chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Drug hypersensitivity, Syncope
Clinical narrative: Syncopal episodes 4 days after vaccines administered occurred x3. First time in shower.  6/6/08 Reviewed PCP medical records & vax records.  Good health on day of vax, only hx of dysmennorhea.  Started bcp 2 days s/p vax & then 2 days later stared syncope.  6/13/08 Reviewed ER medical records of 5/27/08. FINAL DX: syncope, orthostatic Records reveal patient experienced dizziness & weakness while in the shower, felt things going black.  Had syncopal episodes x 3.  In ER, pale & weak.  Had started birth control 2 days prior.  Orthostatic in ER.  D/C to home to be f/u by PCP next day.
Age: 0.3
Sex: F
Vaccine: HEP, HIBV, IPV, TDAP
Symptoms: Wrong drug administered
Clinical narrative: Patient given Tdap. (RT-IM) Sanofi C2889AA Mar 27 2010
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Drug administered at inappropriate site, Injection site erythema, Injection site pain, Paraesthesia
Clinical narrative: C/o soreness, redness at inj. site.  C/o tingling both R & L buttock 1 wk after Inj.
Age: 0.7
Sex: F
Vaccine: HIBV, IPV, PNC, TDAP
Symptoms: Wrong drug administered
Clinical narrative: Patient given Tdap RT/DM Sanofi C2889AA Mar 27, 2010
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Abdominal pain, Body temperature increased, Chest discomfort, Diarrhoea, Nausea
Clinical narrative: Severe leg/thigh pain,12 hrs after administration abdominal pain - day#2, with nausea, diarrhea (5/20/); Temp 100.4 day #3, sternal chest discomfort - responded to Albuterol (history of asthma) (5/21)
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Pain in extremity
Clinical narrative: Severe leg/thigh pain,12 hrs after administration abdominal pain - day#2, with nausea, diarrhea (5/20/); Temp 100.4 day #3, sternal chest discomfort - responded to Albuterol (history of asthma) (5/21)
Age: 4.0
Sex: M
Vaccine: HEPA, IPV, TDAP
Symptoms: Wrong drug administered
Clinical narrative: Tdap (Adacel) was given instead of DTaP. Nurse that administered vaccine was filling in at our office.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Cyanosis, Hypokinesia
Clinical narrative: Approximately six hours after vaccines given, patient awoke from nap with decreased activity and episode of cyanosis.  No WOB, respiratory distress, activity, etc.  Full sepsis work up with treatment possible UTI (uncircumcised male).
Age: 11.0
Sex: F
Vaccine: MEN, TD, VARCEL
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Arm swelled up to the size of an egg, bumpy and very red
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Culture positive, Erythema, Pain, Pruritus
Clinical narrative: 3-4-08 shingles vaccine. 3-17-08 Catheter ablation surg. Rt leg with accidental 2nd Deg. burn wound at cath. insertion site. 4-18-08 multiple vesicles, erythema, pruritus, deep pain at cath insert site. 4-21-08 Dr Rx Altabax 4mg; AVELOX 400mg x 10 days
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Thermal burn
Clinical narrative: 3-4-08 shingles vaccine. 3-17-08 Catheter ablation surg. Rt leg with accidental 2nd Deg. burn wound at cath. insertion site. 4-18-08 multiple vesicles, erythema, pruritus, deep pain at cath insert site. 4-21-08 Dr Rx Altabax 4mg; AVELOX 400mg x 10 days
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Abnormal behaviour, Culture stool negative, Haematochezia, Mucous stools, Occult blood positive
Clinical narrative: "inconsolable" 5/18-21. 5/21/08 Bloody tinged mucous in stool, normal exam; was observed
Age: 46.0
Sex: F
Vaccine: HEPA, IPV, MMR, TYP, YF
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Noted yesterday to develop "itching, quarter to nickel size raised, red areas" on top of back thighs area, right mid back and right wrist.  Instructed her to notify her physician.  No other complaints.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, VARCEL
Symptoms: Blood pressure, Breath holding, Heart rate normal, Mydriasis, Oxygen saturation
Clinical narrative: Syncopal episode 6 minutes after receiving 4 vaccines possible tonic due to breath holding - Difficult to arouse verbally but responded to sternal rub. Pupils dilated 4:53pm P.O. 99;HR 60 B/P 152/78; 5pm Pulse Ox 99; HR 78; 142/72
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, VARCEL
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Syncopal episode 6 minutes after receiving 4 vaccines possible tonic due to breath holding - Difficult to arouse verbally but responded to sternal rub. Pupils dilated 4:53pm P.O. 99;HR 60 B/P 152/78; 5pm Pulse Ox 99; HR 78; 142/72
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Musculoskeletal pain, Pain
Clinical narrative: Pt. describe being given Tdap vaccine in (L) upper arm- slightly to rear of thickest area of deltoid. Had pain in shoulder (top & front) that aches while at rest and is sharp pain w/arm movement. Still c/o this pain.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Injection site erythema
Clinical narrative: Red area on shots 1 inch below and above not circumferential
Age: 17.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Dizziness, Gaze palsy, Hallucination, visual, Pain in extremity, Syncope
Clinical narrative: Within 3 minutes of administering HPV & Tdap (BOOSTRIX), patient's eyes rolled back and patient fainted. Came to within 1-2 minutes. Doesn't remember episode. States she saw lights and was dizzy. Episode happened after 2nd shot (HPV) given. Pt. stated it hurt and arm felt achy just before fainting
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Erythema, Malaise, Oedema peripheral, Pain
Clinical narrative: Arm area swollen - formed a red spot size of 50 cent raised - painful - some itching.  Do not feel well - no energy.  Contacted doctors office.  Keeping close watch on it.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus
Clinical narrative: Arm area swollen - formed a red spot size of 50 cent raised - painful - some itching.  Do not feel well - no energy.  Contacted doctors office.  Keeping close watch on it.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain of skin, Rash, Rash pruritic
Clinical narrative: Started as just itching, then painful rash on back extending towards the anterior trunk. Patient was treated with FAMVIR 500mg BID x 7days.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Herpes zoster
Clinical narrative: Developed shingles after third injection  6/3/08 Reviewed PCP medical records & vax records.  Patient received HPV #1 0688F on 12/15/2006 LUE; HPV #2 0811U RUE 2/16/2007; & HPV #3 as reported.  Office note of 1/10/08 states had shingles 6/2007 as did her twin sister who had also received all 3 HPV vaccines on different dates.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus, Skin swelling, Skin warm, Tenderness
Clinical narrative: Area approximately 30mm in size - red and warm to touch. Area has 4-5 raised areas approximately 5mm in size. Complained of tenderness and itching. Seen by MD and placed on ACYCLOVIR 800mg 5x/d x 7d.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Herpes zoster
Clinical narrative: Developed shingles after 3rd shot.  6/3/08 Reviewed PCP medical records & vax records.  Patient received HPV #1 0928U 10/15/2007 LUE; HPV #2 1266U 12/14/2007 LUE; & HPV #3 as reported.  No mention of shingles in notes provided.  Patient's twin sister had shingles after HPV #3 on different dates.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dry skin, Unresponsive to stimuli
Clinical narrative: About 45 or 60 seconds after HPV vaccination became non-responsive for 15-20 seconds - mom reports has happened on other occasions such as after blood work. Did not quit breathing, chewed gum, skin w/dry - walked to exam table 4 ft away rested few minutes; B/P 108/64 HR 74 - left unassisted.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Immediate post-injection reaction, Unresponsive to stimuli
Clinical narrative: About 45 or 60 seconds after HPV vaccination became non-responsive for 15-20 seconds - mom reports has happened on other occasions such as after blood work. Did not quit breathing, chewed gum, skin w/dry - walked to exam table 4 ft away rested few minutes; B/P 108/64 HR 74 - left unassisted.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness
Clinical narrative: Dizziness within 10 minutes of receiving vaccine. Had a doctor appointment scheduled already. Patient reported commonly having dizziness, unknown if coincidental event.
Age: 54.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Induration, Oedema peripheral, Pyrexia
Clinical narrative: Patient received Td vaccine L deltoid 04/29/05 at 8:05 AM.  04/30/08 pt. had fever 101 degrees at 5pm took aspirin.  05/01/08 arm red & swollen  from armpit to midsection of arm with "knot" below armpit.  Treated by Priv. Dr. 05/02/08.
Age: 0.6
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Cellulitis, Irritability, Pyrexia
Clinical narrative: Infant had immunization 4-7-08 was fussy that afternoon; When infant woke up 4-8-08 had fever 103deg - took infant to ER and was diagnosed with cellulitis of right leg.
Age: 1.1
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Body temperature, Rash
Clinical narrative: Twenty to thirty minutes past injection of PREVNAR, MMR, Varicella, and Hep A child has red bumps on chest, back, stomach, and chin. Axillary temp 95.3.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Erythema, Injection site pain, Oedema peripheral, Palpitations, Skin warm
Clinical narrative: Patient received vaccines on afternoon of 4/2/08. Developed symptoms the following day - erythema, swelling at right anterior thigh. On 4/4/08, mom noted increased swelling, erythema, heat and child complained of pain at site. Child brought to clinic for evaluation. Large area of erythema, edema, and heat noted across right anterior thigh with complaint of tenderness with palpation. Advised mom to take child to emergency room.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Tenderness
Clinical narrative: Patient received vaccines on afternoon of 4/2/08. Developed symptoms the following day - erythema, swelling at right anterior thigh. On 4/4/08, mom noted increased swelling, erythema, heat and child complained of pain at site. Child brought to clinic for evaluation. Large area of erythema, edema, and heat noted across right anterior thigh with complaint of tenderness with palpation. Advised mom to take child to emergency room.
Age: 0.7
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Rash, Retching, Urticaria
Clinical narrative: Phone call from grandmother stating noted "rash, hives" to diaper area at 11:00pm last night, then rash spread rapidly to rest of body & child started "gagging".  Was taken to ER where she was given TYLENOL 120mg at 12:30am & prednisone 5ml at 12:35am.  Grandmother states better today, rash to "back of knees" only.  Has prescription for prednisone 15/5, 2.5cc twice a day.
Age: 61.0
Sex: M
Vaccine: HEPAB, TYP
Symptoms: Abdominal distension, Blood test, Muscle spasms, Nausea, X-ray
Clinical narrative: Clients reports on 2-12-08 he developed nausea, cramps and bloating 3 days after receiving vaccinations on 1/9/08. Patient saw PCP on 2-02-08 and had x-rays, blood work, antibiotics for possible bacterial infection. States was also presented pills for bloating. States is scheduled for endoscopy 2-19-08
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, HIBV, IPV
Symptoms: Erythema, Eyelid oedema, Oedema peripheral, Pruritus, Pyrexia
Clinical narrative: Immunizations administered on 01/24/08.  Rash started on 01/29 at 700am.  Large areas of hives-whelps (raised & red) all over body.  Eyelids swollen, feet swollen.  Has run some fever yesterday and a little today.  Some itching.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, HIBV, IPV
Symptoms: Rash, Swelling, Urticaria
Clinical narrative: Immunizations administered on 01/24/08.  Rash started on 01/29 at 700am.  Large areas of hives-whelps (raised & red) all over body.  Eyelids swollen, feet swollen.  Has run some fever yesterday and a little today.  Some itching.
Age: 46.0
Sex: M
Vaccine: HEPAB
Symptoms: Dyspnoea, Hot flush, Palpitations, Throat tightness
Clinical narrative: Client became short of breath, felt throat closing, "felt hot inside - even eyeballs", heart was pounding. This happened as he was driving back to work; had not stayed the recommended 20 minutes post vaccination. When arrived at work, co-worker called here. I advised "calling 911 and send vaccination papers with client." Went to hospital by ambulance, responded favorably to O2. Saw PCP as follow up.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Dizziness, Vomiting, Wrong technique in drug usage process
Clinical narrative: administered Tdap, Menactra, Hep A IM and drew up and administered sterile diluent solution SC instead of diluting varicella vaccination solid and then administering.  immediately upon administration of sterile diluent, pt. complained of lightheadedness, was too dizzy to walk.  Sat in chair and vomited x2.  Several minutes later, pt. stated sxs were gone.  1/2 hr later, patient left clinic with family.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Asthma, Condition aggravated, Rash pruritic
Clinical narrative: reported rash on arm-- across entire back, itchy lasting 1-2 wks (not seen by provider) and worsening of asthma symptoms
Age: 27.0
Sex: F
Vaccine: ANTH
Symptoms: Burning sensation, Culture, Erythema, Incisional drainage, Injection site erythema
Clinical narrative: Soldier presented to the Troop Medical Clinic on 5/25/08 with c/o red raised area at Anthrax vaccination site. Pain reported at an 8/10. Burning sensation radiating up arm. Papule measuring 3 by 8cm to the left upper arm noted. Area was erythematous and circular in shape. I&D done via needle aspiration. Orders given for Bactrim DS bid x 10 days, Augmentin 875mg bid times ten days, Methylprednisolone 4mg, Hydroxyzine 25mg, Ceftriaxone 2GM IM stat, Aerobic culture taken, Triamcinolone and Diphenhydramine were also ordered. Diagnosed with local infection following vaccination. Returned to clinic on 5/26/08 and given quarters x 72 hours, meds continued and soldier was provided with supplies for dressing changes. Seen again on 5/27/08 and given Ceftriaxone 2GM IM stat and Triamcinolone 60MG IM stat. Seen again on 5/28/08 with improvement in sx noted. Area measures 1cm by 1cm at this time. Orders given to return to full duty and follow up as needed.
Age: 27.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site swelling, Localised infection, Pain, Rash papular
Clinical narrative: Soldier presented to the Troop Medical Clinic on 5/25/08 with c/o red raised area at Anthrax vaccination site. Pain reported at an 8/10. Burning sensation radiating up arm. Papule measuring 3 by 8cm to the left upper arm noted. Area was erythematous and circular in shape. I&D done via needle aspiration. Orders given for Bactrim DS bid x 10 days, Augmentin 875mg bid times ten days, Methylprednisolone 4mg, Hydroxyzine 25mg, Ceftriaxone 2GM IM stat, Aerobic culture taken, Triamcinolone and Diphenhydramine were also ordered. Diagnosed with local infection following vaccination. Returned to clinic on 5/26/08 and given quarters x 72 hours, meds continued and soldier was provided with supplies for dressing changes. Seen again on 5/27/08 and given Ceftriaxone 2GM IM stat and Triamcinolone 60MG IM stat. Seen again on 5/28/08 with improvement in sx noted. Area measures 1cm by 1cm at this time. Orders given to return to full duty and follow up as needed.
Age: 38.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Eye pain, Migraine, Nausea
Clinical narrative: Major headache (migraine), Nausea, Eyes hurt.  6/6/08 Reviewed ER medical records for 5/28/2008 FINAL DX: Records reveal patient experienced nausea, chills & HA which he rated as 8.5-9 since 5/18. LP done.   7/4/08 Reviewed neuro consultant medical records of 5/30/08 FINAL DX: mild aseptic meningitis, likely secondary to smallpox vaccine Records reveal patient experienced intermittent nausea s/p vaccination for approx 2 weeks.  Then developed severe HA w/o relief until seen in ER & given parenteral pain meds.
Age: 38.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: CSF test, Computerised tomogram abnormal, Headache, Lumbar puncture, Nausea
Clinical narrative: Major headache (migraine), Nausea, Eyes hurt.  6/6/08 Reviewed ER medical records for 5/28/2008 FINAL DX: Records reveal patient experienced nausea, chills & HA which he rated as 8.5-9 since 5/18. LP done.   7/4/08 Reviewed neuro consultant medical records of 5/30/08 FINAL DX: mild aseptic meningitis, likely secondary to smallpox vaccine Records reveal patient experienced intermittent nausea s/p vaccination for approx 2 weeks.  Then developed severe HA w/o relief until seen in ER & given parenteral pain meds.
Age: 38.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Nuclear magnetic resonance imaging brain abnormal, Pain
Clinical narrative: Major headache (migraine), Nausea, Eyes hurt.  6/6/08 Reviewed ER medical records for 5/28/2008 FINAL DX: Records reveal patient experienced nausea, chills & HA which he rated as 8.5-9 since 5/18. LP done.   7/4/08 Reviewed neuro consultant medical records of 5/30/08 FINAL DX: mild aseptic meningitis, likely secondary to smallpox vaccine Records reveal patient experienced intermittent nausea s/p vaccination for approx 2 weeks.  Then developed severe HA w/o relief until seen in ER & given parenteral pain meds.
Age: 46.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Patient reports that during the night 5/19/2008 he woke with itching and rash. Patient was seen 5/22/2008 with raised urticarial wheals ranging from 2-4cm on trunk and extremities. No local reaction nor wheals at injection site. Patient reports that wheals "come and go" and improves with Benadryl.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, PNC, RV5
Symptoms: Blood thromboplastin, Full blood count, Irritability, Petechiae, Prothrombin time
Clinical narrative: Petehia Bilaterally Lower legs, below knees, irritable x 1d.  No treatment
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, PNC, RV5
Symptoms: Red blood cell sedimentation rate, Streptococcal identification test, Urine analysis
Clinical narrative: Petehia Bilaterally Lower legs, below knees, irritable x 1d.  No treatment
Age: 1.0
Sex: M
Vaccine: HEPA, PNC, VARCEL
Symptoms: Computerised tomogram normal, Convulsion, Electroencephalogram normal, Nuclear magnetic resonance imaging normal, Unresponsive to stimuli
Clinical narrative: Child awoke alert from afternoon nap.  Had a diaper change and was placed in his high chair for a meal. Moments after, child went into a staring seizure and was unresponsive.  I was notified by caregiver (grandmother) and the ambulance was also notified.  Child remained in the unresponsive state for about 5 minutes (right before the paramedic was to administer something to bring him out).  There were no signs leading to this.  He was taken to Hospital.  Received a CT scan that evening.  No seizure medication was given.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Anorexia, Arthralgia, Dizziness, Fatigue, Injection site erythema
Clinical narrative: Patient states"on 5-23-08 at 10:00 AM received shot. Two hours later began to feel pain,nausea,and light headed.Not feel like eating at all.The same night i ran a fever and was under a lot of pain.Took Motrin as directed.on morning of 5-24-08 woke up with redness underneath the shot site and did not feel good,wanted to sleep all the time with no strenght." continued that night eith pain at injection site and aches in joints that prevented sloeep.On 5-25-08 "redness spread further down my arm,wanted to sleep,continued taking Motrin and using cold packs" On 5-26-08 continued with lack of appetite,pain and fatigue.continued motrin and cold packs to left arm. On 5-27-08 reported to immunization clinic.Had beneath the injection site two areas of erthema measuring 7cm long by4cm wide.Instructed to try an antihistamine, use moist warm packs and continue with the motrin and move arm.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Malaise, Nausea, Pyrexia, Somnolence
Clinical narrative: Patient states"on 5-23-08 at 10:00 AM received shot. Two hours later began to feel pain,nausea,and light headed.Not feel like eating at all.The same night i ran a fever and was under a lot of pain.Took Motrin as directed.on morning of 5-24-08 woke up with redness underneath the shot site and did not feel good,wanted to sleep all the time with no strenght." continued that night eith pain at injection site and aches in joints that prevented sloeep.On 5-25-08 "redness spread further down my arm,wanted to sleep,continued taking Motrin and using cold packs" On 5-26-08 continued with lack of appetite,pain and fatigue.continued motrin and cold packs to left arm. On 5-27-08 reported to immunization clinic.Had beneath the injection site two areas of erthema measuring 7cm long by4cm wide.Instructed to try an antihistamine, use moist warm packs and continue with the motrin and move arm.
Age: 17.0
Sex: U
Vaccine: VARCEL
Symptoms: Injection site erythema
Clinical narrative: pt. developed erythema at site of vaccination, are measured 2" across was nontender
Age: 1.08
Sex: M
Vaccine: TDAP
Symptoms: Wrong drug administered
Clinical narrative: No Symptoms. Gave Tdap instead of DTaP. The boxes are very similar. I checked the vaccine bottle label. I administered the Tdap. This is the 4th dose. Found the error when entering vaccines into the MOHSAIC system.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Inappropriate schedule of drug administration, Medication error
Clinical narrative: Patient was given third HepA vaccine.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Chills, Ear pain, Headache, Injection site swelling
Clinical narrative: Fever (100.8) and chills, body and joint aches. Persistent headache, right ear pain, excessive swelling at the site(left arm) and armpit.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Oedema peripheral, Pain, Pyrexia
Clinical narrative: Fever (100.8) and chills, body and joint aches. Persistent headache, right ear pain, excessive swelling at the site(left arm) and armpit.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral, Tenderness
Clinical narrative: Pt called approximately two hours after receiving a pneumonia vaccine with c/o local swelling of arm with redness and tenderness.  She was instructed to use ice and otc analgesics and to observe for any worsening sx such as angioedema or dyspnea.  Pt came in to clinic in am approx 18 hrs after the administration with c/o of worsening redness and swelling and tenderness.  No dyspnea or angioedema of mouth or lips. Pt was afebrile.
Age: 54.0
Sex: F
Vaccine: MMR
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood alkaline phosphatase increased, Blood bilirubin increased, Fatigue
Clinical narrative: Macular papillary rash presented to ED 5/9/08. Afebrile during duration of illness. c/o fatigue.  In ED clinical signs of viral exanthem. Suspicious for liver disease, or occult hepatitis. 7/7/08-records received for DOS 5/9/08-DX: Viral syndrome. Elevated liver function test. Diarrhea. Viral exanthem, UTI, trichomonas vaginalis. Presented to ED with 4 day history of non-bloody diarrhea, malaise and arthralgias mostly located in neck and shoulder area. Irritability. Maculopapular rash this morning
Age: 54.0
Sex: F
Vaccine: MMR
Symptoms: Rash maculo-papular, Transaminases increased, Viral skin infection
Clinical narrative: Macular papillary rash presented to ED 5/9/08. Afebrile during duration of illness. c/o fatigue.  In ED clinical signs of viral exanthem. Suspicious for liver disease, or occult hepatitis. 7/7/08-records received for DOS 5/9/08-DX: Viral syndrome. Elevated liver function test. Diarrhea. Viral exanthem, UTI, trichomonas vaginalis. Presented to ED with 4 day history of non-bloody diarrhea, malaise and arthralgias mostly located in neck and shoulder area. Irritability. Maculopapular rash this morning
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Blood pressure, Heart rate, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Mother reports upset stomach and a general feeling of "not feeling well" for four days after vaccination. Mother states child was afebile, but blood pressure was 171/93 and pulse was 141 on 05/26/2008. Vital signs were taken by family RN when child complained of not being "feeling good". Site of vaccination has "red, hard, hot area the size of an egg". Parent advised to follow-up with family physician.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site warmth, Malaise, Stomach discomfort
Clinical narrative: Mother reports upset stomach and a general feeling of "not feeling well" for four days after vaccination. Mother states child was afebile, but blood pressure was 171/93 and pulse was 141 on 05/26/2008. Vital signs were taken by family RN when child complained of not being "feeling good". Site of vaccination has "red, hard, hot area the size of an egg". Parent advised to follow-up with family physician.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dizziness, Feeling hot, Heart rate, Hyperhidrosis, Nausea
Clinical narrative: About 5 minutes after receiving vaccine, pt felt "hot" then became dizzy, nauseous and pale.  She complained of pain in her right arm and a "tingly" feeling in her fingers and arms.  + diaphoresis. Pulse 60 BP 92/58 Recovered after about 20 minutes of laying down with her feet elevated, few sips of juice and a hard candy.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Pain in extremity, Pallor, Paraesthesia
Clinical narrative: About 5 minutes after receiving vaccine, pt felt "hot" then became dizzy, nauseous and pale.  She complained of pain in her right arm and a "tingly" feeling in her fingers and arms.  + diaphoresis. Pulse 60 BP 92/58 Recovered after about 20 minutes of laying down with her feet elevated, few sips of juice and a hard candy.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dizziness, Nausea
Clinical narrative: About 5 minutes after receiving vaccine, pt felt "hot" then became dizzy, nauseous and pale.  She complained of pain in her right arm and a "tingly" feeling in her fingers and arms.  + diaphoresis. Pulse 60 BP 92/58 Recovered after about 20 minutes of laying down with her feet elevated, few sips of juice and a hard candy.
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Abnormal behaviour, Anger, Communication disorder, Computerised tomogram, Convulsion
Clinical narrative: Patient began having seizures very soon after being given shots. Her attitude and demeanor changed immediately after shots. She became angry, hostile and unhappy. She was hospitalized for eight days on November 10th. The seizures started within a day or two after receiving shots, but I can not give the exact date, because I did not realize what was happening to her until the 10th of November. She has been on anti seizure medication since November 11 2007. The seizures are not stopping, but seem to be getting worse. Her doctors can find no cause for the seizures. We have had CT scans and MRI's. I have no doubt in my mind that her seizures were caused by these immunizations.  6/20/08 Reviewed hospital medical records of 11/13-11/17/2007. FINAL DX: complex partial epilepsy left posterior Records reveal patient experidnced new onset of seizures over approx 2-4 weeks.  Symptoms included: staring eyes, head tilted, smiling, arms extended, unable to communicate lasting approx 1 min.  On day before admission had 14 seizures.  Headaches & stomachache x 2-3 mos.  Seen at outlying hospital & multiple meds tried unsuccessfully.   8/5/08 Reviewed initial hospital medical records of 11/10-11/13/2007. FINAL DX: seizure disorder Records reveal patient experienced 2 episodes at home of staring & non-responsive each lasting approx 1 min.  Additional episodes observed in ER.  Started on antiseizure meds.  Continued w/seizure like activity.  Transferred to higher level of care for peds neuro consult.   1/21/2010 Patient continues to have siezures daily. She is taking 4 anticonvulsant medications.
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Hostility, Immediate post-injection reaction, Nuclear magnetic resonance imaging, Sinusitis, Transaminases increased
Clinical narrative: Patient began having seizures very soon after being given shots. Her attitude and demeanor changed immediately after shots. She became angry, hostile and unhappy. She was hospitalized for eight days on November 10th. The seizures started within a day or two after receiving shots, but I can not give the exact date, because I did not realize what was happening to her until the 10th of November. She has been on anti seizure medication since November 11 2007. The seizures are not stopping, but seem to be getting worse. Her doctors can find no cause for the seizures. We have had CT scans and MRI's. I have no doubt in my mind that her seizures were caused by these immunizations.  6/20/08 Reviewed hospital medical records of 11/13-11/17/2007. FINAL DX: complex partial epilepsy left posterior Records reveal patient experidnced new onset of seizures over approx 2-4 weeks.  Symptoms included: staring eyes, head tilted, smiling, arms extended, unable to communicate lasting approx 1 min.  On day before admission had 14 seizures.  Headaches & stomachache x 2-3 mos.  Seen at outlying hospital & multiple meds tried unsuccessfully.   8/5/08 Reviewed initial hospital medical records of 11/10-11/13/2007. FINAL DX: seizure disorder Records reveal patient experienced 2 episodes at home of staring & non-responsive each lasting approx 1 min.  Additional episodes observed in ER.  Started on antiseizure meds.  Continued w/seizure like activity.  Transferred to higher level of care for peds neuro consult.   1/21/2010 Patient continues to have siezures daily. She is taking 4 anticonvulsant medications.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Local swelling, Tenderness
Clinical narrative: Pt. notified of adverse reactions:  Local swelling, tenderness, etc.  Pt. instructed to call the clinic of any other s/s or concerns.  Pt. states no s/s at this time.
Age: 0.25
Sex: M
Vaccine: HIBV, PNC
Symptoms: Appetite disorder, Crying, Erythema, Oedema peripheral, Screaming
Clinical narrative: Leg that Act-Hib administered in became very swollen and red. Pt started screaming/crying after left the office. Has not eaten and has been quite inconsolable- also, per M, does not seem to recognize her.  fever 100r.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Abnormal behaviour, Injection site erythema, Injection site swelling
Clinical narrative: Site were Act Hib administer very red and swollen. Pt very fussy and unconsolable.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Abasia, Aphasia, Regressive behaviour
Clinical narrative: Information has been received from a consumer concerning her daughter with no pertinent medical history or drug allergies who on 10-OCT-2006 and 10-APR-2007 was vaccinated with her first and second 0.5 ml doses of VAQTA (lot# 655301/0741F, 652295/0250U).  There was no concomitant medication.  The patient experienced major regression like the child would stop talking and walking after getting both doses of VAQTA.  The patient sought unspecified medical attention.  No labs or diagnostic studies were performed.  The patient was not recovered.  There was no product quality complaint.  No additional information was provided.  Upon internal review, major regression, stopped talking and walking were determined to be other important medical events.  Additional information has been requested.
Age: 40.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Blood creatine phosphokinase MB, Blood creatine phosphokinase increased, Cardiac stress test normal, Chest pain, Echocardiogram
Clinical narrative: Developed chest pain 6 days post vaccination, no SOB, + fatigue, + nausea, + palpitations.  Currently no chest pain, but continues to note occas palpitations.  Symptoms: Chest Pain, sub-sternal, Fatigue, Malaise <60 Days, Tachycardia.  DX: myocarditis, paroxysmal SVT, VT.  6/10/08 Reviewed medical recods & vaccine records.  Patient was re-vaccinee & developed chest pain 6 days s/p smallpox & anthrax #4 vaccination.  Patient also experienced fatigue, nausea, palpitations. While hospitalized, experienced SVT & asymptomatic VTach, elevated troponin.  Cardio clinic 1/2008 w/ECG normal; treadmill test WNL; thallium WNL; echocardiogram WNL; Holter monitor revealed abnormalities.
Age: 40.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Ejection fraction, Electrocardiogram normal, Eosinophil count decreased, Extrasystoles, Fatigue
Clinical narrative: Developed chest pain 6 days post vaccination, no SOB, + fatigue, + nausea, + palpitations.  Currently no chest pain, but continues to note occas palpitations.  Symptoms: Chest Pain, sub-sternal, Fatigue, Malaise <60 Days, Tachycardia.  DX: myocarditis, paroxysmal SVT, VT.  6/10/08 Reviewed medical recods & vaccine records.  Patient was re-vaccinee & developed chest pain 6 days s/p smallpox & anthrax #4 vaccination.  Patient also experienced fatigue, nausea, palpitations. While hospitalized, experienced SVT & asymptomatic VTach, elevated troponin.  Cardio clinic 1/2008 w/ECG normal; treadmill test WNL; thallium WNL; echocardiogram WNL; Holter monitor revealed abnormalities.
Age: 40.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Malaise, Myocarditis, Nausea, Palpitations, Red blood cell sedimentation rate decreased
Clinical narrative: Developed chest pain 6 days post vaccination, no SOB, + fatigue, + nausea, + palpitations.  Currently no chest pain, but continues to note occas palpitations.  Symptoms: Chest Pain, sub-sternal, Fatigue, Malaise <60 Days, Tachycardia.  DX: myocarditis, paroxysmal SVT, VT.  6/10/08 Reviewed medical recods & vaccine records.  Patient was re-vaccinee & developed chest pain 6 days s/p smallpox & anthrax #4 vaccination.  Patient also experienced fatigue, nausea, palpitations. While hospitalized, experienced SVT & asymptomatic VTach, elevated troponin.  Cardio clinic 1/2008 w/ECG normal; treadmill test WNL; thallium WNL; echocardiogram WNL; Holter monitor revealed abnormalities.
Age: 40.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Red blood cell sedimentation rate normal, Supraventricular tachycardia, Ventricular tachycardia, White blood cell count normal
Clinical narrative: Developed chest pain 6 days post vaccination, no SOB, + fatigue, + nausea, + palpitations.  Currently no chest pain, but continues to note occas palpitations.  Symptoms: Chest Pain, sub-sternal, Fatigue, Malaise <60 Days, Tachycardia.  DX: myocarditis, paroxysmal SVT, VT.  6/10/08 Reviewed medical recods & vaccine records.  Patient was re-vaccinee & developed chest pain 6 days s/p smallpox & anthrax #4 vaccination.  Patient also experienced fatigue, nausea, palpitations. While hospitalized, experienced SVT & asymptomatic VTach, elevated troponin.  Cardio clinic 1/2008 w/ECG normal; treadmill test WNL; thallium WNL; echocardiogram WNL; Holter monitor revealed abnormalities.
Age: 24.0
Sex: M
Vaccine: HEPAB, IPV, TD, YF
Symptoms: Blood product transfusion, Cough, Disorientation, Endotracheal intubation, Epstein-Barr virus antibody positive
Clinical narrative: Presented on sick call on 19 Feb with CC: disoriented, hallucinating and bowel and urine incontinent.  Admitted to medical center on 20 Feb.  Intubated in ICU.  Given IV Solumedrol x 4 days.  IVIG started in late Feb 08 (after 2/26/08) with marked improvement after course of IVIG.  Discharged to rehab around 12 Mar 2008.  7 May 2008, Neurology Note: Patient seen briefly on follow-up.  Patient is doing well.  Patient had repeat MRI brain, c/t-spine yest - showed near-resolution of intracranial signal abnormalities; there appear to be 2 small residual facl, L frontal, but the signal abn in the medulia, pons, thalamus have essentially resolved; in the c-spine, the prior C4 5 lesion is much less pronounced, with 7 some residual signal abn.  The MRI fits with patient's marked clinical improvement.  No new recommendations.  Note from 27 May: Multiple fluctuating neuro deficits, problem with pain perception.  8/8/08 Medical records  & vax records reviewed. FINAL DX: acute demyelinating encephalopathy Records reveal patient experienced purulent cough w/post-tussive vomiting x 3 wks on 2/13 w/fever 101.2, nasal congestion & discharge, myalgias, chills, night sweats, HA, reduced oral intake.  Dx w/pneumonia & tx w/IM & oral antibiotics.  Improved until 2/19 when again spiked fever 103.5, found disoriented, delerious, hallucinating, incontinent of bowel & urine.  Exam at that time revealed  rales/crackles.  Next note is for 5/7/08 Neuro clinic where MRI of brain & c&t-spine revealed significant improvement but pt w/residual deficits.  12/22/08 Received hospital medical records of 2/19-3/12/2008. FINAL DX: acute demyelinating encephalomyelitis; dysphagia; deconditioning Records reveal patient experienced altered mental status, lconjunctival injection, bilateral rhonchi, oss of bladder & bowel control, unsteady gait, dizziness, fever.  Had been treated for pneumonia 2/13.  Admitted ICU.  Neuro, Optho, ENT consult done.  Tx w/IV antivirals.  Transferrd to higher level of care.  Intubated x/1 week.  Developed esotropia, LUE superficial vein clot, hematuria, right vocal cord paralysis.  Tx w/tube feedings, steroids & IVIG x 3.  Received PT/OT/ST & was able to use rolling walker by d/c to inpatient rehab hospital.   Follow-up: Lost to follow-up since June 2008. Last clinical evaluation while in military(a Hache) - June 06. Pt had multiple labs done. Please call if results are not accessible to you.
Age: 24.0
Sex: M
Vaccine: HEPAB, IPV, TD, YF
Symptoms: Epstein-Barr virus antibody positive, Faecal incontinence, Full blood count, Haematuria, Hallucination
Clinical narrative: Presented on sick call on 19 Feb with CC: disoriented, hallucinating and bowel and urine incontinent.  Admitted to medical center on 20 Feb.  Intubated in ICU.  Given IV Solumedrol x 4 days.  IVIG started in late Feb 08 (after 2/26/08) with marked improvement after course of IVIG.  Discharged to rehab around 12 Mar 2008.  7 May 2008, Neurology Note: Patient seen briefly on follow-up.  Patient is doing well.  Patient had repeat MRI brain, c/t-spine yest - showed near-resolution of intracranial signal abnormalities; there appear to be 2 small residual facl, L frontal, but the signal abn in the medulia, pons, thalamus have essentially resolved; in the c-spine, the prior C4 5 lesion is much less pronounced, with 7 some residual signal abn.  The MRI fits with patient's marked clinical improvement.  No new recommendations.  Note from 27 May: Multiple fluctuating neuro deficits, problem with pain perception.  8/8/08 Medical records  & vax records reviewed. FINAL DX: acute demyelinating encephalopathy Records reveal patient experienced purulent cough w/post-tussive vomiting x 3 wks on 2/13 w/fever 101.2, nasal congestion & discharge, myalgias, chills, night sweats, HA, reduced oral intake.  Dx w/pneumonia & tx w/IM & oral antibiotics.  Improved until 2/19 when again spiked fever 103.5, found disoriented, delerious, hallucinating, incontinent of bowel & urine.  Exam at that time revealed  rales/crackles.  Next note is for 5/7/08 Neuro clinic where MRI of brain & c&t-spine revealed significant improvement but pt w/residual deficits.  12/22/08 Received hospital medical records of 2/19-3/12/2008. FINAL DX: acute demyelinating encephalomyelitis; dysphagia; deconditioning Records reveal patient experienced altered mental status, lconjunctival injection, bilateral rhonchi, oss of bladder & bowel control, unsteady gait, dizziness, fever.  Had been treated for pneumonia 2/13.  Admitted ICU.  Neuro, Optho, ENT consult done.  Tx w/IV antivirals.  Transferrd to higher level of care.  Intubated x/1 week.  Developed esotropia, LUE superficial vein clot, hematuria, right vocal cord paralysis.  Tx w/tube feedings, steroids & IVIG x 3.  Received PT/OT/ST & was able to use rolling walker by d/c to inpatient rehab hospital.   Follow-up: Lost to follow-up since June 2008. Last clinical evaluation while in military(a Hache) - June 06. Pt had multiple labs done. Please call if results are not accessible to you.
Age: 24.0
Sex: M
Vaccine: HEPAB, IPV, TD, YF
Symptoms: Left ventricular dysfunction, Occupational therapy, Physiotherapy, Pneumonia, Red blood cell count decreased
Clinical narrative: Presented on sick call on 19 Feb with CC: disoriented, hallucinating and bowel and urine incontinent.  Admitted to medical center on 20 Feb.  Intubated in ICU.  Given IV Solumedrol x 4 days.  IVIG started in late Feb 08 (after 2/26/08) with marked improvement after course of IVIG.  Discharged to rehab around 12 Mar 2008.  7 May 2008, Neurology Note: Patient seen briefly on follow-up.  Patient is doing well.  Patient had repeat MRI brain, c/t-spine yest - showed near-resolution of intracranial signal abnormalities; there appear to be 2 small residual facl, L frontal, but the signal abn in the medulia, pons, thalamus have essentially resolved; in the c-spine, the prior C4 5 lesion is much less pronounced, with 7 some residual signal abn.  The MRI fits with patient's marked clinical improvement.  No new recommendations.  Note from 27 May: Multiple fluctuating neuro deficits, problem with pain perception.  8/8/08 Medical records  & vax records reviewed. FINAL DX: acute demyelinating encephalopathy Records reveal patient experienced purulent cough w/post-tussive vomiting x 3 wks on 2/13 w/fever 101.2, nasal congestion & discharge, myalgias, chills, night sweats, HA, reduced oral intake.  Dx w/pneumonia & tx w/IM & oral antibiotics.  Improved until 2/19 when again spiked fever 103.5, found disoriented, delerious, hallucinating, incontinent of bowel & urine.  Exam at that time revealed  rales/crackles.  Next note is for 5/7/08 Neuro clinic where MRI of brain & c&t-spine revealed significant improvement but pt w/residual deficits.  12/22/08 Received hospital medical records of 2/19-3/12/2008. FINAL DX: acute demyelinating encephalomyelitis; dysphagia; deconditioning Records reveal patient experienced altered mental status, lconjunctival injection, bilateral rhonchi, oss of bladder & bowel control, unsteady gait, dizziness, fever.  Had been treated for pneumonia 2/13.  Admitted ICU.  Neuro, Optho, ENT consult done.  Tx w/IV antivirals.  Transferrd to higher level of care.  Intubated x/1 week.  Developed esotropia, LUE superficial vein clot, hematuria, right vocal cord paralysis.  Tx w/tube feedings, steroids & IVIG x 3.  Received PT/OT/ST & was able to use rolling walker by d/c to inpatient rehab hospital.   Follow-up: Lost to follow-up since June 2008. Last clinical evaluation while in military(a Hache) - June 06. Pt had multiple labs done. Please call if results are not accessible to you.
Age: 24.0
Sex: M
Vaccine: HEPAB, IPV, TD, YF
Symptoms: Speech rehabilitation, Walking aid user, White blood cell count increased
Clinical narrative: Presented on sick call on 19 Feb with CC: disoriented, hallucinating and bowel and urine incontinent.  Admitted to medical center on 20 Feb.  Intubated in ICU.  Given IV Solumedrol x 4 days.  IVIG started in late Feb 08 (after 2/26/08) with marked improvement after course of IVIG.  Discharged to rehab around 12 Mar 2008.  7 May 2008, Neurology Note: Patient seen briefly on follow-up.  Patient is doing well.  Patient had repeat MRI brain, c/t-spine yest - showed near-resolution of intracranial signal abnormalities; there appear to be 2 small residual facl, L frontal, but the signal abn in the medulia, pons, thalamus have essentially resolved; in the c-spine, the prior C4 5 lesion is much less pronounced, with 7 some residual signal abn.  The MRI fits with patient's marked clinical improvement.  No new recommendations.  Note from 27 May: Multiple fluctuating neuro deficits, problem with pain perception.  8/8/08 Medical records  & vax records reviewed. FINAL DX: acute demyelinating encephalopathy Records reveal patient experienced purulent cough w/post-tussive vomiting x 3 wks on 2/13 w/fever 101.2, nasal congestion & discharge, myalgias, chills, night sweats, HA, reduced oral intake.  Dx w/pneumonia & tx w/IM & oral antibiotics.  Improved until 2/19 when again spiked fever 103.5, found disoriented, delerious, hallucinating, incontinent of bowel & urine.  Exam at that time revealed  rales/crackles.  Next note is for 5/7/08 Neuro clinic where MRI of brain & c&t-spine revealed significant improvement but pt w/residual deficits.  12/22/08 Received hospital medical records of 2/19-3/12/2008. FINAL DX: acute demyelinating encephalomyelitis; dysphagia; deconditioning Records reveal patient experienced altered mental status, lconjunctival injection, bilateral rhonchi, oss of bladder & bowel control, unsteady gait, dizziness, fever.  Had been treated for pneumonia 2/13.  Admitted ICU.  Neuro, Optho, ENT consult done.  Tx w/IV antivirals.  Transferrd to higher level of care.  Intubated x/1 week.  Developed esotropia, LUE superficial vein clot, hematuria, right vocal cord paralysis.  Tx w/tube feedings, steroids & IVIG x 3.  Received PT/OT/ST & was able to use rolling walker by d/c to inpatient rehab hospital.   Follow-up: Lost to follow-up since June 2008. Last clinical evaluation while in military(a Hache) - June 06. Pt had multiple labs done. Please call if results are not accessible to you.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site urticaria, Rash pruritic
Clinical narrative: After Tdap developed four red hives - 3 were 1" length - 1 was 2 1/2" length along the side of injection.  Took 3 days to go away.  Rash itched a little bit as well.
Age: 16.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Dizziness, Dyspnoea, Rash, Urticaria, Vomiting
Clinical narrative: SEE ER NOTES; Lightheaded/vomiting this AM. Now raised hives/rash x 1 hour on chest/back/arms. Shortness of breath. Tetanus/Meningococcal shots on Friday.
Age: 19.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Skin warm, Swelling
Clinical narrative: Swelling L upper arm 8 cm wide warm to touch.
Age: 28.0
Sex: U
Vaccine: HPV4
Symptoms: Body temperature increased, Inappropriate schedule of drug administration
Clinical narrative: Temperature 100.2 F x 2 days.
Age: 24.0
Sex: F
Vaccine: HEP, HEPA, SMALL, TYP
Symptoms: Axillary pain, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: I received the SPV about a week ago and it looked normal and now there is a swollen red ring around the vaccination site and a red line on the side.  Yes my armpit hurts too.  No chest pain, no fever.  Yes I have ibuprofen in the home.  Symptoms: Erythema, Edema at injection site 30-50mm, Pain.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Back pain, Flank pain, Pruritus
Clinical narrative: Received VARIVAX 5/22/08 - on 5/25/08 developed systemic itching with no rash and stabbing flank back pains that has persisted until 5/28/08.
Age: 34.0
Sex: F
Vaccine: JEV
Symptoms: Blood creatine phosphokinase normal, Blood electrolytes normal, Bronchospasm, Dysphagia, Fatigue
Clinical narrative: 4/29/08-vaccine 5/1/08-fatigue, oral ulcers 5/2 above plus swelling in neck, trouble swallowing and bronchospasm.  5/2/08 seen in ER, rx IV SOLUMEDROL + po prednisone x8 days.  5/3/08 no bronchospasm but had 'leg pain' (no clear dx) that lasted 4-5 days.
Age: 34.0
Sex: F
Vaccine: JEV
Symptoms: Full blood count normal, Liver function test normal, Local swelling, Mouth ulceration, Pain in extremity
Clinical narrative: 4/29/08-vaccine 5/1/08-fatigue, oral ulcers 5/2 above plus swelling in neck, trouble swallowing and bronchospasm.  5/2/08 seen in ER, rx IV SOLUMEDROL + po prednisone x8 days.  5/3/08 no bronchospasm but had 'leg pain' (no clear dx) that lasted 4-5 days.
Age: 34.0
Sex: F
Vaccine: JEV
Symptoms: Urine analysis normal
Clinical narrative: 4/29/08-vaccine 5/1/08-fatigue, oral ulcers 5/2 above plus swelling in neck, trouble swallowing and bronchospasm.  5/2/08 seen in ER, rx IV SOLUMEDROL + po prednisone x8 days.  5/3/08 no bronchospasm but had 'leg pain' (no clear dx) that lasted 4-5 days.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Eye swelling, Pruritus, Swelling face, Urticaria
Clinical narrative: DTaP, IPV, MMR, varicella given 3pm.  Immediate puffiness of eyes/face area with hives starting & c/o itching.  No resp distress noted.  BENADRYL 25mg IM given IM Lt arm.  Pt 40#.  Sent via ambulance to hospital.
Age: 0.3
Sex: M
Vaccine: HIBV
Symptoms: Inflammation, Urticaria
Clinical narrative: Wheal & flare reaction within 3 hours of vaccination, milder during 1st reaction.  Txd warm compress, TYLENOL, BENADRYL.