Repository for Vaccine Adverse Effects
V4.1.60
Anaphylaxis (Severe Allergy) >> Difficulty breathing
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Symptom Information Ref #: 41560
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Psyciatric / Mood Disorder
Gastrointestinal /Nutrition
Anaphylaxis (Severe Allergy)
Neurological (Brain)
General Pain / Fever
Respiratory (Breathing)
Dermatological (Skin)
Hearing / Ear Problems
Vision or Eye Problems
Maternity
Cardiac
Other
Difficulty breathing
Dizziness or fainting
High fever
Nausea, vomiting
Seizure
Severe swelling
Weak rapid pulse
Other immediate reaction
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Severity of Side-effect
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Description
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Patient Details
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Patient's country of residence
Antigua and Barbuda
Barbados
Bouvet Island
Afghanistan
Argentina
Belarus
Aland Islands
Armenia
Belgium
Albania
Aruba
Belize
Algeria
Australia
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Austria
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Finland
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France, Metropolitan
French Guiana
French Polynesia
French Southern Territories
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Germany
Ghana
Gibraltar
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OTHER
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Patient's age group
Newborn Infant
< 24 Months
2 - 7 Years
8 - 13 Years
14 - 18 Years
19 - 25 Years
26 - 35 Years
36 - 50 Years
51 - 65 Years
66 - 80 Years
81 - 90 Years
over 90 Years
Age unknown
Ethnicity/Race
Asian
Black or African American
Hispanic/Latino
Indian
Native American
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White
Other ethnicity not listed
If military member, select status
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This form completed by
Patient Affected
Patient's Physician
Patient's Family
Patient's Caregiver
Other
Vaccines Administered During Office Visit
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Vaccine Name
Manufacturer
Lot Number
Dose No.
Enter all vaccines received (during the same office visit or as part of a set) that you believe could be responsible for the reported side-effect.
Anthrax (AVA)
Cholera
COVID-19
Dengue Tetravalent
Diphtheria & Tetanus / Pertussis (DTap)
Diphtheria / Tetanus Toxoids (DT)
Diphtheria, Tetanus, Pertussis, Hep B, Polio
DT + IPV
DT+IPV+HIB+HEPB
DTAP + HEPB + IPV
DTAP + HIB
DTAP + IPV
DTAP + IPV + HIB
DTAP+IPV+HEPB+HIB
DTP
DTP + HEP B
DTP + HIB
DTP + IPV
Ebola Zaire
FSME-IMMUN.
Haemophilus b (HIB)
Haemophilus b, Hepatitis B (COMVAX)
Hepatitis A (VAQTA)
Hepatitis A, Hepatitis B (Twinrix)
Hepatitis B (Energix-B, Recombivax HB)
Hepatyrix (HEP A + TYP)
Human Papillomavirus (HPV, Gardasil, Cervarix)
Influenza (H1N1)
Influenza (Inactivated, injected)
Influenza (Live nasal FluMist)
Japanese Encephalitis
Measles
Measles + Mumps
Measles + Rubella
Measles, Mumps, Rubella (M-M-R II)
Measles, Mumps, Rubella, Varicella (ProQuad)
Meningococcal
Meningococcal B
Meningococcal C & Y + HIB
Meningococcal Conjugate
Meningococcal Conjugate + HIB
Meningococcal Polysaccharide (Menactra)
Meningococcus (Menomune)
Mumps (Mumpsvax)
Other (please list in comments)
Pertussis
Pneumococcal, (Prevnar)
Pneumococcal, Polyvalent (Pneumovax-23)
Poliovirus (inactivated - IPV)
Poliovirus (live oral - OPV)
Rabies
Rotavirus (pentavalent - Rota Teq)
Rotavirus (Rotarix)
Rubella (Meruvax)
Shingles/Zoster (Zostavax)
Smallpox
TDAP + IPV
Tetanus & Diphtheria Toxoids (Td - Adult)
Tetanus Toxoid
Tetanus Toxoid, Diphtheria, Pertussis (Tdap)
Tick-borne Enceph
Tuberculosis (BCG)
Typhoid
Vaccine not specified (no brand name)
Varicella (Varivax)
Yellow Fever
Pasteur Merieux Connaught
Pasteur Meriex Inst.
Altimmune
AstraZeneca-Oxford (Vaxzevria)
BERNA BIOTECH, LTD.
BioNTech
Connaught Laboratories
Covax (Vaccine Partnership)
CSL Limited
Dynavax Technologies Corp.
Emergent Biosolutions
ERVEBO
GlaxoSmithKline
Glaxosmithkline Biologicals
Heat Biologics
Inovio
Intercell Ag
Johnson & Johnson/Janssen (COVID)
Johnson & Johnson
Mass. Public Health
Medeva Pharma Ltd.
Medimmune Vaccines
Merck Sharp & Dohme
Michigan Dept. Pub Health
Moderna (SpikeVax)
MSP Vaccine Company
Novartis Vaccines
Novavax
Paxvax
Pfizer / Biontech (Comirnaty)
Pfizer / Wyeth
Protein Scienses Corp.
Sanofi
Sanofi Pastuer
Seqirus, Inc.
Sinopharm (BBIBP-CorV)
Smithkline Beecham
Teva Pharmaceuticals
VAX MANU
Vaxart
Vaxzevria (AstraZeneca renamed)
Unknown
1st
2nd
3rd
4th
5th
Anthrax (AVA)
Cholera
COVID-19
Dengue Tetravalent
Diphtheria & Tetanus / Pertussis (DTap)
Diphtheria / Tetanus Toxoids (DT)
Diphtheria, Tetanus, Pertussis, Hep B, Polio
DT + IPV
DT+IPV+HIB+HEPB
DTAP + HEPB + IPV
DTAP + HIB
DTAP + IPV
DTAP + IPV + HIB
DTAP+IPV+HEPB+HIB
DTP
DTP + HEP B
DTP + HIB
DTP + IPV
Ebola Zaire
FSME-IMMUN.
Haemophilus b (HIB)
Haemophilus b, Hepatitis B (COMVAX)
Hepatitis A (VAQTA)
Hepatitis A, Hepatitis B (Twinrix)
Hepatitis B (Energix-B, Recombivax HB)
Hepatyrix (HEP A + TYP)
Human Papillomavirus (HPV, Gardasil, Cervarix)
Influenza (H1N1)
Influenza (Inactivated, injected)
Influenza (Live nasal FluMist)
Japanese Encephalitis
Measles
Measles + Mumps
Measles + Rubella
Measles, Mumps, Rubella (M-M-R II)
Measles, Mumps, Rubella, Varicella (ProQuad)
Meningococcal
Meningococcal B
Meningococcal C & Y + HIB
Meningococcal Conjugate
Meningococcal Conjugate + HIB
Meningococcal Polysaccharide (Menactra)
Meningococcus (Menomune)
Mumps (Mumpsvax)
Other (please list in comments)
Pertussis
Pneumococcal, (Prevnar)
Pneumococcal, Polyvalent (Pneumovax-23)
Poliovirus (inactivated - IPV)
Poliovirus (live oral - OPV)
Rabies
Rotavirus (pentavalent - Rota Teq)
Rotavirus (Rotarix)
Rubella (Meruvax)
Shingles/Zoster (Zostavax)
Smallpox
TDAP + IPV
Tetanus & Diphtheria Toxoids (Td - Adult)
Tetanus Toxoid
Tetanus Toxoid, Diphtheria, Pertussis (Tdap)
Tick-borne Enceph
Tuberculosis (BCG)
Typhoid
Vaccine not specified (no brand name)
Varicella (Varivax)
Yellow Fever
Pasteur Merieux Connaught
Pasteur Meriex Inst.
Altimmune
AstraZeneca-Oxford (Vaxzevria)
BERNA BIOTECH, LTD.
BioNTech
Connaught Laboratories
Covax (Vaccine Partnership)
CSL Limited
Dynavax Technologies Corp.
Emergent Biosolutions
ERVEBO
GlaxoSmithKline
Glaxosmithkline Biologicals
Heat Biologics
Inovio
Intercell Ag
Johnson & Johnson/Janssen (COVID)
Johnson & Johnson
Mass. Public Health
Medeva Pharma Ltd.
Medimmune Vaccines
Merck Sharp & Dohme
Michigan Dept. Pub Health
Moderna (SpikeVax)
MSP Vaccine Company
Novartis Vaccines
Novavax
Paxvax
Pfizer / Biontech (Comirnaty)
Pfizer / Wyeth
Protein Scienses Corp.
Sanofi
Sanofi Pastuer
Seqirus, Inc.
Sinopharm (BBIBP-CorV)
Smithkline Beecham
Teva Pharmaceuticals
VAX MANU
Vaxart
Vaxzevria (AstraZeneca renamed)
Unknown
1st
2nd
3rd
4th
5th
Anthrax (AVA)
Cholera
COVID-19
Dengue Tetravalent
Diphtheria & Tetanus / Pertussis (DTap)
Diphtheria / Tetanus Toxoids (DT)
Diphtheria, Tetanus, Pertussis, Hep B, Polio
DT + IPV
DT+IPV+HIB+HEPB
DTAP + HEPB + IPV
DTAP + HIB
DTAP + IPV
DTAP + IPV + HIB
DTAP+IPV+HEPB+HIB
DTP
DTP + HEP B
DTP + HIB
DTP + IPV
Ebola Zaire
FSME-IMMUN.
Haemophilus b (HIB)
Haemophilus b, Hepatitis B (COMVAX)
Hepatitis A (VAQTA)
Hepatitis A, Hepatitis B (Twinrix)
Hepatitis B (Energix-B, Recombivax HB)
Hepatyrix (HEP A + TYP)
Human Papillomavirus (HPV, Gardasil, Cervarix)
Influenza (H1N1)
Influenza (Inactivated, injected)
Influenza (Live nasal FluMist)
Japanese Encephalitis
Measles
Measles + Mumps
Measles + Rubella
Measles, Mumps, Rubella (M-M-R II)
Measles, Mumps, Rubella, Varicella (ProQuad)
Meningococcal
Meningococcal B
Meningococcal C & Y + HIB
Meningococcal Conjugate
Meningococcal Conjugate + HIB
Meningococcal Polysaccharide (Menactra)
Meningococcus (Menomune)
Mumps (Mumpsvax)
Other (please list in comments)
Pertussis
Pneumococcal, (Prevnar)
Pneumococcal, Polyvalent (Pneumovax-23)
Poliovirus (inactivated - IPV)
Poliovirus (live oral - OPV)
Rabies
Rotavirus (pentavalent - Rota Teq)
Rotavirus (Rotarix)
Rubella (Meruvax)
Shingles/Zoster (Zostavax)
Smallpox
TDAP + IPV
Tetanus & Diphtheria Toxoids (Td - Adult)
Tetanus Toxoid
Tetanus Toxoid, Diphtheria, Pertussis (Tdap)
Tick-borne Enceph
Tuberculosis (BCG)
Typhoid
Vaccine not specified (no brand name)
Varicella (Varivax)
Yellow Fever
Pasteur Merieux Connaught
Pasteur Meriex Inst.
Altimmune
AstraZeneca-Oxford (Vaxzevria)
BERNA BIOTECH, LTD.
BioNTech
Connaught Laboratories
Covax (Vaccine Partnership)
CSL Limited
Dynavax Technologies Corp.
Emergent Biosolutions
ERVEBO
GlaxoSmithKline
Glaxosmithkline Biologicals
Heat Biologics
Inovio
Intercell Ag
Johnson & Johnson/Janssen (COVID)
Johnson & Johnson
Mass. Public Health
Medeva Pharma Ltd.
Medimmune Vaccines
Merck Sharp & Dohme
Michigan Dept. Pub Health
Moderna (SpikeVax)
MSP Vaccine Company
Novartis Vaccines
Novavax
Paxvax
Pfizer / Biontech (Comirnaty)
Pfizer / Wyeth
Protein Scienses Corp.
Sanofi
Sanofi Pastuer
Seqirus, Inc.
Sinopharm (BBIBP-CorV)
Smithkline Beecham
Teva Pharmaceuticals
VAX MANU
Vaxart
Vaxzevria (AstraZeneca renamed)
Unknown
1st
2nd
3rd
4th
5th
Symptom Identification
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Did your symptoms start gradually or appear suddenly?
Gradually
Suddenly
How long did the side effects last?
Less than a day
A few days
A couple of weeks
Ongoing - More than a few weeks
Is there anything you found that reduces the symptoms?
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Outcomes
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Select the outcome for this event from those listed below.
Temporary Discomfort
Details
Physician/Clinic Visit
Details
Emergency Treatment Required
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Admitted to Hospital
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Birth Defect (valid for mothers vaccinated during pregnacy)
Details
Permanently Disabled
Details
Death
Details
Unknown
Details
Clinic Location
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Facility/Clinic where you received the vaccine
Type of facility
Clinic
Doctors office
Military hospital/facility
Nursing home or senior center
Pharmacy
Private hospital
Public hospital
School or university
Shopping center/store
Workplace
Other facility type
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If treatment was required, enter the 2 fields below.
Name of facility where treatment was received
Length of time treatment was required (Days)
Pre-existing Conditions
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Please select any ailments that you had prior to accepting your most recent vaccine. If possible, check all that apply.
Allergies
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Clothing / fabics
Food
Latex
Metals / jewelry
Pets (Cats or Dogs)
Pollen / dust / smoke
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Heart Problems
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High cholesterol
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Diabetes
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Skin disorder
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Psoriasis
Rosacea / redness
Rashes / hives / shingles
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Degenerative disease
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Multiple Sclerosis
Muscular Dystrophy
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Other conditions
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Asthma
Chronic Obstructive Pulmonary Disease (COPD)
Hormonal imbalance
Immunodeficiency
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