ID#     Sys Date St Age Sx Rpt Date   Symptom Text                                    Symptom Count 076960,09/05/1995,CA,3.0,M,08/22/1995,w/in 1hr p/vax pt devel hives & wheezing;,2, Adverse Symptom Terms           DrVis Recv Vax Date Rxn Date Dys Lab Ct Vax           Fac Funds ASTHMA,URTICARIA,,,,,,,,,,,,,,,,,,,,,,Y,,,,,Y,08/22/1995,08/22/1995,0,NONE,1,VARCEL,,,,,,,,PVT,PVT, Other Meds     (TB Tine)                                                                             History Mantoux by Connaught lot# 240111 given 22AUG95; Baby Motrin; Amoxicillin;,,mom states has similar rxn to peanut butter/peanuts,

ID#      Vax Typ  Mft   Lot    #  Rt  Loc  Vax Name 076960,VARCEL,MSD,0430B,0,SC,LA,VARIVAX

4.2 VAERSVAX.CSV The fields described in this table provide the remaining vaccine information (e.g., vaccine name, manufacturer, lot number, route, site, and number of previous doses administered), for each of the vaccines listed in Box 13 of the VAERS form.  The VAX_TYPE field in this table should be linked to the VAX(#) field described in the VAERSDATA.CSV table in Section 4.1 above.  For each of the up to 8 vaccines listed in the VAERSDATA.CSV table, there is a matching record in this file, identified by VAERS_ID and VAX_TYPE. Header Type Description of Contents VAERS_ID Num(6) VAERS Identification Number VAX_TYPE Char(6) Administered Vaccine Type VAX_MANU Char(16) Vaccine Manufacturer VAX_LOT Char(15) Manufacturer's Vaccine Lot VAX_DOSE Char(2) Number of previous doses administered VAX_ROUTE Char(2) Vaccination Route VAX_SITE Char(2) Vaccination Site VAX_NAME Char(50) Vaccination Name

Gene's Vaccines

For more information on this data, click here

4.1 VAERSDATA.CSV The following table provides a detailed description of the data provided in each field of the VAERSDATA.CSV file.  Each row in the table refers to a separate field (or column) in the data.  The “Header” provides the field name or column “header.”  “Type” describes the type of data contained in the data field.  The information in parenthesis specifies the data format or number of digits or characters contained in the field.  There are three data types: NUM = numeric data;  CHAR = text or “character” data; and DATE = date fields in mm/dd/yy format.  With the exception of the first two fields, each row in the table pertains to information recorded in (or derived from) the various numbered sections of the VAERS-1 form.  No data is provided that would allow identification of any individuals associated with these reports.

** Varivax Vaccine (Chicken Pox) -- Gene had a reaction to this vaccine in 8/1995.  His doctor (as they are supposed to) reported it.  See below for the report.

Date:      Immunization/Type of Test 10/8/92    DPT#1, Oral Polio #1, HIB Vaccine #1, HIB Titer #1 12/4/92    DPT#2, Oral Polio #2, HIB Vaccine #2, HIB Titer #2 02/5/93    DPT#3, HIB Titer #3 9/10/93    MMR, TB Tine 02/2/94    DPT#4, Oral Polio #3, HIB Vaccine #3 9/23/94    PPD 8/22/95    TB Tine, Varivax ** 8/26/97    DPT#5, Oral Polio #4, MMR, Hep B #1, Mantoux 10/28/97  Hep B #2 3/31/98    Hep B #3