chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.14
Sex: M
Vaccine: HEPA, HIBV, MMRV, PNC
Symptoms: Nasal congestion, Rash
Clinical narrative: Fever on and off since 7/26/07 (immunization day). Rash last night, worse today 8/7/06 (measles like rash) stuffy nose. Medicine given at home Motrin.
Age: 1.65
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Fever, Rash
Age: 57.0
Sex: M
Vaccine: PPV, TD
Symptoms: Chills, Injection site induration, Pain, Pyrexia
Clinical narrative: Midnight pt went to bed fever 101, achy, chills, lump under injection site. Pt states slept through it felt much better, normal the next morning.
Age: 49.0
Sex: F
Vaccine: YF
Symptoms: Erythema, Pruritus, Urticaria, Vaccine positive rechallenge, Vomiting
Clinical narrative: Received the vaccine on a Thursday morning. That evening about 2 hours later I started to vomit. Late evening my left arm started to itch. Early morning Friday vomited twice with arm itching still. Arm continued to itch. Notice Monday evening that a welp 4x2 inch is noticeable with Redness in color.
Age: 75.0
Sex: F
Vaccine: HEPA, MEN, YF
Symptoms: Blood pressure increased, Chest discomfort, Condition aggravated, Dizziness, Loss of consciousness
Clinical narrative: The day after receiving vaccines I woke up with dizziness and it continued until I went to ER about two days later, I was feeling pressure on my chest and my blood pressure was elevated even though I take Nitro Slow caps and Maxide for BP. I was at the ER from 5:45pm to 9:45pm being administered to with drugs to put me to sleep. I had a reaction to the drugs. I felt like all my nerves were screaming and about to burst (for lack of a better word) and wanted to get up and walk because of this creepy crawly feeling in my entire body. the more drugs I was given the worse it got until I was finally knocked out, so my ex husband who was with me told me. He drove me home and I was still dizzy and passed out on the bed at home. The doctor at Emergency prescribed meclizine 25 for the dizziness. since he diagnosed middle ear infection or a virus, we filled only the meclizine which didn't help to control the dizziness. On Friday June 30 I went to my primary care Dr. I feared leaving the country July 6th and asked him to check me out, he prescribed a patch for the dizziness which lasted 3 days. I took those until I boarded the plane, July 5 which finally controlled the problem, Thank God. We were I sincerely hope this report I have given will help your dept in better understanding vaccines and possible side effects.
Age: 75.0
Sex: F
Vaccine: HEPA, MEN, YF
Symptoms: Otitis media, Paraesthesia, Viral infection
Clinical narrative: The day after receiving vaccines I woke up with dizziness and it continued until I went to ER about two days later, I was feeling pressure on my chest and my blood pressure was elevated even though I take Nitro Slow caps and Maxide for BP. I was at the ER from 5:45pm to 9:45pm being administered to with drugs to put me to sleep. I had a reaction to the drugs. I felt like all my nerves were screaming and about to burst (for lack of a better word) and wanted to get up and walk because of this creepy crawly feeling in my entire body. the more drugs I was given the worse it got until I was finally knocked out, so my ex husband who was with me told me. He drove me home and I was still dizzy and passed out on the bed at home. The doctor at Emergency prescribed meclizine 25 for the dizziness. since he diagnosed middle ear infection or a virus, we filled only the meclizine which didn't help to control the dizziness. On Friday June 30 I went to my primary care Dr. I feared leaving the country July 6th and asked him to check me out, he prescribed a patch for the dizziness which lasted 3 days. I took those until I boarded the plane, July 5 which finally controlled the problem, Thank God. We were I sincerely hope this report I have given will help your dept in better understanding vaccines and possible side effects.
Age: 46.0
Sex: F
Vaccine: MEN, TYP, YF
Symptoms: Anorexia, Arthralgia, Chills, Fatigue, Joint swelling
Clinical narrative: 3 days after receiving Yellow Fever meningococcal and injectable Typhoid vaccine, patient developed fever, chill, anorexia, swollen and painful joints, fatigue which persisted for 6 1/2 weeks.
Age: 46.0
Sex: F
Vaccine: MEN, TYP, YF
Symptoms: Pyrexia
Clinical narrative: 3 days after receiving Yellow Fever meningococcal and injectable Typhoid vaccine, patient developed fever, chill, anorexia, swollen and painful joints, fatigue which persisted for 6 1/2 weeks.
Age: 1.07
Sex: F
Vaccine: VARCEL
Symptoms: Bacterial infection, Herpes zoster, Rash, Viral infection
Clinical narrative: Information has been received from a mother concerning her approx 25 month old daughter, who was born with severe reflux disease, who in March 2005, was vaccinated with a dose of varicella virus vaccine live. It was noted that in late March or early April 2006 the pt had undergone fundoplication surgery to correct her constant reflux which had caused esophageal ulcerations. A tube was inserted in order to feed her. The pt was being fed both through the tube and orally, The pt had the feeding tubes replaced on occasion at the hospital. On 7/18/06 the pt was seen in a pediatricians office with a rash on her upper arm. The pediatrician was treating the rash with antibiotics to see if it would clear. The rash did not get any better and was spreading on 7/23/06. The pt was admitted to the hospital with a diagnosis of methicillin resistant staphylococcal aureus and was given IV antibiotics. On 7/24/06, the pts mother was told that her daughter also had a case of shingles, which they said was brought on by the pts vaccination with varicella virus vaccine live. They told her that the virus laid dormant in the pts system and came out as shingles. At the time of the report the pt was still hospitalized. Follow up information from the pts mother indicated that the pt was treated with acyclovir Zovirax for her shingles. The pt was released from the hospital on 7/25/06 and was recovering from methicillin resistant staphylococcal aureus and shingles. At the time of the report, the pt still had remnants of the rash, but was still taking antibiotics. Additional information is not expected.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Anaphylactic shock
Clinical narrative: Information has been received from a health professional concerning a 5 year old male who on 8/1/06 was vaccinated with a 0.5ml dose of MMR II. Suspect vaccination administered that day included a dose of diphtheria toxoid + pertussis acellular vaccine unspecified + tetanus toxoid and a dose of Poliovirus vaccine. On 8/1/06 the pt experienced anaphylactic shock and was hospitalized. No lab diag test were performed. At the time of the report the pt had not recovered. There was no product quality complaint involved. Additional information has been requested.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Anaphylactic shock, Aphasia, Erythema, Glossodynia, Rash
Clinical narrative: Information has been received from a health professional concerning a 5 year old male who on 8/1/06 was vaccinated with a 0.5ml dose of MMR II. Suspect vaccination administered that day included a dose of diphtheria toxoid + pertussis acellular vaccine unspecified + tetanus toxoid and a dose of Poliovirus vaccine. On 8/1/06 the pt experienced anaphylactic shock and was hospitalized. No lab diag test were performed. At the time of the report the pt had not recovered. There was no product quality complaint involved. Additional information has been requested.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Skin discolouration, Vomiting
Clinical narrative: Information has been received from a health professional concerning a 5 year old male who on 8/1/06 was vaccinated with a 0.5ml dose of MMR II. Suspect vaccination administered that day included a dose of diphtheria toxoid + pertussis acellular vaccine unspecified + tetanus toxoid and a dose of Poliovirus vaccine. On 8/1/06 the pt experienced anaphylactic shock and was hospitalized. No lab diag test were performed. At the time of the report the pt had not recovered. There was no product quality complaint involved. Additional information has been requested.
Age: 81.0
Sex: M
Vaccine: PPV
Symptoms: Hypokinesia, Injection site hypersensitivity, Injection site pain
Clinical narrative: Information has been received from a physician concerning an 81 year old male with no drug allergies with Parkinson's disease, chronic obstructive pulmonary disease and diabetes who on 7/20/06 was vaccinated with a 0.5ml booster dose of Pneumococcal 23v polysaccharide vaccine (lot 651357/0391F), IM in the left deltoid. Concomitant therapy included Carbidopa levodopa Sinemet, Donepezil hydrochloride Aricept, metformin HCL Glucophage, glipizide, paroxetine HCL Paxil, entacapone, acetaminophen Tylenol (in the evening) and Senna Senokot. On 7/21/06 the pt experienced severe pain in the upper left arm and the area was very red. There was no fever associated with the symptoms. On the morning of 7/21/06 the pts temp was 98.1 F. The pt could not use his arm due to the severe pain in the upper left arm. The pt was ordered on prednisone for 5 days and ranitidine hydrochloride Zantac. There were no relevant diagnostic tests performed. The reporter considered severe pain in the upper left arm and very red area to be disabling and other medical events (OMIC).  Additional information has been requested.
Age: 53.0
Sex: M
Vaccine: ANTH
Symptoms: Anorexia, Anxiety, Arthralgia, Depression, Hypoaesthesia
Clinical narrative: General body aches and pain, joint pain, tingling and numbness of hands fingers toes, Absence of sleep, night mares, anxiety, nervousness, eyes sensitive to light, lack of appetite, Skin soreness, skin Itch. 10/13/06 Received medical records from VA which reveal patient began treatment for depression in 2004 after returning from combat.  Same year noted rashes of forearms.  First c/o hip pain noted 1/06 & x-rays done at that time were WNL./ss
Age: 53.0
Sex: M
Vaccine: ANTH
Symptoms: Insomnia, Nervousness, Nightmare, Pain, Paraesthesia
Clinical narrative: General body aches and pain, joint pain, tingling and numbness of hands fingers toes, Absence of sleep, night mares, anxiety, nervousness, eyes sensitive to light, lack of appetite, Skin soreness, skin Itch. 10/13/06 Received medical records from VA which reveal patient began treatment for depression in 2004 after returning from combat.  Same year noted rashes of forearms.  First c/o hip pain noted 1/06 & x-rays done at that time were WNL./ss
Age: 53.0
Sex: M
Vaccine: ANTH
Symptoms: Photophobia, Pruritus, Rash, Skin disorder
Clinical narrative: General body aches and pain, joint pain, tingling and numbness of hands fingers toes, Absence of sleep, night mares, anxiety, nervousness, eyes sensitive to light, lack of appetite, Skin soreness, skin Itch. 10/13/06 Received medical records from VA which reveal patient began treatment for depression in 2004 after returning from combat.  Same year noted rashes of forearms.  First c/o hip pain noted 1/06 & x-rays done at that time were WNL./ss
Age: 47.0
Sex: U
Vaccine: ANTH
Symptoms: Headache, Rash
Clinical narrative: Headache, rash
Age: 37.0
Sex: M
Vaccine: ANTH, HEP, HEPA, IPV
Symptoms: Arthralgia, Bone pain, Gingival bleeding, Insomnia
Clinical narrative: Pain in bones and joints, loss of sleep (insomnia) bleeding of gums.
Age: 21.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Respiratory rate increased, Tremor
Clinical narrative: Shaking, breathing fast lasted about 1/2 hour. No rash or hives.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Headache, Pyrexia, Rash erythematous, Rash papular
Clinical narrative: Pts mom took pt to ER with severe headache, and a temp of 104. This was at 2am on 7/30/2006, He also had a rash, erythematous papules on face, upper trunk and arms.
Age: 24.0
Sex: M
Vaccine: TDAP
Symptoms: Rash pruritic
Clinical narrative: Rash developed arms and fingers accompanied by pruritus 2-3 days after vaccination.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Anaphylactic reaction, Dyspnoea, Face oedema, Wheezing
Clinical narrative: Anaphylaxis with in 45 minutes of administration of vaccine pt developed lip swelling, wheezing, sob, pt went to ER and received epinephrine and advised to take Benadryl for 24 hours.
Age: 0.16
Sex: F
Vaccine: HBHEPB, MMRV, PNC
Symptoms: Dermatitis bullous, Pyrexia, Rash
Clinical narrative: Fever 7-10 days after Immun with rash approx (3-4) on face, diaper area, Varicella like rash at 12 days.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Pyrexia
Clinical narrative: Red, Swelling 6cm x 6cm, fever, soreness right arm at site.
Age: 0.21
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Immediately after administration of Pediarix and Hib to left leg severe swelling and redness were noted to leg. Ice pack applied and Tylenol given PO 12:15pm swelling and redness minimal. Infant asleep PC will return if changes occur.
Age: 6.0
Sex: F
Vaccine: DTAP, HEP, HEPA, MMRV
Symptoms: Face oedema
Clinical narrative: Received MMRV 6/16/06. Presented at Clinic on 6/29/06 with right sided facial swelling that began 6/26/06. No other symptoms present. Arrived from out of the country approx 6/8 no treatment required.
Age: 1.57
Sex: M
Vaccine: DTAP, HEPA, HIBV, PNC
Symptoms: Erythema multiforme, Rash
Clinical narrative: On day after vaccines, infant developed erythema multiforme like rash on face, trunk, and extremities. no fever, no uri sxs. No h/o fever blisters. no mucus membrane involvement. He was treated with Benadryl.
Age: 10.0
Sex: M
Vaccine: HEPA
Symptoms: Fatigue, Muscle rigidity, Pallor, Syncope
Clinical narrative: Approx 10 min after receiving Hepatitis A vaccine in left deltoid, he became pale and fainted after being helped to the chair. He then became rigid with a loud inspiration, but immediately came to when an ammonia inhalent was used to elicit stimulation of respiration. Had him lower his head between his knees B/P 92/60, Pulse 88. Notified his PCP. Parents took him home and fed him lunch. He was tired most of the day according to his parents, but was fine the following day.
Age: 24.0
Sex: F
Vaccine: TD
Symptoms: Arthralgia, Headache, Injection site hypersensitivity, Injection site oedema, Injection site warmth
Clinical narrative: Myalgia, arthralgia x 3 days. Malaise, temperature to 100.5, headache, arm redness, hot, swelling. TX rest, ice, Advil, Fluids.
Age: 24.0
Sex: F
Vaccine: TD
Symptoms: Malaise, Myalgia, Pyrexia
Clinical narrative: Myalgia, arthralgia x 3 days. Malaise, temperature to 100.5, headache, arm redness, hot, swelling. TX rest, ice, Advil, Fluids.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Feeling hot, Injection site hypersensitivity, Injection site oedema
Clinical narrative: Warm to touch, redness, and swelling to right deltoid.
Age: 12.0
Sex: M
Vaccine: TD
Symptoms: Abdominal pain, Dyspnoea, Muscle twitching, Pain
Clinical narrative: abdominal pain day of reaction, muscle twitching, pain, dyspnea.
Age: 8.0
Sex: F
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Left arm red and swollen on site of vaccines.
Age: 1.21
Sex: M
Vaccine: HIBV, MMR, PNC
Symptoms: Petechiae, Skin ulcer
Clinical narrative: Pt received 4 immunizations on 7/13/06, Prevnar, Hib, MMR and Varicella. He brook out in dark petechial lesions over most of body on 7/25/06 thru today. Lesions especially  noticeable in face and chin.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Febrile convulsion x 3mins. 10 hours after getting 4 immunizations at 15 months. Exam normal afterward. T 104 at ER. Afebrile by next day.
Age: 12.0
Sex: M
Vaccine: HEPA, MMR
Symptoms: Gait disturbance, Hyperhidrosis
Clinical narrative: Pt became diaphoretic and stumbled to floor, never lost consciousness. Bp 70/50 able to sit up after being prone for 5". left clinic accompanied by mother.
Age: 1.37
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Cellulitis, Contusion, Injection site oedema
Clinical narrative: Left thigh swelling with bruising. Treated for cellulitis with Keflex 7 days, Tylenol PRN pain.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Developed erythema and edema left thigh about 24 hours after DTaP, IPV injection, no fever, Erythema and swelling resolved completely on 8/03/06.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Rash erythematous, Rash maculo-papular
Clinical narrative: Generalized erythematous maculopapular rash.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema, Injection site warmth, Tenderness
Clinical narrative: Left upper arm swollen, warm to touch, mildly tender. Tx amoxil 250mg chewable #40 1 1/2 BID.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site warmth, Rash maculo-papular
Clinical narrative: Mother first noticed approx 3in diameter red area at injection site right thigh on 8/2/06. Area with increasing redness site and warm. Pt presents to office today with area approximately 15cm x 13cm on right thigh. Area splotchy, warm to touch and firm. Pt without fever or other general signs. Treatment for pt Benadryl pm for redness, edema Etc. Area outlined with ink to help with further observation for mother. Mother informed to return to office or seek treatment if area becomes more red, edematous, etc. Mother verbalized understanding.
Age: 27.0
Sex: F
Vaccine: TD
Symptoms: Pruritus, Pyrexia, Rash, Rash erythematous, Somnolence
Clinical narrative: Pt presented to Health dept with tiny red, raised rash x 1 day. States she was sleepy yesterday and sometimes gets a rash with fever. Has not taken temp. Rash beginning to itch. Pt saw PCP, has Benadryl to take and instruction to go to ER for any difficulty breathing/swallowing.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site hypersensitivity, Injection site warmth
Clinical narrative: 10 1/2cm, 11 1/2cm redness, warm to touch.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Medication error
Clinical narrative: None as of 8/2/06
Age: 52.0
Sex: M
Vaccine: YF
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site vesicles, Pruritus
Clinical narrative: 23 year old male developed a slight swelling that progresses to a large area of redness with blisters, swelling and itching on upper arm, 2 days after receiving a yellow fever vaccine, pt denied fever, SOB, chest or joint pain, nausea vomiting or headaches. He was treated with prednisone 10mg a day for 7 days, fexofenadine 180 mg a day and diphenhydramine 50mg PO at bedtime.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Anorexia, Fatigue, Irritability, Oliguria, Pyrexia
Clinical narrative: Reaction to Hep A vaccine 2 year health female presents to ER nine 7/28/06 days after hep A vaccination, Pt with fever to 102.8, fatigue, fussiness, anorexia, and poor urine output. ON exam pt appeared well, non toxic, appropriate. Pt was taking good oral fluids, and was afebrile. Family was given assurance and education. Pt was discharge after appropriate follow up. (OMIC).
Age: 53.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Hypersensitivity, Injection site infection, Injection site oedema, Pyrexia
Clinical narrative: 53 yo vet with history of malignant fibrosing histosaroma resolved pneumovax in left arm on 5/1/06. Pt noted tenderness and swelling around site, took Benadryl. Swelling and tenderness continued to increase an pt was seen by PCP 5/2/06 and there was concern for infection/local allergic reaction. Pt did have subjective fevers today. No SOB, throat swelling or difficulty breathing at any time. Pt received Levaquin IV x1 and Benadryl as outpt. On arrival pt reports swelling is worse, though no numbness, weakness in left arm. Admitted and started on vancomycin/ciprofloxacin for cellulitis, IV methylprednisolone and po diphenhydramine for injection site reaction. Cellulitis has been rarely reported within 2 days of Pneumovax. 08/10/06-DC Summary received for DOS 5/2-5/5/06. Patient demographics removed. DC DX: L UE cellulitis             Hx of malignant fibrosing histosarcoma             COPD stable             Lower abd nodules r/o recurrent cancer             Hep C Summary: 53 year old male with HX of malignant fibrosing histosarcoma received Pneumovax in left arm day before presentation. C/O tenderness and swelling around site, took Benadryl. Swelling and tenderness continued to increase, seen by PCP concern for infection/local allergic reaction. Subjective fevers on admission. No SOB, throat swelling or difficulty breathing at any time. RX with Levaquin and Benadryl as outpatient. On arrival patient reports swelling worse though no numbness, weakness in left arm. RX with Vancomycin and Cipro, steroids. Cellulitis significantly improved over next days.
Age: 53.0
Sex: M
Vaccine: PPV
Symptoms: Tenderness
Clinical narrative: 53 yo vet with history of malignant fibrosing histosaroma resolved pneumovax in left arm on 5/1/06. Pt noted tenderness and swelling around site, took Benadryl. Swelling and tenderness continued to increase an pt was seen by PCP 5/2/06 and there was concern for infection/local allergic reaction. Pt did have subjective fevers today. No SOB, throat swelling or difficulty breathing at any time. Pt received Levaquin IV x1 and Benadryl as outpt. On arrival pt reports swelling is worse, though no numbness, weakness in left arm. Admitted and started on vancomycin/ciprofloxacin for cellulitis, IV methylprednisolone and po diphenhydramine for injection site reaction. Cellulitis has been rarely reported within 2 days of Pneumovax. 08/10/06-DC Summary received for DOS 5/2-5/5/06. Patient demographics removed. DC DX: L UE cellulitis             Hx of malignant fibrosing histosarcoma             COPD stable             Lower abd nodules r/o recurrent cancer             Hep C Summary: 53 year old male with HX of malignant fibrosing histosarcoma received Pneumovax in left arm day before presentation. C/O tenderness and swelling around site, took Benadryl. Swelling and tenderness continued to increase, seen by PCP concern for infection/local allergic reaction. Subjective fevers on admission. No SOB, throat swelling or difficulty breathing at any time. RX with Levaquin and Benadryl as outpatient. On arrival patient reports swelling worse though no numbness, weakness in left arm. RX with Vancomycin and Cipro, steroids. Cellulitis significantly improved over next days.
Age: 4.0
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Pt developed a red, rash to immunization site of left thigh 11x8cm. L thigh local skin rash to injection site swelling redness, itching. Treatment included warm/cold compresses, BENADRYL.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Headache, Laboratory test abnormal, Osteomyelitis, Pain, Pyrexia
Clinical narrative: Developed fever, headache and generalized body aches. Still getting IV antibiotics. 9/13/06-Records received for DOS 7/3-7/4/06 DC DX: Osteomyelitis 2 weeks prior to admission received tetanus booster and shortly thereafter developed a fever that persisted for approximately 10 days. Fever was undulating and at max at one point of 106. Initially diagnosed with viral syndrome but fever persisted, sent to PMD for CBC, ESR and blood cultures. Blood culture revealed positive for Staph. aureus and instructed to go to ER where he was afebrile WBC 5.2 with no left shift and mildly anemic, SED rate 70. Received Vancomycin and Gentamicin. Developed flushing with Vancomycin which was alleviated with Benadryl.  Allergies: Penicillin and Cephalosporins cause anaphylactic reaction Hospital Course: Remained afebrile throughout his stay. Only issue occurred 3 days into hospitalization developed a swollen erythematous and warm right elbow, investigated and osteomyelitis ruled out.  X-ray of right elbow obtained to rule out osteomyelitis due to increased erythema, warmth tenderness-deemed to be probably olecranon bursitis, not osteomyelitis and a CMP was performed which was WNL.  PICC line inserted for home care. EKG: 1 PVC and some sinus arrhythmias benign in nature. Follow-up with cardiology in 6 months.
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Eye disorder, Medication error
Clinical narrative: 8/8/06 at 7:50 nurse was administering primary small pox series (jabs) to pt. On last jab he moved, causing Bifurcated needle to release fluid that contacted inner canthus of her right eye. Immediately 15 min flush with tap water conducted. Then taken to Hosp. Evaluation by ophthalmology. Released same day.
Age: 1.39
Sex: F
Vaccine: DTAP, HBHEPB, MMR, PNC, VARCEL
Symptoms: Blister, Pruritus, Pyrexia, Rash, Rash papular
Clinical narrative: Rash began on trunk, spread to back, itching, fever 100, many papules with small vesicles noted.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Fever 100.3, local swelling and redness on left deltoid with 2 injection given (DTap #5 and IPV #4).
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site reaction, Lacrimation increased, Pharyngolaryngeal pain, Rhinorrhoea
Clinical narrative: about 1:25pm note increased sneezing, runny nose, water eyes. 1:40pm note throat pain, redness localized at right arm site of injection MMR, 1:50pm SQ epinephrine given, Contacted 2:15pm child taken to ER.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Sneezing
Clinical narrative: about 1:25pm note increased sneezing, runny nose, water eyes. 1:40pm note throat pain, redness localized at right arm site of injection MMR, 1:50pm SQ epinephrine given, Contacted 2:15pm child taken to ER.
Age: 1.01
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Cough, Pyrexia, Rash
Clinical narrative: Fever, body rash, cough x 10-12 days after MMR injection of mild to moderate severity. Fever and cough meds presented.
Age: 1.3
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Pyrexia, Rash, Vomiting
Clinical narrative: High fever, vomiting, rash
Age: 1.04
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Pyrexia
Clinical narrative: Onset high fever the day of vaccines, given by 5 pm temperature 103. Spiked again to 104 around 2 am, overall symptoms lasted a little over 24 hours.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Tenderness
Clinical narrative: Left arm deltoid muscle region distal area of erythema, warmth, slight tenderness, minimal induration, no fluctuation or oozing. Treatment Advil for pain, cool compress, RTC if worsens or fever.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Unevaluable event
Clinical narrative: NO ADVERSE REACTION NOTED  RECEIVED ADACEL ON 4-11-06 FROM ANOTHER FACILITY WITHOUT OUR KNOWLEDGE AND THEN RECEIVED AGAIN ON 8-5-06.
Age: 0.4
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Irritability, Pyrexia, Screaming
Clinical narrative: Pt had intractible screaming and fever to 103 degrees F., starting 10 hours after 3rd DTaP.  Screaming continued more than two hours.  Pt was seen by me the next morning, and was fussy, but with a normal exam.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Decreased appetite, Injection site swelling, Lethargy
Clinical narrative: On 8/1/06 in the afternoon pt has slight swelling at site.  Progressed - swollen from shoulder to elbow.  Some lethargy, poor appetite.  Seen by Dr. 8/3/06 - recommended no TD for 10 years.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Unevaluable event
Clinical narrative: cHILD SEEN FOR 4 MONTH WELL EXAM 8/1/2006 NORMAL EXAM RECEIVED ROUTINE IMMUNIZATIONS AND DURING THE NIGHT THE PATIENT EXPIRED
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Apnoea, Cardio-respiratory arrest, Retinal haemorrhage
Clinical narrative: cHILD SEEN FOR 4 MONTH WELL EXAM 8/1/2006 NORMAL EXAM RECEIVED ROUTINE IMMUNIZATIONS AND DURING THE NIGHT THE PATIENT EXPIRED
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Coma
Clinical narrative: cHILD SEEN FOR 4 MONTH WELL EXAM 8/1/2006 NORMAL EXAM RECEIVED ROUTINE IMMUNIZATIONS AND DURING THE NIGHT THE PATIENT EXPIRED
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Apnoea, Cardiac arrest neonatal, Cyanosis, Multi-organ failure, Respiratory arrest
Clinical narrative: cHILD SEEN FOR 4 MONTH WELL EXAM 8/1/2006 NORMAL EXAM RECEIVED ROUTINE IMMUNIZATIONS AND DURING THE NIGHT THE PATIENT EXPIRED
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Retinal haemorrhage
Clinical narrative: cHILD SEEN FOR 4 MONTH WELL EXAM 8/1/2006 NORMAL EXAM RECEIVED ROUTINE IMMUNIZATIONS AND DURING THE NIGHT THE PATIENT EXPIRED
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Lymphadenopathy, Neck pain, Secondary transmission, Skin discolouration
Clinical narrative: Thursday August 3rd 2006 appx. 1500 hrs. wife noticed an abnormal looking patch of skin on right shoulder blade.  Pt. sought treatment at provider and was told it was nothing.  4 August 2006 2nd visit to provider the site had grown and was told it was "a contagious bug bite" and put on an antibiotic.  7 August 2006 3rd visit to ER Patient was counseled about a possible Smallpox (Vaccinia Transfer) and told to seek attention at the medical treatment facility.   Patient reported to the Immunization clinic today 8 August 2006 complaining of neck sorness (possible swollen lymph nodes) and patch of skin on right shoulder blade that looks exactly like her husbands vaccinia vaccination site.   Patient was extensively counseled about how to not transfer the vaccinia to another living being watched 28 minute video about smallpox vaccinations and this vaers was submitted.   Patient was asked to not be around small children for 2 weeks and asked to f/u in 3 days to the treatment facility.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV, VARCEL
Symptoms: Medication error
Clinical narrative: none known.  Mother notified of duplicate varicella given by 5 p.m.
Age: 14.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site urticaria
Clinical narrative: immediate erythema, induartion, pain localized urticaria at site  upon injection
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Anorexia, Injection site pain, Injection site swelling, Insomnia, Pyrexia
Clinical narrative: severe swelling at injection site for 24 hours; pain at and around the injection site; loss of appetite; trouble sleeping, waking every 2 hours; fever between 99-100 degrees; rash(small to medium size red bumps) starting at back of neck spreading to face and scalp
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Rash
Clinical narrative: severe swelling at injection site for 24 hours; pain at and around the injection site; loss of appetite; trouble sleeping, waking every 2 hours; fever between 99-100 degrees; rash(small to medium size red bumps) starting at back of neck spreading to face and scalp
Age: 18.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Apnoea, Coma, Pulse absent
Clinical narrative: Initial report received on 8/3/06 from a physician. An 18 year old male pt, with a history of mild hypercholesteremia and allergies to bee stings and sulfa, had received a left deltoid injection on Menactra, lot number U2116A, on 7/24/06. He had no illness at the time of vaccination. Four days post vaccination, the Pt was found unresponsive, pulseless and not breathing in bed. The pt was pronounced dead on that day. Per the reported, an autopsy was performed, and it was his understanding that the gross examination was negative, as well as the toxicology results. There was no history of trauma. Family history was negative. The etiology of the death was unknown at the time of this report. Per the reporter, he did not have any other contact information for follow up. Additional medically relevant information was not provided.
Age: 0.33
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Unevaluable event
Clinical narrative: Initial report received on 8/3/2006 from a health care provider. A three month old male pt, whose medical history was not reported, had received an injection of Tripedia, lot number U1857BA, an injection of IPOL, lot number Z0001, an injection of Prevnar, lot number either B086838 or B08683B, an injection of Comvax, lot number 0268F, on 8/1/06. Routes and sties of administration were not reported. The parents called 911 later that evening, and the pt was transported to the local ER. He was subsequently airlifted to another hospital. The pt died on 8/2/06. Additional medically relevant information was not provided.
Age: 0.33
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Apnoea, Cardio-respiratory arrest, Retinal haemorrhage
Clinical narrative: Initial report received on 8/3/2006 from a health care provider. A three month old male pt, whose medical history was not reported, had received an injection of Tripedia, lot number U1857BA, an injection of IPOL, lot number Z0001, an injection of Prevnar, lot number either B086838 or B08683B, an injection of Comvax, lot number 0268F, on 8/1/06. Routes and sties of administration were not reported. The parents called 911 later that evening, and the pt was transported to the local ER. He was subsequently airlifted to another hospital. The pt died on 8/2/06. Additional medically relevant information was not provided.
Age: 0.33
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Coma
Clinical narrative: Initial report received on 8/3/2006 from a health care provider. A three month old male pt, whose medical history was not reported, had received an injection of Tripedia, lot number U1857BA, an injection of IPOL, lot number Z0001, an injection of Prevnar, lot number either B086838 or B08683B, an injection of Comvax, lot number 0268F, on 8/1/06. Routes and sties of administration were not reported. The parents called 911 later that evening, and the pt was transported to the local ER. He was subsequently airlifted to another hospital. The pt died on 8/2/06. Additional medically relevant information was not provided.
Age: 0.33
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Apnoea, Cardiac arrest neonatal, Cyanosis, Multi-organ failure, Respiratory arrest
Clinical narrative: Initial report received on 8/3/2006 from a health care provider. A three month old male pt, whose medical history was not reported, had received an injection of Tripedia, lot number U1857BA, an injection of IPOL, lot number Z0001, an injection of Prevnar, lot number either B086838 or B08683B, an injection of Comvax, lot number 0268F, on 8/1/06. Routes and sties of administration were not reported. The parents called 911 later that evening, and the pt was transported to the local ER. He was subsequently airlifted to another hospital. The pt died on 8/2/06. Additional medically relevant information was not provided.
Age: 0.33
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Retinal haemorrhage
Clinical narrative: Initial report received on 8/3/2006 from a health care provider. A three month old male pt, whose medical history was not reported, had received an injection of Tripedia, lot number U1857BA, an injection of IPOL, lot number Z0001, an injection of Prevnar, lot number either B086838 or B08683B, an injection of Comvax, lot number 0268F, on 8/1/06. Routes and sties of administration were not reported. The parents called 911 later that evening, and the pt was transported to the local ER. He was subsequently airlifted to another hospital. The pt died on 8/2/06. Additional medically relevant information was not provided.
Age: 0.33
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Unevaluable event
Clinical narrative: Infant had an apnea event which required CPR advanced resuscitation. Approximately 12 hours after the resuscitation the infant died from complications from a prolonged cardio pulmonary arrest.
Age: 0.33
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Apnoea, Cardio-respiratory arrest, Retinal haemorrhage
Clinical narrative: Infant had an apnea event which required CPR advanced resuscitation. Approximately 12 hours after the resuscitation the infant died from complications from a prolonged cardio pulmonary arrest.
Age: 0.33
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Coma
Clinical narrative: Infant had an apnea event which required CPR advanced resuscitation. Approximately 12 hours after the resuscitation the infant died from complications from a prolonged cardio pulmonary arrest.
Age: 0.33
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Apnoea, Cardiac arrest neonatal, Cyanosis, Multi-organ failure, Respiratory arrest
Clinical narrative: Infant had an apnea event which required CPR advanced resuscitation. Approximately 12 hours after the resuscitation the infant died from complications from a prolonged cardio pulmonary arrest.
Age: 0.33
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC, DTAP, HBHEPB, IPV, PNC
Symptoms: Retinal haemorrhage
Clinical narrative: Infant had an apnea event which required CPR advanced resuscitation. Approximately 12 hours after the resuscitation the infant died from complications from a prolonged cardio pulmonary arrest.
Age: 0.8
Sex: F
Vaccine: DTAP
Symptoms: Irritability, Pyrexia, Rash, Viral infection
Clinical narrative: 7 days after DTAP vaccination, baby came down with a high fever - 104.5-105 degrees at one point. Fever lasted 5 days and then baby broke out in rash. Urine test and throat culture showed no infection. Pediatrician said it was a viral infection. Baby was not knowingly exposed to anyone else who was sick.  Baby still irritable
Sex: F
Vaccine: HEPA, PPV, TTOX, YF
Symptoms: Erythema, Pyrexia
Clinical narrative: Redness and induration right and left arms. Fever for 48 hours, then fever resolved.
Age: 26.0
Sex: F
Vaccine: MNQ
Symptoms: Abortion spontaneous, Unintended pregnancy
Clinical narrative: Due to medical evaluation of new information received for this case on 7/31/06, this case had been upgraded to serious (OMIC). Initial report received from a health care provided on 6/1/06. A 26 year old female pt had received an IM, right deltoid injection of Menactra, lot number U1809AA, on 4/28/06. It was subsequently determined that the pt was pregnant. The pts last menstrual period was 4/2/06. An ultrasound ordered secondary to spotting and to confirm pregnancy, on 5/30/06, showed a nine week pregnancy. Per the reporter, the pt had three previous pregnancies resulting in two full term deliveries. The outcome of the third pregnancy was not reported. The estimated date of delivery was not reported. Per the reporter, there was no adverse event. Follow up information received on 7/31/06. The vaccination with Menactra on 4/28/06 was the first dose for the pt. The pt had no illness at the time of that vaccination. Per the reporter, the date of the pts last menstrual period was on 4/26/06, not 4/2/06 as previously reported. The pts expected date of delivery was to be 1/1/07. The pt has not received any treatment for infertility and it was reported she had a history of 5 previous pregnancies, with three live births and one spontaneous abortion prior to 20 weeks gestation. The outcome of the fourth pregnancy was not reported. This pregnancy ended in a first trimester, incomplete, spontaneous abortion of one single fetus on 5/30/2006, 32 days post immunization. The pt subsequently had a D&C of the uterus on 6/23/06. Per the reporter, there were no known risk factors or health problems during this pregnancy. The pt had one prenatal visit with a physician.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV, PNC
Symptoms: Cellulitis, Erythema, Feeling hot, Swelling
Clinical narrative: Patient given vaccines and PPD test 07/19/2006.  Returned to clinic 07/21/2006 for PPD reading and left upper arm noted to be red, swollen and warm.  Seen by above medical doctor who diagnosed cellulitis, ordered ice packs to arm and KEFLEX 125 mg, by mouth every 6 hours for 10 days.  Child returned to see medical doctor 07/28/2006 and left arm normal.
Age: 18.0
Sex: F
Vaccine: TDAP
Symptoms: Dyspnoea, Injection site swelling, Pyrexia, Vomiting
Clinical narrative: Patient reports today, she had local swelling at injection site.  Swelling of lip, shortness of breath, fever and vomiting approximately 30 hours.  After vaccine 4 hours later, went to emergency room was told signs and symptoms were not a reaction to the shot, doesn't know why and was told to take BENADRYL and TYLENOL.  Left arm swollen, warm to the touch involving about a 6.5 to 7 centimeter area today.
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Arthropathy, Cough, Dysphonia, Pharyngeal oedema, Pharyngolaryngeal pain
Clinical narrative: Had Tdap at health department in afternoon and then noticed dry throat that evening that progressed to swelling of throat and hoarseness.  No temperature, no sinus drainage.  Coughing with speak.  Slight joint discomfort.  Stayed home 05/12/2006 from work because of coughing and hoarseness.
Age: 34.0
Sex: F
Vaccine: HEPAB, MMR, TDAP
Symptoms: Contusion, Pruritus
Clinical narrative: Went to doctor for itching like fire ants and bruising, was clawing self on Sunday 16th, yellowish bruise between breasts, left thigh huge purplish bruise, both arms bruised.  Treatment PREDNISONE shot, steroid pack, hydrocortisone-Monday.  Still has bruise but no itching now
Age: 12.0
Sex: F
Vaccine: HEPAB, MMR, MNQ, VARCEL
Symptoms: Dyskinesia
Clinical narrative: On 07/05/2006 a white male presented to the health department with a 12-year-old girl with an immunization record.  The girl's mother was present.  The girl and her mother do not speak English.  The white male, interpreted for them and signed the immunizations.  The 12-year-old girl required to have an MMR, VZV, Hepatitis A and B, and Menactra.  The MMR and MENACTRA was given in the right arm.  The MMR subcutaneous and the MMR intramuscular.  I gave the VZV subcutaneous in the left arm and TWINRIX intramuscular in the left arm.  After the immunizations were given, the client was sitting in the chair and I told him that I would put them into the computer and moved to the other side.  A woman came around and asked me how many immunizations the 12-year-old girl received and I stated four and then realized that she needed an IPV.  The immunizations were given approximately at 2.50 pm on 07-05-2006.  Approximately 2:55, I heard a woman screaming and walked over to the 12-year-old girl lying on the floor. A registered nurse stated that when she started to fall out of the chair, a male caught her and laid her on the floor.  At this point, the registered nurse was checking her blood pressure.  I told the woman to call 911.  The vitals were 125/80, pulse 100, and respiration were 20.  When I was checking her pulse, her eyes were open and she was having some jerking motions in her lips.  The emergency medial services arrived approximately 3:00 P.M. and assessed the client.  No medications given.  The male declined for her to be taken to the emergency room.  I called the male on 07-06-2006, and he stated that the 12-year-old girl is fine.  She did not have any problems.
Age: 24.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Conjunctivitis, Rash
Clinical narrative: Client seen 06/29/2006. Client develop rash on face (cheek), eye lids.  Client developed conjunctivitis on 07/01/2006 and 07/02/2006, client was seen at private medical doctor on 07/05/2006.  Received CLINDAMYCIN cream and Doxycycline tablets to be taken for 2 weeks.  Client also took BENADRYL on 07/03/2006.  Rash clearing up by 07/07/2006.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Chills, Headache, Nausea, Pain
Clinical narrative: Approximately 18 hours after vaccine received c/o nausea, headache, chills, achy all over. No fever. Resolved in approximately 36 hours.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Diarrhoea, Malaise, Pyrexia
Clinical narrative: Received Tdap 3-6-06 developed severe diarrhea in PM with joint pain, slight fever and malaise, joint pain and malaise lasted 2 days.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Aphasia, Chills, Fatigue, Hallucination, Muscle twitching
Clinical narrative: Here with for questionable reaction, yesterday at approximately 8 AM he had a Menactra injection. At the time he had no symptoms of illness. At 3 PM he felt tired, at 10 PM felt "odd body" pains, at midnight he had uncontrollable twitching, shivering and was unable to speak. He also states he was hallucinating, he had taken Advil at 10PM. Also takes doxycycline for acne, he took it at approximately 7 AM. He states he has pain all over since last night especially at the injection site. He took Tylenol at noon today, he had a temperature of 100 at noon. He started to communicate his symptoms to mom at approximately noon today. Better, less intense, walking and talking fine. 8/4/06- temp 98.7 (po) BP 124/68 Medications Benzaclin 1-5% take as directed Doxycycline Hylcate 100 mg take one capsule by mouth twice per day. Retin-A 0.025% apply sparingly to dry face twenty minutes after washing. Head without tenderness. TM, nasal, eyes  fundi disc WNL, clear. Neck supple. Chest clear. HT clear. Abdomen soft. Ext without swelling, normal joints, full ROM of all. Neuro normal limit motion. Normal DTR. Skin mild acne. Imp: Reaction to Menactra
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Pain
Clinical narrative: Here with for questionable reaction, yesterday at approximately 8 AM he had a Menactra injection. At the time he had no symptoms of illness. At 3 PM he felt tired, at 10 PM felt "odd body" pains, at midnight he had uncontrollable twitching, shivering and was unable to speak. He also states he was hallucinating, he had taken Advil at 10PM. Also takes doxycycline for acne, he took it at approximately 7 AM. He states he has pain all over since last night especially at the injection site. He took Tylenol at noon today, he had a temperature of 100 at noon. He started to communicate his symptoms to mom at approximately noon today. Better, less intense, walking and talking fine. 8/4/06- temp 98.7 (po) BP 124/68 Medications Benzaclin 1-5% take as directed Doxycycline Hylcate 100 mg take one capsule by mouth twice per day. Retin-A 0.025% apply sparingly to dry face twenty minutes after washing. Head without tenderness. TM, nasal, eyes  fundi disc WNL, clear. Neck supple. Chest clear. HT clear. Abdomen soft. Ext without swelling, normal joints, full ROM of all. Neuro normal limit motion. Normal DTR. Skin mild acne. Imp: Reaction to Menactra
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Serum sickness
Clinical narrative: Serum sickness; started within 12 hours of vaccine
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: Warmth, erythema 15x7cm @ injection site. Resolved after 8 days of Keflex 500mg BID.