chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Pertussis, Serum ferritin normal, Vitamin B12 normal
Clinical narrative: Initial report was received 19 June 2008 from a consumer, who is also the patient.  A 42-year-old female patient with a history of diabetes, had received an injection of ADACEL (lot number, route/site not reported) on 30 May 2008 and on "approximately" 06 June 2008, she complained of muscle weakness, sore bones, sore joints, and tiredness.  She was seen by her physician on 12 June 2008 at which time laboratory tests for iron and B12 were performed (results pending).  The patient had no concurrent illness at the time of vaccination and had received ADACEL because she sustained a cut while at work.  At the time of vaccination, the patient had been taking concomitant medications which included ZYRTEC, metformin, PROTONIX and YASMIN.  No other vaccinations had been received during the four weeks prior to ADACEL.  At the time of the report, the patient had not recovered from the event.  Follow-up information was received 12 August 2008 from a health care professional.  The reporter verified that the patient had received a first booster dose of ADACEL in June 2007 with no adverse events experienced.  The dose of ADACEL administered on 30 May 2008 had been a second dose (lot number, route and site of administration not reported).  Per the reporter, the results from the B12 and Iron laboratory tests would be forwarded.  No further information was provided.  Follow-up information was received 18 August 2008 from a health care professional.  The reporter stated that "the patient had an overload of pertussis so the doctor put her on antibiotics because she was symptomatic without a cough.  The patient is better now".  Laboratory results included Vitamin B12 (406) and Ferritin (12.8).  Additional information was provided for both ADACEL doses received by the patient.  The patient had received a second dose right deltoid intramuscular injection of ADACEL, lot number C2888AA on 30 May 2008 at 13:05.  The reporter also confirmed the patient had received a first dose right deltoid intramuscular injection of ADACEL, lot number C2688AA on 29 June 2007 approximately one year prior.  The patient recovered from the event (date not reported) and no further information was provided.  Follow-up information was received 26 September 2008 and 30 September 2008 from a health care professional.  On 26 September 2008, the reporter stated that "the patient was treated for pertussis because she had the symptoms of pertussis without the cough".  The reporter indicated that additional follow-up information would be forwarded.  From information received on 30 September 2008, the reporter confirmed the lot number for dose two of ADACEL administered on 30 May 2008 had been C2888AA.  The date for dose one of ADACEL was confirmed to have been 29 June 2007 with no adverse events experienced.  Based upon this new information received, this case has been upgraded to serious.
Sex: U
Vaccine: HPV4
Symptoms: Renal failure
Clinical narrative: Information has been received from a physician concerning a patient who was vaccinated with a dose of GARDASIL.  Subsequently the patient experienced renal failure and was hospitalized.  The physician thought the patient's hospitalization due to renal failure was related to GARDASIL.  No outcome was reported.  This is one of several reports received from the same source.  Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Lupus-like syndrome
Clinical narrative: Information has been received from a physician concerning a female who was vaccinated with GARDASIL, date therapy started was unspecified by reporter. Subsequently the patient experienced lupus like reactions and was identified as requiring hospitalization. The patient was hospitalized locally and then transferred to another hospital for treatment and was reported to have been in the intensive care unit (ICU). The patient present status was recovering. Lupus-like reactions was considered to be life-threatening. This is one of several reports from the same source. Additional information has been requested.
Age: 66.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Condition aggravated, Dehydration, Hypertension, Vertigo
Clinical narrative: Information has been received from a 66 year old male with hypertension who on 13-AUG-2008 was vaccinated with ZOSTAVAX (Oka/Merck).  The lot # is not provided.  Concomitant therapy included losartan potassium (MSD) and doxazosin mesylate.  On 14-AUG-2008 the patient experienced dehydration, extreme vertigo and runaway high blood pressure and was hospitalized for 2 days from 24-SEP-2008 to 26-SEP-2008.  Subsequently, the patient recovered.  Additional information is not expected.  12/1/08 MR received for DOS 8/24-27/2008 with D/C DX:  Benign Postural Vertigo.  Hypercalcemia-resolved. Leukocytosis-resolved. HTN. BPH. Pt presented to ER with 4 day hx of vertigo worsened by positional changes, nausea and vomiting. One episode of chills, no fever. Likely viral. Tx with Antivert and diazepam with some resolution, not complete.
Age: 66.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Dehydration, Hypertension, Malaise, Vertigo
Clinical narrative: Information has been received from a 66 year old male with hypertension who on 13-AUG-2008 was vaccinated with ZOSTAVAX (Oka/Merck).  The lot # is not provided.  Concomitant therapy included losartan potassium (MSD) and doxazosin mesylate.  On 14-AUG-2008 the patient experienced dehydration, extreme vertigo and runaway high blood pressure and was hospitalized for 2 days from 24-SEP-2008 to 26-SEP-2008.  Subsequently, the patient recovered.  Additional information is not expected.  12/1/08 MR received for DOS 8/24-27/2008 with D/C DX:  Benign Postural Vertigo.  Hypercalcemia-resolved. Leukocytosis-resolved. HTN. BPH. Pt presented to ER with 4 day hx of vertigo worsened by positional changes, nausea and vomiting. One episode of chills, no fever. Likely viral. Tx with Antivert and diazepam with some resolution, not complete.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Haematochezia, Mucous stools
Clinical narrative: Information has been received from a physician concerning a 4 month old male who on 26-SEP-2008 was vaccinated with the second dose of ROTATEQ.  The patient had blood and mucus in his stools 4 days after the 2nd vaccination with ROTATEQ.  Treatment is dietary modifications.  At time of reporting, the patient has not yet recovered.  The patient sought medical attention in office.  No product quality complaint was involved.  Upon internal review, blood in stools was considered an other important medical event.  Additional information has been requested.  10/21/08 Spoke w/MD reporter.  Continues to have mucus blood tinged stools despite couple of formula changes.  Currently on antibiotic for c. diff.  Patient being followed by peds GI who feels symptoms probable colitis but if no improvement when antibiotic complete, plans to do endoscopy.  Also provided lot #s for vaccines.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Haemorrhage, Muscle spasms, Ultrasound scan abnormal
Clinical narrative: Information has been received from a registered nurse, for the pregnancy registry for GARDASIL concerning a 26 year old female with drug hypersensitivity to AMOXIL who on 26-JUL-2007 was vaccinated with the first dose of GARDASIL (lot n. 657868/0523U), 0.5 mL, intramuscularly.  On 30-JUL-2008, the patient was vaccinated with the second dose of GARDASIL (lot n. 0250X) 0.5 mL, intramuscularly.  On 12-SEP-2008, the patient experienced cramping and bleeding.  The nurse reported that the patient had a miscarriage after receiving GARDASIL.  LMP occurred on 08-JUL-2008.  On 17-SEP-2008, an ultrasound was done with no fetal heart beats.  She "passed" the fetus on her own.  The patient saw the physician.  A pregnancy blood work was done but the results were not provided.  Subsequently, the patient recovered on an unspecified date.  Upon internal review miscarriage was considered to be an other important medical event.  Additional information has been requested.
Age: 42.0
Sex: M
Vaccine: MMR
Symptoms: Asthenia, Chills, Disability, Fatigue, Full blood count
Clinical narrative: Information has been received from a physician concerning a 42 year old male surgeon with no allergies or medical history who on 22-SEP-2008 was vaccinated subcutaneously in the left arm with a "suspected" 0.5 ml second dose of MMR II (lot # 656428/0203U). Concomitant therapy included a dose of tuberculin purified protein derivative in the right arm. Five days later, on 27-SEP-2008, the patient developed malaise, tiredness and possibly fever. On 29-SEP-2008 the patient developed soreness and achiness up and down triceps of his left arm. Unspecified medical attention was received in the physician's office. The patient is taking 1600 mg of ibuprofen daily. A complete blood count was drawn and the results are pending. The patient was reported as not recovered from malaise, tiredness, possibly fever and soreness and achiness up and down triceps of left arm. The reporter stated since the patient was a surgeon there was some mild disability. A product quality complaint was not involved. Additional information was received from the health care provider that the patient experienced no congestion or other viral symptoms and reported having low energy. On "Monday" the patient had chills and a painful mass-like area around the injection site. The patient reported feeling slightly sick to his stomach at some point. The patient treated himself with LEVAQUIN. The reporting health care provider suspected myalgia. The patient's triceps were slightly warm, tense, with no mass felt, but "mass" appeared to be traveling down the arm and extending. The patient's skin appeared normal with no joint symptoms reported. Additional information has been requested.
Age: 42.0
Sex: M
Vaccine: MMR
Symptoms: Induration, Injection site mass, Injection site pain, Malaise, Myalgia
Clinical narrative: Information has been received from a physician concerning a 42 year old male surgeon with no allergies or medical history who on 22-SEP-2008 was vaccinated subcutaneously in the left arm with a "suspected" 0.5 ml second dose of MMR II (lot # 656428/0203U). Concomitant therapy included a dose of tuberculin purified protein derivative in the right arm. Five days later, on 27-SEP-2008, the patient developed malaise, tiredness and possibly fever. On 29-SEP-2008 the patient developed soreness and achiness up and down triceps of his left arm. Unspecified medical attention was received in the physician's office. The patient is taking 1600 mg of ibuprofen daily. A complete blood count was drawn and the results are pending. The patient was reported as not recovered from malaise, tiredness, possibly fever and soreness and achiness up and down triceps of left arm. The reporter stated since the patient was a surgeon there was some mild disability. A product quality complaint was not involved. Additional information was received from the health care provider that the patient experienced no congestion or other viral symptoms and reported having low energy. On "Monday" the patient had chills and a painful mass-like area around the injection site. The patient reported feeling slightly sick to his stomach at some point. The patient treated himself with LEVAQUIN. The reporting health care provider suspected myalgia. The patient's triceps were slightly warm, tense, with no mass felt, but "mass" appeared to be traveling down the arm and extending. The patient's skin appeared normal with no joint symptoms reported. Additional information has been requested.
Age: 42.0
Sex: M
Vaccine: MMR
Symptoms: Pain, Pain in extremity, Skin warm, Stomach discomfort, Tension
Clinical narrative: Information has been received from a physician concerning a 42 year old male surgeon with no allergies or medical history who on 22-SEP-2008 was vaccinated subcutaneously in the left arm with a "suspected" 0.5 ml second dose of MMR II (lot # 656428/0203U). Concomitant therapy included a dose of tuberculin purified protein derivative in the right arm. Five days later, on 27-SEP-2008, the patient developed malaise, tiredness and possibly fever. On 29-SEP-2008 the patient developed soreness and achiness up and down triceps of his left arm. Unspecified medical attention was received in the physician's office. The patient is taking 1600 mg of ibuprofen daily. A complete blood count was drawn and the results are pending. The patient was reported as not recovered from malaise, tiredness, possibly fever and soreness and achiness up and down triceps of left arm. The reporter stated since the patient was a surgeon there was some mild disability. A product quality complaint was not involved. Additional information was received from the health care provider that the patient experienced no congestion or other viral symptoms and reported having low energy. On "Monday" the patient had chills and a painful mass-like area around the injection site. The patient reported feeling slightly sick to his stomach at some point. The patient treated himself with LEVAQUIN. The reporting health care provider suspected myalgia. The patient's triceps were slightly warm, tense, with no mass felt, but "mass" appeared to be traveling down the arm and extending. The patient's skin appeared normal with no joint symptoms reported. Additional information has been requested.
Age: 1.1
Sex: M
Vaccine: MMR
Symptoms: Computerised tomogram abnormal, Death, Haemorrhage intracranial, Respiratory arrest, Resuscitation
Clinical narrative: Pt found unresponsive & not breathing after nap.  Resuscitated by EMS & in ER, never regained consciousness & later died in PICU at hospital.  Intracranial bleed on head CT.  10/9/2008 Forensic Autopsy Summary Sheet received, COD pending further studies.  Infant found unresponsive and transported to ER & dx with subdural hematoma.  Transferred to higher level of care.  Despite resuscitation efforts, infant pronounced dead.  Autopsy findings of 2 small abraded contusions to L side of head, subdural hematoma overlying the L temporal lobe.  Marked brain edema and pulmonary edema. Otherwise unremarkable
Age: 1.1
Sex: M
Vaccine: MMR
Symptoms: Scan brain, Unresponsive to stimuli
Clinical narrative: Pt found unresponsive & not breathing after nap.  Resuscitated by EMS & in ER, never regained consciousness & later died in PICU at hospital.  Intracranial bleed on head CT.  10/9/2008 Forensic Autopsy Summary Sheet received, COD pending further studies.  Infant found unresponsive and transported to ER & dx with subdural hematoma.  Transferred to higher level of care.  Despite resuscitation efforts, infant pronounced dead.  Autopsy findings of 2 small abraded contusions to L side of head, subdural hematoma overlying the L temporal lobe.  Marked brain edema and pulmonary edema. Otherwise unremarkable
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Gastroenteritis, Intussusception, Pyrexia, Vomiting
Clinical narrative: Intussusception - preceded by fever and gastroenteritis with vomiting and diarrhea.  ROTATEQ #3 on 6/6/08.  10/17/08 Reviewed hospital medical records of 7/13-7/14/2008. FINAL DX: intussusception, barium enema reduced Records reveal patient experienced vomiting, diarrhea & viral like symptoms.  Admitted for overnight observation s/p IS reduction.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None.  FYI as I was previously told to report when 2 doses of MENACTRA accidentally given to different patient.  Patient was given MENACTRA on 6/29/07.  Patient had already received MENACTRA on 6/21/05.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Nausea
Clinical narrative: Nausea since rec. vaccines
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Facial palsy, Irritability, Pallor, Pyrexia, Somnolence
Clinical narrative: Received 4 month immunizations.  Was excessively sleepy for two days, with fever to 101.  On third day, post vaccines, was fussy.  Mom then noticed some unusual facial movement with (R) side of mouth intermittently drooping down.  This occurred off/on for 1 week, then resolved.  Had several episodes of acute pallor.
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Blood urine present, Infantile spitting up, Rotavirus test positive
Clinical narrative: Blood in urine.  (+) rotavirus in stool.  Spitting up.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Flushing, Nausea
Clinical narrative: Received vaccine (HPV) GARDASIL at 10:05. returned to clinic at 2:45. States she felt flushed and nauseated. States she had a granola bar  to eat today. Unsure if related to vaccine.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Approximately 11 mm (diameter) of erythema, red, hard, hot immediately surrounding inj. site.  Appeared red immediately after inj., worst 2 days later.  RPH observed 3 days later.
Age: 16.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Axillary pain, Blood lactate dehydrogenase normal, C-reactive protein increased, Chest X-ray normal, Full blood count normal
Clinical narrative: Given HEP A #1 and MENACTRA at 10AM, Friday, 9/26.  That evening noted pain/swelling left axilla which continued to worsen next 2 days.  Visible swelling Sunday PM and felt bad overall.  Starting to improve Monday when seen again in office with lymphadenopathy.
Age: 16.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Lymphadenopathy, Red blood cell sedimentation rate normal
Clinical narrative: Given HEP A #1 and MENACTRA at 10AM, Friday, 9/26.  That evening noted pain/swelling left axilla which continued to worsen next 2 days.  Visible swelling Sunday PM and felt bad overall.  Starting to improve Monday when seen again in office with lymphadenopathy.
Age: 12.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site warmth, Muscle tightness
Clinical narrative: S/S x 3 days.  Patient noticed upper right arm pain, muscle tightness, pink slightly raised lump on back of upper arm, same location that the Varicella was given on 9/18/08.  Area is also warm to the touch and hurts to touch area.  Denies noticing any concerns after immunizations were given in arm on 9/18/08.  Medication and allergy lists have been reviewed/updated with the patient today.
Age: 12.0
Sex: F
Vaccine: MNQ, VARCEL
Symptoms: Pain in extremity
Clinical narrative: S/S x 3 days.  Patient noticed upper right arm pain, muscle tightness, pink slightly raised lump on back of upper arm, same location that the Varicella was given on 9/18/08.  Area is also warm to the touch and hurts to touch area.  Denies noticing any concerns after immunizations were given in arm on 9/18/08.  Medication and allergy lists have been reviewed/updated with the patient today.
Age: 16.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Dizziness, Headache, Muscle spasms, Nausea, Pallor
Clinical narrative: After vaccinations given, the next day Pt woke with HA, nausea, cramps, 'buzzing in ears", dizziness, and pale.
Age: 16.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Tinnitus
Clinical narrative: After vaccinations given, the next day Pt woke with HA, nausea, cramps, 'buzzing in ears", dizziness, and pale.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Oedema peripheral, Pruritus, Skin warm
Clinical narrative: Right arm became red, swollen, hot, some itching.  The right outer arm was affected.  It felt she is allergic and also for infection.  She was advised to apply cold compress, take Benadryl and Medrol dose pack and Keflex for 1 week.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Large, swollen, red area on left posterior upper arm.  8 x 6.5cm.  First day after vaccine was swollen.  Next day was larger after being seen and taking Benadryl area was not swollen anymore.  Swelling resolved on 3rd day.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal distension, Allergy to metals, Anxiety, Body temperature increased, Chills
Clinical narrative: Red, ringworm looking circles all over body 1-2 days after vaccination /severe chronic urticaria-rash then furious weals, lasting 9 months/shivering temp 100, sweating-bed clothes soaked/red eyes, swollen eyelids, body rejecting sun screen lotion, lotions, watch band (metal), stomach (9 months pregnant- looking swollen), diarrhea, depression, anxiety, food sensitivities-kidney beans, banana, sun flower and pine seeds (never allergic before flu shot).
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Depression, Diarrhoea, Erythema, Eyelid oedema, Food allergy
Clinical narrative: Red, ringworm looking circles all over body 1-2 days after vaccination /severe chronic urticaria-rash then furious weals, lasting 9 months/shivering temp 100, sweating-bed clothes soaked/red eyes, swollen eyelids, body rejecting sun screen lotion, lotions, watch band (metal), stomach (9 months pregnant- looking swollen), diarrhea, depression, anxiety, food sensitivities-kidney beans, banana, sun flower and pine seeds (never allergic before flu shot).
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Hyperhidrosis, Ocular hyperaemia, Urticaria, Urticaria chronic
Clinical narrative: Red, ringworm looking circles all over body 1-2 days after vaccination /severe chronic urticaria-rash then furious weals, lasting 9 months/shivering temp 100, sweating-bed clothes soaked/red eyes, swollen eyelids, body rejecting sun screen lotion, lotions, watch band (metal), stomach (9 months pregnant- looking swollen), diarrhea, depression, anxiety, food sensitivities-kidney beans, banana, sun flower and pine seeds (never allergic before flu shot).
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Received FLUZONE under 6 months.
Age: 21.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Induration, Mass, Pruritus, Urticaria
Clinical narrative: - Red bump size of palm.  Itches from wrist to base of neck on right side.  9x6cm area of wheal and induration.
Age: 20.0
Sex: M
Vaccine: ANTH, FLUX, HEPA, TYP
Symptoms: Fatigue, Hypersomnia, Myalgia
Clinical narrative: extreme fatigue and muscle soreness slept most of 24 hours ibupropfen helped with soreness but could not stay awake more than 2 hours.
Age: 61.0
Sex: F
Vaccine: TTOX
Symptoms: Arthralgia, Fatigue, Feeling hot, Myalgia, Nasal congestion
Clinical narrative: Pt reports extreme "shaking", feeling "hot", muscle and joint pain, frequent urination, nasal congestion, and extreme fatigue after receiving Td vaccine.  Symptoms started about 12 hours after receiving vaccine.  All symptoms resolved except fatigue by 72 hours.
Age: 61.0
Sex: F
Vaccine: TTOX
Symptoms: Pollakiuria, Tremor
Clinical narrative: Pt reports extreme "shaking", feeling "hot", muscle and joint pain, frequent urination, nasal congestion, and extreme fatigue after receiving Td vaccine.  Symptoms started about 12 hours after receiving vaccine.  All symptoms resolved except fatigue by 72 hours.
Age: 11.0
Sex: F
Vaccine: FLUX
Symptoms: Activities of daily living impaired, Body temperature increased, Feeling abnormal, Headache, Pain
Clinical narrative: Received flu shot yesterday at 3:30pm. This morning woke up around 7am with headache and muscle aches all over. Went on to school but felt so bad that she called home at 9:30am to be picked up. School nurse had taken her temp, and it was 99.5.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain, Conjunctival hyperaemia, Dysphagia, Dyspnoea, Eye swelling
Clinical narrative: I've saw this pt for sx poss r/t the flu shot from yesterday: Received Flu shot 10/06.  Few hours later (4 hours?)felt her throat was closing up and had difficulty swallowing and blurry vision.  Took Mylanta thinking it might be reflux.  also took a benadryl.  Woke up this am with bilat conjunctival injection and eyes and lips were "puffy"  Intestinal cramping last night.  Puffiness has resolved on own.  Conjunctival  injection and sense of "heavy" throat remains.  Had some SOB this AM going up stairs. Had reaction to flu shot 2 years ago with sense that throat was closing but thought it was all in her mind.  Skipped last year flu shot but got "the flu" so wanted to try it again this year. NKDA or sensitivities.  Hx mild psoriasis or eczema-- so does dad.  Her dad also had an anaphylactic reaction to "something, but not a vaccine" few years ago- recovered.  Denies f/c/s, recent URI or any illness, hives, rash, syncope, palpitations, or chest pain.  Can swallow now.  EXAM: 139/80, 80, 16, 98.9, LNMP 10/07/08.  Derm:  No hives, rash, skin w % d, good color, Eyes: No periorbital edema.  Bilat conjunctival injection, no tearing, no d/c.  Mouth:  no angioedema  Throat:  post pharnx pink, no swelling, uvula with symmetrical rise.  small amt of pnd.  No stridor with throat auscultation.  Lungs CTA, unlabored, symmetrical rise CV: Normal S1, S2 no m/r/g, RRR
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Familial risk factor, Lip swelling, Similar reaction on previous exposure to drug, Throat tightness, Vaccine positive rechallenge
Clinical narrative: I've saw this pt for sx poss r/t the flu shot from yesterday: Received Flu shot 10/06.  Few hours later (4 hours?)felt her throat was closing up and had difficulty swallowing and blurry vision.  Took Mylanta thinking it might be reflux.  also took a benadryl.  Woke up this am with bilat conjunctival injection and eyes and lips were "puffy"  Intestinal cramping last night.  Puffiness has resolved on own.  Conjunctival  injection and sense of "heavy" throat remains.  Had some SOB this AM going up stairs. Had reaction to flu shot 2 years ago with sense that throat was closing but thought it was all in her mind.  Skipped last year flu shot but got "the flu" so wanted to try it again this year. NKDA or sensitivities.  Hx mild psoriasis or eczema-- so does dad.  Her dad also had an anaphylactic reaction to "something, but not a vaccine" few years ago- recovered.  Denies f/c/s, recent URI or any illness, hives, rash, syncope, palpitations, or chest pain.  Can swallow now.  EXAM: 139/80, 80, 16, 98.9, LNMP 10/07/08.  Derm:  No hives, rash, skin w % d, good color, Eyes: No periorbital edema.  Bilat conjunctival injection, no tearing, no d/c.  Mouth:  no angioedema  Throat:  post pharnx pink, no swelling, uvula with symmetrical rise.  small amt of pnd.  No stridor with throat auscultation.  Lungs CTA, unlabored, symmetrical rise CV: Normal S1, S2 no m/r/g, RRR
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Vision blurred
Clinical narrative: I've saw this pt for sx poss r/t the flu shot from yesterday: Received Flu shot 10/06.  Few hours later (4 hours?)felt her throat was closing up and had difficulty swallowing and blurry vision.  Took Mylanta thinking it might be reflux.  also took a benadryl.  Woke up this am with bilat conjunctival injection and eyes and lips were "puffy"  Intestinal cramping last night.  Puffiness has resolved on own.  Conjunctival  injection and sense of "heavy" throat remains.  Had some SOB this AM going up stairs. Had reaction to flu shot 2 years ago with sense that throat was closing but thought it was all in her mind.  Skipped last year flu shot but got "the flu" so wanted to try it again this year. NKDA or sensitivities.  Hx mild psoriasis or eczema-- so does dad.  Her dad also had an anaphylactic reaction to "something, but not a vaccine" few years ago- recovered.  Denies f/c/s, recent URI or any illness, hives, rash, syncope, palpitations, or chest pain.  Can swallow now.  EXAM: 139/80, 80, 16, 98.9, LNMP 10/07/08.  Derm:  No hives, rash, skin w % d, good color, Eyes: No periorbital edema.  Bilat conjunctival injection, no tearing, no d/c.  Mouth:  no angioedema  Throat:  post pharnx pink, no swelling, uvula with symmetrical rise.  small amt of pnd.  No stridor with throat auscultation.  Lungs CTA, unlabored, symmetrical rise CV: Normal S1, S2 no m/r/g, RRR
Age: 47.0
Sex: M
Vaccine: FLUN3
Symptoms: Night sweats, Oedema peripheral, Pyrexia
Clinical narrative: Member received the vaccination on the 4 October 2008. Member came in on 7 oct 2008 and said that the night after receiving the flu Mist that he developed a fever and night sweats that last thought the night. Member as noted that he has swelling on the midial anterial part of the lower leg. Member is take to asprin 2 times a day PCN.
Age: 24.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema
Clinical narrative: REDNESS @ INJECTION SITE STARTED 3 DAYS AFTER SHOT
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chills, Headache, Pain
Clinical narrative: Chills, total body aches, headache, weakness for 24 hours. Took tylenol and ibuprofen for aches.
Age: 15.0
Sex: M
Vaccine: FLUN3, HEPA, MNQ, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 1.reddness,swelling 2inches in diameter,tenderness at injection site.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphonia, Eye pruritus, Headache, Heart rate increased, Lacrimation increased
Clinical narrative: Received vaccine around 1030 am, began to experience moderate headache and aches within 1 hour. Throat soreness and hoarseness developed within 3 hours of vaccination. Watery, itchy eyes and increase in heart rate (100-110). Received assessment and treatment at ER at 1850, given benadryl 25mg and prednisone 20mg.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pharyngolaryngeal pain
Clinical narrative: Received vaccine around 1030 am, began to experience moderate headache and aches within 1 hour. Throat soreness and hoarseness developed within 3 hours of vaccination. Watery, itchy eyes and increase in heart rate (100-110). Received assessment and treatment at ER at 1850, given benadryl 25mg and prednisone 20mg.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Oedema peripheral
Clinical narrative: PATIENT HAD REDNESS AND SWELLING DOWN THE LEFT ARM WHICH WAS THE ARM SHE GOT BOTH THE FLU VACCINE AND PNEUMONIA VACCINE.
Age: 48.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site streaking, Injection site swelling
Clinical narrative: PATIENT GOT THE PNEUMOVAX AND TEH NEXT DAY SHE HAD SIGNIFICANT SWELLING IN THE AREA. IT IS NOW STREAKING AROUND HER ARM. NO FEVER.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HEP, PNC, RV5
Symptoms: Decreased appetite, Fatigue, Irritability, Lethargy, Pallor
Clinical narrative: 6 HOURS AFTER VACCINE ADMINISTRATION INFANY BECAME LETHARGIC ABD PALE. (DURATION X 50 MINUTES). THEN 2 DAYS FOLLOWING DECREASE IN APPETITE. INCREASED FUSSINESS AND FATIGUE.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Dehydration, Diarrhoea
Clinical narrative: Patient had profuse diarrhea for 2 days requiring hospital admission for hydration. 1/8/09-records received for DOS 9/25-10/3/0-8-DC DX: Dehydration. Presented with C/O dehydration secondary to diarrhea, 2 day history of loose stool and irritability s/p received 4 month immunizations via G tube. Stools watery no blood or mucous. G tube to J tube conversion.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PPV, VARCEL
Symptoms: Endotracheal intubation, Febrile convulsion, Hypercapnia, Intensive care
Clinical narrative: Vaccines give 9/26/08 and pt presented with febrile seizure 10/5/08, lasting over 15 minutes, requiring Ativan, pt required intubation and overnight PICU stay for hypercarbia, discharged after 48 hours.
Sex: M
Vaccine: MMR
Symptoms: Parotitis
Clinical narrative: Parotitis; treating with rest, NSAIDs
Age: 3.0
Sex: F
Vaccine: FLUN3
Symptoms: Heart rate increased, Pyrexia
Clinical narrative: fast heart beat and fevers up to 104.  Sick for 2 days.
Age: 57.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Chills, Headache, Injection site pain, Neuralgia
Clinical narrative: Recieved shot about 11:30 am - soreness at injection site started about 3:00pm.  5:00pm chills, severe body aches and headache started.  Every muscle, joint, nerve ending and hair folicle hurt. It hurt to move.  I took aspirin for the pain and went to bed about 11:00pm - slept until 10:00am next morning, symptoms were gone.  This is the first time I've had a reaction to a flu vaccine.  I have been getting flu shots for about 7 years.
Age: 57.0
Sex: F
Vaccine: FLUX
Symptoms: No reaction on previous exposure to drug, Pain
Clinical narrative: Recieved shot about 11:30 am - soreness at injection site started about 3:00pm.  5:00pm chills, severe body aches and headache started.  Every muscle, joint, nerve ending and hair folicle hurt. It hurt to move.  I took aspirin for the pain and went to bed about 11:00pm - slept until 10:00am next morning, symptoms were gone.  This is the first time I've had a reaction to a flu vaccine.  I have been getting flu shots for about 7 years.
Age: 29.0
Sex: M
Vaccine: SMALL
Symptoms: Eye pain, Iritis, Ocular hyperaemia, Ophthalmological examination, Visual disturbance
Clinical narrative: Came to clinic on 9/13/08 with c/o redness to eyes, visual disturbance, eye pain that was progressively getting worse. He was sent to ER on that date. Seen on follow up on 9/22/08, per MD report, patient was diagnosed with iritis by Ophthalmologist on 9/13/08. Given Sulfacet/Pred solution at that visit. Subsequent visit on the 22nd reports that iritis may have been associated with smallpox/anthrax vaccinations. Is now being referred to Neurology to assess to rule out a vascular event as a result of his immunizations.
Age: 47.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Asthenia, Dizziness, Dysphonia, Dyspnoea, Injection site erythema
Clinical narrative: difficulty breathing,  hoarseness, fever, dizziness, weakness, nausea and vomiting, sweeling and redness at the side of injection
Age: 47.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site swelling, Nausea, Pyrexia, Vomiting
Clinical narrative: difficulty breathing,  hoarseness, fever, dizziness, weakness, nausea and vomiting, sweeling and redness at the side of injection
Age: 85.0
Sex: F
Vaccine: PPV
Symptoms: Induration, Rash, Skin warm
Clinical narrative: Received pneumovax vaccine & got a rash. Skin also became firm and warm to touch. Patient did not receive any treatment, only close monitoring.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Exposure to communicable disease, Varicella
Clinical narrative: Patient received varicella vaccine on 9-9-08.  Was exposed to shingles by father.  Positive chicken pox in office on 10-6-08.
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Hives, severe, with rapid onset; alleviated with liquid Benadryl; no respiratory sx
Age: 64.0
Sex: M
Vaccine: TDAP
Symptoms: Diarrhoea, Influenza, Malaise, Nausea
Clinical narrative: Nausea, Malaise, diarrhea(flu symptoms) for 8 days following vaccination.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Crying, Diet refusal, High-pitched crying, Screaming
Clinical narrative: 4 hours after receiving immunizations started high pitch, loud screaming that lasted 3 hours. Inconsolable. Refused to nurse. Mom gave tylenol
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Pt. c/o rt. upper arm pain shortly after receiving the vaccine and the next day the entire arm was painful. Pt. reported this to nurse on 10/1/08 and pain was subsiding. By 10/2/08 pain was 0.
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Inappropriate schedule of drug administration, Influenza like illness, Pain, Pyrexia
Clinical narrative: My husband developed flu-like symptoms (102.2 fever, chills, aches) within one hour of PPV shot.  He received PPV shot last year as well... we didn't realize it wasn't an annual shot.  The administrator never mentioned this before he received the shot, only after.
Age: 20.0
Sex: F
Vaccine: FLUN3
Symptoms: Activities of daily living impaired, Dyspnoea, Impaired work ability
Clinical narrative: A serious investigator initiated study report of trouble breathing has been received from an investigator concerning a 20-year-old female, who is enrolled in a study. Neither medical history nor concomitant medications have been reported. The subject received FLUMIST on 03-Oct-2007. On 06-Oct-2007, the subject experienced trouble breathing. The event was described as "severe" and that the subject "could not work" or do "usual activities". The event resolved on the same day. The study investigator assessed causality as probably related to FLUMIST vaccine. The sponsor considered the event medically important and agreed with the study investigator's causality assessment.
Age: 23.0
Sex: F
Vaccine: FLUN3
Symptoms: Activities of daily living impaired, Dyspnoea, Impaired work ability
Clinical narrative: A serious investigator initiated study report of trouble breathing has been received from an investigator concerning a 23-year-old female, who is enrolled in the study. Neither medical history nor concomitant medications have been reported. The subject received FLUMIST on 22-Oct-2007. On 27-Oct-2007, the subject experienced trouble breathing. The event was described as "severe" and that the subject "could not work" or do "usual activities". The event was considered resolved on 28-Oct-2007. The study investigator assessed causality as probably related to FLUMIST vaccine. The sponsor considered the event medically important and agreed with the study investigator's causality assessment.
Age: 9.0
Sex: M
Vaccine: FLUN3
Symptoms: Pyrexia, Vomiting
Clinical narrative: Vomiting and fever for 3 days.  Not seen in clinic, no treatment prescribed.
Age: 55.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Asthenia, Brachial plexopathy, Neuropathy peripheral, Pain
Clinical narrative: Patient developed a left sided ulnar neuropathy (pain, weakness) that evolved to a left sided brachial plexopathy.
Age: 12.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Dizziness, Fatigue, Feeling abnormal, Hot flush
Clinical narrative: Was given vaccine 7-28-08.  30-40 minutes after administration, patient experienced dizziness, fatigue, hot flashes, seemed very "out of it".  Was extremely fatigued x 1 1/2 days.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Blood test, Pyrexia, Somnolence, Urine analysis
Clinical narrative: "Slept all day after shots", "fever" checked at 10pm 102, given Tylenol.  "It went down to 100.0", checked temperature again at 1:00am - T 103.  Temp 104 at 2:30A.  Took child to ER.  Temp max 105.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site mass, Injection site swelling, Injection site warmth
Clinical narrative: Following immunizations large swollen knot on thigh around injection site, red and hot, no fever reported. Came to doctor after, no treatment, symptoms resolved.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus
Clinical narrative: Silver dollar sized knot at site red and itchy
Age: 38.0
Sex: M
Vaccine: FLU3
Symptoms: No adverse event
Clinical narrative: No adverse effects noted. Pt called and informed of event, possible side effects and to call immediately if he has any side effects.
Age: 72.0
Sex: F
Vaccine: TD, VARZOS
Symptoms: Headache, Psychomotor hyperactivity, Sleep disorder
Clinical narrative: Unable to sleep - headache - very hyper.
Age: 1.3
Sex: M
Vaccine: DTAP, HEPA, MNQ
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: At 15 month well-child visit, physician ordered PREVNAR (pneumococcal vaccine) #4.  The patient was given Meningococcal instead.  No reported adverse events/effects.
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, PNC
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Local reaction
Clinical narrative: Local reaction, swelling, redness, pain.
Age: 57.0
Sex: M
Vaccine: FLU3, PPV, TDAP
Symptoms: Chest pain, Chills, Dyspnoea, Erythema, Headache
Clinical narrative: Fever, chills, malaise, ha, chest pain, dyspnea, edema and erythema of left deltoid area.
Age: 57.0
Sex: M
Vaccine: FLU3, PPV, TDAP
Symptoms: Malaise, Oedema, Pyrexia
Clinical narrative: Fever, chills, malaise, ha, chest pain, dyspnea, edema and erythema of left deltoid area.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Pruritus
Clinical narrative: Patient previously exposed to burning corn fields with prior symptoms of sinus, bronchitis and allergies. Afternoon following injection patient began itching in hands and arms. Followed by difficulty breathing. Son took to Emergency Room.
Age: 73.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Fatigue, Injection site erythema, Injection site swelling
Clinical narrative: Received vaccine at 3:00pm on 10/1/08; started feeling chills and fatigue during evening, noting large, reddened area (size of orange) at injection site at hospital.  Continued to feel very tired next day with some improvement of symptoms on 3rd day.  Now on day 6, swelling/redness gone, but still feels tired.
Age: 67.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling, Pain in extremity
Clinical narrative: Patient received Td immunization on 9/29/08 and 6 hours after injection developed redness, swelling, and severe achy type pain of the entire arm.
Age: 19.0
Sex: M
Vaccine: ANTH, FLUN3, SMALL
Symptoms: Rash, Rash papular
Clinical narrative: Patient with smallpox vaccine on 1 Oct 08.  That evening w/ flesh closed papules on forehead which progressed to back of ears by the morning.  No pustules.  Rash did not improve or worsen.  Seen in clinic on 6 Oct 08.  No other symptoms.  Likely not vaccine related due to timing and recent change of laundry detergent.  No history of atopic dz.
Age: 60.0
Sex: M
Vaccine: FLU3, PPV, TDAP
Symptoms: Erythema, Injected limb mobility decreased, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Received vaccines on 10/2/08.  Woke up on 10/3/08 - right upper arm red, sore, swollen, warm to touch, chills.  On 10/4/08 patient stated unable to lift arm.  Today redness, swelling, warmth is decreased he states.
Age: 16.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Paraesthesia
Clinical narrative: C/O paresthesias across upper chest - came & went for one month after onset - resolved.
Age: 5.0
Sex: M
Vaccine: HEPA, IPV, MMR, TDAP, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Medication error TDAP given to 5 yr old.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Eyelid oedema, Rash
Clinical narrative: Rash on face, chest, neck, right eye swollen, painful, itchy.  Triamanalone 0.5% topically, Prednisone 40mg daily for 5 days.
Age: 0.2
Sex: F
Vaccine: DTAPH, DTAPHEPBIP, PNC, RV5
Symptoms: Irritability
Clinical narrative: Patient given DTaP/Hib vaccine and DTaP/IPV/HepB vaccine on the same day.  Spoke with mom on 9/26/08 130PM - patient has no fever or swelling.  Called mom on 10-1-08 and she states patient was a little "fussy", but no fever or swelling.
Age: 0.3
Sex: M
Vaccine: DTAPH, IPV, PNC, RV5
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: DTAP-HIB combo given before 15 months of age.  No side effects reported.
Age: 0.8
Sex: F
Vaccine: FLU3, IPV
Symptoms: Wrong drug administered
Clinical narrative: Flu shot for child >36 months was given instead of flu shot for 6-36 month child as ordered.
Age: 17.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Injection site swelling, Skin warm
Clinical narrative: Right upper arm with increased warmth and approximately 5 inches of swelling surrounding injection site.  Denies pain.  Advised to apply warm packs and take Ibuprofen.
Age: 13.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Erythema
Clinical narrative: Pt got Tdap and VARIVAX vaccine on 9-30-08.  On 10-01-08 pt started redness on both cheeks which became very prominent.  Came to office 10-07-08 put on ATAVAX 25 po x1 a day.
Age: 77.0
Sex: F
Vaccine: FLU3
Symptoms: No reaction on previous exposure to drug, Urticaria
Clinical narrative: Patient developed hives within a few hours of receiving influenza immunization. Required Medrol dose pack to treat. Reports has had flu shot annually for past 24 years no previous problems. Also had hair colored same day. No product change per stylist.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Dyspnoea, Tongue oedema
Clinical narrative: Shot administered approx 3 pm; pt complained of burning in arms around 3:20 pm & gave ALLEGRA 180; approx 4:00 pm complained of shortness of breath and tongue was thick; administered EPIPEN; called 911 - and monitored.  EMS came w/in 5 min; patient responsive to epi w/in 5 minutes and recovered w/in 40 min; reused to go to hosp.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Oedema peripheral, Skin warm
Clinical narrative: Patients arm became swollen several hours after vaccine admin of PNEUMOVAX.  Warm to the touch the next day.  Pt took ibuprofen and BENADRYL on 10/2/08.  Went to MD on 10/3/08 and MD diagnosed as cellulitis and treated w/ CEFTIN.
Age: 31.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site induration, Injection site pain
Clinical narrative: Pain and prolonged induration at the injection site x 1 year.
Sex: M
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: 1 hour after Hep B shot baby developed hives on stomach back arms legs.  2258 same date - hives faded.  No problems.  No treatments.  0105 - 092908 - hives gone.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Rash
Clinical narrative: C/O rash x 1 day. On Augmentin x 3 doses.
Age: 6.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site oedema, Pruritus, Urticaria
Clinical narrative: Pt received his 5th dose of DTaP and second dose of MMR. Within one hour he developed head to toe urticaria and extreme pruritus. The DTaP vaccine site was red and edematous. Benadryl given - hives resolved within 3 hrs.
Age: 1.3
Sex: M
Vaccine: MMR
Symptoms: Pruritus, Rash generalised
Clinical narrative: Break out over entire body 11 days after MMR given.  Antihistamine for itchiness, and OTC calamine lotion.
Age: 21.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site swelling
Clinical narrative: SM developed redness, pain swelling at injections site of ANTHRAX vaccine, approx. 6 hrs post vaccination.  Edema @ injection site > 120mm not beyond elbow
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Vomiting
Clinical narrative: Non-stop crying for over 3 hrs, and vomiting.
Age: 1.3
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Rash papular
Clinical narrative: About 20 pink papules (about 5mm) scattered over face, ears, chest & arms.  No obvious vesicles however several of lesions on face have slightly raised unctate central areas.
Age: 6.0
Sex: F
Vaccine: PPV
Symptoms: Body temperature increased, Urticaria
Clinical narrative: Hives appeared on left arm evening after shot was given & patient had temp (rectal) of 102.5 degrees F.  MOTRIN, TYLENOL & BENADRYL given by mother around the clock.  Saw pediatrician 10/4/08.
Age: 8.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site pustule
Clinical narrative: 8 y.o. male presented to clinic 2 days after varicella administration with erythematous, edematous left tricep area with small pock mark at injection site.  Patient afebrile with no other symptoms.  Patient & mother were counseled r.e. expected adverse reactions to varicella vaccine; also, cold compresses & ibuprofen PRN were recommended.
Age: 6.0
Sex: M
Vaccine: HEPA
Symptoms: Full blood count, Loss of consciousness, Nausea, Vomiting
Clinical narrative: Adverse injection, then passed on to x2 with sps of n/u about 2hr after being in clinic. Patient transported via ambulance -- > hosp. for vaccine reactive flu next day. Patient okay per mom.
Age: 6.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left arm surrounding both injection sites w/ warm protrudes , 3X6 cms Erythema, redness   diminished in 1st 24 hours w/ press         next 78 hours78 hours
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Dyspnoea, Eye swelling, Nausea, Rash generalised, Swelling face
Clinical narrative: Patient had 2nd dose of varicella at 4:45 PM on Friday 10/3/08 and left office by 5 O'clock on the way back home she felt nauseous, swelling of face, eyes, rash all over body and breathing problem. She was seen in emergency urgent care clinic received DECADRON inj, EPIPEN, PRELONE.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Within 1 day of the administration of IPV, DTaP and MMR developed thigh redness and swelling. Seen in ER, give unknown prescription