chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.7
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Electroencephalogram abnormal
Clinical narrative: ADM: 11/29  Discharge: 12/1/07.  12/28/07 Reviewed hospital medical records which reveal patient experienced irritability, pale, limpness & cyanosis of lips & face on 11/29/07 followed by vomiting & sleepiness.  Admitted 11/30-12/1/2007.   Had 1 additional episode in hospital along w/low grade fever.  Neuro consult done.  Started on antiseizure med. FINAL DX: new onset seizures & fever, likely related to vaccine.
Age: 0.4
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Enema administration, Intestinal resection, Intussusception, Surgery
Clinical narrative: Intussusception.  Reoccurred after initial enema.  Required operative repair with bowel resection.  First Rotateq vaccine given at 13 wks of age on 8/21/07.  12/11/2007 Vax record received and corresponds to data on VAERS submission. 12/26/2007 MR received for DOS 11/26-30/2007 with D/C DX: Intussusception (ileocolic). Infant presented to ER with 24 hr hx of nausea, vomiting and abdominal pain.  Pt had currant jelly/bloody BM.  Air contrast enema reduction initially successful but recurred. 2nd attempt only partially successful after 3 attempts.  Taken to OR for Exploratory Lap with attempted reduction of intussuscpeption; ileal and R colon resection with anastomosis. D/C on POD3#.
Age: 0.3
Sex: M
Vaccine: HBHEPB, PNC, RV5
Symptoms: Erythema, Injection site erythema
Clinical narrative: Immunization given and within 1-2 minutes 1 g area of erythema around Prevnar site with progression to erythema on chest and neck. Benadryl given (1 mg/kg) with resolution within 10 min.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site bruising, Injection site pain, Injection site swelling
Clinical narrative: Patient complains that left deltoid area was very painful at injection site at the time of injection. She states the area "swelled up" at the site and then bruised. The area is still bruised per patient who was not seen at this point.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Pain, swelling of lymph nodes no treatment
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Dyspnoea, Headache, Pyrexia
Clinical narrative: 10/27 Fever 104.5 Chills. Severe headache. SOB. Began 3-4 hr after Flu shot. Wen to Hospital Tx-O2 and IV. Sent home with Rx for Tylenol #3 ER physician stated was Rx to Flu vaccine.
Age: 69.0
Sex: F
Vaccine: TD, VARZOS
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: 11/8/07 Heat, redness 3x5 area right arm at site of zoster vaccine.  Pain started 11/8/07.  Saw private physician - given Rx of doxycycline 100mg BID x14 days.  Dx: cellulitis.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Paraesthesia, Pruritus
Clinical narrative: Zoster vaccine given 9-26-07.  Patient states was about 4 inch circle of redness for about 10 days.  Has slowly diminished, today is about 1"x1/2" red.  Not sore to touch, skin is intact.  States she feels a small prick-like feeling a couple of times a day.  It was itching before.  Used Benadryl spray 1x day about 2 wks after shot due to itching.  For about 4 days.  No longer itching, doctor observed the area.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Abnormal sensation in eye, Decreased appetite, Limb discomfort, Pyrexia, Sluggishness
Clinical narrative: Vaccine given approximately 11:00 am on 10/18/07.  Tingling in right arm.  Complained of arm very sore but no redness or swelling - did apply ice when soreness started on 10/19/07 around 8:00 pm.  Fever high with chills, but had no thermometer to take temperature.  Fever broke around 11:00 pm 10/20/07 but appetite is down, feels sluggish, has aches (like pressure) across eyes.  No headache.  Soreness in arm resolving but has scheduled appointment with primary doctor on 10/25/07.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Soreness in arm 26 days post injection
Age: 21.0
Sex: F
Vaccine: FLUN3
Symptoms: Blood human chorionic gonadotropin positive, Drug exposure during pregnancy
Clinical narrative: Received Flumist on 30 Oct 2007. Did not know she was pregnant.
Age: 32.0
Sex: F
Vaccine: FLUN3
Symptoms: Drug exposure during pregnancy, Pregnancy test positive
Clinical narrative: Received Flu Mist on 30 Oct 2007.  Did not know she was pregnant.
Sex: U
Vaccine: FLU3, PPV
Symptoms: Myalgia, Pain in extremity, Pyrexia
Clinical narrative: Given flu vaccine, Pneumovax in L arm 11/28.  On 11/29/07 came in with arm pain-improved, fever 101 degrees, myalgias.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Crying, Injection site erythema, Injection site warmth, Irritability, Musculoskeletal stiffness
Clinical narrative: Baby born at 35 weeks gestation without complications at 2 months.  Shots, baby given Tylenol before shots and had 103 degree fever (rectally) for 24 hours and was "extremely" fussy.  At 4 months, baby got Tylenol after shots.  This time he had 103 degree temperature and persistent crying for 48 hours.  Both at 2 and 4 months, baby had large, warm, red injection sites.
Age: 0.2
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Pyrexia
Clinical narrative: Baby born at 35 weeks gestation without complications at 2 months.  Shots, baby given Tylenol before shots and had 103 degree fever (rectally) for 24 hours and was "extremely" fussy.  At 4 months, baby got Tylenol after shots.  This time he had 103 degree temperature and persistent crying for 48 hours.  Both at 2 and 4 months, baby had large, warm, red injection sites.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Erythema nodosum, Oedema peripheral, Rash erythematous, Rash papular
Clinical narrative: Acute onset of 3-5mm raised red tender nodules with increased redness and swelling L lower leg - approx 6cm area - above ankle.  R lower leg few erythematous papules in same location but no swelling or tenderness.
Sex: F
Vaccine: FLU3
Symptoms: Hyperaesthesia, Pain in extremity, Tenderness
Clinical narrative: Severe sore arm and tender and sensitive to touch.
Age: 80.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Insomnia, Malaise, Myalgia
Clinical narrative: c/o malaise, myalgia, insomnia within 12 hrs of receiving vaccines.
Age: 1.3
Sex: F
Vaccine: FLU3, MMR, VARCEL, MMR, VARCEL
Symptoms: Blood sodium normal, Differential white blood cell count, Febrile convulsion, Metabolic function test normal, Urine analysis normal
Clinical narrative: 11/30 Febrile seizure 5 minutes, general WBC 12,400 56P 32L 9 ml EO 2A7 L4, BMP NL,  NA 140, CA 9.7, Urinalysis Normal 12/3/07 Follow up visit-Exam normal
Age: 1.3
Sex: F
Vaccine: FLU3, MMR, VARCEL, MMR, VARCEL
Symptoms: White blood cell count increased
Clinical narrative: 11/30 Febrile seizure 5 minutes, general WBC 12,400 56P 32L 9 ml EO 2A7 L4, BMP NL,  NA 140, CA 9.7, Urinalysis Normal 12/3/07 Follow up visit-Exam normal
Age: 1.3
Sex: F
Vaccine: FLU3, MMR, VARCEL, MMR, VARCEL
Symptoms: Blood test normal, Culture urine negative, Febrile convulsion
Clinical narrative: 11/30 Febrile seizure 5 minutes, general WBC 12,400 56P 32L 9 ml EO 2A7 L4, BMP NL,  NA 140, CA 9.7, Urinalysis Normal 12/3/07 Follow up visit-Exam normal
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Chest X-ray, Chest pain, Electrocardiogram, Lymphadenopathy, Nasopharyngitis
Clinical narrative: Chest pain, fever, soreness in left chest area, swollen lymph gland, cold-like symptoms.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Chest pain, fever, soreness in left chest area, swollen lymph gland, cold-like symptoms.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site vesicles, Swelling, Tenderness
Clinical narrative: Blisters surrounding administration site area, some tenderness and swelling.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Throat tightness, Urticaria
Clinical narrative: Pt had hives all over body and throat felt tight-mom gave Benadryl till symptoms resolved with first and second injections.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Blood pressure increased, Fatigue, Headache, Hot flush
Clinical narrative: 2-17/24-07 injection site pain; hip, knee, ankle pain; exhaustion. 2-25/3-3-07 ringing in ears; hot flashes; red spots on body; exhaustion; headache; increased blood pressure. The only symptoms left are body spots; ear ringing as of 12-4-07.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Rash, Tinnitus
Clinical narrative: 2-17/24-07 injection site pain; hip, knee, ankle pain; exhaustion. 2-25/3-3-07 ringing in ears; hot flashes; red spots on body; exhaustion; headache; increased blood pressure. The only symptoms left are body spots; ear ringing as of 12-4-07.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Blister, Culture wound negative, Induration, Injection site erythema, Irritability
Clinical narrative: Erythema surrounding injection site noted 1 day after administration. Fever, induration and spreading erythema on day 2. Blister formed seen in ED. Had blister unrooted. Wound culture sent. Culture results neg. Erythema and induration lessened by days 4-5. Fever, pain and irritable behavior also resolved.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Pain, Pyrexia
Clinical narrative: Erythema surrounding injection site noted 1 day after administration. Fever, induration and spreading erythema on day 2. Blister formed seen in ED. Had blister unrooted. Wound culture sent. Culture results neg. Erythema and induration lessened by days 4-5. Fever, pain and irritable behavior also resolved.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Induration, Skin warm, Swelling
Clinical narrative: Redness, swelling, hardening, warm to touch.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Muscle contractions involuntary, Pain, Pyrexia
Clinical narrative: Approx 6 hours after vaccination, lasted approx 11 hrs chillls, body aches involuntary muscle contraction Fever (not documented)
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Drug exposure during pregnancy, Swelling face
Clinical narrative: Had flu shot on 12/4/07.  12/6/07 awoke with facial swelling, particularly about the eyes.  Has no symptoms of URI or sensitivity.  No fever.  Patient felt this was a reaction to flu shot.  Patient 22 weeks pregnant.
Age: 7.0
Sex: M
Vaccine: FLU3, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Inadvertently administered three doses of varicella (2/14/03) (12/01/06). No known s/sx.
Age: 10.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Eye pain, Eye swelling, Myalgia, Pyrexia
Clinical narrative: Sunday 12/1/07-Started with myalgia, chills, fever 101-left eye swelling. Then 12/5/07 left eye pain and sinus congestion Tx-Zithromax x 5 days, Tobranex eye ointment 12/6/07
Age: 10.0
Sex: F
Vaccine: FLU3
Symptoms: Sinus congestion
Clinical narrative: Sunday 12/1/07-Started with myalgia, chills, fever 101-left eye swelling. Then 12/5/07 left eye pain and sinus congestion Tx-Zithromax x 5 days, Tobranex eye ointment 12/6/07
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Rash
Clinical narrative: Erythema, induration at site, faint regular rash on abdomen and extremities.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Redness around vax site within 15 minutes grew to 3 inches long by 1 inch wide, warm, stayed like that for 20 days, visited doctor several times but was not advised any treatment. After 20 days area was 2 inches long by 12 wide.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Oedema peripheral, Pruritus
Clinical narrative: Received Gardasil 12/6/07. Woke up 12/9/07 with hand, fingers and toes swollen and itching. Cheek bones itching as well. Symptoms resolving 12/11/07
Age: 13.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Syncope
Clinical narrative: Fainted
Age: 12.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Body temperature increased, Petechiae, Platelet count normal
Clinical narrative: Pt received Menactra and Hep A #2 on 11/20/07 - developed temp 100.4 on 12/04/07 along with mild petechial rash scattered sparsely over body.
Age: 11.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Reaction around the injection site (R) arm erythema 24 hr later, with area swelling. Erythema extending to mid arm 48 hr later. No lymphadenopathy
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Culture wound, Injection site discharge, Injection site reaction
Clinical narrative: Pt had an injection site reaction to his flu vaccine. Pt presented 3 days post flu shot with small lesion, slight amount of exudate. Pt was advised to be seen at physicians office. Culture was done. Flu 1 week later, CK was negative and lesion was healing.
Age: 1.3
Sex: M
Vaccine: DTAP, FLU3, VARCEL
Symptoms: Rash
Clinical narrative: Rash 1 month after vaccine
Age: 64.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Incorrect route of drug administration
Clinical narrative: Zostavax was administered IM instead of SQ
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Sore/painful arm persisting since the vaccination on 11/27/07. Must take medication to relieve pain and unable to apply pressure to arm. Will see doctor soon.
Age: 68.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Body temperature increased, Rash macular
Clinical narrative: 12/8/07 had temp of 102.4 w/red blotches from neck down right arm. Took hydrocodone-As of 12/10/07 had slight rash down back of arm.
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 39.0
Sex: M
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Palpitations, Throat tightness
Clinical narrative: Her incident report "states patient had a" racing heart and tightness in throat and chest area, VSS, taken WNL.  RN gave her epinephrine, 911 called, S/S's resolved, patient not transported, patient returned to work.
Age: 49.0
Sex: M
Vaccine: FLU3
Symptoms: Hypoaesthesia, Limb discomfort
Clinical narrative: Per incident report, "nurse gave him his flu shot.  After he left facility, he returned complaining of arm numbness to first three digits, intermittent at this time 12/04/07.  Will seek medical attention if signs and symptoms persists.
Age: 4.0
Sex: M
Vaccine: HEPA, PNC, VARCEL
Symptoms: Pruritus, Swelling, Urticaria
Clinical narrative: Ct rec'd vaccine around 12p-arond 6-7 pm on 10/17/07 mom noticed swelling under (L) eye. hives on (L) side from neck, down arm and legs with itching on day #2 Hives disappeared, but client c/o itching over entire body on Day #3-No symptoms at all-client had no complaints
Age: 43.0
Sex: F
Vaccine: DTAP
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Pain, redness, swelling, warmth at site x 7 days - then went to MD - paced on Z-pack and Aleve for cellulitis - reaction to vaccination.
Age: 64.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Dizziness, Headache, Injected limb mobility decreased, Pain, Syncope
Clinical narrative: C/O lots of pain. Pt. reports dizziness and fainting, unable to raise arm above her shoulder, pain over to collar bone, headache. Went to ER. Pt reports WBC's were "way up".
Age: 64.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: White blood cell count increased
Clinical narrative: C/O lots of pain. Pt. reports dizziness and fainting, unable to raise arm above her shoulder, pain over to collar bone, headache. Went to ER. Pt reports WBC's were "way up".
Age: 64.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Back pain, Chest pain, Injected limb mobility decreased, Injection site pain, Laboratory test
Clinical narrative: C/O lots of pain. Pt. reports dizziness and fainting, unable to raise arm above her shoulder, pain over to collar bone, headache. Went to ER. Pt reports WBC's were "way up".
Age: 64.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Loss of consciousness, Pain, Pain in extremity
Clinical narrative: C/O lots of pain. Pt. reports dizziness and fainting, unable to raise arm above her shoulder, pain over to collar bone, headache. Went to ER. Pt reports WBC's were "way up".
Age: 1.0
Sex: M
Vaccine: HEP, HIBV, MMR, PNC, VARCEL
Symptoms: Convulsion, Drooling, Musculoskeletal stiffness, Unresponsive to stimuli
Clinical narrative: Story told by Mom 12-3-07. In HD 10-18-07 *30 for well check and shots - Mom states had seizure in car at 530 PM. Mom driving. Mom present - stiff, drooling, unresponsive x 15 min per Mom - ambulance called and he woke up with them present - taken to ER - Mom states no fever at ER/no tx. To see doctor 10-19-07/ child had 2 previous seizures, both on same day 7-17-07 per Mom - had 103 fever per Mom/no tx by doctor 10-19-07 per mom.
Age: 46.0
Sex: F
Vaccine: HEPAB
Symptoms: Abdominal pain upper, Hypoaesthesia, Hypoaesthesia facial, Paraesthesia
Clinical narrative: 12pm 9-5-07 received Twinrix - sharp pain in stomach, then L arm & hand tingly, then L side numbness whole body.  L arm, leg & face no drooping on face.  Symptoms lasted 1 hour, gradual regression.
Age: 0.2
Sex: F
Vaccine: DTAP, PNC
Symptoms: Premature baby
Clinical narrative: A premature child requiring vigorous stimulation.
Age: 1.69
Sex: M
Vaccine: DTAP, HEPA, HIBV, MMR
Symptoms: Oedema peripheral, Rash
Clinical narrative: MMR #1 3-21-07; MMR #2 11-5-07; rash, swelling L thigh.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: "About 10 spots on clients back, chest and arms". Began on 12/4/07. Mom using Caladryl lotion, no fever. Child acts like he feels no illness per Mom.
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: L arm swollen, red, painful.  Treated with antibiotic Keflex 500mg tid x10 days.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site pruritus
Clinical narrative: Localized reaction and itching
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Induration, Skin warm
Clinical narrative: 7.5cm x 5cm redness, warm to touch, induration to L deltoid.  No treatment given.
Age: 1.5
Sex: F
Vaccine: VARCEL
Symptoms: Rash pruritic
Clinical narrative: Crusted, itchy rash - varicella suspected.
Age: 43.0
Sex: F
Vaccine: PPV
Symptoms: Injection site induration
Clinical narrative: Induration about 5" diameter at left deltoid injection site.
Age: 32.0
Sex: F
Vaccine: TD
Symptoms: Blood test normal, Dizziness, Headache, Nausea, Pain
Clinical narrative: Headache, lightheadedness, body aches, arm pain, nausea, fever.
Age: 32.0
Sex: F
Vaccine: TD
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Headache, lightheadedness, body aches, arm pain, nausea, fever.
Age: 12.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Injection site cellulitis, Local reaction
Clinical narrative: Cellulitis vs Local Rxn at site of Varicella vaccine
Age: 23.0
Sex: F
Vaccine: HEPA
Symptoms: Rash
Clinical narrative: Rash over torso.
Age: 6.0
Sex: M
Vaccine: DTAP, HEP, MMR
Symptoms: Erythema, Injection site pruritus, Oedema peripheral, Skin warm
Clinical narrative: Mom stated 12-6-07, child c/o itching to left arm where vaccine was given. Child continued to c/o itching throughout day and evening. Mom was not concerned. Child c/o itching this morning and went to school. School nurse called and request the child be seen by MD. Presented to HD with left arm red, swollen, hot to touch from shoulder to elbow. Contacted doctor - encouraged child to go to ER for tx.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Swelling of immunization site to baseball size, (+) erythema, (+) warmth
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Induration
Clinical narrative: 8cm erythematous indurated; one central papule but no vesicles.  Today 4cm erythematous induration.  Benadryl and warm compresses.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Has redness and swelling on right upper arm. Feels hot and swollen. Keflex 250 mg bid x 10 days.
Sex: U
Vaccine: FLU3, HEP, UNK
Symptoms: Drug dispensing error
Clinical narrative: The wrong medication never reached the patient.  The patient received Hepatitis vaccine as prescribed.  Outside packaging looks the same.  Both items are ordered in large quantities.  Both items stored in same location in the refrigerator due to space constraints.  Flu vaccine only available from August-March.  Syringes look-alike so even after opening they are not easily distinguished.  All the hepatitis was removed from the packaging and placed into a bin.  All the flu vaccine was bagged into zip lock bags and labeled FLU VACCINE.
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Rash
Clinical narrative: A female patient (age not known) had received an injection of Menactra, lot number unknown; and a second dose injection of Gardasil, lot number unknown; on an unknown date. At an unknown onset post-vaccination, the patient developed a rash. She had not developed a rash following the first vaccination with Gardasil. At the time of this report, recovery status was unknown.
Sex: U
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Insomnia, Pyrexia, Rash
Clinical narrative: Rash on belly 12/7/07. Fever up to 100 F for 12 days after immunizations.  Not sleeping well.
Age: 39.0
Sex: M
Vaccine: ANTH, FLUN3
Symptoms: Dyspnoea, Erythema, Feeling abnormal, Injection site rash, Pharyngeal oedema
Clinical narrative: Received anthrax vaccination late morning Dec 8, 2007. Started feeling bad approx 2230 with "facial redness, shortness of breath, puffiness around throat, and rash around injection site. Member took Advil 400 mg. When speaking with Dr., member states he feels "back to normal."
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Activities of daily living impaired, Arthralgia, Flank pain, Injection site induration, Injection site swelling
Clinical narrative: developed severe body aches and joint aches. Pt describes not being able to get out of bed. Site was swollen and hard. Body hot to touch. Pt took tylenol. Did not see a doctor. Pt states today is the first day she has been feeling better, but still having flank discomfort.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Skin warm
Clinical narrative: developed severe body aches and joint aches. Pt describes not being able to get out of bed. Site was swollen and hard. Body hot to touch. Pt took tylenol. Did not see a doctor. Pt states today is the first day she has been feeling better, but still having flank discomfort.
Age: 40.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia
Clinical narrative: Approximately 3 weeks after immunization I got severe joint pain, knees, ankles, fingers, wrists etc., the pain lasted 4-5 days and lessened in serverity over that time.  I took Advil for the pain.
Age: 29.0
Sex: F
Vaccine: ANTH
Symptoms: Dizziness, Headache, Heart rate irregular, Rash
Clinical narrative: Rash in arms and legs, Headeach, strange heart beat and sometimes dizziness.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Activities of daily living impaired, Decreased appetite, Diarrhoea, Ocular hyperaemia, Pharyngolaryngeal pain
Clinical narrative: Patient received varivax yesterday morning at 10AM. At 2pm she developed fever to 100.4F. Mother gave her some tylenol. At 4pm, patient developed an itchy rash (hives) diffuse. Mother has been giving tylenol every four hours. Highest temp was 100.9F at 1am today. Patient did not have any new food exposures that afternoon (carrots, potatoes, ham, green beans, salmon). She had slight sore throat since this morning (no complaints yesterday). She is not receiving any additional medication. No headaches. No N/V/abd pain. She does have some diarrhea (2 BMs today without blood or mucus; stool is real "watery"). No other sick contacts. Patient was not in school since Wednesday of last week. No difficulty breathing or facial or tongue swelling. She has not been taking her claritin.  Of note, patient was seen on 12/10 for a history of right red eye then bilateral red eyes on wednesday (12/6) which resolved over the next two days. It was definitely resolved at her visit on 12/10. Pt with slight sore throat since Wed night (12/6). Fever on Thurs (12/7) to 101F which resolved. She was noted to be eating less but taking fluids well with recent void. No vomiting. No rash. Patient with hx of periumbilcal pain for the past two months with hx of constipation. Last BM was wednesday (12/6) followed by BM on saturday (12/8). On saturday (12/8) her bowel movement was "hard." No blood in the stool. Mother does not note an association of abd pain with meals or types of foods. No tenesmus. No change in abdominal pain with defecation. No dysuria, frequency, or urgency. No hx of UTIs. Mother has tried heating pads with some relief. She has not tried any OTC antacids. No OTC analgesics.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Rash pruritic, Urticaria
Clinical narrative: Patient received varivax yesterday morning at 10AM. At 2pm she developed fever to 100.4F. Mother gave her some tylenol. At 4pm, patient developed an itchy rash (hives) diffuse. Mother has been giving tylenol every four hours. Highest temp was 100.9F at 1am today. Patient did not have any new food exposures that afternoon (carrots, potatoes, ham, green beans, salmon). She had slight sore throat since this morning (no complaints yesterday). She is not receiving any additional medication. No headaches. No N/V/abd pain. She does have some diarrhea (2 BMs today without blood or mucus; stool is real "watery"). No other sick contacts. Patient was not in school since Wednesday of last week. No difficulty breathing or facial or tongue swelling. She has not been taking her claritin.  Of note, patient was seen on 12/10 for a history of right red eye then bilateral red eyes on wednesday (12/6) which resolved over the next two days. It was definitely resolved at her visit on 12/10. Pt with slight sore throat since Wed night (12/6). Fever on Thurs (12/7) to 101F which resolved. She was noted to be eating less but taking fluids well with recent void. No vomiting. No rash. Patient with hx of periumbilcal pain for the past two months with hx of constipation. Last BM was wednesday (12/6) followed by BM on saturday (12/8). On saturday (12/8) her bowel movement was "hard." No blood in the stool. Mother does not note an association of abd pain with meals or types of foods. No tenesmus. No change in abdominal pain with defecation. No dysuria, frequency, or urgency. No hx of UTIs. Mother has tried heating pads with some relief. She has not tried any OTC antacids. No OTC analgesics.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Fluzone trivalent inactivated vaccine given to infant younger than 6 mo. of age.
Age: 38.0
Sex: M
Vaccine: HEPA
Symptoms: Bacterial culture negative, Culture negative, Laboratory test, Rash vesicular
Clinical narrative: 11-08:Hep A adm at apprx 2pm noticed lesion to chest at approx 11pm that same day. 11-16:16 lesions on trunk of body, 11/19 appt with Dr, 11/20 38 lesions, lesions appear similar to chickpox but without liquid in them. Taking Bactrim and topical altabax as per Dr. 11/29 To Infectious Disease for evaluation. 12/03 57 lesions, 12/047 79 lesions no fever or malaise. 12/06 Referred to PA Dermatologist for evaluation to cont with current antibiotic and topicla cream. 12/07 129 lesions and 12/09 now 200 lesions, old lesions still present.
Age: 28.0
Sex: F
Vaccine: MMRV
Symptoms: Medication error
Clinical narrative: None at this time, vaccine error was realized by myself, Office Mgr., after patient left the office today. We will notify patient and follow.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Oedema peripheral
Clinical narrative: Patient had swelling in arm in shich vaccine was administered x 3 per Mom and arm remained swollen x 3 days
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Antinuclear antibody, Asthenia, Blood creatine phosphokinase, Body temperature increased
Clinical narrative: Received Fluzone to left upper arm 10/11/07. Patient noticed that vaccine had been given more anterior upper arm.  10/12/07 developed sorness, redness and warm to touch injection site. 10/13-10/15/07 develped more redness, swelling, itching and overall muscle aches and shooting pains down legs. 10/16/07 seen Employee Health given Benadryl for itching, redness of upper arm 5-6 Inch diameter noted. Generalized itching, not feeling well, headache, weak,  not feeling well. Still have overall muscle aches.  (Has taken flu vaccine in the past) 10/18/07 Employee returned to facility and was given RX for Keflex. Cellulitis left arm.  Swollen lymph nodes left axillary area. Muscle aches all over esp. shoulder, neck, headache. 10/19-10/21/07 Symptoms continued as above except redness of arm and swelling decreased. 10/22/07 Seen muscle aches all over still, "I feel terrible all over" 10/25/07-10/29/07 Same symptoms overall muscle aches, only able to go to work then stayed in bed over the weekend. 10/30/07 Called out of work 10/30/07 felt to ill to work. 10/31/07 Thru 11-05-07 Increase in stiffness and muscle aches, especially in legs, having sharp pains while sitting in legs. Pain scale 10/10 during this time.  Visit 11/06/07 labs drawn *See Below* Employee temp 99.9 orally. Employee to see Primary physician appt 11/07/07. Labs drawn *See below*  Employee's Supervisor allowed her to take medical leave 11/07/07 thru 11/16/07.  11/19/07 9:30 am left message National Vaccine Injury Compensation PRogram 1-800-338-2382 concerning employee symptoms following flu vaccine. 12/11/07 11:45 am spoke with employee at work. Still have generalized muscle aches and feeling tired. Can barely make it through her work day then goes home and rests for the next day. Pain scale now is somewhat improved 5/10. Dr referred patient to Rheumatologist on 01/16/08 for eval and treatment and to determine relation to pain and flu vaccine.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Erythema, Fatigue, Full blood count, Glycosylated haemoglobin
Clinical narrative: Received Fluzone to left upper arm 10/11/07. Patient noticed that vaccine had been given more anterior upper arm.  10/12/07 developed sorness, redness and warm to touch injection site. 10/13-10/15/07 develped more redness, swelling, itching and overall muscle aches and shooting pains down legs. 10/16/07 seen Employee Health given Benadryl for itching, redness of upper arm 5-6 Inch diameter noted. Generalized itching, not feeling well, headache, weak,  not feeling well. Still have overall muscle aches.  (Has taken flu vaccine in the past) 10/18/07 Employee returned to facility and was given RX for Keflex. Cellulitis left arm.  Swollen lymph nodes left axillary area. Muscle aches all over esp. shoulder, neck, headache. 10/19-10/21/07 Symptoms continued as above except redness of arm and swelling decreased. 10/22/07 Seen muscle aches all over still, "I feel terrible all over" 10/25/07-10/29/07 Same symptoms overall muscle aches, only able to go to work then stayed in bed over the weekend. 10/30/07 Called out of work 10/30/07 felt to ill to work. 10/31/07 Thru 11-05-07 Increase in stiffness and muscle aches, especially in legs, having sharp pains while sitting in legs. Pain scale 10/10 during this time.  Visit 11/06/07 labs drawn *See Below* Employee temp 99.9 orally. Employee to see Primary physician appt 11/07/07. Labs drawn *See below*  Employee's Supervisor allowed her to take medical leave 11/07/07 thru 11/16/07.  11/19/07 9:30 am left message National Vaccine Injury Compensation PRogram 1-800-338-2382 concerning employee symptoms following flu vaccine. 12/11/07 11:45 am spoke with employee at work. Still have generalized muscle aches and feeling tired. Can barely make it through her work day then goes home and rests for the next day. Pain scale now is somewhat improved 5/10. Dr referred patient to Rheumatologist on 01/16/08 for eval and treatment and to determine relation to pain and flu vaccine.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site warmth, Laboratory test
Clinical narrative: Received Fluzone to left upper arm 10/11/07. Patient noticed that vaccine had been given more anterior upper arm.  10/12/07 developed sorness, redness and warm to touch injection site. 10/13-10/15/07 develped more redness, swelling, itching and overall muscle aches and shooting pains down legs. 10/16/07 seen Employee Health given Benadryl for itching, redness of upper arm 5-6 Inch diameter noted. Generalized itching, not feeling well, headache, weak,  not feeling well. Still have overall muscle aches.  (Has taken flu vaccine in the past) 10/18/07 Employee returned to facility and was given RX for Keflex. Cellulitis left arm.  Swollen lymph nodes left axillary area. Muscle aches all over esp. shoulder, neck, headache. 10/19-10/21/07 Symptoms continued as above except redness of arm and swelling decreased. 10/22/07 Seen muscle aches all over still, "I feel terrible all over" 10/25/07-10/29/07 Same symptoms overall muscle aches, only able to go to work then stayed in bed over the weekend. 10/30/07 Called out of work 10/30/07 felt to ill to work. 10/31/07 Thru 11-05-07 Increase in stiffness and muscle aches, especially in legs, having sharp pains while sitting in legs. Pain scale 10/10 during this time.  Visit 11/06/07 labs drawn *See Below* Employee temp 99.9 orally. Employee to see Primary physician appt 11/07/07. Labs drawn *See below*  Employee's Supervisor allowed her to take medical leave 11/07/07 thru 11/16/07.  11/19/07 9:30 am left message National Vaccine Injury Compensation PRogram 1-800-338-2382 concerning employee symptoms following flu vaccine. 12/11/07 11:45 am spoke with employee at work. Still have generalized muscle aches and feeling tired. Can barely make it through her work day then goes home and rests for the next day. Pain scale now is somewhat improved 5/10. Dr referred patient to Rheumatologist on 01/16/08 for eval and treatment and to determine relation to pain and flu vaccine.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Lymphadenopathy, Malaise, Musculoskeletal stiffness, Myalgia, Pain
Clinical narrative: Received Fluzone to left upper arm 10/11/07. Patient noticed that vaccine had been given more anterior upper arm.  10/12/07 developed sorness, redness and warm to touch injection site. 10/13-10/15/07 develped more redness, swelling, itching and overall muscle aches and shooting pains down legs. 10/16/07 seen Employee Health given Benadryl for itching, redness of upper arm 5-6 Inch diameter noted. Generalized itching, not feeling well, headache, weak,  not feeling well. Still have overall muscle aches.  (Has taken flu vaccine in the past) 10/18/07 Employee returned to facility and was given RX for Keflex. Cellulitis left arm.  Swollen lymph nodes left axillary area. Muscle aches all over esp. shoulder, neck, headache. 10/19-10/21/07 Symptoms continued as above except redness of arm and swelling decreased. 10/22/07 Seen muscle aches all over still, "I feel terrible all over" 10/25/07-10/29/07 Same symptoms overall muscle aches, only able to go to work then stayed in bed over the weekend. 10/30/07 Called out of work 10/30/07 felt to ill to work. 10/31/07 Thru 11-05-07 Increase in stiffness and muscle aches, especially in legs, having sharp pains while sitting in legs. Pain scale 10/10 during this time.  Visit 11/06/07 labs drawn *See Below* Employee temp 99.9 orally. Employee to see Primary physician appt 11/07/07. Labs drawn *See below*  Employee's Supervisor allowed her to take medical leave 11/07/07 thru 11/16/07.  11/19/07 9:30 am left message National Vaccine Injury Compensation PRogram 1-800-338-2382 concerning employee symptoms following flu vaccine. 12/11/07 11:45 am spoke with employee at work. Still have generalized muscle aches and feeling tired. Can barely make it through her work day then goes home and rests for the next day. Pain scale now is somewhat improved 5/10. Dr referred patient to Rheumatologist on 01/16/08 for eval and treatment and to determine relation to pain and flu vaccine.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Red blood cell sedimentation rate, Rheumatoid factor, Swelling, Urine analysis
Clinical narrative: Received Fluzone to left upper arm 10/11/07. Patient noticed that vaccine had been given more anterior upper arm.  10/12/07 developed sorness, redness and warm to touch injection site. 10/13-10/15/07 develped more redness, swelling, itching and overall muscle aches and shooting pains down legs. 10/16/07 seen Employee Health given Benadryl for itching, redness of upper arm 5-6 Inch diameter noted. Generalized itching, not feeling well, headache, weak,  not feeling well. Still have overall muscle aches.  (Has taken flu vaccine in the past) 10/18/07 Employee returned to facility and was given RX for Keflex. Cellulitis left arm.  Swollen lymph nodes left axillary area. Muscle aches all over esp. shoulder, neck, headache. 10/19-10/21/07 Symptoms continued as above except redness of arm and swelling decreased. 10/22/07 Seen muscle aches all over still, "I feel terrible all over" 10/25/07-10/29/07 Same symptoms overall muscle aches, only able to go to work then stayed in bed over the weekend. 10/30/07 Called out of work 10/30/07 felt to ill to work. 10/31/07 Thru 11-05-07 Increase in stiffness and muscle aches, especially in legs, having sharp pains while sitting in legs. Pain scale 10/10 during this time.  Visit 11/06/07 labs drawn *See Below* Employee temp 99.9 orally. Employee to see Primary physician appt 11/07/07. Labs drawn *See below*  Employee's Supervisor allowed her to take medical leave 11/07/07 thru 11/16/07.  11/19/07 9:30 am left message National Vaccine Injury Compensation PRogram 1-800-338-2382 concerning employee symptoms following flu vaccine. 12/11/07 11:45 am spoke with employee at work. Still have generalized muscle aches and feeling tired. Can barely make it through her work day then goes home and rests for the next day. Pain scale now is somewhat improved 5/10. Dr referred patient to Rheumatologist on 01/16/08 for eval and treatment and to determine relation to pain and flu vaccine.
Age: 29.0
Sex: F
Vaccine: DTAP
Symptoms: Asthenia, Dizziness, Dyspnoea
Clinical narrative: Patient c/o SOB, diszziness, and weakness throughout her body.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Aura, Computerised tomogram normal, Electroencephalogram normal
Clinical narrative: Information has been received from a physician, concerning a 14 year old female patient, with anxiety and depression and no known drug allergies, who was vaccinated IM with the first, second and third doses of Gardasil, 0.5 ml, as follows: dose one on 29-MAR-2007, (lot #653736/0014U), dose 2 on 04-JUN-2007 (lot #656371/0181U), and dose 3 on 05-OCT-2007 (lot #659435/1265U). Concomitant therapy included sertraline HCl (ZOLOFT), mirtazapine (REMERON) and topiramate (TOPAMAX). In mid-April, following the first dose, the patient experienced a seizure. The seizures have occurred weekly. The patient was seen in the emergency room 4 or 5 times, and was examined by a neurologist (details not provided). A 24 hour electroencephalogram showed no epileptic activity, and imaging of the head showed no mass or tumors. The seizures were further described as tonic clonic, with aura. It was not known if the patient was actually hospitalized. At the present time, the patient was not being treated with anti-seizure medications, and the source of the seizures had not been identified. At the time of this report, the seizures were ongoing. The physician considered the events to be serious, as an other important medical event, and as disabling/incapacitating. Additional information has been requested.  3/23/09 Received hospital medical records of 3/29/07-12/11/2007. FINAL DX: no d/c summary dictated & neuro consult dx non-epileptic events, possible panic attacks. Records reveal patient experienced possible seizures since 4/2007.   Right anterior ilias spne tenderness & difficulty walking 8/3/07, hip x-rays neg.   Admitted on 11/14-15/07 for video EEG.  Symptoms included falls, shaking lasting 1-10 min, fatigue, dizziness, metal tast, unable to speak, heart fluttering, nausea/vomiting, anorexia.  Neuro examination WNL. Returned to hospital 12/11-12/12/2007 for continued possible partial seizure/syncope episodes.  Neuro examination WNL.  When 48hr video EEG neg, referred to psych.  4/29/08 Received Neuro consult of 11/8/2007. FINAL DX: Seizure, possible complex partial seizure.  Psychogenic nonepileptic events cannot be entirely ruled out.  Syncope. Records reveal patient experienced increasingly frequent episodes of fatigue, dizziness, metallic taste & disorientation.  Was currently on antiseizure meds & had normal EEGs & CT scan.  Antiseizure meds were d/c & pt scheduled for video EEG.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Urine human chorionic gonadotropin positive
Clinical narrative: Information has been received through the Merck pregnancy registry through a laboratory technician concerning a 19 year old female with a history of sulfonamide allergy (BACTRIM) who on 27-MAR-2007 was vaccinated with the first 0.5 ml dose of Gardasil (Lot # 657006/0188U). There was no concomitant medication. It was reported that on 25-MAY-2007 the patient got a positive pregnancy test through urine HCG test and had a miscarriage on 31-MAY-2007. The patient recovered around the end of May from the miscarriage. The patient did not report any adverse reaction. The patient completed the Gardasil series and received the second dose on 19-Jul-2007 and the third dose on 09-Nov-2007. Unknown medical attention was sought. No product quality complaint was involved. Additional information has been requested.
Age: 1.0
Sex: F
Vaccine: FLUX, HBHEPB, IPV, MMR, VARCEL
Symptoms: Computerised tomogram normal, Muscle twitching, Pyrexia, Rash, Rash generalised
Clinical narrative: Information has been received from a licensed vocational nurse concerning a 12 month old female who on 19-NOV-2007 was vaccinated with a dose of COMVAX (lot#657380/0377U). Concomitant vaccinations on 19-NOV-2007 included Varivax (lot #658932/1343U), MMR (lot# 657118/0865U), influenza virus vaccine (unspecified), poliovirus vaccine. Illness at the time of vaccination, included a mild ear infection that was treated with amoxicillin. On 27-NOV-2007 the patient was taken to the emergency room and was diagnosed with mild ear infection and also had a fever, mild unspecified rash and mild twitching symptoms. However, these symptoms were not treated. Therapy with amoxicillin was discontinued and therapy with amoxicillin (+) clavulanate potassium was initiated. In the evening on 27-NOV-2007, the patient was taken back to the same emergency room because the patient had 30 minutes of seizure-like activity (twitching). The patient was administered VALIUM and ATIVAN and performed unspecified blood work, chest x-ray and computed axial tomography (all within normal limits). The patient was hospitalized for 24 hour monitoring. During the night, the patient's rash worsened and covered the patient's body. On 28-NOV-2007, the patient was discharged from the hospital. On 29-NOV-2007, the patient follow-up with the pediatrician. Therapy with amoxicillin (+) clavulanate potassium was discontinued and the ear infection, rash and fever were gone. On 29-NOV-2007, the patient recovered. The reporting licensed vocational nurse considered fever, mild unspecified rash, mild twitching symptoms and seizure-like activity (twitching) to be other important medical events. The reporting licensed vocational nurse considered seizure-like activity (twitching) to be immediately life-threatening. Additional information has been requested. 1/30/08-records received for DOS 11/27-11/28/07-DC DX:Convulsions. Otitis media. Previously seen by physician for otitis media which did not resolve. Developed seizure activity with shaking and jerking of upper extremity and twitching. Active tonic colonic seizures observed in ED. Fever 102.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash erythematous, Rash macular
Clinical narrative: Shot given at 2:45 pm.  At 4:45 pm itching of breast, rash bright redd on neck, ears arms and shoulders blotchy, no resp distress, no difficulty swalling.  At urgent care at 7 pm rash and itchiness mostly gone. some blotches remained given cimetidine 300 mg 1 po q 8hrs x 3 days, prednisone 20 mg 1 po bid x 3 days, benafryl 2 caps po q 8 hrs.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Pt recevied DTaP on 12/10/07 and today came to the office with Right thigh swollen with red/warm demarcated area.Pt was given Atarax and Epson salt soak 15-20 min 3 times per day for 3-5 days
Age: 2.0
Sex: F
Vaccine: FLUX
Symptoms: Convulsion, Electroencephalogram abnormal, Laboratory test, Partial seizures, Tremor
Clinical narrative: Started having partial seizures on Dec 5, sometimes every 5 mins. Dec 10 return to doctor cause they are becoming more frequent, longer & more shaking.
Age: 50.0
Sex: M
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Pain, Pyrexia, Respiratory tract congestion
Clinical narrative: Cold-like congestion, followed by fever (102F) and severe aches for four days; missed one day work on third day (Mon.)
Age: 44.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Arthralgia, Diarrhoea, Headache, Injection site swelling, Injection site warmth
Clinical narrative: Member complains headache, arm swelling at injection site with heat and tingling to right elbow, and aching joints to right arm. Also states started having diarrhea 12/9/07 morning. Member self-medicated with Tylenol and anti-diarrheal medication (OTC) with little relief.
Age: 44.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Paraesthesia, Skin warm
Clinical narrative: Member complains headache, arm swelling at injection site with heat and tingling to right elbow, and aching joints to right arm. Also states started having diarrhea 12/9/07 morning. Member self-medicated with Tylenol and anti-diarrheal medication (OTC) with little relief.
Age: 36.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Arthralgia, Fatigue, Injection site erythema, Pain, Pyrexia
Clinical narrative: Fever 101.1 F, with body aches and joint pain and fatigue. Redness at injection site. Self-medicated with Motrin as needed. Remains unchanged. No medicines today.
Age: 1.5
Sex: M
Vaccine: DTAP, FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Lt.upper thigh reddened ( 2 ins in diameter) and swollen around injection site. Mom stated reaction occurred approx. 24 hrs after shot given. Mom reported she applied warm cloths to area and gave Tylenol q4h.
Age: 49.0
Sex: F
Vaccine: MMR, TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Lymph node pain, Pyrexia
Clinical narrative: Pt presented to Health Unit with complaints of swelling, redness, and soreness at injection site.  Patient also complained of sore lymph node under armpit.  Patient had a TD and MMR in the left arm on 12/6/07 and states s/s began 12/8/2007 in the p.m.  Lt arm area assessed with redness all along the deltoid area reaching to the area of the  inner elbow, with swelling was also noted. Pt. also stated she had had a fever, but did not take her temp., so actual reading of temp. could not be obtained.
Age: 0.33
Sex: M
Vaccine: DTAPH
Symptoms: Medication error, No adverse reaction
Clinical narrative: 12-11-2007 at approx 09:00am a Dtap/ Hib vaccine (Trihibit) was given by this nurse in error. He is a 4 month old client.  No problems are reported and no noted problems prior to leaving clinic.  However the Hib part of the vaccine is an invalid dose given by this nurse.