chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Soft tissue injury
Clinical narrative: Pain at site of injection has not gone away. Pain in deltoid area when lifts arm over head.
Age: 1.25
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Fatigue, Lethargy, Pyrexia, Vomiting
Clinical narrative: Low-grade Fever, Vomiting, Fatigue, Lethargy
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Blood creatine phosphokinase normal, Blood creatinine normal, Blood gases abnormal, Blood glucose increased, Blood potassium increased
Clinical narrative: Patient presented on 12/24/2007 with fatigue, polyuria and polydypsia for 3-4 days.  Blood glucose was found to be elevated at 474 mg/dL.  He was referred and admitted to Hospital with a diagnosis of new onset diabetic ketoacidosis.  He was treated with IV fluid resuscitation and insulin, and he was discharged on 12/27/2007. 1/17/08-records received for DOS 12/24-12/27/07-DC DX: Diabetes. Presented to ED with 5 day history of polydipsia and polyuria and fatigue. Ten pound weight loss.Mild diabetic ketoacidosis.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Blood sodium decreased, Blood urea normal, Carbon dioxide abnormal, Diabetic ketoacidosis, Fatigue
Clinical narrative: Patient presented on 12/24/2007 with fatigue, polyuria and polydypsia for 3-4 days.  Blood glucose was found to be elevated at 474 mg/dL.  He was referred and admitted to Hospital with a diagnosis of new onset diabetic ketoacidosis.  He was treated with IV fluid resuscitation and insulin, and he was discharged on 12/27/2007. 1/17/08-records received for DOS 12/24-12/27/07-DC DX: Diabetes. Presented to ED with 5 day history of polydipsia and polyuria and fatigue. Ten pound weight loss.Mild diabetic ketoacidosis.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Polydipsia, Polyuria
Clinical narrative: Patient presented on 12/24/2007 with fatigue, polyuria and polydypsia for 3-4 days.  Blood glucose was found to be elevated at 474 mg/dL.  He was referred and admitted to Hospital with a diagnosis of new onset diabetic ketoacidosis.  He was treated with IV fluid resuscitation and insulin, and he was discharged on 12/27/2007. 1/17/08-records received for DOS 12/24-12/27/07-DC DX: Diabetes. Presented to ED with 5 day history of polydipsia and polyuria and fatigue. Ten pound weight loss.Mild diabetic ketoacidosis.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Pruritus, Rash, Scratch
Clinical narrative: 3yr.4month h/m received flu vaccine prior in 01/06/06 and 12/02/05, pt given flu vaccine at 4:30pm and at 4:40pm upon discharge mother noticed child scratching and itching mother brought child back to the nurse and child presented with rash to forhead and a few spots of itching to upper back.  No respiratory symptoms, no whezzing, and no SOB noted. Child alert, pediatrician at the clinic examined the patient and 911 was called for child to go to ER for close observation.  Mother informed Dr. child had eaten eggs and sausage in the morning.  Ambulance came and child left on stable conmdition to go to Hospital.
Age: 8.0
Sex: F
Vaccine: PPV
Symptoms: Abscess
Clinical narrative: abcess cellulitis was hospitalized on Jan 05, 2008 1/11/08-records received for DOS 1/5/08-and as of 1/10/08 patient remains in hospital. Admitted through ED with diagnosis of cellulitis of right deltoid area. Abdominal pain. Day after vaccination developed arm pain and welt in arm, tenderness, warmth and redness. Area of fluctuance at injection site. Fevers 101-104. Suprapubic abdominal pain with some headache and back pain. Vomiting.  2/19/08-DC summary received for DOS 1/5-1/8/08. DC DX: Right upper extremity cellulitis. Adverse vaccine reaction.
Age: 0.64
Sex: F
Vaccine: FLU3
Symptoms: Cerebrovascular accident, Lumbar puncture
Clinical narrative: Stroke vs acute disseminated Encephalomyelitis.  1/8/08 Received vax record which confirms Aventis flu vaccine given 12/11. 1/8/08 Reviewed hospital medical records which reveal patient experienced right facial & RUE paresis x 2 days starting 2 hours s/p flu shot.  Seen in ER on 12/12, diagnosed w/weakness & d/c to home. No improvement.  Admitted 12/13-12-15/2007 to PICU.  Neuro consult done. FINAL DX: stroke, left basal ganglia infarct. 01/11/2008 Received additional hospital medical records which reveal patient experienced suspected ADEM vs stroke syndrome.  Admitted to PICU 12/21-12/23/2007.  Neuro consult done & tx w/high dose steroids.  Stable & d/c to home on continued steroids & neuro f/u. FINAL DX: none provided on d/c summary except ADEM vs stroke syndrome.  Neuro consult dx stroke.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Electroencephalogram normal, Grand mal convulsion, Postictal state, Somnolence
Clinical narrative: 6 month old female admitted on 12/23/07 after GTC seizure lasting approximately 1 minute.   Positive post-ictal sombolence.  Patient had a previous GTC seizure after vaccination (1 day approx).  She had 2 seizures, afebrile.  Denies fever or URI, no vomiting, no history of Anec tear.  01/08/2008 VAERS report received with MR attached. Infant admitted 12/5/07  and again 12/23/07 for generalized tonic-clonic seizures, the first occuring after receiving vax on 12/04/07. First episode at home with reported staring, stiffening of arms and legs, jerking of arms and legs and abnormal mouth movement.  2nd episode witnessed by attending as above with dusky change in color.  Pt had no further episodes until 12/23/07 when pt had another tonic-clonic seizure followed by post-ictal period. DX: Seizure Disorder
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Crepitations, Dyspnoea, Lip swelling, Urticaria, Wheezing
Clinical narrative: 15 minutes after shots, she had difficulty breathing, lips swollen, whelps on chest, bilateral expiratory wheezing and crackles. She was given Epinephrine 1:1000 1mg 1 ml - 1 ml given subcutaneous, 8 mg Decadron IM, Albuterol 2.5mg nebulized treatment and given - with subsequent resolution of symptoms. Sent home with Prednisone pack and Epipen. To return for f/u the next day.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, VARCEL
Symptoms: Dizziness, Syncope
Clinical narrative: Patient stated feeling dizzy, then fainted 5-10 minutes after vaccinations were complete.  Doctor performed complete assessment on patient.  Condition stable.  Patient released to parents, advised to go to ER if any complications occur.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Pyrexia
Clinical narrative: Fever, crying about 3 1/2 hours 4:30AM-8AM.  6 mos imm given previous morning about 10:30AM.
Age: 3.0
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Swelling, Urticaria
Clinical narrative: Urticarial swelling on left cheek.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Immediate post-injection reaction, Nausea
Clinical narrative: Pt received injection, 5 minute post injection she c/o dizziness and nausea.  She had not eaten anything for 12 hrs due to testing she was to have that afternoon.  Symptoms subsided after 5 minutes.  No other c/o and was discharged with no c/o or further symptoms.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia, Screaming
Clinical narrative: Shots received about 1:30PM.  At 10PM F of 104.3 & screaming.  F was high all night.  He received Tylenol & was walked alot.  This AM fever was better & eating good.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Arthritis, Condition aggravated, Dementia Alzheimer's type, Pain in extremity, X-ray limb normal
Clinical narrative: Had flu shot morning of Oct. 16. Woke me at 2 AM in excruciating pain in his right leg. We went to emergency room. They x-rayed but could not find anything. Went home. Sunday, he was back in pain. We were back in emergency room. X-rayed higher; could not find nothing. Mon. saw his doctor, had MRI - nothing - went to sports doctor and could find nothing. They said to take him to his neurologist. We did, he couldn't find anything wrong with his leg. Some arthritis in hips, and back only. He was on medication for Alzheimer, after this incident he went into full blown Alzheimer and I had to put him into a nursing home December 14, 2007.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: X-ray of pelvis and hip normal
Clinical narrative: Had flu shot morning of Oct. 16. Woke me at 2 AM in excruciating pain in his right leg. We went to emergency room. They x-rayed but could not find anything. Went home. Sunday, he was back in pain. We were back in emergency room. X-rayed higher; could not find nothing. Mon. saw his doctor, had MRI - nothing - went to sports doctor and could find nothing. They said to take him to his neurologist. We did, he couldn't find anything wrong with his leg. Some arthritis in hips, and back only. He was on medication for Alzheimer, after this incident he went into full blown Alzheimer and I had to put him into a nursing home December 14, 2007.
Age: 1.0
Sex: M
Vaccine: HEPA, MMRV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Right thigh with immediate 3cm erythema, warmth surrounding injection site, 1cm x .5cm white raised blob just distal to injection site. Child given 12.5mg Benadryl liquid. Within 20 minutes, erythema decreased but not resolved, no respiratory difficulties. Afebrile, able to move all extremities.
Age: 1.9
Sex: M
Vaccine: DTAP, FLU3, HEPA
Symptoms: Injection site discolouration, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Vaccinations on 1-2-08.  Mother calls 1-4-08 to report redness, swelling & "hot" at L leg (thigh) injection site.  Also reports site turning "sort of black".  Instructed mother to take child to his pediatrician today.  1-7-07 follow up with mom: child on cephalexin since 1-4-08 MD visit.  Feeling better.  Leg looks better.  MD records indicate L upper thigh redness around puncture site, redness, and 3 cm induration around puncture site.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Medication error, Wrong drug administered
Clinical narrative: Received 0.5ml of Fluzone from multidose vial containing preservative Thimerosal. Mother had requested the single-unit dose without Thimerosal. No clinical adverse event.  1/25/08 There was no adverse event from the vaccine.  Mother is concerned that the THIMOROSAL preservative may eventually cause a problem.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Dizziness, Injection site pain, Malaise, Nausea
Clinical narrative: Did not feel well, felt dizzy x 1-2 days after the 2nd Gardasil shot. Nauseous , abd pain, local pain at site.
Age: 33.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash, Rash pustular, Scab
Clinical narrative: Rash (clusters & patches) on torso, extremities, scalp, face.  First patches now crusted over but new pustule rash developed 1/6/08 on shoulder & upper arm.  Afebrile.  Primary care physician prescribed Valtrex (1 dose) but not taken.
Age: 0.3
Sex: F
Vaccine: DTAP, IPV
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient received second DTaP (#2) and IPV #2 only 19 days after first/initial. Manufacturer was called by our office. We were advised to continue with routine vaccine schedule.
Age: 13.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Cardiac monitoring, Dizziness, Fall, Loss of consciousness, Syncope
Clinical narrative: Pt after received varicella and human papilloma virus vaccine, felt faint and fell to the floor, positive loss of consciousness less
Age: 62.0
Sex: F
Vaccine: FLU3, HEPAB, VARZOS
Symptoms: Erythema, Lip swelling, Rash, Swelling face
Clinical narrative: Client received hep a/b Twinrix #1, Zostavax and flu shots on 11/09/2007.  Clients noted red spots on back arm (l), (l) breast and (r)shoulder and thighs then (l) face and cheek became swollen and upper lip swollen over bottom lip.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Infection, Injection site bruising, Injection site swelling, Local reaction, Pain
Clinical narrative: Reaction and infection - Rt arm hot, red, very sore with fever (101), bruising, and swelling from the injection site to below and around elbow. Fever for 2 days. Redness, swelling, etc 5-6 days. Treated with Azithromycin and Benadryl.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia, Skin warm
Clinical narrative: Reaction and infection - Rt arm hot, red, very sore with fever (101), bruising, and swelling from the injection site to below and around elbow. Fever for 2 days. Redness, swelling, etc 5-6 days. Treated with Azithromycin and Benadryl.
Age: 14.0
Sex: U
Vaccine: HEPA, MNQ, TDAP
Symptoms: Pyrexia
Clinical narrative: Mother stated the client developed a fever the evening following the injection. She took his temperature orally with a mercury thermometer, it was 104 degrees F. She did give him aspirin and later realized that she should not have done this because of the associated risk of Reyes Syndrome. She also put him in the bath tub. She reports that his temp was down to 102 degrees F within 20 minutes and then down further relatively quickly. She gave him Motrin the rest of the night, no more aspirin. No other symptoms to report.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Asthenia, Chills, Pain, Pyrexia, Vomiting
Clinical narrative: APPROXIMATELY 12 HOURS AFTER IMMUNIZATIONS WERE ADMINISTERED CHILD DEVELOPED VIOLENT VOMITING, ACHINESS, WEAKNESS & CHILLS.  DEVELOPED FEVER  OF 103PO LATER DURING EVENING OF 12/20. GIVEN TYLENOL/MOTRIN FOR FEVER.  SXS SPONTANEOUSLY RESOLVED 24 HOURS AFTER ADMINISTRATION OF VACCINES.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Insomnia
Clinical narrative: Painful injection site for 3 days.  Can't sleep.  Going to doctor today.  Dr. told her that shot probably hit a tendon or ligament and gave her some pain pills to use at night.  Still sore 10/6/07.
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site induration, Injection site mass, Injection site swelling
Clinical narrative: Administered Fluarix in left arm.  Took needle out and arm began swelling in egg shape, hard mass.  Applied ice pack, gave Benadryl 50 mg capsule.  Swelling was the only sign of adverse reaction.
Age: 74.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt reported that arm (left) was sore the evening of vaccine, woke up in the morning, arm at site of vaccine was warm, red, and severely swollen. Pt went to clinic; received diphenhydramine injection and Prednisone taper.
Age: 35.0
Sex: M
Vaccine: FLU3
Symptoms: Blood pressure, Erythema, Heart rate normal, Pruritus
Clinical narrative: 1st time patient received flu shot.  Itching, redness face, little on top of chest, none on arms/back or body.  BP 153/79, pulse 8.  Gave Benadryl 50 mg, advised q 6 hours x2 days, then see MD.  Gave pt. Benadryl if continues.
Age: 20.0
Sex: M
Vaccine: FLU3
Symptoms: Blood pressure, Dizziness, Flushing, Heart rate increased, Tremor
Clinical narrative: 1st time patient received Flu shot. BP 128/71. Pt felt dizzy/shaking, flushed. 5 min recheck BP gave O.J. and crackers. BP 113/74, 85 pulse, felt ok. Gave cold compress. Patient had not eaten upon further conversation.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Tenderness
Clinical narrative: Bruising, tenderness day after injection; patient reported improvement by 10-27-07.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure, Dizziness, Feeling hot, Heart rate normal, Hyperhidrosis
Clinical narrative: Patient has had flu shot in past.  Hot, sweating, shaking, dizzy.  BP 120/79, pulse 99.  10 min later recheck 125/79, pulse 89.  Cold compress, orange juice, crackers given.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Tremor
Clinical narrative: Patient has had flu shot in past.  Hot, sweating, shaking, dizzy.  BP 120/79, pulse 99.  10 min later recheck 125/79, pulse 89.  Cold compress, orange juice, crackers given.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Dizziness, Flushing, Heart rate, Heart rate increased
Clinical narrative: Patient's first time getting flu shot. Patient felt flushed, dizzy, nauseated 5-10 minutes after flu shot. BP 141/93, Pulse 93. Recheck 5 min, 125/83, Pulse 83. Called corporate. Found out patient had not eaten yet, gave crackers, orange juice. Patient felt better. Cold compress applied.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea
Clinical narrative: Patient's first time getting flu shot. Patient felt flushed, dizzy, nauseated 5-10 minutes after flu shot. BP 141/93, Pulse 93. Recheck 5 min, 125/83, Pulse 83. Called corporate. Found out patient had not eaten yet, gave crackers, orange juice. Patient felt better. Cold compress applied.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Pruritus
Clinical narrative: Patient became lightheaded and remained in chair for 20-30 minutes.  She requested water.  She kept her head lowered to help with lightheadedness.  She reported itching especially on her head.  We gave 50 mg PO Benadryl and symptoms improved in 30-40 min. Her husband took her home.  We made a follow up call to patient early afternoon next day and she said she was fine.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash
Clinical narrative: Pt said broke out in rash the week of Oct 8th which is the week she got her flu shot. She said she didn't think anything of it but it kept getting itchier and spreading. She finally went to the doctor on 11/6/07. Doctor says that is the only thing they can figure it was from.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Localized swelling in right arm and redness approximately 8 inch diameter following flu shot. Now approximately 6 inches diameter.
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Eye pruritus, Rash
Clinical narrative: Patient developed itchy eyes and neck rash 24 to 48 hours after receiving the vaccine. Patient instructed to take OTC Benadryl.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Syncope
Clinical narrative: Patient felt numbness in lower part of legs, started to collapse.
Age: 29.0
Sex: F
Vaccine: IPV, TDAP
Symptoms: Chills, Fatigue, Feeling cold, Headache, Injection site pain
Clinical narrative: Received Tdap, polio, and PPD 1/7/08. C/O chills, freezing sensation, mild nausea, headache and site tenderness left arm last night. Unable to stay warm with multiple blankets. Did not take temperature or take any medications for. Denied sweating, vomiting, diarrhea, muscle aches, chest pain, breathing difficulty, visual problems, lymph node swelling, or any edema. Denied recent illness, travel or new exposures other than recent vaccinations. Denied receipt of VIS forms. Feeling as well as can be expected Is okay and functions, but very tired due to poor nights sleep.  Working with children at day care center, feeling tired (fatigue), feeling poorly (malaise), and recurrent chills chills come and go.  No night sweats. Headache dull pounding sensation all over head especially when feels a chill. 2/10 scale, no visual disturbance, tinnitius, n/v, dizziness.  No hx migraines. Gets headaches with storms or sudden change in weather.  No sinus pain. No neck symptoms.  No eye symptoms.  No otolaryngeal symptoms.  No cardiovascular symptoms.  No pulmonary symptoms.  No gastrointestinal symptoms Had nausea last night but okay today.  No endocrine symptoms.  No musculoskeletal symptoms.  No neurological symptoms.  No psychological symptoms.  No skin symptoms.
Age: 29.0
Sex: F
Vaccine: IPV, TDAP
Symptoms: Malaise, Nausea
Clinical narrative: Received Tdap, polio, and PPD 1/7/08. C/O chills, freezing sensation, mild nausea, headache and site tenderness left arm last night. Unable to stay warm with multiple blankets. Did not take temperature or take any medications for. Denied sweating, vomiting, diarrhea, muscle aches, chest pain, breathing difficulty, visual problems, lymph node swelling, or any edema. Denied recent illness, travel or new exposures other than recent vaccinations. Denied receipt of VIS forms. Feeling as well as can be expected Is okay and functions, but very tired due to poor nights sleep.  Working with children at day care center, feeling tired (fatigue), feeling poorly (malaise), and recurrent chills chills come and go.  No night sweats. Headache dull pounding sensation all over head especially when feels a chill. 2/10 scale, no visual disturbance, tinnitius, n/v, dizziness.  No hx migraines. Gets headaches with storms or sudden change in weather.  No sinus pain. No neck symptoms.  No eye symptoms.  No otolaryngeal symptoms.  No cardiovascular symptoms.  No pulmonary symptoms.  No gastrointestinal symptoms Had nausea last night but okay today.  No endocrine symptoms.  No musculoskeletal symptoms.  No neurological symptoms.  No psychological symptoms.  No skin symptoms.
Age: 14.0
Sex: M
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient received flu vaccine that was for ages 18yrs and up.  No adverse effects noted while patient was in office. No adverse events reported by parents as of reporting date.
Age: 0.63
Sex: M
Vaccine: DTAPHEPBIP, FLU3, PNC, RV5
Symptoms: Nasopharyngitis, Pyrexia
Clinical narrative: Received 4 vaccines @ 9:30 AM on 1-7-08. At 10:30 pm fever of 104.4. Mother put baby in tepid bath, gave Tylenol and fever dropped to 101. Continues with 101 fevers @ 24 hrs. later. Referred to Pediatrician. Pediatrician beleives fever from a "cold" and not related to vaccines.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Intra-uterine death, Stillbirth, Ultrasound scan normal
Clinical narrative: Information has been received from a nurse through a Merck pregnancy registry concerning a 25 year old caucasian female with endometriosis who on 26-Mar-2007 was vaccinated IM in the right deltoid with a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (lot #655503/0012U).  Concomitant therapy included folic acid and unspecified prenatal vitamins.  On 11-Jun-2007 the patient was vaccinated IM in the left deltoid with a second dose (lot #657737/0522U).  The patient now is pregnant.  The patient's LMP was 18-Jun-2007.  Her estimated delivery date is 25-Mar-2008.  The patient will be in the office on 07-Aug-2007.  Follow-up information received indicates that the patient had ultrasound testing on 09-Aug-2007 and 22-Oct-2007, results of both were reported to be within normal limits.  Follow up information received on 02-Jan-2008, indicated that on 28-Dec-2007, the patient had a fetal death/stillbirth, weeks from LMP 27.  Autopsy being done.  No other information available.  Upon internal review fetal death/stillbirth considered to be an other important medical event.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Body temperature increased, Convulsion, Dizziness, Headache, Photophobia
Clinical narrative: Information has been received from a healthcare professional concerning a 17 year old female with no pertinent medical history, drug reactions/allergies or concomitant medication usage who on 27-NOV-2007 was vaccinated intramuscularly (site not reported) with the 1st 0.5ml dose of Gardasil (lot#658560/1062U). On 28-NOV-2007, 24 hours post vaccination, the patient felt lightheaded. Two hours later her vision became black and she had a convulsion lasting for 15 seconds with urinary incontinence. On 29-NOV-2007, the patient developed a fever (102F), photophobia and a headache, no stiff neck was reported. The patient was seen by her primary physician and recovered in 5 days. On 21-Dec-2007, the patient was seen by the reporting physician's office with a diagnosis of convulsion vs syncope and questions whether this is related to the Gardasil vaccine. The patient was scheduled for an Electroencephalogram, a halter monitor and an MRI of the head. Upon internal review, the patient's convulsions were considered an other important medical event. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Pyrexia, Urinary incontinence, Visual disturbance
Clinical narrative: Information has been received from a healthcare professional concerning a 17 year old female with no pertinent medical history, drug reactions/allergies or concomitant medication usage who on 27-NOV-2007 was vaccinated intramuscularly (site not reported) with the 1st 0.5ml dose of Gardasil (lot#658560/1062U). On 28-NOV-2007, 24 hours post vaccination, the patient felt lightheaded. Two hours later her vision became black and she had a convulsion lasting for 15 seconds with urinary incontinence. On 29-NOV-2007, the patient developed a fever (102F), photophobia and a headache, no stiff neck was reported. The patient was seen by her primary physician and recovered in 5 days. On 21-Dec-2007, the patient was seen by the reporting physician's office with a diagnosis of convulsion vs syncope and questions whether this is related to the Gardasil vaccine. The patient was scheduled for an Electroencephalogram, a halter monitor and an MRI of the head. Upon internal review, the patient's convulsions were considered an other important medical event. Additional information has been requested.
Age: 21.0
Sex: F
Vaccine: HEPA, HPV4, TTOX
Symptoms: Abortion spontaneous, Blood human chorionic gonadotropin positive, Drug exposure during pregnancy
Clinical narrative: Information has been received from a 21 year old female with a history of severe migraines, who on 02-DEC-2007 was vaccinated with the first dose of Gardasil. Concomitant therapy included hepatitis A virus vaccine (unspecified) and tetanus toxoid. On 07-DEC-2007, five days after the vaccination the patient found out that she was pregnant. Medical attention was sought. The patient's outcome was not recovered. No product quality complaint was involved. Follow up information received on 31-DEC-2007 from the patient indicated that she had a miscarriage on 22-Dec-2007. No additional information provided. Upon internal review miscarriage considered to be an other important medical event. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure before pregnancy, Foetal disorder, Laboratory test abnormal, Nail infection, Ultrasound scan abnormal
Clinical narrative: Information has been received from the Merck Pregnancy registry concerning a 17 year old white female who on 24-APR-2007 was vaccinated with her first dose of Gardasil and on 27-JUN-2007 was vaccinated with her second dose. Concomitant medication included Keflex and prenatal vitamins. Subsequently the patient became pregnant after being vaccinated. The patients LMP was 05-JUL-2007, estimated date of conception was 19-JUL-2007, and estimated date of delivery was 12-APR-2007. On 26-OCT-2007 an MSAFP test showed positive results for Down Syndrome - Risk 1:9, and on 14-NOV-2007 an ultrasound also showed positive results for Down Syndrome. It was also reported that the patient had a toe nail infection on 21-NOV-2007 and was treated with 500mg QUID with Keflex. Additional information has been requested.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Bronchitis, Convulsion, Pyrexia
Clinical narrative: Information has been received from a physician concerning a 1 year old female with bronchiolitis who on 30-NOV-2007 was vaccinated with a dose of MMR (no lot number was provided). "On 17-DEC-2007 the patient experienced bronchitis and was sent to the hospital with high fever and seizures. Length of time at the hospital was unknown." Subsequently, the patient recovered. There was no product quality complaint. The physician noted that he "believed that this adverse reaction did have any relation to MMR and was due to patient having bronchiolitis." Upon internal review, seizures were determined to be an other important medical event. Additional information has been requested.
Age: 1.3
Sex: M
Vaccine: MMR
Symptoms: Blood creatinine normal, Computerised tomogram normal, Gait disturbance, Laboratory test, Neutropenia
Clinical narrative: Information has been received from a physician and medical records concerning a 15 month old white male with no pre-existing medical conditions or allergies who on 02-Nov-2007 was vaccinated SC with his first dose of measles virus vaccine live (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3) (lot #656879/0709U).  There was no illness at the time of vaccination.  There was no concomitant medication.  On 11-Nov-2007 the patient experienced limping and torticollis of sudden onset for 2 days and was afebrile.  On approximately 11-Nov-2007 prior to admission, the patient also had a viral illness.  On 12-Nov-2007 the patient was found to be neutropenic characterized by fever (febrile) and was admitted to the hospital for further work-up for 2 days.  On approximately 12-Nov-2007 lab diagnostic studies included: ANC of 200, ESR = 20, serum creatinine = 0.5, and white blood cell counts of 33.9 and 31.2 respectively.  Other labs on that same day included MRI brain/spine = negative, CAT scan for the abdomen/head = negative and a lab/diagnostic of the soft tissue of the neck = negative.  The patient was treated with "IVF" and ibuprofen PRN pain/temperature.  The final diagnosis was viral syndrome associated with neutropenia and torticollis tenosynovitis.  The patient's condition was noted to be stable.  The patient was scheduled for follow-up with a primary medical doctor in 2 days and a hematologic oncologist in 1 week at the time of this report.  Additional information has been requested.  All available medical records will be provided upon request.
Age: 1.3
Sex: M
Vaccine: MMR
Symptoms: Neutrophil count decreased, Nuclear magnetic resonance imaging normal, Pyrexia, Red blood cell sedimentation rate normal, Tenosynovitis
Clinical narrative: Information has been received from a physician and medical records concerning a 15 month old white male with no pre-existing medical conditions or allergies who on 02-Nov-2007 was vaccinated SC with his first dose of measles virus vaccine live (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3) (lot #656879/0709U).  There was no illness at the time of vaccination.  There was no concomitant medication.  On 11-Nov-2007 the patient experienced limping and torticollis of sudden onset for 2 days and was afebrile.  On approximately 11-Nov-2007 prior to admission, the patient also had a viral illness.  On 12-Nov-2007 the patient was found to be neutropenic characterized by fever (febrile) and was admitted to the hospital for further work-up for 2 days.  On approximately 12-Nov-2007 lab diagnostic studies included: ANC of 200, ESR = 20, serum creatinine = 0.5, and white blood cell counts of 33.9 and 31.2 respectively.  Other labs on that same day included MRI brain/spine = negative, CAT scan for the abdomen/head = negative and a lab/diagnostic of the soft tissue of the neck = negative.  The patient was treated with "IVF" and ibuprofen PRN pain/temperature.  The final diagnosis was viral syndrome associated with neutropenia and torticollis tenosynovitis.  The patient's condition was noted to be stable.  The patient was scheduled for follow-up with a primary medical doctor in 2 days and a hematologic oncologist in 1 week at the time of this report.  Additional information has been requested.  All available medical records will be provided upon request.
Age: 1.3
Sex: M
Vaccine: MMR
Symptoms: Torticollis, Viral infection
Clinical narrative: Information has been received from a physician and medical records concerning a 15 month old white male with no pre-existing medical conditions or allergies who on 02-Nov-2007 was vaccinated SC with his first dose of measles virus vaccine live (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3) (lot #656879/0709U).  There was no illness at the time of vaccination.  There was no concomitant medication.  On 11-Nov-2007 the patient experienced limping and torticollis of sudden onset for 2 days and was afebrile.  On approximately 11-Nov-2007 prior to admission, the patient also had a viral illness.  On 12-Nov-2007 the patient was found to be neutropenic characterized by fever (febrile) and was admitted to the hospital for further work-up for 2 days.  On approximately 12-Nov-2007 lab diagnostic studies included: ANC of 200, ESR = 20, serum creatinine = 0.5, and white blood cell counts of 33.9 and 31.2 respectively.  Other labs on that same day included MRI brain/spine = negative, CAT scan for the abdomen/head = negative and a lab/diagnostic of the soft tissue of the neck = negative.  The patient was treated with "IVF" and ibuprofen PRN pain/temperature.  The final diagnosis was viral syndrome associated with neutropenia and torticollis tenosynovitis.  The patient's condition was noted to be stable.  The patient was scheduled for follow-up with a primary medical doctor in 2 days and a hematologic oncologist in 1 week at the time of this report.  Additional information has been requested.  All available medical records will be provided upon request.
Age: 0.2
Sex: M
Vaccine: DPP, HBHEPB, IPV, RV5
Symptoms: Haematology test, Infection
Clinical narrative: Information has been received from the mother of a 2 month old male with no past medical history, who on an unspecified date was vaccinated intramuscularly with the first dose of COMVAX. Concomitant vaccination included Rotateq. Other concomitant therapy included diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid, poliovirus vaccine and "PCB". Subsequently, one to two weeks after vaccination, the patient was diagnosed with a "blood infection, an ear infection and throat infection" and was hospitalized. The patient was hospitalized for 2 days and required 7 days of antibiotic therapy. The patient subsequently recovered on an unspecified date from the events. Additional information has been requested.  01/11/2008 Per CDC: Box 10-date of vaccination : 11/20/07  Box 13-lot # for Comvax: 1244F.   01/11/2008 MR received for ER visit 12/4/2207 with c/o fever and increased sleeping. PE WNL (ENT WNL).  Txd with Tylenol and ceftriaxone and D/Cd. DX:  Fever-Acute.  Leukocytosis-Acute.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Hypersensitivity, Injection site erythema, Injection site pruritus, Pruritus, Urticaria
Clinical narrative: Received shingles vaccine 24 hours ago.  From about 1 hour to 6 hours afterward, had allergic reaction.  Hives and itching.  Size about a dime to sligtly larger, behind knees, in armpits, around waist.  This eventually went away with no treatment.  From about 12 hours afterwards until now, have redness and itching at vaccination site.  About size of your hand.  Have not treated.  Checked with nurse and she said I could take Benadryl but have not done so yet.
Age: 0.84
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Diet refusal, Skin warm
Clinical narrative: Friday night felt hot to the touch at bedtime 9 pm and gave Tylenol. Began crying around 10:30 and still felt hot to the touch. Did not want bottle. Mom massaged legs and gave another warm bath. Began crying again after bath. All day Saturday and Sunday he slept a lot and when he was awake he cried and looked like he hurt and was hot to the touch. Patient usually wakes once in the night for a bottle and this weekend he woke five to six times during the night. Monday morning mom took temperature orally and it read 99.7 and he is still weak and cries a bit. Mom plans on calling the pediatrician today.
Age: 45.0
Sex: M
Vaccine: PPV
Symptoms: Injection site cellulitis, Myalgia, Nausea, Pyrexia
Clinical narrative: CELLULITIS  AT SITE OF INJECTION FEVER MUSCLE ACHES NAUSEA. 02/04/2008 MR received for DOS 11/2-5/2008 with D/C DX: Reaction to Pneumovax in the Left upper extremity with cellulitis and inflammation,  Diabetes mellitus, insulin dependent Type I, Hx of irritable bowel syndrome.  Pt presented to PCP office with fever, a large erythematous region with edema surrounding the L deltoid. Txd with abx and d/cd with improvement
Age: 39.0
Sex: F
Vaccine: TD
Symptoms: Arthralgia, Fatigue, Local reaction, Myalgia
Clinical narrative: Local reaction plus system complaints of fatigue, myalgias and arthralgias.
Age: 37.0
Sex: M
Vaccine: ANTH, UNK
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient in for Anthrax and TST on 7 Jan 08.  Patient returnd to clinic 8 Jan 08 wht lfa swollen and red at site where TST was thought to be placed and no reaction in left deltoid where anthrax was thought to be placed.  Due to the simularity of the 2 vials the immunization tech beleives the anthrax was placed in the lfa id and the TST was placed in the left shoulder SC.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Received immunizations on 1/4/08 started with redness at injection site that progressivley redness spread, became raised, warm to touch, and sensitive to touch. Upon exam 1/07/08 12.5 x 9 cm erythematuous, slightly warm, blanching lesion surrounding DTaP injection site and minimally painful.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain, Musculoskeletal pain, Pain in extremity
Clinical narrative: Patient complains of soreness in shoulder and upper arm, says cannot raise arm above shoulder level, states started with initial soreness in arm at vaccination site (left arm).
Age: 28.0
Sex: F
Vaccine: FLU3, HEP, PPV, TDAP
Symptoms: Unevaluable event
Clinical narrative: Hospitalized within
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Child presented to office 2 d after immunization with 12 hour hx redness (6-8cm), swelling (1-2cm) and induration at vaccine site (L) upper arm. There was a family, not personal history, of MRSA. She was initially treated with Septra and Keflex. The cellulitis continued to spread and she was admitted for IV Vancomycin and Clindamycin 12/22 and responded well. she was discharged on 12/24 on oral Zyvox to complete a 10 day course. 1/28/08-records received for DOS 12/25-12/28/07-DC DX: Cellulitis left forearm. Developed redness and swelling  increasing in size. Fever and pain.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Cyst, Explorative laparotomy, Ileectomy, Intussusception, Rectal haemorrhage
Clinical narrative: 4 days after vaccines, patient developed bilious emesis and rectal bleeding. Abdominal ultrasound at hospital showed intussusception - non reducible by air enema. Patient underwent exploratory laparotomy  for reduction of intussusception and resection of ileocecal enteric duplication cyst found at that time. 2/5/08-records received for DOS 12/17-12/19/07-DC DX: Intussusception. presented to ED with C/O vomiting greenish yellow 6 episodes. BRBRPR, no stool. Abdominal pain, increased sleepiness, decreased wet diapers.  Exploratory laparotomy, resection of ileocecal enteric duplication cyst. appendectomy.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Ultrasound abdomen abnormal, Vomiting
Clinical narrative: 4 days after vaccines, patient developed bilious emesis and rectal bleeding. Abdominal ultrasound at hospital showed intussusception - non reducible by air enema. Patient underwent exploratory laparotomy  for reduction of intussusception and resection of ileocecal enteric duplication cyst found at that time. 2/5/08-records received for DOS 12/17-12/19/07-DC DX: Intussusception. presented to ED with C/O vomiting greenish yellow 6 episodes. BRBRPR, no stool. Abdominal pain, increased sleepiness, decreased wet diapers.  Exploratory laparotomy, resection of ileocecal enteric duplication cyst. appendectomy.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Condition aggravated, Convulsion, Pyrexia
Clinical narrative: Seizure with fever (Hx of previous seizures with fever). 3/13/08-records received for 12/20/07-Prsents after status epilepticus. Seen in ED for seizures, temp 103.3, lethargic, slightly confused. DX Seizure, Fever. Each episode started with coughing followed by vomiting except last seizure where vomiting followed seizure.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Menstrual disorder
Clinical narrative: Pt. received HPV on 11-6-07 along with Tdap, MCV4.  Mom states that since that date pt. had experienced abnormal menstrual periods (ex for 1 mo).  Mom suspects HPV caused it.
Age: 0.5
Sex: M
Vaccine: DTAP, FLU3, HIBV, PNC, RV5
Symptoms: Body temperature decreased, Cold sweat, Diarrhoea, Heart rate increased, Listless
Clinical narrative: Given vaccines uneventfully, within 10-15 minutes became slightly listless and sleepy, started with projectile vomiting multiple times, clammy and pale, HR 120, temp decreased to 96.8, well perfused, no respiratory distress.  Patient continued to have vomiting and onset of diarrhea over next 2 hours and sent to ED where recovered without treatment.
Age: 0.5
Sex: M
Vaccine: DTAP, FLU3, HIBV, PNC, RV5
Symptoms: Pallor, Somnolence, Vomiting projectile
Clinical narrative: Given vaccines uneventfully, within 10-15 minutes became slightly listless and sleepy, started with projectile vomiting multiple times, clammy and pale, HR 120, temp decreased to 96.8, well perfused, no respiratory distress.  Patient continued to have vomiting and onset of diarrhea over next 2 hours and sent to ED where recovered without treatment.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Gait disturbance, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: Patient & parent state when she woke on 12/29/07 arms & legs felt "stiff" & "hurt".  Difficulty walking lasted through the day.  Resolved spontaneously by evening.  Not seen by physician.
Age: 49.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Pruritus, Swelling, Tenderness
Clinical narrative: Evening 12/17/07 itchy, red, swollen, and tender. Benadryl 50 q 8 hours. Then Zyrtec 10 q.d. x 7 days.
Age: 26.0
Sex: F
Vaccine: MMR, TD
Symptoms: Incorrect route of drug administration, Medication error, Wrong technique in drug usage process
Clinical narrative: Td given subcutaneously.
Age: 58.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Laboratory test, Swelling
Clinical narrative: Starting 11/9/07 experienced multiple site joint pain.  Pain (with swelling) migrates.
Age: 66.0
Sex: F
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration, Medication error
Clinical narrative: None (given outside FDA approved age range)
Age: 8.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Accidental overdose, Asthenia, Hypokinesia, Immediate post-injection reaction, Inappropriate schedule of drug administration
Clinical narrative: Immediate pain followed later by decreased strength and movement of arm.  A third dose of MMR had been mistakenly administered.
Age: 8.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Medication error, Pain
Clinical narrative: Immediate pain followed later by decreased strength and movement of arm.  A third dose of MMR had been mistakenly administered.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Limb discomfort
Clinical narrative: Patient received Gardasil vaccine 11/21/07 and called 01/02/08 to report her arm was still sore.
Age: 11.0
Sex: F
Vaccine: FLU3, HEPA, HPV4, MNQ, TDAP
Symptoms: Amenorrhoea, Dizziness, Headache, Injection site erythema, Injection site swelling
Clinical narrative: No menses since immunization.  Daily severe headaches accompanied by dizziness.  Headaches started the day of immunization.  Also local rxn-redness, swelling R arm.  Client just started menstruating 8-07.
Age: 11.0
Sex: F
Vaccine: FLU3, HEPA, HPV4, MNQ, TDAP
Symptoms: Local reaction
Clinical narrative: No menses since immunization.  Daily severe headaches accompanied by dizziness.  Headaches started the day of immunization.  Also local rxn-redness, swelling R arm.  Client just started menstruating 8-07.
Age: 12.0
Sex: F
Vaccine: MNQ
Symptoms: Asthenia, Discomfort, Hypotonia, Injected limb mobility decreased, Local swelling
Clinical narrative: Menactra was given in (L) deltoid 10/10/07. Pt had a lot of swelling locally that evening, lasting about 10 days. was left with a residual nodule a few weeks. Since then, 2 1/2 months later, still c/o muscle ache and weakness in deltoid. My sense is that she avoided using the arm due to discomfort and now has lost muscle tone/bulk. Needs to start exercising.
Age: 12.0
Sex: F
Vaccine: MNQ
Symptoms: Myalgia, Skin nodule
Clinical narrative: Menactra was given in (L) deltoid 10/10/07. Pt had a lot of swelling locally that evening, lasting about 10 days. was left with a residual nodule a few weeks. Since then, 2 1/2 months later, still c/o muscle ache and weakness in deltoid. My sense is that she avoided using the arm due to discomfort and now has lost muscle tone/bulk. Needs to start exercising.
Age: 8.0
Sex: F
Vaccine: IPV, MMR, TDAP, VARCEL
Symptoms: Influenza, Medication error, Wrong drug administered
Clinical narrative: Tdap inadvertently given to client instead of Td.  Pt seen in clinic with flu-like symptoms resolving 2 days later - probably not related to vaccines.
Age: 79.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Pt reports he had Zostavax at hospital Nov 07. Presents to this clinic 12-29-07 - reports started noticing shingles 2 or 3 weeks ago - confirmed by doctor - active shingles noted.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Laryngitis, Respiratory tract congestion, Upper respiratory tract infection
Clinical narrative: Approximately 30 hours after the shingles vaccination, I developed an upper respiratory infection, congestion, laryngitis, and fatigue. Ten days later, I still have some congestion and exhaustion. No fever.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Oedema peripheral, Paraesthesia
Clinical narrative: Patient had arm swelling/tingling on same day as she had her 2nd Gardasil vaccine.  Event occurred soon after vaccine administration, improved with Benadryl.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Body temperature increased, Chest X-ray, Feeding disorder, Full blood count, Influenza serology
Clinical narrative: Fever 1/3/08 up to 102.9, poor feeding.  Received immunizations 1/2/08.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Blood pressure normal, Dizziness, Heart rate normal, Immediate post-injection reaction, Syncope
Clinical narrative: Lightheaded, dizziness immediate upon insertion of needle.  Syncope-pt helped to floor, legs raised, B/P, pulse taken WNL.  Pt recovered quickly with no other problems.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Headache, Nausea
Clinical narrative: Nausea, headache, dizziness - next day after vaccine administration.
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV
Symptoms: Erythema, Infection, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Possible secondary infection ie) scratching forearm, itching with vaccinations.  Redness, warmth and 1-2+ swelling of L arm, mid upper arm, elbow, and lower arm (started 12-13-07).  Injection sites not red.  Treatment: 1) ibuprofen 100 mg/5 ml 7.5 ml Q 6-8 hrs., 2) Dephenhist 1-2 tsp. TID.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV, PPV
Symptoms: Contusion, Erythema, Joint swelling, Nuclear magnetic resonance imaging, Oedema peripheral
Clinical narrative: Day 1: 8 p.m. itching, redness under arm; followed by edema to elbow (left arm). Day 2: edema to fingers. Day 3: MRI, Levaquin, Medrol dose pack. Day 6: Severe, sharp, stabbing pain, right thigh, followed by severe circular bruising.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV, PPV
Symptoms: Pain in extremity, Pruritus, X-ray
Clinical narrative: Day 1: 8 p.m. itching, redness under arm; followed by edema to elbow (left arm). Day 2: edema to fingers. Day 3: MRI, Levaquin, Medrol dose pack. Day 6: Severe, sharp, stabbing pain, right thigh, followed by severe circular bruising.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV, PPV
Symptoms: Erythema, Oedema peripheral, Ultrasound scan normal
Clinical narrative: Day 1: 8 p.m. itching, redness under arm; followed by edema to elbow (left arm). Day 2: edema to fingers. Day 3: MRI, Levaquin, Medrol dose pack. Day 6: Severe, sharp, stabbing pain, right thigh, followed by severe circular bruising.
Age: 6.0
Sex: M
Vaccine: FLU3, HEPA, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Light rash similar to varicella noted after VCV vaccine given.
Age: 0.5
Sex: F
Vaccine: PNC, RV5
Symptoms: Injection site induration, Local reaction, Vomiting
Clinical narrative: Vomiting and local injection site induration.