chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.0
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Vaccine > PREVNAR  / VARIVAX administered 2-25-2009, Lt Leg induration and erythema started 3-06-2009.
Age: 1.9
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Urticaria
Clinical narrative: Approx. 1 hr after receiving immunization, child developed hives over entire body, no respiratory symptoms.  Mother called clinic and was advised to take child to emergency dept.  At the ED, the child rec'd an oral dose of steroids & BENADRYL and was advised by the MD not to receive the 2nd dose of HEP A.
Age: 4.0
Sex: F
Vaccine: HIBV, VARCEL
Symptoms: Blister, Injection site erythema, Injection site vesicles, Injection site warmth, Palpitations
Clinical narrative: 1) Pt. comes in 3 days later.  Her VARICELLA vaccine Rt. Humerus caused a circular patch of blisters to form along with redness & warmth on the site of injection. (3 cm). 2) - Lt. Humerus- ereythematous & warm to palpation. (HIB)
Age: 4.0
Sex: F
Vaccine: HIBV, VARCEL
Symptoms: Rash erythematous
Clinical narrative: 1) Pt. comes in 3 days later.  Her VARICELLA vaccine Rt. Humerus caused a circular patch of blisters to form along with redness & warmth on the site of injection. (3 cm). 2) - Lt. Humerus- ereythematous & warm to palpation. (HIB)
Age: 0.75
Sex: M
Vaccine: IPV, PNC
Symptoms: Vomiting
Clinical narrative: vomiting x 1 day; afebrile and fine the following day
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site swelling, Tenderness
Clinical narrative: erythematous swelling at the site of the DTaP immunization.  slightly tender, has a boggy nontender feel.  approximately 3x3 inches.  first noticed 24 hours after the immunization. recommended treatment was cool compresses prn.
Age: 15.0
Sex: M
Vaccine: TDAP
Symptoms: Computerised tomogram normal, Convulsion
Clinical narrative: MOM CALLED STATING CHILD HAD SEIZURE THE FOLLOWING MORNING ON 3/10/09. TAKEN TO EMERGENCY ROOM AND HOSPITALIZED.  4/27/09 MR received for DOS 3/10-12/2009 with DX: New onset seizure.   Pt presented after found by family member on the floor with bilateral upper extremity tremors, unconscious and incontinent of urine with mental status changes. Continued tremors noted in ER.  ID exam noted pt to be staring with decreased attention span and some inappropriate answers to questions. PE WNL. Episode of decreased responsiveness and agitation 3/11/09 with later confusion and disorientation.  Improved by 3/12/09 and d/c for outpt f/u.
Age: 2.0
Sex: F
Vaccine: PNC
Symptoms: Pyrexia, Urticaria, Wheezing
Clinical narrative: Pt. mother state child had a fever, hives, and wheezing. Hives developed on 03/04/09 around neck and shoulder.Wheezing start on Saturday 03/07/09 along with fever. Mother referred to Vaccine information sheet that was given at visit. Mother saw that these symptoms were under moderate or severe reaction and decide to take child to hospital.Benadryl was given mother states that child is fine now.
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Vaccination error
Clinical narrative: PENTACEL IMMUNIZATION GIVEN INCORRECTLY (TWO VIAL INJECTION) - THE PENTACEL IS A RECONSTITUTED INJECTION WITH IMMUNIZATION IN BOTH THE LIQUID VIAL AND THE DRY VIAL.  IN THIS INSTANCE, ONLY THE LIQUID BLUE VIAL (POLIO AND D-TAP)WAS GIVEN. SANOFI (MANUFACTURER) WAS NOTIFIED AND THEY HAVE SENT OUT A SPECIAL LIQUID TO RECONSTITUE THE DRY GREEN VIAL FOR ADMINISTRATION TO THE PATIENT.  PATEINT'S MOTHER WAS NOTIFIED AND WILL RETURN NEXT WEEK FOR THE SECOND PART OF THE IMMUNIZATION.  NO ADVERSE SIDE EFFECTS HAVE BEEN REPORTED.  ONLY TREATMENT GIVEN WAS THE OTHER HALF OF THE IMMUNIZATION.  WE WERE INSTRUCTED BY THE AGENCY TO REPORT THIS OCCURANCE.  AGENCY AND SANOFI HAVE INSTRUCTED US THROUGHOUT THIS PROCESS. CORRECTIVE ACTION HAS BEEN TAKEN. PROPER TRAINING WAS GIVEN.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Chest X-ray normal, Dyspnoea, No reaction on previous exposure to drug, Throat irritation, Urticaria
Clinical narrative: Patient with difficulty breathing, itching in throat, and hive like reaction to scalp.  Patient never given flu shot in our clinic but reported having it in prior years without problems.
Age: 30.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Injection site pain, Injection site swelling, Injection site warmth, Rash erythematous
Clinical narrative: Had Tdap on 3-10-09, right deltoid. Right arm is now sore with limited ROM in right shoulder. Right deltoid swollen and warm to touch; no redness. Also has red, flat rash anterior torso and neck; denies itching; no rash on back or legs. Noticed rash morning of 3-12-09. Has been taking Ibuprofen for the discomfort.
Age: 27.0
Sex: F
Vaccine: RAB
Symptoms: Feeling hot, Rash, Sensation of foreign body
Clinical narrative: Appoximately 25 minutes after patient recieved Rabavert, she stated her ears (bilaterally) felt hot, and that radiated to her jaws and cheeks.  When she swallowed she felt like something was in her throat.  She looked down and noted a rash on her right arm (this was the one the vaccine was given in).  These symptoms resolved within 30-45 minutes after they started without intervention.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Discomfort, Injection site erythema, Injection site pain
Clinical narrative: 03/11/2009 13:45 Immunization administered. 13:55 Injection site red, puffy/size of quarter, painful. Cool compresses applied with no adverse symptoms noted. 03/12/2009 10:00 Child reports pain @ injection site. Grandmother home @ 12:30 and reports she gave her ibuprofen for discomfort. Reports no compresses applied today. 14:07 Presents to clinic requesting to have her arm looked at from injection given. Right arm reddened area approximately 1"width and 2" length @ injection site. Child reports pain @ site with no itching noted.
Age: 19.0
Sex: M
Vaccine: ANTH, HEPAB, TYP
Symptoms: Areflexia
Clinical narrative: 1.  PT hospitalized 4 months prior to service for Guillain Barre. 2.  Denied Previous hospitalizations on entrance physical.  3.  Denied Previous diagnosis of Guillain Barre on Anthrax questionnaire.  4.  Recieved anthrax vaccine 5 Mar 2009.  5.  Developed signs and symptoms of Guillain Barre.  Currently worsening, hospitalized, being transported.  3/19/09 MR received. Pt presented March 10 with c/o generalized muscle weakness-especially in the legs, numbness primarily paresthesias in the L hand and increased fatigue. PE (+) for areflexia. Admitted with possible dx AIDP, CIDP vs ?.  Per report, transferred for eval. 4/6/09 Additional records received from transfer facility. Eval for weakness, dyspnea and fatigue s/p anthrax vax on 3/5/09. Still reporting an area of altered sensation on the R lower thorax as well as occ shock-like sensations with foot contact to floor and fatigue. Pt reports becoming winded more easily and has not been able to train as hard as usual. PE (+) for sensory abnormalities noted in flank area.  Strength WNL. Absent reflexes in ankle and crossed adductor.   Assessment:  Muscle Weakness of uncertain etiology. Possible subclinical GBS. Returned home for outpt f/u. 4/28/09 Additional records received for DOS 3/12-16/09 with D/C DX:  Likely Conversion Disorder. Hx as above. improved by 3/16/09.
Age: 18.0
Sex: M
Vaccine: ANTH
Symptoms: Facial palsy, Hypoaesthesia facial, Loss of consciousness, Visual impairment
Clinical narrative: PT recieved anthrax shot and one hour later he returned with visual changes.  Pt states he blacked out and when he woke he as seeing red.  Pt states he could not feel his lips/chin and could not smile.  Pt was refered to the Emergency room and the refered to optometry.
Age: 64.0
Sex: M
Vaccine: UNK, VARZOS
Symptoms: Bronchitis, Influenza, Oropharyngeal pain
Clinical narrative: Received Shingles Vaccine Zostavax. By evening had flu symptoms, sore throat and bronchitis. Have been sick for 10 since. Zostavax is made by Merc it looks like. Field 13 below will not let me type that in.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Skin papilloma, Visual field defect
Clinical narrative: I never had any types of warts.  After the gardasil injections, I got a filiform wart on my eyebrow that had to be removed because it affected my visual field.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Bronchitis, Influenza like illness
Clinical narrative: Got Bronchitis and flu like symptoms after getting the vaccine.
Age: 0.3
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Intussusception, Surgery
Clinical narrative: Diagnosed with intussusception 8 days after 4 month vaccines.  Neede surgery and was discharged 2 days later,  3/16/09 Received hospital medical records for 3/10-3/11/2009 & 3/12-3/15/2009. FINAL DX: Enterocololitis, probable intussusception, exp laparotomy, appendectomy, right inguinal hernia repair Records reveal patient experienced irritability, diarrhea x approx 7-10 days, intermittent abdominal cramping & nonbloody stool x1on 3/10.  Multiple attempts to reduce w/BE unsuccessful.  Taken to OR where no obvious IS seen.  Progressed well post op & d/c to home.  Developed recurrent bouts of abdominal pain & cough at home.  Taken back to OR for diagnostic laparoscopy where no IS seen but colon dilated, prominent adenopathy & thickened ascending colon.  Referred to GI.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Vaccination error
Clinical narrative: PENTACEL IMMUNIZATION GIVEN INCORRECTLY (TWO VIAL INJECTION) - THE PENTACEL IS A RECONSTITUTED INJECTION WITH IMMUNIZATION IN BOTH THE LIQUID VIAL AND THE DRY VIAL.  IN THIS INSTANCE, ONLY THE LIQUID BLUE VIAL (POLIO AND D-TAP) WAS GIVEN. SANOFI (MANUFACTURER) WAS NOTIFIED AND THEY HAVE SENT OUT A SPECIAL LIQUID TO RECONSTITUTE THE DRY GREEN VIAL FOR ADMINISTRATION TO THE PATIENT.  PATEINT'S MOTHER WAS NOTIFIED AND WILL RETURN NEXT WEEK FOR THE SECOND PART OF THE IMMUNIZATION.  NO ADVERSE SIDE EFFECTS HAVE BEEN REPORTED.  ONLY TREATMENT GIVEN WAS THE OTHER HALF OF THE IMMUNIZATION.  WE WERE INSTRUCTED BY VFC PROGRAM TO REPORT THIS OCCURRENCE.  VFC AND SANOFI HAVE INSTRUCTED US THROUGHOUT THIS PROCESS. CORRECTIVE ACTION HAS BEEN TAKEN. PROPER TRAINING WAS GIVEN.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Activated partial thromboplastin time, Blood product transfusion, Epistaxis, Full blood count, Idiopathic thrombocytopenic purpura
Clinical narrative: ON 2/24/09, AN MMR AND A VARIVAX WERE ADMINISTERED TO THIS PATIENT BY THE OFFICE MEDICAL ASSISTANT. ON MARCH 10, MOM CALLED AND STATED THAT THE CHILD HAD A DRY NASAL DISCHARGE AND A RASH ON HER FACE "LIKE BROKEN BLOOD VESSELS". OUR TRIAGE NURSE GAVE CHILD AN APPT FOR THE SAME DAY WITH HER PCP. DAD BROUGHT CHILD IN AND STATED CHILD HAD BLOODY MUCUS IN THE NOSE AND RED SPOTS ALL OVER HER BODY WHICH DR. DIAGNOSED AS PETICHIAE. DR.ORDERED BLOOD WORK AND IT WAS DISCOVERED THAT HER PLATELET COUNT WAS 6,000. HE HAD THE CHILD SEE A PEDIATRIC HEMATOLOGIST ON THE SAME DAY AND DR. ADMITTED THE CHILD INTO MEDICAL CENTER ON MARCH 10, 2009 WITH A DIAGNOSIS OF ITP. SHE WAS TREATED WITH INTERVENOUS IMMUNOGLOBULINS. SHE WAS DISCHARGED HOME IN STABLE CONDITION ON MARCH 12, 2009.  5/4/09 Received hospital medical records of 3/11-3/12/2009. FINAL DX: idiopathic thrombocytopenia purpura Records reveal patient experienced injection site bruising, nosebleed, irritability, decreased appetite, purple spots on lips & cheek then developed petechiae all over body.  Saw PCP who did labs & plt ct of 6.  Referred to Heme clinic who admitted. Tx w/IVIG & plt ct increased to 36.  D/C to home w/Heme clinic f/u for serial labs.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Platelet count decreased, Prothrombin time, Red blood cell sedimentation rate, Rhinorrhoea
Clinical narrative: ON 2/24/09, AN MMR AND A VARIVAX WERE ADMINISTERED TO THIS PATIENT BY THE OFFICE MEDICAL ASSISTANT. ON MARCH 10, MOM CALLED AND STATED THAT THE CHILD HAD A DRY NASAL DISCHARGE AND A RASH ON HER FACE "LIKE BROKEN BLOOD VESSELS". OUR TRIAGE NURSE GAVE CHILD AN APPT FOR THE SAME DAY WITH HER PCP. DAD BROUGHT CHILD IN AND STATED CHILD HAD BLOODY MUCUS IN THE NOSE AND RED SPOTS ALL OVER HER BODY WHICH DR. DIAGNOSED AS PETICHIAE. DR.ORDERED BLOOD WORK AND IT WAS DISCOVERED THAT HER PLATELET COUNT WAS 6,000. HE HAD THE CHILD SEE A PEDIATRIC HEMATOLOGIST ON THE SAME DAY AND DR. ADMITTED THE CHILD INTO MEDICAL CENTER ON MARCH 10, 2009 WITH A DIAGNOSIS OF ITP. SHE WAS TREATED WITH INTERVENOUS IMMUNOGLOBULINS. SHE WAS DISCHARGED HOME IN STABLE CONDITION ON MARCH 12, 2009.  5/4/09 Received hospital medical records of 3/11-3/12/2009. FINAL DX: idiopathic thrombocytopenia purpura Records reveal patient experienced injection site bruising, nosebleed, irritability, decreased appetite, purple spots on lips & cheek then developed petechiae all over body.  Saw PCP who did labs & plt ct of 6.  Referred to Heme clinic who admitted. Tx w/IVIG & plt ct increased to 36.  D/C to home w/Heme clinic f/u for serial labs.
Age: 3.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Swelling
Clinical narrative: swelling and redness of left deltoid region 11cm x 4cm
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Developed shingles 19 days following vaccination.
Age: 11.0
Sex: F
Vaccine: DTAP, HPVX, MEN
Symptoms: Abasia, Arthralgia, Back pain, Pain in extremity
Clinical narrative: MOM STATE FEW MINUTES AFTER VACCINE PT COMPLAIN OF PAIN LOWER BACK RADIATING TO BOTH HIP AND LEGS THEN GOT WORST UNABLE TO WALK AND ADMITTED FOR EVALUATION 3/18/09-records received for DOS 3/12-3/13/09-DC DX Acute myalgia post vaccination. Bronchitis. Presented with bilateral hip pain and upper legs and associated heaviness feeling and weakness of legs. Symptoms began 30 minutes after vaccinations. Unable to walk due to pain in legs.
Age: 37.0
Sex: F
Vaccine: TTOX
Symptoms: Injection site pain, Musculoskeletal pain, Nausea, Neck pain, Pain in extremity
Clinical narrative: Major pain at and around injection site. Pain through entire hand, shoulder and neck is accompied by nauisa
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Type 1 diabetes mellitus, Vision blurred
Clinical narrative: Mom is requesting VAERS done...one month after receiving MENACTRA & 1st GARDASIL on 9/10/08, Pt had blurred vision. 3 months later diagnosed with Type 1 Diabetes.  3/16/09  MR received from PCP including endocrine consult.  Seen for !# yr WCC 9/10/08.  Assessment:  healthy.  PE WNL.  Vax given.  Seen by ophth for intermittant blurry vision with visual acuity OK. Seen 1/29/09 with c/o onset excessive thirst, recent weight loss and increased UO. Reports feeling tired. Dx:  New onset Diabetes Type I after labs. Referred to endocrine. Dx: IDDM.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Blood glucose increased, Fatigue, Glucose urine, Glycosylated haemoglobin increased, Thirst
Clinical narrative: Mom is requesting VAERS done...one month after receiving MENACTRA & 1st GARDASIL on 9/10/08, Pt had blurred vision. 3 months later diagnosed with Type 1 Diabetes.  3/16/09  MR received from PCP including endocrine consult.  Seen for !# yr WCC 9/10/08.  Assessment:  healthy.  PE WNL.  Vax given.  Seen by ophth for intermittant blurry vision with visual acuity OK. Seen 1/29/09 with c/o onset excessive thirst, recent weight loss and increased UO. Reports feeling tired. Dx:  New onset Diabetes Type I after labs. Referred to endocrine. Dx: IDDM.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Type 1 diabetes mellitus, Urine analysis abnormal, Urine ketone body present, Urine output increased, Vision blurred
Clinical narrative: Mom is requesting VAERS done...one month after receiving MENACTRA & 1st GARDASIL on 9/10/08, Pt had blurred vision. 3 months later diagnosed with Type 1 Diabetes.  3/16/09  MR received from PCP including endocrine consult.  Seen for !# yr WCC 9/10/08.  Assessment:  healthy.  PE WNL.  Vax given.  Seen by ophth for intermittant blurry vision with visual acuity OK. Seen 1/29/09 with c/o onset excessive thirst, recent weight loss and increased UO. Reports feeling tired. Dx:  New onset Diabetes Type I after labs. Referred to endocrine. Dx: IDDM.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Weight decreased
Clinical narrative: Mom is requesting VAERS done...one month after receiving MENACTRA & 1st GARDASIL on 9/10/08, Pt had blurred vision. 3 months later diagnosed with Type 1 Diabetes.  3/16/09  MR received from PCP including endocrine consult.  Seen for !# yr WCC 9/10/08.  Assessment:  healthy.  PE WNL.  Vax given.  Seen by ophth for intermittant blurry vision with visual acuity OK. Seen 1/29/09 with c/o onset excessive thirst, recent weight loss and increased UO. Reports feeling tired. Dx:  New onset Diabetes Type I after labs. Referred to endocrine. Dx: IDDM.
Age: 13.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Headache
Clinical narrative: Pt has severe headache and was admitted to hospital several occasions at ER after not sure if related to vaccination.  5/26/09 medical records received - multiple ED visits DOS 11/5/08 to 11/28/08. FINAL DIAGNOSIS: Headache, dyspnea Post vaccination presented with headache, myalgia, weakness, fever, chills, nausea, photophobia. Neck pain, Kernig's sign. Odd flat aspect. Elevated intracranial pressure.  Transferred to another ER and diagnosed with a 'viral' illness. Several days later fell at home c/o headache, neck pain, abdominal pain, chest pain, and making choking noises. Body aches and muscle crampiing. Nasal congestion. Mumbling. Admitted to hospital. Subsequent ED visit presenting with headache and dyspnea. Neurology referral pending.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: C-reactive protein increased, Full blood count, Local reaction, Rash erythematous, Red blood cell sedimentation rate increased
Clinical narrative: Local reaction w/ erythematous rash. Admitted to hospital. IV Vanco --> BACTRIM. 4/8/09-for DOS 2/20-2/20/09-DC DX: Cellulitis-presented to ED with 3 day history of worsening rash on left leg. Awoke with redness and swelling at vaccine site and started to limp. Developed a fever to 102.8. Vomited and groggy, rash spreading beyond injection site.
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Injection of VARIVAX (L) shoulder - 3-10-09 returned 3-12-09 - Erythema 8x8 cm2 Induration 3x3 cm2 Heat
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Chills, Erythema, Headache, Oedema peripheral
Clinical narrative: Headache, joint aches/pains, chills - arms swelling/ redness.
Age: 1.3
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash, Rash morbilliform
Clinical narrative: Rash and fever developed 1 week after MMR seen in ER and diagnosed with measle-like flat rash mostly at the trunk and back. Lasted 2 days.
Age: 65.0
Sex: F
Vaccine: PPV, TD
Symptoms: Chest discomfort, Dyspnoea, Urticaria
Clinical narrative: Pt was given Td & pneumonia vaccinations.  10 min later SOB and chest tightness with hives on local reaction.  EPINEPHRINE 0.3mg 1:1000 and BENADRYL 25mg given lm.  Pt. stated back to baseline after 20 minutes.
Age: 1.2
Sex: M
Vaccine: DTAP, PNC
Symptoms: Erythema, Induration, Skin mass, Swelling
Clinical narrative: Red, swollen, hard, lump "the size of 2 Quarters" no c/o discomfort noted.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Immunization, INFANRIX,  given on 3-3-2009. Patient's mom noticed large, red swollen area on right upper arm on 3-5-2009. Patient seen today, 3/5/2009 at clinic and had large red induration on arm.
Age: 1.2
Sex: M
Vaccine: DTAP, PNC
Symptoms: Febrile convulsion, Heart disease congenital, Musculoskeletal stiffness, Tonic clonic movements
Clinical narrative: 3/9/09 IZ received @ bedtime T-101.0; pt woke parent up in am (3/10/09) with febrile Sz (temp in ER 102.7 (R)) tonic-clonic upper extremities stiffening of legs; acyanotic, mother took child to ER.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Pt brought in by aunt to have PPD read. No Tx needed. Aunt stated mom noted redness to left deltoid area no other sx noted. 1 1/2 cm X 7 1/2 cm slight redness noted.
Age: 62.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Pain, Pain in extremity
Clinical narrative: Pt states her (L) arm has been sore ever since she had the BOOSTRIX. She has shooting pain with certain movements, for weeks she couldn't raise her (L) arm. Took ALEVE and used (L) arm as much as she could to try to relieve the pain.
Age: 20.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Axillary pain, Headache, Paraesthesia, Vertigo
Clinical narrative: Headache, vertigo, tingling in arms, pain both axilla. 3/17/09-records received for EDvisit 3/6/09-C/O headache two epidsodes of syncope and body aches. Numbness in bilateral arms earlier that resolved and now feels weak all over. Subjective fevers. PE: tachycardic at 127, afebrile.Impression: Headache and myalgias status post vaccines, improved.
Age: 20.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Asthenia, Dizziness, Electrocardiogram normal, Headache, Pain
Clinical narrative: Headache, vertigo, tingling in arms, pain both axilla. 3/17/09-records received for EDvisit 3/6/09-C/O headache two epidsodes of syncope and body aches. Numbness in bilateral arms earlier that resolved and now feels weak all over. Subjective fevers. PE: tachycardic at 127, afebrile.Impression: Headache and myalgias status post vaccines, improved.
Age: 20.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Paraesthesia
Clinical narrative: Headache, vertigo, tingling in arms, pain both axilla. 3/17/09-records received for EDvisit 3/6/09-C/O headache two epidsodes of syncope and body aches. Numbness in bilateral arms earlier that resolved and now feels weak all over. Subjective fevers. PE: tachycardic at 127, afebrile.Impression: Headache and myalgias status post vaccines, improved.
Age: 7.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Dad noted late on 3-9-09 a red swollen area to (R) arm - Today 3-12-09 Dad noted a rash around (R) arm to deltoid region child had a fever 101 on 3-9-09. The area to (R) deltoid is 3 in by 3 in red, warm to touch - on visit today - 3-12-09.
Age: 4.0
Sex: F
Vaccine: HEPA, HPV4, TDAP
Symptoms: Activities of daily living impaired, Chills, Injection site pain, Pyrexia
Clinical narrative: One hour after injection c/o severe pain Lt arm-fever that afternoon - temp not checked -Fever with chills - Left school next day because of temp.
Age: 15.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Oedema peripheral
Clinical narrative: 24 hours after shot given swollen fore arm. Shots given in deltoid.
Age: 6.0
Sex: F
Vaccine: PNC
Symptoms: Oedema peripheral
Clinical narrative: (L) swollen arm.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema, Pyrexia
Clinical narrative: Pt. had adverse RXN to PCV Pt. requested PCV. Pt. received .05 ml on 3/3/09 in (R) arm no RXN @ time of shot. Pt called on 3/4/09 (advised to come see Dr. on 3/4/09. Pt denied care & showed up on 3/5/09. Pt had erythremia & edema. Pt fever was 99.8 degrees fever. Dr treated accordingly. *Pt instructed on 3/4/09 to ice site & take TYLENOL.
Age: 33.0
Sex: U
Vaccine: ANTH, HEP, MEN
Symptoms: Blood calcium normal, Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood potassium normal
Clinical narrative: Pt woke with tingling in the heel surface of his feet (bilateral).  No difficulty with ambulation or LE weakness.  On 3/9 pt noted additional tingling in his right calf.  Pt presented to ER; referred to hospital.  On 3/10/09 right calf and right foot tingling resolved.  On 3/11 when presented to hospital all sx had resolved. Symptoms:  Paresthesia
Age: 33.0
Sex: U
Vaccine: ANTH, HEP, MEN
Symptoms: Blood sodium normal, Blood urea normal, Carbon dioxide normal, Haematocrit normal, Haemoglobin normal
Clinical narrative: Pt woke with tingling in the heel surface of his feet (bilateral).  No difficulty with ambulation or LE weakness.  On 3/9 pt noted additional tingling in his right calf.  Pt presented to ER; referred to hospital.  On 3/10/09 right calf and right foot tingling resolved.  On 3/11 when presented to hospital all sx had resolved. Symptoms:  Paresthesia
Age: 33.0
Sex: U
Vaccine: ANTH, HEP, MEN
Symptoms: Paraesthesia
Clinical narrative: Pt woke with tingling in the heel surface of his feet (bilateral).  No difficulty with ambulation or LE weakness.  On 3/9 pt noted additional tingling in his right calf.  Pt presented to ER; referred to hospital.  On 3/10/09 right calf and right foot tingling resolved.  On 3/11 when presented to hospital all sx had resolved. Symptoms:  Paresthesia
Age: 74.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Hypoaesthesia facial, Nervousness, Paraesthesia
Clinical narrative: 15 min after ZOSTAVAX numbness (L) side of cheek - client very nervous about vaccine (Dental work 6 months) tingling in jaw up to eye. Hx HTN, B/P 140/108 HTN meds asap - decrease 5 min after report decrease 178/80 - numbness to cheek.
Age: 74.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Blood pressure increased, Hypoaesthesia, Paraesthesia
Clinical narrative: 15 min after ZOSTAVAX numbness (L) side of cheek - client very nervous about vaccine (Dental work 6 months) tingling in jaw up to eye. Hx HTN, B/P 140/108 HTN meds asap - decrease 5 min after report decrease 178/80 - numbness to cheek.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Dizziness, Muscular weakness, Nausea, Pallor
Clinical narrative: Within Minutes of receiving HPV vaccines, became light headed pale, nauseated, weak, vomited, had muscle weakness until next day. Mother refused to let patient have 3rd dose but never informed us of above until today, 3-10-09.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Vomiting
Clinical narrative: Within Minutes of receiving HPV vaccines, became light headed pale, nauseated, weak, vomited, had muscle weakness until next day. Mother refused to let patient have 3rd dose but never informed us of above until today, 3-10-09.
Age: 0.4
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Blood immunoglobulin E, C-reactive protein, Full blood count, Injection site papule, Injection site swelling
Clinical narrative: 5 days after receiving PENTACEL, PREVNAR, HBV, ROTATEQ mother brought pt in for evaluation on 1) swelling of outer thigh involving area including injection site and 2) papules over injection site / surrounding area.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Abdominal pain, Abdominal pain upper, Anxiety, Arthralgia, Blood thyroid stimulating hormone
Clinical narrative: 2 days following receipt of AVA #4: new onset SOB, chest tightness, palpitations, dizziness, sweaty hands lasting 1.5 hrs with residual feeling of fatigue; these symptoms recurred at least once daily and lasted for slightly over a month but no recurrence since returned Feb 2009; 4 days post vaccination: new onset right eyelid swelling with scaling but no redness/pain/discharge; itching/burning red rash over forehead, nasal bridge, cheeks, & behind ears (same distribution of underlying chronic seborrheic dermatitis); "red & white spots" over chest; recurrent stomach cramps without N/V/D/constipation; new sensation of dysphagia "like tennis ball stuck in throat" no choking on liquids/solids; 2 weeks later he represented to the ER with recurrent SOB, persistent rash, & eyelid swelling; medical evaluations in theatre yielded reportedly normal labs & CXR; diagnoses included viral conjunctivitis, stress, possible allergic reaction to unknown agent, GERD, abdominal pain, dysphagla; prescribed ALLEGRA, BENTYL, eye drops, inhaler with incomplete relief; Seen by dermatologist early Mar 2009 who prescribed DESONIDE cream for facial seborrheic derm with good results.  Current symptoms include intermittent abdominal cramps, nausea, fatigue, facial rash.  SM reported previous large local reaction to AVA #3 and AVA #4 with swelling to below elbow, malaise, muscle/joint pains lasting a week, not treated.  PMHX: seborrheic derm, GERD, anxiety/depressive disorder.  He was not taking meds for GERD or previously prescribed cream for seborrheic derm at time of vaccination; he was well prior to & at time of vaccination; reported no prior allergies to drugs, foods, insects, latex.  Referred for Allergy evaluation 3/10/2009, r/o possible allergic reaction to AVA - presentation deemed inconsistent with IgE mediated allergic reaction to AVA; symptoms possibly attributable to other causes/underlying conditions to include seborrheic dermatitis, thyroid disorder, anxiety, GERD.  TFTs normal, head CT negative
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Chest discomfort, Computerised tomogram abnormal, Condition aggravated, Conjunctivitis viral, Depression
Clinical narrative: 2 days following receipt of AVA #4: new onset SOB, chest tightness, palpitations, dizziness, sweaty hands lasting 1.5 hrs with residual feeling of fatigue; these symptoms recurred at least once daily and lasted for slightly over a month but no recurrence since returned Feb 2009; 4 days post vaccination: new onset right eyelid swelling with scaling but no redness/pain/discharge; itching/burning red rash over forehead, nasal bridge, cheeks, & behind ears (same distribution of underlying chronic seborrheic dermatitis); "red & white spots" over chest; recurrent stomach cramps without N/V/D/constipation; new sensation of dysphagia "like tennis ball stuck in throat" no choking on liquids/solids; 2 weeks later he represented to the ER with recurrent SOB, persistent rash, & eyelid swelling; medical evaluations in theatre yielded reportedly normal labs & CXR; diagnoses included viral conjunctivitis, stress, possible allergic reaction to unknown agent, GERD, abdominal pain, dysphagla; prescribed ALLEGRA, BENTYL, eye drops, inhaler with incomplete relief; Seen by dermatologist early Mar 2009 who prescribed DESONIDE cream for facial seborrheic derm with good results.  Current symptoms include intermittent abdominal cramps, nausea, fatigue, facial rash.  SM reported previous large local reaction to AVA #3 and AVA #4 with swelling to below elbow, malaise, muscle/joint pains lasting a week, not treated.  PMHX: seborrheic derm, GERD, anxiety/depressive disorder.  He was not taking meds for GERD or previously prescribed cream for seborrheic derm at time of vaccination; he was well prior to & at time of vaccination; reported no prior allergies to drugs, foods, insects, latex.  Referred for Allergy evaluation 3/10/2009, r/o possible allergic reaction to AVA - presentation deemed inconsistent with IgE mediated allergic reaction to AVA; symptoms possibly attributable to other causes/underlying conditions to include seborrheic dermatitis, thyroid disorder, anxiety, GERD.  TFTs normal, head CT negative
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Dizziness, Dysphagia, Dyspnoea, Eyelid oedema, Fatigue
Clinical narrative: 2 days following receipt of AVA #4: new onset SOB, chest tightness, palpitations, dizziness, sweaty hands lasting 1.5 hrs with residual feeling of fatigue; these symptoms recurred at least once daily and lasted for slightly over a month but no recurrence since returned Feb 2009; 4 days post vaccination: new onset right eyelid swelling with scaling but no redness/pain/discharge; itching/burning red rash over forehead, nasal bridge, cheeks, & behind ears (same distribution of underlying chronic seborrheic dermatitis); "red & white spots" over chest; recurrent stomach cramps without N/V/D/constipation; new sensation of dysphagia "like tennis ball stuck in throat" no choking on liquids/solids; 2 weeks later he represented to the ER with recurrent SOB, persistent rash, & eyelid swelling; medical evaluations in theatre yielded reportedly normal labs & CXR; diagnoses included viral conjunctivitis, stress, possible allergic reaction to unknown agent, GERD, abdominal pain, dysphagla; prescribed ALLEGRA, BENTYL, eye drops, inhaler with incomplete relief; Seen by dermatologist early Mar 2009 who prescribed DESONIDE cream for facial seborrheic derm with good results.  Current symptoms include intermittent abdominal cramps, nausea, fatigue, facial rash.  SM reported previous large local reaction to AVA #3 and AVA #4 with swelling to below elbow, malaise, muscle/joint pains lasting a week, not treated.  PMHX: seborrheic derm, GERD, anxiety/depressive disorder.  He was not taking meds for GERD or previously prescribed cream for seborrheic derm at time of vaccination; he was well prior to & at time of vaccination; reported no prior allergies to drugs, foods, insects, latex.  Referred for Allergy evaluation 3/10/2009, r/o possible allergic reaction to AVA - presentation deemed inconsistent with IgE mediated allergic reaction to AVA; symptoms possibly attributable to other causes/underlying conditions to include seborrheic dermatitis, thyroid disorder, anxiety, GERD.  TFTs normal, head CT negative
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Gastrooesophageal reflux disease, Hyperhidrosis, Hypersensitivity, Malaise, Myalgia
Clinical narrative: 2 days following receipt of AVA #4: new onset SOB, chest tightness, palpitations, dizziness, sweaty hands lasting 1.5 hrs with residual feeling of fatigue; these symptoms recurred at least once daily and lasted for slightly over a month but no recurrence since returned Feb 2009; 4 days post vaccination: new onset right eyelid swelling with scaling but no redness/pain/discharge; itching/burning red rash over forehead, nasal bridge, cheeks, & behind ears (same distribution of underlying chronic seborrheic dermatitis); "red & white spots" over chest; recurrent stomach cramps without N/V/D/constipation; new sensation of dysphagia "like tennis ball stuck in throat" no choking on liquids/solids; 2 weeks later he represented to the ER with recurrent SOB, persistent rash, & eyelid swelling; medical evaluations in theatre yielded reportedly normal labs & CXR; diagnoses included viral conjunctivitis, stress, possible allergic reaction to unknown agent, GERD, abdominal pain, dysphagla; prescribed ALLEGRA, BENTYL, eye drops, inhaler with incomplete relief; Seen by dermatologist early Mar 2009 who prescribed DESONIDE cream for facial seborrheic derm with good results.  Current symptoms include intermittent abdominal cramps, nausea, fatigue, facial rash.  SM reported previous large local reaction to AVA #3 and AVA #4 with swelling to below elbow, malaise, muscle/joint pains lasting a week, not treated.  PMHX: seborrheic derm, GERD, anxiety/depressive disorder.  He was not taking meds for GERD or previously prescribed cream for seborrheic derm at time of vaccination; he was well prior to & at time of vaccination; reported no prior allergies to drugs, foods, insects, latex.  Referred for Allergy evaluation 3/10/2009, r/o possible allergic reaction to AVA - presentation deemed inconsistent with IgE mediated allergic reaction to AVA; symptoms possibly attributable to other causes/underlying conditions to include seborrheic dermatitis, thyroid disorder, anxiety, GERD.  TFTs normal, head CT negative
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Nausea, Oedema peripheral, Palpitations, Rash, Rash pruritic
Clinical narrative: 2 days following receipt of AVA #4: new onset SOB, chest tightness, palpitations, dizziness, sweaty hands lasting 1.5 hrs with residual feeling of fatigue; these symptoms recurred at least once daily and lasted for slightly over a month but no recurrence since returned Feb 2009; 4 days post vaccination: new onset right eyelid swelling with scaling but no redness/pain/discharge; itching/burning red rash over forehead, nasal bridge, cheeks, & behind ears (same distribution of underlying chronic seborrheic dermatitis); "red & white spots" over chest; recurrent stomach cramps without N/V/D/constipation; new sensation of dysphagia "like tennis ball stuck in throat" no choking on liquids/solids; 2 weeks later he represented to the ER with recurrent SOB, persistent rash, & eyelid swelling; medical evaluations in theatre yielded reportedly normal labs & CXR; diagnoses included viral conjunctivitis, stress, possible allergic reaction to unknown agent, GERD, abdominal pain, dysphagla; prescribed ALLEGRA, BENTYL, eye drops, inhaler with incomplete relief; Seen by dermatologist early Mar 2009 who prescribed DESONIDE cream for facial seborrheic derm with good results.  Current symptoms include intermittent abdominal cramps, nausea, fatigue, facial rash.  SM reported previous large local reaction to AVA #3 and AVA #4 with swelling to below elbow, malaise, muscle/joint pains lasting a week, not treated.  PMHX: seborrheic derm, GERD, anxiety/depressive disorder.  He was not taking meds for GERD or previously prescribed cream for seborrheic derm at time of vaccination; he was well prior to & at time of vaccination; reported no prior allergies to drugs, foods, insects, latex.  Referred for Allergy evaluation 3/10/2009, r/o possible allergic reaction to AVA - presentation deemed inconsistent with IgE mediated allergic reaction to AVA; symptoms possibly attributable to other causes/underlying conditions to include seborrheic dermatitis, thyroid disorder, anxiety, GERD.  TFTs normal, head CT negative
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Seborrhoeic dermatitis, Sensation of foreign body, Skin burning sensation, Stress
Clinical narrative: 2 days following receipt of AVA #4: new onset SOB, chest tightness, palpitations, dizziness, sweaty hands lasting 1.5 hrs with residual feeling of fatigue; these symptoms recurred at least once daily and lasted for slightly over a month but no recurrence since returned Feb 2009; 4 days post vaccination: new onset right eyelid swelling with scaling but no redness/pain/discharge; itching/burning red rash over forehead, nasal bridge, cheeks, & behind ears (same distribution of underlying chronic seborrheic dermatitis); "red & white spots" over chest; recurrent stomach cramps without N/V/D/constipation; new sensation of dysphagia "like tennis ball stuck in throat" no choking on liquids/solids; 2 weeks later he represented to the ER with recurrent SOB, persistent rash, & eyelid swelling; medical evaluations in theatre yielded reportedly normal labs & CXR; diagnoses included viral conjunctivitis, stress, possible allergic reaction to unknown agent, GERD, abdominal pain, dysphagla; prescribed ALLEGRA, BENTYL, eye drops, inhaler with incomplete relief; Seen by dermatologist early Mar 2009 who prescribed DESONIDE cream for facial seborrheic derm with good results.  Current symptoms include intermittent abdominal cramps, nausea, fatigue, facial rash.  SM reported previous large local reaction to AVA #3 and AVA #4 with swelling to below elbow, malaise, muscle/joint pains lasting a week, not treated.  PMHX: seborrheic derm, GERD, anxiety/depressive disorder.  He was not taking meds for GERD or previously prescribed cream for seborrheic derm at time of vaccination; he was well prior to & at time of vaccination; reported no prior allergies to drugs, foods, insects, latex.  Referred for Allergy evaluation 3/10/2009, r/o possible allergic reaction to AVA - presentation deemed inconsistent with IgE mediated allergic reaction to AVA; symptoms possibly attributable to other causes/underlying conditions to include seborrheic dermatitis, thyroid disorder, anxiety, GERD.  TFTs normal, head CT negative
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Dry mouth, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Redness, swelling at site of vaccination on Wed. following vaccine began itching and cotton mouth. Began taking BENADRYL.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left deltoid area, red, swollen and warm to touch.
Age: 42.0
Sex: M
Vaccine: PPV
Symptoms: Arthralgia, Erythema, Joint stiffness, Skin warm, Swelling
Clinical narrative: PNEUMOVAX administered SQ R arm on 3/11/09. Developed edema, erythema, warmth from upper 1/3 arm to elbow.  Accompanied by pain & stiffness of elbow.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Cellulitis, Rash erythematous
Clinical narrative: (L)  hive shaped 9 x 9 cm erythematic area cellulitis, cellulitic area.
Age: 8.0
Sex: F
Vaccine: DTAPIPV, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Administered KINRIX as "catch up" immunization to 8 year old.
Age: 19.0
Sex: F
Vaccine: TYP
Symptoms: Full blood count normal, Pyelonephritis, Urine analysis abnormal
Clinical narrative: Pt developed mild case of pyelonephritis while taking oral typhoid course.
Sex: F
Vaccine: HEPA
Symptoms: Hypersensitivity
Clinical narrative: Information has been received from a physician concerning a female who was vaccinated with VAQTA vaccine. Subsequently the patient experienced allergic reaction to VAQTA vaccine. The outcome of the event was not reported. Additional information has been requested.
Age: 0.5
Sex: F
Vaccine: HEP
Symptoms: Nasal congestion, Rash generalised
Clinical narrative: Initial and follow up information has been received from a nurse concerning a 19 month old female infant with no pertinent medical history, drug reactions/allergies or concomitant medication usage who on 28-NOV-2006 was vaccinated (route and site not reported) with the third dose of RECOMBIVAX HB (lot # not reported) at her pediatrician's office. Concomitant therapy included VARIVAX (MSD) and MMR (MSD) given on 29-May-2007. On approximately 08-JUN-207, 10 days post vaccination of receiving VARIVAX (MSD) and MMR (MSDI), the patient developed a generalized rash. The rash subsided within a unspecified period of time. On approximately 08-DEC-2006, 10 days post vaccination of receiving RECOMBIVAX HB vaccine the patient developed generalized rash. The rash subsided within a unspecified period of time. The patient was referred to the physician's office on 13-Dec-2007 for evaluation of allergies, the generalized rash and nasal congestion. The patient was prescribed a normal saline nasal spray for congestion. No other symptoms or treatment was reported. No diagnostic lab tests were performed. At the time of this report the outcome of the rash and nasal congestion was unknown. No further information was available. Additional information is not expected.
Age: 64.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Influenza like illness
Clinical narrative: Information has been Roche Pharmaceutical (manufacturer report # 540009) a 64 year old female reported she was vaccinated with VAQTA and RECOMBIVAX HB vaccine and subsequently experienced severe flu-like symptoms. Additional information is not expected.
Age: 0.5
Sex: F
Vaccine: HIBV
Symptoms: Pyrexia
Clinical narrative: Information has been received from a company representative concerning a 6 month old female who on an unspecified date was vaccinated with PEDVAXHIB.  The patient developed a "fever" following a vaccination with PEDVAXHIB.  No further information provided.  Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Erythema, Headache, Immediate post-injection reaction, Injected limb mobility decreased, Pyrexia
Clinical narrative: Initial report received on 24 February 2009 from the patient's parent.  A 16-year-old female patient had received a dose of MENACTRA on an unspecified date.  Immediately following the vaccination, the patient experienced a fever of 102.0 degrees Fahrenheit with red swelling about the size of a baseball (site not identified).  The patient could not lift her arm past her waist.  She also experienced severe headaches and the "doctor could not help relieve these symptoms."  Per the reporter, the patient's swelling, pain and fever lasted for two weeks straight.  It was not reported whether the patient received any treatment or if any diagnostic tests or laboratory data were performed.  It was also not reported whether the patient fully recovered.  Documents held by sender:  None
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Swelling
Clinical narrative: Initial report received on 24 February 2009 from the patient's parent.  A 16-year-old female patient had received a dose of MENACTRA on an unspecified date.  Immediately following the vaccination, the patient experienced a fever of 102.0 degrees Fahrenheit with red swelling about the size of a baseball (site not identified).  The patient could not lift her arm past her waist.  She also experienced severe headaches and the "doctor could not help relieve these symptoms."  Per the reporter, the patient's swelling, pain and fever lasted for two weeks straight.  It was not reported whether the patient received any treatment or if any diagnostic tests or laboratory data were performed.  It was also not reported whether the patient fully recovered.  Documents held by sender:  None
Age: 18.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Constipation, Headache, Muscle tightness, Musculoskeletal stiffness, Pruritus
Clinical narrative: Initial report received 23 February 2009 from a health care professional.  An 18-year-old male patient had received a first dose, left arm injection of ADACEL, lot number UF455BA (Sanofi Pasteur Ltd lot number C3004) and a first dose, right arm injection of MENACTRA, lot number U2817AA on 24 October 2008 and on an unspecified day during December 2008, he developed pain on the right side of his head and constipation.  Concomitant medications included PRILOSEC.  The patient had no known allergies and had no reported illness at the time of vaccination.  The patient's recovery status was reported as unknown; however, at the time of the report, it was reported that their previous symptoms continued and the patient had an additional symptom of an itchy area at their waist and the right side of their head.  No further information was provided.  Follow-up information was received from the health professional on 27 February 2009. The patient complained of a tight, stiff stomach, constipation, and wider hips and thighs one week post-vaccination. He also complained of headache, itching, rash, tight jaw, and muscular stiffness. The reporting physician stated that she would complete a VAERS form when more information was availble. Follow-up information was received 21 March 2009 from a local health care professional. The patient was female (previously reported as male) and she ahd mild reflux at the time of vaccination. The patient also reported that she felt like her bones were expanding. She had received DUAC and RETIN A concomitantly at the time of vaccination (not PROLOSEC as previously reported). The patient's health care professional was informed about all of the reported symptoms during an office visit on 23 February 2009. The patient also stated that her mother experienced a similar reaction to ADACEL vaccine. At the time of the report, the patient was not recovered.
Age: 15.0
Sex: F
Vaccine: MNQ
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site swelling, Migraine, Vision blurred
Clinical narrative: Initial report received 23 February 2009 from a consumer, who is the patient's parent.  A 14-year-female patient had received a first dose intramuscular right deltoid injection of MENACTRA on 20 February 2009 and she experienced an instant migraine with blurred vision post vaccination.  The patient was evaluated by her physician and treated with MAXALT X2 and Ibuprofen.  The patient also developed redness and swelling at the injection site.  The patient had a past history of mitral valve prolapse and had been receiving BICILLIN injections every month.  Her last BICILLIN injection had been on 20 February 2009, the same day as MENACTRA vaccination.  The patient had no concurrent illness at the time of vaccination and received MENACTRA vaccination as part of her routine well child visit.  The patient's recovery status was not reported.   This is a follow-up for report(s) received on 03/04/2009.  Follow-up information was received from a healthcare professional on 23 March 2009.  The patient had a history of migraine headaches, and had been hospitalized in January 2008.  MENACTRA Lot number was reported as U2639AA.  Per the reporter, the injection site inflammation had not been reported to the physician's office or to the emergency department.  The patient recovered.