chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.2
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Vomiting
Clinical narrative: Pt given vaccines 10:30 am, began with vomiting, uncontrollable crying and apnea 45 min-1 hr later. Heard pt on phone - screaming, high pitched crying, and swelling, redness at injection site. Afebrile. Tylenol given, cool compress to legs. Appt scheduled to be seen - at office  - then mom called back to cancel. Pt settled down. Total time increased crying about 2-3 hours.
Age: 32.0
Sex: M
Vaccine: FLU3, TDAP
Symptoms: Chills, Fatigue, Feeling cold, Pain, Tremor
Clinical narrative: 2 hrs after immunization patient shaking, teeth chattering / cold - felt frozen under 3 blankets. Doesn't believe he had a fever. Achy. Fatigued X 12 hours - recovered with rest. No report of redness at site of injections - Reported 2/4/09 at office visit.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Culture positive, Varicella
Clinical narrative: 48-72 Hrs after VARIVAX developed varicella lesions on arms, legs, mouth.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Discomfort, Hypoaesthesia, Myalgia, Neck pain
Clinical narrative: This 47 year old patient reported receipt of his first AVA on 10/29/1999. A few days after his first AVA vaccination he complained of bilateral ankle and knee pain attributing it to playing basketball. He described this discomfort as a sharp (6-7/10) pain to medial and lateral aspects of his ankle that world radiate up underneath this patella anteriorly while stepping. The pain would last for a few moments to 10 minutes then dull (2-3/10). This discomfort would also occur upon awakening in am and ease throughout the day with activity and movement. His pain would worsen while sitting still at night or relaxing during the day. He also complained of numbness and tingling to anterior portion of his feet which extended to the great and 2nd toes and left lumbar region. Stretching would make him feel better. MOTRIN 800 mg x 2-3 days resolved this pain. Review of 1999-2006 medical records documented 11/14/1999 (day 17 post AVA vaccination) complaints of resolved intermittent "chest tingling in the area over the left nipple" with right neck aching on and off x 1 week lasting 2-10 minutes. His blood pressure was 140/92 treated with lifestyle changes. On 11/20/1999 (day 21 post vaccination) he presented to the emergency room with complaints of muscle aches, joint pain and a sore throat x 24 hours. (These records were illegible.). Subsequent Anthrax vaccinations were given on 11/29/1999 (per pt, not documented), 5/5/2000, 11/17/2003, and 6/1/2004 with recurrence of 1999 joint pain and diffuse muscle aches after each vaccination. These events would be more severe and involved more joints than his 'usual' myalgia/arthralgia. These symptoms exacerbations would resolve <1 week later.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Oropharyngeal pain, Paraesthesia, Vaccine positive rechallenge
Clinical narrative: This 47 year old patient reported receipt of his first AVA on 10/29/1999. A few days after his first AVA vaccination he complained of bilateral ankle and knee pain attributing it to playing basketball. He described this discomfort as a sharp (6-7/10) pain to medial and lateral aspects of his ankle that world radiate up underneath this patella anteriorly while stepping. The pain would last for a few moments to 10 minutes then dull (2-3/10). This discomfort would also occur upon awakening in am and ease throughout the day with activity and movement. His pain would worsen while sitting still at night or relaxing during the day. He also complained of numbness and tingling to anterior portion of his feet which extended to the great and 2nd toes and left lumbar region. Stretching would make him feel better. MOTRIN 800 mg x 2-3 days resolved this pain. Review of 1999-2006 medical records documented 11/14/1999 (day 17 post AVA vaccination) complaints of resolved intermittent "chest tingling in the area over the left nipple" with right neck aching on and off x 1 week lasting 2-10 minutes. His blood pressure was 140/92 treated with lifestyle changes. On 11/20/1999 (day 21 post vaccination) he presented to the emergency room with complaints of muscle aches, joint pain and a sore throat x 24 hours. (These records were illegible.). Subsequent Anthrax vaccinations were given on 11/29/1999 (per pt, not documented), 5/5/2000, 11/17/2003, and 6/1/2004 with recurrence of 1999 joint pain and diffuse muscle aches after each vaccination. These events would be more severe and involved more joints than his 'usual' myalgia/arthralgia. These symptoms exacerbations would resolve <1 week later.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion induced, Drug exposure during pregnancy, Urine human chorionic gonadotropin
Clinical narrative: Information has been received from a nurse practitioner concerning a 16 year old female with no relevant medical history or allergies who on 13-JUN-2008 was vaccinated with a first 0.5 ml dose of GARDASIL intramuscularly (lot number and injection site not reported). There was no concomitant medication. Subsequently the patient was found to be pregnant. No problems reported. Unspecified medical attention was sought. Follow-up information was received from the nurse practitioner concerning the female patient. The nurse practitioner reported that they administered vaccine only and they are not primary provider. The nurse practitioner also reported that the pregnancy was electively terminated. Upon internal review, electively terminated pregnancy was considered to be an other important medical event. Additional information is not expected.
Age: 20.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Burning sensation, Erythema
Clinical narrative: Patient was to receive a PPD on 3/20/09 but was accidentally given AVA interdermally instead of tuberculosis skin test. This 20 yo accidentally received AVA vaccine intradermally to left forearm on 3/20/2009 (AVA mistaken for PPD). Within 10 seconds he felt itching, burning and dime size redness/swelling to site. Mistake was realized and PPD placed on his right forearm. Within the next 24-48 hours he reported first a dime size area of mild swelling and redness to the anterior left forearm (AVA site) that gradually increased in size. He presented to clinic for PPD reading on Sunday 3/22/2009 where measured (AVA) site on the left forearm to be "75 x 95 mm". He denied any paresthesia, numbness or weakness to left hand/arm. His PPD to right forearm was reported to be negative. He presented to work and taken to clinic for site evaluation where MD placed him on Doxycycline for "cellulitis". He presents to clinic for further eval and documentation of AVA given ID on 3/25/09.
Age: 20.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Cellulitis, Injection site erythema, Injection site irritation, Injection site pruritus, Injection site swelling
Clinical narrative: Patient was to receive a PPD on 3/20/09 but was accidentally given AVA interdermally instead of tuberculosis skin test. This 20 yo accidentally received AVA vaccine intradermally to left forearm on 3/20/2009 (AVA mistaken for PPD). Within 10 seconds he felt itching, burning and dime size redness/swelling to site. Mistake was realized and PPD placed on his right forearm. Within the next 24-48 hours he reported first a dime size area of mild swelling and redness to the anterior left forearm (AVA site) that gradually increased in size. He presented to clinic for PPD reading on Sunday 3/22/2009 where measured (AVA) site on the left forearm to be "75 x 95 mm". He denied any paresthesia, numbness or weakness to left hand/arm. His PPD to right forearm was reported to be negative. He presented to work and taken to clinic for site evaluation where MD placed him on Doxycycline for "cellulitis". He presents to clinic for further eval and documentation of AVA given ID on 3/25/09.
Age: 20.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Wrong drug administered
Clinical narrative: Patient was to receive a PPD on 3/20/09 but was accidentally given AVA interdermally instead of tuberculosis skin test. This 20 yo accidentally received AVA vaccine intradermally to left forearm on 3/20/2009 (AVA mistaken for PPD). Within 10 seconds he felt itching, burning and dime size redness/swelling to site. Mistake was realized and PPD placed on his right forearm. Within the next 24-48 hours he reported first a dime size area of mild swelling and redness to the anterior left forearm (AVA site) that gradually increased in size. He presented to clinic for PPD reading on Sunday 3/22/2009 where measured (AVA) site on the left forearm to be "75 x 95 mm". He denied any paresthesia, numbness or weakness to left hand/arm. His PPD to right forearm was reported to be negative. He presented to work and taken to clinic for site evaluation where MD placed him on Doxycycline for "cellulitis". He presents to clinic for further eval and documentation of AVA given ID on 3/25/09.
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Chest discomfort, Dyspnoea, Lip swelling, Oropharyngeal pain, Swollen tongue
Clinical narrative: See attached note. Anaphylaxis to Meningococcal VS. Tdap vs MOTRIN
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Syncope, Urticaria
Clinical narrative: See attached note. Anaphylaxis to Meningococcal VS. Tdap vs MOTRIN
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Anaphylactic reaction, Skin test positive
Clinical narrative: See attached note. Anaphylaxis to Meningococcal VS. Tdap vs MOTRIN
Age: 1.83
Sex: M
Vaccine: DTAP, FLU3, HEPA, MMR, PNC, VARCEL, DTAP, FLU3, HEPA, MMR, PNC, VARCEL
Symptoms: Chest X-ray, Febrile convulsion, Full blood count, Pyrexia
Clinical narrative: Fever and febrile seizure
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB, HEP, HEPA, MMR, PNC, VARCEL, DTAPIPVHIB, HEP, HEPA, MMR, PPV, VARCEL
Symptoms: Urticaria
Clinical narrative: In addition to info. rendered on 3/27/09 via VAERS online, patient, at the time of vaccination did not exhibit any other symptoms aside from localized hives on his face approximately 2 min. after receiving 6 separate vaccines.  Administered Benadryl 25 mg po and monitored child for about 20 min. in the room.  Child playful, no signs of discomfort nor distress and facial rash almost gone when child left with his younger sister and mother.  P.A. notified pt's mother about signs/symptoms to watch out for.  Pt's mother verbalized understanding.   Consulted with Medical Director today.  Per Dr., child is not to receive any further vaccinations from the Public Health Department.  Child must see his PCP/Allergist for subsequent vaccinations.
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB, HEP, HEPA, MMR, PNC, VARCEL, DTAPIPVHIB, HEP, HEPA, MMR, PPV, VARCEL
Symptoms: Rash, Urticaria
Clinical narrative: In addition to info. rendered on 3/27/09 via VAERS online, patient, at the time of vaccination did not exhibit any other symptoms aside from localized hives on his face approximately 2 min. after receiving 6 separate vaccines.  Administered Benadryl 25 mg po and monitored child for about 20 min. in the room.  Child playful, no signs of discomfort nor distress and facial rash almost gone when child left with his younger sister and mother.  P.A. notified pt's mother about signs/symptoms to watch out for.  Pt's mother verbalized understanding.   Consulted with Medical Director today.  Per Dr., child is not to receive any further vaccinations from the Public Health Department.  Child must see his PCP/Allergist for subsequent vaccinations.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Metabolic function test normal, Pyrexia
Clinical narrative: Fever 103F at 11 PM, following immunizations (PEDIARIX, HIB, PREVNAR, ROTATEQ) in the morning.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Blood culture, Culture urine, Full blood count, Laboratory test, Pyrexia
Clinical narrative: Fever 103F at 11 PM, following immunizations (PEDIARIX, HIB, PREVNAR, ROTATEQ) in the morning.
Age: 0.25
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5, DTAPIPVHIB, PNC, RV5
Symptoms: Rash macular, Rash maculo-papular, Skin exfoliation
Clinical narrative: Seen 03/27/2009 for diffuse maculopapular rash from abdomen down - slight scaly feel to it - macular rash on bottom of feet
Age: 0.25
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5, DTAPIPVHIB, PNC, RV5
Symptoms: Rash maculo-papular
Clinical narrative: Seen 03/27/2009 for diffuse maculopapular rash from abdomen down - slight scaly feel to it - macular rash on bottom of feet
Age: 1.1
Sex: F
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Rash erythematous
Clinical narrative: Scattered erythema rash, primarily to trunk and bilateral legs 4-2-09 uticaria & whealts with bruising to body --> extremities & trunk & head involved Rx ORAPRED 15/g --> 2/B tpp BID x 5 days with F/U in 4 days.
Age: 1.1
Sex: F
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Contusion, Rash erythematous, Urticaria
Clinical narrative: Scattered erythema rash, primarily to trunk and bilateral legs 4-2-09 uticaria & whealts with bruising to body --> extremities & trunk & head involved Rx ORAPRED 15/g --> 2/B tpp BID x 5 days with F/U in 4 days.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Carcinoma in situ, Cervical conisation, Cervix carcinoma, Smear cervix abnormal
Clinical narrative: Information has been received from a physician concerning a 16 year old female patient who completed GARDASIL series. The patient was HPV positive prior to receiving vaccine as sexually active. A few months ago the patient experienced positive PAP tests for carcinoma in situ. The physician did a "cone procedure" and now her PAP was clear and she was considered recovered. The patient sought medical attention via going to office. The physician considered positive PAP tests for carcinoma in situ to be an other important medical event due to cone procedure. This is one of several reports from the same source. Additional information has been requested.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion induced, Culture cervix, Drug exposure during pregnancy, Smear cervix, Urine human chorionic gonadotropin
Clinical narrative: Information has been received from a registered nurse, for GARDASIL, a Pregnancy Registry product, concerning a 20 year old female patient with no pertinent medical history and no known drug allergies who on an unspecified date was vaccinated with the first dose of GARDASIL (Lot # unknown), IM 0.5 mL, and on 11-MAR-2009 was vaccinated with the second dose of GARDASIL (Lot # 659655/0940X) 0.5 mL, intramuscular administration. It was reported that the patient was pregnant and was administered GARDASIL. The patient was given PLAN B which was not effective. LMP was 12-FEB-2009 and EDD was 19-NOV-2009. Laboratory test performed on an unspecified date included PAP smear, GC/Chlamydia and beta hCG. No adverse effect was reported. The patient sought unspecified medical attention. Follow-up information was received from a registered nurse, via telephone call, indicating that the patient was planning to terminate the pregnancy. The nurse reported that the reason for terminating the pregnancy was that the patient and her husband "were not ready for a family". Upon internal review, "Termination of pregnancy" was considered to be an other important medical. Additional information has been requested.
Sex: U
Vaccine: MMR
Symptoms: Autism
Clinical narrative: Information has been received from a consumer regarding a case in litigation concerning his child who was diagnosed with autism shortly after receiving a dose of MMR II. Upon internal review, autism was determined to be an other important medical event. No further information is available.
Age: 6.0
Sex: M
Vaccine: MMR
Symptoms: Autism spectrum disorder
Clinical narrative: Information has been received from a parent concerning his 6 year old son who was vaccinated with MMR II (Lot# not reported). The patient was on the autism spectrum. Upon internal review autism spectrum was determined to be an other important medical event. No further information is available.
Age: 23.0
Sex: M
Vaccine: TDAP
Symptoms: Asthenia, Balance disorder, Chills, Dysphagia, Hypoaesthesia
Clinical narrative: This serious case was received on 26 March 2009 from a consumer (patient's parent). A 23 year old male patient with seasonal allergies received ADACEL (lot number not reported) "4 weeks ago". 24 hours post vaccination the patient developed chills, fever, heart was racing. Within a few days he later developed numbness in his arms and legs, weakness, loss of balance, vertigo, flashing lights in his eyes, a lump in his throat, and difficulty swallowing. These symptoms have decreased but are still present. The patient was out of work for four weeks. He was seen by his physician, a neurologist, and an eye doctor. He was started on Ativan and he is now calmer. GBS (Guillain-Barre Syndrome) was ruled out. No further information was provided. List of Documents held by Sender: none.
Age: 23.0
Sex: M
Vaccine: TDAP
Symptoms: Palpitations, Photopsia, Pyrexia, Sensation of foreign body, Vertigo
Clinical narrative: This serious case was received on 26 March 2009 from a consumer (patient's parent). A 23 year old male patient with seasonal allergies received ADACEL (lot number not reported) "4 weeks ago". 24 hours post vaccination the patient developed chills, fever, heart was racing. Within a few days he later developed numbness in his arms and legs, weakness, loss of balance, vertigo, flashing lights in his eyes, a lump in his throat, and difficulty swallowing. These symptoms have decreased but are still present. The patient was out of work for four weeks. He was seen by his physician, a neurologist, and an eye doctor. He was started on Ativan and he is now calmer. GBS (Guillain-Barre Syndrome) was ruled out. No further information was provided. List of Documents held by Sender: none.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Eye discharge, Hypersensitivity, Rash erythematous
Clinical narrative: This is a 74yo, Male, came to ER with - Had flu shot yesterday, this am developed rash right thigh, now diffusely spread to both legs, chest arm. Eyes feel matty. Chronic unchanged DOE. Physical exam - NAD General-ambulatory, awake, alert, oriented x3 HEENT- Normal, Lungs-clear, Heart- RSR. Extremities-Large, raised erythmous area medial right and left thigh, left axilla, diffuse small areas of same on chest and back. Assessment- Allergic reaction. Plan- Medrol DP and Loratidine.  5/1/09 ER report received for DOS 12/4/08 with DX:  Allergic reaction..  Pt presented with rash, itching and matty eyes one day s/p Flu shot. PE (+) for diffuse erythematous areas on back, thighs, axilla and chest. Tx:  Medrol and antihist.
Age: 84.0
Sex: M
Vaccine: FLU3
Symptoms: Viral infection
Clinical narrative: Complete loss of control - 9-13-08. Hospitalized five days. Diagnosed virus syndrome. Home doctor said had Guillain Barre syndrome.  4/8/09 Received hospital medical records of 10/5-10/8/2008. FINAL DX: probable viral syndrome; dental abscess. Records reveal patient experienced generalized weakness, muscle pain, chills, productive cough,  fever 101, toothache x 2 days.  Tx w/antibiotics.  ID consult done.  Fever thought to be from dental abscess.  D/C on continued oral antibiotics & referred to dentist & PCP.  4/20/09 Received vaccine & PCP medical records of 10/27-10/30/09. FINAL DX:viral syndrome, improved. Records reveal patient received flu vaccine on 10/2/08.  RTC 10/27 seen s/p hospitalization w/no new c/o.  RTC 10/30 w/persistent fatigue & body aches.  Supportive tx given.  No further med records available.
Age: 0.9
Sex: F
Vaccine: FLU3
Symptoms: Acute disseminated encephalomyelitis, Altered state of consciousness, Irritability, Pyrexia, Screaming
Clinical narrative: Acute disseminated encephalomyelitis about 1 week after shot. Fever started. Extreme irritability and screaming. Altered state of consciousness 12 days after. ADEM diagnosed 14 days after, shot and high-dose steroids given.  5/11/09 hospital records received for DOS 12/14/08-1/6/09. FINAL DIAGNOSIS: Acute Disseminated Encephalomyelitis Transferred from another hospital. Altered mental status, quiet whine. Fever, downward gaze with vertical nystagmus. Subsequently intubated for respiratory distress and stridor. Impaired movement of extremities. Stiffening right side of body. Seizures.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Rash erythematous, Rash generalised, Rash vesicular
Clinical narrative: generalized rash over trunk, face & extremities with classic pox like vessels with erythematous bases.
Sex: U
Vaccine: FLU3, PNC
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: L Leg 4 cm erythema and induration.
Age: 1.01
Sex: M
Vaccine: FLU3, MMR, VARCEL
Symptoms: Lymphadenopathy, Pyrexia, Rash, Rash erythematous, Rash papular
Clinical narrative: Patient developed fever up to 103.2 F rectally on 3/26/2009 - and an erythematous papular rash - descendant - started on face on 3/27/09. Fever resolved on 3/28/09. Rash is less prominent but still present today, on trunk/limb. Child also has small retruauricular adenopathies, soft, nontender.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Headache, Mobility decreased, Pyrexia
Clinical narrative: 105 fever 12 hours later. Headache, couldn't move arms and legs.
Age: 41.0
Sex: M
Vaccine: FLU3
Symptoms: Eye rolling, Immediate post-injection reaction
Clinical narrative: The moment needle was in right deltoid, pt started to waver w/eyes rolling back.  Pt began to wobble to a fro.  I helped him to his seat.  Water was given.  He stayed around for 15-20 minutes and he left stating that he was feeling okay.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Dizziness, Hyperhidrosis, Paraesthesia, Sensation of heaviness
Clinical narrative: Injection about 15:40. Approximately 17:30 became dizzy light headed, face tingled and broke out in a sweat. Lasted about 30 min. Later arms and legs felt heavy x 12 hr.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Large area of redness and induration on L upper arm approximately 12x10 cm.
Age: 0.18
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC
Symptoms: Vaccination error
Clinical narrative: 2 doses of PREVNAR were administered on the same day. Patient's Dr. notified @ 11:30am 3-25-09.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Dizziness, Fatigue, Headache, Nausea, Pyrexia
Clinical narrative: Fever, headache, neck soreness, vomiting, nausea, dizziness and fatigue
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Tenderness, Vomiting
Clinical narrative: Fever, headache, neck soreness, vomiting, nausea, dizziness and fatigue
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Anorexia, Malaise, Nausea, Pain in extremity, Tenderness
Clinical narrative: Malaise, poor appetite, nausea/vomiting, left arm pain and soreness. Unable to attend school since 3-30-09. Out of character for this child. Arm pain started afternoon on 3-30-09 and increased in intensity the rest of that day and next. No fever.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Vomiting
Clinical narrative: Malaise, poor appetite, nausea/vomiting, left arm pain and soreness. Unable to attend school since 3-30-09. Out of character for this child. Arm pain started afternoon on 3-30-09 and increased in intensity the rest of that day and next. No fever.
Age: 1.0
Sex: F
Vaccine: DTAP, HEPA, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Post vaccine hives for 15 min.  Then resolved.  Clear lung.
Age: 1.0
Sex: F
Vaccine: FLU3, IPV
Symptoms: Irritability, Pyrexia
Clinical narrative: fever of 101 degrees, rubbing @ head, increased fussiness There is a question of secondary viral illness
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Blood culture, Body temperature increased, C-reactive protein, Full blood count, Irritability
Clinical narrative: @ 3 AM on 3/18/2009 pt. awoke with temperature of 105.4 degrees @ 11 AM after waking up c/o entire body twitching, and increased crankiness.  3 hrs after shot (s) temperature was 101 degrees.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Muscle twitching
Clinical narrative: @ 3 AM on 3/18/2009 pt. awoke with temperature of 105.4 degrees @ 11 AM after waking up c/o entire body twitching, and increased crankiness.  3 hrs after shot (s) temperature was 101 degrees.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Band neutrophil percentage, Blood culture negative, C-reactive protein increased, Decreased appetite, Drug hypersensitivity
Clinical narrative: @ 3 AM on 3/18/2009 pt. awoke with temperature of 105.4 degrees @ 11 AM after waking up c/o entire body twitching, and increased crankiness.  3 hrs after shot (s) temperature was 101 degrees.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Erythema, Irritability, Lymphocyte count normal, Lymphocytosis, Muscle twitching
Clinical narrative: @ 3 AM on 3/18/2009 pt. awoke with temperature of 105.4 degrees @ 11 AM after waking up c/o entire body twitching, and increased crankiness.  3 hrs after shot (s) temperature was 101 degrees.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Musculoskeletal stiffness, Neutrophil percentage decreased, Otitis media, Pyrexia, Rash
Clinical narrative: @ 3 AM on 3/18/2009 pt. awoke with temperature of 105.4 degrees @ 11 AM after waking up c/o entire body twitching, and increased crankiness.  3 hrs after shot (s) temperature was 101 degrees.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: White blood cell count increased
Clinical narrative: @ 3 AM on 3/18/2009 pt. awoke with temperature of 105.4 degrees @ 11 AM after waking up c/o entire body twitching, and increased crankiness.  3 hrs after shot (s) temperature was 101 degrees.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Fatigue, Headache, Herpes zoster, Influenza like illness, Injection site erythema
Clinical narrative: Received TDAP vaccine 3/19/09. Developed sore arm within 24 hrs became indurated, red, hot in injection area around 48hrs, felt flu like (tired, achy, HA). Started getting pain and rash (diagnosed as shingles) approximately 4 days after vaccine admin. Hard to know if flu-like Sx from IZ or PRODROME still has shingles.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site induration, Injection site warmth, Pain, Pain in extremity, Rash
Clinical narrative: Received TDAP vaccine 3/19/09. Developed sore arm within 24 hrs became indurated, red, hot in injection area around 48hrs, felt flu like (tired, achy, HA). Started getting pain and rash (diagnosed as shingles) approximately 4 days after vaccine admin. Hard to know if flu-like Sx from IZ or PRODROME still has shingles.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site mass, Skin warm
Clinical narrative: Patient received Tdap on 3/23/09. Came into office today 3/30/09 arm slightly red, small lump at site. Patient states "it is much better than it was. Arm was red, lump and warm to touch. Shoulder to mud upper arm. Patient using hydrocortisone cream. Improving.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HEP, PNC
Symptoms: No adverse event
Clinical narrative: None stated
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site rash, Rash
Clinical narrative: A rash began to develop around the injection site and spread to my chest, neck and back.  Rash began approx. 4 days ago and has steadily worsened.
Age: 12.0
Sex: M
Vaccine: FLU3, MNQ, TDAP
Symptoms: Dizziness, Fatigue, Feeling hot, Hyperhidrosis, Malaise
Clinical narrative: Home visit B/P 106/60 Temp 98.4 Pulse 72 Resp. 20 - c/fired, dizzy. c/o feeling hot and sweating on & off. 1245 T malise 1245 T.C. to mother child taken to hospital informed of vaccine given and c/o melaise, feeling hot/sweaty - Imm. info 9:00 to MD and child felt faint ammonia given to inhale. Lasted x 20-25 min.
Age: 12.0
Sex: M
Vaccine: FLU3, MNQ, TDAP
Symptoms: Pyrexia
Clinical narrative: Home visit B/P 106/60 Temp 98.4 Pulse 72 Resp. 20 - c/fired, dizzy. c/o feeling hot and sweating on & off. 1245 T malise 1245 T.C. to mother child taken to hospital informed of vaccine given and c/o melaise, feeling hot/sweaty - Imm. info 9:00 to MD and child felt faint ammonia given to inhale. Lasted x 20-25 min.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Varicella post vaccine
Clinical narrative: VARIVAX breakthrough. Had 2 doses of VARIVAX (3-2-04 & 3-4-08). Diagnosed with varicella in our office on 3-28-09. Had 30 vesicles. No fever.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Convulsion, Cyanosis, Electroencephalogram, Gaze palsy, Immediate post-injection reaction
Clinical narrative: Patient turned pale a minute after receiving all 4 vaccines, then her lips turned blue 1/2 minute later, she had a seizure, with her eyes flipping upwards, then arms were shaking. The whole episode lasted 1-1/2 minutes. She had same reaction 3 yrs ago, when blood was taken for lab tests.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Pallor, Tremor
Clinical narrative: Patient turned pale a minute after receiving all 4 vaccines, then her lips turned blue 1/2 minute later, she had a seizure, with her eyes flipping upwards, then arms were shaking. The whole episode lasted 1-1/2 minutes. She had same reaction 3 yrs ago, when blood was taken for lab tests.
Age: 1.4
Sex: F
Vaccine: DTAP, MMR, PNC, VARCEL
Symptoms: Conjunctivitis, Cough, Diarrhoea, Influenza serology negative, Pyrexia
Clinical narrative: Child developed diarrhea evening of 3/6/09. Fever Sat-Mon & Tues. which mo. kept controlled with Tylenol & Advil. Caught runny nose developed over weekend. Visit to PMD 3/9/09 with Dx undecided. Rx of Zithromax given. Mo presented with child at health dept 3/10 with report of matting eyes & possible posturing/ description by mo. Recommend PM Dr visit. Seen again by PMD 3/10/09 afternoon. Dx of possible reaction to MMR (cough, runny nose, conjunctivitis) Rx for eye cream steroids (?) & told to continue Zithromax. 3/11/09 Mo. states child showing improvement in eyes since therapy begun.
Age: 1.4
Sex: F
Vaccine: DTAP, MMR, PNC, VARCEL
Symptoms: Rhinorrhoea, Streptococcal identification test negative
Clinical narrative: Child developed diarrhea evening of 3/6/09. Fever Sat-Mon & Tues. which mo. kept controlled with Tylenol & Advil. Caught runny nose developed over weekend. Visit to PMD 3/9/09 with Dx undecided. Rx of Zithromax given. Mo presented with child at health dept 3/10 with report of matting eyes & possible posturing/ description by mo. Recommend PM Dr visit. Seen again by PMD 3/10/09 afternoon. Dx of possible reaction to MMR (cough, runny nose, conjunctivitis) Rx for eye cream steroids (?) & told to continue Zithromax. 3/11/09 Mo. states child showing improvement in eyes since therapy begun.
Age: 63.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Erythema, Myalgia, Pyrexia
Clinical narrative: Received TdaP 3/16/09 Developed symptoms 3-17-09. State fever 104.0 F orally, chills, muscle aches, arm deltoid red. Taking Tylenol. given (Rt) arm (deltoid) Present temp 99.0 F oral
Age: 25.0
Sex: F
Vaccine: HEP, TD
Symptoms: Throat tightness
Clinical narrative: Experienced tightness in throat 30 min. after receiving vaccines - Took BENADRYL and felt better after 1 1/2 hours.
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: from pt. States he was in this office yesterday, received pneumonia vaccine in rt arm. Report this was he second pneumonia vaccine. States approx 3 hours after receiving vaccine, his arm began to swell. Reports arm is swollen and painful. Denies red streaks. Denies fever. Denies difficulty breathing or swallowing. Denies rash. Symptoms:, 1. swelling of injected arm
Age: 2.0
Sex: M
Vaccine: HEPA, PNC
Symptoms: C-reactive protein, Diarrhoea, Full blood count, Pyrexia
Clinical narrative: Fever 101-103.8 and diarrhea.
Age: 48.0
Sex: M
Vaccine: HEP
Symptoms: Hypoaesthesia, Mononeuritis, Paraesthesia
Clinical narrative: Patient states he felt some numbness and tingling in my 3rd and 4th digits in lower left arm along ulna nerve.  States he is experiencing mononeuritis of the ulna nerve.
Age: 37.0
Sex: M
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blood test, Facial palsy, Nuclear magnetic resonance imaging
Clinical narrative: Facial palsy (R). Pt states a few hours after vaccine she noticed drooping on right side of face - hospitalized. Referral to neurologist. Not resolved at visit on 4/1/09.  4/13/09 Received hospital medical records of 3/24-3/27/09. FINAL DX: no d/c summary dictated; neuro consult states right facial palsy Records reveal patient experienced left side facial & tongue numbness & pain, right mastoid pain, taste alteration, blurry vision, bifrontal HA, left side rib pain, left arm & leg pain w/weakness x 1 day.  Neuro consult done.  Exam revealed peripheral right seventh nerve distribution weakness w/weakness of right upper & lower face including weakness of right eye closure & widened right palpebral fissure; diminished pin/light touch left face, arm & leg; questionable give way weakness of left arm/leg.  Admitted for observation & additional w/u to r/o brain stem lesion.  Tx w/ASA.  Recommended MRI/MRA but no report included.
Age: 23.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Facial palsy
Clinical narrative: Facial palsy (R). Pt states a few hours after vaccine she noticed drooping on right side of face - hospitalized. Referral to neurologist. Not resolved at visit on 4/1/09.  4/13/09 Received hospital medical records of 3/24-3/27/09. FINAL DX: no d/c summary dictated; neuro consult states right facial palsy Records reveal patient experienced left side facial & tongue numbness & pain, right mastoid pain, taste alteration, blurry vision, bifrontal HA, left side rib pain, left arm & leg pain w/weakness x 1 day.  Neuro consult done.  Exam revealed peripheral right seventh nerve distribution weakness w/weakness of right upper & lower face including weakness of right eye closure & widened right palpebral fissure; diminished pin/light touch left face, arm & leg; questionable give way weakness of left arm/leg.  Admitted for observation & additional w/u to r/o brain stem lesion.  Tx w/ASA.  Recommended MRI/MRA but no report included.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Injection site swelling
Clinical narrative: Large local swelling @ site of KINRIX
Age: 15.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Skin nodule
Clinical narrative: 0.1 cm in diameter nodule, palpable.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Flushing, Laboratory test, Pruritus generalised
Clinical narrative: Severe total body itching for 1 1/2 months after the injections. Flushing of skin, resolved in ER, MD and allergy visits.
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site rash, Injection site vesicles
Clinical narrative: After 2 h erythematous rash and small vesicles around vaccine injection with out any treatment rash cleared in 3 days with out any signs.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Right upper arm swollen, warm to touch, sore, mildly red. Treating with cool compresses and IBUPROFEN as needed.
Age: 95.0
Sex: F
Vaccine: DT
Symptoms: Arthralgia, Erythema, Injection site pain, Joint swelling
Clinical narrative: Pt had a TETANUS shot a week ago, then started having pain in the area of the injection, but then in the last couple days or so has had pain, swelling, erythema of her left wrist.  Her left shoulder has been painful ever since the TETANUS injection.  Pt prescribed PREDNISONE 40 mg QDX 3 days, then 20 mg QDX 2 days.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Antinuclear antibody, Arthralgia, Borrelia burgdorferi serology negative, C-reactive protein increased, Cellulitis
Clinical narrative: 2/22/09 to 2/24/09 Fever by report from mom. 2/27/09 Patient began experiencing ankle pain. 2/28/09 Ankle began to swell with redness.   3/1/09 Patient seen in the office with bilateral lower leg swelling and redness from ankles to below knees. Fever 101.7F. Pt diagnosed with cellilitis and started on oral Clindamycin.   3/3/09 Pt continued to have fever to 104 and swelling. Also redness with streaking up bilateral inner thighs noted. Pt referred to ER and was admitted for IV Clindamycin.         3/3/09 to 3/6/09 Pt hospitalized for IV clindamycin with slow partial resolution of swelling and redness. At discharge, pt still had redness on lower 2/3 of lower leg but signifantly less swelling. Pt discharged home on oral Clinda. 3/11/09 Pt had drug reaction on Clindamycin so antibiotic was stopped.                           3/18/09 Pt re-evaluated: fading redness on lower legs with minimal swelling mostly localized to lateral right achilles. No pain or tendereness. 3/25/09 Swelling almost completely resolved, redness fading, no pain or tenderness. 4/6/09-records received-office visit 2/28/09-fever 37 degrees 4 days ago, ankle pain, dizzy after receipt of vaccines. 3/1/09-both ankles swollen started 3-4 days ago, no trauma. Cough, Rash on legs only. Bilateral leg swelling and erythema. Assessment:questionable cellulitis. Presented to ED 3/4/09-pain in legs red and swelling of legs. Macular papula rash on belly and chest. Pain when walking. Fever up to 104 prior to arrival. Assessment: cellulitis. 3/25/09 office visit C/O cold.Assessment viral pharyngitis and URI.  4/15/09-records received for DOS 3/3-3/4/09-DX:Cellulitis. Bilateral cellulitis of lower extremities. -C/O painful red legs, 5-6 days history of bilateral leg pain increasing in severity accompanied by fever. Onset as muscle pain without fever then minimal redness and increasing pain.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Eosinophil percentage, Erythema, Joint swelling, Lymphocyte percentage decreased, Neutrophil percentage increased
Clinical narrative: 2/22/09 to 2/24/09 Fever by report from mom. 2/27/09 Patient began experiencing ankle pain. 2/28/09 Ankle began to swell with redness.   3/1/09 Patient seen in the office with bilateral lower leg swelling and redness from ankles to below knees. Fever 101.7F. Pt diagnosed with cellilitis and started on oral Clindamycin.   3/3/09 Pt continued to have fever to 104 and swelling. Also redness with streaking up bilateral inner thighs noted. Pt referred to ER and was admitted for IV Clindamycin.         3/3/09 to 3/6/09 Pt hospitalized for IV clindamycin with slow partial resolution of swelling and redness. At discharge, pt still had redness on lower 2/3 of lower leg but signifantly less swelling. Pt discharged home on oral Clinda. 3/11/09 Pt had drug reaction on Clindamycin so antibiotic was stopped.                           3/18/09 Pt re-evaluated: fading redness on lower legs with minimal swelling mostly localized to lateral right achilles. No pain or tendereness. 3/25/09 Swelling almost completely resolved, redness fading, no pain or tenderness. 4/6/09-records received-office visit 2/28/09-fever 37 degrees 4 days ago, ankle pain, dizzy after receipt of vaccines. 3/1/09-both ankles swollen started 3-4 days ago, no trauma. Cough, Rash on legs only. Bilateral leg swelling and erythema. Assessment:questionable cellulitis. Presented to ED 3/4/09-pain in legs red and swelling of legs. Macular papula rash on belly and chest. Pain when walking. Fever up to 104 prior to arrival. Assessment: cellulitis. 3/25/09 office visit C/O cold.Assessment viral pharyngitis and URI.  4/15/09-records received for DOS 3/3-3/4/09-DX:Cellulitis. Bilateral cellulitis of lower extremities. -C/O painful red legs, 5-6 days history of bilateral leg pain increasing in severity accompanied by fever. Onset as muscle pain without fever then minimal redness and increasing pain.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Oedema peripheral, Pyrexia, Red blood cell sedimentation rate increased, Rheumatoid factor, Streptococcal identification test negative
Clinical narrative: 2/22/09 to 2/24/09 Fever by report from mom. 2/27/09 Patient began experiencing ankle pain. 2/28/09 Ankle began to swell with redness.   3/1/09 Patient seen in the office with bilateral lower leg swelling and redness from ankles to below knees. Fever 101.7F. Pt diagnosed with cellilitis and started on oral Clindamycin.   3/3/09 Pt continued to have fever to 104 and swelling. Also redness with streaking up bilateral inner thighs noted. Pt referred to ER and was admitted for IV Clindamycin.         3/3/09 to 3/6/09 Pt hospitalized for IV clindamycin with slow partial resolution of swelling and redness. At discharge, pt still had redness on lower 2/3 of lower leg but signifantly less swelling. Pt discharged home on oral Clinda. 3/11/09 Pt had drug reaction on Clindamycin so antibiotic was stopped.                           3/18/09 Pt re-evaluated: fading redness on lower legs with minimal swelling mostly localized to lateral right achilles. No pain or tendereness. 3/25/09 Swelling almost completely resolved, redness fading, no pain or tenderness. 4/6/09-records received-office visit 2/28/09-fever 37 degrees 4 days ago, ankle pain, dizzy after receipt of vaccines. 3/1/09-both ankles swollen started 3-4 days ago, no trauma. Cough, Rash on legs only. Bilateral leg swelling and erythema. Assessment:questionable cellulitis. Presented to ED 3/4/09-pain in legs red and swelling of legs. Macular papula rash on belly and chest. Pain when walking. Fever up to 104 prior to arrival. Assessment: cellulitis. 3/25/09 office visit C/O cold.Assessment viral pharyngitis and URI.  4/15/09-records received for DOS 3/3-3/4/09-DX:Cellulitis. Bilateral cellulitis of lower extremities. -C/O painful red legs, 5-6 days history of bilateral leg pain increasing in severity accompanied by fever. Onset as muscle pain without fever then minimal redness and increasing pain.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Ultrasound Doppler normal, White blood cell count increased, X-ray normal
Clinical narrative: 2/22/09 to 2/24/09 Fever by report from mom. 2/27/09 Patient began experiencing ankle pain. 2/28/09 Ankle began to swell with redness.   3/1/09 Patient seen in the office with bilateral lower leg swelling and redness from ankles to below knees. Fever 101.7F. Pt diagnosed with cellilitis and started on oral Clindamycin.   3/3/09 Pt continued to have fever to 104 and swelling. Also redness with streaking up bilateral inner thighs noted. Pt referred to ER and was admitted for IV Clindamycin.         3/3/09 to 3/6/09 Pt hospitalized for IV clindamycin with slow partial resolution of swelling and redness. At discharge, pt still had redness on lower 2/3 of lower leg but signifantly less swelling. Pt discharged home on oral Clinda. 3/11/09 Pt had drug reaction on Clindamycin so antibiotic was stopped.                           3/18/09 Pt re-evaluated: fading redness on lower legs with minimal swelling mostly localized to lateral right achilles. No pain or tendereness. 3/25/09 Swelling almost completely resolved, redness fading, no pain or tenderness. 4/6/09-records received-office visit 2/28/09-fever 37 degrees 4 days ago, ankle pain, dizzy after receipt of vaccines. 3/1/09-both ankles swollen started 3-4 days ago, no trauma. Cough, Rash on legs only. Bilateral leg swelling and erythema. Assessment:questionable cellulitis. Presented to ED 3/4/09-pain in legs red and swelling of legs. Macular papula rash on belly and chest. Pain when walking. Fever up to 104 prior to arrival. Assessment: cellulitis. 3/25/09 office visit C/O cold.Assessment viral pharyngitis and URI.  4/15/09-records received for DOS 3/3-3/4/09-DX:Cellulitis. Bilateral cellulitis of lower extremities. -C/O painful red legs, 5-6 days history of bilateral leg pain increasing in severity accompanied by fever. Onset as muscle pain without fever then minimal redness and increasing pain.
Age: 18.0
Sex: F
Vaccine: FLU3, HEP, HEPA, IPV, MNQ, TDAP, VARCEL
Symptoms: Drug exposure during pregnancy
Clinical narrative: CLIENT RECEIVED 7 VACCINES ON THE 26 OF MARCH. CLIENT HAD POSITIVE PREGNANCY TEST TODAY IN OUR ADULT HEALTH CLINIC.
Age: 64.0
Sex: F
Vaccine: HEPAB, PPV, TD, TYP
Symptoms: Erythema, Injection site pain, Injection site swelling, Pain
Clinical narrative: Soreness and erythema (~4 inches red ring in diameter) appeared on 03/06/09, 2 days after receiving the vaccine. Patient also complained of swellling at the site of the injection which was tender to touch. On 03/09/09 patient claimed that the redness was fading away, and she can now touch/rub the injectopn site.
Age: 0.34
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Skin discolouration
Clinical narrative: Child was in office for a 6 month physical on 9/09/08. Prior to adminsitering vaccinations black dots were noticed on the child's left thigh. It was noted that the child's previous visit was on 7/08/08 at which time the child received the following vaccinations: Prevnar, DTaP, IPV, Rotateq, and HIB. It is documented that DTaP and IPV administered in the left thigh. All the other vaccinations were given in the right thigh or by mouth. Needles were changed prior to administration. 04/16/2009 DTAP was administered using VanishPoint syringe. IPV was administered using Safety Glide.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Body temperature increased, Injection site pain, Vomiting
Clinical narrative: On the evening of the shots, she developed low grade temp that increased the following day to 104F. She also developed emesis (NBNB) x 3 with last emesis this morning at 11 am. No diarrhea. No abdominal pain. Slight soreness at site of vaccines but no appreciated swelling or redness. She had temp to 100.5F at our office today. no sore throat, no URI symptoms.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site irritation
Clinical narrative: Patient call on 4/2/09 stating that on Monday March 30 she received the Shingles vaccine.  She did not have any problems for greater than 24 hours.  On Tuesday late evening, she noticed a Red rasied area at the injection site that ran down her arm about 3-4 inches long and about 1 inch wide.  Today, Thursday, April 2nd there is a light pink circle around the red area that burns.  No treatment was done.  Instructed to use ice PRN and to contact her pCP for further directions.
Age: 59.0
Sex: M
Vaccine: MEN, TYP, YF
Symptoms: Pain
Clinical narrative: Had inner gluteal pain starting four days after vaccination and lasting for four days. Pain relieved with anti-inflammatories.  No other symptoms. Declined follow-up with his PCP.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Expired drug administered, No adverse event
Clinical narrative: Pt received a vaccination from an expired vial of Hep B. (exp date was 2-2-09). Parents were advised to revaccinate the child. No adverse reactions have been reported
Age: 59.0
Sex: M
Vaccine: TYP
Symptoms: Diarrhoea, Fatigue, Pyrexia, Vomiting
Clinical narrative: Took first oral typhoid capsule as directed and within several hours had vomiting, diarrhea, fever and fatigue.  Symptoms resolved by next day.  Advised not to finish vaccine.
Age: 77.0
Sex: M
Vaccine: VARCEL
Symptoms: Herpes zoster
Clinical narrative: Developed full blown Shingles approximately 4 days following vaccination. Prescribed ACYCLOVIR, 800MG, ONE TABLET 5 TIMES A DAY FOR 10 DAYS
Age: 1.11
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Immediate post-injection reaction, Injection site discolouration
Clinical narrative: Child received subcutaneous injections of MMR and Varivax on right and left thighs respectively using VanishPoint synringes. Black dots noticed on both thighs immediately after administration of vaccinations. 04/16/09 Type of syringe used not documented. Per office guidelines, VARIVAX is to be administered using VanishPoint and MMR is to be administered using Safety Glide.
Age: 4.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: GAVE 4TH PEDIARIX
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: EDEMA AND ERYTHEMA TO RIGHT DELTOID 16.25 CM x 16.25 CM. ADVISED PARENT ON APPLICATION OF COLD COMPRESSES, MED W\ KEFLEX 500MG BID #14