chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 44.0
Sex: F
Vaccine: PPV
Symptoms: Skin exfoliation, Urticaria
Clinical narrative: Pneumococcal polysaccharide (PPV 23) on 8/28/07. 8/28: general soreness arm. 8/29 Sharp arm pain/red/swollen, very tired (took 2 Darvocet). 8/30 99.8 fever, extreme arm pain and neck, shoulder, armpit sore and can't move; 1 single hive (nickel size), swollen and very tender to touch/red and hot; 8/31/07 99.3, more hives 6 inches around inject site/flushed/dizzy/hard to swallow/skin peeling. Took Benadryl 2x later Darvocet/Ice. 9/1/07 Red, swollen less pain. 9/2/07 better.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, MMR
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: (R) arm pain, swelling and redness.
Age: 27.0
Sex: F
Vaccine: DTAP
Symptoms: Diarrhoea, Pain in extremity, Wrong drug administered
Clinical narrative: Pt was given Daptacel instead of Adacel. Patient was called 8/31 and asked how her arm was after vaccination. She said it was "quite sore" for 4-5 days. Arm is fine now. Pt was asked how she fe3lt after vaccination. She said ac couple days after the vaccine she had diarrhea.
Age: 4.0
Sex: M
Vaccine: HEPA
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 8x10 cm red indurated area at injection site
Age: 9.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Condition aggravated, Dermatitis bullous, Rash, Rash vesicular
Clinical narrative: Varicella-like rash on trunk and extremities - onset 8/24/07. Has underlying chronic skin condition that has not been treated yet by dermatologist. "Bullous dermatitis" which has recurred.
Age: 19.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Lymphadenopathy, Skin warm
Clinical narrative: moderate localized erythema, warmth no tenseness of compartment. 5 inch diameter circle of erythema of midarm-2 days after administered-Tylenol and Motrin. mild axillary lymphadenopathy-nontender
Age: 6.0
Sex: F
Vaccine: PNC
Symptoms: Cold compress therapy, Erythema, Skin nodule, Swelling, Tenderness
Clinical narrative: Swelling, redness, tenderness 7x4cm, lump 2.5x2.5cm over lt. upper arm. Cold compress. Lump: warm compress.
Age: 0.6
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site urticaria
Clinical narrative: (R) thigh-red raised 1/2" around injection site.
Age: 0.5
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Computerised tomogram, Electroencephalogram, Foaming at mouth, Gaze palsy, Musculoskeletal stiffness
Clinical narrative: Dad was feeding baby. Baby went stiff then started shaking (arms and legs). Eyes rolled back in head and she was foaming at the mouth.
Age: 0.5
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Tremor
Clinical narrative: Dad was feeding baby. Baby went stiff then started shaking (arms and legs). Eyes rolled back in head and she was foaming at the mouth.
Age: 1.8
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Blood culture, Convulsion, Full blood count, Metabolic function test, Pyrexia
Clinical narrative: Low grade fever 99-102 x 2 weeks post vaccine eased with Tylenol. Reports three episodes of seizure-like activity 8-19-07, 8-23-07 and 8-30-07. Advised to seek medical care. MD visit 8-31-07 Referred to Neurologist- Lab work ordered Amoxicillin Rx given
Age: 1.8
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Urine analysis
Clinical narrative: Low grade fever 99-102 x 2 weeks post vaccine eased with Tylenol. Reports three episodes of seizure-like activity 8-19-07, 8-23-07 and 8-30-07. Advised to seek medical care. MD visit 8-31-07 Referred to Neurologist- Lab work ordered Amoxicillin Rx given
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: Patient developed rash on left thigh-warm, erythematous 12 x 22 cm-began approx 24 hrs post vaccination.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site inflammation
Clinical narrative: Local inflammation at injection site. (R) UE 9x14cm, (L) 3x4 cm.
Age: 1.1
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Rash morbilliform
Clinical narrative: Measles like rash observation and hydration OTC: Benadryl and Calamine lotion
Age: 45.0
Sex: M
Vaccine: TTOX
Symptoms: Feeling drunk, Hypoaesthesia, Lip swelling, Nausea, Vomiting
Clinical narrative: Client c/o N/V, swollen lips, and feeling intoxicated. C/O numbness in hands. Went to ER, unknown labs were drawn. Pt sent home without receiving any meds. Told to rest and increase PO fluids x 24 hours.
Age: 1.1
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Herpes zoster, Virus serology test
Clinical narrative: Shingles - tested vaccine positive.
Age: 1.5
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Idiopathic thrombocytopenic purpura
Clinical narrative: 6 wks after MMR developed acute idiopathic thrombocytopenia. Diagnosed and treated by doctor.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral, Pruritus, Skin warm
Clinical narrative: Showed a nurse who works at the clinic when they were golfing, (L) arm red. We called her the next day states size of softball, red warm, and itching. States is better today.
Age: 81.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pruritus
Clinical narrative: Erythema approx 6cm x 8cm and itching, tx with Prednisone and Benadryl.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema peripheral, Skin warm, Tenderness
Clinical narrative: Vaccinated 9/10/07. 9/10 Evening (R) arm swollen/red/hot and tender. Worse 9/11 AM. No itching. Rx: ice packs/NSAIDS/Keflex for possible cellulitis.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Vaccination failure, Varicella
Clinical narrative: Chicken Pox secondary to varicella booster
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Induration, Pruritus, Skin warm, Swelling
Clinical narrative: 10 x 10 cm redness, swelling, induration, itchy, warm.
Age: 5.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: After Varicella shot leg got red. By last night, swollen and red. Came in 9-12-07 (R) leg red, hot, swollen 2"x2" round diameter.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Left upper arm red, swollen. Mother giving Motrin. Noticed by mother 9/12/07.
Age: 78.0
Sex: M
Vaccine: PPV
Symptoms: Pruritus, Rash
Clinical narrative: Approximately 8 hours after pneumococcal vaccine administration, the patient experienced itching and a rash that started on his right arm, spread across chest wall, and reached his left shoulder.  A one-time dose of diphenhydramine 50mg IV was given, and the rash and itching subsided.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Eyelid oedema, Injection site swelling, Pruritus, Rash macular, Urticaria
Clinical narrative: Dtap, Ipv and MMR given approximately 3pm 09/10/2007. Child woke up at 5am 09/11/2007 itching. At 7am same day mother states she noticed red blotchy areas arms, small area on lower abd., redness on cheeks. Child went to school.  On 09/12/2007 am same s&s as above with eyelids "mildly swollen" as well. Mother states child given dose of Benadryl with some improvement.  States no apparent signs of difficulty breathing, not coughing or clearing throat. States is playing and seems uneffected except some ithing.  Also states some of the red areas also includes some welts. Mother also states area around injection on left leg is "a little red". This nurse advises she consult with her physician.  Will call this nurse after Dr. visit.  KGermain RN.
Age: 23.0
Sex: M
Vaccine: DTAP
Symptoms: Chills, Headache, Inappropriate schedule of drug administration, Pain, Pyrexia
Clinical narrative: Pt woke up at 0400 w/ chills and fever "up to 102", also c/o headache, body aches
Age: 23.0
Sex: M
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: Pt woke up at 0400 w/ chills and fever "up to 102", also c/o headache, body aches
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Inflammation, Skin warm, Swelling
Clinical narrative: redness and heat to forearm with swelling and bogginess of the elbow. treated for poss cellulitis.  more inflamed than a typoical pneumovax local injection site rxn.
Age: 40.0
Sex: F
Vaccine: VARCEL
Symptoms: Cough, Dyspnoea, Injection site erythema, Injection site swelling, Local reaction
Clinical narrative: Ten days post vaccination client had a large local reaction (area red and swollen) at the injection site.  Two days later client had shortness of breath with difficulty in breathing.  On 08/15/2007 client presented to her allergist because the symtoms persisted.  Dr put the client on two inhalers and Singular. Client revisited the Dr. on 08/31/2007 for persist cough and was placed on Leviquin 500mg for 12 days.  Client states she is better but not a 100%.  Dr will be doing a Varicella titer soon.
Age: 38.0
Sex: F
Vaccine: HEP
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Pt says her arm was sore after the injection. She states she tried to use it as instructed.   There was no redness or warmth at the site after the injection.After two weeks she was unable to lift her arm above  the shoulder. Pt has been instructed to contact her personal physician and start physical thearphy as soon as possible.
Age: 13.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Contusion, Erythema, Oedema peripheral, Pyrexia
Clinical narrative: 8/30 a.m., redness, swelling at back of right arm.  Swelling continued until it reached 4 inches (approx.), bruised.  Child ran fever at 99 degree F.  Symptoms resolved 9/3/07.  Still slight bruising.  TX symptoms with Ibuprofen and tylenol.
Age: 14.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Wrong drug administered
Clinical narrative: Dtap was given instead of Tdap
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Area of erthema & swelling & itching on arm where Varicella vaccine was administered
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Area of erythema, swelling, itching where varicella IZ was given.
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Injection site discomfort, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Patient was informed and given information regarding Pneumovax.  By patient report she had never previously had a Pneumovax vaccination. Area was prepared and she was given pneumovax 0.50cc subcutaneous Right are upper outer aspect. patient left with no adverse effects.  patient called 9/6/07 to report the discomfort and swelling of her arm at the injection site. Patient was unable to come in to this clinic to be seen, after calling to report swelling and tenderness. Patient report (she is a RN) is as follows: "Pneumovax injection given posterior/laterally of Right upper arm in Chest clinic 9/4/2007 with noted increasing redness, induration and tenderness around the injection site ofver the next 48 hours. Clinic was called.  Ms Mowbray was unable to come in and was advised that no Allergy physicians would be on hand the next day (Friday, 9/7/7).  Ms Mowbray contacted a physician the following day(72 hours), by which time the redness had spread to and area apporximately 7"x9", with increasing induration and discomfort.  Keflex was ordered and redness began to recede with in 18 hours.  Five days into 10 day course of Keflex, erythamatous area was significantly reduced."
Age: 0.17
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5, DTAP, HIBV, IPV, PNC, RV5
Symptoms: Diarrhoea, Haematochezia, Irritability, Occult blood
Clinical narrative: Information has been received from a registered nurse concerning a 2 month old female who on 07-AUG-2007 was vaccinated with her first oral dose of Rotateq (no lot number was given). Concomitant vaccinations administered within the same visit included a dose of Prevnar, a dose of Hibtiter, a dose of of IPOL (unspecified) and a dose of DTaP. On 07-AUG-2007 the patient experienced fussiness 3 hours post vaccination, and at about 13 hours post vaccination, the patient also developed diarrhea and blood streaks in her stool. Medical attention was sought via a GI doctor. A hemoccult blood test was performed (results not specified). The patient was not recovered. There was no product quality complaint. No further information was provided. Upon internal review, blood streaks in the stool was considered to be other important medical event. Additional information has been requested.
Age: 43.0
Sex: F
Vaccine: DTAP, TDAP
Symptoms: Aphasia, Computerised tomogram, Convulsion, Electroencephalogram, Hypokinesia
Clinical narrative: On 8-31-2007 forty hours after the vaccine was administered; while the child was in school; her arm began to shake up and down uncontrollable. Her jaw locked and she was unable to speak. She later was unconscious and fell onto the ground. She had a seizure estimated to have occurred for approximately five minutes; she bit her tongue in several areas. She was sent and admitted to hospital. She was given a CT scan, MRI and EEG. The EEG confirmed the Seizure. She was discharged from the hospital 9-1-2007 at 7:00 pm. She has a general history of being in good health with no history of seizure disorder. She was discharged with the instruction to follow-up with a neurologist and psychiatrist. The child has some swelling and pain at the site after receiving the vaccine.
Age: 43.0
Sex: F
Vaccine: DTAP, TDAP
Symptoms: Inappropriate schedule of drug administration, Injection site pain, Injection site swelling, Loss of consciousness, Nuclear magnetic resonance imaging
Clinical narrative: On 8-31-2007 forty hours after the vaccine was administered; while the child was in school; her arm began to shake up and down uncontrollable. Her jaw locked and she was unable to speak. She later was unconscious and fell onto the ground. She had a seizure estimated to have occurred for approximately five minutes; she bit her tongue in several areas. She was sent and admitted to hospital. She was given a CT scan, MRI and EEG. The EEG confirmed the Seizure. She was discharged from the hospital 9-1-2007 at 7:00 pm. She has a general history of being in good health with no history of seizure disorder. She was discharged with the instruction to follow-up with a neurologist and psychiatrist. The child has some swelling and pain at the site after receiving the vaccine.
Age: 43.0
Sex: F
Vaccine: DTAP, TDAP
Symptoms: Syncope, Tremor
Clinical narrative: On 8-31-2007 forty hours after the vaccine was administered; while the child was in school; her arm began to shake up and down uncontrollable. Her jaw locked and she was unable to speak. She later was unconscious and fell onto the ground. She had a seizure estimated to have occurred for approximately five minutes; she bit her tongue in several areas. She was sent and admitted to hospital. She was given a CT scan, MRI and EEG. The EEG confirmed the Seizure. She was discharged from the hospital 9-1-2007 at 7:00 pm. She has a general history of being in good health with no history of seizure disorder. She was discharged with the instruction to follow-up with a neurologist and psychiatrist. The child has some swelling and pain at the site after receiving the vaccine.
Age: 43.0
Sex: F
Vaccine: DTAP, TDAP
Symptoms: Aphasia, Computerised tomogram, Convulsion, Electroencephalogram abnormal, Fall
Clinical narrative: On 8-31-2007 forty hours after the vaccine was administered; while the child was in school; her arm began to shake up and down uncontrollable. Her jaw locked and she was unable to speak. She later was unconscious and fell onto the ground. She had a seizure estimated to have occurred for approximately five minutes; she bit her tongue in several areas. She was sent and admitted to hospital. She was given a CT scan, MRI and EEG. The EEG confirmed the Seizure. She was discharged from the hospital 9-1-2007 at 7:00 pm. She has a general history of being in good health with no history of seizure disorder. She was discharged with the instruction to follow-up with a neurologist and psychiatrist. The child has some swelling and pain at the site after receiving the vaccine.
Age: 43.0
Sex: F
Vaccine: DTAP, TDAP
Symptoms: Injection site pain, Injection site swelling, Loss of consciousness, Nuclear magnetic resonance imaging, Tongue biting
Clinical narrative: On 8-31-2007 forty hours after the vaccine was administered; while the child was in school; her arm began to shake up and down uncontrollable. Her jaw locked and she was unable to speak. She later was unconscious and fell onto the ground. She had a seizure estimated to have occurred for approximately five minutes; she bit her tongue in several areas. She was sent and admitted to hospital. She was given a CT scan, MRI and EEG. The EEG confirmed the Seizure. She was discharged from the hospital 9-1-2007 at 7:00 pm. She has a general history of being in good health with no history of seizure disorder. She was discharged with the instruction to follow-up with a neurologist and psychiatrist. The child has some swelling and pain at the site after receiving the vaccine.
Age: 43.0
Sex: F
Vaccine: DTAP, TDAP
Symptoms: Tremor, Trismus
Clinical narrative: On 8-31-2007 forty hours after the vaccine was administered; while the child was in school; her arm began to shake up and down uncontrollable. Her jaw locked and she was unable to speak. She later was unconscious and fell onto the ground. She had a seizure estimated to have occurred for approximately five minutes; she bit her tongue in several areas. She was sent and admitted to hospital. She was given a CT scan, MRI and EEG. The EEG confirmed the Seizure. She was discharged from the hospital 9-1-2007 at 7:00 pm. She has a general history of being in good health with no history of seizure disorder. She was discharged with the instruction to follow-up with a neurologist and psychiatrist. The child has some swelling and pain at the site after receiving the vaccine.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Incorrect route of drug administration, Malaise, Pain, Pyrexia
Clinical narrative: Information has been received from a physician concerning a 75 white female with urinary incontinence, diabetes, sleeplessness and penicillin, codeine, Ambien allergies who on approximately 05-AUG-2007 (or 06-AUG-2007) was vaccinated IM with a single dose of Zostavax (Oka/Merck). Concomitant therapy included oxybutynin (02-AUG-2007 to 05-AUG-2007), Glucotrol XL (September 2006) and lorazepam (September 2006). On 06-AUG-2007, about 24 hours after vaccination the patient felt like she had achyness around the thorax and felt like she was going to get a shingles rash. It was reported that the patient felt achyness thoughout, had fever (on 07-AUG-2007), malaise and fatigue (on 06-AUG-2007) for 7 days and then felt ok. At the time of report the patient had recovered. The patient's experience was considered to be disabling by the reporter. Additional information has been requested.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood culture, Blood culture negative, Nausea, Platelet count decreased, Thrombocytopenia
Clinical narrative: Information has been received from a physician concerning a 77 year old female with hypertension and no known allergies who on approximately 27-AUG-2007 was vaccinated with a single dose of Zostavax (Oka/Merck). Concomitant therapy included unspecified blood pressure medication. On an unspecified night (not the same night as the vaccination) after having dinner the patient developed nausea. The patient sought medical attention at the hospital and food poisoning was ruled out. Blood work revealed the patient had thrombocytopenia, platelet count 70,000 and blood culture revealed no infection. She was admitted to the hospital. The patient had no rash. The patient "is slightly getting better" since being admitted to the hospital. No further information was provided. There was no product quality complaint involved. The patient's thrombocytopenia and nausea were considered serious for hospitalization. Additional information has been requested.  10/8/07 Patient demographics provided by CDC.  10/16/07 Reviewed hospital medical records which reveal patient experienced low blood pressure, nausea, vomiting, fever, fatigue, sore throat, dizziness, syncope.  Exam revealed hypotension, throat erythema & vesicular lesions in mouth/throat.  Admitted 9/5-9/8/2007.  Tx w/IV antibiotics & antivirals FINAL DX: UTI, septic shock, acute renal failure, thrombocytopenia secondary to septic shock.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from the mother of a 15 year old female with acne and no history of drug reactions/allergies who on 06-SEP-2007 was vaccinated with the first dose of 0.5 ml Gardasil intramuscularly. Concomitant therapy included unspecified acne medication. On 06-SEP-2007 the patient experienced a seizure while in the physician's office. Subsequently, the patient recovered from seizure on 07-SEP-2007. No lab testing was performed. Additional information is not expected. Upon internal review, seizure was considered to be an other important medical event.
Age: 53.0
Sex: M
Vaccine: TDAP, TDAP, TDAP, TDAP
Symptoms: Guillain-Barre syndrome
Clinical narrative: A 55-year-old male patient had received a first dose, intramuscular injection of Adacel, lot number not known, on 09 August 2007. Nineteen days post-vaccination, the patient developed Guillain Barre Syndrome requiring hospitalization for ten days. Past medical history, other medications, and whether there was illness at the time of vaccination were not known. Per the reporter, the patient's chart was not available, and there was no information on the patient's current condition. At the time of this report, the patient had not recovered.  9/28/07 Reviewed medical records received from pcp which consist of hospital d/c summary, H&P  & neuro consult.  Admitted 9/5-9/10/2007.  Records reveal patient experienced low back pain, tingling of LEs x 8 days.  No illness prior to s/s.  Initially thought to be radicular pain due to prior history.  Numbness progressed although pain subsided.  Seen in ER x 3 prior to admit/diagnosis.  Had difficulty walking, dysuria & mild SOB.  Seen by neuro 9/4 & dx w/GBS.  Admitted to ICU & tx w/IVIG.   FINAL DX: Guillain Barre syndrome. Linked w/290735 & 291191. 10/26/07 Reviewed hospital medical records which reveal patient experienced low back pain x 8 days w/tingling in LEs.  Seen by pcp & dx w/LBP w/radiculopathy & paresthesia.  Symptoms progressed but pain subsided.  Numbness & weakness extended from feet up to abdomen & hands.  Difficulty voiding.  Seen in ER several times & d/c to home.  Neuro consult done 9/4/07 & dx w/GBS.  Admitted to ICU for IVIG x 6.  Improved & was d/c to home to continue outpatient PT & pcp/neuro f/u. FINAL DX: Guillain Barre syndrome, uncertain etiology.
Age: 53.0
Sex: M
Vaccine: TDAP, TDAP, TDAP, TDAP
Symptoms: Computerised tomogram, Guillain-Barre syndrome, Hypoaesthesia, Lumbar puncture, Nuclear magnetic resonance imaging normal
Clinical narrative: A 55-year-old male patient had received a first dose, intramuscular injection of Adacel, lot number not known, on 09 August 2007. Nineteen days post-vaccination, the patient developed Guillain Barre Syndrome requiring hospitalization for ten days. Past medical history, other medications, and whether there was illness at the time of vaccination were not known. Per the reporter, the patient's chart was not available, and there was no information on the patient's current condition. At the time of this report, the patient had not recovered.  9/28/07 Reviewed medical records received from pcp which consist of hospital d/c summary, H&P  & neuro consult.  Admitted 9/5-9/10/2007.  Records reveal patient experienced low back pain, tingling of LEs x 8 days.  No illness prior to s/s.  Initially thought to be radicular pain due to prior history.  Numbness progressed although pain subsided.  Seen in ER x 3 prior to admit/diagnosis.  Had difficulty walking, dysuria & mild SOB.  Seen by neuro 9/4 & dx w/GBS.  Admitted to ICU & tx w/IVIG.   FINAL DX: Guillain Barre syndrome. Linked w/290735 & 291191. 10/26/07 Reviewed hospital medical records which reveal patient experienced low back pain x 8 days w/tingling in LEs.  Seen by pcp & dx w/LBP w/radiculopathy & paresthesia.  Symptoms progressed but pain subsided.  Numbness & weakness extended from feet up to abdomen & hands.  Difficulty voiding.  Seen in ER several times & d/c to home.  Neuro consult done 9/4/07 & dx w/GBS.  Admitted to ICU for IVIG x 6.  Improved & was d/c to home to continue outpatient PT & pcp/neuro f/u. FINAL DX: Guillain Barre syndrome, uncertain etiology.
Age: 53.0
Sex: M
Vaccine: TDAP, TDAP, TDAP, TDAP
Symptoms: Paraesthesia, Unevaluable event
Clinical narrative: A 55-year-old male patient had received a first dose, intramuscular injection of Adacel, lot number not known, on 09 August 2007. Nineteen days post-vaccination, the patient developed Guillain Barre Syndrome requiring hospitalization for ten days. Past medical history, other medications, and whether there was illness at the time of vaccination were not known. Per the reporter, the patient's chart was not available, and there was no information on the patient's current condition. At the time of this report, the patient had not recovered.  9/28/07 Reviewed medical records received from pcp which consist of hospital d/c summary, H&P  & neuro consult.  Admitted 9/5-9/10/2007.  Records reveal patient experienced low back pain, tingling of LEs x 8 days.  No illness prior to s/s.  Initially thought to be radicular pain due to prior history.  Numbness progressed although pain subsided.  Seen in ER x 3 prior to admit/diagnosis.  Had difficulty walking, dysuria & mild SOB.  Seen by neuro 9/4 & dx w/GBS.  Admitted to ICU & tx w/IVIG.   FINAL DX: Guillain Barre syndrome. Linked w/290735 & 291191. 10/26/07 Reviewed hospital medical records which reveal patient experienced low back pain x 8 days w/tingling in LEs.  Seen by pcp & dx w/LBP w/radiculopathy & paresthesia.  Symptoms progressed but pain subsided.  Numbness & weakness extended from feet up to abdomen & hands.  Difficulty voiding.  Seen in ER several times & d/c to home.  Neuro consult done 9/4/07 & dx w/GBS.  Admitted to ICU for IVIG x 6.  Improved & was d/c to home to continue outpatient PT & pcp/neuro f/u. FINAL DX: Guillain Barre syndrome, uncertain etiology.
Age: 53.0
Sex: M
Vaccine: TDAP, TDAP, TDAP, TDAP
Symptoms: Back pain, Computerised tomogram normal, Guillain-Barre syndrome, Hypoaesthesia, Immunoglobulins
Clinical narrative: A 55-year-old male patient had received a first dose, intramuscular injection of Adacel, lot number not known, on 09 August 2007. Nineteen days post-vaccination, the patient developed Guillain Barre Syndrome requiring hospitalization for ten days. Past medical history, other medications, and whether there was illness at the time of vaccination were not known. Per the reporter, the patient's chart was not available, and there was no information on the patient's current condition. At the time of this report, the patient had not recovered.  9/28/07 Reviewed medical records received from pcp which consist of hospital d/c summary, H&P  & neuro consult.  Admitted 9/5-9/10/2007.  Records reveal patient experienced low back pain, tingling of LEs x 8 days.  No illness prior to s/s.  Initially thought to be radicular pain due to prior history.  Numbness progressed although pain subsided.  Seen in ER x 3 prior to admit/diagnosis.  Had difficulty walking, dysuria & mild SOB.  Seen by neuro 9/4 & dx w/GBS.  Admitted to ICU & tx w/IVIG.   FINAL DX: Guillain Barre syndrome. Linked w/290735 & 291191. 10/26/07 Reviewed hospital medical records which reveal patient experienced low back pain x 8 days w/tingling in LEs.  Seen by pcp & dx w/LBP w/radiculopathy & paresthesia.  Symptoms progressed but pain subsided.  Numbness & weakness extended from feet up to abdomen & hands.  Difficulty voiding.  Seen in ER several times & d/c to home.  Neuro consult done 9/4/07 & dx w/GBS.  Admitted to ICU for IVIG x 6.  Improved & was d/c to home to continue outpatient PT & pcp/neuro f/u. FINAL DX: Guillain Barre syndrome, uncertain etiology.
Age: 53.0
Sex: M
Vaccine: TDAP, TDAP, TDAP, TDAP
Symptoms: Lumbar puncture, Nuclear magnetic resonance imaging normal, Paraesthesia
Clinical narrative: A 55-year-old male patient had received a first dose, intramuscular injection of Adacel, lot number not known, on 09 August 2007. Nineteen days post-vaccination, the patient developed Guillain Barre Syndrome requiring hospitalization for ten days. Past medical history, other medications, and whether there was illness at the time of vaccination were not known. Per the reporter, the patient's chart was not available, and there was no information on the patient's current condition. At the time of this report, the patient had not recovered.  9/28/07 Reviewed medical records received from pcp which consist of hospital d/c summary, H&P  & neuro consult.  Admitted 9/5-9/10/2007.  Records reveal patient experienced low back pain, tingling of LEs x 8 days.  No illness prior to s/s.  Initially thought to be radicular pain due to prior history.  Numbness progressed although pain subsided.  Seen in ER x 3 prior to admit/diagnosis.  Had difficulty walking, dysuria & mild SOB.  Seen by neuro 9/4 & dx w/GBS.  Admitted to ICU & tx w/IVIG.   FINAL DX: Guillain Barre syndrome. Linked w/290735 & 291191. 10/26/07 Reviewed hospital medical records which reveal patient experienced low back pain x 8 days w/tingling in LEs.  Seen by pcp & dx w/LBP w/radiculopathy & paresthesia.  Symptoms progressed but pain subsided.  Numbness & weakness extended from feet up to abdomen & hands.  Difficulty voiding.  Seen in ER several times & d/c to home.  Neuro consult done 9/4/07 & dx w/GBS.  Admitted to ICU for IVIG x 6.  Improved & was d/c to home to continue outpatient PT & pcp/neuro f/u. FINAL DX: Guillain Barre syndrome, uncertain etiology.
Age: 0.4
Sex: M
Vaccine: DTAP, PNC, RV, DTAP, PNC, RV5
Symptoms: Eye haemorrhage, Haemorrhage intracranial, Hypotonia, Opisthotonus, Respiratory rate decreased
Clinical narrative: Baby arched back and went limp, barely breathing. Bleeding on the brain, bleeding behind the eyes.  9/18/07 Received ER medical records which reveal patient arrived in ER on 7/21 07 w/CPR in progress after being found by parents vomited & with agonal respirations.  Transferred to higher level of care.  10/2/07 Received hospital medical records which reveal patient experienced cardiopulmonary arrest at outlying ER.  Resuscitated, intubated & transferred for higher level of care.  Admitted to PICU 7/21-7/31 then transferred to peds unit from 7/21-9/4/2007 when transferred to LTC.  Neurosurg, neurology & ophthalmology consults done.  Left SDH drain placed on 7/21.  Required resuscitation again after left SDH drain placed.  Right SDH drain placed 7/22. Severe bilateral retinal hemorrhages c/w non accidental trauma.   Multiple seizures & tx w/antiseizure meds. LOC improved w/drainage but strong concerns about functional neuro status.  Failed extubation trials multiple times due to stridor & airway edema while on steroids until finally stable on extubation 8/18/07.  Multiple episodes of bradycardia believed to be CNS in origin.  Received PEG tube feedings.  Right SDH drain pulled on 8/2.  VP shunt placed.  Received IV antibiotics only after csf (+) on 8/2.  Patient is in custody of DSS in LTC. 11/2/07 Reviewed vax record from pcp & VAERS database updated w/same.
Age: 0.4
Sex: M
Vaccine: DTAP, PNC, RV, DTAP, PNC, RV5
Symptoms: Convulsion, Hypotonia, Hypoventilation, Laboratory test, Pallor
Clinical narrative: Baby arched back and went limp, barely breathing. Bleeding on the brain, bleeding behind the eyes.  9/18/07 Received ER medical records which reveal patient arrived in ER on 7/21 07 w/CPR in progress after being found by parents vomited & with agonal respirations.  Transferred to higher level of care.  10/2/07 Received hospital medical records which reveal patient experienced cardiopulmonary arrest at outlying ER.  Resuscitated, intubated & transferred for higher level of care.  Admitted to PICU 7/21-7/31 then transferred to peds unit from 7/21-9/4/2007 when transferred to LTC.  Neurosurg, neurology & ophthalmology consults done.  Left SDH drain placed on 7/21.  Required resuscitation again after left SDH drain placed.  Right SDH drain placed 7/22. Severe bilateral retinal hemorrhages c/w non accidental trauma.   Multiple seizures & tx w/antiseizure meds. LOC improved w/drainage but strong concerns about functional neuro status.  Failed extubation trials multiple times due to stridor & airway edema while on steroids until finally stable on extubation 8/18/07.  Multiple episodes of bradycardia believed to be CNS in origin.  Received PEG tube feedings.  Right SDH drain pulled on 8/2.  VP shunt placed.  Received IV antibiotics only after csf (+) on 8/2.  Patient is in custody of DSS in LTC. 11/2/07 Reviewed vax record from pcp & VAERS database updated w/same.
Age: 1.3
Sex: M
Vaccine: DTAP, HBHEPB
Symptoms: Chest X-ray normal, Culture negative, Full blood count normal, Lumbar puncture, Pyrexia
Clinical narrative: Pt received DTaP and Comvax on 5/31/07. On 6/2/07 mom called to report 2 days of fever but eating, drinking and playful. On 6/3/07 seen by Dr. in office; fever 106 and at home mom was giving Tylenol and Motrin but fever not responding. Pt referred to ER and admitted for 2 days for fever and work-up. CXR negative. WBC normal. Was put on Rocephin IV but then discharged. Spinal tap negative.   10/19/2007 Reviewed hospital medical records which reveal patient experienced fever x 3 days s/p vax followed by irritability & vomiting on day of admit.  Seen by pcp w/temp 106.7.  Admitted 6/4-6/5/2007.  No source for fever found.  Tx w/1 dose antibiotics.  Improved & d/c to home w/pcp f/u. FINAL DX: fever w/o source s/p vaccination.
Age: 1.3
Sex: M
Vaccine: DTAP, HBHEPB
Symptoms: White blood cell count normal
Clinical narrative: Pt received DTaP and Comvax on 5/31/07. On 6/2/07 mom called to report 2 days of fever but eating, drinking and playful. On 6/3/07 seen by Dr. in office; fever 106 and at home mom was giving Tylenol and Motrin but fever not responding. Pt referred to ER and admitted for 2 days for fever and work-up. CXR negative. WBC normal. Was put on Rocephin IV but then discharged. Spinal tap negative.   10/19/2007 Reviewed hospital medical records which reveal patient experienced fever x 3 days s/p vax followed by irritability & vomiting on day of admit.  Seen by pcp w/temp 106.7.  Admitted 6/4-6/5/2007.  No source for fever found.  Tx w/1 dose antibiotics.  Improved & d/c to home w/pcp f/u. FINAL DX: fever w/o source s/p vaccination.
Age: 1.3
Sex: M
Vaccine: DTAP
Symptoms: Breath sounds abnormal, Crying, Gaze palsy, Hypotonia, Pyrexia
Clinical narrative: Pt came down with a fever yesterday. It was 102 yesterday evening. He had ibuprofen this morning. He had been playing normally, slightly reduced but still pretty good appetite, normal bowel movement this morning, no reason for concern. Mom put him down for his nap and he slept for about 45 minutes and she heard a muffled cry. She came in to see him. He was very limp, eyes rolled back in the back of his head and he was not breathing properly or responding properly. He did not seem to have vomited and there was nothing in the playpen where he was sleeping that seemed to be amiss, that he might have choked on. He did have a pacifier in his mouth and he was lying stomach down with his head turned towards the plastic coated mattress. He has no previous history of seizures or other health problems.
Age: 1.3
Sex: M
Vaccine: DTAP
Symptoms: Unresponsive to stimuli
Clinical narrative: Pt came down with a fever yesterday. It was 102 yesterday evening. He had ibuprofen this morning. He had been playing normally, slightly reduced but still pretty good appetite, normal bowel movement this morning, no reason for concern. Mom put him down for his nap and he slept for about 45 minutes and she heard a muffled cry. She came in to see him. He was very limp, eyes rolled back in the back of his head and he was not breathing properly or responding properly. He did not seem to have vomited and there was nothing in the playpen where he was sleeping that seemed to be amiss, that he might have choked on. He did have a pacifier in his mouth and he was lying stomach down with his head turned towards the plastic coated mattress. He has no previous history of seizures or other health problems.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Headache, Musculoskeletal stiffness, Vomiting
Clinical narrative: App. 2 weeks after vaccine, seen in our office with headache, vomiting, and stiff neck.  09/25/2007 Reviewed hospital medical records which reveal patient experienced headache, vomiting & stiff neck along w/fever.  Had cold s/s for approx 1 wk prior.  Admitted 9/6-9/9/07.  Improved & d/c to home on no meds. FINAL DX: Viral meningitis.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site pruritus, Injection site swelling
Clinical narrative: got vaccine on 9/4/07 (Gardasil #2) started with itching 9/5/07 @ 4 pm and swelling of arm on 9/6/07
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Pruritus, Rash vesicular
Clinical narrative: Itchy red raised blister-like rash to (L) forearm and (L) chest, flank area. Denies pain, fever. Denies contact with other meds. irritants. Denies N/V/D.
Age: 19.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Myalgia, Nausea, Pyrexia
Clinical narrative: myalgias, fever, nausea
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site induration, Pruritus, Urticaria
Clinical narrative: erythematous raised wheel-non tender pruritic- 8x10 cm with central induration 2 cm at vaccine site
Age: 1.5
Sex: F
Vaccine: DTAP, HIBV, MMRV
Symptoms: Purpura, Pyrexia
Clinical narrative: Fever of 105 F on 8-31-07 Two days later developed purpura of upper thighs. No treatment given
Age: 11.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Rash vesicular, Varicella post vaccine
Clinical narrative: Pt developed 50+ vesicular lesions in face, abdomen, chest, extremities beginning 6 days after Varivax Pt site documented Varicella disease 8/3/1997.
Age: 12.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Malaise, Pyrexia
Clinical narrative: Next day (following vaccination) onset of fever up to 101.4 with vomiting/malaise; also with local erythema/induration/pain at Pneumovax injection site (R) deltoid. Fever persisted thru 9-2-07, N/V resolved on 8-31-07; (R) arm site with persistent s/s reaction on 9-6-07.
Age: 12.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Vomiting
Clinical narrative: Next day (following vaccination) onset of fever up to 101.4 with vomiting/malaise; also with local erythema/induration/pain at Pneumovax injection site (R) deltoid. Fever persisted thru 9-2-07, N/V resolved on 8-31-07; (R) arm site with persistent s/s reaction on 9-6-07.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Flushing, Headache, Myalgia, Rash papular, Skin lesion
Clinical narrative: Headache, myalgia, papular lesion bilateral forearms flushed cheeks. Lesion firm, tender to touch. No fever no SOB, weakness, Sx occurred 24 hours after vaccines.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Tenderness
Clinical narrative: Headache, myalgia, papular lesion bilateral forearms flushed cheeks. Lesion firm, tender to touch. No fever no SOB, weakness, Sx occurred 24 hours after vaccines.
Age: 1.25
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Cellulitis, Erythema
Clinical narrative: CELLULITIS TO THE LEFT THIGH/NOT AT THE INJECTION SITE, HOWEVER THE LEFT THIGH WAS REDDENED BUT NOT SWOLLEN.  NO DISCHARGE ETC AT THE INJECTION SITE.
Age: 23.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Fatigue, Local reaction, Pyrexia, Skin warm
Clinical narrative: Local reaction Left Arm 13 Sept 07, Swelling,Redness, Warm to touch, Had fever on 12 Sept. C/O fatigue. Given Anthrax 4 11 Sept 2007
Age: 23.0
Sex: F
Vaccine: ANTH
Symptoms: Swelling
Clinical narrative: Local reaction Left Arm 13 Sept 07, Swelling,Redness, Warm to touch, Had fever on 12 Sept. C/O fatigue. Given Anthrax 4 11 Sept 2007
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness, Fatigue, Headache, Pyrexia
Clinical narrative: about 16 hrs after vaccine was given, pt began having dizziness, fatigue, moderate to severe frontal headache and fever to 101.6F.
Age: 0.17
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Irritability
Clinical narrative: extreme fussines first two days of vaccination
Age: 21.0
Sex: F
Vaccine: SMALL
Symptoms: Erythema, Full blood count normal, Injection site vesicles, Laboratory test normal, Rash pustular
Clinical narrative: Received smallpox vaccine Aug 20 (part of basic training?); approx 10 days later developed vescicles at site of imm on L arm; in next few days got pustules on both distal lower extremities. All evolved into pustules and subsequent ulcerations...presented to Med Ctr ER on Sept 8 because leg ulcers not healing. Approx 10 1-3 mm ulcers on distal L lower leg with 15 mm surrounding erythema, about 5-10 on R LE. ER called Department of Community Health, call referred to me (MD)- pt discharged with instructions and antibiotics...needs to not use lotions/ointments, and not to allow drainage from sites to contact others; after discussion with DOD, likely auto-inoculation....as no new lesions in last week prior to arrival to ER.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Cough, Dyspnoea, Erythema multiforme, Pharyngolaryngeal pain, Rash
Clinical narrative: Patient diagnosed with Erythema multiforme 8 days after Gardasil dose #2 was administerd.  On day 8 following injection patient developed urticaria and respiratory difficulty which resulted in an emergency room visit.  The next day the child was taken to her family doctor who diagnosed the condition as being related to the Gardasil injection.  Patient received Valtrex from her family physician for treatment.  She had been given an injection of steroid in the emergency room.  When I saw the patient on day 3 following the urticarial eruption she had widespread hive like lesions covering her entire body including scalp.  She also had a cough and sore throat but no other respiratory involvement.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: Patient diagnosed with Erythema multiforme 8 days after Gardasil dose #2 was administerd.  On day 8 following injection patient developed urticaria and respiratory difficulty which resulted in an emergency room visit.  The next day the child was taken to her family doctor who diagnosed the condition as being related to the Gardasil injection.  Patient received Valtrex from her family physician for treatment.  She had been given an injection of steroid in the emergency room.  When I saw the patient on day 3 following the urticarial eruption she had widespread hive like lesions covering her entire body including scalp.  She also had a cough and sore throat but no other respiratory involvement.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV5
Symptoms: Crying
Clinical narrative: 2-3 hours of inconsolable crying within 1 hour after administration of Prevnar, IPV, Rotateq, DTap, Hep B vaccines without fever, loss of consciousness, or seizure.
Age: 38.0
Sex: F
Vaccine: RAB
Symptoms: Convulsion, Myalgia, Pyrexia
Clinical narrative: On 6 SEP 2007 we received the following information: A 38-year-old female patient, born on 21 FEB 1969, received a post exposure series of RabAvert (batch no. 417011C) after she was bitten by an animal that was tested positive for rabies. Patient started RabAvert series on 8 AUG 2007. Additional vaccine doses on 11 AUG 2007, 15 AUG 2007, and on 22 AUG 2007. She also received HRIG on 8 AUG 2007. On 5 SEP 2007 she reported her treating physician that she had a seizure, fever and muscle soreness several days after her fourth vaccination. She had no ongoing symptoms at the MD visit on 5 SEP 2007. Patient refused any additional dose of vaccine.
Age: 21.0
Sex: M
Vaccine: YF
Symptoms: Headache, Nausea, Photophobia, Vision blurred, Vomiting
Clinical narrative: Pt presented 10 minutes after received Yellow Fever vaccine w/n/v, photophobia, blurring vision, h/a. Pt encouraged PO hydration, 24 hour siq, 800 mg iboprophin po tid prn, f/u in am
Age: 11.0
Sex: M
Vaccine: HEPA, MEN, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Exaggerated local rxn @ Varivax site with 8 cm redness, swelling pain induration dx 2d after vaccine No systemic s/s
Age: 13.0
Sex: M
Vaccine: FLU3, MNQ, VARCEL
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site urticaria
Clinical narrative: Hives and redness at injection site, within 5 minutes of vaccine given
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PPV, RV5
Symptoms: Crying, Flatulence, Irritability, Pyrexia, Wrong drug administered
Clinical narrative: Pt was given a pneumococcal vaccine instead of a Prevnar. 24 hour fever, T max 103 (R), irritability, increased flatus, inconsolable. Advil reassurance, observation, office follow up 9-12-07.
Age: 12.0
Sex: M
Vaccine: HEPA, MEN
Symptoms: Loss of consciousness, Pallor, Tremor
Clinical narrative: 5 minutes after patient received the vaccine he became pale. Then 2 minutes later he passed out and began to shake. Emergency care staff on scene after 30 sec of reaction.
Age: 19.0
Sex: M
Vaccine: FLU3, MEN, MMR, TDAP
Symptoms: Dyspnoea, Wheezing
Clinical narrative: C/O difficulty breathing receiving Bicillin. Wheezing all lobes, Benadryl and Epi administered. IV Normal saline started. Transported to medical center via EMS.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site oedema
Clinical narrative: Left leg patch of angioedema at 48 hours of DTaP location.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Induration, Skin warm
Clinical narrative: Area of red, hard, nontender, hot, on left deltoid almost to elbow.
Age: 0.7
Sex: M
Vaccine: MNQ
Symptoms: Wrong drug administered
Clinical narrative: Menactra was mistakenly administered instead of Prevnar. No adverse event.
Age: 34.0
Sex: M
Vaccine: IPV, MNQ, TDAP, TYP
Symptoms: Arthralgia, Back pain, Chromaturia, Headache, Insomnia
Clinical narrative: 7/29 pt reports headache began. Pain was in head, neck, upper back and shoulders. General body aches with joint pain. by 8/15/07 pt still reporting headaches not relieved by Tylenol or Motrin. Also decreased sleeping, increased urination and dark urine. Pt reports has been to MD and awaiting follow up lab results.
Age: 34.0
Sex: M
Vaccine: IPV, MNQ, TDAP, TYP
Symptoms: Musculoskeletal pain, Neck pain, Pain, Pollakiuria
Clinical narrative: 7/29 pt reports headache began. Pain was in head, neck, upper back and shoulders. General body aches with joint pain. by 8/15/07 pt still reporting headaches not relieved by Tylenol or Motrin. Also decreased sleeping, increased urination and dark urine. Pt reports has been to MD and awaiting follow up lab results.
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Dizziness, Injection site erythema, Injection site haemorrhage, Injection site pain
Clinical narrative: Pt. rec'd vaccine in AM. That afternoon, inj. Site became red and sore. She reported dizziness, nausea and achiness. The next morning, pt. reports Temp of 102. Went to ER that night-Dx local reaction. Pt received Decadron 10 mg IM and Benadryl 50 mg po at ER. Followed up at our office on 9/10/07 5x5 sm erythema, ecchymotic, swollen area at (R) deltoid injection site
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site swelling, Local reaction, Nausea, Pain
Clinical narrative: Pt. rec'd vaccine in AM. That afternoon, inj. Site became red and sore. She reported dizziness, nausea and achiness. The next morning, pt. reports Temp of 102. Went to ER that night-Dx local reaction. Pt received Decadron 10 mg IM and Benadryl 50 mg po at ER. Followed up at our office on 9/10/07 5x5 sm erythema, ecchymotic, swollen area at (R) deltoid injection site
Age: 14.0
Sex: F
Vaccine: PPV, VARCEL
Symptoms: Rash, Skin warm, Urticaria
Clinical narrative: Welt like rash encompassing upper lt arm between shoulder about 3 1/2" above elbow. 7 1/2" area from front to back of arm. Area rashed, warm to touch.