chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Pancreatitis
Clinical narrative: Information has been received from a physician concerning a 24 year old female who on 22-JAN-2009 was vaccinated with a 0.5 mL third dose of GARDASIL (lot # 661046/0381X). On 22-JAN-2009 the patient experienced pancreatitis and was hospitalized. Additional information has been requested.  2/13/09 MR received for DOS 1/23 with D/C DX:  Psuedointestinal Obstruction, S/P stomach, intestine, pancreas and liver transplantation on Immunosupression.  GERD.  Mild Pancreatitis probably 2' to Gardasil Administration, although the cause effect of this intervention is not proven. Pt presented with intestinal abdominal pain, achiness and generalized malaise.  PE (+) for abdominal tenderness. No sign of obstruction found. D/C and transferred to higher level of care.  MR received for DOS 1/24-30/2009 with D/C DX:  S/P Multivessel transplant. R Femoral vein DVT.  Abdominal pain r/t dilated Fallopian Tube. Pt presented 1/24/09 with c/o abdominal pain. Some nausea. Pain is in lower abd and crampy. Tx: IVF and D/C to f/u with gyn.   2/23/09 PCP records received including some hospital records. Seen 10/23/08 for migraine with light sensitivity. Worst H/A ever had. Seen again 1/19/09 for migraine x 1 week with phono/photophobia and visual changes.  3/3/09 GYN records received for f/u visit 2/18/09 for salpingitis, now resolved. Of note: pt received 2nd HPV in 8/2008. Thrombic events in upper extremity noted.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Convulsion, Loss of consciousness, Pain, Tremor
Clinical narrative: Information has been received from a consumer concerning the 15 year old daughter of her friend who "months an months ago" was vaccinated with GARDASIL (route and site not reported). Subsequently the patient experienced vomiting, seizures, shakes, black out, abdominal pain and excruciating pain from head to toe and was hospitalized in and out. Per caller, the last time she spoke to the patient's parents, the patient was at home but they are thinking of bringing the patient to another hospital. Per caller, the patient's vomiting, seizures, shakes, black out, abdominal pain and excruciating pain from head to toe persisted. Attempts to verify the existence of an identifiable patient have been unsuccessful. No further information is available.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Vomiting
Clinical narrative: Information has been received from a consumer concerning the 15 year old daughter of her friend who "months an months ago" was vaccinated with GARDASIL (route and site not reported). Subsequently the patient experienced vomiting, seizures, shakes, black out, abdominal pain and excruciating pain from head to toe and was hospitalized in and out. Per caller, the last time she spoke to the patient's parents, the patient was at home but they are thinking of bringing the patient to another hospital. Per caller, the patient's vomiting, seizures, shakes, black out, abdominal pain and excruciating pain from head to toe persisted. Attempts to verify the existence of an identifiable patient have been unsuccessful. No further information is available.
Age: 73.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Genital pain, Genital ulceration
Clinical narrative: Shingles vaccine given 12/31/2008.  Onset of painful genital ulcerations- two total- on approximately 1/14.  Evaluation in office revealed two isolated well- circumscribed genital ulcerations.  Pt has been married for 40+ years, no sexual activity for over 12 years, no h/o HSV infection - oral or genital-.  Unsure if this lesion could have been related to vaccine.
Age: 73.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Genital herpes, Genital ulceration, Pain
Clinical narrative: Shingles vaccine given 12/31/2008.  Onset of painful genital ulcerations- two total- on approximately 1/14.  Evaluation in office revealed two isolated well- circumscribed genital ulcerations.  Pt has been married for 40+ years, no sexual activity for over 12 years, no h/o HSV infection - oral or genital-.  Unsure if this lesion could have been related to vaccine.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Patient reported rash and itching around injection site starting a couple days after receiving the ZOSTAVAX injection.
Age: 43.0
Sex: F
Vaccine: MMR, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: L arm - deltoid region with redness, warmth and itching per patient, upon return to office on 1/22/2008, where ADACEL was given.
Age: 73.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Arthralgia, Injected limb mobility decreased, Laboratory test, Musculoskeletal pain, Myalgia
Clinical narrative: Left arm Pneumonia Vaccine R arm Flu vaccine and 7 hours later, L arm pain so severe + decreased mobility, went to the ER. ER Dr. was "uncaring + wouldn't listen to symptoms so discourage + left ER, Pt has had severe muscle, joint pain to knees, thigh that hasn't resolved/ patient is undergoing multiple X-rays, tests, MRI for diagnosis.
Age: 73.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Nuclear magnetic resonance imaging, Pain in extremity, X-ray
Clinical narrative: Left arm Pneumonia Vaccine R arm Flu vaccine and 7 hours later, L arm pain so severe + decreased mobility, went to the ER. ER Dr. was "uncaring + wouldn't listen to symptoms so discourage + left ER, Pt has had severe muscle, joint pain to knees, thigh that hasn't resolved/ patient is undergoing multiple X-rays, tests, MRI for diagnosis.
Age: 2.0
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Erythema, Swelling
Clinical narrative: MOC called on 1/15/08 at 11 am, states child's left arm red and swollen post vaccine. Was advised to go to PMD. On 1/19/08, called MOC, states took child to hospital. Was given MOTRIN on 1/19/08 MOC states swelling went down on left arm. Was told ok to get future vaccines by MD.
Age: 1.25
Sex: F
Vaccine: DTAP, FLU3, MMR, VARCEL
Symptoms: Borrelia burgdorferi serology negative, Facial palsy
Clinical narrative: Patient developed a facial palsy on right side that started on or around 12/23/2008.  Patient was evaluated for Lyme which was negative.  No other cause determined.
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Ear pain, Facial palsy
Clinical narrative: PT. HAD FLUSHOT 12/15/08 AND MOTHER SPOKE WITH ON CALL PHYSICIAN 12/16/08 AND STATED SHORTLY AFTER FLUSHOT PATIENT UNABLE TO CLOSE RIGHT EYE, DROOPY MOUTH ON RIGHT, SLIGHT RIGHT EAR PAIN.  PT SEEN AT HOSPITAL THAT EVENING AND DIAGNOSED WITH BELLS PALSY. PATIENT PRESCRIBED PREDNISONE 60 MG 1 PO Q DAY AND VALTREX 1 GM 1 PO TID BY ER AND FOLLOWED UP ON 12/19/08.  ONLY OTHER TREATMENT ADDED WAS METHYLCELLULOSE OINTMENT TO KEEP EYE MOIST.
Age: 1.5
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: NONE REPORTED
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site swelling
Clinical narrative: SWELLING AT INJECTION SITE
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Blood glucose, Confusional state, Headache, Hypoaesthesia oral, Lip swelling
Clinical narrative: 01/28/2009 pt report n&v, confussion,HA,lip swelling & numbness.  2/23/09 MR received for several OVs beginning 1/8/09. Seen prior to vaccine for viral URI and rash. Returned 1/28/09 with c/o swollen lips with numbness, nausea and headache.  At school became had H/A at R temple with R eye pain and slightly disoriented. Still slow to respond and confused in office, had difficulty following commands. Assessment:  H/A.  paresthesia. Nausea.  Confusion.  Sent for labs and CT.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Metabolic function test, Nausea, Vomiting
Clinical narrative: 01/28/2009 pt report n&v, confussion,HA,lip swelling & numbness.  2/23/09 MR received for several OVs beginning 1/8/09. Seen prior to vaccine for viral URI and rash. Returned 1/28/09 with c/o swollen lips with numbness, nausea and headache.  At school became had H/A at R temple with R eye pain and slightly disoriented. Still slow to respond and confused in office, had difficulty following commands. Assessment:  H/A.  paresthesia. Nausea.  Confusion.  Sent for labs and CT.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Culture stool, Diarrhoea
Clinical narrative: first vaccinations, including rotateg, received on 1/26/09 at 2mo. of age. mother called clinic to report that baby had 8 episodes of diarrhea 1/28/09 and continues to have diarrhea today.
Age: 52.0
Sex: F
Vaccine: FLUX
Symptoms: Burning sensation, Hypersensitivity, Pruritus, Urticaria
Clinical narrative: To start with, I was never alergic to anything in my life until they adminestired that flu shot that they told me I had to have to keep on working, although I told them that my whole family was alergic to flu shots and I did not want to take this shot. I break out in uticaria several times a day to the point that it is itching and burning so bad that I can barely stand it. I went to a Doctor and he said the flu shot had nothing to do with the hives that it was in my genetic background. So I have never went to another Doctor again. The shot was given in the year 2000, I have not been able to work since. My skin breaks out so bad when I get a bug bite or any kind of metal close to my skin. For the first two years, if I even got close to an orange I would break out in hives, or apples or bananas, could not eat eggs for over four years,
Age: 26.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Asthenia, Chest pain, Chills
Clinical narrative: 20 Jan 2009- received vaccination. 21 Jan 2009 had chills and weakness. 23 Jan 2009 had chest pains. Went to Aid Station was told he had gas. Continued to have chest pains for 3 days. 26 Jan 2009- returned to Sick call. Was admitted to Emergency Room. Diagnosis- Pluerisy. Received medicine. 29 Jan 2009 still has chest pain and weakness- but not as badly as before.  2/9/09 Received ER medical records of 1/26/2009. FINAL DX: pleuritic chest pain, UTI Records reveal patient experienced chest pain, DOE, chills, nonproductive cough x 3 days.  Tx w/meds & d/c to home.
Age: 26.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Asthenia, Blood creatine phosphokinase MB normal, Blood creatine phosphokinase normal, Chest X-ray normal, Chest pain
Clinical narrative: 20 Jan 2009- received vaccination. 21 Jan 2009 had chills and weakness. 23 Jan 2009 had chest pains. Went to Aid Station was told he had gas. Continued to have chest pains for 3 days. 26 Jan 2009- returned to Sick call. Was admitted to Emergency Room. Diagnosis- Pluerisy. Received medicine. 29 Jan 2009 still has chest pain and weakness- but not as badly as before.  2/9/09 Received ER medical records of 1/26/2009. FINAL DX: pleuritic chest pain, UTI Records reveal patient experienced chest pain, DOE, chills, nonproductive cough x 3 days.  Tx w/meds & d/c to home.
Age: 26.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Chills, Cough, Dyspnoea exertional, Electrocardiogram normal, Laboratory test normal
Clinical narrative: 20 Jan 2009- received vaccination. 21 Jan 2009 had chills and weakness. 23 Jan 2009 had chest pains. Went to Aid Station was told he had gas. Continued to have chest pains for 3 days. 26 Jan 2009- returned to Sick call. Was admitted to Emergency Room. Diagnosis- Pluerisy. Received medicine. 29 Jan 2009 still has chest pain and weakness- but not as badly as before.  2/9/09 Received ER medical records of 1/26/2009. FINAL DX: pleuritic chest pain, UTI Records reveal patient experienced chest pain, DOE, chills, nonproductive cough x 3 days.  Tx w/meds & d/c to home.
Age: 26.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Pleuritic pain, Troponin, Urinary tract infection, White blood cell count decreased
Clinical narrative: 20 Jan 2009- received vaccination. 21 Jan 2009 had chills and weakness. 23 Jan 2009 had chest pains. Went to Aid Station was told he had gas. Continued to have chest pains for 3 days. 26 Jan 2009- returned to Sick call. Was admitted to Emergency Room. Diagnosis- Pluerisy. Received medicine. 29 Jan 2009 still has chest pain and weakness- but not as badly as before.  2/9/09 Received ER medical records of 1/26/2009. FINAL DX: pleuritic chest pain, UTI Records reveal patient experienced chest pain, DOE, chills, nonproductive cough x 3 days.  Tx w/meds & d/c to home.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Dizziness, Headache, Pallor, Photophobia
Clinical narrative: On 1/20/09 after clinic visit, and @ 7:30p felt dizzy, faint, sensitive to light and mom states pt. got really pale. Mom gave tylenol and went to sleep. When getting up this am, feels dizzy, faint when standing up headache enc to seek pmd care. Saw Dr. P/c attempted 4x's. No answer.  2/3/09 MR received from PCP for OV 1/21/09 for c/o dizziness, H/A and weakness x 1 day since receiving shots. Took first OCP that day as well. Reports light sensitivity, spinning sensation. PE WNL.  Impression:  Dizziness/ Vertigo.  Suspected adverse reaction to either HPV or OCP. Tx:  Meclizine
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Dysphagia, Lip swelling, Swollen tongue
Clinical narrative: Lip swelling for 12 hours. 10 days later subjective sx of swollen tongue and difficulty swallowing. Did not seek medical care for condition.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Facial palsy
Clinical narrative: Bell's palsy 1 week after HPV #3 vaccine
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Cough, Fatigue, Myalgia, Oropharyngeal pain
Clinical narrative: Within 6 hours of receiving vaccine had fever greater than 102F, chills, sore throat, muscle aches, fatigue, and dee non-productive cough.  lasted 4 days then resolved
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Within 6 hours of receiving vaccine had fever greater than 102F, chills, sore throat, muscle aches, fatigue, and dee non-productive cough.  lasted 4 days then resolved
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Cyanosis, Depressed level of consciousness, Electrocardiogram, Hypotonia, Laboratory test
Clinical narrative: Infant received HIB #1, Prevnar #1, Pediarix #1.  Started to show sytmptoms of vasovagal response but then moved into very shallow, slow respirations.  Thready pulse by brachial check.  Become bluish purple.Infant then arched back and tremored slighty.  This RN immediately called for ER kit and 911 service.  MOC was obviously upset and crying "my baby isn't breathing".  This RN immediately began monitoring pulse and respirations asked staff to comfort MOC.  Pulse and Respirations started to return to more stable however color still extremely bluish gray.  Limp and not easily arrounsed.  B/P 82/64 and pulse back to 100 when paramedics arrived.  Oxygen provided and infant then transported to the hospital.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Opisthotonus, Oxygen saturation, Pulse abnormal, Respiratory depression, Syncope vasovagal
Clinical narrative: Infant received HIB #1, Prevnar #1, Pediarix #1.  Started to show sytmptoms of vasovagal response but then moved into very shallow, slow respirations.  Thready pulse by brachial check.  Become bluish purple.Infant then arched back and tremored slighty.  This RN immediately called for ER kit and 911 service.  MOC was obviously upset and crying "my baby isn't breathing".  This RN immediately began monitoring pulse and respirations asked staff to comfort MOC.  Pulse and Respirations started to return to more stable however color still extremely bluish gray.  Limp and not easily arrounsed.  B/P 82/64 and pulse back to 100 when paramedics arrived.  Oxygen provided and infant then transported to the hospital.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Tremor
Clinical narrative: Infant received HIB #1, Prevnar #1, Pediarix #1.  Started to show sytmptoms of vasovagal response but then moved into very shallow, slow respirations.  Thready pulse by brachial check.  Become bluish purple.Infant then arched back and tremored slighty.  This RN immediately called for ER kit and 911 service.  MOC was obviously upset and crying "my baby isn't breathing".  This RN immediately began monitoring pulse and respirations asked staff to comfort MOC.  Pulse and Respirations started to return to more stable however color still extremely bluish gray.  Limp and not easily arrounsed.  B/P 82/64 and pulse back to 100 when paramedics arrived.  Oxygen provided and infant then transported to the hospital.
Age: 4.0
Sex: F
Vaccine: DTPIPV, MMR, VARCEL
Symptoms: Erythema, Induration, Local reaction
Clinical narrative: Local reaction, erythema, induration noted 2 days after vaccine administered
Age: 62.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Six Hours post Injection patient experienced swelling,tenderness and warm to touch at injction site, left deltoid.  Symptoms intensified for 48 hours afterwards. Treatment ordered, ice to area, Tylenol PRN.
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Influenza like illness, Injection site mass, Irritability, Soft tissue disorder
Clinical narrative: About 3-5 days after injection, 2 cm firm tender, non-erythematous soft tissue mass appeared appeared at injection site.  Lump enlarged and developed two prominent areas that look like they may evolve into vesicles.  Child has mild flu like symptoms a the same time and is cranky.
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Tenderness
Clinical narrative: About 3-5 days after injection, 2 cm firm tender, non-erythematous soft tissue mass appeared appeared at injection site.  Lump enlarged and developed two prominent areas that look like they may evolve into vesicles.  Child has mild flu like symptoms a the same time and is cranky.
Age: 0.38
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Respiratory arrest, Vomiting projectile
Clinical narrative: 6 hours after immunization, patient projectile vomited and stopped breathing. Went to Hosp. 2/4/09-records received for DOS 11/17/08-presented with C/O vomiting episode, limp, pale.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 2cm X 3cm Reddened Raised area @ injection site
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Musculoskeletal stiffness, Neck pain
Clinical narrative: Right sided neck pain/stiffness radiating up upward to right side of head. Started day after injection given in right arm. Continues to date. Referred to neurologist 1/28/09 as NSAID heat- no improvement.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Diarrhoea, Vomiting
Clinical narrative: After 1st dose of ROTATEQ pt. had vomited in the office and then contiued diarrhea at home.  After 2nd and 3rd doses vomited the next day and then diarrhea for 1 week.
Age: 51.0
Sex: M
Vaccine: FLUX
Symptoms: Dyspnoea, Injection site pruritus, Pruritus generalised, Urticaria, Wheezing
Clinical narrative: Pt states that in 2004 she received the flu shot while on duty as an RN at the TriCare clinic.  Within 15 minutes she had itching at the site that then spread to her entire body.  Next she had hives on the arm where she received the injection that spread to her entire body.  Then she experienced wheezing and SOB.  The pt states that a physician in the clinic gave her 50mg of Benadryl po.  Her symptoms resolved entirely within a couple of hours.  She was given a prescription for Zyrtec.  The pt states that she took one dose.
Age: 65.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: 4x5cm area of redness. Left shoulder at injection site. Warm to touch.
Age: 1.3
Sex: F
Vaccine: HEPA, IPV, VARCEL
Symptoms: Injection site erythema, Local reaction
Clinical narrative: Localized VARICELLA reaction - redness @ the site started 1-28-09 in evening.
Age: 64.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Back pain, Blister, Burning sensation, Pain, Rash erythematous
Clinical narrative: Patient complaining of rash on right side chest wall, some pain in his back through his anterior chest + in that same band of derma tone. Aching, irritating and burning internally. No fevers, chills or known immuno compromise. He has grouped erythematous papulous + smaller vesicles on right lateral chest wall the T8 to TIC derma tone Valtrex 10mg tid x 7 days. Lyrica Prn pain.
Age: 64.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Rash papular
Clinical narrative: Patient complaining of rash on right side chest wall, some pain in his back through his anterior chest + in that same band of derma tone. Aching, irritating and burning internally. No fevers, chills or known immuno compromise. He has grouped erythematous papulous + smaller vesicles on right lateral chest wall the T8 to TIC derma tone Valtrex 10mg tid x 7 days. Lyrica Prn pain.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pruritus, Pain, Rash vesicular
Clinical narrative: Zosterform eriphan with pain, itching developed at site of injection within 24 hours of administration.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Rash
Clinical narrative: Baby has rash on both thighs. No fever, vomit or any other complications. Patient to follow up with Dr in 1 week.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site rash
Clinical narrative: Baby has rash on both thighs. No fever, vomit or any other complications. Patient to follow up with Dr in 1 week.
Age: 12.0
Sex: M
Vaccine: FLU3, MNQ, TDAP
Symptoms: Erythema, Mass, Pain
Clinical narrative: Developed lump in R. arm circumference size of 2 silver dollars. Very red and sore.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Incorrect route of drug administration
Clinical narrative: Administered ZOSTAVAX IM instead of subcutaneous. No information regarding correct route found on product vial nor in VIS sheet.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Incorrect route of drug administration
Clinical narrative: None administered IM instead of Sub Cu nothing indicated route route on product bottle nor on his sheet.
Sex: M
Vaccine: LYME
Symptoms: Arthralgia, Asthenia, Blood test, Chills, Electromyogram
Clinical narrative: This case was reported by a lawyer and described the occurrence of skin lesion(s) on multiple body sites in a male subject aged between 50 and 59 years old who was vaccinated with LYMERIX (GlaxoSmithKline). A physician or other health care professional has not verified this report. Concurrent medical conditions included back pain. Concurrent medications included Anti-inflammatory, Unknown (Epidural), Aspirin and ALEVE. In 1999 the subject received unspecified dose of LYMERIX (unknown). The subject reportedly stated that he believed that he received 3 LYMERIX injections, three months apart, but this was not confirmed. In 1999, immediately after vaccination with LYMERIX, the subject experienced chills, headache, fever, joint pain, joint stiffness, swelling of toe and swelling of fingers. Within a few days after the first dose of LYMERIX, the subject developed skin lesion(s) on multiple body sites, sleep disturbance, hot flashes and facial pain. Between the 1st and 2nd doses of LYMERIX, the subject developed arm pain, knee pain, shoulder pain, finger pain, ankle pain, foot pain, loss of strength, loss of energy, limited mobility and loss of his grip. In spring of 2007, the subject developed intense pain and paralysis in the feet, hands, shoulders and elbows. This case was assessed as medically serious by GSK. At the time of reporting the events were unresolved.
Sex: M
Vaccine: LYME
Symptoms: Facial pain, Grip strength decreased, Headache, Hot flush, Immediate post-injection reaction
Clinical narrative: This case was reported by a lawyer and described the occurrence of skin lesion(s) on multiple body sites in a male subject aged between 50 and 59 years old who was vaccinated with LYMERIX (GlaxoSmithKline). A physician or other health care professional has not verified this report. Concurrent medical conditions included back pain. Concurrent medications included Anti-inflammatory, Unknown (Epidural), Aspirin and ALEVE. In 1999 the subject received unspecified dose of LYMERIX (unknown). The subject reportedly stated that he believed that he received 3 LYMERIX injections, three months apart, but this was not confirmed. In 1999, immediately after vaccination with LYMERIX, the subject experienced chills, headache, fever, joint pain, joint stiffness, swelling of toe and swelling of fingers. Within a few days after the first dose of LYMERIX, the subject developed skin lesion(s) on multiple body sites, sleep disturbance, hot flashes and facial pain. Between the 1st and 2nd doses of LYMERIX, the subject developed arm pain, knee pain, shoulder pain, finger pain, ankle pain, foot pain, loss of strength, loss of energy, limited mobility and loss of his grip. In spring of 2007, the subject developed intense pain and paralysis in the feet, hands, shoulders and elbows. This case was assessed as medically serious by GSK. At the time of reporting the events were unresolved.
Sex: M
Vaccine: LYME
Symptoms: Joint stiffness, Mobility decreased, Nerve conduction studies, Nuclear magnetic resonance imaging, Oedema peripheral
Clinical narrative: This case was reported by a lawyer and described the occurrence of skin lesion(s) on multiple body sites in a male subject aged between 50 and 59 years old who was vaccinated with LYMERIX (GlaxoSmithKline). A physician or other health care professional has not verified this report. Concurrent medical conditions included back pain. Concurrent medications included Anti-inflammatory, Unknown (Epidural), Aspirin and ALEVE. In 1999 the subject received unspecified dose of LYMERIX (unknown). The subject reportedly stated that he believed that he received 3 LYMERIX injections, three months apart, but this was not confirmed. In 1999, immediately after vaccination with LYMERIX, the subject experienced chills, headache, fever, joint pain, joint stiffness, swelling of toe and swelling of fingers. Within a few days after the first dose of LYMERIX, the subject developed skin lesion(s) on multiple body sites, sleep disturbance, hot flashes and facial pain. Between the 1st and 2nd doses of LYMERIX, the subject developed arm pain, knee pain, shoulder pain, finger pain, ankle pain, foot pain, loss of strength, loss of energy, limited mobility and loss of his grip. In spring of 2007, the subject developed intense pain and paralysis in the feet, hands, shoulders and elbows. This case was assessed as medically serious by GSK. At the time of reporting the events were unresolved.
Sex: M
Vaccine: LYME
Symptoms: Pain, Paralysis, Pyrexia, Skin lesion, Sleep disorder
Clinical narrative: This case was reported by a lawyer and described the occurrence of skin lesion(s) on multiple body sites in a male subject aged between 50 and 59 years old who was vaccinated with LYMERIX (GlaxoSmithKline). A physician or other health care professional has not verified this report. Concurrent medical conditions included back pain. Concurrent medications included Anti-inflammatory, Unknown (Epidural), Aspirin and ALEVE. In 1999 the subject received unspecified dose of LYMERIX (unknown). The subject reportedly stated that he believed that he received 3 LYMERIX injections, three months apart, but this was not confirmed. In 1999, immediately after vaccination with LYMERIX, the subject experienced chills, headache, fever, joint pain, joint stiffness, swelling of toe and swelling of fingers. Within a few days after the first dose of LYMERIX, the subject developed skin lesion(s) on multiple body sites, sleep disturbance, hot flashes and facial pain. Between the 1st and 2nd doses of LYMERIX, the subject developed arm pain, knee pain, shoulder pain, finger pain, ankle pain, foot pain, loss of strength, loss of energy, limited mobility and loss of his grip. In spring of 2007, the subject developed intense pain and paralysis in the feet, hands, shoulders and elbows. This case was assessed as medically serious by GSK. At the time of reporting the events were unresolved.
Sex: M
Vaccine: LYME
Symptoms: X-ray
Clinical narrative: This case was reported by a lawyer and described the occurrence of skin lesion(s) on multiple body sites in a male subject aged between 50 and 59 years old who was vaccinated with LYMERIX (GlaxoSmithKline). A physician or other health care professional has not verified this report. Concurrent medical conditions included back pain. Concurrent medications included Anti-inflammatory, Unknown (Epidural), Aspirin and ALEVE. In 1999 the subject received unspecified dose of LYMERIX (unknown). The subject reportedly stated that he believed that he received 3 LYMERIX injections, three months apart, but this was not confirmed. In 1999, immediately after vaccination with LYMERIX, the subject experienced chills, headache, fever, joint pain, joint stiffness, swelling of toe and swelling of fingers. Within a few days after the first dose of LYMERIX, the subject developed skin lesion(s) on multiple body sites, sleep disturbance, hot flashes and facial pain. Between the 1st and 2nd doses of LYMERIX, the subject developed arm pain, knee pain, shoulder pain, finger pain, ankle pain, foot pain, loss of strength, loss of energy, limited mobility and loss of his grip. In spring of 2007, the subject developed intense pain and paralysis in the feet, hands, shoulders and elbows. This case was assessed as medically serious by GSK. At the time of reporting the events were unresolved.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, RV5, DTAPHEPBIP, HIBV, RV5
Symptoms: Intussusception, Surgery
Clinical narrative: Patient received ROTATEQ on 1-27-09, developed intussusception on 1-28-09, required surgical repair 1-28-09. 2/9/2009 MR received for DOS 1/28-31/2009 with D/C DX:  Intussusception. Pt presented with bloody, mucus stools, abdominal pain, irritability, nausea, decreased PO and vomiting. PE (+) RLQ tenderness. IS unable to be reduced using Barium Enema so pt taken to OR for surgery-open reduction with appy.  Uncomplicated post-op course.
Age: 8.0
Sex: F
Vaccine: FLUN3
Symptoms: Acute disseminated encephalomyelitis, Antibody test negative, Bacterial culture negative, Nuclear magnetic resonance imaging abnormal, Viral test negative
Clinical narrative: Pt has received FLUMIST in previous years. Received FLUMIST 1/15/09. Seen in ER 1/17/09 for presumed viral illness. Admitted to PICU 1/19/09 with encephalomyelitis.   3/25/09 Received hospital medical records of 1/19-2/9/2009. FINAL DX: viral meningeal encephalitis Records reveal patient experienced pharyngitis before Christmas, tx w/oral antibiotics, improved then relapsed & tx w/second round of oral antibiotics.  Improved & given flu shot.  Developed sore throat, cough, fever, runny nose& URI s/s again.  Seen in ER 1/17 & dx w/viral syndrome.  D/C to home then developed dizziness, falls, HA, emesis, eye deviation to right, sudden onset of inability to walk or talk.  Episodes of unresponsiveness thought to be seizures.  Neuro & ID consults done.  Admitted PICU.  Tx w/IV antibiotics, antivirals, steroids, antiseizure meds w/limited improvement.  Feeding tube inserted.  Labs & clinical status improved slowly but remained nonverbal w/very limited movement & unable to walk unassisted w/unsteady gait.  Transferred to rehab. Follow-up: Pt still with residual speech problem, difficulty with ambulation secondary to lower ext. weakness.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Varicella
Clinical narrative: Patient received injection 6-9-08. Exposed to family with in last 1 month with severe chicken pox. Patient in our ED with other concerns. Presumed chicken pox, identified based on patient assessment. Unsure if related to vaccine history. Patient is immucompromised.
Age: 28.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Dermatitis
Clinical narrative: SM developed erythematous, pruritic lesions at site of primary SPV inoculation approximately 6 weeks post vaccination.  Symptoms: Dermatitis, focal.  Evaluated by dermatology and felt that it was related to vaccine.  Treated with DESONIDE.  2/3/09 Received VHC medical records of 1/22/09. FINAL DX: post vaccine dermatosis of unknown etiology following vaccination w/primary SPV Records reveal patient experienced normal site reaction & scab falling off after approx 30 days.  Then developed erythematous pruritic bump at innoculation site within 2 weeks after scab fall off.  Bump got larger & patient self treated w/topical antibiotic cream after approx 1 week w/improvement.  Stopped treatment & bump enlarged.  Tried using steroid cream until 1/2009 when developed into pimple.  Saw MD for deployment clearance.  Dermatology consult done & tx w/desonide cream.
Age: 28.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Dermatitis, Dermatosis, Injection site erythema, Injection site mass, Injection site pruritus
Clinical narrative: SM developed erythematous, pruritic lesions at site of primary SPV inoculation approximately 6 weeks post vaccination.  Symptoms: Dermatitis, focal.  Evaluated by dermatology and felt that it was related to vaccine.  Treated with DESONIDE.  2/3/09 Received VHC medical records of 1/22/09. FINAL DX: post vaccine dermatosis of unknown etiology following vaccination w/primary SPV Records reveal patient experienced normal site reaction & scab falling off after approx 30 days.  Then developed erythematous pruritic bump at innoculation site within 2 weeks after scab fall off.  Bump got larger & patient self treated w/topical antibiotic cream after approx 1 week w/improvement.  Stopped treatment & bump enlarged.  Tried using steroid cream until 1/2009 when developed into pimple.  Saw MD for deployment clearance.  Dermatology consult done & tx w/desonide cream.
Age: 28.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Scab, Vaccination complication
Clinical narrative: SM developed erythematous, pruritic lesions at site of primary SPV inoculation approximately 6 weeks post vaccination.  Symptoms: Dermatitis, focal.  Evaluated by dermatology and felt that it was related to vaccine.  Treated with DESONIDE.  2/3/09 Received VHC medical records of 1/22/09. FINAL DX: post vaccine dermatosis of unknown etiology following vaccination w/primary SPV Records reveal patient experienced normal site reaction & scab falling off after approx 30 days.  Then developed erythematous pruritic bump at innoculation site within 2 weeks after scab fall off.  Bump got larger & patient self treated w/topical antibiotic cream after approx 1 week w/improvement.  Stopped treatment & bump enlarged.  Tried using steroid cream until 1/2009 when developed into pimple.  Saw MD for deployment clearance.  Dermatology consult done & tx w/desonide cream.
Age: 47.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Pyrexia
Clinical narrative: Patient received TD vaccination on 1/8/08, approximately 3 hours after, the patient developed a low-grade fever of 100.7F.  Patient took TYLENOL for the fever and went to sleep.  Upon waking the patient had an injection site reaction of induration, redness and warmth.  The patient returned to the doctor on 1/11/08 and the injection site symptoms were still present.  The fever did not reoccur.  Follow-up received 2/4/08:  Patient recovered.
Age: 27.0
Sex: F
Vaccine: TD
Symptoms: Eye swelling, Injection site induration, Injection site warmth, Lip swelling
Clinical narrative: Patient developed induration at injection site, the site was warm to the touch, as well as a swollen lip and swelling in the mid corner of eyes.  Follow up on 10/28/08: As the patient did not return to the medical office, the reporter considers her recovered.  Reporter attributed reaction to an incorrect administration technique.  The reporter did not have additional details on the administration of the vaccine, vaccine was administered IM in a deltoid.
Age: 35.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Hyperhidrosis, Injection site pain, Lymph node pain, Lymphadenitis
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of injection site pain in a 36-year-old male subject who was vaccinated with FLULAVAL. Concurrent medical conditions included peanut allergy. On 14 October 2008 at 10:00, the subject received a dose of FLULAVAL (0.5 ml, unknown, left arm). On 14 October 2008, within hours of vaccination with FLULAVAL, the subject experienced injection site pain. Later that night on 14 October 2008, the subject experienced swollen lymph node under left armpit, chills and sweating. At the time of reporting the chills and sweating resolved on 15 October 2008; the injection site pain and swollen lymph node under left arm pit were unresolved. Follow-up information received on 7 November 2008, via healthcare professional who reported the subject saw his physician who diagnosed him with lymphadenitis and did not recommend treatment. As of 30 October 2008, the injection pain has resolved but the lymph mode is still tender and swollen. The healthcare professional considered the events possibly related to vaccination with FLULAVAL.
Age: 35.0
Sex: M
Vaccine: FLU3
Symptoms: Lymphadenopathy
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of injection site pain in a 36-year-old male subject who was vaccinated with FLULAVAL. Concurrent medical conditions included peanut allergy. On 14 October 2008 at 10:00, the subject received a dose of FLULAVAL (0.5 ml, unknown, left arm). On 14 October 2008, within hours of vaccination with FLULAVAL, the subject experienced injection site pain. Later that night on 14 October 2008, the subject experienced swollen lymph node under left armpit, chills and sweating. At the time of reporting the chills and sweating resolved on 15 October 2008; the injection site pain and swollen lymph node under left arm pit were unresolved. Follow-up information received on 7 November 2008, via healthcare professional who reported the subject saw his physician who diagnosed him with lymphadenitis and did not recommend treatment. As of 30 October 2008, the injection pain has resolved but the lymph mode is still tender and swollen. The healthcare professional considered the events possibly related to vaccination with FLULAVAL.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Immediate post-injection reaction, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Swelling, redness, hot to touch, sore immediately after vaccine was administered, swelling increased and pain and redness radiated down the arm, and around the sides of arm. Doctor gave me TX: Clindamycin 150 mg qid X 10 days.
Age: 1.0
Sex: M
Vaccine: FLU3, HEPA, MMR, PNC, VARCEL
Symptoms: Autopsy
Clinical narrative: Sudden death at home morning of 1/28/09.  6/1/09 Autopsy report states COD as sudden unexpected infant death & manner of death as natural.  Report also states patient found dead in crib, tox screens & cultures all neg.
Age: 62.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Feeling abnormal, Feeling hot
Clinical narrative: Patient called our office approx 30 minutes after getting ZOSTAVAX injection. "on her way home stated she felt like on. she got a shot of morphine". Warm sensation. Informed patient to call her physician, if any breathing problems to E.R. called patient after 2 hours. Stated it didn't last long and she did not see or call M.D.
Age: 32.0
Sex: F
Vaccine: DTAP
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Depressed level of consciousness, Lethargy, Pyrexia
Clinical narrative: Lethargy started in 1/14/09, had to be woken up for feedings. Fever 100.5. Symptoms subsided 11/5/09. Went to ER 1/14/09 because couldn't get him aroused at all that night diagnosed as normal.
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Hallucination, Hyperhidrosis, Malaise, Muscle twitching
Clinical narrative: Received Flu shot 10/14/08 Fry's. That nigh had hallucinations + feet extremely sweaty - wringing wet- 2nd night same thing hallucinations not feeling well. 3 days ago had muscle twitching in a leg he had injected a couple weeks ago. Not fully recovered but is better. (Had a previous injury to hip area + that's where the pain+ twitching starts)
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Gaze palsy, Loss of consciousness, Tremor
Clinical narrative: Passed out, tremors, eyes rolling in the back of her head Client sent to ER via ambulance.
Age: 0.5
Sex: F
Vaccine: DTAPIPV, DTAPIPVHIB, FLU3, PNC
Symptoms: Wrong drug administered
Clinical narrative: No known reaction.  KINRIX accidentally administered instead of HEP B.
Age: 44.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Blister, Culture, Herpes zoster, Pain, Pruritus
Clinical narrative: Pt states she gets frequent breakouts of "shingles"-about 3X/yr for the last 6 yrs.  MD recommended ZOSTAVAX.  Pt was clear of any symptoms.  Shot was administered 1/14/09.  On 1/26/09, pt dev. rash on M'D-back L thigh.  It blistered, was itchy + painful.  VALTREX was begun on 1/27 1gm + 1 D X 7 days + VICODIN on 1/28- 1  86 degrees PRN.
Age: 44.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Rash
Clinical narrative: Pt states she gets frequent breakouts of "shingles"-about 3X/yr for the last 6 yrs.  MD recommended ZOSTAVAX.  Pt was clear of any symptoms.  Shot was administered 1/14/09.  On 1/26/09, pt dev. rash on M'D-back L thigh.  It blistered, was itchy + painful.  VALTREX was begun on 1/27 1gm + 1 D X 7 days + VICODIN on 1/28- 1  86 degrees PRN.
Age: 1.2
Sex: F
Vaccine: FLU3, HEPA, MMR, PNC, VARCEL
Symptoms: Body temperature increased, Febrile convulsion
Clinical narrative: On 12-19-08 increased temp 105.8 and febrile seizure.
Age: 14.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Dizziness, Dyskinesia, Immediate post-injection reaction, Pallor, Unresponsive to stimuli
Clinical narrative: Immediately after the 2 vaccines admin., student said he was becoming faint.  He fainted sitting in chair supported by 2 staff and transfer to cot.  Student was pale, unrespon x 2-3 min - clenched R fist and mouth.  BP 122/58, P 65, R monitored.  Teleph - mom # d/c, dad reached - student awake, taking sips water.  Dad stated "this happens to everyone in the family".  Mother stated today 1/29/09 "I called my sister and she said Oh, he did this when he was 5 yrs old".  Health history from grade school "N/A" all new form.
Age: 1.01
Sex: M
Vaccine: HEP, HIBV
Symptoms: Rash, Varicella, Varicella zoster virus serology positive
Clinical narrative: Pt received VARIVAX vaccine on 09-22-01 at clinic & now is seen at other clinic & developed a rash that was cultured & positive for varicella zoster.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Pruritus, Skin warm, Swelling
Clinical narrative: Redness, Swelling, itching, warmness on left deltoid
Age: 3.0
Sex: M
Vaccine: PNC
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Itchy, red, swollen. Cold compress applied.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Erythema, Pyrexia
Clinical narrative: Early Thursday morning fever of 100 and leg was red, but is better now.
Age: 14.0
Sex: M
Vaccine: FLUN3, MNQ
Symptoms: Asthenia, Convulsion, Electrocardiogram, Musculoskeletal stiffness, Pallor
Clinical narrative: HE HAD CONVULSIONS FOR A DURATION OF ABOUT 20 SECONDS; HE DOESN'T REMEMBER ANY OF THAT TIME; HE WAS EXTREMELY PALE; THIS WAS ABOUT 15 MINUTES AFTER THE SHOT WAS ADMINISTERED AND HE HAD LEFT THE DR OFFICE AND WAS IN THE TRUCK WITH HIS FATHER LEAVING WHEN THE CONVULSIONS STARTED AND HIS DAD TURNED AROUND AND DROVE HIM BACK TO THE OFFICE WHERE HE LAID DOWN FOR ABOUT 30 MINUTES UNTIL HIS COLOR RETURNED. THE OFFICE INDICATED THEY FEEL HE JUST FAINTED.  PATIENT'S DAD WITNESSED THE TIGHTENING UP OF THE ENIRE BODY AND THE FLAILING AROUND OF HIS HEAD AND ARMS.  BY THE TIME THE OFFICE WAS INVOLVED PATIENT HAD COME OUT OF THAT PORTION AND WAS JUST PALE AND WEAK.
Age: 1.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Wrong drug administered
Clinical narrative: Incident occured 1/2/09 mid-morning.  Zostavax was situated in the freezer next to Varivax and unfortunately I mistakenly grabbed Zostavax instead of Varivax.  0.5mL IM Zostavax given in left thigh.  When incident was realized parents were called by Dr. explaining what had happened.  Pts mom reported that pt was "just fine."  Dr. informed mother of possible signs and symptoms to watch for.  Mother stated understanding.
Sex: F
Vaccine: FLUX
Symptoms: Chest discomfort, Dyspnoea, Vaccine positive rechallenge
Clinical narrative: Pt states that the Last flu vaccine caused difficulty breathing and tighness in his chest for 3 days. He said that he did not go to the doctors because these symptoms have appeared each year following a flu shot, and assumed that "things are just that way, and has lived with it his whole life". I encouraged him to see his PCM for a professional assessment.
Age: 35.0
Sex: M
Vaccine: FLU3
Symptoms: Cough, Eye pain, Sneezing
Clinical narrative: Within 4 hours, patient began coughing and sneezing.  Eyes and lungs began to hurt.  Patient advised to contact personal physician who prescribed Prednisone, Kenalog and Claritin D.  Patient felt better within one day.
Age: 43.0
Sex: M
Vaccine: ANTH, HEPAB, MMR, TYP, YF
Symptoms: Rash, Rash macular, Urticaria
Clinical narrative: Patient presented to BHC 237 with rash  24 hrs post multiple vaccinations.  Patient presented with urticaria with large red blotches with flat raised areas on the head and truck with no drainage or excoriation noted.  Patient states above presented on 21Jan09 2-3 hours before presenting to BHC 237.  Patient denied SOB/difficulty breathing upon examination.  Patient treated with Hydroxyzene.  Patient reported back to clinic on 22Jan09 with symptoms resolved.
Age: 39.0
Sex: F
Vaccine: TDAP, TYP
Symptoms: Joint range of motion decreased, Pain, Pain in extremity, Paraesthesia
Clinical narrative: TDAP given 1/14/09 in L arm Patient states an initial 2-3 days of sore arm, 2 days of no symptoms, then 1/20/09 awoke with excruiating pain in L arm, pain gradually subsided with no treatment but now has constant dull ache and occasional pins and needles sensation in L hand  notified administrator of symptoms 1/29 and seen in clinic 1/30  examined by administrator and Dr. has tried no treatment until after call to administrator who advised a 3 day course of Motrin Q6hours nothing observable at site (no discoloration, swelling,or redness), no pain with touch, ROM compromised when lifts forearm and elbow to shoulder height, can lift arm over head advised to avoid heavy lifting for 2 weeks and f/u w/PMD
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Back pain, Burning sensation, Chills, Fatigue, Headache
Clinical narrative: Fever 102.7 degrees, chills, body aches, swollen lymph glands, nausea, pain at injection, unable to lift/move arm, headache, backache, burning sensation in lungs, extreme fatigue.  Has been 72 hours since vaccine and still not completely back to normal.  Missed 2 1/2 days of work due to vaccine.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Impaired work ability, Injected limb mobility decreased, Injection site pain, Lymphadenopathy, Nausea
Clinical narrative: Fever 102.7 degrees, chills, body aches, swollen lymph glands, nausea, pain at injection, unable to lift/move arm, headache, backache, burning sensation in lungs, extreme fatigue.  Has been 72 hours since vaccine and still not completely back to normal.  Missed 2 1/2 days of work due to vaccine.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Pyrexia
Clinical narrative: Fever 102.7 degrees, chills, body aches, swollen lymph glands, nausea, pain at injection, unable to lift/move arm, headache, backache, burning sensation in lungs, extreme fatigue.  Has been 72 hours since vaccine and still not completely back to normal.  Missed 2 1/2 days of work due to vaccine.
Age: 51.0
Sex: M
Vaccine: ANTH, HEP
Symptoms: Epistaxis, Platelet count decreased
Clinical narrative: MEMBER REPORTED TO SICK CALL C/O NOSE BLEED X 2 DAYS, WITH RASH AROUND HIS WAIST LINE, CLINIC ON BASE DID BLOOD TEST.  2/5/09 Received clinic medical records of 1/20/09. FINAL DX: critically low platelet count Records reveal patient experienced epistaxis several times, rash around waist. Had GI illness 1 week prior that resolved. Sent to ER when labs returned.  LABS: plts 2000(L)./ss   2/27/09 Received hospital medical records of 1/20-1/27/2009. FINAL DX: thrombocytopenia secondary to ITP; epistaxis; nausea. Records reveal patient experienced nosebleeds, petechial rash & intermittent confusion x 4 days. Had stomach virus few weeks prior.  Heme consult done.  Tx w/IV steroids & plt transfusion w/min improvement.  Tx w/IVIG & improved.  D/c to hoome w/heme f/u & serial labs.