chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Asthenia, Nervousness, Pallor, Syncope
Clinical narrative: Pt was given vaccines; was very nervous at the time - walked out clinic and fainted before getting in her car. Pt. brought into clinic very pale, weak. Given alcohol to breathe fresh air fanned on her. Suggested she drink O.J. or a Coke.
Age: 13.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Anxiety, Fatigue, Lethargy, Unresponsive to stimuli
Clinical narrative: Pt extremely anxious. Witnessed cousin "faint" from immunization 20 min prior. 30 sec. after Tdap and Menactra given, pt. slumped over in chair and was not responsive. BP - 90/60, P = 80. 60-90 sec. later became responsive. 5 min later BP- 110/70, P - 68, still lethargic several min later even after lying down. Pt to ER by mother. Didn't attend school next day - still very exhausted.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Fatigue, Nausea, Vertigo
Clinical narrative: 24 hours after receiving Shingles vaccine at our clinic c/o vertigo - dizziness; still with symptoms 48 hours after shot given - to see private provider today for vertigo. Physician's office ordered Benadryl every 4 hrs 9-12-07 - 9-13-07. PC to pt, still dizzy - nauseated tired - swims daily with history of sensitive ear but no ear ache symptoms - spontaneous vertigo onset 20 hours after shingles vaccine. Related to vaccine??
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Skin warm, Swelling, Tenderness
Clinical narrative: Local redness, tender and swelling , warm to touch.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Pregnancy test positive
Clinical narrative: Pt dx'd + HCG on 9/17/07.
Age: 31.0
Sex: F
Vaccine: SMALL
Symptoms: Joint swelling, Urticaria
Clinical narrative: Hives began on hand moved to face - all the way to feet. July 28 (8th day of vaccine) was first day. I also had swelling of the knees and ankles - uncomfortable. About 5 days later with Benadryl ceased.
Age: 1.4
Sex: M
Vaccine: HIBV, MMRV
Symptoms: Varicella
Clinical narrative: Varicella vaccine breakthrough. Diagnosed with varicella 9-13-07. 6 vesicles afebrile.
Age: 2.0
Sex: F
Vaccine: DTAP, FLU3, HIBV, IPV, MMR
Symptoms: Pruritus, Rash pustular, Skin lesion
Clinical narrative: Pt seen in our office with 6-7 pustular round pruritic lesions on (L) abdomen
Age: 32.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Headache, Influenza like illness, Injection site erythema, Injection site swelling, Pain
Clinical narrative: Whelps, redness, swelling at injection site. HA, body aches, flu-like symptoms.
Age: 32.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Urticaria
Clinical narrative: Whelps, redness, swelling at injection site. HA, body aches, flu-like symptoms.
Age: 30.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Electromyogram normal, Injection site pain, Injection site warmth, Neck pain, Pain in extremity
Clinical narrative: Immediately following vaccine, pain and heat at site of injection - radiating to lateral neck; saw neurologist. EMG was negative (L arm - pain has persisted for 1 month).
Age: 10.0
Sex: F
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Tdap - given to early. No adverse action. Will be given again at appropriate age. Covering doctor thought we used Boostrix in error.
Age: 13.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Body temperature increased, Loss of consciousness, Nausea, Syncope
Clinical narrative: Fainted about 40 minutes after vaccine administered. Had not eaten but became nauseated and could not eat. 300 PM Temp 102. Passed out 2-3 times during day. Went to sleep late afternoon, woke up at 9 PM. Temp resolved; no further fainting. Went to school next morning.
Age: 14.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: The morning after vaccines pt awoke with a 2 1/4" red, circular, raised area at site where varicella was given SQ (L) arm. Site was warm tot ouch and itched. Physician examined and prescribed Ceftin. Mother reporter fever that evening of 102-103. Pt awoke 9/13 with a 2nd "spot" below 1st one and taken to an ER. Diagnosed as burn from ice applied directly to skin. Topical ointment prescribed at ER. Pt referred to Burn Center for assessment.
Age: 14.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Thermal burn
Clinical narrative: The morning after vaccines pt awoke with a 2 1/4" red, circular, raised area at site where varicella was given SQ (L) arm. Site was warm tot ouch and itched. Physician examined and prescribed Ceftin. Mother reporter fever that evening of 102-103. Pt awoke 9/13 with a 2nd "spot" below 1st one and taken to an ER. Diagnosed as burn from ice applied directly to skin. Topical ointment prescribed at ER. Pt referred to Burn Center for assessment.
Age: 25.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Chest discomfort, Ear pain, Headache, Immediate post-injection reaction, Injection site irritation
Clinical narrative: Instant HA within 2 minutes of administration of vaccine. Pressure behind left eye and trouble focusing. Lasting day of injection. HA continues to linger now 7 days post injection. Left neck and left inner ear pain still ongoing not as severe. Burning with injection. Left arm pain x 4 days. Chest tightening and heaviness for past 6 days. Has hx of sports induced asthma.
Age: 25.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Neck pain, Pain in extremity, Vision blurred
Clinical narrative: Instant HA within 2 minutes of administration of vaccine. Pressure behind left eye and trouble focusing. Lasting day of injection. HA continues to linger now 7 days post injection. Left neck and left inner ear pain still ongoing not as severe. Burning with injection. Left arm pain x 4 days. Chest tightening and heaviness for past 6 days. Has hx of sports induced asthma.
Age: 20.0
Sex: M
Vaccine: HEPAB, SMALL, TYP, YF
Symptoms: Asthenia, Chest pain, Dizziness, Heart rate increased, Hypertension
Clinical narrative: Dizziness, nausea, vomiting, fast heart rate, high blood pressure, weakness, fever, mild chest pain.
Age: 20.0
Sex: M
Vaccine: HEPAB, SMALL, TYP, YF
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Dizziness, nausea, vomiting, fast heart rate, high blood pressure, weakness, fever, mild chest pain.
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Nausea
Clinical narrative: Patient reports nausea x 24 hours. Reddened area surrounding injection site.
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 2 days post injection - localized pain at injection site, warm to touch, swollen about 25 cent size. 4 days post injection - redness of arm extending down to elbow, injection site hard to touch, swelling increased 3 fold in size. 7 days and up to 6 weeks post injection this pain, hardness and redness persisted.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Muscle rigidity, Pallor, Syncope
Clinical narrative: About 10 minutes after receiving Gardasil vaccine - while patient sitting in waiting room she drew her Rt arm up to face and became rigid and fainted. She was immediately placed supine on floor. Appeared alert, but weak and pale. B/P 110/62 - O2 Sat 100% - Remained in office for 1 hour then home with mom - B/P back to normal, color pink. Doctor attended to patient.
Sex: F
Vaccine: TDAP
Symptoms: Back pain, Neck pain, Pain in extremity
Clinical narrative: Rec'd vaccine approx 1400 on 9/11. Woke up with severe (L) sided neck and upper back pain which moved into (L) arm (injection site on (L)). Pain has lasted 73 days; very slow to resolve.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: High-pitched crying, Pyrexia
Clinical narrative: Prolonged high pitch crying, fever to 101.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, itching, redness, heat at site of injection about 24 hours after vaccine.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema
Clinical narrative: Few cm of erythema w/o tenderness or swelling at injection site.
Age: 20.0
Sex: M
Vaccine: MNQ, PPV
Symptoms: Injected limb mobility decreased, Injection site pain, Pain
Clinical narrative: 9-6-07 Pt called to complain about injection site pain. Stated he went to ER because of pain and inability to use arm. He stated he was obtaining ER records and would bring them to me; he has not done so. He felt that his problem was that the injection had been given to high with the joint. No specific dates given.
Age: 1.2
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMRV, PNC
Symptoms: Pruritus, Pyrexia, Rash
Clinical narrative: 9/6/07 Saw pt today, has had fine rash over cheeks, neck, arms, and legs x 1 wk. Had fever x 2 days. Prior to rash, back of head itches occ, but not rash. Rash is fading, except on face, cheeks are bright pink.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Computerised tomogram normal, Full blood count normal, HIV antibody negative, Lymphadenopathy, Red blood cell sedimentation rate normal
Clinical narrative: Inguinal adenopathy
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Ultrasound abdomen abnormal
Clinical narrative: Inguinal adenopathy
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Chlamydia serology negative, Full blood count normal, Laboratory test normal, Lymphadenopathy, Ultrasound abdomen abnormal
Clinical narrative: Inguinal adenopathy
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site erythema, Injection site papule, Injection site pustule, Injection site rash
Clinical narrative: Erythematous, papular and pustular rash surrounding vaccination site and posterior trunk
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Patient began experiencing shingles symptoms on 9/19/07. Saw her physician and received Valtrex.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site pruritus, Injection site swelling, Injection site urticaria
Clinical narrative: Large, itchy welt on left upper arm
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Antinuclear antibody positive, Arthralgia, Back pain, C-reactive protein normal, Full blood count
Clinical narrative: New onset ankle, knee, elbow, shoulder, back pain, no fever. Diagnosed arthralgia vs arthritis symptoms thus labs drawn.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Musculoskeletal pain, Red blood cell sedimentation rate, Streptococcal identification test
Clinical narrative: New onset ankle, knee, elbow, shoulder, back pain, no fever. Diagnosed arthralgia vs arthritis symptoms thus labs drawn.
Age: 0.2
Sex: M
Vaccine: DTAP, IPV, RV5
Symptoms: Hypotonia, Unresponsive to stimuli
Clinical narrative: Became unresponsive and hypotonic - no fever or S.O.B. or sweating. Lasted about 1 hr.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Back injury, Head injury, Hyperhidrosis, Loss of consciousness, Pallor
Clinical narrative: Pt seemed well without nervousness. Given Tdap, Menactra and HPV #1. 3-4 min. later standing at front desk waiting and lost consciousness, hit head and back. BP - 110/60, P = 100. Started responding 2-3 min. later. Pale, diaphoretic. Taken TO ER 20 min later. Called 5 hrs later - client ok. Went to school next day.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Drug hypersensitivity, Injected limb mobility decreased, Pain in extremity, Skin nodule
Clinical narrative: Tdap given 4/18/07. Three days later had pain from elbow to shoulder with lump on left deltoid. Has had PT last month - still having pain and cannot raise shoulder completely. No edema or redness noted.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None. Vaccine given too soon - was 3rd dose HPV. 2nd dose 5/29/07, 3rd 8/16/07.
Age: 17.0
Sex: F
Vaccine: UNK
Symptoms: Contusion, Erythema nodosum, Myalgia, Pain in extremity
Clinical narrative: 2 days after vaccine - c/o myalgias with sore bruises on legs. Seen 9/4/07. Seen 9/6/07 - fairly extensive erythema nodosum (B) ant. lower legs.
Age: 70.0
Sex: F
Vaccine: HEP
Symptoms: Induration, Injection site pruritus, Injection site rash
Clinical narrative: Received Hep B vaccine on 8/16/07 and next AM noted itchy and rash on left deltoid, site of injection. Deltoid induration.
Age: 15.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Injection site swelling, Skin warm
Clinical narrative: Swollen area at site of injection, size of baseball - red - hot
Age: 1.88
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL
Symptoms: Erythema multiforme, Urticaria
Clinical narrative: Erythema multiforme/urticaria reaction. Treated with Benadryl syrup and Zyrtec. 9/13/07 10 PM Worsened and needed re-eval in ER.
Age: 6.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Pruritus, Skin lesion
Clinical narrative: Few lesions on body that are itchy. Had Varivax injection 1-2 wks ago.
Age: 30.0
Sex: F
Vaccine: ANTH
Symptoms: Headache, Nausea, Pyrexia
Clinical narrative: Headache, nausea, aches, fever, 2 days no treatment
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Erythema, pain at site of injection. 10 cm area of redness with central 4cm area that was even more raised and painful.
Age: 1.0
Sex: F
Vaccine: HEPA
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Received Hep A, three days early. No adverse signs.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Induration, Injection site pain, Lymphadenopathy, Oedema peripheral
Clinical narrative: Injection site soreness, erythema and swelling of all arm, induration, and mild to moderate itch. Lymphadenopathy is palpable on axilla.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Pruritus
Clinical narrative: Injection site soreness, erythema and swelling of all arm, induration, and mild to moderate itch. Lymphadenopathy is palpable on axilla.
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Dizziness, Headache, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Severe local reaction to Varivax 10 x 14cm redness, induration, swelling, warmth and pain over injection site. Central area of vesicular - like rash. 4 x 4cm, dizzy, HA, longer temp. Began within 18 hours of injection.
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site warmth, Local reaction, Rash vesicular
Clinical narrative: Severe local reaction to Varivax 10 x 14cm redness, induration, swelling, warmth and pain over injection site. Central area of vesicular - like rash. 4 x 4cm, dizzy, HA, longer temp. Began within 18 hours of injection.
Age: 31.0
Sex: F
Vaccine: JEV
Symptoms: Erythema, Mass, Pruritus
Clinical narrative: Quarter sized reddened area with hardened spot in the center of same. Itching (like a mosquito bite) at times more severe than others. Symptoms lasted 48 hours. Patient takes Zyrtec daily for allergies.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Erythema, Local reaction
Clinical narrative: Left thigh - localized reaction oval redness to left thigh.
Age: 1.1
Sex: M
Vaccine: DTAP, HEPA, HIBV, VARCEL
Symptoms: Body temperature increased, Eating disorder, Irritability, Oral mucosal blistering, Scab
Clinical narrative: On 9/7/07, fussy, no bottle, fever, blister on tongue. Wouldn't eat. More blisters developing in mouth. Sept 12, saw doctor, 102 F AX. Doctor prescribed  anti-viral (Cesprazil). No improvement. Blisters on chin and neck. Back to doctor. Dx- Chicken pox, 'from the inside out." Temp 103 F AX. No chicken pox exposure before vaccine. Anesthetic given for mouth. Motrin/Tylenol switched every 2 hours. Presently 101 F AX at night - Normal temp during day. Eating ice cream and cold jello. Back to routine naps. Lesion beginning to scab and fall off. Child was exposed to Parvo from puppy 3 months ago and developed Parvo. Mother says doctor says immune system might have been weakened from Parvo.
Age: 1.1
Sex: M
Vaccine: DTAP, HEPA, HIBV, VARCEL
Symptoms: Skin lesion, Varicella
Clinical narrative: On 9/7/07, fussy, no bottle, fever, blister on tongue. Wouldn't eat. More blisters developing in mouth. Sept 12, saw doctor, 102 F AX. Doctor prescribed  anti-viral (Cesprazil). No improvement. Blisters on chin and neck. Back to doctor. Dx- Chicken pox, 'from the inside out." Temp 103 F AX. No chicken pox exposure before vaccine. Anesthetic given for mouth. Motrin/Tylenol switched every 2 hours. Presently 101 F AX at night - Normal temp during day. Eating ice cream and cold jello. Back to routine naps. Lesion beginning to scab and fall off. Child was exposed to Parvo from puppy 3 months ago and developed Parvo. Mother says doctor says immune system might have been weakened from Parvo.
Age: 4.0
Sex: F
Vaccine: HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient received a DTaP vaccine on 9-7-07. Reported back to clinic on 9-14-07 with a 8 or more inch of redness and swelling on the right thigh.
Age: 26.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site discolouration, Injection site warmth, Pyrexia, Tenderness
Clinical narrative: Area around injection site slightly warm/ and pink 3d post injection. C/O tenderness shoulder to elbow had - titer so vaccine given. States had fever at home prior to reporting 101.5 - 103 per his account. He went to MD 8/13/07 and was given Rx for antibiotic.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Erythema, Tenderness
Clinical narrative: Within a few hours after immunizations were given, patient developed redness of upper left leg. The redness continued to spread over the next 24 hours. Then remained stable until evaluated in our office on 8/27/07. When evaluated, a 7x7 inch reaction with redness decrease raised area with a central 2" diameter knot. Tender to the touch. No inguinal adenopathy or other sxs of reaction noted.
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Injection site erythema
Clinical narrative: Erythema redness at site of injection.
Age: 1.3
Sex: F
Vaccine: HIBV, PNC
Symptoms: Breath holding, Convulsion, Crying, Loss of consciousness
Clinical narrative: Held breath after crying, passed out went into seizure called 911 ambulance came transported to hospital. Doctor check out dismissed carried her Wednesday 9-19-07 to pediatrician. Doctor thoroughly checked out. Will continue to watch decide if anything else needs to be done if continues to happen.
Age: 1.6
Sex: F
Vaccine: PNC
Symptoms: Erythema, Injection site erythema
Clinical narrative: Localized erythematous reaction at immunization site.
Age: 1.0
Sex: U
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Hypersensitivity, Urticaria
Clinical narrative: Allergic reaction with urticarial rash over whole body.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Hypokinesia, Injection site inflammation, Pain
Clinical narrative: Approximately 2 days inflammation at site of injection, difficulty raising arms, L side pain from head to knee; sharp stabbing pains in L top thigh 2 days then moved to muscles in back above waist, and R leg. Still present in back and from under ribs.
Age: 5.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site urticaria
Clinical narrative: Immediate wheal on skin at administration site with red area about 1/4" - 1/2" around. Patient applied ice x 10 minutes and Benadryl prescription written. Parent to call if worse.
Age: 0.1
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Pediarix, Hib and Prevnar was given at the age of 1 month old.
Age: 70.0
Sex: F
Vaccine: HEP
Symptoms: Injection site pruritus
Clinical narrative: Received 1st Hepatitis B vaccine on 7/16/07 and next AM notice itching at injection site.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Incorrect dose administered, Overdose
Clinical narrative: Mother brought child in for kindergarten registration. Mother presented shot record to clerical staff to record on green card. Only 1 Varicella was documented on green card and mother was offered 3rd Varicella per protocol. Shot record was given back to mother. Child was given Varicella then mother presented shot record to nurse after shot was given. 2 Varicella's were documented on patient's shot record. This was 3rd Varicella. Mother instructed on symptoms to watch for and call with any problems. 8-8-07 Called mother to check on patient. States that patient has no symptoms other than  mild local reaction.
Age: 4.0
Sex: U
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Expired drug administered
Clinical narrative: MMR was expired. Notify parent will given next dose 28 days after the expired dose.
Age: 15.0
Sex: F
Vaccine: HEP
Symptoms: Incorrect dose administered, Overdose
Clinical narrative: No adverse reaction patient was given Hep B 20mcg/1ml instead of Hep B 10mg/ml.
Age: 16.0
Sex: F
Vaccine: HEP
Symptoms: Incorrect dose administered
Clinical narrative: No adverse reactions patient given Hep B 20mcg/1ml was private pay instead of Hep B 10mcg/0.5ml this was state Hep B. Follow-up Information:  11) Adverse event onset there was none
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, IPV
Symptoms: Incorrect dose administered, Overdose
Clinical narrative: No adverse reaction IPV and Pediarix both given same day for total 2 doses IPV on same day.
Age: 8.0
Sex: M
Vaccine: DTAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Vaccine given outside of schedule
Age: 7.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Heat therapy, Skin warm
Clinical narrative: Grapefruit size redness to left arm, warm to touch. Benadryl 2 tsp q 6-8hrs prn/ warm compress.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Urticaria - difficulty legs/arms
Age: 7.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Haematocrit decreased, Haemoglobin decreased, Pruritus, Skin warm
Clinical narrative: Patient received vaccine on 8/7/07. The afternoon of 8/8/07 patient started complaining of itching in area vaccine given in the left leg. The next morning mom noted red, warm area to touch. Patient still complaining of itching. Mom brought patient to our office at 4pm - 9cm x 9cm redness, swelling and area, warm to touch. Patient denied pain.
Age: 7.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Haematocrit normal, Haemoglobin normal, Mass, Oedema peripheral
Clinical narrative: Patient received vaccine - next morning patient awake - left leg swollen, warm to touch and hard knot under skin. Patient complained of lots of itching. Leg was swollen approximately 15cm area and raised with redness. Swelling and redness after 24 hours on Benadryl.
Age: 7.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Pruritus, Skin warm
Clinical narrative: Patient received vaccine - next morning patient awake - left leg swollen, warm to touch and hard knot under skin. Patient complained of lots of itching. Leg was swollen approximately 15cm area and raised with redness. Swelling and redness after 24 hours on Benadryl.
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Oedema peripheral, Pruritus, Skin warm
Clinical narrative: Patient received vaccines next morning patient left arm very swollen, red, warm to touch and itching a lot. Symptoms subsided after 48 hours.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Tremor
Clinical narrative: Tremor right hand and left hand.  11/09/2007 Lengthy MR received beginning with a psychiatric admission 1/10-21/2003 with DX:  Depressive Disorder NOS with suicidal ideation and gesture.  Panic Disorder with Agorophobia. Tremor-like involuntary movement of RUE noted on PE. Readmitted o/n 1/22-23/2007 for anxiety. Many PMD OVs, Consults, and Psych OVs for above symptoms as well as for R hand tremors.  No definitive DX for hand tremors. Most recent hospitalization 2/14-20/2007 for suicidal ideation, reporting feeling frustrated about lack of DX of hand tremors. D/C DX:  Mood disorder due to tremors, depressed.  Right hand tremor, R/O Extrapyramidal Disorder.  Problem list as of 10/2007:  Tremor NEC.  Depressive D/O NEC. Agorophobia with panic attacks.  Hyperthyroidism.  Thyroid nodule.  Essential HTN.  Pure hypercholesteremia. Duodenitis, non-specific.  Mood disorder due to a general medical condition.  Otitis. Dysphagia.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Body temperature increased, Rash maculo-papular
Clinical narrative: 9-5-07 generalized maculopapular rash 24 hrs after Pediarix, HIB, Prevnar, Rotavirus. No temp, no other positive findings. Will check 9-6-07.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Rash maculo-papular
Clinical narrative: 9-5-07 generalized maculopapular rash 24 hrs after Pediarix, HIB, Prevnar, Rotavirus. No temp, no other positive findings. Will check 9-6-07.
Age: 0.5
Sex: F
Vaccine: DTAP, HEP, HIBV, PNC, RV5, DTAP, HIBV, PNC, RV5
Symptoms: Intussusception
Clinical narrative: admitted to Hospital on 9/5/07 with bloody stools, emesis, and abdominal pain. Found to have intussusception that was not reducible by an air contrast enema. Taking to the operating room 9/6/07 for exploratory laparotomy, ileocecal resection due to a nonreducible intussusception.
Age: 0.5
Sex: F
Vaccine: DTAP, HEP, HIBV, PNC, RV5, DTAP, HIBV, PNC, RV5
Symptoms: Abdominal pain, Barium double contrast, Enema administration, Explorative laparotomy, Haematochezia
Clinical narrative: admitted to Hospital on 9/5/07 with bloody stools, emesis, and abdominal pain. Found to have intussusception that was not reducible by an air contrast enema. Taking to the operating room 9/6/07 for exploratory laparotomy, ileocecal resection due to a nonreducible intussusception.
Age: 0.5
Sex: F
Vaccine: DTAP, HEP, HIBV, PNC, RV5, DTAP, HIBV, PNC, RV5
Symptoms: Intussusception, Surgery, Ultrasound abdomen abnormal, Vomiting
Clinical narrative: admitted to Hospital on 9/5/07 with bloody stools, emesis, and abdominal pain. Found to have intussusception that was not reducible by an air contrast enema. Taking to the operating room 9/6/07 for exploratory laparotomy, ileocecal resection due to a nonreducible intussusception.
Age: 11.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Diarrhoea, Headache, Lethargy, Pyrexia, Urticaria
Clinical narrative: Aug. 29 - Fever 103, diarrhea, severe headache and lethargic.  Symptoms 8/29-8/30.  Sept 1 had hives on body.  Improved on Sept. 2.  Returned to school on Sept. 4.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Rash
Clinical narrative: MEMBER BROKE IN RASH FROM NECK DOWN AFTER 3RD ANTHRAX SHOT
Age: 1.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Gait disturbance, Ultrasound scan normal, Weight bearing difficulty, X-ray normal
Clinical narrative: 12 Days after receiving Hepatitis A and Varicella she began limping. The exam was normal except for limping that is not bearing weight on the right leg. She slowly improving.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Neoplasm malignant, Smear cervix
Clinical narrative: Information has been received from a Nurse Practitioner concerning a 23 year old female who on an unspecified date was vaccinated by injection with the first dose of with Gardasil. The Nurse Practitioner reported that the patient was diagnosed with cancer. The patient was in the office to receive her second dose at the time of the diagnosis. The patient had sought unspecified medical attention. The patient had a Papanicolaou test ("pap smear"). At the time of the report, the patient had not recovered and Gardasil had not been reintroduced. Upon internal review, it was determined that cancer was an other important medical event. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Drug administered at inappropriate site, Drug exposure during pregnancy, Foetal disorder
Clinical narrative: Information has been received from the Merck pregnancy registry via a nurse concerning a 16 year old female who was vaccinated into the buttock with a dose of Gardasil at six weeks of gestation. Concomitant therapy included prenatal vitamins. The last menstrual period was 14-FEB-2007. Estimated date of delivery was 21-NOV-2007. On 12-SEP-2007 the patient reported that she was given the vaccine in her buttock during a intake examination with the obstetrician. The patient was currently being monitored for a fetal abnormality (hydrocephalus). Unspecified medical attention was sought. At the time of the report the patient was thirty weeks plus two days into gestation. The nurse reported that the hydrocephalus is not related to Gardasil. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy
Clinical narrative: Information has been received through a Merck Pregnancy registry from an office manager concerning a female (age not reported) who on an unspecified date was vaccinated with a second dose of Gardasil. It was reported that the patient had a miscarriage after being vaccinated with a second dose of Gardasil. Upon internal review, the patient's miscarriage was considered an other important medical event. Additional information has been requested.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Laboratory test, Migraine, Nuclear magnetic resonance imaging, Pyrexia
Clinical narrative: Information has been received from a consumer concerning her 14 year old daughter with seasonal allergies and a history of concussion (January 2007) who on 11-JUL-2007 was vaccinated with the first 0.5 mL dose of Gardasil. There was no concomitant medication. On approximately 11-JUL-2007, "soon after beginning therapy," the patient experienced migraines and developed a low grade fever. On 28-AUG-2007 and 01-SEP-2007, the patient went to an emergency room. On 12-SEP-2007, the patient was vaccinated with the second 0.5 mL dose of Gardasil. The patient continued to experience migraines and a low grade fever. On 04-SEP-2007, the patient was hospitalized. On an unspecified date, magnetic resonance imaging (MRI) and unspecified blood work were performed on the patient. It was reported that the patient was hospitalized for a total of five days. At the time of this report, the patient's migraines and low grade fever persisted. Additional information has been requested. 9/05/08-records received-routine office visit 7/11/07-C/O irregular periods, premenstrual symptoms and menstrual discomforts. Right and left hip pain.Moody. 8/8/07-C/O migraine headaches for 1-2 weeks. 8/07-continues to C/O bilateral hip pain for over a year intermittent in nature with clicking and popping. PE normal. 11/02/07-allergic rhinitis, headaches, asthma. 1/3/08-C/O abdominal pain. Headaches improved. 2/20/08-ovarian cyst, prescribed birth control pills. 4/5/08-C/O back pain.
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Muscle rigidity, Pupil fixed
Clinical narrative: Information has been received from a licensed practical nurse (LPN) concerning a female who on unspecified dates was vaccinated with a first, second and third dose of Gardasil. After vaccination with the second dose, the patient developed a "reaction." No symptoms were described for the patient's reaction. Subsequently, the patient recovered. Due to this information, the patient was monitored for any reaction after the third vaccination. Subsequently, after the third vaccination, the patient developed a seizure while in the physician's office. The patient's symptoms were reported as follows:"arms went stiff and out"; "pupils were fixed and dilated." Unspecified medical attention was provided. The patient's symptoms resolved during the appointment. Upon internal review, seizure was considered to be an other important medical event. Additional information has been requested.
Sex: M
Vaccine: PPV
Symptoms: Encephalitis, Mental status changes
Clinical narrative: Information has been received from a physician concerning a male who on 08-AUG-2007 was vaccinated with a dose of Pneumovax 23. Subsequently the patient now has an altered mental status and possible meningoencephalitis. Unspecified medical attention was sought. The reporting physician felt that possible meningoencephalitis and altered mental status were not related to therapy with Pneumovax 23. Upon internal review, possible meningoencephalitis was considered to be an other important medical event. Additional information has been requested.
Age: 7.0
Sex: M
Vaccine: PPV
Symptoms: Abscess, Abscess drainage, Blood culture negative, C-reactive protein increased, Cellulitis
Clinical narrative: Information has been received from a physician, concerning a 7 year old male child, who on 2007 was vaccinated with the first dose of Pneumovax 23 (lot # not provided). Approximately 12 hours after the vaccination, the child developed swelling and warmth at the injection site. Two days later, he developed a fever of 104 F, with vomiting and a headache. He also had an increased white blood cell count (WBC) and increased c-reactive protein (CSF) (values not specified), and was hospitalized (date not specified). Treatment during hospitalization included antibiotics (not specified), and the physician indicated the child had a diagnosis of cellulitis. Cultures during the hospitalization were negative, and the child was discharged to home. On 19-SEP-2007, the child was seen in follow up at the Infectious Disease department and found to have an abscess at the injection site. a total of 3cc of pus was drained from the site, and a culture of the abscess was pending. At the time of this report, the outcome of the events was unknown. The reporting physician considered the events to be serious due to hospitalization and as an other important medical event. The physician also reported that since March 2007, an 18 year old male patient developed cellulitis after vaccination with Pneumovax 23 (lot # not provided (WAES #0707USA03967); and 3 other patients had serious injection site reactions following vaccination Pneunomax 23 (lot # not provided) (WAES #0707USA04149). Additional information has been requested.
Age: 7.0
Sex: M
Vaccine: PPV
Symptoms: Culture wound, Headache, Injection site abscess, Injection site swelling, Injection site warmth
Clinical narrative: Information has been received from a physician, concerning a 7 year old male child, who on 2007 was vaccinated with the first dose of Pneumovax 23 (lot # not provided). Approximately 12 hours after the vaccination, the child developed swelling and warmth at the injection site. Two days later, he developed a fever of 104 F, with vomiting and a headache. He also had an increased white blood cell count (WBC) and increased c-reactive protein (CSF) (values not specified), and was hospitalized (date not specified). Treatment during hospitalization included antibiotics (not specified), and the physician indicated the child had a diagnosis of cellulitis. Cultures during the hospitalization were negative, and the child was discharged to home. On 19-SEP-2007, the child was seen in follow up at the Infectious Disease department and found to have an abscess at the injection site. a total of 3cc of pus was drained from the site, and a culture of the abscess was pending. At the time of this report, the outcome of the events was unknown. The reporting physician considered the events to be serious due to hospitalization and as an other important medical event. The physician also reported that since March 2007, an 18 year old male patient developed cellulitis after vaccination with Pneumovax 23 (lot # not provided (WAES #0707USA03967); and 3 other patients had serious injection site reactions following vaccination Pneunomax 23 (lot # not provided) (WAES #0707USA04149). Additional information has been requested.
Age: 7.0
Sex: M
Vaccine: PPV
Symptoms: Pyrexia, Vomiting, White blood cell count increased
Clinical narrative: Information has been received from a physician, concerning a 7 year old male child, who on 2007 was vaccinated with the first dose of Pneumovax 23 (lot # not provided). Approximately 12 hours after the vaccination, the child developed swelling and warmth at the injection site. Two days later, he developed a fever of 104 F, with vomiting and a headache. He also had an increased white blood cell count (WBC) and increased c-reactive protein (CSF) (values not specified), and was hospitalized (date not specified). Treatment during hospitalization included antibiotics (not specified), and the physician indicated the child had a diagnosis of cellulitis. Cultures during the hospitalization were negative, and the child was discharged to home. On 19-SEP-2007, the child was seen in follow up at the Infectious Disease department and found to have an abscess at the injection site. a total of 3cc of pus was drained from the site, and a culture of the abscess was pending. At the time of this report, the outcome of the events was unknown. The reporting physician considered the events to be serious due to hospitalization and as an other important medical event. The physician also reported that since March 2007, an 18 year old male patient developed cellulitis after vaccination with Pneumovax 23 (lot # not provided (WAES #0707USA03967); and 3 other patients had serious injection site reactions following vaccination Pneunomax 23 (lot # not provided) (WAES #0707USA04149). Additional information has been requested.
Age: 6.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Convulsion, Muscle spasms
Clinical narrative: Information has been received from a father concerning his 6 year old daughter with asthma and allergic to grass who on 30-AUG-2007 was vaccinated with Vaqta (Lot # 656497/1213F). Concomitant suspect therapy included Varivax, (Lot # 649737/0119R). Other concomitant therapy included asthma medications (unspecified). On approximately 31-AUG-2007, the patient experienced muscle spasms and seizures 24 hours after taking Vaqta and Varivax vaccine. The patient was hospitalized twice, the first time was for 4 days and the second time was for 3 days. As of 18-SEP-2007 the patient's muscle spasms and seizures persisted. Additional information has been requested.
Age: 4.0
Sex: M
Vaccine: MMR
Symptoms: Dyspnoea, Pyrexia, Tachycardia, Throat tightness, Urticaria
Clinical narrative: 1-3 min after vaccine pt with fever - saying he couldn't breathe, no wheeze (? throat closing 5x). V - received epi 0.2 cc with resolution of sx in 1-2 min. Observed x 5 hrs - only feverish with tachycardia x 1-2 hrs.  11/27/2007 MR record received from vax provider for DOS 9/20/2007.  After receiving MMR pt began itching and hives appeared.  Pt reported difficulty breathing.  No wheezing noted.   Pt was sneezing and erythema and flushing of skin noted.  Epi given with resolution of symptoms
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5
Symptoms: Abdominal X-ray, Barium enema, Chest X-ray, Intussusception, Surgery
Clinical narrative: Patient received Rotavirus vaccine on 2/23/2007 and 4/25/07. Patient seen at clinic 6/12/07 with vomiting on and off for 6 hrs. Patient admitted to hospital 6/12/07. Pt diagnosed with intussusception and had corrective surgery 6/13/2007. Pt discharged 6/15/2007.  10/02/2007 Vax record received and data corresponds with what was reported on VAERS form./pc 10/26/2007 D/C Summary received for hospital DOS 6/12-15/2007 for DX Ileoileal and Ileocolic Intussusception.  Infant presented with bilious emesis and blood per rectum.  Barium enema performed which demonstrated IS to the cecum from mid transverse colon but was unsuccessful in reduction.  Repeat BE only partially successful at reduction.  Infant then had a Laparoscopic Reduction of Intussusception and Appendectomy.  Post-operatively the pt developed an marked ileus which resolved on POD #2 when the pt began tolerating po and had a non-bloody BM.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5
Symptoms: Urinary system X-ray, Vomiting
Clinical narrative: Patient received Rotavirus vaccine on 2/23/2007 and 4/25/07. Patient seen at clinic 6/12/07 with vomiting on and off for 6 hrs. Patient admitted to hospital 6/12/07. Pt diagnosed with intussusception and had corrective surgery 6/13/2007. Pt discharged 6/15/2007.  10/02/2007 Vax record received and data corresponds with what was reported on VAERS form./pc 10/26/2007 D/C Summary received for hospital DOS 6/12-15/2007 for DX Ileoileal and Ileocolic Intussusception.  Infant presented with bilious emesis and blood per rectum.  Barium enema performed which demonstrated IS to the cecum from mid transverse colon but was unsuccessful in reduction.  Repeat BE only partially successful at reduction.  Infant then had a Laparoscopic Reduction of Intussusception and Appendectomy.  Post-operatively the pt developed an marked ileus which resolved on POD #2 when the pt began tolerating po and had a non-bloody BM.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, RV5
Symptoms: Inappropriate schedule of drug administration, Intussusception, Surgery
Clinical narrative: Patient received Rotavirus vaccine on 2/23/2007 and 4/25/07. Patient seen at clinic 6/12/07 with vomiting on and off for 6 hrs. Patient admitted to hospital 6/12/07. Pt diagnosed with intussusception and had corrective surgery 6/13/2007. Pt discharged 6/15/2007.  10/02/2007 Vax record received and data corresponds with what was reported on VAERS form./pc 10/26/2007 D/C Summary received for hospital DOS 6/12-15/2007 for DX Ileoileal and Ileocolic Intussusception.  Infant presented with bilious emesis and blood per rectum.  Barium enema performed which demonstrated IS to the cecum from mid transverse colon but was unsuccessful in reduction.  Repeat BE only partially successful at reduction.  Infant then had a Laparoscopic Reduction of Intussusception and Appendectomy.  Post-operatively the pt developed an marked ileus which resolved on POD #2 when the pt began tolerating po and had a non-bloody BM.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Body temperature decreased, Full blood count normal, Upper respiratory tract infection, Urine analysis normal
Clinical narrative: "Low" temperature - 97/96.4 day after 4 mo immun. +mild URI sx also at time. Pt went to ER - labs including CBC, U/A WNL. Admitted for obs. 9/26/07-records received from facility for DOS 12/18-12/21/05-Status post vaccinations 3 days prior to presentation to ER with fussiness, decreased oral intake and hypothermia. Temperature 96.7 (R). Child unable to maintain a temperature outside of a warmer and was admitted.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Chest X-ray, Chest X-ray normal, Computerised tomogram abnormal, Dehydration
Clinical narrative: Pt developed abd. pain, vomiting within 1 hr of vaccine administration. Also was lightheaded (dizzy) - evaluated in ER and admitted for IV hydration (dehydrated) 11/6/07-records received for DOS 9/11-9/12/07-DC DX: Vomiting resolved. Dehydration resolved. Admitted with complaint of vomiting and abdominal pain which began yesterday suddenly.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Full blood count, Urinary system X-ray, Vomiting, White blood cell count increased
Clinical narrative: Pt developed abd. pain, vomiting within 1 hr of vaccine administration. Also was lightheaded (dizzy) - evaluated in ER and admitted for IV hydration (dehydrated) 11/6/07-records received for DOS 9/11-9/12/07-DC DX: Vomiting resolved. Dehydration resolved. Admitted with complaint of vomiting and abdominal pain which began yesterday suddenly.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Injection site erythema
Clinical narrative: Patient had adverse reaction 10 minutes post vaccination. RN noted large reddened area to bilateral thighs where immunizations were given. Dr was called and came to immunization clinic; examined pt, and ordered EpiPen Jr for pt. Pt given EpiPen Jr 0.15mg injection. Pt never showed any signs/symptoms of distress.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC
Symptoms: Drug hypersensitivity, Injection site mass, Lethargy, Otitis media, Pyrexia
Clinical narrative: Fever of 100 to 103 persistent since evening of vaccine. Because Mom's described "lethargy" not relieved by antipyretics went to ER next morning. ER dx OM, Rx'd Abx. Fevers gone by 9/15/07. Small lump at shot site 9-25-07.
Age: 5.0
Sex: M
Vaccine: MMRV
Symptoms: Cranial nerve disorder, Diarrhoea, Electroencephalogram abnormal, Headache, Irritability
Clinical narrative: 3 days after vaccine fever 102.5. 4 days after vaccine headache and cranky. 10 days after vaccine diarrhea. 13 days after vaccine fever 101.4, diarrhea, night terror. 14 days after vaccine diarrhea, fever 102.2. 16 days after vaccine "eyes playing tricks", flashing lights, looks like things getting closer x 1 month. Resolved then recurred again Aug 07.
Age: 5.0
Sex: M
Vaccine: MMRV
Symptoms: Photopsia, Pyrexia, Sleep terror, Visual disturbance
Clinical narrative: 3 days after vaccine fever 102.5. 4 days after vaccine headache and cranky. 10 days after vaccine diarrhea. 13 days after vaccine fever 101.4, diarrhea, night terror. 14 days after vaccine diarrhea, fever 102.2. 16 days after vaccine "eyes playing tricks", flashing lights, looks like things getting closer x 1 month. Resolved then recurred again Aug 07.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Left arm at injection site and upper arm swollen and very hot one day after injection. Took Benadryl and applied ice. Improving.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, MMRV
Symptoms: Blister, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Pain and redness, slight edema around injection site on bilateral upper arms. 9 blisters on right upper arm on 9-12-07. Mother states she will take client to the emergency room today to be evaluated by physician. (9-12-07).
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Dizziness, Headache, Pyrexia
Clinical narrative: Headache, fever, dizziness x 2-3 days
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Dizziness, Headache, No reaction on previous exposure to drug, Pyrexia
Clinical narrative: Headache, fever, dizziness x 2-3 days
Age: 17.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Dyskinesia, Fatigue, Pain
Clinical narrative: Tired, achy, (R) leg jerking.
Age: 14.0
Sex: F
Vaccine: TDAP
Symptoms: Chest pain, Dizziness, Dyspnoea, Erythema, Headache
Clinical narrative: (L) deltoid edema, erythema, pain, per NOC; dizziness, nausea, headache, chest pain, short of breath, fever congested. Seen on 9/11/07, hx of asthma, + SOB, + chest pain, nauseated, afebrile; 8x3 cm area of mild firm, slight erythema of (L) deltoid.
Age: 14.0
Sex: F
Vaccine: TDAP
Symptoms: Nasal congestion, Nausea, Oedema peripheral, Pain in extremity, Pyrexia
Clinical narrative: (L) deltoid edema, erythema, pain, per NOC; dizziness, nausea, headache, chest pain, short of breath, fever congested. Seen on 9/11/07, hx of asthma, + SOB, + chest pain, nauseated, afebrile; 8x3 cm area of mild firm, slight erythema of (L) deltoid.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Lymphadenopathy, Oedema peripheral
Clinical narrative: Diffuse swelling of arm that received the vaccine from the deltoid muscle, extending down to the axilla and left side of the upper chest. No weakness or immobility. 3/4cm swollen lymph node in the left axilla.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Hypotonia, Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Arm (left) swelled up like size of a large egg. Area was very red and warm. Bruising, limpness in arm for two days 5-16-07 and 5-17-07 and severe pain.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site warmth
Clinical narrative: Arm (left) swelled up like size of a large egg. Area was very red and warm. Bruising, limpness in arm for two days 5-16-07 and 5-17-07 and severe pain.
Age: 64.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site warmth, Oedema peripheral
Clinical narrative: 18cm x 10 cm area erythema with heat and swelling (L) upper arm extending around injection site.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site bruising, Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Pt received 4 yo immunization in bilateral legs. Seen again 3 d later after developed redness, bruising, itching and warmth to area. No fever. Pt treated with Benadryl for reaction and Cephalexin 350/5 2 tsp PO 7d for possible cellulitis.