chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Urinary incontinence
Clinical narrative: MOC states patient was seated in car and passed out.  Eyes rolled back, face pale, not breathing.  No shaking/seizure.  Episode lasted for 10 seconds.  Then patient alert and felt nauseated.  No vomiting.  Pt urinated self when passed out.  MOC reports this happened 5 min's after vaccine.  Pt returned to clinic.  Pt alert and oriented X 3.  VSS. PE WNL.
Age: 2.0
Sex: M
Vaccine: DTAPIPVHIB, MMR
Symptoms: Pyrexia, Rash erythematous, Rhinorrhoea
Clinical narrative: Rash (raised red areas) under arm pits then spread to trunk and then legs. Child has runny nose and low grade fever. 7/21/10 spoke with mother. Plans to take child in to MD. Child still playing no lethargic. Rash not itchy. Other 2 children in household not vaccinated with Varicella as refused on 7/13 visit.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Injection site became red, slightly swollen warm and began itching about 24 hours after immunization was given.
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, RV5
Symptoms: Injection site erythema
Clinical narrative: 3cm x 3cm erythema (R) thigh cold compress applied.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Full blood count, Injection site erythema, Injection site warmth, White blood cell count normal
Clinical narrative: Redness, warmth surrounding site of Varicella shot. Treated with PREDNISONE 20mg po x1 x7days AZITHROMYCIN 250mg po x1 then po x1 x4 days and ZYRTEC OTC. 7/23/10 no redness today.
Age: 1.24
Sex: M
Vaccine: DTAP, PNC13
Symptoms: Wrong technique in drug usage process
Clinical narrative: Gave HIBERIX diluent only.
Age: 19.0
Sex: M
Vaccine: HEPA, HEPAB, VARCEL
Symptoms: Inappropriate schedule of drug administration, Incorrect dose administered
Clinical narrative: None reported.
Age: 18.0
Sex: F
Vaccine: HEP
Symptoms: Pallor, Paraesthesia, Pyrexia
Clinical narrative: 7-16-10 Pt pale had tingling feeling on body. Fever.
Age: 16.0
Sex: F
Vaccine: HEPA
Symptoms: Immediate post-injection reaction, Pallor, Syncope, Vomiting
Clinical narrative: Patient fainted right after shot it lasted like X 4 - 5 seconds then came back pale but alert.  We keep her waiting till completely well.  Then mom came to inform about 1 vomit episode out in parking lot.  I went out check on her she was alert, smiley, wanted to go eat because she was hungry.  We check on patient next day, she's doing well, mom instructed to call if any concerns.
Age: 1.54
Sex: M
Vaccine: HIBV, PNC13, TDAP
Symptoms: Wrong drug administered
Clinical narrative: Pt was mistakenly given TDAP when was supposed to receive DTAP.  (Medication Error).
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Facial palsy, Rash erythematous
Clinical narrative: Was in Maine on vacation early July - immunization 6/14/10 - red rash in trigeminal area of (R) cheek wrapped around ear 7/17; 7/18 moved to mild or vital line in Trigeminal area; palsy of lids, cheek, perioral developed 7/19 (couldn't smile on (R) side) - persists 7/20/10 ER visits 7/17 & 7/18 office 7/20/10.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMR
Symptoms: Body temperature increased, Headache, Rash macular
Clinical narrative: Macular rash cheeks spreading to trunk and extremities temp 99.3 headache 7 days after vaccine given.
Age: 11.0
Sex: M
Vaccine: TD
Symptoms: Pruritus, Rash generalised, Swelling
Clinical narrative: Severe full body rash including palms of hands and feet.  Extreme itching.  Some swelling around rash site.
Age: 17.0
Sex: M
Vaccine: HPV4
Symptoms: Blood glucose normal, Dizziness, Pallor, Syncope
Clinical narrative: Dizziness, fainting and pallor about <5 mins after vaccination IM. BP 105/58. Pt laid on exam table for about 30 mins and improved. BP 108/58, PR 60, RR 20.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Two-three hours after vaccines given on 7-1-10. Mom noted redness and swelling of (R) thigh. The site of DTaP was seen for office visit 7-6-10 redness and swelling had subsided. Entire front of thigh slightly pink with minimal induration.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Asthenia, Dizziness, Dysstasia, Fall, Syncope
Clinical narrative: Upon giving vaccinations, pt was standing for 5min before he fainted and fell to the floor. Pt came to and was oriented x3. Pt then threw up and began to feel dizzy again. Pt was unable to stand he was so weak. EMS was contacted and checked pt out. O2 was adminstered. Pt was cleared to go home.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Vomiting
Clinical narrative: Upon giving vaccinations, pt was standing for 5min before he fainted and fell to the floor. Pt came to and was oriented x3. Pt then threw up and began to feel dizzy again. Pt was unable to stand he was so weak. EMS was contacted and checked pt out. O2 was adminstered. Pt was cleared to go home.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Dyspnoea, Hypotonia, Pyrexia, Respiratory arrest, Somnolence
Clinical narrative: According to the mother, the patient had a subjective mild fever at 2pm and was given Motrin. At 8pm the infant became unresponsive, stopped breathing, and was limp. She states that the symptoms lasted for around one minute, and that thereafter he appeared sleepy. When he arrived at the emergency department, he was afebrile and alert & oriented x3. No further symptoms have been noted.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Unresponsive to stimuli
Clinical narrative: According to the mother, the patient had a subjective mild fever at 2pm and was given Motrin. At 8pm the infant became unresponsive, stopped breathing, and was limp. She states that the symptoms lasted for around one minute, and that thereafter he appeared sleepy. When he arrived at the emergency department, he was afebrile and alert & oriented x3. No further symptoms have been noted.
Age: 1.25
Sex: M
Vaccine: PNC
Symptoms: Bacteraemia, Streptococcus test positive
Clinical narrative: Bacteremia without focus.
Age: 19.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus generalised, Rash
Clinical narrative: Pt states noticed severe itching to body on 6/29/2010.  Noticed faint rash on 7/1/2010.
Age: 44.0
Sex: M
Vaccine: DTAP
Symptoms: Chills, Nausea, Pyrexia, Vomiting
Clinical narrative: SEVER RIGORS FOLLOWED BY NAUSEA AND VOMITING (VOMITING EVERY 30 MINUTES ALL NIGHT LONG).  FEVER UP TO 101.0 DEGREES.
Age: 17.0
Sex: M
Vaccine: HPV4
Symptoms: Chills, Headache, Myalgia, Oropharyngeal pain, Pain
Clinical narrative: Achy, Myalgia, chills, headache, sore throat, hurt to open jaw.
Age: 17.0
Sex: M
Vaccine: HPV4
Symptoms: Pain in jaw, Streptococcus test negative
Clinical narrative: Achy, Myalgia, chills, headache, sore throat, hurt to open jaw.
Age: 0.33
Sex: F
Vaccine: DTAPIPVHIB, PNC
Symptoms: Injection site swelling, Urticaria
Clinical narrative: Pt is a 04M 02D year old female patient that presents for Allergic reaction.  Mom brought baby in - was in the clinic this morning for a health check and had PENTACEL and PREVNAR.  Dr. had also evaluated for some small bumps on the babies skin.  Baby was at daycare and was noted to have hives on abdomen.  Mom brought baby back in - red raised rash to abdomen and a few speckles on arms.  Nothing noted on back or legs.  Baby was playful, no signs of difficulty breathing.  Mom was instructed to continue to monitor and bring baby to the ER for any difficulty breathing.  She will give BENADRYL every 6 hours PRN and continue to monitor the rash.  She will let us know if further problems or questions.  Dr was not available in the clinic, I did discuss with him on the phone. RN.  14:15 - Mom called back - pts right leg is swollen very large - This is the side the PENTACEL was given in.  She will try and give a dose of BENDARYL.  If it gets worse she will take her to the ER.  RN.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV, PNC13
Symptoms: Injection site swelling, Injection site warmth, Pyrexia, Weight bearing difficulty
Clinical narrative: 2 hours after vaccines fever began.  Max 102.4.  Then swelling of Rt. thigh to the knee.  Hot to the touch.  Child will not bear weight on Rt leg X's 3 days now.  Swelling worse in office today.  Follow up Monday.  7/26/10.
Age: 10.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Blister, Cellulitis, Erythema, Local reaction, Pruritus
Clinical narrative: Local RXN left arm.  Pt said initially itchy and did scratch.  Noted more redness yest and 2 blisters today.  14 X 17 cm area of cellulitis with 2 vesicles to post lat left arm.
Age: 10.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Scratch
Clinical narrative: Local RXN left arm.  Pt said initially itchy and did scratch.  Noted more redness yest and 2 blisters today.  14 X 17 cm area of cellulitis with 2 vesicles to post lat left arm.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Angioedema, Injection site erythema, Injection site oedema
Clinical narrative: Erythema of skin, without infection ---left deltoid. Angioedema of left deltoid/tricep area. From shoulder to just above elbow. Onset less than 24 hours, consistent with localized marked reaction, most likely to KINRIX.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash pustular
Clinical narrative: Pt reported 3 small "shingles-like" "pustules" on the back of her neck occurring approx 5 days after receiving vaccine.
Age: 1.53
Sex: M
Vaccine: HIBV, PNC13
Symptoms: Pyrexia, Streptococcus test negative
Clinical narrative: Pt developed a high fever over 102 degrees for 3 days after the injection. Pt was tested fro strep throat which came back negative.
Age: 65.0
Sex: F
Vaccine: TD
Symptoms: Pruritus, Pyrexia, Rash erythematous
Clinical narrative: Rash 7.5" x 6"-red, elevated, irregular circumference itching fever.
Age: 4.0
Sex: M
Vaccine: PNC13
Symptoms: Injection site urticaria
Clinical narrative: Urticaria 15 cm X 7 cm around injection site.  Treating with oral BENADRYL.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Activities of daily living impaired, Back pain, Decreased activity, Eating disorder, Feeling abnormal
Clinical narrative: Information has been received from an approximately 76 year old female with no pertinent medical history and no drug reaction or allergies who "about 3 or 4 years ago" in approximately 2006, was vaccinated subcutaneously with a 0.65 ml dose of ZOSTAVAX (Merck). Concomitant therapy included TRICOR, ezetimibe, TOPROL XL TABLETS and EVISTA. The patient reported that "about 4 weeks ago", on approximately 22-JUN-2010, she started with a pain in her back for 3 days, then she broke out in a rash, not knowing what it was, then she went to her doctor who diagnosed it as shingles right away. He put the patient on anti viral medication (name and manufacturer unspecified) for a week and Hydrocodone (manufacturer unspecified). Then, instead of getting better, it got worse. She did not seem to be getting any better. She went back to the doctor and he put her on Neurontin (manufacturer unspecified). She had been using the Neurontin and it helped, some. Patient also stated she had been very inactive and unable to put on her clothes, she could not eat and have lost about between 8 and 12 pounds. The second blood test did not show anything different than the first blood test. The reason she took the second blood test was because she was losing weight and the doctor ordered the test, however everything on the blood test was fine. Her whole life she "had gone down the drain", and she was not able to do anything at the moment of the report. She is normally an active person. She was in so much agony. Regular blood test work was performed twice. At the time of the report the patient was not recovered. Patient sought medical attention by a visit to the physician twice. Upon internal review had been very inactive and unable to put on her clothes, could not eat and have lost about between 8 and 12 pounds and not able to do anything were considered to be immediately disabling. Additional information has been requested.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Haematology test normal, Herpes zoster, Rash, Weight decreased
Clinical narrative: Information has been received from an approximately 76 year old female with no pertinent medical history and no drug reaction or allergies who "about 3 or 4 years ago" in approximately 2006, was vaccinated subcutaneously with a 0.65 ml dose of ZOSTAVAX (Merck). Concomitant therapy included TRICOR, ezetimibe, TOPROL XL TABLETS and EVISTA. The patient reported that "about 4 weeks ago", on approximately 22-JUN-2010, she started with a pain in her back for 3 days, then she broke out in a rash, not knowing what it was, then she went to her doctor who diagnosed it as shingles right away. He put the patient on anti viral medication (name and manufacturer unspecified) for a week and Hydrocodone (manufacturer unspecified). Then, instead of getting better, it got worse. She did not seem to be getting any better. She went back to the doctor and he put her on Neurontin (manufacturer unspecified). She had been using the Neurontin and it helped, some. Patient also stated she had been very inactive and unable to put on her clothes, she could not eat and have lost about between 8 and 12 pounds. The second blood test did not show anything different than the first blood test. The reason she took the second blood test was because she was losing weight and the doctor ordered the test, however everything on the blood test was fine. Her whole life she "had gone down the drain", and she was not able to do anything at the moment of the report. She is normally an active person. She was in so much agony. Regular blood test work was performed twice. At the time of the report the patient was not recovered. Patient sought medical attention by a visit to the physician twice. Upon internal review had been very inactive and unable to put on her clothes, could not eat and have lost about between 8 and 12 pounds and not able to do anything were considered to be immediately disabling. Additional information has been requested.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Breast tenderness, Herpes zoster, Pain
Clinical narrative: Information has been received from a nurse concerning a 75 year old female with blood pressure high and cataract and no drug reactions/allergies who on 19-JUL-2010 was vaccinated subcutaneously with a dose of ZOSTAVAX (Merck) (LOT# 665530/0697Z, expiration date unknown). There was no concomitant medication. On 21-JUL-2010 the patient began to feel achy and tender in the right breast. That afternoon, she broke out in shingles--a thick patch of vesicles from the right breast around to the back. She reported to the office on 23-JUL-2010. Unspecified medical attention was sought. There was no lab diagnostics studies performed. At the time of this report, she had not recovered. This outbreak would prevent her from getting her cataract surgery on "Monday". No further information was available at this time of reporting. Shingles was considered to be disabling. Additional information has been requested.
Age: 4.0
Sex: M
Vaccine: PNC13
Symptoms: Pruritus, Urticaria
Clinical narrative: Pruritis developed in evening.  Hives next morning.
Sex: F
Vaccine: MMR
Symptoms: Autism, Developmental delay, Metal poisoning, Neurological symptom
Clinical narrative: Information has been received from a case in litigation concerning a female minor child who was vaccinated with vaccinations containing the mercury-based preservative thimerosal. It was alleged that through vaccinations administered during the first three years of life, the patient was subjected to very high doses of the mercury contained in thimerosal, "a highly toxic preservative." The patient was allegedly poisoned by the cumulative doses of mercury in thimerosal. It was alleged that as a result of the mercury in the thimerosal-containing injections, the patient now suffers, and in the future will suffer, from the toxic neurological effects of mercury poisoning. Upon internal review toxic neurological effects and mercury poisoning were considered to be other important medical events. Follow-up information has been reported in a published article that the patient on an unspecified date was vaccinated with MMR II or a thimerosal containing vaccine (manufacturer unknown). It was reported that the vaccine cause autism. The patient's mother noticed a decline in the patient's development in late May 1999 or shortly thereafter. Upon internal review, autism was determined to be an other important medical event. No further information was available.
Sex: F
Vaccine: HPV4
Symptoms: Multiple sclerosis
Clinical narrative: Information has been received from a nurse concerning a friend's daughter who on an unspecified date was vaccinated with a dose of GARDASIL (Lot # not provided). It was reported that the patient on an unspecified date experienced multiple sclerosis. At the time of this report, the patient's outcome was unspecified. The patient sought unspecified medical attention. Upon internal review, the event of multiple sclerosis was considered serious as an other important medical event. Additional information has been requested.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Full blood count, Pyrexia, Rash, Red blood cell sedimentation rate
Clinical narrative: Fever of 103.2 degrees F.  Resolved after 24 hrs.  Fever then returned on 07/27/2010 (102.9 degress F) and resolved after 24 hrs.  Rash developed on 07/29/2010 at 12:00 PM.  This occured after receiving MMR vaccine.
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Cellulitis, Erythema, Skin warm, Tenderness
Clinical narrative: Patient came into office with cellulitis on 7/29, area of reddness, warmth, tenderness, aprox 9 x 11 cm, no fever.
Age: 42.0
Sex: F
Vaccine: HEPAB
Symptoms: Urticaria, Vaccine positive rechallenge
Clinical narrative: CLIENTS STATES SHE BROKE OUT IN HIVES ON HER ARMS AND TORSO. HIVES WERE RELIEVED AFTER TAKING OTC BENADRYL 50 MG FOLLOWED AT BEDTIME BY BENADRYL 100 MG. NO SYMPTOMS AT TIME OF THIS REPORT.
Age: 4.0
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Syncope
Clinical narrative: Patient has DTaP and Varicella Vaccine at approximately 0910. Patient was sent to lab approximately 35 mins after injection.  Patient had syncopal episode a few mins after blood draw. 0950, patient was sent to Emergency Room and evaluated. May have had syncopal episode from neelde stick?
Age: 57.0
Sex: F
Vaccine: PPV, TTOX
Symptoms: Asthenia, Insomnia, Limb discomfort, Pain in extremity, Swelling
Clinical narrative: Swelling; extreme soreness; inability to sleep due to pain; reported twice to doctor's.  Still sore after over a year. several weeks of severe arm pain; now milder discomfort & weakness still exists.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Headache, Injection site erythema, Injection site inflammation, Injection site pain
Clinical narrative: Shaking chills, muscle aches, nausea, headache, fever.  Soreness and erythema at site of injection; local inflammation and warm to touch.  Fatigue.  Treated with: ice to site.  PREDNISONE 10 mg taper - 5,5,4,4,3,3,2,2,1,1.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site warmth, Myalgia, Nausea, Pyrexia, Tremor
Clinical narrative: Shaking chills, muscle aches, nausea, headache, fever.  Soreness and erythema at site of injection; local inflammation and warm to touch.  Fatigue.  Treated with: ice to site.  PREDNISONE 10 mg taper - 5,5,4,4,3,3,2,2,1,1.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema
Clinical narrative: Patient received the vaccine at 4:30pm on Tuesday July 27. She stated the injection site became red (size of 2 inches across) with no itching or pain at the site, this occurred on July 29th in the morning.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Fall, Head injury, Syncope
Clinical narrative: Pt had a vasovagal syncopal episode approx 10 mins after vaccine administration-pt fell in office and hit the back of her head-recovered quickly in the office but was sent to ER for eval for head trauma on an precautionary measure-uneventful ER visit.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: (L) and R deltoid swollen and reddened.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus
Clinical narrative: Very large itchy red area approximately 6" x 2".
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Site became red and warm no swelling. Size of fifty cent piece. Started day of shot it is starting to fade now states aunt. Aunt was encouraged to watch, give pt BENADRYL and apply ice off and on as needed. If no changes call office back 8/3/10. Aunt voiced understanding.
Age: 68.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Local reaction, Malaise, Pain, Pyrexia
Clinical narrative: Marked local swelling, redness, pain, malaise and low grade temp 37.9.
Age: 68.0
Sex: M
Vaccine: PPV
Symptoms: Swelling
Clinical narrative: Marked local swelling, redness, pain, malaise and low grade temp 37.9.
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Induration, Swelling
Clinical narrative: Area hot swollen and firm to touch per pt and mother-red on arm after vaccination went to camp and noted area on arm. Came to clinic and seen by provider given script for CEPHALEXIN, LORADINE, Ibuprofen.
Age: 6.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site oedema, Injection site pain, Injection site pustule, Injection site swelling
Clinical narrative: Swelling with edema and tenderness at right deltoid.  Pustules present.  No fever noted for past two days per mother.  BENADRYL ordered for inflammation and MOTRIN ordered for pain control.
Age: 2.0
Sex: F
Vaccine: DTAP, HIBV, PNC13
Symptoms: Injection site cellulitis, Injection site erythema, Injection site macule, Injection site pain, Injection site papule
Clinical narrative: Patient given DTaP #4 IM right thigh on 7/22/10, then developed 2 days later red papular macule, Pt moved during administration of vaccine & kicked her right leg. There was no needle stick administered in injury. The other 2 vaccines given in (L) thigh were done without incident - pt's (L) thigh is normal. Pt has tenderness red spot on (R) thigh x 5 days. Treatment - 7 day course of KEFLEX for cellulitis.
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Induration, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: 6cm x 6cm ((R) arm SQ) redness, swelling, hardness, soreness, warmth-instructed to give BENADRYL, apply ice pack, give TYLENOL or MOTRIN.
Age: 39.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Approximately 1 hour after swelling and pain in the upper arm. Later that afternoon, pain increased (painful to touch all over shoulder and upper arm), joint aches in elbow and wrist. Morning, swelling and redness (6inch by 4inch red patch) difficulty raising arm, lifting anything. Contacted Dr and was advised to take Benadryl and come in if it got worse or go to hospital if throat or tongue started to swell.
Age: 39.0
Sex: F
Vaccine: PPV
Symptoms: Musculoskeletal pain
Clinical narrative: Approximately 1 hour after swelling and pain in the upper arm. Later that afternoon, pain increased (painful to touch all over shoulder and upper arm), joint aches in elbow and wrist. Morning, swelling and redness (6inch by 4inch red patch) difficulty raising arm, lifting anything. Contacted Dr and was advised to take Benadryl and come in if it got worse or go to hospital if throat or tongue started to swell.
Age: 14.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Diarrhoea, Headache, Vomiting
Clinical narrative: Vomited at 6 am no more after 7 am.  Headache started at 10 am.  Diarrhea started at 7 am.
Age: 23.0
Sex: M
Vaccine: FLU3, MEN, PPV
Symptoms: Death, Meningococcal bacteraemia, Neisseria test positive
Clinical narrative: Patient diagnosed with meningococcemia, serogroup W-135.
Age: 15.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness, warmth, mild swelling around injection site with mild tactile tenderness; around 3 x 5 cm.  Instructed to treat with ibuprofen otc, rest, ice prn, and elevation; recheck if worsens.
Age: 12.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Pain
Clinical narrative: Patient complaining of severe left side ache; discribes like a side ache when you run really fast, but worse.  Instructed patient to lay down on right side. Do so for about 5 minutes.  Related it was getting a little better.  Encouraged patient to stay in office for another 5 minutes.  No changes in severity or symptoms.  Ambulated out of office on her own, with family. 07/29/2010: follow up telephone call made to patient.  She states symptom lasted about 45 minutes.  No further problems.
Age: 10.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injection site erythema, Injection site pain, Rash macular
Clinical narrative: Redness and tenderness with blotchy red marks 4 quarter sized in a 5 inch area around injection site.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Dizziness, Feeling abnormal, Immediate post-injection reaction, Loss of consciousness, Nausea
Clinical narrative: Just after receiving vaccine client c/o of feeling "weird and now everything is going black." Client lost consciousness momentarily for approximately 15 seconds and then was pale, nauseated and lightheaded after that.  Used cold gel pack on back of client's neck and forehead and client took sips of cold water. Client was sitting in chair leaning against her mother and supported by the nurse during episode. After approximately 20 minutes child recovered completely and left with mother.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Pallor
Clinical narrative: Just after receiving vaccine client c/o of feeling "weird and now everything is going black." Client lost consciousness momentarily for approximately 15 seconds and then was pale, nauseated and lightheaded after that.  Used cold gel pack on back of client's neck and forehead and client took sips of cold water. Client was sitting in chair leaning against her mother and supported by the nurse during episode. After approximately 20 minutes child recovered completely and left with mother.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Cold sweat, Dizziness, Nausea
Clinical narrative: Child was waiting the prescribed 15 minutes in the lobby after MENVEO, when about 10 minutes into the wait she began to feel very nauseated, clammy, and dizzy.  Child didnot lose consciousness.  Used cold gel pack to back of child's neck and forehead and gave her sips of cold water.  Child felt better after about 10 minutes and was able to leave with mother another 10 minutes after that.
Age: 2.0
Sex: F
Vaccine: PPV
Symptoms: Gait disturbance, Pain
Clinical narrative: Pt. had difficulty walking after vaccine administered.
Age: 5.0
Sex: M
Vaccine: IPV
Symptoms: Abasia, Injection site pain, Pyrexia, Tonsillar inflammation, Tonsillitis
Clinical narrative: Severe pain at site of injection (thigh).  Patient could not walk.  Low grade fever developed afterward and lasted a few days.  Tonsils became inflamed.  Treated with Tylenol meltaways.  One week later, patient developed high grade fever and tonsil infection.
Age: 2.0
Sex: M
Vaccine: HEPA, HIBV, PNC13, HEPA, HIBV, PNC13
Symptoms: Cellulitis, Erythema, Skin warm, Swelling, Tenderness
Clinical narrative: Cellulitis with erthema, swelling, warmth, & tender to touch.
Age: 2.0
Sex: M
Vaccine: HEPA, HIBV, PNC13, HEPA, HIBV, PNC13
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Cellulitis with erthema, swelling, warmth, & tender to touch.
Age: 2.0
Sex: F
Vaccine: HEPA, PNC13
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: RIGHT THIGH CELLULITIS WITH ERYTHEMA, SWELLING, WARMTH, & TENDER TO PALPATION DOUBLING IN SIZE OVER 24 HOURS MEASURING 14 X 11 CM.
Age: 1.07
Sex: M
Vaccine: HEPA, MMR, PNC13, VARCEL, HEPA, MMR, PNC13
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: RIGHT ANTERIOR THIGH CELLULITIS AT SITE OF INJECTION WITH ERYTHEMA, SWELLING, WARMTH, TENDER TO PALPATION.
Age: 50.0
Sex: F
Vaccine: RAB
Symptoms: Hyperhidrosis, Immediate post-injection reaction, Loss of consciousness, Tachypnoea
Clinical narrative: Initial case was received on 18 July 2010 from a healthcare professional. A 50 year old female received a right deltoid injection of RABIES VACCINE (lot number not reported) and an injection of IMMUNOGLOBULIN HUMAN ANTIRABIES (lot number 26NCXH1-not valid) on 18 July 2010. Several minutes later, during infiltration of IMMUNOGLOBULIN HUMAN ANTIRABIES, after receiving 0.5 cc to 0.75 cc at wound site, the patient became diaphoretic, tachypneic and had a ten second loss of consciousness. The entire episode lasted 5-10 minutes. The patient's pre-existing medical conditions and concomitant medications were not reported. The outcome of the adverse events was unknown. Documents held by sender:None.
Age: 11.0
Sex: F
Vaccine: MNQ, UNK
Symptoms: Anaphylactic reaction
Clinical narrative: Initial case was received on 19 July 2010 from the parent of the patient. A 11 year old female patient received an injection of MENACTRA (lot number not reported) and an injection of "another vaccine" (parent didn't know what vaccine) on 14 July 2010. Within minutes the patient experienced an "anaphylactic reaction" (NOS). The mother stated her daughter was taken to the emergency room and received prednisone and several ''IVs." The patient had no illness at the time of the vaccinations and had no other vaccinations within 4 weeks. Her medical history included unspecified numerous allergies. No other pre-existing medical conditions or concomitant medications were reported. The patient recovered from the "anaphylactic reaction" per reporter. Documents held by sender: None.
Sex: F
Vaccine: FLU(H1N1)
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Muscle spasms, Pain
Clinical narrative: Case received via the literature on 19-JUL-2010. A 15.5 week pregnant female received H1N1 influenza monovalent + thimerosal vaccine (manufacture unknown) on 22-OCT-2009. Prior to this, her pregnancy was uneventful. Two days after H1N1 immunization, she experienced cramping. One day after that, she experienced extreme pain. On 29-Oct-2009, she miscarried. No further information is available. This was originally received from Merck & Co., Inc. (case# 1007USA00149). The company considered this case serious due to medical significance and events possible to H1N1 vaccination, however brand of vaccine is unknown. Information derived from this AE does not change the current safety profile of the product.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Chest X-ray normal, Dyspnoea, Fatigue, Painful respiration
Clinical narrative: Extreme fatigue followed by painful, trouble breathing.
Age: 64.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Grip strength decreased, Injection site pain, Injection site swelling, Neuralgia, Neuritis
Clinical narrative: SWELLING IN R ARM (UPPER) AT SITE OF PNEUMONIA VACCINE ADMINSTRATION WITH PAIN RADIATING TO RIGHT HAND; DX NEURITIS RX MEDROL DOSE PACK; PAIN RECURRED ONE MONTH LATER WITH MINOR WEAKNESS IN HAND GRIP; DX NEURALGIA ; RX PREDNISONE 30 MGM TODAY THEN 10 MGM DAILY X 2 DAYS; IBUPROFEN 400 MGM PRN.
Age: 64.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Pain in extremity
Clinical narrative: SWELLING IN R ARM (UPPER) AT SITE OF PNEUMONIA VACCINE ADMINSTRATION WITH PAIN RADIATING TO RIGHT HAND; DX NEURITIS RX MEDROL DOSE PACK; PAIN RECURRED ONE MONTH LATER WITH MINOR WEAKNESS IN HAND GRIP; DX NEURALGIA ; RX PREDNISONE 30 MGM TODAY THEN 10 MGM DAILY X 2 DAYS; IBUPROFEN 400 MGM PRN.
Age: 29.0
Sex: F
Vaccine: RAB, RAB, RAB
Symptoms: Abdominal pain, Arthralgia, Cerebellar syndrome, Chills, Computerised tomogram head
Clinical narrative: 7/21 cc: HA with ABD pain and muscle tightness - had rabies vaccine; 6/30 seen for same symptoms, trmt antibiotic, BENADRYL, ATIVAN, pain meds.
Age: 29.0
Sex: F
Vaccine: RAB, RAB, RAB
Symptoms: Computerised tomogram normal, Facial paresis, Gait disturbance, Headache, Hyperhidrosis
Clinical narrative: 7/21 cc: HA with ABD pain and muscle tightness - had rabies vaccine; 6/30 seen for same symptoms, trmt antibiotic, BENADRYL, ATIVAN, pain meds.
Age: 29.0
Sex: F
Vaccine: RAB, RAB, RAB
Symptoms: Injection site pain, Laboratory test normal, Myalgia, Neurological examination abnormal, Paraesthesia
Clinical narrative: 7/21 cc: HA with ABD pain and muscle tightness - had rabies vaccine; 6/30 seen for same symptoms, trmt antibiotic, BENADRYL, ATIVAN, pain meds.
Age: 29.0
Sex: F
Vaccine: RAB, RAB, RAB
Symptoms: Urinary incontinence
Clinical narrative: 7/21 cc: HA with ABD pain and muscle tightness - had rabies vaccine; 6/30 seen for same symptoms, trmt antibiotic, BENADRYL, ATIVAN, pain meds.
Age: 29.0
Sex: F
Vaccine: RAB, RAB, RAB
Symptoms: Abdominal pain, Asthenia, Chills, Gait disturbance, Headache
Clinical narrative: 7/21 cc: HA with ABD pain and muscle tightness - had rabies vaccine; 6/30 seen for same symptoms, trmt antibiotic, BENADRYL, ATIVAN, pain meds.
Age: 29.0
Sex: F
Vaccine: RAB, RAB, RAB
Symptoms: Hemiparesis, Nausea, Pain, Tremor
Clinical narrative: 7/21 cc: HA with ABD pain and muscle tightness - had rabies vaccine; 6/30 seen for same symptoms, trmt antibiotic, BENADRYL, ATIVAN, pain meds.
Age: 29.0
Sex: F
Vaccine: RAB, RAB, RAB
Symptoms: Abdominal pain, Headache, Muscle tightness
Clinical narrative: 7/21 cc: HA with ABD pain and muscle tightness - had rabies vaccine; 6/30 seen for same symptoms, trmt antibiotic, BENADRYL, ATIVAN, pain meds.
Age: 72.0
Sex: F
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Blister, Erythema, Inflammation, Myalgia, Pruritus
Clinical narrative: Shot given on 07-07-10 and on 7-11-01 patient had pain at groin and back. On 07-13-10 blistering began at groin, back and down the right leg.
Age: 72.0
Sex: F
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Rash, Skin warm, Swelling
Clinical narrative: Shot given on 07-07-10 and on 7-11-01 patient had pain at groin and back. On 07-13-10 blistering began at groin, back and down the right leg.
Age: 72.0
Sex: F
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Back pain, Blister, Blood test, Electrocardiogram, Groin pain
Clinical narrative: Shot given on 07-07-10 and on 7-11-01 patient had pain at groin and back. On 07-13-10 blistering began at groin, back and down the right leg.
Age: 72.0
Sex: F
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Herpes zoster, Malaise, Post herpetic neuralgia
Clinical narrative: Shot given on 07-07-10 and on 7-11-01 patient had pain at groin and back. On 07-13-10 blistering began at groin, back and down the right leg.
Age: 20.0
Sex: F
Vaccine: ANTH
Symptoms: Drug exposure during pregnancy
Clinical narrative: PT recieved Anthrax vaccine without notifing Immunization techs about being 5 weeks pregnant.
Age: 4.0
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Injection site induration, Injection site swelling
Clinical narrative: Patient had swelling to the RT thigh larger than 10mm induration.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: LEFT ARM SWOLLEN UPPER SHOULDER AREA, REDNESS, WARMTH.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Local reaction, Skin warm, Swelling
Clinical narrative: LOCAL REACTION ON LEFT ARM.  ERYTHEMA, WARMTH, AND 2"X2" AREA OF SWELLING.  TREATED WITH MOTRIN AND ICE.
Age: 1.42
Sex: M
Vaccine: DTAP, PNC13, RV1
Symptoms: Wrong drug administered, Wrong technique in drug usage process
Clinical narrative: PATIENT WAS ORDERED HIBERIX VACCINE BY AT HIS WELL-VISIT.  HE WAS INSTEAD MISTAKENLY GIVEN BY RN ROTARIX VACCINE IM USING HIBERIX DILUENT INTO LEFT THIGH.  PARENTS WERE IMMEDIATELY NOTIFIED THAT SAME AFTERNOON AFTER VACCINE COUNT WAS NOT ACCURATE.  FAMILY WAS TOLD TO WATCH FOR SIGNS AND SYMPTOMS OF RASH, BRUISING, MUSCLE SWELLING OR EDEMA.  NO REACTIONS HAVE BEEN NOTED BY PARENTS.  BOTH HIBERIX AND ROTARIX VIALS LOOK VERY SIMILIAR.  ERROR DUE TO HIBERIX AND ROTARIX VACCINE VIALS LOOK SAME OR SIMILAR.
Age: 7.0
Sex: M
Vaccine: HEPA
Symptoms: Abdominal pain upper, Back pain, Full blood count, Headache, Metabolic function test
Clinical narrative: He was complaining of his stomach hurting about a hr after the shot, he threw up twice before I took him to the ER - I even feed him but he still threw up and comp about a headache and back ache.
Age: 7.0
Sex: M
Vaccine: HEPA
Symptoms: Vomiting
Clinical narrative: He was complaining of his stomach hurting about a hr after the shot, he threw up twice before I took him to the ER - I even feed him but he still threw up and comp about a headache and back ache.
Age: 21.0
Sex: M
Vaccine: PPV
Symptoms: Dizziness, Musculoskeletal stiffness, Nausea
Clinical narrative: 1. Nausea next morning - 2. Dizziness next morning and day 2 after shot - 3. Left arm stiffness unable to straighten. MSD-Merck 1190Y  Jan 22, 2011 exp date.
Age: 2.0
Sex: M
Vaccine: HEP, HEPA, HIBV
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Pt. received Hep B, HIB, Hep A on 7/27/10. Presented on 07/29/10 with 12 x 18 cm erythematous area warm to touch and firm approx. 48 hrs after vaccine with HIB (R) thigh. Pt. given BENADRYL and f/u in 24 hrs for cellulitis.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Circumferential edema, erythema and heat 3 inch above left elbow to axillary line.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Eyelid oedema, Pain, Pruritus
Clinical narrative: Pt recieved smallpox 14 Jul 10. Pt went to ER 24 Jul 10 for itching, redness, pain, and swelling in his left lower and upper eyelid. Pt thinks he may have touched his smallpox site then rubbed his eye. Pt was seen by an opthalmogist, pt was Dx with possible ocular vaccinia.  Pt was treated with Viroptic, Vigamox, and erythromycin eye drops. Pt did not have any visual changes or blurring he was 20/20 in both eyes. Pt f/u with primary Dr. 27 Jul 10 and was Rx oral amoxicillin.  Pt f/u with opthalmologist 28 Jul 10 and primary Dr. 29 Jul 10.  On his 29 Jul visit the patient's upper eyelid had improved greatly but his lower eyelid had become worse. He was put on 72 hr quarters and Rx Darvocet for the pain.  Pt was supposed to travel to foreign country, 31 Jul 10 but according to the opthalmogist's recommendation the patient may not travel until his clear of symptoms for 2 weeks.
Age: 41.0
Sex: F
Vaccine: RAB
Symptoms: Bone pain, Musculoskeletal discomfort, Pain in extremity
Clinical narrative: 7/28/2010 c/o pain in arm after last injection on 7/23/2010.  Also, c/o discomfort in neck. 7/29/2010 c/o discomfort in cervical spine to her bra line (back). Voiced not sure if it was the vaccine or her sixty hour week.  Denied redness, swelling, fever, rash at the injection site. " Don't worry I am O.K."
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Convulsion
Clinical narrative: Seizure activity.
Age: 34.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Rash generalised
Clinical narrative: Pt. c/o fine rash over entire body for last 4 days. Has no swelling of glands or fever.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Allergy to vaccine, Erythema, Eye swelling, Lip swelling, Malaise
Clinical narrative: C/O not feeling well 30 minutes to an hour after vaccination.  Mom says client's face was very bright red and that she was also c/o nausea.  No fever, No shortness of breath.  The next morning when she got up, mom said client's face looked like she had been in a bad car accident, both eyes were swollen shut, nose was swollen as were her lips.  Still, no shortness of breath, so mom contacted her MD and was seen at her MD's office by the ARNP.  Dx of allergic reaction to HPV vaccine.  Treatment included cold / hot packs to face.  Per mom, client got better as the day went on.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Nausea, Swelling face
Clinical narrative: C/O not feeling well 30 minutes to an hour after vaccination.  Mom says client's face was very bright red and that she was also c/o nausea.  No fever, No shortness of breath.  The next morning when she got up, mom said client's face looked like she had been in a bad car accident, both eyes were swollen shut, nose was swollen as were her lips.  Still, no shortness of breath, so mom contacted her MD and was seen at her MD's office by the ARNP.  Dx of allergic reaction to HPV vaccine.  Treatment included cold / hot packs to face.  Per mom, client got better as the day went on.
Age: 22.0
Sex: F
Vaccine: TDAP
Symptoms: Drug exposure during pregnancy
Clinical narrative: There were no adverse events.
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Screaming
Clinical narrative: Child screamed for hours after vaccination.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: (1) One day after vaccination, swelling, redness, itchy & hot area at site of injection - Tennis ball size - lasted 1 week Rx with ice - improved every day. (2) 3 days after vax, noted 3 "welts" around (L) wrist, very itchy & raised. Quarter & dime sized areas, still present after 5 days but resolving.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: (1) One day after vaccination, swelling, redness, itchy & hot area at site of injection - Tennis ball size - lasted 1 week Rx with ice - improved every day. (2) 3 days after vax, noted 3 "welts" around (L) wrist, very itchy & raised. Quarter & dime sized areas, still present after 5 days but resolving.
Age: 17.0
Sex: M
Vaccine: HPV4, MNQ, TDAP
Symptoms: Blood pressure normal, Fall, Heart rate normal, Syncope
Clinical narrative: Immunizations given - client walked to a chair and fainted, fell to the floor. 911 called. EMS, our nurses, safety office evaluated client, BP and pulse were normal. Client woke quickly within 1-2 minutes. Sat up alert and oriented, took nourishment as he had not eaten that day.
Age: 0.09
Sex: F
Vaccine: HEP
Symptoms: Cardio-respiratory arrest, Death
Clinical narrative: Unexpected death after sudden cardiorespiratory arrest.
Age: 78.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 07/27/2010 - Pt received pneumococcal vaccine - 07/28/2010:  C/o site redness 7/29/2010 - presented to office with left bicep redness/ swelling/ heat.  Instructed to ice area, monitor.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, PNC13
Symptoms: Injection site movement impairment, Injection site pain, Injection site swelling, Pyrexia, Vomiting
Clinical narrative: Both thighs swollen and tender to touch and pt refuses to ambulate for 3 days along with fever and vomiting once.
Age: 23.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Pruritus, Rash
Clinical narrative: Rash on chest, neck and stomach, comes and goes, itching.
Age: 29.0
Sex: M
Vaccine: FLU(H1N1)
Symptoms: Pruritus generalised
Clinical narrative: PATIENT REFERS AN INTESE ITCH THROUGHOUT THE BODY. NO RASH OR NO SWELLING WAS OBSERVED.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, VARCEL
Symptoms: Local reaction, Oedema, Rash pustular
Clinical narrative: PATIENT'S DOCTOR REFERS: SEVERE LOCALIZED REACTION TO THE VACCINE EVIDENT BY EDEMA AND PUSTULES.
Age: 3.0
Sex: M
Vaccine: PNC13
Symptoms: Rash
Clinical narrative: Per mom child was not exibiting any signs other than a rash.  Mom opted not to recieve any doctor care until 07/29/2010.
Age: 1.62
Sex: U
Vaccine: DTAP, HEPA, IPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Right Deltoid with evidence of punctuate vaccine mark with surrounding erythema approximately 6 by 6 with swelling and warmth to the area. No neuro radiculopathy.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient received DTAP #2 (imms delayed per parents) at age 2 7/12.  Returned 6 days later with large area erythema, swelling at the sight of injection.
Age: 11.0
Sex: U
Vaccine: MNQ, TDAP
Symptoms: Chills, Headache, Malaise, Pyrexia, Vomiting
Clinical narrative: Malaise, emesis, chills, frontal headache and fever beginning the day after vaccination.
Age: 11.0
Sex: M
Vaccine: HPV4, MNQ, TDAP
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Swelling, pain, itching at site of immunizations onset approx. 12 hrs after injections.  At onset, Dr. advised BENADRYL: by mouth and ice to site.  On 7/29/10, advised ZYRTEC and hydrocortisone to site.
Age: 25.0
Sex: F
Vaccine: JEV1
Symptoms: Pyrexia, Urticaria
Clinical narrative: 24 hours after vaccine fever 101 degrees and hives in pt's armpits, chest, groin and neck.  Pt advised to not receive this vaccine again, take antihistamine daily - ER if symptoms increase.
Age: 0.38
Sex: F
Vaccine: DTAPIPVHIB, PNC13
Symptoms: Body temperature increased, Full blood count normal
Clinical narrative: Increased temp noted evening of shots - Temp to 105. No other Sxs. CBC & eval on 7/29/10 ess. NML.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMRV
Symptoms: Injection site swelling
Clinical narrative: Leg swelling at injection site.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: 5 mm X 3 mm - fluid filled, raised area with soreness around site.
Age: 0.19
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Local swelling, redness.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site swelling
Clinical narrative: Seen 7/30/10 left arm swollen 8cm by 9cm warm compress to arm.
Age: 3.0
Sex: U
Vaccine: DTAP, PNC
Symptoms: Erythema, Swelling
Clinical narrative: Localized erythema and swelling treated with BENADRYL AND KEFLEX.
Age: 70.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 7-23-10 Workup in morning orange size.  Skin hot to touch.  Injection site.  Patient took allergy medication.  Saturday site less swelled and last red and hot, Sunday decreased size, redness, heat.  07-30-10 called patient this morning patient has no redness, heat and site is only the size of a quarter.
Age: 0.44
Sex: M
Vaccine: HIBV, PNC13
Symptoms: Full blood count, Haemoglobin normal, Lymphocyte count normal, Monocyte count normal, Platelet count normal
Clinical narrative: 1) Fever during first 24 hours 101.6 degrees rectally.  2) Scattered hives on extremities but not at injection sites.
Age: 0.44
Sex: M
Vaccine: HIBV, PNC13
Symptoms: Pyrexia, Urticaria, White blood cell count increased
Clinical narrative: 1) Fever during first 24 hours 101.6 degrees rectally.  2) Scattered hives on extremities but not at injection sites.
Age: 3.0
Sex: M
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Entire thigh swelling and redness resolved with observation with 48 hours.
Age: 14.0
Sex: F
Vaccine: HEPA
Symptoms: Lip swelling, Urticaria
Clinical narrative: Pt. received HEPATITIS A vaccine in clinic only vaccine she received.  Within 30 min. had one hive on lip and lip swelling no respiratory troubles.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, PNC13, VARCEL
Symptoms: Injection site cellulitis, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Left arm pain positive swelling positive warmth vaccine 2 days ago negative fever.  Cellulitis vax site.  CEPHALEXIL 250 mg TID X 10 days.
Age: 1.02
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash, Varicella
Clinical narrative: Fever, rash.  Was diagnosed in our office the next day with chicken pox.
Age: 2.0
Sex: F
Vaccine: FLUN(H1N1)
Symptoms: Influenza, Influenza serology positive, Pyrexia, Vomiting
Clinical narrative: FEVER, VOMITING. POSITIVE FOR H1N1 INFLUENZA BY PCR AT THE STATE HEALTH DEPARTMENT LABORATORY.
Age: 84.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Patient experienced a rash and itching at site of injection of the vaccine.