chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: VARZOS
Symptoms: Skin cancer
Clinical narrative: Information has been received from a consumer who read that "someone" on unknown date was vaccinated with ZOSTAVAX (Merck) (Lot number not reported) and developed skin cancer (date not specified). The outcome for the patient was unknown. It was unknown if the patient sought medical attention. Upon internal review, skin cancer was considered to be an other important medical event. This is one of two reports from the same source. Attempts are being made to verify the existence of a patient. Additional information has been requested.
Age: 10.0
Sex: M
Vaccine: MMR
Symptoms: Anaphylactic reaction
Clinical narrative: Information has been received from a physician concerning a 10 year old male who on an unspecified date was vaccinated with a dose of MMR II (lot#, dose and route not reported). The physician stated that a patient received MMR II injection and had anaphylaxis. She stated that the child also had anaphylaxis after he had eaten cheesecake and at another time after he had eaten a hot dog. After both episodes related to the foods his mother realized that the reactions from the foods were the same reaction he previously had after receiving MMR II. On an unspecified date, the patient sought medical attention at another physician's office. Upon internal review, anaphylaxis was determined to be an other important medical event. Additional information has been requested.
Age: 4.0
Sex: F
Vaccine: MMR, PPV, VARCEL
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: 5*5 PINK, SLIGHTLY SWOLLEN, NONTENDER AND WARM-CLEARING.  GIVE MOTRIN PRN; WALKING WELL
Age: 11.0
Sex: M
Vaccine: TTOX
Symptoms: Injection site erythema, Injection site swelling, Limb discomfort, Oedema peripheral, Skin warm
Clinical narrative: Severe swelling and redness at site of injection. Arm warm and uncomfortably swollen from shoulder area down to elbow.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site pain, Injection site rash, Pharyngeal oedema
Clinical narrative: Pt. given GARDASIL on 5-17-11 (L) Deltoid, 24 hrs later pt. stated throat started to swell, pain & rash at pain site. Pt. advised to take BENADRYL 50mg by Dr. & if sx. persisted to go to ER. No more GARDASIL inj. to be given to pt.
Age: 1.02
Sex: F
Vaccine: MMR, PNC13, VARCEL
Symptoms: Rash vesicular, Scab
Clinical narrative: Diffuse vesicular/scabbing rash that starts 10 days after 12 month vaccines. Looked similar to chickenpox yet no known exposure.
Age: 1.1
Sex: F
Vaccine: HEPA, HIBV, MMR, VARCEL
Symptoms: Discomfort, Rash
Clinical narrative: Began with rash mid p.m. on 5-17-11 on forehead and back. 5-18-11 in a.m. then began on chest. Appears to be moving down legs this p.m. (5-18-11). No fever. Appetite gd. No diarrhea or vomit. May use OTC Acetaminiophen/Ibuprofen if needed prn, discomfort. Using sunscreen.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site pruritus, Local reaction
Clinical narrative: Pt had local reaction of erythema, edema, and pruritis at site of 1st Varicella, resolved with antihistamine. Symptoms began approx 1 wk after inoculation.
Age: 26.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Pt. called on 5/12 reporting baseball size redness at immunization site welts x 2 & burning. Recommended evaluation. Pt. has done this as of 5/13 at 1pm.
Age: 14.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Pt c/o redness, itchiness at injection site 1 day after receiving VARIVAX #2, resolved with antihistamine.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Oedema peripheral
Clinical narrative: Swelling to (L) arm. Do cold compress. Ibuprofen given.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, PNC13, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site pruritus, Local reaction
Clinical narrative: Local erythema/edema Lt ant thigh (+) mild induration (+) itchy.
Age: 0.76
Sex: F
Vaccine: PNC
Symptoms: Urticaria
Clinical narrative: Generalized whole body urticarial rash.
Age: 1.94
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC13, VARCEL
Symptoms: Diarrhoea, Pyrexia, Rash erythematous, Rash macular
Clinical narrative: Extensive red rash macular rash on abdomen, face, chest, legs, back, fever, diarrhea, rash on arms. Went to her PCP Dr - no treatment ordered.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood pressure increased, Burning sensation, Dizziness, Pallor, Pharyngeal oedema
Clinical narrative: Elevated blood pressure 161/90, dizziness, paleness, slight swelling of throat, burning, returned to doctor's office for observation.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site discolouration, Injection site swelling
Clinical narrative: Egg sized swelling at site of varicella shot. Began next morning/discolored. Advised to come in but declined.
Age: 26.0
Sex: M
Vaccine: ANTH, HEP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: (R) arm redness, swelling, hot to touch from deltoid to midshaft, treated with ice & Ibuprofen.
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Injection site erythema, Injection site scab, Pain, Rash
Clinical narrative: Patient received VARIVAX 5/16/2011. Patient started with red spot around injection site 5/17/2011. Redness and rash spread down arm. Tender to touch. Pain with raising arm. Warm to touch. Yellow scab at injection site.
Age: 13.0
Sex: M
Vaccine: VARCEL
Symptoms: Skin warm, Tenderness
Clinical narrative: Patient received VARIVAX 5/16/2011. Patient started with red spot around injection site 5/17/2011. Redness and rash spread down arm. Tender to touch. Pain with raising arm. Warm to touch. Yellow scab at injection site.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Herpes zoster, Ocular hyperaemia
Clinical narrative: I got a flu shot at clinic, in 2009. The nurse said she would also give me a shingles shot. A few days later my eye sockets became bright red, that lasted 3 mos. The clinic offered no help. In 2011 I got a bad case of shingles that lasted 6 wks. My print out does not show a shingles shot. What other shot did she give me? I never had a problem before.
Age: 13.0
Sex: F
Vaccine: TDAP
Symptoms: Epistaxis, Excoriation, Face injury, Fall, Syncope
Clinical narrative: Fainted, fell and hit nose on chair -small abrasion on nose and bleeding from nares (elevated legs, ice pack to nose). Client was sent to ER with mother and siblings.
Age: 5.0
Sex: F
Vaccine: HEPA, PPV, VARCEL
Symptoms: Back pain, Body temperature increased, Headache, Vomiting
Clinical narrative: 102 Temp, threw up once, head hurts as well as lower back, still
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU3, MMR
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site vesicles
Clinical narrative: Mother phoned Dept of Health on 5/11/11 to report that patient had a red sore (L) upper arm. The redness continued to the (L) scapula. Also she developed a blister at injection site. Saw family doctor who advised her to avoid this vaccine in the future.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling to L Deltoid noticed by mother next day after vaccination ice applied to arm
Age: 11.0
Sex: F
Vaccine: HPVX, MEN, TDAP
Symptoms: Headache
Clinical narrative: Severe headache. Took ibuprofen.  Symptoms were gone within an hour and did not return.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Asthenia, Chills, Dizziness, Erythema
Clinical narrative: Soreness, hot and red arm, headache, dizziness immediately after vaccine. When home hot red arm symptom went away only to bring chills, fever, fatigue, severe joint and muscle pain throughout my entire body, irritability, headache, and weakness. It has now been a few days all of the muscle and joint pain continues to get worse, headache, fatigue, irritability, and weakness is still present.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Fatigue, Headache, Immediate post-injection reaction, Irritability, Myalgia
Clinical narrative: Soreness, hot and red arm, headache, dizziness immediately after vaccine. When home hot red arm symptom went away only to bring chills, fever, fatigue, severe joint and muscle pain throughout my entire body, irritability, headache, and weakness. It has now been a few days all of the muscle and joint pain continues to get worse, headache, fatigue, irritability, and weakness is still present.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Pain, Pain in extremity, Pyrexia, Skin warm
Clinical narrative: Soreness, hot and red arm, headache, dizziness immediately after vaccine. When home hot red arm symptom went away only to bring chills, fever, fatigue, severe joint and muscle pain throughout my entire body, irritability, headache, and weakness. It has now been a few days all of the muscle and joint pain continues to get worse, headache, fatigue, irritability, and weakness is still present.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site reaction
Clinical narrative: L arm reaction to Kinrix vaccine, measuring 6x10 cm
Age: 48.0
Sex: F
Vaccine: DTAP, PPV
Symptoms: Axillary pain, Chills, Injection site reaction, Injection site swelling, Lymphadenopathy
Clinical narrative: Began with aches and chills, and lymph node under arm became swollen.  The second day, aches and chills persisted, as well as underarm pain.  Third day, lymph started to return to normal, but fever increased, aches & chills persisted, and a large appeared at the injection site. Fourth day, redness & swelling at site continues to grow, but aches & chills have lessened.
Age: 48.0
Sex: F
Vaccine: DTAP, PPV
Symptoms: Pain, Pyrexia
Clinical narrative: Began with aches and chills, and lymph node under arm became swollen.  The second day, aches and chills persisted, as well as underarm pain.  Third day, lymph started to return to normal, but fever increased, aches & chills persisted, and a large appeared at the injection site. Fourth day, redness & swelling at site continues to grow, but aches & chills have lessened.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site pain, Joint range of motion decreased, Nuclear magnetic resonance imaging abnormal, Tendonitis
Clinical narrative: Had severe pain in my right upper arm where injection was given, radiating into R shoulder.  No swelling or redness noted.  Unable to even move arm due to the severity of pain.  Rated a 10. No treatment was done except to take a pain pill that did not even touch this pain.  Pain has continued ever since that night.  I have taken physical therapy, anti-inflammatory medication, chiropractor treaments and follow up with my doctor.  Nothing has taken the pain away and now I have lost range of motion with my arm because of this vaccine.
Age: 20.0
Sex: F
Vaccine: 6VAX-F, ANTH, DPP, FLUN3, HPVX
Symptoms: Abdominal pain upper, Colitis ulcerative, Colonoscopy abnormal, Frequent bowel movements, Nasopharyngitis
Clinical narrative: STARTED GETTING A COLD AND HAVING STOMACH PAIN AND HAVING ALOT OF BOWEL MOVEMENTS
Age: 20.0
Sex: F
Vaccine: 6VAX-F, ANTH, DPP, FLUN3, HPVX
Symptoms: Pancreatitis
Clinical narrative: STARTED GETTING A COLD AND HAVING STOMACH PAIN AND HAVING ALOT OF BOWEL MOVEMENTS
Age: 31.0
Sex: M
Vaccine: YF
Symptoms: Activated partial thromboplastin time, Angiotensin converting enzyme, Antinuclear antibody negative, Blood electrolytes normal, Blood folate normal
Clinical narrative: A Major, in Neurology Service, is referring a 31 y/o M, ADSM, SFC for vaccine causality assessment. SM developed bilateral optic neuritis after receipt of Yellow Fever vaccine. SM also reports the receipt of Rabies vaccine and either Typhoid or Influenza vaccine two days before his YF vaccine but there is no current administrative evidence to support this claim.
Age: 31.0
Sex: M
Vaccine: YF
Symptoms: Blood glucose normal, Blood immunoglobulin G normal, Borrelia test negative, CSF cell count normal, CSF culture negative
Clinical narrative: A Major, in Neurology Service, is referring a 31 y/o M, ADSM, SFC for vaccine causality assessment. SM developed bilateral optic neuritis after receipt of Yellow Fever vaccine. SM also reports the receipt of Rabies vaccine and either Typhoid or Influenza vaccine two days before his YF vaccine but there is no current administrative evidence to support this claim.
Age: 31.0
Sex: M
Vaccine: YF
Symptoms: CSF glucose normal, CSF lymphocyte count abnormal, CSF monocyte count, CSF myelin basic protein normal, CSF oligoclonal band absent
Clinical narrative: A Major, in Neurology Service, is referring a 31 y/o M, ADSM, SFC for vaccine causality assessment. SM developed bilateral optic neuritis after receipt of Yellow Fever vaccine. SM also reports the receipt of Rabies vaccine and either Typhoid or Influenza vaccine two days before his YF vaccine but there is no current administrative evidence to support this claim.
Age: 31.0
Sex: M
Vaccine: YF
Symptoms: CSF protein normal, CSF virus no organisms observed, Chest X-ray normal, Cryptococcus test, Differential white blood cell count normal
Clinical narrative: A Major, in Neurology Service, is referring a 31 y/o M, ADSM, SFC for vaccine causality assessment. SM developed bilateral optic neuritis after receipt of Yellow Fever vaccine. SM also reports the receipt of Rabies vaccine and either Typhoid or Influenza vaccine two days before his YF vaccine but there is no current administrative evidence to support this claim.
Age: 31.0
Sex: M
Vaccine: YF
Symptoms: Full blood count normal, Fungal test, Fungal test negative, Gram stain, Haematocrit normal
Clinical narrative: A Major, in Neurology Service, is referring a 31 y/o M, ADSM, SFC for vaccine causality assessment. SM developed bilateral optic neuritis after receipt of Yellow Fever vaccine. SM also reports the receipt of Rabies vaccine and either Typhoid or Influenza vaccine two days before his YF vaccine but there is no current administrative evidence to support this claim.
Age: 31.0
Sex: M
Vaccine: YF
Symptoms: Haemoglobin, Herpes simplex serology negative, International normalised ratio increased, Intervertebral disc degeneration, Laboratory test normal
Clinical narrative: A Major, in Neurology Service, is referring a 31 y/o M, ADSM, SFC for vaccine causality assessment. SM developed bilateral optic neuritis after receipt of Yellow Fever vaccine. SM also reports the receipt of Rabies vaccine and either Typhoid or Influenza vaccine two days before his YF vaccine but there is no current administrative evidence to support this claim.
Age: 31.0
Sex: M
Vaccine: YF
Symptoms: Liver function test normal, Metabolic function test, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging spinal cord abnormal
Clinical narrative: A Major, in Neurology Service, is referring a 31 y/o M, ADSM, SFC for vaccine causality assessment. SM developed bilateral optic neuritis after receipt of Yellow Fever vaccine. SM also reports the receipt of Rabies vaccine and either Typhoid or Influenza vaccine two days before his YF vaccine but there is no current administrative evidence to support this claim.
Age: 31.0
Sex: M
Vaccine: YF
Symptoms: Optic neuritis, Platelet count normal, Polymerase chain reaction, Prothrombin time prolonged, Red blood cell sedimentation rate normal
Clinical narrative: A Major, in Neurology Service, is referring a 31 y/o M, ADSM, SFC for vaccine causality assessment. SM developed bilateral optic neuritis after receipt of Yellow Fever vaccine. SM also reports the receipt of Rabies vaccine and either Typhoid or Influenza vaccine two days before his YF vaccine but there is no current administrative evidence to support this claim.
Age: 31.0
Sex: M
Vaccine: YF
Symptoms: Red blood cells CSF positive, Sinus disorder, Treponema test negative, Vitamin B12 normal, White blood cell count
Clinical narrative: A Major, in Neurology Service, is referring a 31 y/o M, ADSM, SFC for vaccine causality assessment. SM developed bilateral optic neuritis after receipt of Yellow Fever vaccine. SM also reports the receipt of Rabies vaccine and either Typhoid or Influenza vaccine two days before his YF vaccine but there is no current administrative evidence to support this claim.
Age: 68.0
Sex: M
Vaccine: PPV
Symptoms: Balance disorder, Dysarthria, Feeling abnormal, Gait disturbance, Injection site pain
Clinical narrative: Painful rash at injection site. Uncontrollable shaking, not clear headed, slurred speech. Abnormal balance/gait. Fever 102 degrees F.
Age: 68.0
Sex: M
Vaccine: PPV
Symptoms: Injection site rash, Laboratory test, Pyrexia, Tremor
Clinical narrative: Painful rash at injection site. Uncontrollable shaking, not clear headed, slurred speech. Abnormal balance/gait. Fever 102 degrees F.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Approx. 1 hr. after vaccines were administered in Pt.'s (L) delt. pain & redness started per Pt. mom. Pt. returned (on 5/19/11) to office with redness, warm to touch & slightly swollen (L) delt. area measuring 110mm x 100mm. Tx: cool compresses, TYLENOL & monitor area.
Age: 81.0
Sex: F
Vaccine: VARZOS
Symptoms: Contusion, Erythema, Oedema peripheral
Clinical narrative: Swelling, redness, bruising blood pooling on under side of left arm.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Erythema, Induration, Oedema peripheral
Clinical narrative: Left arm hard, slightly red induration, swollen. No pain or fever. Advised to ice area, give MOTRIN if painful or fever or BENADRYL 25mg 2 capsules to see if this helps if arm becomes more swollen, red, or fever. Mom agreed.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Heart rate decreased, Tachycardia
Clinical narrative: Patient for 11 yo physical, received Tdap, MENACTRA, HPV #1, and 05 minutes presents tachycardia up to 230 BPM on digital PO2 monitor, several valsalva maneuvers applied, heart rate decreased 140, paramedics called to E.D.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Dyspnoea, Swollen tongue
Clinical narrative: Swelling of the tongue, shortness of breath 2mg oral BENADRYL given to pt. Transported to hospital via EMS.
Age: 10.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site vesicles
Clinical narrative: 9 cm redness with clear blisters at injection site, induration at varicella inj site.
Age: 0.17
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Haematochezia, Irritability, Occult blood positive
Clinical narrative: Fussy since 5/18/11 evening. 2 episodes of bloody stools on 5/19/11.
Age: 1.03
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Fatigue, Irritability, Rash erythematous, Rash generalised, Rash pruritic
Clinical narrative: 9 days after receiving MMR/ Var & HAVRIX pt. broke out in rash (red-pinpoint) over entire body. To Dr. - she compared rash to rash in derm. book. Dr. determined it was Rubeola. No testing or no tx done. Pt. was tired, grumpy & rash itched. Rash went away after 2-3 days. No further problems.
Age: 7.0
Sex: F
Vaccine: MMR
Symptoms: Laboratory test normal, Oedema peripheral, Rash, Streptococcus test, Urine analysis
Clinical narrative: 7 yo with DiGeorge's Syndrome but normal T cell studies, cleared by ID for MMR #2 --> rash & swelling of hands & feet 24h after vaccine.
Age: 65.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Erythema, Induration, Pruritus
Clinical narrative: Redness, itchy, firmness, inferior to area of injection - TDAP. Negative cellulitis/ negative abscess.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Computerised tomogram normal, Convulsion, Hypoaesthesia, Laboratory test normal, Listless
Clinical narrative: Pt's mother came into the Health Department stating that her daughter was having a seizure. Mom stated the daughter had received immunizations and they were just pulling out of the parking lot when the daughter passed out and experienced what the mother thought was a seizure. She came back into the Health Department to seek help for her daughter. When pt's mother came into the Health Department wanting help, the clerk told me the situation and I immediately went to their car to assess the situation. Pt appeared very pale and listless. She was verbally responsive. I sent pt's mother back into the Health Department to request assistance of other nurses and for them to bring emergency equipment. I also advised her to ask someone to call 911. After evaluating pt and after nurses arrived with equipment, we applied cold compresses to her forehead and neck, provided O2 via mask. I monitored respirations and pulse while waiting for BP equipment to arrive. Pt started to respond more verbally and said she thought she might vomit. She sat up and had some dry heaves. When pt started to respond we felt like we no longer needed 911 and advised the clerks cancel the call. Pt reclined again in the car seat and started complaining that her hands felt numb and she was unable to see anything. Her pulse was difficult to find and very faint. We asked for 911 to be called again. Within minutes, the fire truck arrived and ambulance arrived and assumed care. Pt received TdaP, Meningitis, and GARDASIL vaccine. Pt was transported to medical center via ambulance. Her mother called around 12:15 p.m. to say that pt was in a room in the ER, was doing o.k. and they were going to do further testing. I plan to call the mother as follow-up tomorrow. 5/19/2011 T.C. to pt's mother. States she remained in the ER until about 3 p.m. They did a CT scan, UA, and bloodwork. All tests were WNL. Mom reports pt is up and about today and has resumed her normal activities.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Loss of consciousness, Pallor, Pulse pressure decreased, Retching, Urine analysis normal
Clinical narrative: Pt's mother came into the Health Department stating that her daughter was having a seizure. Mom stated the daughter had received immunizations and they were just pulling out of the parking lot when the daughter passed out and experienced what the mother thought was a seizure. She came back into the Health Department to seek help for her daughter. When pt's mother came into the Health Department wanting help, the clerk told me the situation and I immediately went to their car to assess the situation. Pt appeared very pale and listless. She was verbally responsive. I sent pt's mother back into the Health Department to request assistance of other nurses and for them to bring emergency equipment. I also advised her to ask someone to call 911. After evaluating pt and after nurses arrived with equipment, we applied cold compresses to her forehead and neck, provided O2 via mask. I monitored respirations and pulse while waiting for BP equipment to arrive. Pt started to respond more verbally and said she thought she might vomit. She sat up and had some dry heaves. When pt started to respond we felt like we no longer needed 911 and advised the clerks cancel the call. Pt reclined again in the car seat and started complaining that her hands felt numb and she was unable to see anything. Her pulse was difficult to find and very faint. We asked for 911 to be called again. Within minutes, the fire truck arrived and ambulance arrived and assumed care. Pt received TdaP, Meningitis, and GARDASIL vaccine. Pt was transported to medical center via ambulance. Her mother called around 12:15 p.m. to say that pt was in a room in the ER, was doing o.k. and they were going to do further testing. I plan to call the mother as follow-up tomorrow. 5/19/2011 T.C. to pt's mother. States she remained in the ER until about 3 p.m. They did a CT scan, UA, and bloodwork. All tests were WNL. Mom reports pt is up and about today and has resumed her normal activities.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Visual impairment
Clinical narrative: Pt's mother came into the Health Department stating that her daughter was having a seizure. Mom stated the daughter had received immunizations and they were just pulling out of the parking lot when the daughter passed out and experienced what the mother thought was a seizure. She came back into the Health Department to seek help for her daughter. When pt's mother came into the Health Department wanting help, the clerk told me the situation and I immediately went to their car to assess the situation. Pt appeared very pale and listless. She was verbally responsive. I sent pt's mother back into the Health Department to request assistance of other nurses and for them to bring emergency equipment. I also advised her to ask someone to call 911. After evaluating pt and after nurses arrived with equipment, we applied cold compresses to her forehead and neck, provided O2 via mask. I monitored respirations and pulse while waiting for BP equipment to arrive. Pt started to respond more verbally and said she thought she might vomit. She sat up and had some dry heaves. When pt started to respond we felt like we no longer needed 911 and advised the clerks cancel the call. Pt reclined again in the car seat and started complaining that her hands felt numb and she was unable to see anything. Her pulse was difficult to find and very faint. We asked for 911 to be called again. Within minutes, the fire truck arrived and ambulance arrived and assumed care. Pt received TdaP, Meningitis, and GARDASIL vaccine. Pt was transported to medical center via ambulance. Her mother called around 12:15 p.m. to say that pt was in a room in the ER, was doing o.k. and they were going to do further testing. I plan to call the mother as follow-up tomorrow. 5/19/2011 T.C. to pt's mother. States she remained in the ER until about 3 p.m. They did a CT scan, UA, and bloodwork. All tests were WNL. Mom reports pt is up and about today and has resumed her normal activities.
Age: 0.51
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Chest X-ray normal, Computerised tomogram, Electroencephalogram, Influenza virus test, Nuclear magnetic resonance imaging
Clinical narrative: None stated.
Age: 0.51
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Respiratory syncytial virus test, Unevaluable event
Clinical narrative: None stated.
Age: 38.0
Sex: F
Vaccine: HEPAB, MMR, TDAP, VARCEL
Symptoms: Feeling of body temperature change, Headache, Oropharyngeal pain, Pain
Clinical narrative: On 5-18-11 approx 950 a.m. phone call reported that on 5-17-11 p.m. body really sore, headache, soreness of throat, feelings of hot and cold. Noted 5-19-11 that approx 6 p.m. on 5-18-11 took TYLENOL p.m. and then noted approx 2:00 a.m. 5-19-11 began to feel soreness better. Noted "noted feeling like myself again". No H/A.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMRV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt. received vaccine 5/11/11. By evening 5/12/11 her left arm was swelling and red. By 5/13/11 AM it was considerably worse. Erythema from shoulder to about 2 inches above elbow on left arm. 5/16/11 Dad states patient is better & swelling has gone down. No further f/u.
Age: 74.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Chills, Nausea, Pain, Rash, Vaccination complication
Clinical narrative: 1. Rash, pain, nausea, chills. 2. Rx Valacyclovir HCL.
Age: 74.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Feeling abnormal, Herpes zoster, Pain
Clinical narrative: 1. Rash, pain, nausea, chills. 2. Rx Valacyclovir HCL.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity
Clinical narrative: Pt's arm has been sore since getting the vaccine; it is painful to move arm.
Age: 1.2
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Information has been received from a registered nurse concerning a 14 month old male patient who on 04-AUG-2010 was vaccinated SC with a 0.5 ml dose of with VARIVAX (Merck) (Lot # 666917/0550Z). The nurse reported that on 13-AUG-2010, the patient experienced an 18 by 30 mm area that was red and swollen; this was his left thigh at the injection site. At the time of the report the patient's outcome was unknown. The patient sought unspecified medical attention. Additional information has been requested.
Age: 6.0
Sex: U
Vaccine: VARCEL
Symptoms: Injection site erythema
Clinical narrative: Information has been received from a licensed practical nurse concerning a 6 year old patient who within the last two weeks (in August 2010) was vaccinated SC with a dose of VARIVAX (Merck) (lot number not provided). The nurse reported that the patient experienced normal redness around the injection area (in August 2010). The nurse reported that BENADRYL took care of the redness. At the time of the report the patient's outcome was unknown. The patient sought unspecified medical attention. This is one of several reports received from the same source. Additional information is not expected.
Age: 74.0
Sex: F
Vaccine: VARCEL
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Information has been received from a registered nurse concerning a 74 year old female patient who on 11-JAN-2011 was vaccinated with a dose of VARIVAX (Merck) (Lot # 668488/1052Z Exp date 11-AUG-2011) instead of ZOSTAVAX (Merck). No adverse event seen. Additional information has been requested.
Age: 21.0
Sex: M
Vaccine: ANTH, JEV1, SMALL, ANTH, JEV1, SMALL
Symptoms: Erythema, Lymph node pain, Lymphadenopathy, Oedema peripheral, Rash erythematous
Clinical narrative: Erythematous papular rash, swollen erythematous hands, tender enlarged cervical nodes (the axillary nodes enlarged earlier and resolved, this is not considered an adverse reaction). Of note, the patient had a severe sunburn two months ago and had peeling of his arms.
Age: 21.0
Sex: M
Vaccine: ANTH, JEV1, SMALL, ANTH, JEV1, SMALL
Symptoms: Rash papular
Clinical narrative: Erythematous papular rash, swollen erythematous hands, tender enlarged cervical nodes (the axillary nodes enlarged earlier and resolved, this is not considered an adverse reaction). Of note, the patient had a severe sunburn two months ago and had peeling of his arms.
Age: 21.0
Sex: M
Vaccine: ANTH, JEV1, SMALL, ANTH, JEV1, SMALL
Symptoms: Erythema, Lymph node pain, Lymphadenopathy, Oedema peripheral, Rash papular
Clinical narrative: Erythematous papular rash, swollen erythematous hands, tender enlarged cervical nodes (the axillary nodes enlarged earlier and resolved, this is not considered an adverse reaction). Of note, the patient had a severe sunburn two months ago and had peeling of his arms.
Age: 0.42
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Blood culture, Chest X-ray, Diarrhoea, Full blood count, Pyrexia
Clinical narrative: fever, diarrhea
Age: 0.42
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Urine analysis
Clinical narrative: fever, diarrhea
Age: 5.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Contusion, Erythema, Nasopharyngitis, Skin warm
Clinical narrative: Patient has a 3" by 2 1/2" reddened/pink/bruised looking area, warm to touch. No fever. Patient had no cold sx when vaccine was given has cold symptoms on 5-19-11.
Age: 2.0
Sex: M
Vaccine: HEP, PNC13
Symptoms: Injection site erythema, Injection site oedema, Weight bearing difficulty
Clinical narrative: 5-6 cm edema, erythema at site of injection, refusal to bear weight on affected leg for 24 hrs.
Age: 1.52
Sex: F
Vaccine: DTAPIPVHIB, HEPA
Symptoms: Contusion, Erythema, Swelling
Clinical narrative: Starting 24 hours after PENTACEL injection pt with redness/swelling & bruising of thigh extending out 4 x 4 cm in size - nontender.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Large area of erythema, edema, & warmth at site of injection 20 cm x 15 cm with generalized edema of arm (L).
Age: 25.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Chest X-ray, Cough, Dyspnoea, Orthopnoea, Pulmonary function test
Clinical narrative: 5-22-5/23 pm shortness of breath, esp at night couldn't breathe well laying down. 5/24 - difficulty breathing, slight fever, cough - worse.
Age: 25.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Pyrexia
Clinical narrative: 5-22-5/23 pm shortness of breath, esp at night couldn't breathe well laying down. 5/24 - difficulty breathing, slight fever, cough - worse.
Age: 25.0
Sex: F
Vaccine: SMALL, SMALL
Symptoms: Cough, Dyspnoea, Pyrexia
Clinical narrative: 5-22-5/23 pm shortness of breath, esp at night couldn't breathe well laying down. 5/24 - difficulty breathing, slight fever, cough - worse.
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Balance disorder, Blindness, Computerised tomogram head, Computerised tomogram normal, Condition aggravated
Clinical narrative: Lost of balance, nauseas, heavy of acute vomiting, incoordination of leg movements, lost of vision, lost of stability and equilibrium. High pressure (blood) 145/90. Two weeks in home. Anti-vert and AVAPRO.
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Coordination abnormal, Echography normal, Gait disturbance, Hypertension, Labyrinthitis
Clinical narrative: Lost of balance, nauseas, heavy of acute vomiting, incoordination of leg movements, lost of vision, lost of stability and equilibrium. High pressure (blood) 145/90. Two weeks in home. Anti-vert and AVAPRO.
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Nausea, Nuclear magnetic resonance imaging brain normal, Viral infection, Vomiting
Clinical narrative: Lost of balance, nauseas, heavy of acute vomiting, incoordination of leg movements, lost of vision, lost of stability and equilibrium. High pressure (blood) 145/90. Two weeks in home. Anti-vert and AVAPRO.
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB, HEP, MMR, PNC13, VARCEL
Symptoms: Blood test, Convulsion, Gaze palsy, Heart rate decreased, Musculoskeletal stiffness
Clinical narrative: After vaccines were given, Pt. turned pale & stiffened arms & legs & eyes rolled up after last vaccine was given. Lasted few seconds. Had lower heart rate, but responded to stimulation. Pt. send out for blood test and chest X-ray.
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB, HEP, MMR, PNC13, VARCEL
Symptoms: Pallor, Presyncope
Clinical narrative: After vaccines were given, Pt. turned pale & stiffened arms & legs & eyes rolled up after last vaccine was given. Lasted few seconds. Had lower heart rate, but responded to stimulation. Pt. send out for blood test and chest X-ray.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Rash, Wheezing
Clinical narrative: Wheezing for 1 hour 2 days after. Rash on wrist, arm of vaccine itchy.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: Left deltoid redness, with warm to touch left arm pain down to Lt. wrist. Lt. deltoid swelling at site of injection. Pain occurred 5/13/11 noticed a raised red area.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: During annual physical exam, doctor's assistant administered pneumonia booster (original was 2001) to deltoid area (L) arm. Approximately 3 hours later & for 3 days, I experienced heat, redness, swelling on (L) arm.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Oedema peripheral
Clinical narrative: During annual physical exam, doctor's assistant administered pneumonia booster (original was 2001) to deltoid area (L) arm. Approximately 3 hours later & for 3 days, I experienced heat, redness, swelling on (L) arm.
Age: 95.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Angina pectoris, Haemoglobin, Increased upper airway secretion, Malaise, Oropharyngeal pain
Clinical narrative: I went to Dr. for my physical & was feeling well. I received my vaccine, strep pneumoniae shot which was due to be had. I suffered a sore throat & coughed up yellow phlegm, was very sick, angina attacks frequently.
Age: 95.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Productive cough
Clinical narrative: I went to Dr. for my physical & was feeling well. I received my vaccine, strep pneumoniae shot which was due to be had. I suffered a sore throat & coughed up yellow phlegm, was very sick, angina attacks frequently.
Age: 64.0
Sex: U
Vaccine: TDAP
Symptoms: Abdominal pain upper, Asthenia, Blood test, Diarrhoea, Headache
Clinical narrative: High fever, severe headache, weakness, nausea, vomiting, diarrhea, stomach ache, soreness.
Age: 64.0
Sex: U
Vaccine: TDAP
Symptoms: Nausea, Pain, Pyrexia, Urine analysis, Vomiting
Clinical narrative: High fever, severe headache, weakness, nausea, vomiting, diarrhea, stomach ache, soreness.
Age: 71.0
Sex: F
Vaccine: HEP
Symptoms: Cardiac function test normal, Electrocardiogram normal, Injection site pain, Insomnia, Pain in extremity
Clinical narrative: Pt states injection site painful since receiving Hep B vaccine on 4/22/11. Denies fever, chills, warmth, or redness to touch but arm hurts so much at night that she cannot sleep (injection site is Left deltoid muscle).
Age: 71.0
Sex: F
Vaccine: HEP
Symptoms: X-ray limb normal
Clinical narrative: Pt states injection site painful since receiving Hep B vaccine on 4/22/11. Denies fever, chills, warmth, or redness to touch but arm hurts so much at night that she cannot sleep (injection site is Left deltoid muscle).
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Swelling and pain at injection site of BOOSTRIX. Induration 5 cm diameter.
Age: 59.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Redness, heat, itching. Redness etc extends from shoulder area to vaccine area on (R) upper arm to elbow, completely circles arm area, saw health clinic nurse. No tx given, no documentation taken, advises O/T BENADRYL.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site infection, Injection site pruritus, Injection site swelling
Clinical narrative: Patient presented to pharmacy approx 72 hours after vaccine was given. Her injection site and surrounding arm was red & swollen and pt said it was itching (redness extended around site in a circle about 5 in in diameter). Pt was referred to PCP who diagnosed a skin infection and treated her with a 10 day course of doxycycline.
Age: 1.01
Sex: F
Vaccine: MMR, PNC13, VARCEL
Symptoms: Body temperature increased, Rash
Clinical narrative: Rash after given varicella vaccine 5/9/11 - Temp 100.4.
Age: 17.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Pyrexia, Rash, Rash erythematous
Clinical narrative: Vaccine given on 3/14/11. Pt. developed a fine red rash - chest, back, legs. No itching, fever. Hive like spots on face noted.
Age: 57.0
Sex: F
Vaccine: HEPAB, TYP, YF
Symptoms: Unevaluable event
Clinical narrative: See attached
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Client reports getting an enlarged lymph node that is very tender on the right side of neck 24 hours after receiving ADACEL in the right arm.
Age: 0.89
Sex: F
Vaccine: FLU3
Symptoms: Convulsion, Drooling, Pallor, Tremor, Unresponsive to stimuli
Clinical narrative: Trembling/shaking (seizure). Unresponsive. Open/big, wide eyes. Drooling. Pale.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Dermatitis diaper
Clinical narrative: Information has been received from a Registered Nurse concerning her approximately 12 month old male with no medical history or drug allergies, who in 2006 was vaccinated SC with a 0.5 ml dose of VARIVAX (Merck) (lot # not reported). There was no concomitant medication. About a week later, the patient presented with a rash on his diaper line. No treatment was initiated. No labs/diagnostics studies were performed. On an unspecified date, the patient recovered from a rash on his diaper line. The patient sought medical attention via telephone call. Additional information has been requested.
Age: 43.0
Sex: F
Vaccine: HEPAB
Symptoms: Dysgeusia, Erythema, Pharyngeal oedema, Throat tightness
Clinical narrative: Patient reports on 5/16/11 that on day of receipt of TwinRix that 5-10 minutes after shot, she tasted metal in her mouth and throat started to close.  Called 911, then drove herself to private doctor.  She reports her face was red and throat was swollen.  Doctor gave her 3-4 pills and a steroid shot.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Blister, Laboratory test, Pain in extremity, Rash pruritic
Clinical narrative: Patient c/o itchy rash with small blisters with drainage, painful to hands and feet
Age: 28.0
Sex: M
Vaccine: ANTH, TDAP, TYP, VARCEL
Symptoms: Blister, Excoriation, Rash generalised, Rash pruritic
Clinical narrative: Itchy rash started on face, spread to top of head, and then rest of body in crops of new and old vesicles w excoriations
Age: 49.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Dizziness, Presyncope
Clinical narrative: VASOVAGAL, MEMBER FELT LIGHTHEADED AND DIZZY.  NO LOSS OF CONSCIOUSNESS, MEMBER LAID DOWN IN A PATIENT BED AND VITAL SIGNS WERE TAKEN.  NO MEDICATION WAS ADMINISTERED.  WERE WAS SUPERVISED FOR AROUND 30 MINS TO MAKE SURE HE DIDN'T GET WORSE.
Age: 30.0
Sex: F
Vaccine: ANTH
Symptoms: Burning sensation, Erythema, Hypersensitivity, Joint range of motion decreased, Musculoskeletal pain
Clinical narrative: SM STATED SHE IS EXPERIENCING PAIN AND BURNING IN RIGHT ARM RADIATING UP SHOULDER AND NECK. ALSO HAS LIMITED ROM AND SKIN IS WARM TO TOUCH, REDNESS AND SWELLING NOTED. SM WAS SEEN BY URGENT CARE AT MEDICAL CENTER. DISCHARGED WITH ALLERIC REACTION, MILD TO MODERATE. PRESCRIPTIONS GIVEN WERE: KEFLEX, ULTRAM, AND MEDROL (PAK).
Age: 30.0
Sex: F
Vaccine: ANTH
Symptoms: Neck pain, Pain in extremity, Skin warm, Swelling
Clinical narrative: SM STATED SHE IS EXPERIENCING PAIN AND BURNING IN RIGHT ARM RADIATING UP SHOULDER AND NECK. ALSO HAS LIMITED ROM AND SKIN IS WARM TO TOUCH, REDNESS AND SWELLING NOTED. SM WAS SEEN BY URGENT CARE AT MEDICAL CENTER. DISCHARGED WITH ALLERIC REACTION, MILD TO MODERATE. PRESCRIPTIONS GIVEN WERE: KEFLEX, ULTRAM, AND MEDROL (PAK).
Age: 0.78
Sex: F
Vaccine: HEP
Symptoms: Crying, Hypotonia, Pallor, Unresponsive to stimuli, Vomiting
Clinical narrative: cried for 15 min straight, vomited 3 times, became lifeless, pale and unresponsive
Age: 16.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Malaise, Muscle rigidity, Posture abnormal, Tremor
Clinical narrative: Client stated she did not feel well & sat down, her head began to fall back and she began to get rigid and tremble.  Lasted only seconds. Client was evaluated by nurse & ARNP & discharged after observation.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Left thigh swollen, with redness and warm to touch, and hard.
Age: 0.04
Sex: M
Vaccine: HEP
Symptoms: Blood albumin normal, Injection site swelling, Liver function test normal, Protein total normal, Ultrasound Doppler normal
Clinical narrative: swelling of foot, and entire L lower limb and bruise where vaccination administered
Age: 0.04
Sex: M
Vaccine: HEP
Symptoms: Vaccination site haematoma, X-ray normal
Clinical narrative: swelling of foot, and entire L lower limb and bruise where vaccination administered
Age: 15.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Anaphylactic reaction, Dizziness, Throat tightness
Clinical narrative: Throat tightness, dizziness. Diagnosed in ER with anaphylaxis. given epinephrine and steroid burst. Seen in clinic by me (how I got involved in case) and felt patient was stable. Continued steroids, advised family to pick up epi-pen prescribed by ER, and got them an allergist appt.
Age: 27.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site swelling
Clinical narrative: Swelling and edema with soreness surrounding site. Edema and redness size of a baseball.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: 5-18-11 Mother reports childs arm was red and warm to the touch that evening. 5-19-11 Child continued to complain of pain at the site. Redness and swelling at the injection site that extended down to the elbow and wrapped around the childs arm.  Mother states arm was very hot and was swollen twice the size of his normal arm and hard to the touch.  The child was seen by NP and confirmed that it was a localized reaction but no testing or labs were ordered.   5-20-11 Mother states the arm is still red and swollen but not as swollen as before. The child is not complaining of pain at the site but the site is itching now.  Mother continues to use Zyrtec 5mg qd and watching the child.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR
Symptoms: Injection site warmth, Local reaction
Clinical narrative: 5-18-11 Mother reports childs arm was red and warm to the touch that evening. 5-19-11 Child continued to complain of pain at the site. Redness and swelling at the injection site that extended down to the elbow and wrapped around the childs arm.  Mother states arm was very hot and was swollen twice the size of his normal arm and hard to the touch.  The child was seen by NP and confirmed that it was a localized reaction but no testing or labs were ordered.   5-20-11 Mother states the arm is still red and swollen but not as swollen as before. The child is not complaining of pain at the site but the site is itching now.  Mother continues to use Zyrtec 5mg qd and watching the child.
Age: 12.0
Sex: M
Vaccine: HPV4
Symptoms: Fall, Heart rate decreased, Oxygen saturation normal, Syncope
Clinical narrative: Patient fell to the floor. Syncope episode.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Feeling hot, Local swelling, Pain, Pruritus
Clinical narrative: VERY RED SWOLLEN AREA ABOUT 2 INCHES IN DIAMETER WHEN FIRST NOTICED AT 11 PM, 5-19-11. NEXT MORNING AREA IS LARGER, (4 IN.) MORE SWELLING, ITCHY, SENSITIVE AND SORE TO THE TOUCH. FEELS VERY HOT AND HAS PROGRESSIVELY WORSENED THROUGHOUT THE DAY.
Age: 44.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Pain, Pruritus, Skin warm
Clinical narrative: Redness and swelling at and near the site. Some tenderness, itching and warm. Became worse the following day.
Age: 44.0
Sex: F
Vaccine: DTAP
Symptoms: Tenderness
Clinical narrative: Redness and swelling at and near the site. Some tenderness, itching and warm. Became worse the following day.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Local reaction
Clinical narrative: Redness and tenderness at site. No treatment.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Blood test, Computerised tomogram, Eyelid disorder, Heart rate increased, Laboratory test
Clinical narrative: Began to get a fever at 6:00pm.  Fainted at 8:00pm.  Ambulance ride to hospital.  Couldn't open my eyes, had a fever of 103-105, heart rate would rise when I went from a seated position to standing.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia, Syncope
Clinical narrative: Began to get a fever at 6:00pm.  Fainted at 8:00pm.  Ambulance ride to hospital.  Couldn't open my eyes, had a fever of 103-105, heart rate would rise when I went from a seated position to standing.
Age: 0.16
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Apnoeic attack, Cyanosis
Clinical narrative: Patient with apnea of prematurity (resolved) (discharged from NICU 1 week prior). Former 28 week premie CGA 36 wks. Had apneic/cyanotic episode while rooming in with hospitalized twin. Pt. then subsequently hospitalized.
Age: 0.16
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Apnoea, Cyanosis
Clinical narrative: Patient with apnea of prematurity on monitor had 2 mons. vaccines with subsequent apnea spell - cyanotic. Former 28 wk premie. Corrected gestation 36 wk.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC13, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling at lt anterior & anteromedial aspect of thigh which increased in size in 24 hrs. No tenderness, no d/c, no h/o fever, SOB or cough. Tx: pt was seen at hospital ER & started on SEPTRA and KEFLEX on 5/5/11. 5/20/11 completely resolved.
Age: 1.0
Sex: F
Vaccine: HEPA, HIBV, MMR, PPV
Symptoms: Rash, Urticaria
Clinical narrative: Rash & urticaria on face.