN 250MG QID.
Description : ARM WAS RED AND SORE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S INJECTION 1.0 DF
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 06/06/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 93987 Sequence 1
Computer Entry Date 05/07/1994
Date Reported 16/06/1994
Age : 22 YEARS Sex FEMALE Height 164
Weight 79 Date Of Onset 06/06/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
ERYTHROMYCIN 250MG QID.
Description : ARM BECAME RED AND SORE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S INJECTION 1.0 DF
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 06/06/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 94010 Sequence 1
Computer Entry Date 05/07/1994
Date Reported 29/06/1994
Age : 70 YEARS Sex FEMALE Height 160
Weight 70 Date Of Onset 23/06/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
AMNESIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/06/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PNEUMOVAX 23 S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/06/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PULMICORT O INHALANT
INHALATION
LASIX O
VENTOLIN O
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 94039 Sequence 1
Computer Entry Date 05/07/1994
Date Reported 28/06/1994
Age : 19 YEARS Sex MALE Height 170
Weight 70 Date Of Onset 00/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INFLUENZA-LIKE SYMPTOMS ORAL
ANTIBIOTICS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MENCEVAX AC S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 94040 Sequence 1
Computer Entry Date 06/07/1994
Date Reported 28/06/1994
Age : 23 YEARS Sex MALE Height 165
Weight 65 Date Of Onset 00/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INFLUENZA-LIKE SYMPTOMS
PARENTERAL ANTIBIOTICS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MENCEVAX AC S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 94248 Sequence 1
Computer Entry Date 13/07/1994
Date Reported 08/07/1994
Age : 43 YEARS Sex FEMALE Height 178
Weight 80 Date Of Onset 18/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 94310 Sequence 1
Computer Entry Date 14/07/1994
Date Reported 11/07/1994
Age : 36 YEARS Sex MALE Height
Weight Date Of Onset 18/09/1989
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE
Description : CHRONIC FATIGUE SYNDROME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 17/09/1989
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 94331 Sequence 1
Computer Entry Date 15/07/1994
Date Reported 11/07/1994
Age : 7 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SKIN DISCOLOURATION
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 11/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PEDVAXHIB S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 94333 Sequence 1
Computer Entry Date 15/07/1994
Date Reported 11/07/1994
Age Code AD - Adult Sex FEMALE Height
Weight Date Of Onset 10/06/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : LARGE INDURATED AREA 6CM X 9CM.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/06/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 94398 Sequence 1
Computer Entry Date 19/07/1994
Date Reported 14/07/1994
Age : 40 YEARS Sex FEMALE Height
Weight Date Of Onset 10/07/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Description : FEVER TO 40 C DEGREE.
UPPER RESP TRACT INFECTION
Included Term : UPPER RESPIRATORY TRACT INFECTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/07/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 94440 Sequence 1
Computer Entry Date 22/07/1994
Date Reported 18/07/1994
Age : 11 WEEKS Sex FEMALE Height 59
Weight 6 Date Of Onset 23/06/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : AREA RED SWOLLEN
SKIN DISCOLOURATION
Description : AREA DISCOLOURED PURPLE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 23/06/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/06/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 94468 Sequence 1
Computer Entry Date 22/07/1994
Date Reported 19/07/1994
Age : 26 YEARS Sex MALE Height
Weight Date Of Onset 15/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE
PHENERGAN
Included Term : LETHARGY
PALPITATION
DYSPNOEA
Included Term : BREATH SHORTNESS
NAUSEA
DIZZINESS
HEADACHE
DYSURIA
Description : DIFFICULTY VOIDING
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHOID VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/02/1994 AND CEASED 14/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/02/1994 AND CEASED 14/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 94513 Sequence 1
Computer Entry Date 26/07/1994
Date Reported 22/07/1994
Age : 12 MONTHS Sex MALE Height
Weight 9 Date Of Onset 19/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PARACETAMOL
LEUKOCYTOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 5.0 ML
5 TIMES INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/05/1993 AND CEASED 13/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/05/1994 AND CEASED 13/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
EMLA CREAM S OINTMENT 1.0 DF
1 TIME TOPICAL
DRUG ADMINISTRATION BEGAN 13/05/1994 AND CEASED 13/05/1994
ICD Code : OTHER DISTURBANCE OF SENSATION
PANADOL S 720.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 13/05/1994 AND CEASED 14/05/1994
ICD Code : PROPHYLAXIS
0Laboratory Data
===============
HAEMATOLOGY WHITE BLOOD CELLS
Lab Normal Range : (6-15)
019/05/1994
30
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
HAEMATOLOGY NEUTROPHILS
Lab Normal Range : (25-46)
019/05/1994
51
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 94535 Sequence 1
Computer Entry Date 27/07/1994
Date Reported 26/07/1994
Age : 12 WEEKS Sex MALE Height 50
Weight 6 Date Of Onset 06/07/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
FEVER
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/07/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/07/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 06/07/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 94543 Sequence 1
Computer Entry Date 27/07/1994
Date Reported 26/07/1994
Age : 15 MONTHS Sex Height
Weight Date Of Onset 19/07/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
THERAPEUTIC INEFFICACY AMOXIL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 0.5 ML
2 TIMES INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/11/1993 AND CEASED 24/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
MICROBIOLOGY
Lab Normal Range :
0 H. INFUENZAE B CULTIVATED.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : DEATH, MAYBE DRUG
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 94650 Sequence 1
Computer Entry Date 02/08/1994
Date Reported 28/07/1994
Age : 23 YEARS Sex FEMALE Height
Weight Date Of Onset 00/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE
Included Term : LETHARGY
NAUSEA
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 94661 Sequence 1
Computer Entry Date 03/08/1994
Date Reported 29/07/1994
Age : 2 YEARS Sex FEMALE Height
Weight Date Of Onset 00/10/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CHILDHOOD DISINTEGRATIVE DISORDER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PROHIBIT S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 01/10/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 94674 Sequence 1
Computer Entry Date 03/08/1994
Date Reported 29/07/1994
Age : 1 YEARS Sex FEMALE Height
Weight Date Of Onset 06/06/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
UPPER RESP TRACT INFECTION
AMPICILLIN, AMOXIL.
Included Term : UPPER RESPIRATORY TRACT INFECTION
BRONCHOSPASM
Included Term : WHEEZING EXPIRATORY
FEVER
LEUKOCYTOSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/06/1994
ICD Code : PROPHYLAXIS
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/06/1994
ICD Code : PROPHYLAXIS
PARACETAMOL S 600.0 MG
AS NECESSARY
DRUG ADMINISTRATION BEGAN 01/06/1994 AND CEASED 02/06/1994
ICD Code : PYREXIA OF UNKNOWN ORIGIN
EMLA CREAM S OINTMENT
TOPICAL
DRUG ADMINISTRATION BEGAN 01/06/1994
ICD Code : OTHER DISTURBANCE OF SENSATION
0Laboratory Data
===============
RADIOLOGY CHEST X-RAY
Lab Normal Range :
0 CHEST X-RAY - 6/6/94 DEMONSTRATED THAT THE LUNGS WERE DIFFUSELY ABNORMAL WITH
WIDESPREAD INCREASE IN OPPACITY IN THE LINGULA ON THE LEFT. THIS MAY REPRESENT
SOME SUBSEGMENTAL ATELECTASIS OR A FOCAL AREA OF CONSOLIDATION. ANOTHER CHEST
X-RAY ON 10/6/94 SHOWED THAT THE LARGE AREAS OF PATCHY OPACIFICATION HAVE
LARGELY RESOLVED. PRESUMABLY THESE REPRESENT AREAS OF SUBSEQUENT ATELECTASIS.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 94735 Sequence 1
Computer Entry Date 04/08/1994
Date Reported 29/07/1994
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
FLUSHING
VISION ABNORMAL
Included Term : VISION BLURRED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 94788 Sequence 1
Computer Entry Date 08/08/1994
Date Reported 02/08/1994
Age : 49 YEARS Sex FEMALE Height 180
Weight 72 Date Of Onset 30/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : SWELLING OF UPPER ARM TO BELOW ELBOW.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 0.5 MG
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 29/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PROVELLE-14 O PER ORAL
PER ORAL
DRUG ADMINISTRATION BEGAN 00/03/1994
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 94900 Sequence 1
Computer Entry Date 16/08/1994
Date Reported 09/08/1994
Age : 5 MONTHS Sex MALE Height
Weight 4 Date Of Onset 08/03/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA PANADOL
Description : SWOLLEN LEFT THIGH AND KNEE
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 94902 Sequence 1
Computer Entry Date 16/08/1994
Date Reported 09/08/1994
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 02/06/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA PANADOL
NERVOUSNESS
Included Term : IRRITABILITY
AGITATION
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/06/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 94903 Sequence 1
Computer Entry Date 16/08/1994
Date Reported 09/08/1994
Age : 2 MONTHS Sex MALE Height
Weight 5 Date Of Onset 15/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA PANADOL,
ICE PACKS AND COOL BATHS
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 94905 Sequence 1
Computer Entry Date 16/08/1994
Date Reported 09/08/1994
Age : 4 MONTHS Sex MALE Height
Weight 6 Date Of Onset 26/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING PANQUIL
INJECTION SITE REACTION
Description : RED SWOLLEN LUMP RIGHT LEG
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 94906 Sequence 1
Computer Entry Date 16/08/1994
Date Reported 09/08/1994
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 28/07/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA PANADOL,
ANTIHISTAMINE AND ICE PACK
FEVER
Description : 37-38 DEGREES
URTICARIA
Included Term : WHEALS
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/07/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 94966 Sequence 1
Computer Entry Date 17/08/1994
Date Reported 10/08/1994
Age : 68 YEARS Sex MALE Height 183
Weight 60 Date Of Onset 07/08/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
Description : RAISED RED WELTS ON ARM.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/08/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 94993 Sequence 1
Computer Entry Date 18/08/1994
Date Reported 11/08/1994
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 26/07/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PURPURA
Description : PURPURA ON LEG FROM KNEE TO HIP.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/07/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 95090 Sequence 1
Computer Entry Date 22/08/1994
Date Reported 16/08/1994
Age : 8 WEEKS Sex MALE Height
Weight Date Of Onset 05/08/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR
SOMNOLENCE
Included Term : SLEEPINESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/08/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S DROPS 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 05/08/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 95097 Sequence 1
Computer Entry Date 22/08/1994
Date Reported 17/08/1994
Age : 24 YEARS Sex FEMALE Height
Weight Date Of Onset 01/08/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
RASH
Description : RASH ON BACK, FRONT, INSIDE OF THIGHS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/07/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 95135 Sequence 1
Computer Entry Date 23/08/1994
Date Reported 18/08/1994
Age : 28 YEARS Sex FEMALE Height 185
Weight 60 Date Of Onset 12/08/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
INJECTION SITE REACTION
Description : SWELLING AND PAIN AT SITE OF INJECTION.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/08/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 95182 Sequence 1
Computer Entry Date 24/08/1994
Date Reported 18/08/1994
Age : 8 MONTHS Sex MALE Height 66
Weight 7 Date Of Onset 28/07/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING TEMPRA
AGITATION
Included Term : RESTLESSNESS MARKED
CRYING ABNORMAL
FEVER
Included Term : FEBRILE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/07/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 95196 Sequence 1
Computer Entry Date 24/08/1994
Date Reported 15/08/1994
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION
SYSTEMIC
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 95197 Sequence 1
Computer Entry Date 24/08/1994
Date Reported 15/08/1994
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION
SYSTEMIC
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 95198 Sequence 1
Computer Entry Date 24/08/1994
Date Reported 15/08/1994
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION
SYSTEMIC
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 95233 Sequence 1
Computer Entry Date 26/08/1994
Date Reported 22/08/1994
Age : 23 YEARS Sex MALE Height
Weight Date Of Onset 25/07/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
Included Term : HIVES
FACE OEDEMA
Included Term : LIP OEDEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/07/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ANAFRANIL O
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 95237 Sequence 1
Computer Entry Date 26/08/1994
Date Reported 22/08/1994
Age : 25 YEARS Sex FEMALE Height
Weight Date Of Onset 21/07/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
LYMPHADENOPATHY
Description : NODAL
FATIGUE
Included Term : TIREDNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RABIES VACCINE-MERIEUX S INJECTION 0.1 ML
2 TIMES INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 13/07/1994 AND CEASED 04/08/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 95240 Sequence 1
Computer Entry Date 26/08/1994
Date Reported 22/08/1994
Age : 5 MONTHS Sex FEMALE Height
Weight Date Of Onset 03/08/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SEPSIS IV
CEFOTAXIME
Included Term : SEPTICAEMIA
THERAPEUTIC INEFFICACY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 29/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HAEMOPHILUS INFLUENZAE TYPE B VACCI S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 23/06/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 95252 Sequence 1
Computer Entry Date 29/08/1994
Date Reported 23/08/1994
Age : 20 MONTHS Sex FEMALE Height
Weight Date Of Onset 16/08/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SUDDEN INFANT DEATH SYNDROME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/08/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : DEATH AS REACTION
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 95398 Sequence 1
Computer Entry Date 06/09/1994
Date Reported 30/08/1994
Age : 4 MONTHS Sex MALE Height
Weight 7 Date Of Onset 18/08/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL,
OBSERVED AT CASUALTY FOR 5 HOURS.
FEVER
CYANOSIS
Description : CHILD GRAY COLOUR.
RIGORS
Included Term : SHIVERING
RESPIRATORY DISORDER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/08/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 95437 Sequence 1
Computer Entry Date 06/09/1994
Date Reported 31/08/1994
Age : 6 MONTHS Sex MALE Height
Weight 7 Date Of Onset 19/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 95458 Sequence 1
Computer Entry Date 08/09/1994
Date Reported 02/08/1994
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 30/07/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
COUGHING
RHINITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/05/1994 AND CEASED 26/06/1994
ICD Code : PROPHYLAXIS
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 95584 Sequence 1
Computer Entry Date 13/09/1994
Date Reported 01/09/1994
Age : 20 MONTHS Sex MALE Height
Weight Date Of Onset 17/08/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/08/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 95598 Sequence 1
Computer Entry Date 13/09/1994
Date Reported 02/09/1994
Age : 42 YEARS Sex MALE Height 170
Weight 76 Date Of Onset 18/08/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FACE OEDEMA
OEDEMA PERIPHERAL
Description : SLIGHT SWELLING AROUND FINGERS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/08/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
VISKEN O 10.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 00/00/1990
ICD Code : ESSENTIAL BENIGN HYPERTENSION
VOLTAREN O 100.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 00/00/1992
ICD Code : SCIATICA
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 95600 Sequence 1
Computer Entry Date 13/09/1994
Date Reported 02/09/1994
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 14/08/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MENINGITIS IV
CEFTRIAXONE
THERAPEUTIC INEFFICACY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/07/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPLE ANTIGEN O INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/07/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O DROPS 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 15/07/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 95653 Sequence 1
Computer Entry Date 15/09/1994
Date Reported 05/09/1994
Age : 46 YEARS Sex FEMALE Height 155
Weight 52 Date Of Onset 00/03/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DILANTIN S PER ORAL 260.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/00/1982 AND CONTINUED
ICD Code : OTHER&UNSPECIFIED EPILEPSY
ENGERIX B S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 95765 Sequence 1
Computer Entry Date 20/09/1994
Date Reported 07/09/1994
Age : 10 MONTHS Sex MALE Height
Weight Date Of Onset 25/06/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
THERAPEUTIC INEFFICACY
ANTIBIOTICS.
MENINGITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/10/1993
PEDVAXHIB S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/12/1993
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 95810 Sequence 1
Computer Entry Date 21/09/1994
Date Reported 09/09/1994
Age : 11 YEARS Sex FEMALE Height 140
Weight 40 Date Of Onset 02/09/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS
PARACETAMOL
Description : ARTHRITIS OF LEFT STERNO-CLAVICULAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 23/08/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 95844 Sequence 1
Computer Entry Date 22/09/1994
Date Reported 12/09/1994
Age : 13 MONTHS Sex MALE Height 74
Weight 10 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MEASLES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/08/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 95851 Sequence 1
Computer Entry Date 23/09/1994
Date Reported 22/06/1994
Age : 57 YEARS Sex FEMALE Height
Weight 70 Date Of Onset 02/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 12/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
BACTRIM O PER ORAL 2.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 20/04/1994
ICD Code : COUGH
EUHYPNOS O CAPSULE
AS NECESSARY PER ORAL
LONG TERM
PANADEINE O PER ORAL
AS NECESSARY PER ORAL
LONG TERM
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 95879 Sequence 1
Computer Entry Date 26/09/1994
Date Reported 14/09/1994
Age : 49 YEARS Sex MALE Height
Weight Date Of Onset 18/08/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
Description : RASH OVER FACE AND FOREHEAD
PAIN
Description : PELVIC PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE INTRAVESICAL S INJECTION 5.0 DF
TOTAL INTRAVESICAL
DRUG ADMINISTRATION BEGAN 28/07/1994 AND CEASED 18/08/1994
ICD Code : OTHER MALIG N NO SPEC OF SITE
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 95883 Sequence 1
Computer Entry Date 26/09/1994
Date Reported 13/09/1994
Age : 9 YEARS Sex FEMALE Height
Weight Date Of Onset 01/09/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
FEVER
MALAISE
Included Term : FEELING UNWELL
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 31/08/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 95891 Sequence 1
Computer Entry Date 26/09/1994
Date Reported 16/09/1994
Age : 43 YEARS Sex MALE Height 179
Weight 100 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
Included Term : JOINT ACHE
MYALGIA
Included Term : MUSCLE ACHE
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/05/1994 AND CEASED 29/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 95906 Sequence 1
Computer Entry Date 27/09/1994
Date Reported 19/09/1994
Age : 40 YEARS Sex FEMALE Height 168
Weight 55 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
OEDEMA
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION
INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 95918 Sequence 1
Computer Entry Date 27/09/1994
Date Reported 15/09/1994
Age : 18 MONTHS Sex MALE Height
Weight 10 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
RESPIRATORY DISORDER
Description : RAPID BREATHING
TACHYCARDIA
PALLOR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 95930 Sequence 1
Computer Entry Date 27/09/1994
Date Reported 16/09/1994
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 95939 Sequence 1
Computer Entry Date 28/09/1994
Date Reported 16/09/1994
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : FEBRILE REACTION
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96004 Sequence 1
Computer Entry Date 29/09/1994
Date Reported 22/09/1994
Age Code A2 - Twenties Sex FEMALE Height
Weight Date Of Onset 21/06/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS OXYGEN
VIA MASK
DYSPHAGIA
Included Term : SWALLOWING DIFFICULT
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 21/06/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96009 Sequence 1
Computer Entry Date 29/09/1994
Date Reported 22/09/1994
Age : 44 YEARS Sex MALE Height
Weight Date Of Onset 10/09/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
RIGORS
Included Term : SHIVERING
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/09/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96013 Sequence 1
Computer Entry Date 30/09/1994
Date Reported 22/09/1994
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 18/09/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR
Description : BLANCLING OF LIPS AND TONGUE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S
PANADOL S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96025 Sequence 1
Computer Entry Date 30/09/1994
Date Reported 22/09/1994
Age : 18 WEEKS Sex FEMALE Height
Weight 5 Date Of Onset 24/08/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
AND BATHING.
VOMITING
CRYING ABNORMAL
Included Term : SCREAMING
INJECTION SITE REACTION
Description : SWOLLEN LEG FROM ANKLE TO GROIN.
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/08/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96050 Sequence 1
Computer Entry Date 30/09/1994
Date Reported 23/09/1994
Age Sex MALE Height
Weight Date Of Onset 25/02/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
DRUG ADMINISTRATION BEGAN 24/02/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96067 Sequence 1
Computer Entry Date 30/09/1994
Date Reported 26/09/1994
Age : 17 WEEKS Sex FEMALE Height 60
Weight 5 Date Of Onset 11/08/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : RED INJECTION SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/08/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96080 Sequence 1
Computer Entry Date 04/10/1994
Date Reported 26/09/1994
Age : 32 YEARS Sex FEMALE Height
Weight Date Of Onset 11/09/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/09/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96087 Sequence 1
Computer Entry Date 04/10/1994
Date Reported 27/09/1994
Age : 81 YEARS Sex FEMALE Height 158
Weight 74 Date Of Onset 00/03/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PSORIASIS
PREDNISONE, DARK ROOM AND BETNOVATE CREAM
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 00/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
AGON S TABLET 15.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/06/1993 AND CEASED 27/04/1994
ICD Code : ESSENTIAL BENIGN HYPERTENSION
TRITACE S CAPSULE 10.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/03/1993 AND CEASED 27/04/1994
ICD Code : ESSENTIAL BENIGN HYPERTENSION
SOLPRIN O TABLET 150.0 MG
DAILY PER ORAL
LONG TERM
OROXINE O TABLET 75.0 RG
DAILY PER ORAL
LONG TERM
ICD Code : MYXEDEMA
DYMADON O PER ORAL 500.0 MG
AS NECESSARY PER ORAL
LONG TERM
ICD Code : PAIN
NORMISON O PER ORAL 10.0 MG
DAILY PER ORAL
LONG TERM
ICD Code : SPECIFIC DISORDERS OF SLEEP
SEREPAX O TABLET 30.0 MG
DAILY PER ORAL
LONG TERM
ICD Code : SPECIFIC DISORDERS OF SLEEP
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96098 Sequence 1
Computer Entry Date 04/10/1994
Date Reported 28/09/1994
Age : 47 YEARS Sex FEMALE Height
Weight Date Of Onset 29/08/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CELLULITIS
Description : CELLULITIS IN ARM AND GROIN
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/08/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96134 Sequence 1
Computer Entry Date 05/10/1994
Date Reported 29/09/1994
Age : 27 YEARS Sex FEMALE Height
Weight Date Of Onset 19/09/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
Included Term : FEELING UNWELL
FEVER
Description : TEMP 38 DEGREES
CELLULITIS
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q VAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/09/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96138 Sequence 1
Computer Entry Date 05/10/1994
Date Reported 29/09/1994
Age : 36 YEARS Sex FEMALE Height
Weight Date Of Onset 17/08/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/08/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96139 Sequence 1
Computer Entry Date 05/10/1994
Date Reported 29/09/1994
Age : 19 YEARS Sex FEMALE Height
Weight Date Of Onset 03/08/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/08/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96140 Sequence 1
Computer Entry Date 05/10/1994
Date Reported 29/09/1994
Age : 30 YEARS Sex FEMALE Height
Weight Date Of Onset 11/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96141 Sequence 1
Computer Entry Date 05/10/1994
Date Reported 29/09/1994
Age : 45 YEARS Sex FEMALE Height
Weight Date Of Onset 17/08/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/08/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96142 Sequence 1
Computer Entry Date 05/10/1994
Date Reported 29/09/1994
Age : 50 YEARS Sex MALE Height
Weight Date Of Onset 15/09/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/09/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96164 Sequence 1
Computer Entry Date 05/10/1994
Date Reported 30/09/1994
Age : 25 YEARS Sex FEMALE Height
Weight Date Of Onset 01/09/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DYSPNOEA
Included Term : BREATH SHORTNESS
FATIGUE
Included Term : LETHARGY
INJECTION SITE PAIN
Description : ACHING ARM
FEVER
NAUSEA
VOMITING
ANOREXIA
HEADACHE
INSOMNIA
Included Term : SLEEP DISTURBED
LYMPHADENOPATHY
Description : PALPABLE TENDER AXILLARY LYMPH NODES.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 01/09/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96271 Sequence 1
Computer Entry Date 13/10/1994
Date Reported 04/10/1994
Age : 72 YEARS Sex MALE Height
Weight Date Of Onset 28/06/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ALLERGIC REACTION
Description : RAISED, HOT, RED, PAINFUL FACE AND (R) CALF
HAEMATURIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE INTRAVESICAL S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 21/06/1994
BCG VACCINE INTRAVESICAL S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 28/06/1994
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96288 Sequence 1
Computer Entry Date 14/10/1994
Date Reported 04/10/1994
Age : 64 YEARS Sex FEMALE Height 158
Weight 80 Date Of Onset 24/09/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
ANTIHISTAMINE ORALLY.
Included Term : ERYTHEMA
PRURITUS
Included Term : ITCHING
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 21/09/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ZANTAC O 15.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 21/09/1994
ICD Code : DIAPH HERN OF ABD CAV W/O OBST
VENTOLIN O 2.0 DF
AS NECESSARY
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96309 Sequence 1
Computer Entry Date 14/10/1994
Date Reported 06/10/1994
Age : 14 MONTHS Sex MALE Height
Weight Date Of Onset 01/10/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ERYTHEMA MULTIFORME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION
INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/09/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96361 Sequence 1
Computer Entry Date 18/10/1994
Date Reported 06/10/1994
Age : 10 WEEKS Sex MALE Height
Weight Date Of Onset 29/06/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 29/06/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S DROPS 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 29/06/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96377 Sequence 1
Computer Entry Date 18/10/1994
Date Reported 06/10/1994
Age : 35 YEARS Sex MALE Height
Weight Date Of Onset 30/09/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 28/09/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96401 Sequence 1
Computer Entry Date 18/10/1994
Date Reported 10/10/1994
Age : 38 YEARS Sex FEMALE Height 165
Weight 55 Date Of Onset 00/07/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ASTHENIA
Included Term : WEAKNESS GENERALIZED
INFLUENZA-LIKE SYMPTOMS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BRONCOSTAT S
DRUG ADMINISTRATION BEGAN 00/06/1993
BECLOFORTE O INHALANT
INHALATION
ICD Code : ASTHMA
VENTOLIN O
ICD Code : ASTHMA
NUELIN O 250.0 MG
DAILY
ICD Code : ASTHMA
PREDNISOLONE O 5.0 MG
DAILY
ICD Code : ASTHMA
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96479 Sequence 1
Computer Entry Date 24/10/1994
Date Reported 13/10/1994
Age : 59 YEARS Sex MALE Height 171
Weight 60 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/08/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96482 Sequence 1
Computer Entry Date 24/10/1994
Date Reported 13/10/1994
Age : 72 YEARS Sex MALE Height
Weight Date Of Onset 28/06/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ALLERGIC REACTION
Description : RAISED RED, HOT AND PAINFUL.
HAEMATURIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE INTRAVESICAL S
DRUG ADMINISTRATION BEGAN 21/06/1994 AND CEASED 28/06/1994
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96508 Sequence 1
Computer Entry Date 25/10/1994
Date Reported 14/10/1994
Age : 13 YEARS Sex FEMALE Height
Weight Date Of Onset 26/09/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RHINITIS
COUGHING
FACE OEDEMA
Included Term : LIP OEDEMA
TONGUE OEDEMA
BRONCHOSPASM
Included Term : WHEEZING EXPIRATORY
DYSPNOEA
Included Term : BREATH SHORTNESS
TACHYCARDIA
LACRIMATION ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 26/09/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96515 Sequence 1
Computer Entry Date 25/10/1994
Date Reported 14/10/1994
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset 06/10/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MUMPS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 26/09/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96518 Sequence 1
Computer Entry Date 25/10/1994
Date Reported 17/10/1994
Age : 18 MONTHS Sex FEMALE Height
Weight Date Of Onset 10/10/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/10/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96555 Sequence 1
Computer Entry Date 25/10/1994
Date Reported 19/10/1994
Age : 7 MONTHS Sex FEMALE Height
Weight 8 Date Of Onset 21/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR PANADOL
CYANOSIS
HYPOTONIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 21/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 21/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HAEMOPHILUS INFLUENZAE TYPE B VACCI S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 21/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96601 Sequence 1
Computer Entry Date 27/10/1994
Date Reported 21/10/1994
Age : 12 MONTHS Sex MALE Height 67
Weight 9 Date Of Onset 12/10/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/10/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96629 Sequence 1
Computer Entry Date 28/10/1994
Date Reported 19/10/1994
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset 29/09/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
STUPOR
Description : NO RESPONSE TO VERBAL STIM., EYES GLAZED
TACHYCARDIA
FEVER
RIGORS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 29/09/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96638 Sequence 1
Computer Entry Date 01/11/1994
Date Reported 24/10/1994
Age : 41 YEARS Sex FEMALE Height
Weight Date Of Onset 30/06/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
DIPROSONE, ZADINE, PREDNISONE
PRURITUS
Included Term : ITCHING
ARTHRALGIA
ARTHRITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96652 Sequence 1
Computer Entry Date 01/11/1994
Date Reported 24/10/1994
Age : 18 MONTHS Sex FEMALE Height
Weight 13 Date Of Onset 10/06/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
PHENERGAN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAEMOPHILUS INFLUENZAE TYPE B VACCI S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/06/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96685 Sequence 1
Computer Entry Date 02/11/1994
Date Reported 25/10/1994
Age : 4 YEARS Sex FEMALE Height 108
Weight 27 Date Of Onset 16/10/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 14/10/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HEPATITIS B VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 14/10/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96742 Sequence 1
Computer Entry Date 04/11/1994
Date Reported 31/10/1994
Age : 7 YEARS Sex MALE Height
Weight Date Of Onset 26/10/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHADENOPATHY CERVICAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 24/10/1994 AND CEASED 26/10/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96764 Sequence 1
Computer Entry Date 04/11/1994
Date Reported 31/10/1994
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 27/10/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
PALLOR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/10/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/10/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 27/10/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96775 Sequence 1
Computer Entry Date 04/11/1994
Date Reported 31/10/1994
Age : 16 YEARS Sex MALE Height
Weight Date Of Onset 00/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DERMATITIS LICHENOID TOPICAL
CORTICOSTEROIDS, DIPROSONE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S 1.0 DF
2 TIMES
DRUG ADMINISTRATION BEGAN 00/12/1993 AND CEASED 00/01/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
IMMUNOLOGY ANTINUCLEAR FACTOR = ANA
Lab Normal Range :
0 ANA WAS POSSITIVE BUT ONLY AT A TITRE OF 1:40 (SPECKLED).
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
HISTOLOGY SKIN BIOPSY
Lab Normal Range :
0 A SKIN BIOPSY SHOWED EXTENSIVE LIQUEFACTIVE DEGENERATION OF THE BASCAL LAYER,
PIGMENTARY INCONTINENCE AND CYTOID BODIES IN THE PAPILLARY DERMIS AND A
PERIVASCULER INFILTRATE. THESE FINDINGS WERE CONSISTENT WITH THE DIAGNOSIS OF
A LICHENOID REACTION.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96821 Sequence 1
Computer Entry Date 08/11/1994
Date Reported 31/10/1994
Age : 3 MONTHS Sex FEMALE Height
Weight 4 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
HYDROCORTISONE CREAM.
Included Term : ERYTHEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CISAPRIDE O SYRUP 24.0 ML
DAILY PER ORAL
MOTILIUM O PER ORAL 3.0 MG
DAILY PER ORAL
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96874 Sequence 1
Computer Entry Date 10/11/1994
Date Reported 02/11/1994
Age : 24 YEARS Sex FEMALE Height 163
Weight 50 Date Of Onset 07/10/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S INJECTION 0.1 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/09/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96875 Sequence 1
Computer Entry Date 10/11/1994
Date Reported 02/11/1994
Age : 41 YEARS Sex FEMALE Height 165
Weight 58 Date Of Onset 14/10/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
Description : PAINFUL SHOULDER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S INJECTION 0.1 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/09/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96890 Sequence 1
Computer Entry Date 10/11/1994
Date Reported 02/11/1994
Age : 25 YEARS Sex FEMALE Height 170
Weight 63 Date Of Onset 21/06/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DYSPHAGIA OXYGEN
AND BEDREST
DIZZINESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 21/06/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96956 Sequence 1
Computer Entry Date 14/11/1994
Date Reported 04/11/1994
Age : 24 YEARS Sex FEMALE Height
Weight Date Of Onset 07/10/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
LYMPHADENOPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S INJECTION 0.1 ML
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 16/09/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96957 Sequence 1
Computer Entry Date 14/11/1994
Date Reported 04/11/1994
Age : 41 YEARS Sex FEMALE Height
Weight Date Of Onset 14/10/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
ARTHRALGIA
Description : UNABLE TO LIFT ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE S INJECTION 0.1 ML
1 TIME INTRA-DERMAL
DRUG ADMINISTRATION BEGAN 16/09/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96966 Sequence 1
Computer Entry Date 14/11/1994
Date Reported 08/11/1994
Age : 22 YEARS Sex MALE Height
Weight Date Of Onset 07/10/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DYSPEPSIA
Description : GASTROINTESTINAL UPSET
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96967 Sequence 1
Computer Entry Date 14/11/1994
Date Reported 08/11/1994
Age : 33 YEARS Sex FEMALE Height 168
Weight 80 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME SYSTEMIC
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 96968 Sequence 1
Computer Entry Date 14/11/1994
Date Reported 08/11/1994
Age : 31 YEARS Sex MALE Height 160
Weight 78 Date Of Onset 08/10/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DYSPEPSIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97004 Sequence 1
Computer Entry Date 16/11/1994
Date Reported 09/11/1994
Age : 11 MONTHS Sex FEMALE Height
Weight Date Of Onset 25/10/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
AGGRESSIVE REACTION
RHINITIS
Included Term : NOSE CONGESTION
CRYING ABNORMAL
Included Term : SCREAMING
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 24/10/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97086 Sequence 1
Computer Entry Date 22/11/1994
Date Reported 17/11/1994
Age : 48 YEARS Sex FEMALE Height
Weight Date Of Onset 12/08/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA PERIORBITAL
Description : SWELLING AROUND EYES
ECZEMA
Description : FLARE UP OF ECZEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 11/08/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPHOID VACCINE S INJECTION 0.1 ML
1 TIME INTRAPERITONEAL
DRUG ADMINISTRATION BEGAN 11/08/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97115 Sequence 1
Computer Entry Date 22/11/1994
Date Reported 15/11/1994
Age : 25 YEARS Sex FEMALE Height 155
Weight Date Of Onset 01/11/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
Included Term : ITCHING
RASH MORBILLIFORM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S CAPSULE 1.0 DF
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 31/10/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIQUILAR ED O PILL 1.0 DF
DAILY PER ORAL
ICD Code : CONTRACEPTION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97175 Sequence 1
Computer Entry Date 24/11/1994
Date Reported 18/11/1994
Age : 23 YEARS Sex FEMALE Height 160
Weight 56 Date Of Onset 18/10/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : RED RAISED SWELLING 7 CM X 6 CM.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/10/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97239 Sequence 1
Computer Entry Date 28/11/1994
Date Reported 22/11/1994
Age : 4 YEARS Sex FEMALE Height 104
Weight 16 Date Of Onset 14/11/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
FEVER
FATIGUE
Included Term : LETHARGY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 14/11/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 14/11/1994 AND CEASED 14/11/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97240 Sequence 1
Computer Entry Date 28/11/1994
Date Reported 22/11/1994
Age : 4 YEARS Sex FEMALE Height 104
Weight 16 Date Of Onset 15/11/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 14/11/1994 AND CEASED 14/11/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97252 Sequence 1
Computer Entry Date 28/11/1994
Date Reported 22/11/1994
Age : 23 YEARS Sex MALE Height 175
Weight 60 Date Of Onset 27/09/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
GASTROENTERITIS
Description : GASTROINTESTINAL SYMPTOMS
MICTURITION FREQUENCY
Included Term : URINARY FREQUENCY
DIARRHOEA
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97299 Sequence 1
Computer Entry Date 30/11/1994
Date Reported 24/11/1994
Age : 6 YEARS Sex MALE Height 119
Weight 21 Date Of Onset 25/08/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Description : UP TO 39.3 DEGREES
MENINGITIS-LIKE REACTION
Description : STIFFNESS OF NECK AND HEADACHE
FATIGUE
Included Term : LETHARGY
RASH
PRURITUS
Included Term : ITCHING
MOUTH DRY
Included Term : THROAT DRY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 50.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/08/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:02 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97401 Sequence 1
Computer Entry Date 02/12/1994
Date Reported 28/11/1994
Age : 37 YEARS Sex FEMALE Height 175
Weight 50 Date Of Onset 17/11/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME SYSTEMIC
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97468 Sequence 1
Computer Entry Date 06/12/1994
Date Reported 01/12/1994
Age : 4 YEARS Sex FEMALE Height
Weight Date Of Onset 00/10/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : LOCAL INFLAMMATION, TENDER, PURPLE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 00/10/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97494 Sequence 1
Computer Entry Date 06/12/1994
Date Reported 01/12/1994
Age : 3 MONTHS Sex MALE Height
Weight 7 Date Of Onset 28/11/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONSCIOUSNESS FLUCTUATING
Description : NOT RESPONSIVE
FEVER
Description : TEMP. 38 DEGREES
PALLOR
HYPOTONIA
Description : FLOPPY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/11/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97535 Sequence 1
Computer Entry Date 13/12/1994
Date Reported 05/12/1994
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset 14/11/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
PARACETAMOL
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/11/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97567 Sequence 1
Computer Entry Date 14/12/1994
Date Reported 07/12/1994
Age : 55 YEARS Sex MALE Height
Weight 70 Date Of Onset 00/11/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INFECTION TBC INH,
RIFAMPICIN, ETHAMBUTOL, PYRAZINAMIDE.
FEVER
RIGORS
WEIGHT DECREASE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE INTRAVESICAL S
ICD Code : MALIGNANT NEOPLASM OF BLADDER
0Laboratory Data
===============
HISTOLOGY BONE MARROW BIOPSY
Lab Normal Range :
0 BONE MARROW BIOPSY - GRANULOMA.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97598 Sequence 1
Computer Entry Date 15/12/1994
Date Reported 08/12/1994
Age : 4 YEARS Sex FEMALE Height
Weight Date Of Onset 01/12/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
INJECTION SITE INFLAMMATION
Description : PAIN AND SWELLING IN RIGHT ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 01/12/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97600 Sequence 1
Computer Entry Date 15/12/1994
Date Reported 07/12/1994
Age Sex FEMALE Height
Weight Date Of Onset 08/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPOTONIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97608 Sequence 1
Computer Entry Date 16/12/1994
Date Reported 08/12/1994
Age : 31 YEARS Sex FEMALE Height
Weight Date Of Onset 02/12/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FACE OEDEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S TABLET 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 02/12/1994
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97609 Sequence 1
Computer Entry Date 16/12/1994
Date Reported 08/12/1994
Age : 31 YEARS Sex FEMALE Height
Weight Date Of Onset 04/12/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
TONGUE OEDEMA
NAUSEA
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S TABLET 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 04/12/1994
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97612 Sequence 1
Computer Entry Date 16/12/1994
Date Reported 08/12/1994
Age : 44 YEARS Sex MALE Height
Weight Date Of Onset 00/08/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
CLARATYNE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/08/1994
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97652 Sequence 1
Computer Entry Date 19/12/1994
Date Reported 12/12/1994
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset 05/12/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
FATIGUE
Included Term : TIREDNESS
FEVER
ANOREXIA
SOMNOLENCE
Included Term : SLEEPINESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 05/12/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S SYRUP 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 05/12/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97653 Sequence 1
Computer Entry Date 19/12/1994
Date Reported 12/12/1994
Age : 18 MONTHS Sex FEMALE Height
Weight Date Of Onset 22/11/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS DIAZEPAM
PR,IV.
FEVER
FATIGUE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/11/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97725 Sequence 1
Computer Entry Date 20/12/1994
Date Reported 12/12/1994
Age : 57 YEARS Sex FEMALE Height
Weight Date Of Onset 06/12/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BULLOUS ERUPTION
ANTIHISTAMINE
Included Term : BLISTERS
PRURITUS
Included Term : ITCHING
Description : ITCHING EXTENDING FROM SHOULDER TO ELBOW
INJECTION SITE REACTION
Description : INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 05/12/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TAMOXIFEN CITRATE O TABLET 20.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/00/1988
ICD Code : OTHER MALIG N NO SPEC OF SITE
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97745 Sequence 1
Computer Entry Date 20/12/1994
Date Reported 05/12/1994
Age : 1 YEARS Sex FEMALE Height 82
Weight 13 Date Of Onset 12/11/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PURPURA
Included Term : BRUISE
HAEMORRHAGE NOS
Description : ORAL BLEEDING
THROMBOCYTOPENIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 31/10/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
HAEMATOLOGY PLATELETS
Lab Normal Range :
0 PLATELET COUNT 14,000 (14/11/94). PICKED UP RAPIDLY SPONTANEOUSLY. PLATELET
COUNT ROSE TO 140,000 (21/11/94).
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97768 Sequence 1
Computer Entry Date 20/12/1994
Date Reported 13/12/1994
Age : 46 YEARS Sex FEMALE Height
Weight Date Of Onset 30/11/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ABDOMINAL PAIN
TINNITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/11/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97776 Sequence 1
Computer Entry Date 20/12/1994
Date Reported 13/12/1994
Age : 8 MONTHS Sex MALE Height
Weight 9 Date Of Onset 19/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
AND OBSERVATION.
Included Term : FEBRILE REACTION
CONVULSIONS
PALLOR
VOMITING
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 19/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HAEMOPHILUS INFLUENZAE TYPE B VACCI S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 19/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97795 Sequence 1
Computer Entry Date 21/12/1994
Date Reported 06/12/1994
Age : 29 YEARS Sex MALE Height
Weight Date Of Onset 30/11/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
MYALGIA
RENAL PAIN
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/11/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97816 Sequence 1
Computer Entry Date 21/12/1994
Date Reported 13/12/1994
Age : 22 MONTHS Sex MALE Height
Weight Date Of Onset 08/12/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVA INCREASED
PARACETAMOL RECTAL.
Description : FROTHING
VOMITING
FEVER
RIGORS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/12/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97840 Sequence 1
Computer Entry Date 23/12/1994
Date Reported 14/12/1994
Age : 39 YEARS Sex MALE Height 180
Weight Date Of Onset 08/11/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONJUNCTIVITIS
Description : RED ITCHY EYES
OEDEMA PERIORBITAL
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/11/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97847 Sequence 1
Computer Entry Date 23/12/1994
Date Reported 16/12/1994
Age : 39 YEARS Sex MALE Height
Weight Date Of Onset 08/11/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
OEDEMA PERIORBITAL
Included Term : PERIORBITAL OEDEMA
MALAISE
CONJUNCTIVITIS
Description : RED ITCHY EYES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/11/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97850 Sequence 1
Computer Entry Date 23/12/1994
Date Reported 14/12/1994
Age Sex FEMALE Height
Weight Date Of Onset 23/11/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MENINGITIS
THERAPEUTIC INEFFICACY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 09/06/1994 AND CEASED 09/06/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 19/08/1994 AND CEASED 19/08/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 10/10/1994 AND CEASED 10/10/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97857 Sequence 1
Computer Entry Date 03/01/1995
Date Reported 16/12/1994
Age : 44 YEARS Sex FEMALE Height 168
Weight 60 Date Of Onset 09/12/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHROSIS
Description : SWELLING OF KNEES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/12/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HEPATITIS A VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/12/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPH-VAX S PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 09/12/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
MENCEVAX AC S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/12/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
POLIOMYELITIS VIRUS VACCINE S SYRUP 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 09/12/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97912 Sequence 1
Computer Entry Date 04/01/1995
Date Reported 19/12/1994
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset 14/12/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
FATIGUE
Included Term : LETHARGY
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/12/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
POLIOMYELITIS VIRUS VACCINE O DROPS 2.0 ML
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 13/12/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PANADOL O SYRUP
PER ORAL
DRUG ADMINISTRATION BEGAN 13/12/1994
ICD Code : PAIN
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97918 Sequence 1
Computer Entry Date 04/01/1995
Date Reported 19/12/1994
Age : 64 YEARS Sex FEMALE Height 152
Weight 65 Date Of Onset 25/09/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
ANTIHISTAMINE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/09/1994 AND CEASED 22/09/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97940 Sequence 1
Computer Entry Date 05/01/1995
Date Reported 19/12/1994
Age : 48 YEARS Sex FEMALE Height 160
Weight 68 Date Of Onset 04/07/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
MYALGIA
FATIGUE
Included Term : LETHARGY
HEPATIC FUNCTION ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/06/1994 AND CEASED 07/06/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
FLUVAX S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 07/06/1994 AND CEASED 07/06/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
BIOCHEMISTRY SAP = ALP
Lab Normal Range : (30-120)U/L(20-95)*
020/07/1994 04/08/1994 21/10/1994 18/11/1994 06/01/1995
135 84 70 69 94*
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY GGT = SGGT = GGTP
Lab Normal Range : (5-35)U/L_(5-65)*
020/07/1994 04/08/1994 21/10/1994 18/11/1994 06/01/1995
294 149 84 78 112
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY AST = SGOT
Lab Normal Range : (5-45)U/L(5-40)*
020/07/1994 04/08/1994 21/10/1994 18/11/1994 06/01/1995
54 31 54 36 41
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY ALT = SGPT
Lab Normal Range : (5-45)U/L_(5-40)*
020/07/1994 04/08/1994 21/10/1994 18/11/1994 06/01/1995
144 68 105 89 87*
1ADP016P5
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97940 Sequence 1 (Continued)
BIOCHEMISTRY BILIRUBIN
Lab Normal Range : (3-18)UMOL/L(5-17)*
020/07/1994 04/08/1994 21/10/1994 18/11/1994 06/01/1995
11 8 10 9 9*
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97956 Sequence 1
Computer Entry Date 06/01/1995
Date Reported 21/12/1994
Age : 18 MONTHS Sex FEMALE Height
Weight Date Of Onset 22/11/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE DIAZEPAM
PR, IV.
Included Term : LETHARGY
FEVER
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/11/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97975 Sequence 1
Computer Entry Date 06/01/1995
Date Reported 21/12/1994
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 21/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Description : TEMP. 39.5 DEGREES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S DROPS 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 18/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97976 Sequence 1
Computer Entry Date 06/01/1995
Date Reported 21/12/1994
Age : 3 MONTHS Sex MALE Height
Weight Date Of Onset 06/07/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Description : TEMP. 38.4 DEGREES
HYPOTONIA
OCULOGYRIC CRISIS
Description : EYES ROLLED BACK
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/07/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/07/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S DROPS 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 06/07/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97985 Sequence 1
Computer Entry Date 06/01/1995
Date Reported 22/12/1994
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
CRYING ABNORMAL
Included Term : SCREAMING
MUSCLE WEAKNESS
Description : UNWILLING TO MOVE LEFT LEG
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/07/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/07/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S DROPS 1.0 DF
1 TIME PER ORAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97992 Sequence 1
Computer Entry Date 06/01/1995
Date Reported 23/12/1994
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset 02/11/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
FEVER
INJECTION SITE INFLAMMATION
Included Term : INFLAMMATORY OEDEMA REACTION
Description : INFLAMED SWOLLEN L ARM (SHOULDER - ELBOW) & L SIDE
RASH
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/11/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 97993 Sequence 1
Computer Entry Date 06/01/1995
Date Reported 23/12/1994
Age : 3 YEARS Sex FEMALE Height
Weight Date Of Onset 03/11/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
Included Term : INFLAMMATORY OEDEMA REACTION
Description : SWOLLEN, TENDER INFLAMED LEFT UPPER ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/11/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/11/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S DROPS 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 02/11/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98000 Sequence 1
Computer Entry Date 06/01/1995
Date Reported 23/12/1994
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
APATHY
MUSCLE WEAKNESS
Description : UNABLE TO MOVE RIGHT LEG
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/06/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/06/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S DROPS 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 15/06/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98068 Sequence 1
Computer Entry Date 09/01/1995
Date Reported 29/12/1994
Age : 4 YEARS Sex FEMALE Height
Weight 20 Date Of Onset 19/11/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PARACETAMOL, PROMETHAZINE.
NERVOUSNESS
Included Term : IRRITABILITY
INJECTION SITE REACTION
Description : ARM RED AND SWOLLEN.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/11/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98094 Sequence 1
Computer Entry Date 10/01/1995
Date Reported 03/01/1995
Age : 4 YEARS Sex FEMALE Height
Weight 20 Date Of Onset 20/12/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
PARACETAMOL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/12/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98108 Sequence 1
Computer Entry Date 11/01/1995
Date Reported 03/01/1995
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 14/12/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
PALLOR
RIGORS
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/12/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98109 Sequence 1
Computer Entry Date 11/01/1995
Date Reported 03/01/1995
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 11/10/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING PANADOL
PALLOR
HYPOTONIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/10/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98110 Sequence 1
Computer Entry Date 11/01/1995
Date Reported 03/01/1995
Age : 18 MONTHS Sex FEMALE Height
Weight Date Of Onset 30/04/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS PANADOL.
Included Term : IRRITABILITY
FEVER
HYPERTENSION INTRACRANIAL
Included Term : FONTANELLE BULGING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/04/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98111 Sequence 1
Computer Entry Date 11/01/1995
Date Reported 03/01/1995
Age : 8 WEEKS Sex MALE Height 60
Weight 6 Date Of Onset 15/11/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION KEFLEX,
EES.
Description : 5 LARGE BLISTERS ON INJECTION SITE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/11/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER O INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/11/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98161 Sequence 1
Computer Entry Date 13/01/1995
Date Reported 05/01/1995
Age : 2 MONTHS Sex MALE Height 54
Weight 4 Date Of Onset 19/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 19/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 19/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98163 Sequence 1
Computer Entry Date 13/01/1995
Date Reported 05/01/1995
Age Code AB - Baby Sex FEMALE Height 57
Weight 5 Date Of Onset 12/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL,
BATHED.
Description : FEVER 40 DEGRES C.
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 12/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98183 Sequence 1
Computer Entry Date 13/01/1995
Date Reported 06/01/1995
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset 15/11/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
Description : GROSS SWELLING AND ERYTHEMA, PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/11/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98188 Sequence 1
Computer Entry Date 16/01/1995
Date Reported 04/01/1995
Age : 4 YEARS Sex MALE Height
Weight Date Of Onset 20/12/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
Description : PAIN AND LIMP.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 16/12/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98225 Sequence 1
Computer Entry Date 17/01/1995
Date Reported 09/01/1995
Age : 7 MONTHS Sex FEMALE Height 67
Weight 15 Date Of Onset 21/09/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/09/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/09/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S DROPS 2.0 DF
TOTAL PER ORAL
DRUG ADMINISTRATION BEGAN 21/09/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98232 Sequence 1
Computer Entry Date 18/01/1995
Date Reported 10/01/1995
Age : 54 YEARS Sex MALE Height
Weight Date Of Onset 00/07/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/07/1994
ICD Code : PROPHYLAXIS
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98242 Sequence 1
Computer Entry Date 18/01/1995
Date Reported 10/01/1995
Age : 16 MONTHS Sex FEMALE Height
Weight Date Of Onset 03/01/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
RASH MORBILLIFORM
ENANTHEMA
THERAPEUTIC INEFFICACY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 23/12/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98306 Sequence 1
Computer Entry Date 19/01/1995
Date Reported 12/01/1995
Age : 11 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
RASH
Description : RASH AROUND MOUTH AND ELBOWS.
ARTHRALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98326 Sequence 1
Computer Entry Date 23/01/1995
Date Reported 16/01/1995
Age : 38 YEARS Sex FEMALE Height
Weight Date Of Onset 00/11/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
DIZZINESS
VERTIGO
DIARRHOEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/11/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98329 Sequence 1
Computer Entry Date 23/01/1995
Date Reported 16/01/1995
Age : 13 MONTHS Sex FEMALE Height
Weight Date Of Onset 12/01/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA
FEVER
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/01/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98330 Sequence 1
Computer Entry Date 23/01/1995
Date Reported 16/01/1995
Age Sex FEMALE Height
Weight Date Of Onset 06/01/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FLUSHING
RIGORS
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
BCG VACCINE INTRAVESICAL S INJECTION
INTRAVENOUS
DRUG ADMINISTRATION BEGAN 06/01/1995
ICD Code : MALIGNANT NEOPLASM OF BLADDER
RENITEC O
PANADOL O
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98347 Sequence 1
Computer Entry Date 23/01/1995
Date Reported 16/01/1995
Age : 37 YEARS Sex MALE Height 178
Weight 90 Date Of Onset 00/10/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RESPIRATORY DISORDER ORAL
ANTIHISTAMINE
Included Term : TACHYPNOEA
URTICARIA
Description : RASH ON UPPER BODY.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 00/10/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98489 Sequence 1
Computer Entry Date 01/02/1995
Date Reported 24/01/1995
Age : 31 YEARS Sex FEMALE Height 150
Weight 49 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
HEADACHE
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98495 Sequence 1
Computer Entry Date 01/02/1995
Date Reported 23/01/1995
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 17/11/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR
HYPOTONIA
Description : DECREASED TONE
COMA
Description : UNRESPONSIVE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/11/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98503 Sequence 1
Computer Entry Date 01/02/1995
Date Reported 24/01/1995
Age : 61 YEARS Sex MALE Height 178
Weight 76 Date Of Onset 01/01/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
NAUSEA
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98504 Sequence 1
Computer Entry Date 01/02/1995
Date Reported 24/01/1995
Age : 45 YEARS Sex FEMALE Height 165
Weight 78 Date Of Onset 08/12/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
Description : ACHING SHOULDER
INFLUENZA-LIKE SYMPTOMS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/12/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98545 Sequence 1
Computer Entry Date 02/02/1995
Date Reported 30/01/1995
Age : 24 YEARS Sex FEMALE Height 152
Weight 58 Date Of Onset 12/03/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
PANADEINE FORTE
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
VENTOLIN O
BECOTIDE O
TRIQUILAR O
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98584 Sequence 1
Computer Entry Date 03/02/1995
Date Reported 30/01/1995
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ALLERGIC REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98595 Sequence 1
Computer Entry Date 03/02/1995
Date Reported 30/01/1995
Age : 5 YEARS Sex MALE Height 126
Weight 37 Date Of Onset 20/01/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/01/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98598 Sequence 1
Computer Entry Date 03/02/1995
Date Reported 30/01/1995
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 12/01/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPOTONIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 12/01/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98668 Sequence 1
Computer Entry Date 06/02/1995
Date Reported 02/02/1995
Age : 5 MONTHS Sex MALE Height
Weight 9 Date Of Onset 17/01/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 17/01/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98669 Sequence 1
Computer Entry Date 06/02/1995
Date Reported 02/02/1995
Age : 5 MONTHS Sex MALE Height
Weight 9 Date Of Onset 17/01/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
PARACETAMOL, CLONAZEPAM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 17/01/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 17/01/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98670 Sequence 1
Computer Entry Date 06/02/1995
Date Reported 02/02/1995
Age : 7 MONTHS Sex FEMALE Height
Weight Date Of Onset 09/02/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : SUPERFICIAL REDNESS AND SWELLING - 5CM.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 0.5 ML
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 09/02/1994 AND CEASED 09/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 09/02/1994 AND CEASED 09/02/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98671 Sequence 1
Computer Entry Date 06/02/1995
Date Reported 02/02/1995
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 04/09/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH TEMPRA
DROPS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/09/1993 AND CEASED 03/09/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/09/1993 AND CEASED 03/09/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL
PER ORAL
DRUG ADMINISTRATION BEGAN 03/09/1993 AND CEASED 03/09/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98709 Sequence 1
Computer Entry Date 07/02/1995
Date Reported 03/02/1995
Age : 4 YEARS Sex FEMALE Height
Weight Date Of Onset 30/01/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
PHENERGAN, PREDNISOLONE.
Included Term : ITCHING
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 28/01/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
POLIOMYELITIS VIRUS VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 28/01/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98715 Sequence 1
Computer Entry Date 08/02/1995
Date Reported 03/02/1995
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DEATH
Included Term : SUDDEN DEATH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 10/01/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
POLIOMYELITIS VIRUS VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 10/01/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HAEMOPHILUS INFLUENZAE TYPE B VACCI S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 10/01/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : DEATH AS REACTION
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98728 Sequence 1
Computer Entry Date 09/02/1995
Date Reported 06/02/1995
Age Sex MALE Height
Weight Date Of Onset 01/02/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 01/02/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98734 Sequence 1
Computer Entry Date 09/02/1995
Date Reported 06/02/1995
Age : 5 YEARS Sex FEMALE Height
Weight Date Of Onset 27/01/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
VOMITING
ABDOMINAL PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
POLIOMYELITIS VIRUS VACCINE S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ENGERIX B S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98736 Sequence 1
Computer Entry Date 09/02/1995
Date Reported 06/02/1995
Age : 5 YEARS Sex MALE Height
Weight 21 Date Of Onset 30/01/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE
Included Term : LETHARGY
FEVER
INJECTION SITE REACTION
Description : ERYTHEMA/INDURATION OF RIGHT UPPER ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 30/01/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/01/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98752 Sequence 1
Computer Entry Date 10/02/1995
Date Reported 06/02/1995
Age : 64 YEARS Sex FEMALE Height
Weight Date Of Onset 15/01/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHROSIS
Description : BILATERAL EFFUSIONS IN KNEE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
YELLOW FEVER VACCINE S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA AND TETANUS VACCINE ADT S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
FLUVAX S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98756 Sequence 1
Computer Entry Date 10/02/1995
Date Reported 07/02/1995
Age Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
QUADRIPLEGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98765 Sequence 1
Computer Entry Date 10/02/1995
Date Reported 08/02/1995
Age : 5 YEARS Sex MALE Height 110
Weight 18 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
MALAISE
Included Term : FEELING UNWELL
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/01/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98775 Sequence 1
Computer Entry Date 10/02/1995
Date Reported 08/02/1995
Age : 85 YEARS Sex FEMALE Height
Weight Date Of Onset 04/04/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS
DICLOFENAC, PREDNISOLONE
FEVER
VASCULITIS
FATIGUE
Included Term : LETHARGY
MALAISE
Included Term : FEELING UNWELL
RASH
OEDEMA
OEDEMA PERIPHERAL
THROMBOCYTOPENIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 28/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIGOXIN O TABLET 125.0 RG
DAILY PER ORAL
ICD Code : OTR&NOS DISORD OF HEART RHYTHM
FRUSEMIDE O 80.0 MG
DAILY
ICD Code : ESSENTIAL BENIGN HYPERTENSION
SLOW-K O 1.0 DF
DAILY
GLYCERYL TRINITRATE O EXTERNAL 25.0 MG
DAILY TRANSDERMAL
ICD Code : ANGINA PECTORIS W/O HYPERTEN
ALLOPURINOL O PER ORAL 300.0 MG
DAILY PER ORAL
ICD Code : GOUT
ASPIRIN O PER ORAL 150.0 MG
DAILY PER ORAL
0Laboratory Data
===============
HAEMATOLOGY
Lab Normal Range :
0 THROMBOCYTOPENIA 73,000
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
HAEMATOLOGY PLATELETS
Lab Normal Range :
013/04/1994
121
1ADP016P5
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98775 Sequence 1 (Continued)
HAEMATOLOGY
Lab Normal Range :
0 PUNCH BIOPSY OF RIGHT THIGH LESION - LEUKOCYTOCLASTIC VASCULITIS.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98787 Sequence 1
Computer Entry Date 10/02/1995
Date Reported 08/02/1995
Age : 26 YEARS Sex MALE Height
Weight Date Of Onset 22/07/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
POLYURIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/07/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98854 Sequence 1
Computer Entry Date 15/02/1995
Date Reported 09/02/1995
Age : 52 YEARS Sex FEMALE Height
Weight Date Of Onset 31/01/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 31/01/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
AVIL O
DAILY
DRUG ADMINISTRATION BEGAN 00/00/1980
ICD Code : OTR ECZ&DER DUE OTR&UNSP CAUSE
ZOCOR O 10.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 00/00/1990
ICD Code : OTHR&UNSPEC METABOLIC DISEASES
ESTRADERM O 25.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 00/00/1992
ICD Code : MENOPAUSAL SYMPTOMS
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98895 Sequence 1
Computer Entry Date 17/02/1995
Date Reported 13/02/1995
Age : 5 YEARS Sex FEMALE Height
Weight Date Of Onset 08/02/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
TWITCHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/02/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98897 Sequence 1
Computer Entry Date 17/02/1995
Date Reported 10/02/1995
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset 09/12/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL,
TEPID SPONGE.
INJECTION SITE REACTION
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/12/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O DROPS 2.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 09/12/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER O INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/12/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98912 Sequence 1
Computer Entry Date 17/02/1995
Date Reported 13/02/1995
Age Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
Included Term : ITCHING
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98913 Sequence 1
Computer Entry Date 17/02/1995
Date Reported 13/02/1995
Age : 10 YEARS Sex MALE Height
Weight Date Of Onset 07/06/1990
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : LOCAL SWELLING AND DISCOMFORT AT INJ SITE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/06/1990
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98917 Sequence 1
Computer Entry Date 20/02/1995
Date Reported 13/02/1995
Age : 6 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98923 Sequence 1
Computer Entry Date 20/02/1995
Date Reported 13/02/1995
Age Sex Height
Weight Date Of Onset 07/12/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE
Included Term : COLLAPSE TRANSIENT
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 07/12/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/12/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/12/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
ELECTROGRAPHICS ELECTROENCEPHALOGRAPHY
Lab Normal Range :
0 ABNORMAL EEG
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98961 Sequence 1
Computer Entry Date 21/02/1995
Date Reported 15/02/1995
Age : 17 YEARS Sex MALE Height 172
Weight 64 Date Of Onset 09/02/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
Description : SWELLING AND REDNESS AT INJECTION SITE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/02/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98988 Sequence 1
Computer Entry Date 21/02/1995
Date Reported 17/02/1995
Age Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98989 Sequence 1
Computer Entry Date 21/02/1995
Date Reported 17/02/1995
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 98990 Sequence 1
Computer Entry Date 21/02/1995
Date Reported 17/02/1995
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
JAPANESE ENCEPHALITIS VACCINE S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99012 Sequence 1
Computer Entry Date 22/02/1995
Date Reported 17/02/1995
Age : 32 YEARS Sex MALE Height
Weight Date Of Onset 06/02/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RIGORS
HEADACHE
SWEATING INCREASED
HEPATIC FUNCTION ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 02/02/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ENGERIX B S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 02/02/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99013 Sequence 1
Computer Entry Date 23/02/1995
Date Reported 17/02/1995
Age : 4 YEARS Sex MALE Height
Weight 16 Date Of Onset 04/02/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FACE OEDEMA
RASH ERYTHEMATOUS
FEVER
NAUSEA
VOMITING
MYALGIA
Description : ACHING ALL OVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RABIES VACCINE NOS S 0.1 ML
1 TIME
DRUG ADMINISTRATION BEGAN 31/01/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
M-M-R II S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 31/01/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 31/01/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99089 Sequence 1
Computer Entry Date 27/02/1995
Date Reported 22/02/1995
Age : 2 MONTHS Sex FEMALE Height
Weight 3 Date Of Onset 08/02/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NYSTAGMUS
HYPOTONIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/12/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HAEMOPHILUS INFLUENZAE TYPE B VACCI S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99104 Sequence 1
Computer Entry Date 27/02/1995
Date Reported 24/02/1995
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset 09/02/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Description : TEMP. 39.5 DEGREES
VOMITING
RIGORS
Included Term : SHIVERING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 09/02/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
POLIOMYELITIS VIRUS VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 09/02/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99116 Sequence 1
Computer Entry Date 28/02/1995
Date Reported 24/02/1995
Age : 35 YEARS Sex MALE Height 178
Weight 74 Date Of Onset 04/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
ABDOMINAL PAIN
Description : STOMACH ACHE
NAUSEA
ANOREXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99158 Sequence 1
Computer Entry Date 03/03/1995
Date Reported 24/02/1995
Age : 27 YEARS Sex FEMALE Height
Weight Date Of Onset 20/02/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
Included Term : FAINTNESS
Description : UNSTEADY
MALAISE
Description : FEELING OF NOT BEING HERSELF
ATAXIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/02/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99189 Sequence 1
Computer Entry Date 06/03/1995
Date Reported 27/02/1995
Age : 5 YEARS Sex MALE Height
Weight 16 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99272 Sequence 1
Computer Entry Date 08/03/1995
Date Reported 28/02/1995
Age : 1 YEARS Sex MALE Height
Weight Date Of Onset 22/11/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FACE OEDEMA
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
COUGHING
RESPIRATORY DISORDER
Description : SHALLOW BREATHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/11/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99273 Sequence 1
Computer Entry Date 08/03/1995
Date Reported 28/02/1995
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 24/01/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/01/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99275 Sequence 1
Computer Entry Date 09/03/1995
Date Reported 02/03/1995
Age : 22 YEARS Sex MALE Height
Weight Date Of Onset 20/02/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH TOPICAL
AND ORAL CORTICOSTEROIDS
ERYTHEMA MULTIFORME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/02/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/02/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99293 Sequence 1
Computer Entry Date 09/03/1995
Date Reported 02/03/1995
Age : 34 YEARS Sex FEMALE Height 170
Weight 60 Date Of Onset 07/02/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE PANADOL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 27/01/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99304 Sequence 1
Computer Entry Date 10/03/1995
Date Reported 03/03/1995
Age : 4 MONTHS Sex FEMALE Height
Weight Date Of Onset 04/01/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANAPHYLACTOID REACTION
ADRENALINE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99338 Sequence 1
Computer Entry Date 10/03/1995
Date Reported 03/03/1995
Age : 6 YEARS Sex FEMALE Height
Weight Date Of Onset 21/02/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
PARACETAMOL AND FLUIDS
FEVER
VOMITING
MYALGIA
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/02/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99377 Sequence 1
Computer Entry Date 15/03/1995
Date Reported 07/03/1995
Age : 20 YEARS Sex FEMALE Height
Weight Date Of Onset 29/11/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
FEVER
RASH ERYTHEMATOUS
PAIN
Included Term : NECK PAIN
Description : STIFF NECK
PHARYNGITIS
Included Term : THROAT SORE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 29/11/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TRIQUILAR ED O
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99401 Sequence 1
Computer Entry Date 15/03/1995
Date Reported 07/03/1995
Age : 40 YEARS Sex FEMALE Height 168
Weight 75 Date Of Onset 16/12/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INFLUENZA-LIKE SYMPTOMS
ARTHRALGIA
FEVER
RASH
Description : HYPERSENSITIVE SKIN REACTIONS.
MALAISE
Included Term : FEELING UNWELL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 10.0 MG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/12/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99410 Sequence 1
Computer Entry Date 15/03/1995
Date Reported 07/03/1995
Age : 4 YEARS Sex FEMALE Height
Weight Date Of Onset 16/02/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
RASH
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/02/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99414 Sequence 1
Computer Entry Date 15/03/1995
Date Reported 07/03/1995
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset 24/01/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
Included Term : WHEALS
Description : WHEALS OVER FACE AND TRUNK.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 23/01/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99426 Sequence 1
Computer Entry Date 15/03/1995
Date Reported 07/03/1995
Age : 1 YEARS Sex MALE Height 74
Weight 9 Date Of Onset 16/12/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
DIARRHOEA
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 15/12/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
MEASLES, MUMPS, RUBELLA VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 15/12/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99427 Sequence 1
Computer Entry Date 15/03/1995
Date Reported 07/03/1995
Age : 2 YEARS Sex FEMALE Height
Weight Date Of Onset 19/01/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
INJECTION SITE INFLAMMATION
Description : SWELLING OF AFFECTED LIMB.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/01/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99428 Sequence 1
Computer Entry Date 15/03/1995
Date Reported 07/03/1995
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset 19/01/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL,
PAINSTOP, MAXOLON.
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/01/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99613 Sequence 1
Computer Entry Date 24/03/1995
Date Reported 13/03/1995
Age : 31 YEARS Sex MALE Height 183
Weight 78 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PURPURA THROMBOCYTOPENIC
Included Term : THROMBOCYTOPENIC PURPURA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S 1.0 DF
2 TIMES
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
HAEMATOLOGY PLATELETS
Lab Normal Range : ( 150-450 )
002/12/1994 10/01/1995 23/02/1995
95 101 96
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
HISTOLOGY BONE MARROW BIOPSY
Lab Normal Range :
002/12/1994 01/01/1995 23/02/1995
0 THE MARROW IS NORMOCELLULAR WITH INCREASED MEGAKARYOCYTES. THE FEATURES ARE
CONSISTENT WITH PERIPHERAL SEQUESTRATION/DESTRUCTION OF PLATELETS, RATHER
THAN FAILURE OF PRODUCTION. IMMUNE MECHANISMS ARE THE MOST PROBABLE CAUSE
(IDIOPATHIC THROMBOCYTOPENIC PURPURA). 23/2/95.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99633 Sequence 1
Computer Entry Date 27/03/1995
Date Reported 16/03/1995
Age : 7 MONTHS Sex MALE Height
Weight Date Of Onset 27/09/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/09/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 27/09/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99688 Sequence 1
Computer Entry Date 28/03/1995
Date Reported 20/03/1995
Age : 60 YEARS Sex FEMALE Height
Weight 55 Date Of Onset 00/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
PRURITUS
Included Term : ITCHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99703 Sequence 1
Computer Entry Date 28/03/1995
Date Reported 22/03/1995
Age : 9 MONTHS Sex MALE Height
Weight Date Of Onset 01/11/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
VOMITING
DIARRHOEA
RESPIRATORY DISORDER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/11/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 01/11/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/11/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99729 Sequence 1
Computer Entry Date 29/03/1995
Date Reported 23/03/1995
Age : 50 YEARS Sex MALE Height
Weight Date Of Onset 00/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
Description : RASH ON FACE, TORSO, UPPER & LOWER LIMBS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
VAXIGRIP S
MONOPRIL O
ICD Code : ESSENTIAL BENIGN HYPERTENSION
SUDAFED O
ICD Code : CHRONIC NASOPHARYNGITIS
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99742 Sequence 1
Computer Entry Date 29/03/1995
Date Reported 23/03/1995
Age : 1 YEARS Sex FEMALE Height 68
Weight 8 Date Of Onset 11/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
AND COLD COMPRESSION.
VOMITING
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 09/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99762 Sequence 1
Computer Entry Date 30/03/1995
Date Reported 22/03/1995
Age : 41 YEARS Sex FEMALE Height
Weight Date Of Onset 06/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA
FEVER
SWEATING INCREASED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S PER ORAL 3.0 DF
TOTAL PER ORAL
DRUG ADMINISTRATION BEGAN 06/03/1995 AND CEASED 10/03/1995
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99791 Sequence 1
Computer Entry Date 31/03/1995
Date Reported 24/03/1995
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset 09/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99802 Sequence 1
Computer Entry Date 31/03/1995
Date Reported 23/02/1995
Age : 70 YEARS Sex MALE Height
Weight Date Of Onset 00/00/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CARDIOMYOPATHY CAPOTEN
AND LASIX
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
VAXIGRIP S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ISORDIL O TABLET 30.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 00/00/1985 AND CONTINUED
ICD Code : CHRON ISCH HEART DIS NO HYPER
0Laboratory Data
===============
ELECTROGRAPHICS ELECTROCARDIOGRAPHY
Lab Normal Range :
0 ECHOCARDIOGRAM SHOWED SEVERLY DILATED L. VENTRICLE WITH GLOBAL DYSFUNTION
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99806 Sequence 1
Computer Entry Date 03/04/1995
Date Reported 27/03/1995
Age : 55 YEARS Sex MALE Height
Weight Date Of Onset 17/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
CHEST PAIN
Included Term : CHEST TIGHTNESS OF
SWEATING INCREASED
NAUSEA
CONFUSION
SOMNOLENCE
Included Term : DROWSINESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 17/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99807 Sequence 1
Computer Entry Date 03/04/1995
Date Reported 27/03/1995
Age : 39 YEARS Sex MALE Height
Weight Date Of Onset 13/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPOAESTHESIA
Included Term : NUMBNESS
Description : SOME NUMBNESS AROUND THE LIPS
FACE OEDEMA
Included Term : LIP OEDEMA
Description : SWELLING AROUND LIPS
PARAESTHESIA
Included Term : TINGLING SKIN
Description : TINGLING LIPS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99814 Sequence 1
Computer Entry Date 03/04/1995
Date Reported 08/03/1995
Age : 19 WEEKS Sex FEMALE Height 64
Weight 7 Date Of Onset 07/02/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/02/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S DROPS 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 07/02/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/02/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99825 Sequence 1
Computer Entry Date 04/04/1995
Date Reported 29/03/1995
Age : 59 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEUROPATHY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 21/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
FLUVAX S INJECTION 1.0 DF
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 16/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
ASPIRIN S TABLET 150.0 MG
DAILY PER ORAL
ATENOLOL S TABLET 25.0 MG
DAILY PER ORAL
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99837 Sequence 1
Computer Entry Date 04/04/1995
Date Reported 27/03/1995
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset 09/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PNEUMONIA
PENICILLIN, CETATAXIME.
PHARYNGITIS
Included Term : THROAT SORE
FEVER
COUGHING
THERAPEUTIC INEFFICACY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 0.5 ML
3 TIMES INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 16/11/1993 AND CEASED 11/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN O 1.0 DF
3 TIMES
DRUG ADMINISTRATION BEGAN 16/11/1993 AND CEASED 11/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O PER ORAL 1.0 DF
3 TIMES PER ORAL
DRUG ADMINISTRATION BEGAN 16/11/1993 AND CEASED 11/04/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99866 Sequence 1
Computer Entry Date 04/04/1995
Date Reported 28/03/1995
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 03/10/1991
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/10/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99874 Sequence 1
Computer Entry Date 04/04/1995
Date Reported 29/03/1995
Age : 42 YEARS Sex FEMALE Height 156
Weight 65 Date Of Onset 23/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION PANADOL
Description : PAIN SWELLING REDNESS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PROTHIADEN O 150.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 00/00/1993
ICD Code : DEPRESSION
KALMA O 1.5 MG
DAILY
LONG TERM
ICD Code : ANXIETY NEUROSIS
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99877 Sequence 1
Computer Entry Date 04/04/1995
Date Reported 29/03/1995
Age : 69 YEARS Sex FEMALE Height
Weight Date Of Onset 22/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 21/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99911 Sequence 1
Computer Entry Date 05/04/1995
Date Reported 31/03/1995
Age : 82 YEARS Sex FEMALE Height 148
Weight 64 Date Of Onset 18/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 18/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CLINORIL O TABLET 100.0 MG
DAILY PER ORAL
LONG TERM
ICD Code : UNSPECIFIED ARTHRITIS
MODURETIC O TABLET 1.0 DF
DAILY PER ORAL
LONG TERM
ICD Code : ESSENTIAL BENIGN HYPERTENSION
VISKEN O TABLET 5.0 MG
DAILY PER ORAL
LONG TERM
ICD Code : ESSENTIAL BENIGN HYPERTENSION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99916 Sequence 1
Computer Entry Date 05/04/1995
Date Reported 31/03/1995
Age : 5 YEARS Sex FEMALE Height
Weight Date Of Onset 22/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE PANADOL
FEVER
Description : TEMP OF 43 DEGREES
VOMITING
INJECTION SITE REACTION
Description : SWELLING OF INJECTION SITE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99945 Sequence 1
Computer Entry Date 06/04/1995
Date Reported 31/03/1995
Age : 7 YEARS Sex MALE Height
Weight 25 Date Of Onset 10/02/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
FEVER
INJECTION SITE REACTION
Description : ERYTHEMA OVER UPPER ARM.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 10/02/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 99996 Sequence 1
Computer Entry Date 07/04/1995
Date Reported 03/04/1995
Age : 18 MONTHS Sex FEMALE Height
Weight Date Of Onset 14/07/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE ABSCESS
ANTIBIOTICS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PEDVAXHIB S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITH SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100013 Sequence 1
Computer Entry Date 10/04/1995
Date Reported 03/04/1995
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset 09/02/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR
FEVER
Description : FEVER > 39.5
FATIGUE
Included Term : TIREDNESS
RIGORS
Included Term : SHIVERING
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
POLIOMYELITIS VIRUS VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100023 Sequence 1
Computer Entry Date 11/04/1995
Date Reported 06/04/1995
Age : 13 YEARS Sex FEMALE Height
Weight Date Of Onset 07/05/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
ASTHENIA
Included Term : WEAKNESS GENERALIZED
MALAISE
Description : GENERAL SICKNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
VAXIGRIP S INJECTION 1.0 DF
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 27/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100024 Sequence 1
Computer Entry Date 11/04/1995
Date Reported 06/04/1995
Age : 15 YEARS Sex MALE Height
Weight Date Of Onset 00/00/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE MANY
DRUGS INCLUDING PROZAC.
Included Term : LETHARGY
MALAISE
Included Term : FEELING UNWELL
PHOTOPHOBIA
Description : AFFECTED BY LIGHT
HYPERACUSIS
Description : AFFECTED BY NOISE.
ANOREXIA
Description : NOT ABLE TO EACH MUCH
WEIGHT INCREASE
Description : FROM 75KG TO 122KG.
AGITATION
Included Term : PANIC REACTION
NEUROSIS
Included Term : PHOBIC REACTION
Description : BEING SCARED OF EVERYTHING AND ANYTHING
INSOMNIA
Description : EXTREMELY BAD SLEEPING PATTERN
PALPITATION
AGGRESSIVE REACTION
Description : FULL OF ANGER
ABDOMINAL PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
VAXIGRIP S INJECTION 1.0 DF
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 27/04/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100048 Sequence 1
Computer Entry Date 24/04/1995
Date Reported 03/04/1995
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
PALLOR
HYPOTONIA
Description : LIMP
TWITCHING
SWEATING INCREASED
Description : PERSPIRING
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
POLIOMYELITIS VIRUS VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100051 Sequence 1
Computer Entry Date 24/04/1995
Date Reported 03/04/1995
Age : 7 MONTHS Sex MALE Height
Weight Date Of Onset 17/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL PANADOL
AND TEPID BATHS.
Description : CHILD CRYING ALMOST INCESSANTLY.
FEVER
Description : BURNING UP.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 16/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
POLIOMYELITIS VIRUS VACCINE S DROPS 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 16/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 16/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100052 Sequence 1
Computer Entry Date 24/04/1995
Date Reported 03/04/1995
Age : 20 MONTHS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR
Description : CHILD FOUND PALE
HYPOTONIA
Description : VERY LIMP AND LISTLESS
FEVER
Description : TEMP 38.8 PER AXILLA
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100058 Sequence 1
Computer Entry Date 24/04/1995
Date Reported 04/04/1995
Age Sex MALE Height
Weight Date Of Onset 24/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : SORE ARM
DIARRHOEA
FEVER
SWEATING INCREASED
Description : NIGHT SWEATS
HEADACHE
Description : OCCIPITAL HEADACHE
ABDOMINAL PAIN
Description : GASTRIC PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/02/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100059 Sequence 1
Computer Entry Date 24/04/1995
Date Reported 04/04/1995
Age Code AD - Adult Sex FEMALE Height
Weight Date Of Onset 24/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : SORE ARM
LYMPHADENOPATHY
Description : SWELLING OF THE AXILLARY NODES.
DIARRHOEA
FEVER
HEADACHE
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100060 Sequence 1
Computer Entry Date 26/04/1995
Date Reported 04/04/1995
Age Code AD - Adult Sex FEMALE Height
Weight Date Of Onset 24/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : VERY SWOLLEN AND TENDER ARM
HEADACHE
FEVER
MALAISE
Included Term : FEELING UNWELL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 23/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100070 Sequence 1
Computer Entry Date 26/04/1995
Date Reported 05/04/1995
Age : 41 YEARS Sex FEMALE Height
Weight Date Of Onset 00/02/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
DIZZINESS
CONCENTRATION IMPAIRED
FEVER
AMNESIA
Included Term : MEMORY DISTURBANCE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 20/02/1995 AND CEASED 20/02/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100078 Sequence 1
Computer Entry Date 26/04/1995
Date Reported 05/04/1995
Age : 50 YEARS Sex FEMALE Height 173
Weight 85 Date Of Onset 27/02/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
Included Term : WHEALS
PRURITUS
Included Term : ITCHING
Description : ITCHY NECK AND LIMBS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/02/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100087 Sequence 1
Computer Entry Date 26/04/1995
Date Reported 06/04/1995
Age : 2 MONTHS Sex MALE Height
Weight Date Of Onset 13/01/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
CYANOSIS
Description : BABY WENT BLUE
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 13/01/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100093 Sequence 1
Computer Entry Date 27/04/1995
Date Reported 06/04/1995
Age : 43 YEARS Sex MALE Height 183
Weight 80 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : ROUND, RED, HOT, LESION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100112 Sequence 1
Computer Entry Date 27/04/1995
Date Reported 07/04/1995
Age Sex Height 143
Weight 59 Date Of Onset 04/04/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
Description : GIANT URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
CECLOR S PER ORAL 750.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 28/03/1995 AND CEASED 04/04/1995
ICD Code : ACUTE BRONCHITIS&BRONCHIOLITIS
VAXIGRIP S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 28/03/1995
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100114 Sequence 1
Computer Entry Date 27/04/1995
Date Reported 07/04/1995
Age : 21 YEARS Sex FEMALE Height 160
Weight 55 Date Of Onset 30/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE OXYGEN,
OBSERVATION.
Description : FELL BACKWARDS INCURRING LOSS OF CONSCIOUSNESS.
PALLOR
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/03/1995
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100142 Sequence 1
Computer Entry Date 27/04/1995
Date Reported 10/04/1995
Age : 4 MONTHS Sex MALE Height
Weight Date Of Onset 08/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 08/03/1995 AND CEASED 08/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 08/03/1995 AND CEASED 08/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
POLIOMYELITIS VIRUS VACCINE S DROPS 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 08/03/1995 AND CEASED 08/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100143 Sequence 1
Computer Entry Date 27/04/1995
Date Reported 10/04/1995
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset 03/04/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Description : FEVER > 40 DEGREES CELCIUS.
INJECTION SITE REACTION
Description : PAIN (L) UPPER ARM - UNABLE TO MOVE ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/04/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100146 Sequence 1
Computer Entry Date 27/04/1995
Date Reported 10/04/1995
Age : 15 YEARS Sex Height 158
Weight 49 Date Of Onset 05/04/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/04/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
POLIOMYELITIS VIRUS VACCINE S DROPS 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 03/04/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100153 Sequence 1
Computer Entry Date 28/04/1995
Date Reported 10/04/1995
Age : 5 YEARS Sex FEMALE Height
Weight Date Of Onset 27/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PARACETAMOL
Description : FEVER TO 40.5 DEGREES CELCIUS
INJECTION SITE INFLAMMATION
Description : LOCAL REDNESS AND SWELLING OF (L) UPPER ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100211 Sequence 1
Computer Entry Date 01/05/1995
Date Reported 11/04/1995
Age : 25 YEARS Sex FEMALE Height 162
Weight 76 Date Of Onset 06/04/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : LOCALISED SKIN SWELLING, RED LUMP PAINFUL TO TOUCH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 20.0 RG
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 31/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100216 Sequence 1
Computer Entry Date 01/05/1995
Date Reported 11/04/1995
Age : 75 YEARS Sex FEMALE Height 168
Weight Date Of Onset 03/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 02/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100245 Sequence 1
Computer Entry Date 01/05/1995
Date Reported 12/04/1995
Age : 38 YEARS Sex FEMALE Height 164
Weight 100 Date Of Onset 04/04/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS ASPIRIN
Included Term : ERYTHEMA
FEVER
Included Term : FEBRILE REACTION
Description : TEMP. 40 DEGREES CELCIUS
MYALGIA
ARTHRALGIA
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 03/04/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
LODEMA O TABLET 800.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 29/11/1994 AND CONTINUED
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100255 Sequence 1
Computer Entry Date 01/05/1995
Date Reported 18/04/1995
Age : 1 YEARS Sex FEMALE Height
Weight 11 Date Of Onset 12/04/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
UPPER RESP TRACT INFECTION
Included Term : UPPER RESPIRATORY TRACT INFECTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 06/04/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100258 Sequence 1
Computer Entry Date 01/05/1995
Date Reported 18/04/1995
Age : 3 YEARS Sex MALE Height 103
Weight 17 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SYNCOPE
Description : LOSS OF CONSCIOUSNESS
OCULOGYRIC CRISIS
Included Term : EYES GAZE UPWARD
Description : EYES ROLLED UPWARDS
CONVULSIONS
Description : SMALL MOVEMENTS OF ARMS AND LEGS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
H-B-VAX II S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100268 Sequence 1
Computer Entry Date 02/05/1995
Date Reported 19/04/1995
Age Code A6 - Sixties Sex FEMALE Height
Weight Date Of Onset 00/04/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
Included Term : HIVES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
VAXIGRIP S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 00/04/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DEPTRAN O
VOLTAREN O
CAPTOPRIL O
VALIUM O 2.0 MG
DAILY
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100307 Sequence 1
Computer Entry Date 02/05/1995
Date Reported 20/04/1995
Age : 46 YEARS Sex FEMALE Height
Weight Date Of Onset 06/04/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BRONCHOSPASM
VENTOLIN.
Included Term : WHEEZING EXPIRATORY
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 05/04/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100320 Sequence 1
Computer Entry Date 03/05/1995
Date Reported 18/04/1995
Age : 24 YEARS Sex MALE Height 185
Weight 70 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
Included Term : MACULAR RASH
Description : MACULOPAPULAR RASH OVER GROIN TRUNK & LIMBS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPHIM VI S INJECTION 5.0 ML
1 TIME SUBCUTANEOUS
Drug Administration Ceased 07/04/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA AND TETANUS VACCINE ADT S 1.0 DF
1 TIME
Drug Administration Ceased 05/04/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HEPATITIS A VACCINE S 1.0 DF
1 TIME
Drug Administration Ceased 05/04/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100330 Sequence 1
Computer Entry Date 03/05/1995
Date Reported 24/04/1995
Age : 5 YEARS Sex FEMALE Height
Weight 16 Date Of Onset 14/04/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
CONVULSIONS
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PERTUSSIS VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/04/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100335 Sequence 1
Computer Entry Date 03/05/1995
Date Reported 24/04/1995
Age : 47 YEARS Sex FEMALE Height 158
Weight 50 Date Of Onset 14/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
DIZZINESS
SYNCOPE
Description : VASOVAGAL EPISODE
BRADYCARDIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 14/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100395 Sequence 1
Computer Entry Date 05/05/1995
Date Reported 27/04/1995
Age : 66 YEARS Sex FEMALE Height 154
Weight 78 Date Of Onset 31/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SALIVARY GLAND ENLARGEMENT
Included Term : PAROTID ENLARGEMENT
Description : PAROTITIS BILATERAL
LYMPHADENOPATHY CERVICAL
Included Term : CERVICAL ADENITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S 1.0 ML
DAILY
DRUG ADMINISTRATION BEGAN 30/03/1995
ICD Code : PROPHYLAXIS
LASIX O 2.0 MG
DAILY
LONG TERM
ICD Code : EDEMA AND DROPSY
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100463 Sequence 1
Computer Entry Date 09/05/1995
Date Reported 01/05/1995
Age : 36 YEARS Sex FEMALE Height 162
Weight 65 Date Of Onset 18/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHADENOPATHY NSAID
FOR PAIN RELIEF
FEVER
ARTHRALGIA
Description : PAIN IN FINGERS AND (L) WRIST
NEURITIS
ARTHROSIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ERVEVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 10/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100471 Sequence 1
Computer Entry Date 09/05/1995
Date Reported 01/05/1995
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS AGGRAVATED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100478 Sequence 1
Computer Entry Date 09/05/1995
Date Reported 01/05/1995
Age Code A4 - Forties Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEPATIC FUNCTION ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100479 Sequence 1
Computer Entry Date 09/05/1995
Date Reported 01/05/1995
Age Code AB - Baby Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100487 Sequence 1
Computer Entry Date 09/05/1995
Date Reported 01/05/1995
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100488 Sequence 1
Computer Entry Date 09/05/1995
Date Reported 01/05/1995
Age : 2 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100518 Sequence 1
Computer Entry Date 09/05/1995
Date Reported 01/05/1995
Age Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
Included Term : JOINT ACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100519 Sequence 1
Computer Entry Date 09/05/1995
Date Reported 01/05/1995
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEUROPATHY
Description : PROLONGED FOOT DROP
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100520 Sequence 1
Computer Entry Date 09/05/1995
Date Reported 01/05/1995
Age Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
Included Term : JOINT PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100521 Sequence 1
Computer Entry Date 09/05/1995
Date Reported 01/05/1995
Age : 48 YEARS Sex Height
Weight Date Of Onset 21/08/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
HEPATIC FUNCTION ABNORMAL
MYALGIA
OEDEMA PERIPHERAL
FATIGUE
Included Term : TIREDNESS
TENDINITIS
LYMPHADENOPATHY CERVICAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 00/08/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100522 Sequence 1
Computer Entry Date 09/05/1995
Date Reported 01/05/1995
Age : 48 YEARS Sex FEMALE Height
Weight Date Of Onset 04/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
Included Term : ITCHING
Description : ITCH ACROSS SHOULDERS, BOTH ARMS TO ELBOWS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/03/1995 AND CEASED 04/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CALCIUM NOS O PER ORAL 600.0 MG
DAILY PER ORAL
CAPOTEN O TABLET 25.0 MG
DAILY PER ORAL
MYADEC O TABLET 1.0 DF
DAILY PER ORAL
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100523 Sequence 1
Computer Entry Date 10/05/1995
Date Reported 01/05/1995
Age Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DRUG LEVEL DECREASED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B I
DILANTIN I 200.0 MG
DAILY
LONG TERM
ICD Code : OTHER&UNSPECIFIED EPILEPSY
0Laboratory Data
===============
PHARMACOKINETICS SERUM DRUG LEVEL
Lab Normal Range :
0 ONE MONTH AFTER 2ND DOSE PATIENTS PHENYTOIN LEVELS DROPPED "IN THE 40'S"
3 WEEKS AFTER 3RD DOSE SERUM PHENYTOIN LEVEL WAS 26.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100527 Sequence 1
Computer Entry Date 10/05/1995
Date Reported 01/05/1995
Age : 49 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA NSAIDS
Description : RIGHT SHOULDER PAIN
HEADACHE
NAUSEA
TENDINITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100528 Sequence 1
Computer Entry Date 10/05/1995
Date Reported 01/05/1995
Age : 75 YEARS Sex FEMALE Height 168
Weight 51 Date Of Onset 14/04/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
Description : PAIN BEHIND EYES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
SOFRAMYCIN EYE/EAR S EYE DROPS
CONJUNCTIVAL
FLUVAX S
DRUG ADMINISTRATION BEGAN 12/04/1995
TENORMIN O TABLET
DAILY PER ORAL
LONG TERM
ALDOMET O TABLET 2.0 DF
DAILY PER ORAL
LONG TERM
MINIPRESS O 1.0 DF
DAILY
LONG TERM
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100529 Sequence 1
Computer Entry Date 10/05/1995
Date Reported 01/05/1995
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100533 Sequence 1
Computer Entry Date 10/05/1995
Date Reported 01/05/1995
Age Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
Included Term : HIVES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 15/11/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100540 Sequence 1
Computer Entry Date 10/05/1995
Date Reported 01/05/1995
Age : 4 MONTHS Sex MALE Height
Weight 8 Date Of Onset 26/04/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
PARACETAMOL.
Included Term : SCREAMING
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/04/1995 AND CEASED 26/04/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100647 Sequence 1
Computer Entry Date 16/05/1995
Date Reported 05/05/1995
Age : 15 MONTHS Sex MALE Height
Weight Date Of Onset 16/04/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MENINGITIS
CEFOTAXIME 6 HOURLY
HYDROCEPHALUS
THERAPEUTIC INEFFICACY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 25/03/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/05/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/07/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN O 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 26/07/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE O 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 26/07/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 MENINGITIS HIB CONFIRMED BY LUMBAR PUNCTURE CSF CULTURE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100679 Sequence 1
Computer Entry Date 17/05/1995
Date Reported 08/05/1995
Age : 5 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : LARGE RAISED RED AREA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 12/01/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100685 Sequence 1
Computer Entry Date 17/05/1995
Date Reported 08/05/1995
Age : 68 YEARS Sex MALE Height 164
Weight 75 Date Of Onset 21/04/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
Description : MARKED REDNESS ENTIRE ARM
HEADACHE
OESOPHAGITIS
Description : BURNING IN OESOPHAGUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100689 Sequence 1
Computer Entry Date 17/05/1995
Date Reported 08/05/1995
Age : 73 YEARS Sex MALE Height 175
Weight 78 Date Of Onset 20/04/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE PANAMAX
VOMITING
ARTHRALGIA
Included Term : JOINT ACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S
DRUG ADMINISTRATION BEGAN 20/04/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
MINIDIAB O TABLET
PER ORAL
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100690 Sequence 1
Computer Entry Date 17/05/1995
Date Reported 08/05/1995
Age : 43 YEARS Sex FEMALE Height 163
Weight 63 Date Of Onset 04/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
NAUSEA
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100724 Sequence 1
Computer Entry Date 18/05/1995
Date Reported 09/05/1995
Age : 67 YEARS Sex MALE Height
Weight Date Of Onset 04/04/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 31/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100735 Sequence 1
Computer Entry Date 18/05/1995
Date Reported 11/05/1995
Age Sex MALE Height
Weight Date Of Onset 29/04/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
Description : RASH ON CHEST AND STOMACH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S 0.5 ML
1 TIME
DRUG ADMINISTRATION BEGAN 27/04/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100753 Sequence 1
Computer Entry Date 18/05/1995
Date Reported 12/05/1995
Age : 4 MONTHS Sex FEMALE Height 63
Weight 7 Date Of Onset 14/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HYPOTONIA
Description : FLOPPY, UNRESPONSIVE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 0.5 ML
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100794 Sequence 1
Computer Entry Date 19/05/1995
Date Reported 15/05/1995
Age : 67 YEARS Sex FEMALE Height 150
Weight 70 Date Of Onset 07/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PURPURA
Included Term : BRUISE
INJECTION SITE REACTION
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
HEADACHE
PRURITUS
Included Term : ITCHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100795 Sequence 1
Computer Entry Date 19/05/1995
Date Reported 12/05/1995
Age : 66 YEARS Sex FEMALE Height 161
Weight 55 Date Of Onset 03/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RIGORS
PALPITATION
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
VAXIGRIP S
LURSELLE O TABLET 4.0 DF
DAILY PER ORAL
MINIPRESS O 4.0 MG
DAILY
BETALOC O 100.0 MG
DAILY
ASPIRIN O
TRANSIDERM-NITRO O EXTERNAL
TRANSDERMAL
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100802 Sequence 1
Computer Entry Date 22/05/1995
Date Reported 12/05/1995
Age : 81 YEARS Sex MALE Height
Weight Date Of Onset 01/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEURITIS PHYSIO.
CONSIDER PLASMA EXCHANGE.
Included Term : GUILLAIN-BARRE SYNDROME
ASTHENIA
Included Term : WEAKNESS GENERALIZED
Description : SYMPTOMS OF FACIAL WEAKNESS
FEVER
NEUTROPENIA
HYPERGLYCAEMIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TENORMIN O TABLET 100.0 MG
DAILY PER ORAL
LONG TERM
ADALAT O 40.0 MG
DAILY
LONG TERM
DIGOXIN O 2.0 DF
DAILY
LONG TERM
DIAMICRON O 2.0 DF
DAILY
LONG TERM
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 LUMBAR PUNCTURE 1/5/95: PROT = 105.4
10/5/95: B2 MICROGLOBULIN = 3.8 (N) <2.2
ANA POSITIVE 1/60
SMOOTH MAB 1/40
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100808 Sequence 1
Computer Entry Date 22/05/1995
Date Reported 15/05/1995
Age : 18 MONTHS Sex FEMALE Height 82
Weight 11 Date Of Onset 01/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Description : 39 DEGREES
INJECTION SITE REACTION
Description : VERY BRUISED ARM.
RASH ERYTHEMATOUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 01/05/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 01/05/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100811 Sequence 1
Computer Entry Date 22/05/1995
Date Reported 15/05/1995
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
FEVER
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100812 Sequence 1
Computer Entry Date 22/05/1995
Date Reported 15/05/1995
Age : 6 MONTHS Sex MALE Height 60
Weight Date Of Onset 30/01/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
CYANOSIS
Description : CYANOSIS OF LOWER LIMBS PROGRESSED TRUNK LEVEL.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/01/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER O INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/01/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100834 Sequence 1
Computer Entry Date 23/05/1995
Date Reported 15/05/1995
Age : 32 YEARS Sex MALE Height
Weight Date Of Onset 24/05/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEPATIC FUNCTION ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
BIOCHEMISTRY ALT = SGPT
Lab Normal Range :
025/05/1994 10/06/1994 23/06/1994
55 67 49
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY SAP = ALP
Lab Normal Range :
025/05/1994 10/06/1994 23/06/1994
79 68 60
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY GGT = SGGT = GGTP
Lab Normal Range :
025/05/1994 10/06/1994 23/06/1994
136 116 133
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY PHOSPHATE
Lab Normal Range :
025/05/1994 10/06/1994 23/06/1994
71 72 73
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY BILIRUBIN
Lab Normal Range :
025/05/1994 10/06/1994 23/06/1994
19 21 27
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100864 Sequence 1
Computer Entry Date 24/05/1995
Date Reported 18/05/1995
Age : 65 YEARS Sex FEMALE Height 150
Weight 65 Date Of Onset 03/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
XFLU S
PANAMAX O TABLET 1.0 GM
DAILY PER ORAL
ICD Code : OSTEOARTHRITIS
PREPULSID O PER ORAL 20.0 MG
DAILY PER ORAL
ICD Code : OTHER DISEASES OF ESOPHAGUS
RENITEC O TABLET 5.0 MG
DAILY PER ORAL
ICD Code : ESSENTIAL BENIGN HYPERTENSION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100866 Sequence 1
Computer Entry Date 24/05/1995
Date Reported 18/05/1995
Age : 45 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 13/01/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HEPATITIS B IMMUNOGLOBULIN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 13/01/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100882 Sequence 1
Computer Entry Date 24/05/1995
Date Reported 17/05/1995
Age : 70 YEARS Sex FEMALE Height
Weight Date Of Onset 06/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR STEROIDS
VASCULITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 04/05/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PREMARIN O TABLET 625.0 RG
DAILY PER ORAL
ICD Code : MENOPAUSAL SYMPTOMS
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100886 Sequence 1
Computer Entry Date 24/05/1995
Date Reported 18/05/1995
Age : 5 YEARS Sex Height
Weight Date Of Onset 13/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
Description : SEIZURE LASTING 10-15 SEC
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100910 Sequence 1
Computer Entry Date 25/05/1995
Date Reported 19/05/1995
Age : 2 YEARS Sex FEMALE Height
Weight Date Of Onset 09/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/05/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HAEMOPHILUS INFLUENZAE TYPE B VACCI S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/05/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100936 Sequence 1
Computer Entry Date 29/05/1995
Date Reported 19/05/1995
Age : 17 YEARS Sex MALE Height
Weight Date Of Onset 08/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANOREXIA
NAUSEA
VOMITING
MYALGIA
Description : ACHES IN THE LEGS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 01/05/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100937 Sequence 1
Computer Entry Date 29/05/1995
Date Reported 19/05/1995
Age : 16 YEARS Sex MALE Height
Weight Date Of Onset 08/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANOREXIA
NAUSEA
VOMITING
MYALGIA
Description : ACHES IN LEGS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 01/05/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100938 Sequence 1
Computer Entry Date 29/05/1995
Date Reported 19/05/1995
Age : 20 YEARS Sex FEMALE Height
Weight Date Of Onset 15/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 15/05/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100939 Sequence 1
Computer Entry Date 29/05/1995
Date Reported 19/05/1995
Age : 41 YEARS Sex FEMALE Height
Weight Date Of Onset 12/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANOREXIA
NAUSEA
VOMITING
RHINITIS
Included Term : NASAL CONGESTION
COUGHING
ASTHENIA
Included Term : WEAKNESS GENERALIZED
MYALGIA
Description : ACHES IN LEGS
STOMATITIS
GINGIVITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 06/05/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100961 Sequence 1
Computer Entry Date 31/05/1995
Date Reported 22/05/1995
Age : 35 YEARS Sex FEMALE Height
Weight Date Of Onset 11/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VERTIGO
ATAXIA
PAIN
Included Term : NECK PAIN
Description : NECK STIFFNESS
PALLOR
NAUSEA
DIARRHOEA
OEDEMA PERIPHERAL
MALAISE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 08/05/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100964 Sequence 1
Computer Entry Date 31/05/1995
Date Reported 22/05/1995
Age : 5 YEARS Sex MALE Height
Weight Date Of Onset 01/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Description : RED HOT FEVER
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 1.0 ML
1 TIME INTRAVENOUS
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100968 Sequence 1
Computer Entry Date 31/05/1995
Date Reported 22/05/1995
Age : 32 YEARS Sex MALE Height
Weight Date Of Onset 05/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS GIVEN
ADRENALIN AND ANTIHISTAMINE INJECTION
Included Term : ERYTHEMA
Description : ERYTHEMA ON FACE AND EXTREMITIES
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
DAILY SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 05/05/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PLENDIL ER O TABLET 5.0 MG
DAILY PER ORAL
ICD Code : ESSENTIAL BENIGN HYPERTENSION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100971 Sequence 1
Computer Entry Date 31/05/1995
Date Reported 22/05/1995
Age : 28 YEARS Sex FEMALE Height
Weight Date Of Onset 03/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIARRHOEA
FLUSHING
DIZZINESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/03/1995 AND CEASED 03/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 100978 Sequence 1
Computer Entry Date 01/06/1995
Date Reported 22/05/1995
Age : 31 YEARS Sex FEMALE Height
Weight Date Of Onset 19/04/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BRONCHOSPASM
NEBULISED SALBUTAMOL
Included Term : ASTHMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 PEAK FLOW DROPPED TO 200
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101002 Sequence 1
Computer Entry Date 02/06/1995
Date Reported 22/05/1995
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ALLERGIC REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101026 Sequence 1
Computer Entry Date 02/06/1995
Date Reported 22/05/1995
Age : 60 YEARS Sex MALE Height 178
Weight 96 Date Of Onset 08/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FACE OEDEMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
INFLUENZA VACCINE S INJECTION
SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 08/05/1995
ICD Code : PROPHYLAXIS
MODURETIC O 1.0 DF
DAILY
ICD Code : ESSENTIAL BENIGN HYPERTENSION
VENTOLIN O
AS NECESSARY
ICD Code : ASTHMA
BECOTIDE O
AS NECESSARY
ICD Code : ASTHMA
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101045 Sequence 1
Computer Entry Date 02/06/1995
Date Reported 22/05/1995
Age : 52 YEARS Sex FEMALE Height
Weight Date Of Onset 03/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BRONCHOSPASM VENTOLIN
Included Term : ASTHMA
SWEATING INCREASED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/05/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101046 Sequence 1
Computer Entry Date 02/06/1995
Date Reported 22/05/1995
Age Code A4 - Forties Sex FEMALE Height
Weight Date Of Onset 09/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : LARGE LOCAL REACTION ABOUT 12CM ACROSS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 09/05/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101088 Sequence 1
Computer Entry Date 06/06/1995
Date Reported 25/05/1995
Age : 48 YEARS Sex FEMALE Height
Weight Date Of Onset 14/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
ANALGESICS AND PETHIDINE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
YELLOW FEVER VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 04/05/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101090 Sequence 1
Computer Entry Date 06/06/1995
Date Reported 25/05/1995
Age : 33 YEARS Sex FEMALE Height
Weight Date Of Onset 14/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FATIGUE
FEVER
SWEATING INCREASED
HEADACHE
MYALGIA
RIGORS
Included Term : CHILLS
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 14/05/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101127 Sequence 1
Computer Entry Date 06/06/1995
Date Reported 29/05/1995
Age : 65 YEARS Sex MALE Height
Weight 70 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER IMI
HYDROCORTISONE, PREDNISONE, BRONCHO DILATORS
BRONCHOSPASM
Included Term : ASTHMA
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
PNEUMOCOCCAL VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101134 Sequence 1
Computer Entry Date 06/06/1995
Date Reported 26/05/1995
Age : 26 YEARS Sex MALE Height
Weight Date Of Onset 20/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA
Description : SEVERE NECK AND SHOULDER PAIN ON SIDE OF VACCINE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 19/05/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101135 Sequence 1
Computer Entry Date 06/06/1995
Date Reported 26/05/1995
Age : 39 YEARS Sex FEMALE Height
Weight Date Of Onset 07/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA TREATED
WITH ORAL ANTIHISTAMINE
Description : URTICARIAL REACTION ON BODY, ARMS AND HANDS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TYPH-VAX S CAPSULE
PER ORAL
DRUG ADMINISTRATION BEGAN 19/04/1995 AND CEASED 23/04/1995
ICD Code : PROPHYLAXIS
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101141 Sequence 1
Computer Entry Date 07/06/1995
Date Reported 26/05/1995
Age : 47 YEARS Sex FEMALE Height 152
Weight 54 Date Of Onset 02/04/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
CHEST PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
XFLU S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 29/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101143 Sequence 1
Computer Entry Date 07/06/1995
Date Reported 26/05/1995
Age : 48 YEARS Sex FEMALE Height
Weight Date Of Onset 30/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE PANADOL
GIVEN 4 HOURLY
EARACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
XFLU S
DRUG ADMINISTRATION BEGAN 29/03/1995
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101144 Sequence 1
Computer Entry Date 07/06/1995
Date Reported 26/05/1995
Age Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BACK PAIN ASPALGIN
Description : SEVERE UPPER BACK PAIN
CHEST PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
XFLU S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 29/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101146 Sequence 1
Computer Entry Date 07/06/1995
Date Reported 26/05/1995
Age : 47 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PHARYNGITIS PANADOL,
BED AND FLUID
Included Term : THROAT SORE
MYALGIA
Included Term : MUSCLE PAIN
Description : SORE MUSCLES
FEVER
HEADACHE
FATIGUE
Included Term : TIREDNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
XFLU S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 29/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101147 Sequence 1
Computer Entry Date 07/06/1995
Date Reported 26/05/1995
Age : 45 YEARS Sex FEMALE Height 160
Weight 60 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE CODRAL
DAYTIME/NIGHTIME TABLETS
MYALGIA
Included Term : MUSCLE ACHE
ASTHENIA
Included Term : WEAKNESS GENERALIZED
FATIGUE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
XFLU S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 29/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101148 Sequence 1
Computer Entry Date 07/06/1995
Date Reported 26/05/1995
Age : 20 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA
Included Term : MUSCLE PAIN
ALBUMINURIA
Included Term : PROTEINURIA
CREATINE PHOSPHOKINASE INCREASED
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HAVRIX S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
REGAINE O EXTERNAL
TOPICAL
0Laboratory Data
===============
BIOCHEMISTRY CREATINE PHOSPHOKINASE
Lab Normal Range :
0 170 (NORMAL IS UP TO 160)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101151 Sequence 1
Computer Entry Date 07/06/1995
Date Reported 26/05/1995
Age : 4 YEARS Sex MALE Height 119
Weight 25 Date Of Onset 22/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/05/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101152 Sequence 1
Computer Entry Date 07/06/1995
Date Reported 26/05/1995
Age : 4 YEARS Sex MALE Height 119
Weight 25 Date Of Onset 22/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
Description : URTICARIA TRUNK, LIMBS, BUTTOCK.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/05/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101174 Sequence 1
Computer Entry Date 07/06/1995
Date Reported 26/05/1995
Age : 42 YEARS Sex FEMALE Height 165
Weight 95 Date Of Onset 13/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : SWELLING DOWN ENTIRE ARM.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 11/05/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101206 Sequence 1
Computer Entry Date 07/06/1995
Date Reported 31/05/1995
Age : 45 YEARS Sex FEMALE Height 170
Weight 55 Date Of Onset 04/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MYALGIA
NAUSEA
FATIGUE
HEADACHE
COUGHING
Description : SLIGHT COUGH
INFLUENZA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION
INTRAMUSCULAR
ICD Code : PROPHYLAXIS
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101227 Sequence 1
Computer Entry Date 08/06/1995
Date Reported 31/05/1995
Age : 18 YEARS Sex MALE Height 181
Weight 60 Date Of Onset 24/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION ICE,
DISPRIN.
Description : RIGHT DELTOID HOT AND RED, AREA OF 8 BY 12 CM.
FEVER
Description : TEMP OF 38 DEGRESS CELCIUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/05/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101310 Sequence 1
Computer Entry Date 13/06/1995
Date Reported 01/06/1995
Age : 32 YEARS Sex MALE Height
Weight Date Of Onset 05/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
ADRENALINE, ANTISHAMINE.
Included Term : ERYTHEMA
PRURITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 05/05/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101355 Sequence 1
Computer Entry Date 14/06/1995
Date Reported 05/06/1995
Age : 68 YEARS Sex FEMALE Height 149
Weight 50 Date Of Onset 11/04/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
Description : LOCALISED SWELLING, VERY RED, PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 11/04/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PREMARIN O 625.0 RG
DAILY
DRUG ADMINISTRATION BEGAN 00/00/1992
ICD Code : MENOPAUSAL SYMPTOMS
PROVERA O 5.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 00/00/1992
ICD Code : MENOPAUSAL SYMPTOMS
ASPIRIN O
AS NECESSARY
ALDOMET O 125.0 MG
DAILY
ICD Code : ESSENTIAL BENIGN HYPERTENSION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101362 Sequence 1
Computer Entry Date 14/06/1995
Date Reported 06/06/1995
Age : 5 YEARS Sex Height
Weight Date Of Onset 24/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 24/05/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY UNCLEAR
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101374 Sequence 1
Computer Entry Date 14/06/1995
Date Reported 07/06/1995
Age : 4 MONTHS Sex MALE Height 42
Weight 7 Date Of Onset 27/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CRYING ABNORMAL
Included Term : SCREAMING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101391 Sequence 1
Computer Entry Date 15/06/1995
Date Reported 08/06/1995
Age : 7 MONTHS Sex MALE Height
Weight 8 Date Of Onset 01/06/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
PREDNISONE 5ML - SETTLING
Included Term : MACULAR RASH
FACE OEDEMA
Included Term : LIP OEDEMA
OEDEMA PERIORBITAL
Description : BOTH EARS AND LEFT EYE LID
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S
DRUG ADMINISTRATION BEGAN 05/01/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL
PER ORAL
DRUG ADMINISTRATION BEGAN 01/06/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HIBTITER S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101395 Sequence 1
Computer Entry Date 15/06/1995
Date Reported 06/06/1995
Age : 43 YEARS Sex FEMALE Height
Weight Date Of Onset 08/02/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
LYMPHADENOPATHY IV AND
ORAL ANTIBIOTICS.
Description : AXILLARY LYMPHADENOPATHY
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 07/02/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101421 Sequence 1
Computer Entry Date 15/06/1995
Date Reported 08/06/1995
Age : 21 MONTHS Sex MALE Height
Weight Date Of Onset 27/04/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
CRYING ABNORMAL
FEVER
Description : TEMP. 38 DEGREES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 27/04/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101423 Sequence 1
Computer Entry Date 15/06/1995
Date Reported 09/06/1995
Age : 20 MONTHS Sex MALE Height
Weight Date Of Onset 05/06/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
FEVER
Description : TEMP. 39.9 DEGREES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HAEMOPHILUS INFLUENZAE TYPE B VACCI S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101448 Sequence 1
Computer Entry Date 16/06/1995
Date Reported 09/06/1995
Age : 21 MONTHS Sex MALE Height
Weight Date Of Onset 20/04/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : PAIN AND SWELLING OF RIGHT LEG
VOMITING
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/04/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HAEMOPHILUS INFLUENZAE TYPE B VACCI S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/04/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101455 Sequence 1
Computer Entry Date 16/06/1995
Date Reported 09/06/1995
Age : 42 YEARS Sex FEMALE Height 158
Weight 51 Date Of Onset 06/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEURITIS
Description : BILATERAL BRACHIAL NEURITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 01/05/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101490 Sequence 1
Computer Entry Date 16/06/1995
Date Reported 13/06/1995
Age : 1 YEARS Sex FEMALE Height
Weight 11 Date Of Onset 07/06/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
COUGHING
LYMPHADENOPATHY CERVICAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 01/06/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101523 Sequence 1
Computer Entry Date 20/06/1995
Date Reported 14/06/1995
Age : 49 YEARS Sex FEMALE Height
Weight Date Of Onset 02/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
MALAISE
Included Term : FEELING UNWELL
ANOREXIA
Included Term : APPETITE DECREASED
FATIGUE
Included Term : LETHARGY
PARONIRIA
Description : BAD DREAMS
HOT FLUSHES
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAVENOUS
DRUG ADMINISTRATION BEGAN 02/05/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101548 Sequence 1
Computer Entry Date 20/06/1995
Date Reported 15/06/1995
Age : 10 MONTHS Sex FEMALE Height
Weight Date Of Onset 18/01/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NERVOUSNESS
PARACETAMOL
Included Term : IRRITABILITY
FEVER
Description : FEVER ROSE TO 40 DEGREES.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/01/1993 AND CEASED 18/01/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101549 Sequence 1
Computer Entry Date 20/06/1995
Date Reported 15/06/1995
Age : 2 MONTHS Sex FEMALE Height
Weight 6 Date Of Onset 30/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER PANADOL
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 30/05/1991
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101551 Sequence 1
Computer Entry Date 20/06/1995
Date Reported 15/06/1995
Age : 18 MONTHS Sex FEMALE Height 81
Weight 9 Date Of Onset 17/09/1992
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SKIN DISCOLOURATION
Description : BROWN STAINING ON LEFT LEG AND THIGH.
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 17/09/1992 AND CEASED 17/09/1992
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101557 Sequence 1
Computer Entry Date 20/06/1995
Date Reported 15/06/1995
Age : 21 YEARS Sex MALE Height
Weight Date Of Onset 05/10/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/10/1994
ICD Code : PROPHYLAXIS
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101564 Sequence 1
Computer Entry Date 21/06/1995
Date Reported 15/06/1995
Age : 18 MONTHS Sex FEMALE Height 75
Weight 10 Date Of Onset 08/06/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101565 Sequence 1
Computer Entry Date 21/06/1995
Date Reported 15/06/1995
Age : 2 YEARS Sex MALE Height
Weight Date Of Onset 05/06/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
PARACETAMOL
Included Term : FEBRILE REACTION
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/06/1995 AND CEASED 05/06/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101577 Sequence 1
Computer Entry Date 22/06/1995
Date Reported 16/06/1995
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 16/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
DIZZINESS
TINNITUS
Description : ECHOING IN HEAD
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101578 Sequence 1
Computer Entry Date 22/06/1995
Date Reported 16/06/1995
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 16/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
TACHYCARDIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101579 Sequence 1
Computer Entry Date 22/06/1995
Date Reported 16/06/1995
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 16/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
OBSERVATION
DIZZINESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101580 Sequence 1
Computer Entry Date 22/06/1995
Date Reported 16/06/1995
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
OBSERVATION
DIZZINESS
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101581 Sequence 1
Computer Entry Date 22/06/1995
Date Reported 16/06/1995
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 16/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
OBSERVATION
DIZZINESS
PALLOR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101582 Sequence 1
Computer Entry Date 22/06/1995
Date Reported 16/06/1995
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 16/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
OBSERVATION
THINKING ABNORMAL
Included Term : CONCENTRATION LACK OF
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101583 Sequence 1
Computer Entry Date 22/06/1995
Date Reported 16/06/1995
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 16/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE PANADOL
AND OBSERVATION
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101584 Sequence 1
Computer Entry Date 22/06/1995
Date Reported 16/06/1995
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 16/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
OBSERVATION, ICE, PANADOL.
DIZZINESS
VISION ABNORMAL
Included Term : VISION BLURRED
HEADACHE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101585 Sequence 1
Computer Entry Date 22/06/1995
Date Reported 16/06/1995
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 16/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
OBSERVATION
DIZZINESS
PALLOR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101586 Sequence 1
Computer Entry Date 22/06/1995
Date Reported 16/06/1995
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 16/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
OBSERVATION
DIZZINESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101587 Sequence 1
Computer Entry Date 22/06/1995
Date Reported 16/06/1995
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 16/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
OBSERVATION AND COLD PACK TO SITE.
NAUSEA
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101588 Sequence 1
Computer Entry Date 22/06/1995
Date Reported 16/06/1995
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 16/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
OBSERVATION AND COLD PACK TO SITE.
DIZZINESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101589 Sequence 1
Computer Entry Date 22/06/1995
Date Reported 16/06/1995
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 18/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR
OBSERVATION
DIZZINESS
FATIGUE
Included Term : TIREDNESS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
RUBELLA VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 18/03/1993 AND CEASED 18/03/1993
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101590 Sequence 1
Computer Entry Date 22/06/1995
Date Reported 16/06/1995
Age : 12 YEARS Sex FEMALE Height
Weight Date Of Onset 16/03/1993
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION OBSERVED
AND COLD PACK TO SITE
VISION ABNORMAL
Included Term : VISION BLURRED
PALLOR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MERUVAX II S
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101687 Sequence 1
Computer Entry Date 27/06/1995
Date Reported 20/06/1995
Age : 79 YEARS Sex MALE Height
Weight Date Of Onset 12/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
TINNITUS
Description : CRACKLING IN THE EARS.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 12/05/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101688 Sequence 1
Computer Entry Date 27/06/1995
Date Reported 20/06/1995
Age : 48 YEARS Sex FEMALE Height
Weight Date Of Onset 09/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
PARACETAMOL.
Description : DEVELOPED PAIN RADIATING DOWN TO WRIST & UP NECK.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 08/05/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101724 Sequence 1
Computer Entry Date 28/06/1995
Date Reported 26/06/1995
Age : 41 YEARS Sex FEMALE Height
Weight Date Of Onset 24/02/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CHEST PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 22/02/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101726 Sequence 1
Computer Entry Date 28/06/1995
Date Reported 26/06/1995
Age Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INFLUENZA-LIKE SYMPTOMS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
XFLU S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 29/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101748 Sequence 1
Computer Entry Date 03/07/1995
Date Reported 26/06/1995
Age : 48 YEARS Sex FEMALE Height 157
Weight 87 Date Of Onset 07/04/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DIZZINESS
AUGMENTIN FORTE
INJECTION SITE REACTION
Description : INJECTION SITE SWOLLEN AND BRUISED
SALIVARY GLAND ENLARGEMENT
Included Term : PAROTID ENLARGEMENT
Description : SWOLLEN RIGHT PAROTID GLAND
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 07/04/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101782 Sequence 1
Computer Entry Date 04/07/1995
Date Reported 27/06/1995
Age Sex Height
Weight Date Of Onset 22/06/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MORBILLIFORM
FEVER
COUGHING
CONJUNCTIVITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
M-M-R II S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/06/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
CECLOR S PER ORAL
PER ORAL
DRUG ADMINISTRATION BEGAN 19/06/1995 AND CEASED 22/06/1995
ICD Code : ACUTE PHARYNGITIS
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101794 Sequence 1
Computer Entry Date 05/07/1995
Date Reported 29/06/1995
Age : 8 WEEKS Sex MALE Height
Weight 5 Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH PANADOL
ARTHRALGIA
Included Term : JOINT PAIN
CRYING ABNORMAL
Included Term : SCREAMING
FEVER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 13/04/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101800 Sequence 1
Computer Entry Date 05/07/1995
Date Reported 28/06/1995
Age : 36 YEARS Sex FEMALE Height 154
Weight 60 Date Of Onset 15/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
CLARATYNE AND VENTOLIN
Included Term : ITCHING
COUGHING
CONJUNCTIVITIS
Description : EYES ITCHY
BRONCHOSPASM
INJECTION SITE INFLAMMATION
INJECTION SITE PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
XFLU S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 15/05/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101802 Sequence 1
Computer Entry Date 05/07/1995
Date Reported 28/06/1995
Age : 29 YEARS Sex MALE Height 194
Weight 91 Date Of Onset 20/06/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ARTHRALGIA PANADOL
Included Term : JOINT PAIN
FEVER
INJECTION SITE INFLAMMATION
Description : LOCAL PAIN AND SWELLING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
Q FEVER VACCINE S INJECTION 0.5 ML
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 20/06/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101833 Sequence 1
Computer Entry Date 06/07/1995
Date Reported 30/06/1995
Age : 9 MONTHS Sex FEMALE Height
Weight Date Of Onset 27/06/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
Included Term : FEBRILE REACTION
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA-TETANUS-PERTUSSIS VACCIN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 20/06/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 20/06/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101840 Sequence 1
Computer Entry Date 06/07/1995
Date Reported 30/06/1995
Age : 45 YEARS Sex MALE Height 195
Weight 98 Date Of Onset 04/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HERPES ZOSTER
Included Term : SHINGLES
PRURITUS
Included Term : ITCHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 01/05/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101846 Sequence 1
Computer Entry Date 06/07/1995
Date Reported 30/06/1995
Age : 37 YEARS Sex FEMALE Height
Weight Date Of Onset 25/01/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH
PROMETHAZINE, ANTIHISHAMINES.
Description : HEAT RASH
PRURITUS
Included Term : ITCHING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101896 Sequence 1
Computer Entry Date 07/07/1995
Date Reported 06/07/1995
Age : 43 YEARS Sex MALE Height
Weight Date Of Onset 22/06/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
CONVULSIONS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/06/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101901 Sequence 1
Computer Entry Date 07/07/1995
Date Reported 03/07/1995
Age : 41 YEARS Sex MALE Height
Weight Date Of Onset 20/06/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
RHINITIS
Included Term : CORYZA-LIKE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 20/06/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101906 Sequence 1
Computer Entry Date 07/07/1995
Date Reported 03/07/1995
Age : 39 YEARS Sex FEMALE Height
Weight Date Of Onset 26/06/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANAPHYLACTOID REACTION
RESUCITATION, ADRENALINE AND VENTOLIN
Included Term : ANAPHYLACTIC REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101913 Sequence 1
Computer Entry Date 07/07/1995
Date Reported 03/07/1995
Age : 46 YEARS Sex FEMALE Height 165
Weight 64 Date Of Onset 00/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
Included Term : ITCHING
RASH
HERPES ZOSTER
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
OGEN O 625.0 RG
DAILY
DRUG ADMINISTRATION BEGAN 00/10/1993
ICD Code : MENOPAUSAL SYMPTOMS
PROVERA O 5.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 00/10/1993
ICD Code : MENOPAUSAL SYMPTOMS
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101923 Sequence 1
Computer Entry Date 10/07/1995
Date Reported 03/07/1995
Age : 51 YEARS Sex MALE Height
Weight Date Of Onset 10/04/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ASTHENIA
Included Term : WEAKNESS GENERALIZED
PARAESTHESIA
Included Term : PINS AND NEEDLES
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 07/04/1995
ICD Code : PROPHYLAXIS
0Laboratory Data
===============
OTHER LABORATORY TESTS
Lab Normal Range :
0 INVESTIGATIONS HAVE DETECTED TWO LARGE LESIONS ON THE SPINAL CORD.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101934 Sequence 1
Computer Entry Date 10/07/1995
Date Reported 03/07/1995
Age : 10 YEARS Sex MALE Height
Weight Date Of Onset 11/06/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
ANTIHISTAMINE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 09/06/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 101942 Sequence 1
Computer Entry Date 10/07/1995
Date Reported 04/07/1995
Age : 37 YEARS Sex FEMALE Height 160
Weight 80 Date Of Onset 27/06/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
URTICARIA
PHENERGAN
Included Term : WHEALS
FLUSHING
VISION ABNORMAL
DIZZINESS
Included Term : LIGHT-HEADED FEELING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
Drug Administration Ceased 27/06/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102013 Sequence 1
Computer Entry Date 12/07/1995
Date Reported 07/07/1995
Age : 62 YEARS Sex FEMALE Height
Weight 66 Date Of Onset 20/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
Description : ERYTHEMATOUS, INDURATED AREA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102014 Sequence 1
Computer Entry Date 12/07/1995
Date Reported 07/07/1995
Age : 41 YEARS Sex FEMALE Height
Weight 58 Date Of Onset 08/06/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
GASTRITIS
LYMPHOPENIA
HEPATIC FUNCTION ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
AUGMENTIN S TABLET 750.0 MG
DAILY PER ORAL
DRUG ADMINISTRATION BEGAN 07/06/1995 AND CEASED 08/06/1995
ICD Code : AC UPR RESP INF,MULT,UNSP STES
HAVRIX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/06/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
BIOCHEMISTRY AST = SGOT
Lab Normal Range : 5 - 40
008/06/1995
127
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
BIOCHEMISTRY ALT = SGPT
Lab Normal Range : 5 - 40
008/06/1995
91
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
HAEMATOLOGY LYMPHOCYTES
Lab Normal Range : 1.5 - 4.0 X 10^3/UL
008/06/1995
0.2
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102015 Sequence 1
Computer Entry Date 12/07/1995
Date Reported 07/07/1995
Age Sex FEMALE Height
Weight Date Of Onset 12/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PRURITUS
Included Term : ITCHING
RASH
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102036 Sequence 1
Computer Entry Date 12/07/1995
Date Reported 05/07/1995
Age : 36 YEARS Sex FEMALE Height 151
Weight 50 Date Of Onset 21/06/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
TACHYCARDIA
HYDROCORTISONE
HYPERTENSION
CIRCULATORY FAILURE
Included Term : SHOCK
Description : PERIPHERAL SHUTDOWN
DIZZINESS
NAUSEA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102052 Sequence 1
Computer Entry Date 13/07/1995
Date Reported 07/07/1995
Age : 18 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEUTROPENIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 15/05/1995 AND CEASED 15/05/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
HISTOLOGY
Lab Normal Range :
026/05/1995 29/05/1995
0.11 0.21
0 ATYPICAL LYMPHOCYTES.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
HAEMATOLOGY WHITE BLOOD CELLS
Lab Normal Range :
026/05/1995 29/05/1995 06/06/1995
5.7 7.0 8.0
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
HAEMATOLOGY NEUTROPHILS
Lab Normal Range :
026/05/1995 29/05/1995 06/06/1995
0.06 0.07 0.21
0- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102115 Sequence 1
Computer Entry Date 17/07/1995
Date Reported 10/07/1995
Age : 3 YEARS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
THERAPEUTIC INEFFICACY
MUMPS
PNEUMONIA
Included Term : PNEUMONITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 08/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
RADIOLOGY CHEST X-RAY
Lab Normal Range :
0 30/05/95 RADIOLOGY CONFIRMED PNEUMONITIS
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102128 Sequence 1
Computer Entry Date 17/07/1995
Date Reported 12/07/1995
Age : 31 YEARS Sex MALE Height 184
Weight 80 Date Of Onset 06/07/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
FEVER
MALAISE
LYMPHADENOPATHY
PHARYNGITIS
Included Term : THROAT SORE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 03/07/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102129 Sequence 1
Computer Entry Date 17/07/1995
Date Reported 12/07/1995
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 06/07/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RESPIRATORY DEPRESSION
Description : SHALLOW BREATHING
PALLOR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/07/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HAEMOPHILUS INFLUENZAE TYPE B VACCI S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 06/07/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
SABIN VACCINE S PER ORAL 1.0 DF
1 TIME PER ORAL
DRUG ADMINISTRATION BEGAN 06/07/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102133 Sequence 1
Computer Entry Date 17/07/1995
Date Reported 12/07/1995
Age : 74 YEARS Sex FEMALE Height
Weight Date Of Onset 00/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH VESICULAR
PRURITUS
Included Term : ITCHING
FATIGUE
RHINITIS
Included Term : SNEEZING EXCESSIVE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 00/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102134 Sequence 1
Computer Entry Date 17/07/1995
Date Reported 12/07/1995
Age : 74 YEARS Sex MALE Height
Weight Date Of Onset 00/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH VESICULAR NYSTATIN
PRURITUS
Included Term : ITCHING
FATIGUE
RHINITIS
Included Term : SNEEZING EXCESSIVE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 00/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102135 Sequence 1
Computer Entry Date 17/07/1995
Date Reported 12/07/1995
Age Code A4 - Forties Sex FEMALE Height
Weight Date Of Onset 30/06/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
Description : SWELLING, REDDDNESS AND A TENDER LUMP AT INJ SITE.
MALAISE
NAUSEA
MYALGIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 28/06/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102136 Sequence 1
Computer Entry Date 17/07/1995
Date Reported 12/07/1995
Age : 30 YEARS Sex FEMALE Height
Weight Date Of Onset 28/06/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
Description : MARKED SWELLING, REDNESS AND A TENDER LUMP.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 26/06/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102157 Sequence 1
Computer Entry Date 17/07/1995
Date Reported 13/07/1995
Age : 49 YEARS Sex FEMALE Height
Weight Date Of Onset 08/09/1994
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEURITIS
Description : BRACHIAL NEURITIS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 05/09/1994
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
PREMARIN S TABLET 625.0 RG
DAILY PER ORAL
ICD Code : MENOPAUSAL SYMPTOMS
PROVERA S TABLET 5.0 MG
DAILY PER ORAL
ICD Code : MENOPAUSAL SYMPTOMS
THYROXINE SODIUM S TABLET 150.0 RG
DAILY PER ORAL
ICD Code : TOXIC DIFFUSE GOITER
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102196 Sequence 1
Computer Entry Date 18/07/1995
Date Reported 10/07/1995
Age : 52 YEARS Sex MALE Height 167
Weight 88 Date Of Onset 21/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NEURITIS
PLASMAPHARESIS
Included Term : GUILLAIN-BARRE SYNDROME
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 19/05/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
ELECTROGRAPHICS
Lab Normal Range :
0 EVIDENCE OF DEMYELINATION AND AXONAL COMPONENT ON NERVE CONDUCTION STUDIES.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102336 Sequence 1
Computer Entry Date 27/07/1995
Date Reported 24/07/1995
Age : 12 YEARS Sex MALE Height
Weight Date Of Onset 19/06/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
HEADACHE
NAUSEA
FATIGUE
Included Term : LETHARGY
Description : FEELING LISTLESS
PALLOR
ABDOMINAL PAIN
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
MEASLES, MUMPS, RUBELLA VACCINE S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 19/06/1995 AND CEASED 19/06/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
DIPHTHERIA AND TETANUS VACCINE ADT S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 19/06/1995 AND CEASED 19/06/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102342 Sequence 1
Computer Entry Date 27/07/1995
Date Reported 24/07/1995
Age : 2 MONTHS Sex FEMALE Height
Weight 4 Date Of Onset 19/07/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BRONCHOSPASM
Included Term : WHEEZING EXPIRATORY
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HIBTITER S INJECTION 0.5 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 19/07/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102347 Sequence 1
Computer Entry Date 27/07/1995
Date Reported 24/07/1995
Age : 2 YEARS Sex FEMALE Height
Weight 12 Date Of Onset 18/07/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 18/07/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102403 Sequence 1
Computer Entry Date 31/07/1995
Date Reported 26/07/1995
Age : 45 YEARS Sex FEMALE Height 160
Weight 100 Date Of Onset 18/07/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
INJECTION SITE REACTION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TETANUS VACCINE ADSORBED S INJECTION 1.0 DF
1 TIME SYSTEMIC
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102454 Sequence 1
Computer Entry Date 01/08/1995
Date Reported 28/07/1995
Age : 5 YEARS Sex MALE Height 105
Weight 20 Date Of Onset 15/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
BRONCHOSPASM
Included Term : ASTHMA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE CDT S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 22/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TETANUS IMMUNOGLOBULIN S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 22/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102456 Sequence 1
Computer Entry Date 01/08/1995
Date Reported 28/07/1995
Age : 40 YEARS Sex MALE Height 185
Weight 83 Date Of Onset 16/06/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
SKIN ODOR ABNORMAL
Included Term : BODY ODOUR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HAVRIX S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/06/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
VENTOLIN O
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102462 Sequence 1
Computer Entry Date 02/08/1995
Date Reported 28/07/1995
Age : 2 MONTHS Sex FEMALE Height
Weight Date Of Onset 14/06/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PALLOR
TACHYCARDIA
PERIPHERAL ISCHAEMIA
Included Term : PERIPHERAL COLDNESS
Description : DECREASED PERIPHERAL PERFUSION.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 14/06/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
HAEMOPHILUS INFLUENZAE TYPE B VACCI S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 14/06/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102463 Sequence 1
Computer Entry Date 02/08/1995
Date Reported 28/07/1995
Age : 30 YEARS Sex FEMALE Height
Weight Date Of Onset 24/05/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
NYSTATIN, PHYSIOTHERAPY.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102522 Sequence 1
Computer Entry Date 04/08/1995
Date Reported 31/07/1995
Age : 31 YEARS Sex FEMALE Height 163
Weight 60 Date Of Onset 21/07/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
NAUSEA
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 21/07/1995 AND CEASED 21/07/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY PROBABLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102544 Sequence 1
Computer Entry Date 07/08/1995
Date Reported 01/08/1995
Age : 4 YEARS Sex MALE Height
Weight 18 Date Of Onset 29/06/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
PURPURA
Description : SCHOENLEIN-HENOCH PURPURA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
HEPATITIS B VACCINE S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 27/06/1995
ICD Code : PROPHYLAXIS
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102625 Sequence 1
Computer Entry Date 08/08/1995
Date Reported 07/08/1995
Age Code A7 - Seventies Sex FEMALE Height
Weight Date Of Onset 16/04/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
DEAFNESS
Included Term : HEARING DECREASED
TINNITUS
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SUBCUTANEOUS
DRUG ADMINISTRATION BEGAN 00/04/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102667 Sequence 1
Computer Entry Date 10/08/1995
Date Reported 07/08/1995
Age : 42 YEARS Sex FEMALE Height
Weight Date Of Onset 31/03/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE INFLAMMATION
Description : REDNESS AND PAIN AROUND INJECTION SITE.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S INJECTION 1.0 ML
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 31/03/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102698 Sequence 1
Computer Entry Date 11/08/1995
Date Reported 08/08/1995
Age : 27 YEARS Sex FEMALE Height
Weight Date Of Onset 20/06/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION
Description : RED, HOT, PAINFUL, SWOLLEN AREA.
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
FLUVAX S INJECTION 1.0 DF
1 TIME SYSTEMIC
DRUG ADMINISTRATION BEGAN 20/06/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102732 Sequence 1
Computer Entry Date 14/08/1995
Date Reported 09/08/1995
Age : 13 MONTHS Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ERYTHEMA MULTIFORME
URTICARIA
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102742 Sequence 1
Computer Entry Date 14/08/1995
Date Reported 09/08/1995
Age Sex Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH MACULO-PAPULAR
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S
DIPHTHERIA AND TETANUS VACCINE ADT S
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102749 Sequence 1
Computer Entry Date 14/08/1995
Date Reported 09/08/1995
Age Sex FEMALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE PAIN
Description : SORE ARM
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
XFLU S INJECTION 1.0 DF
1 TIME SYSTEMIC
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102752 Sequence 1
Computer Entry Date 15/08/1995
Date Reported 09/08/1995
Age Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
ANAPHYLACTOID REACTION
ADRENALINE.
Included Term : ANAPHYLAXIS
PALLOR
SYNCOPE
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102757 Sequence 1
Computer Entry Date 15/08/1995
Date Reported 09/08/1995
Age Sex MALE Height
Weight Date Of Onset
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
VOMITING
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
ENGERIX B S 1.0 DF
1 TIME
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
TYPHIM VI S
0Laboratory Data
===============
0Outcome : UNKNOWN
Causality : CAUSALITY POSSIBLE
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102781 Sequence 1
Computer Entry Date 16/08/1995
Date Reported 11/08/1995
Age : 4 MONTHS Sex MALE Height
Weight 8 Date Of Onset 03/08/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
INJECTION SITE REACTION PANADOL,
ICE.
Description : SWOLLEN, RED AT SITE OF INJ.
CRYING ABNORMAL
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
TRIPLE ANTIGEN S INJECTION 1.0 DF
1 TIME INTRAMUSCULAR
DRUG ADMINISTRATION BEGAN 03/08/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
0Laboratory Data
===============
0Outcome : RECOVERED WITHOUT SEQUELAE
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
-------------------------------------------------------------------------------
----------------------------------------------------
0ADRS Report No. 102782 Sequence 1
Computer Entry Date 16/08/1995
Date Reported 11/08/1995
Age : 54 YEARS Sex FEMALE Height 165
Weight 73 Date Of Onset 05/08/1995
0Adverse Reaction (Preferred Term)
Treatment
=================================
=========
RASH ERYTHEMATOUS
Included Term : ERYTHEMA
SKIN NECROSIS
INJECTION SITE INFLAMMATION
0Drug Name S-I-O Drug Form Amount Unit
Frequency Route ATC Description
========= ===== ========= ====== ====
========= ===== ===============
DIPHTHERIA AND TETANUS VACCINE ADT S 1.0 DF
1 TIME
DRUG ADMINISTRATION BEGAN 05/08/1995
ICD Code : PROPHYLACTIC INOCULATION AND VACCINATION
VOLTAREN O 50.0 MG
DAILY
DRUG ADMINISTRATION BEGAN 23/05/1995
ICD Code : OTR&UNSP VERTEBROGEN PAIN SYND
0Laboratory Data
===============
0Outcome : NOT YET RECOVERED
Causality : CAUSALITY CERTAIN
1ADP016P6
(Prod)
REPORTS OF ALL VACCINES
ADVERSE DRUG
REACTIONS SYSTEM
DATE PREPARED 02/04/02 15:03 DEPARTMENT OF
HEALTH AND AGED CARE
----------------------------------------------------------

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