chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Vaginal haemorrhage
Clinical narrative: Information has been received from a licensed visiting nurse, for the GARDASIL a Pregnancy Registry concerning a 23 year old female with hypothyroidism and a history of 3 pregnancies: 1 live birth at 39 week from LMP, 2 spontaneous abortions including an ectopic pregnancy in March 2008 (5-6 weeks from LMP), with no birth defects of infant complications in previous pregnancies who on 20-MAR-2009 was vaccinated with the first dose of GARDASIL (lot# 661952/1129X). Concomitant therapy included levothyroxine Na. The nurse reported that the patient was pregnant. Her LMP was 03-MAR-2009 and her EDD was 08-DEC-2009. On 26-MAR-2009 the patient started spotting. The nurse stated that the patient was having heavy bleeding and was in the process of miscarrying. Laboratory tests included urine beta-human chorionic gonadotropin test and progesterone performed on 03-APR-2009. On 06-APR-2009 an ultrasound was performed due to her spotting with result intrauterine pregnancy early vs missed abortion. On the same date an urine beta-human chorionic gonadotropin test was done. Additional ultrasounds performed on 09-APR-2009 due to the patient's spotting revealed fetal cardiac activity as well on 13-APR-2009 there was fetal cardiac activity. On 17-APR-2009 the patient experienced spontaneous abortion (7 weeks from LMP), and she has chosen to wait and see if the fetus will pass on its own. It was reported that the patient has a follow up visit in 2 weeks and will have an ultrasound. If the fetus does not pass the patient will be scheduled for a dilation and curettage. On 21-APR-2009 an ultrasound revealed no fetal cardiac activity, there was no fetal heartbeat. Upon internal review in the process of miscarrying was considered to be an other important medical event. Additional information is not expected.
Age: 3.0
Sex: M
Vaccine: HIBV
Symptoms: Autism
Clinical narrative: Information has been received from a nurse concerning a 36 month old male who on 07-MAR-2006 was vaccinated with a first dose of PEDVAXHIB (OMPC) (lot number, injection site and route not reported). On 10-MAY-2006 the patient was vaccinated with a second dose of PEDVAXHIB (OMPC) (lot number 652699/0890R) (injection site and route not reported). On 11-JAN-2007, the patient was vaccinated with a third dose of PEDVAXHIB (OMPC) (lot number 653769/0406F) (injection site and route not reported). On 04-APR-2007 the patient was vaccination with a fourth dose of PEDVAXHIB (OMPC) (lot number 654910/1270F) (injection site and route not reported). Subsequently the nurse reported that the patient "may have autism". It had not been officially diagnosed. The patient was brought to the physician's office. The patient's event persisted. Upon internal review, autism is considered to be an other important medical event. Additional information has been requested.
Age: 27.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Foetal disorder, Labour complication, Pregnancy induced hypertension, Urine human chorionic gonadotropin positive
Clinical narrative: Information has been received from a nurse, for the Pregnancy Registry for GARDASIL, concerning a 27 year old female with cephalexin allergy and no relevant medical history and no history of prior pregnancies who on an unspecified dates received the first and second doses of GARDASIL and on 22-JUL-2008, was vaccinated with a third dose of GARDASIL (lot number, injection site and route not reported). Concomitant therapy included LEXAPRO and ACIPHEX. On 26-JUL-2008 the patient was found out to be pregnant by urine pregnancy test. Date of last menstrual period 18-JUN-2008, estimated date of delivery 25-MAR-2009. Unspecified medical attention was sought. Follow-up information was received from a physician who reported that patient was on LEXAPRO throughout pregnancy, 10 mg daily for depression. Complications during pregnancy included gestational hypertension. On 09-MAR-2009, patient delivered an 8 pound and 1 ounce male baby, 21 inches tall, 38 weeks from LMP. Apgar score 8-9-10. Complication during labor/delivery included failure to progress. Baby was born with congenital anomaly: no left nipple. No other complications or abnormalities. No further information is available.
Age: 35.0
Sex: M
Vaccine: TD
Symptoms: Feeling cold, Gaze palsy, Hyperhidrosis, Presyncope, Pulse absent
Clinical narrative: Td administered to patient. Less than 3 minutes later patient was leaving clinic and collapsed to floor. He did not have any trauma. He was cold and sweating. He was unresponsive for 10 seconds but quickly woke up and was aware of his surroundings. A damp cloth was applied to his forehead. After 3 minutes he was move to a nearby chair. 30 seconds later he again became unresponsive. I could not find a pulse for 20 seconds. His eye deviated upward. EMS was called. He woke up again and was aware of his surroundings with a normal puse and respirations. EMS took him to hospital. The work-up was normal and he was diagnosed with a vagal response. The patient returned to clinic 4 hours after leaving and appeared normal.
Age: 35.0
Sex: M
Vaccine: TD
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Td administered to patient. Less than 3 minutes later patient was leaving clinic and collapsed to floor. He did not have any trauma. He was cold and sweating. He was unresponsive for 10 seconds but quickly woke up and was aware of his surroundings. A damp cloth was applied to his forehead. After 3 minutes he was move to a nearby chair. 30 seconds later he again became unresponsive. I could not find a pulse for 20 seconds. His eye deviated upward. EMS was called. He woke up again and was aware of his surroundings with a normal puse and respirations. EMS took him to hospital. The work-up was normal and he was diagnosed with a vagal response. The patient returned to clinic 4 hours after leaving and appeared normal.
Age: 15.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Incorrect route of drug administration, Wrong drug administered
Clinical narrative: Nursing student mistook Menactra as the diluent for the varicella and injected it subcutaneously. No problems with patient therefor no treatment needed.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Diarrhoea, Ear infection, Erythema multiforme, Lymphadenopathy, Petechiae
Clinical narrative: Patient developed maculopapular rash over entire body 14 days after vaccine administration. Patient seen 4/18 for this rash (by MD), and unclear if vaccine-related, scabies or drug rash (was on amoxicillin for ear infection). Seen in ED on 4/20/09 for rash, diagnosed with erythema multiforme minor. Seen again on 4/24/09, with a coalescing petechial and purpuric rash, emesis, posterior cervical lymphadenopathy and diarrhea. Diagnosed at that time by senior physician with vaccine-related rubella. Dr. spoke with mom on 4/30/09 who confirmed patient's rash is almost clear, stools are becoming formed and emesis has almost completely resolved and patient is doing well. No treatment needed, just supportive care.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Purpura, Rash maculo-papular, Vomiting
Clinical narrative: Patient developed maculopapular rash over entire body 14 days after vaccine administration. Patient seen 4/18 for this rash (by MD), and unclear if vaccine-related, scabies or drug rash (was on amoxicillin for ear infection). Seen in ED on 4/20/09 for rash, diagnosed with erythema multiforme minor. Seen again on 4/24/09, with a coalescing petechial and purpuric rash, emesis, posterior cervical lymphadenopathy and diarrhea. Diagnosed at that time by senior physician with vaccine-related rubella. Dr. spoke with mom on 4/30/09 who confirmed patient's rash is almost clear, stools are becoming formed and emesis has almost completely resolved and patient is doing well. No treatment needed, just supportive care.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Chills, Injection site erythema, Injection site pain, Nausea, Pain
Clinical narrative: Fever, Chills, Bodyaches, Nausea, Vomitting, and local site reaction (redness, tenderness)
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Pyrexia, Vomiting
Clinical narrative: Fever, Chills, Bodyaches, Nausea, Vomitting, and local site reaction (redness, tenderness)
Age: 25.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Bacterial culture, Biopsy, Culture wound, Erythema, Full blood count
Clinical narrative: ON 4-3-09 PATIENT WAS ADMINISTERED THE SMALLPOX VACCINE AS A REQUIRED PROPHYLACTIC BEFORE DEPLOYMENT WITH HIS UNIT. ON 4-27-09 PATIENT PRESENTED TO HEALTH CLINIC WITH MULTIPLE AREAS OF ERYTHEMATIC SORES ON HIS BACK, FRONT TORSO, UNDERARMS, GROIN, BILATERAL LEGS, AND BILATERAL ARMS. THESE SORES WERE RED, RING LIKE, RAISED ON THE OUTSIDE WITH PUSTULES. ORIGINAL SITE OF THE INOCULATION WAS STILL IN AN EARLY STAGE MEANING MOIST AND SEEPING WITH NO EVIDENT SCAB. PATIENT STATES THAT THE SORES STARTED TO DEVELOP APPROXIMATELY 1 WEEK AGO ON 4-20-09 AND PROGRESSED IN MULTIPLE STAGES DUE TO THE ITCHING AND HIM SCRATCHING AT THEM THINKING THEY WERE BUG BITES. NONE OF THE SORES SEEM TO HAVE ANY TYPE OF BACTERIAL INFECTION AND PATIENT WAS TREATED WITH ANTIHISTAMINES TO ALEVE THE ITCHING TO TRY AND FURTHER PREVENT SPREADING. PT WAS ISOLATED TO HIS ROOM FOR THE DURATION OF HIS UNIT'S DEPLOYMENT AND HAS BEEN INSTRUCTED TO COME INTO THE CLINIC ONCE A DAY FOR OBSERVATION AND FURTHER TREATMENT IF NEEDED. PATIENT WAS INSTRUCTED TO USE BABY POWDER AND CORN STARCH ON SORES TO HELP WITH DRYING AND HOUSING STAFF HAVE BEEN INSTRUCTED NOT TO CLEAN HIS ROOM OR CHANGE HIS SHEETS DURING HIS STAY. WHEN PATIENT CHECKS OUT OF HIS ROOM FOR HIS RETURN HOME ON 1MAY09,  MEDICAL PERSONNEL WHO HAVE BEEN INOCULATED WILL MEET HIM AT HIS ROOM AND CLEAN IT USING CAVICIDE AND BLEACH WATER. ALL BEDDING AND TOWELS WILL BE HANDLED AS MEDICAL WASTE AND BE DISPOSED OF AS HAZARDOUS BIOMEDICAL WASTE.
Age: 25.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Herpes simplex serology, Pruritus, Rash erythematous, Rash pustular, Viral test
Clinical narrative: ON 4-3-09 PATIENT WAS ADMINISTERED THE SMALLPOX VACCINE AS A REQUIRED PROPHYLACTIC BEFORE DEPLOYMENT WITH HIS UNIT. ON 4-27-09 PATIENT PRESENTED TO HEALTH CLINIC WITH MULTIPLE AREAS OF ERYTHEMATIC SORES ON HIS BACK, FRONT TORSO, UNDERARMS, GROIN, BILATERAL LEGS, AND BILATERAL ARMS. THESE SORES WERE RED, RING LIKE, RAISED ON THE OUTSIDE WITH PUSTULES. ORIGINAL SITE OF THE INOCULATION WAS STILL IN AN EARLY STAGE MEANING MOIST AND SEEPING WITH NO EVIDENT SCAB. PATIENT STATES THAT THE SORES STARTED TO DEVELOP APPROXIMATELY 1 WEEK AGO ON 4-20-09 AND PROGRESSED IN MULTIPLE STAGES DUE TO THE ITCHING AND HIM SCRATCHING AT THEM THINKING THEY WERE BUG BITES. NONE OF THE SORES SEEM TO HAVE ANY TYPE OF BACTERIAL INFECTION AND PATIENT WAS TREATED WITH ANTIHISTAMINES TO ALEVE THE ITCHING TO TRY AND FURTHER PREVENT SPREADING. PT WAS ISOLATED TO HIS ROOM FOR THE DURATION OF HIS UNIT'S DEPLOYMENT AND HAS BEEN INSTRUCTED TO COME INTO THE CLINIC ONCE A DAY FOR OBSERVATION AND FURTHER TREATMENT IF NEEDED. PATIENT WAS INSTRUCTED TO USE BABY POWDER AND CORN STARCH ON SORES TO HELP WITH DRYING AND HOUSING STAFF HAVE BEEN INSTRUCTED NOT TO CLEAN HIS ROOM OR CHANGE HIS SHEETS DURING HIS STAY. WHEN PATIENT CHECKS OUT OF HIS ROOM FOR HIS RETURN HOME ON 1MAY09,  MEDICAL PERSONNEL WHO HAVE BEEN INOCULATED WILL MEET HIM AT HIS ROOM AND CLEAN IT USING CAVICIDE AND BLEACH WATER. ALL BEDDING AND TOWELS WILL BE HANDLED AS MEDICAL WASTE AND BE DISPOSED OF AS HAZARDOUS BIOMEDICAL WASTE.
Age: 25.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Biopsy, Culture wound negative, Herpes simplex serology positive, Rash, Rash pruritic
Clinical narrative: ON 4-3-09 PATIENT WAS ADMINISTERED THE SMALLPOX VACCINE AS A REQUIRED PROPHYLACTIC BEFORE DEPLOYMENT WITH HIS UNIT. ON 4-27-09 PATIENT PRESENTED TO HEALTH CLINIC WITH MULTIPLE AREAS OF ERYTHEMATIC SORES ON HIS BACK, FRONT TORSO, UNDERARMS, GROIN, BILATERAL LEGS, AND BILATERAL ARMS. THESE SORES WERE RED, RING LIKE, RAISED ON THE OUTSIDE WITH PUSTULES. ORIGINAL SITE OF THE INOCULATION WAS STILL IN AN EARLY STAGE MEANING MOIST AND SEEPING WITH NO EVIDENT SCAB. PATIENT STATES THAT THE SORES STARTED TO DEVELOP APPROXIMATELY 1 WEEK AGO ON 4-20-09 AND PROGRESSED IN MULTIPLE STAGES DUE TO THE ITCHING AND HIM SCRATCHING AT THEM THINKING THEY WERE BUG BITES. NONE OF THE SORES SEEM TO HAVE ANY TYPE OF BACTERIAL INFECTION AND PATIENT WAS TREATED WITH ANTIHISTAMINES TO ALEVE THE ITCHING TO TRY AND FURTHER PREVENT SPREADING. PT WAS ISOLATED TO HIS ROOM FOR THE DURATION OF HIS UNIT'S DEPLOYMENT AND HAS BEEN INSTRUCTED TO COME INTO THE CLINIC ONCE A DAY FOR OBSERVATION AND FURTHER TREATMENT IF NEEDED. PATIENT WAS INSTRUCTED TO USE BABY POWDER AND CORN STARCH ON SORES TO HELP WITH DRYING AND HOUSING STAFF HAVE BEEN INSTRUCTED NOT TO CLEAN HIS ROOM OR CHANGE HIS SHEETS DURING HIS STAY. WHEN PATIENT CHECKS OUT OF HIS ROOM FOR HIS RETURN HOME ON 1MAY09,  MEDICAL PERSONNEL WHO HAVE BEEN INOCULATED WILL MEET HIM AT HIS ROOM AND CLEAN IT USING CAVICIDE AND BLEACH WATER. ALL BEDDING AND TOWELS WILL BE HANDLED AS MEDICAL WASTE AND BE DISPOSED OF AS HAZARDOUS BIOMEDICAL WASTE.
Age: 25.0
Sex: M
Vaccine: ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Skin lesion
Clinical narrative: ON 4-3-09 PATIENT WAS ADMINISTERED THE SMALLPOX VACCINE AS A REQUIRED PROPHYLACTIC BEFORE DEPLOYMENT WITH HIS UNIT. ON 4-27-09 PATIENT PRESENTED TO HEALTH CLINIC WITH MULTIPLE AREAS OF ERYTHEMATIC SORES ON HIS BACK, FRONT TORSO, UNDERARMS, GROIN, BILATERAL LEGS, AND BILATERAL ARMS. THESE SORES WERE RED, RING LIKE, RAISED ON THE OUTSIDE WITH PUSTULES. ORIGINAL SITE OF THE INOCULATION WAS STILL IN AN EARLY STAGE MEANING MOIST AND SEEPING WITH NO EVIDENT SCAB. PATIENT STATES THAT THE SORES STARTED TO DEVELOP APPROXIMATELY 1 WEEK AGO ON 4-20-09 AND PROGRESSED IN MULTIPLE STAGES DUE TO THE ITCHING AND HIM SCRATCHING AT THEM THINKING THEY WERE BUG BITES. NONE OF THE SORES SEEM TO HAVE ANY TYPE OF BACTERIAL INFECTION AND PATIENT WAS TREATED WITH ANTIHISTAMINES TO ALEVE THE ITCHING TO TRY AND FURTHER PREVENT SPREADING. PT WAS ISOLATED TO HIS ROOM FOR THE DURATION OF HIS UNIT'S DEPLOYMENT AND HAS BEEN INSTRUCTED TO COME INTO THE CLINIC ONCE A DAY FOR OBSERVATION AND FURTHER TREATMENT IF NEEDED. PATIENT WAS INSTRUCTED TO USE BABY POWDER AND CORN STARCH ON SORES TO HELP WITH DRYING AND HOUSING STAFF HAVE BEEN INSTRUCTED NOT TO CLEAN HIS ROOM OR CHANGE HIS SHEETS DURING HIS STAY. WHEN PATIENT CHECKS OUT OF HIS ROOM FOR HIS RETURN HOME ON 1MAY09,  MEDICAL PERSONNEL WHO HAVE BEEN INOCULATED WILL MEET HIM AT HIS ROOM AND CLEAN IT USING CAVICIDE AND BLEACH WATER. ALL BEDDING AND TOWELS WILL BE HANDLED AS MEDICAL WASTE AND BE DISPOSED OF AS HAZARDOUS BIOMEDICAL WASTE.
Age: 28.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Circumferential swelling and redness to right upper arm/deltoid, especially near area of vaccine administration, +pruritis, w/in the first 24hrs of vaccine administration. Symptoms subsiding by time of report. No medications given. No concurrent illnesses, other vaccines or other meds. Patient advised to avoid further anthrax boosters.
Age: 28.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Erythema, Oedema peripheral, Pruritus
Clinical narrative: Circumferential swelling and redness to right upper arm/deltoid, especially near area of vaccine administration, +pruritis, w/in the first 24hrs of vaccine administration. Symptoms subsiding by time of report. No medications given. No concurrent illnesses, other vaccines or other meds. Patient advised to avoid further anthrax boosters.
Age: 28.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Soldier presented to the ER with R arm swelling with redness and puritus.
Age: 28.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Erythema, Oedema peripheral, Pruritus
Clinical narrative: Soldier presented to the ER with R arm swelling with redness and puritus.
Age: 17.0
Sex: F
Vaccine: HPV4, TD
Symptoms: Abdominal discomfort, Abdominal pain upper, Alopecia, Arthralgia, Eating disorder
Clinical narrative: Immediate severe pain in left arm, 'as though someone just broke it'; headache developed; 24 hours of joint and muscle pain; within weeks, sharp stabbing pain in the stomach that radiates throughout the upper abdomen and shoots toward the back and left shoulder; persistent upset 'sour' stomach that complicates her ability to eat.  Now, 2 months later she is losing hair and weight.  5/4/09 Received PCP medical records of 1/5/08-4/30/2009 including GI, Ortho & ENT consults. FINAL DX: acid reflux, inflammatory gastropathy, ulcerative tonsillitis, exercise intolerance, dyspnea Records reveal patient experienced usual state of health on 2/23/09 for HPV#1. RTC 4/29/09 w/c/o of injection site pain, HA & joint pain since 2/23/09.   Hx of persistent abdominal pain. GI referral 8/08.  Dx w/pneumonia 12/08.  RTC 1/09 w/exhaustion, sore throat, loose stool x 2 days.  Exam revealed 4+ red exudative throat w/bilateral node tenderness.  Strep & mono neg.  RTC 2/09 w/chest tightness & difficulty breathing x 2 yr.
Age: 17.0
Sex: F
Vaccine: HPV4, TD
Symptoms: Headache, Immediate post-injection reaction, Myalgia, Pain, Pain in extremity
Clinical narrative: Immediate severe pain in left arm, 'as though someone just broke it'; headache developed; 24 hours of joint and muscle pain; within weeks, sharp stabbing pain in the stomach that radiates throughout the upper abdomen and shoots toward the back and left shoulder; persistent upset 'sour' stomach that complicates her ability to eat.  Now, 2 months later she is losing hair and weight.  5/4/09 Received PCP medical records of 1/5/08-4/30/2009 including GI, Ortho & ENT consults. FINAL DX: acid reflux, inflammatory gastropathy, ulcerative tonsillitis, exercise intolerance, dyspnea Records reveal patient experienced usual state of health on 2/23/09 for HPV#1. RTC 4/29/09 w/c/o of injection site pain, HA & joint pain since 2/23/09.   Hx of persistent abdominal pain. GI referral 8/08.  Dx w/pneumonia 12/08.  RTC 1/09 w/exhaustion, sore throat, loose stool x 2 days.  Exam revealed 4+ red exudative throat w/bilateral node tenderness.  Strep & mono neg.  RTC 2/09 w/chest tightness & difficulty breathing x 2 yr.
Age: 17.0
Sex: F
Vaccine: HPV4, TD
Symptoms: Weight decreased
Clinical narrative: Immediate severe pain in left arm, 'as though someone just broke it'; headache developed; 24 hours of joint and muscle pain; within weeks, sharp stabbing pain in the stomach that radiates throughout the upper abdomen and shoots toward the back and left shoulder; persistent upset 'sour' stomach that complicates her ability to eat.  Now, 2 months later she is losing hair and weight.  5/4/09 Received PCP medical records of 1/5/08-4/30/2009 including GI, Ortho & ENT consults. FINAL DX: acid reflux, inflammatory gastropathy, ulcerative tonsillitis, exercise intolerance, dyspnea Records reveal patient experienced usual state of health on 2/23/09 for HPV#1. RTC 4/29/09 w/c/o of injection site pain, HA & joint pain since 2/23/09.   Hx of persistent abdominal pain. GI referral 8/08.  Dx w/pneumonia 12/08.  RTC 1/09 w/exhaustion, sore throat, loose stool x 2 days.  Exam revealed 4+ red exudative throat w/bilateral node tenderness.  Strep & mono neg.  RTC 2/09 w/chest tightness & difficulty breathing x 2 yr.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Dizziness, Pallor, Syncope
Clinical narrative: PATIENT WAS GIVEN ALL THREE VACCINES HEP A#1 (RIGHT ARM), MCV4 AND HPV#1 (LEFT ARM) IN THAT ORDER, WHEN I WAS APPLYING THE LAST BANDAID THE PT STATED SHE FELT DIZZY AND SLUMPED TO HER RIGHT SIDE ON THE EXAM TABLE THIS WAS 3:55 PM. I PULLED HER TOWARDS ME SO SHE WOULD BE FLAT ON HER BACK AND WHEN I DID SHE THEN LOOKED AT ME AND SAID DID I JUST PASS OUT. THIS WAS BRIEF MAYBE 5-10 SECONDS SHE HAD SOME PALLOR AFTER FAINTING SHE WAS GIVEN A COOL WASH CLOTH FOR HER FOREHEAD AND ADVISED TO STAY LAYING FOR A FEW MINUTES DR. WAS NOTIFIED AND BP WAS TAKEN AND @ 3:57 BP WAS 98/60. PATIENT WAS ALERT AND ORIENTED X3 AND JOKING AND REMEMBERS EVERYTHING BEFORE AND AFTER EVENT. BP PRIOR TO FAINTING WHICH WAS TAKEN AT ABOUT 3:45 WAS 100/50. PT WAS MONITORED APPEARED ASYMPTOMATIC COLOR CAME BACK AND LAST BP @ 4:22 WAS 100/60 PT WAS THEN ALLOWED TO LEAVE @ 4:30. SHE WAS ADVISED TO COME BACK TOMM (4/30/09) AND FOLLOW UP WITH DR. APPOINTMENT WAS MADE.
Age: 50.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Erythema, Skin warm
Clinical narrative: left arm warm to the touch and red
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Typical Varicella rash began 04/28/2009 treating with
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Anorexia, Chills, Headache, Malaise, Pyrexia
Clinical narrative: Patient called me the day after the administration complaining of Headache, Fever, Chills, Loss of apetite. I explained that she was experiencing a rash or trouble breathing. She explained that she just felt ill. I explained that if the symptoms did not get better that she should go in to see her physician. She called me yesterday to explain that she is going to see her physician.
Age: 55.0
Sex: M
Vaccine: TDAP, YF
Symptoms: Chills, Headache, Influenza serology negative, Pyrexia
Clinical narrative: Fever 100.3F and chills and Severe headache began at 2:30am. Pt came to health unit at 0830. Pt given Tylenol 650mg and slept. At 11:30 pt reported feeling much better and walked out without difficulty.
Age: 30.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Client called today, stating she had just noticed a rash around the site of injection, also c/o itching from rash. NO fever or other symptoms.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Back pain, Dizziness, Full blood count normal, Headache, Metabolic function test normal
Clinical narrative: Patient was seen by this physician three days after administration of Menactra.  He was complaining of back pain, shoulder pain, headache, lightheadedness, tactile temperature, heart racing, mild neck stiffness and rash starting one hour post vaccine administration. He was recommended to control fever and pain with tylenol, maintain hydration, rest and obtain labs (CBC and CMP).  I assume that the patient recovered because he never returned to this clinic with persisting symptoms.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Musculoskeletal pain, Musculoskeletal stiffness, Palpitations, Pyrexia, Rash
Clinical narrative: Patient was seen by this physician three days after administration of Menactra.  He was complaining of back pain, shoulder pain, headache, lightheadedness, tactile temperature, heart racing, mild neck stiffness and rash starting one hour post vaccine administration. He was recommended to control fever and pain with tylenol, maintain hydration, rest and obtain labs (CBC and CMP).  I assume that the patient recovered because he never returned to this clinic with persisting symptoms.
Age: 1.17
Sex: M
Vaccine: MMR
Symptoms: Crying, Decreased appetite, Irritability, Pyrexia, Rash
Clinical narrative: Night wakening, fussiness, constant crying, poor appetite, vomiting, skin rash (head, face, neck, ears, behind ears, abdomen, back, legs, arms, feet), low grade fever, wt loss.
Age: 1.17
Sex: M
Vaccine: MMR
Symptoms: Sleep disorder, Vomiting, Weight decreased
Clinical narrative: Night wakening, fussiness, constant crying, poor appetite, vomiting, skin rash (head, face, neck, ears, behind ears, abdomen, back, legs, arms, feet), low grade fever, wt loss.
Age: 0.1
Sex: F
Vaccine: HEP
Symptoms: Death
Clinical narrative: None. 10/5/09 Autopsy received. Cause of Death: Sudden Infant Death Syndrome. Additional information abstracted: History of co-sleeping with both parents. Lividity present in anterior and posterior body with areas of blanching on left face and abdomen. Petechial hemorrhages of thymus and lungs. Pulmonary congestion and edema.
Age: 0.5
Sex: M
Vaccine: HEP, PNC
Symptoms: Evans syndrome, Irritability, Thrombocytopenia
Clinical narrative: Came down with Evans Syndrome 3/15/09. Seen for irritability 3/7/09.  5/4/09 Received hospital medical records of multiple admits. FINAL DX: thrombocytopenia; Evans syndrome Clinic visit 3/7/09 for crying & tugging at ears.  Noted to have dime size bruise at injection site right thigh.  Ears were clear & dx w/pain/irritability s/p immunizations. RTC 3/15 w/easy bruising x 1 wk worse last 2 days all over body.  Referred to ER for coagulopathy. 3/15-3/21/09 Admit Records reveal patient experienced bruising x 1 wk.   Admitted for Heme & tx w/IV high dose steroids which failed to increase plts.  Tx w/IVIG & improved.  D/C to home on continued steroids w/central line for future IVIG tx.  D/C to home on steroid taper. 4/3-4/4 Admit for IVIG. Plts 35K.  4/6 Seen in clinic for URI & left OM.  Tx w/oral antibiotics 4/7-4/8 Admit for IVIG.  Plts 21K.  4/10-4/17 Admit for vomiting, increased bruising, irritability, blood tinged stool & falling plt ct.  Tx w/IVIG 4/22 Clinic visit for resolved OM.  4/26 Seen in ER for episode of irritability.
Age: 46.0
Sex: M
Vaccine: ANTH
Symptoms: Bone scan, Complex regional pain syndrome, Intervertebral disc operation, Intervertebral disc protrusion, Joint range of motion decreased
Clinical narrative: Developed neck right arm pain immediately after head/neck trauma in Mar 2003; received AVA#4 one month later with continued neck pain, intermittent right arm pain which became chronic; found to have C5-6 disc herniation Sep 2003, resulting in ACDF Jan 2004; received AVA#5 May 2004 during slow post-op recovery process; had continued intermittent neck/right arm pain & found to have C6-7 disc herniation Jun 2006 resulting in 2nd ACDF Sep 2006; had poor post-op recovery with only 20% improvement; diagnosed with reflex sympathetic dystrophy or complex regional pain syndrome June 2007; poor response to multiple courses PT & pain management modalities; remains symptomatic with limited use right arm, minimal neck ROM. Symptoms: Weakness, Paresthesia.  5/6/09 Received medical summary & medical records. FINAL DX: reflex sympathetic dystrophy or complex regional pain syndrome; GERD; post traumatic stress syndrome; depressive disorder; memory/concentration loss Records reveal patient experienced head/neck injury 3/03 after hitting head & having severe headache, neck muscle spasms & pain in right arm immediately after.  5/03 dx w/muscle strain/sprain & c-spine degenerative changes.  9/03 MRI revealed spurring C5-6, calcification of anterior longitudinal ligament, herniated pulposus C5-6.  Saw private neurosurgeon w/herniated disc, degenerative spondylitis & intermittent left radicular complaints.  Conservative tx ineffective & had C5-6 cervical disc fusion done 1/04.  Slow recovery.  8/04 MVA w/excerbation of neck pain.  1/06 MRI revealed C6-7 disc protrusion w/neck & arm pain.  6/06 developed sudden excruciating chest/right arm pain & MRI revealed C6-7 herniation.  9/06 had 2nd neck surgery complicated by hoarseness & dysphagia.  Very limited improvement by 5/07.  6/07 referred for pain management, dx w/RSD & tx w/multiple modalities.  Eval & tx for depression & PTSD 1/08 related to chronic pain.  10/08 dx w/hypothyroidism.  MRI/MRA brain 3/08 abnormal w/mesial temporal sclerosis.  Pt w/currently difficulty w/ADLs & unable to drive.
Age: 46.0
Sex: M
Vaccine: ANTH
Symptoms: Mobility decreased, Neck pain, Pain in extremity, Spinal X-ray, Spinal fusion surgery
Clinical narrative: Developed neck right arm pain immediately after head/neck trauma in Mar 2003; received AVA#4 one month later with continued neck pain, intermittent right arm pain which became chronic; found to have C5-6 disc herniation Sep 2003, resulting in ACDF Jan 2004; received AVA#5 May 2004 during slow post-op recovery process; had continued intermittent neck/right arm pain & found to have C6-7 disc herniation Jun 2006 resulting in 2nd ACDF Sep 2006; had poor post-op recovery with only 20% improvement; diagnosed with reflex sympathetic dystrophy or complex regional pain syndrome June 2007; poor response to multiple courses PT & pain management modalities; remains symptomatic with limited use right arm, minimal neck ROM. Symptoms: Weakness, Paresthesia.  5/6/09 Received medical summary & medical records. FINAL DX: reflex sympathetic dystrophy or complex regional pain syndrome; GERD; post traumatic stress syndrome; depressive disorder; memory/concentration loss Records reveal patient experienced head/neck injury 3/03 after hitting head & having severe headache, neck muscle spasms & pain in right arm immediately after.  5/03 dx w/muscle strain/sprain & c-spine degenerative changes.  9/03 MRI revealed spurring C5-6, calcification of anterior longitudinal ligament, herniated pulposus C5-6.  Saw private neurosurgeon w/herniated disc, degenerative spondylitis & intermittent left radicular complaints.  Conservative tx ineffective & had C5-6 cervical disc fusion done 1/04.  Slow recovery.  8/04 MVA w/excerbation of neck pain.  1/06 MRI revealed C6-7 disc protrusion w/neck & arm pain.  6/06 developed sudden excruciating chest/right arm pain & MRI revealed C6-7 herniation.  9/06 had 2nd neck surgery complicated by hoarseness & dysphagia.  Very limited improvement by 5/07.  6/07 referred for pain management, dx w/RSD & tx w/multiple modalities.  Eval & tx for depression & PTSD 1/08 related to chronic pain.  10/08 dx w/hypothyroidism.  MRI/MRA brain 3/08 abnormal w/mesial temporal sclerosis.  Pt w/currently difficulty w/ADLs & unable to drive.
Age: 46.0
Sex: M
Vaccine: ANTH
Symptoms: Thermogram, Vaccine positive rechallenge
Clinical narrative: Developed neck right arm pain immediately after head/neck trauma in Mar 2003; received AVA#4 one month later with continued neck pain, intermittent right arm pain which became chronic; found to have C5-6 disc herniation Sep 2003, resulting in ACDF Jan 2004; received AVA#5 May 2004 during slow post-op recovery process; had continued intermittent neck/right arm pain & found to have C6-7 disc herniation Jun 2006 resulting in 2nd ACDF Sep 2006; had poor post-op recovery with only 20% improvement; diagnosed with reflex sympathetic dystrophy or complex regional pain syndrome June 2007; poor response to multiple courses PT & pain management modalities; remains symptomatic with limited use right arm, minimal neck ROM. Symptoms: Weakness, Paresthesia.  5/6/09 Received medical summary & medical records. FINAL DX: reflex sympathetic dystrophy or complex regional pain syndrome; GERD; post traumatic stress syndrome; depressive disorder; memory/concentration loss Records reveal patient experienced head/neck injury 3/03 after hitting head & having severe headache, neck muscle spasms & pain in right arm immediately after.  5/03 dx w/muscle strain/sprain & c-spine degenerative changes.  9/03 MRI revealed spurring C5-6, calcification of anterior longitudinal ligament, herniated pulposus C5-6.  Saw private neurosurgeon w/herniated disc, degenerative spondylitis & intermittent left radicular complaints.  Conservative tx ineffective & had C5-6 cervical disc fusion done 1/04.  Slow recovery.  8/04 MVA w/excerbation of neck pain.  1/06 MRI revealed C6-7 disc protrusion w/neck & arm pain.  6/06 developed sudden excruciating chest/right arm pain & MRI revealed C6-7 herniation.  9/06 had 2nd neck surgery complicated by hoarseness & dysphagia.  Very limited improvement by 5/07.  6/07 referred for pain management, dx w/RSD & tx w/multiple modalities.  Eval & tx for depression & PTSD 1/08 related to chronic pain.  10/08 dx w/hypothyroidism.  MRI/MRA brain 3/08 abnormal w/mesial temporal sclerosis.  Pt w/currently difficulty w/ADLs & unable to drive.
Age: 1.01
Sex: F
Vaccine: FLUX, HIBV, MMR, PNC
Symptoms: Abdominal distension, Autism spectrum disorder, Body temperature increased, Colitis, Crying
Clinical narrative: Patient developed severe systemic rash, elevated temperature, continuous crying, inability to sleep. A month later patient stopped smiling, and developed severe diarrhea enlarged abdomen, shortly after, patient stopped babbling, or engaging and has been diagnosed with PDD.  6/25/09 Vaccine and medical records received DOS 11/13/06. Well child visit. Hemangioma noted on labia major and scalp.
Age: 1.01
Sex: F
Vaccine: FLUX, HIBV, MMR, PNC
Symptoms: Diarrhoea, Disturbance in social behaviour, Encephalopathy, Laboratory test abnormal, Metal poisoning
Clinical narrative: Patient developed severe systemic rash, elevated temperature, continuous crying, inability to sleep. A month later patient stopped smiling, and developed severe diarrhea enlarged abdomen, shortly after, patient stopped babbling, or engaging and has been diagnosed with PDD.  6/25/09 Vaccine and medical records received DOS 11/13/06. Well child visit. Hemangioma noted on labia major and scalp.
Age: 1.01
Sex: F
Vaccine: FLUX, HIBV, MMR, PNC
Symptoms: Rash, Sleep disorder, Speech disorder
Clinical narrative: Patient developed severe systemic rash, elevated temperature, continuous crying, inability to sleep. A month later patient stopped smiling, and developed severe diarrhea enlarged abdomen, shortly after, patient stopped babbling, or engaging and has been diagnosed with PDD.  6/25/09 Vaccine and medical records received DOS 11/13/06. Well child visit. Hemangioma noted on labia major and scalp.
Age: 15.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Abdominal pain upper, Crohn's disease, Rash
Clinical narrative: Began with stomach pains, rash on the top and bottom of both feet. Stomach pains were intermittent then became constant. 1 year later 2/09 diagnosed with Crohn's. I feel the vaccine initiated the Crohn's.  5/8/09 Received PCP medical records of 2/28/08-4/22/2009. FINAL DX: Crohn's disease w/terminal ileum inflammation & stricture s/p laparoscopic assisted ileocecal resection/anastamosis Records reveal patient experienced good general health on 2/28/09.  RTC 4/29/08 w/increasing abdominal pain x 2-3 wks w/1 episode emesis, urinary frequency over past few days.  RTC 5/21/08 w/tinea pedis & cellulitis.  RTC 5/30/08 w/dermatitis.  RTC 6/13 w/continuation of cellulitis of foot & tinea pedis.  RTC 10/16/08 & referred to GI for 4-6 mo hx of abdominal pain & diarrhea w/normal GYN exam & no relief from pepcid.  GI consult records of 12/30/08-4/16/09 included & reveal intial dx of non specific colitis.  Hospitalized 3/11-16/2009 w/Crohn's disease. Did not respond to med treatment & re-hospitalized 4/16-4/22/09 for surgery.  No further records available.
Age: 1.8
Sex: M
Vaccine: DTAPHEPBIP, HEPA
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Redness + swelling, heat @ site of injection erythema 130mm X 70 mm - slightly indurated.
Age: 1.1
Sex: F
Vaccine: DTAP, FLU3, HIBV, MMRV, PNC
Symptoms: Basophil percentage, Body temperature increased, Decreased activity, Eosinophil percentage increased, Haematocrit normal
Clinical narrative: Child received above listed vaccines 11-20-08 at routine WCC visit at 12 noon. Child developed tactile temp 11-21-08 around 1pm followed by pruritus & hives on face, back, legs. Child was concurrently less active, more sleepy. T 100.7 at 19:41 at presentation to ED. Exam revealed wheals & decreased activity - nontoxic appearance. BENADRYL administered also TYLENOL.
Age: 1.1
Sex: F
Vaccine: DTAP, FLU3, HIBV, MMRV, PNC
Symptoms: Haemoglobin normal, Lymphocyte percentage increased, Monocyte percentage, Neutrophil percentage decreased, Platelet count normal
Clinical narrative: Child received above listed vaccines 11-20-08 at routine WCC visit at 12 noon. Child developed tactile temp 11-21-08 around 1pm followed by pruritus & hives on face, back, legs. Child was concurrently less active, more sleepy. T 100.7 at 19:41 at presentation to ED. Exam revealed wheals & decreased activity - nontoxic appearance. BENADRYL administered also TYLENOL.
Age: 1.1
Sex: F
Vaccine: DTAP, FLU3, HIBV, MMRV, PNC
Symptoms: Pruritus, Red blood cell count normal, Somnolence, Urticaria, White blood cell count decreased
Clinical narrative: Child received above listed vaccines 11-20-08 at routine WCC visit at 12 noon. Child developed tactile temp 11-21-08 around 1pm followed by pruritus & hives on face, back, legs. Child was concurrently less active, more sleepy. T 100.7 at 19:41 at presentation to ED. Exam revealed wheals & decreased activity - nontoxic appearance. BENADRYL administered also TYLENOL.
Age: 23.0
Sex: F
Vaccine: TD
Symptoms: Headache, Tinnitus, Vision blurred
Clinical narrative: Patient complained of headache, ringing in ears, + occasion blurred vision. Given a Medrol Dose pack.
Age: 7.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Body temperature increased, Injection site erythema, Injection site induration, Injection site nodule, Injection site pruritus
Clinical narrative: Redness, warmth to injection site - 4/28/09 @ 8 AM followed with itching, increased heat/swelling on same morning. By 9 PM on 4/28/09, she had a large knot @ injection site with oral Temp of 99.6 - 100.8 4/29/09 - Temp 99.2 - 99.4 all day - redness/heat/swelling continued to spread. 4/30/09 - T- 98 deg - edema present, itching (+), less redness.
Age: 7.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Redness, warmth to injection site - 4/28/09 @ 8 AM followed with itching, increased heat/swelling on same morning. By 9 PM on 4/28/09, she had a large knot @ injection site with oral Temp of 99.6 - 100.8 4/29/09 - Temp 99.2 - 99.4 all day - redness/heat/swelling continued to spread. 4/30/09 - T- 98 deg - edema present, itching (+), less redness.
Age: 13.0
Sex: M
Vaccine: TDAP
Symptoms: Abnormal behaviour, Body temperature increased, Headache, Pain in extremity
Clinical narrative: Mother reports patient complaining of severe headache and (L) arm pain at school today (11 AM) -Become unruly and "violent" with staff at school. Temp 102 degrees at 3PM,  'History of psychological problems and brain damage'. Recommended TYLENOL every 4-6 hours, cold compresses to site for next 24 hours. 4/30 Fever normal, decreased arm pain.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Decreased appetite, Injection site erythema, Injection site mass, Irritability, Pyrexia
Clinical narrative: Pt received 12 month vaccinations on 4/18/09.  She had zero reaction at first, but 1 week after shots pt. began having a fever.  This lasted 4 days off & on.  Her appetite decreased, she was fussy.  On 4/20/09 pt.  had a dime-sized red lump on R thigh, did not seem painful, but was bothersome.  Pt was told to use tylenol prn for fever, & to call back if worsening Sxs.
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Oedema peripheral, Tenderness
Clinical narrative: Within 2 Hrs of vaccine, pt noted extreme tenderness, and swelling of upper arm. Sx worsened over next 48 Hrs.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness, Headache, Hyperacusis, Photophobia
Clinical narrative: Pt waited x 15 min & c/o HR.  No sensitivity to light/sound, dizziness, lightheaded.  Pt instructed to take Tylenol & call if symptoms persist/worsen.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Left deltoid swollen with erythema over large area. (4" x 3")
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Cellulitis, Erythema, Skin warm, Swelling
Clinical narrative: Right upper arm with redness, swelling & warm to touch  qcm in size Dx with cellulitis.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Induration, Mass, Oedema peripheral, Skin warm
Clinical narrative: Left arm swollen, hot, reddened (size of a soft ball) hard lump - VARIVAX. Right arm same but the size of an apple - MENACTRA.
Age: 1.1
Sex: M
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Bumps on face and back.
Age: 1.0
Sex: F
Vaccine: HEPA, PNC
Symptoms: Allergy to vaccine, Injection site erythema, Injection site swelling
Clinical narrative: Left thigh erythema & swelling extending 3 cm inferior to lower shot & 1/2 cm above upper injection site - supportive care ZYRTEC 1/2 tsp daily prn - Allergic Rx to vaccine.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Dizziness, Syncope
Clinical narrative: Pt. became slightly lightheaded immediately after receiving GARDASIL #3.  She layed down but continued talking & said she felt fine.  She walked out to the waiting room to sit for 15 min as per office policy/protocol.  She fainted while sitting & was eased to floor.  She was roused to consciousness immediately with 0.3 ml ammonia inhalant BP 126/80 pulse 72. Remained in office X 10-15 min. Stated she felt fine & left with her mother.
Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blood pressure decreased, Dizziness, No reaction on previous exposure to drug, Syncope
Clinical narrative: Pt. became slightly lightheaded immediately after receiving GARDASIL #3.  She layed down but continued talking & said she felt fine.  She walked out to the waiting room to sit for 15 min as per office policy/protocol.  She fainted while sitting & was eased to floor.  She was roused to consciousness immediately with 0.3 ml ammonia inhalant BP 126/80 pulse 72. Remained in office X 10-15 min. Stated she felt fine & left with her mother.
Age: 1.0
Sex: M
Vaccine: FLU3, HEPA, MMR, PNC, VARCEL
Symptoms: Varicella
Clinical narrative: Child developed chicken pox disease - in clinic 4-24-09.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Bacterial culture negative, Dermatitis bullous, Injection site erythema, Lip swelling, Nausea
Clinical narrative: 24 hrs after injection: lip swelling, nausea, red injection site. 48 hrs after injection: larger area of redness with central bullous lesions. Treated for 1 1/2 week with SILVADENE cream. Cultures (viral bacterial) taken from bullous lesions - Results: Negative viral and bacterial cultures. KEFLEX 100 mg bid X 10d started.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Viral test negative
Clinical narrative: 24 hrs after injection: lip swelling, nausea, red injection site. 48 hrs after injection: larger area of redness with central bullous lesions. Treated for 1 1/2 week with SILVADENE cream. Cultures (viral bacterial) taken from bullous lesions - Results: Negative viral and bacterial cultures. KEFLEX 100 mg bid X 10d started.
Age: 1.2
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Drooling, Gaze palsy, Musculoskeletal stiffness
Clinical narrative: Mom states 2 days after vaccines patient's eyes rolled back in her head, she stiffened out and was "slobbering". Denies increased temperature. Called ambulance but they did not tale her to hospital.
Sex: U
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Diarrhoea, Upper respiratory tract infection, Vomiting
Clinical narrative: Severe vomiting + diarrhea 48 hours after vaccines given. Went on to develop URI sx's - v/d were <24 hours.
Age: 28.0
Sex: F
Vaccine: PER, TTOX
Symptoms: Activities of daily living impaired, Mobility decreased, Muscle injury, Muscle tightness, Nerve injury
Clinical narrative: Unable to use my arm/shoulder, extreme pain & tightness.  Unable to work due to some of the requirements of my job.  I had X-rays taken & have been sent to physical therapy to try to repair the damage done to my muscle & nerve.
Age: 28.0
Sex: F
Vaccine: PER, TTOX
Symptoms: Pain, X-ray
Clinical narrative: Unable to use my arm/shoulder, extreme pain & tightness.  Unable to work due to some of the requirements of my job.  I had X-rays taken & have been sent to physical therapy to try to repair the damage done to my muscle & nerve.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Decreased appetite, Dizziness, Nausea, Odynophagia, Pharyngitis
Clinical narrative: Pharyngitis, odynophalgia, nausea, vomiting, decrease appetite, dizziness.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Vomiting
Clinical narrative: Pharyngitis, odynophalgia, nausea, vomiting, decrease appetite, dizziness.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU3, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Right arm immunization site reaction 4cm X 6cm erythematous area on upper right arm. Warm, clearly demarcated area, tender to touch, no streaking. Similar 1X1 cm area on upper left arm. Augmentin X 7 days.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Chest pain, Injection site erythema, Local reaction, Pain in extremity
Clinical narrative: C/o chest pain, local reaction seen in office 2/25/09 T97.7 P75 R16 Erythema at injection site rest of exam normal, BP 124 / 76 Wt 215 lbs, 4/7/09 still having arm pain (per phone conversation).
Sex: U
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: This case was reported by a pharmacist and described the occurrence of injection site pain in a subject of unspecified age and gender who was vaccinated with (FLULAVAL, GlaxoSmithKline). On an unspecified date the subject received unspecified dose of FLULAVAL (unknown). At an unspecified time after vaccination with FLULAVAL, the subject experienced injection site pain. At the time of reporting the outcome of the event was unspecified.
Age: 19.0
Sex: M
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Incorrect dose administered, Incorrect route of drug administration, Injection site erythema, Injection site inflammation
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of wrong route of administration in a 19-year-old male subject who was vaccinated with FLULAVAL, GlaxoSmithKline. Concurrent medical conditions included drug allergies to AMOXICILLIN, penicillin, and ROBUTUSSIN. The subject is a smoker. There were no concurrent medications. On 7 January 2009 at 13:30 the subject received a dose of FLULAVAL at 0.01 ml, intradermally, in the left forearm. This was the wrong route of administration and an inappropriate dose of drug administered. The nurse administering FLULAVAL was thinking about how purified protein derivative is given instead of the way flu vaccine should be given. Following administration of FLULAVAL, the subject developed a local reaction immediately, which was defined as within one hour. The reaction consisted of a 2cm by 2cm area of redness and swelling. The area was also inflamed. The events were not resolved at the time of reporting and were being monitored and measured. No treatment was required. In the reporter's opinion, the events were probably related to treatment with FLULAVAL. The invalid FLULAVAL dose was repeated at the full 0.5 ml dose and was given via the appropriate intramuscular route. The repeat dose was given in an unknown deltoid muscle and there were no reactions reported.  The reporter did not know if the repeat dose of FLULAVAL was administered in the same arm as the invalid dose or the opposite arm.
Age: 19.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site swelling
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of wrong route of administration in a 19-year-old male subject who was vaccinated with FLULAVAL, GlaxoSmithKline. Concurrent medical conditions included drug allergies to AMOXICILLIN, penicillin, and ROBUTUSSIN. The subject is a smoker. There were no concurrent medications. On 7 January 2009 at 13:30 the subject received a dose of FLULAVAL at 0.01 ml, intradermally, in the left forearm. This was the wrong route of administration and an inappropriate dose of drug administered. The nurse administering FLULAVAL was thinking about how purified protein derivative is given instead of the way flu vaccine should be given. Following administration of FLULAVAL, the subject developed a local reaction immediately, which was defined as within one hour. The reaction consisted of a 2cm by 2cm area of redness and swelling. The area was also inflamed. The events were not resolved at the time of reporting and were being monitored and measured. No treatment was required. In the reporter's opinion, the events were probably related to treatment with FLULAVAL. The invalid FLULAVAL dose was repeated at the full 0.5 ml dose and was given via the appropriate intramuscular route. The repeat dose was given in an unknown deltoid muscle and there were no reactions reported.  The reporter did not know if the repeat dose of FLULAVAL was administered in the same arm as the invalid dose or the opposite arm.