chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.0
Sex: M
Vaccine: MEA
Symptoms: Irritability, Pyrexia, Rash, Somnolence, Streptococcal identification test negative
Clinical narrative: On June 5, 2008, dense rash from mid-abdomenal area to upper left side of the chest - diagonally with the abdomenal area covered wider and narrowing as the rash went up over the heart area.  This rash was not bumpy (i.e., appeared to be under the skin resembling popped cappillaries).  Saw Dr. at the clinic.  Did a CBC - normal, said come back if rash spreads.  June 7, 2008, bumpy rash on buttox and lower back.  Saw Dr. at clinic's Pediatri Urgent Care.  Attributed to diaper rash and advised to return/call if child gets fever.  June 8, 2008, fever all day, Tylenol did not help, fluctuated between 100 and 102.7 degrees.  Called pediatric advice nurse - told us this type of reaction occurs in 1 in 10 children and is normal; also said to go to Dr. if fever goes to 105 degrees or fever persists over 3 days.  June 9, 2008, fever persisted to above 103 (child woke up at 2 am and cried for half an hour). Went back to facility and saw Dr. again.  Strap - negative.  Also ordered another CBC and blood culture test.  Continued Tylenol with again only temporary fever relief.  June 10, 2008, child again woke up with 101 degree fever at 5 am.  Gave another 120 ml Tylenol suppository and called Dr, left message with conserns.  Waiting for call back.  OTHER OBSERVATIONS:  Child normally very active, does not like to be held or picked up, sleeps through the night without waking up, not cranky at all, normal appetite, and normal two-three times of sleep during the day about 1-1.5 hrs each.  After the immunization shot, woke up every night beginning June 3, 2008.  Beginning June 7, 2008, very weak, always wanted to be held and slept during the day three to four times for extended periods of time.  Head weak, grabbing our hands and bringing our hands to his head to hold his head up, head always slouching to a side; extremely cranky, unable to find a comfortable position to be held, lie, sit.  This extreme weakness and crankiness subsided a little on morning of June 9, but returned in late afternoon and evening.  This report is being submitted on June 10 at approximately 10:15 am, child is currently napping.
Age: 3.0
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Injection site erythema
Clinical narrative: Left Thigh 8 cm x 14 cm red area with pale center.  No pain, no fever, no swelling.    Right Thigh  3 cm x 4 cm red area.  No pain, no fever and no swelling. Immunizations administered on 06/05/2008.  Prescribed Benedryl.
Age: 18.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Body temperature increased, Headache, Nausea, Pain in extremity
Clinical narrative: Temp. 101.6, Headache, feels nauseated, arm sore started at 11PM 06-09-08
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Body temperature increased
Clinical narrative: Temp of 103oral and 103.5oral. Usually temp is 101 after vaccines.
Age: 1.0
Sex: F
Vaccine: HEP, HIBV, MMR, PNC, VARCEL
Symptoms: Blister, Eye discharge, Eyelid oedema, Ocular hyperaemia, Periorbital cellulitis
Clinical narrative: Presented 6-04-08 to ER with Periorbital Cellulitis. RX Gentamycin opthalmic & Augmentin.Retrnd to Outpt clinic 6-06-08 with worsening R eyelid redness/discharge & multiple vesicles from mid upper eyelid to nasal bridge with lid edema. Single round red lesion R nare, few R upper lip, one on central tongue and 2 center of chin. DX Right Periorbital cellulitis with HSV or VZV (second suspected) with secondary bacterial cellulitis possible. Admitted for IV Acyclovir Viral culture done, pending.  06/23/2008 MR received for DOS 06/6-9/2008 with D/C Dx:  Periorbital Cellulitis.  Diarrhea 2' to abx.  Probable trigeminal distribution herpes zoster, culture pending. Pt seen in ER 2 days prior to admission with eyelid erythema and dx with periorbital cellulitis.  Started on abx.  Returned with worsening eyelid redness and multiple scattered vessicles from eyelids to nasal bridge and several oral and chin lesions. (+) eyelid edema (almost swollen shut) with ptosis and discharge. (+) fever, cough and fussiness. Suspected HSV or VZV with HSV (+) culture of eyelid d/c.  Tx with Acyclovir, Zosyn and Septra. Fever down and d/c 6/9/08.
Age: 1.0
Sex: F
Vaccine: HEP, HIBV, MMR, PNC, VARCEL
Symptoms: Skin lesion, Virus culture
Clinical narrative: Presented 6-04-08 to ER with Periorbital Cellulitis. RX Gentamycin opthalmic & Augmentin.Retrnd to Outpt clinic 6-06-08 with worsening R eyelid redness/discharge & multiple vesicles from mid upper eyelid to nasal bridge with lid edema. Single round red lesion R nare, few R upper lip, one on central tongue and 2 center of chin. DX Right Periorbital cellulitis with HSV or VZV (second suspected) with secondary bacterial cellulitis possible. Admitted for IV Acyclovir Viral culture done, pending.  06/23/2008 MR received for DOS 06/6-9/2008 with D/C Dx:  Periorbital Cellulitis.  Diarrhea 2' to abx.  Probable trigeminal distribution herpes zoster, culture pending. Pt seen in ER 2 days prior to admission with eyelid erythema and dx with periorbital cellulitis.  Started on abx.  Returned with worsening eyelid redness and multiple scattered vessicles from eyelids to nasal bridge and several oral and chin lesions. (+) eyelid edema (almost swollen shut) with ptosis and discharge. (+) fever, cough and fussiness. Suspected HSV or VZV with HSV (+) culture of eyelid d/c.  Tx with Acyclovir, Zosyn and Septra. Fever down and d/c 6/9/08.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: lARGE AREAOF REDNESS AND SWELLING AT INJECTION SITE FOR TWO WEEKS
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site swelling
Clinical narrative: LT THIGH RED SWOLLEN. BENDRYL 12.5ML 1 TSP EVERY 6 HRS. 80Z. ALLERGIC TO DTAP
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: RT THIGH RED SWOLLEN BENDRYL 12.5ML 1 TSP EVERY 6 HRS, RECOVERED 8 DAYS
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Headache, Injection site pain, Pain
Clinical narrative: Temp 100.4; body aches; headache; sore arm at injection site
Age: 71.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Asthenia, Erythema, Hyperhidrosis, Induration, No reaction on previous exposure to drug
Clinical narrative: Received Shingles and pneumonia vaccine at 2pm on June 2, 2008 in left deltoid.  (I Had first pneumonia vaccine 5-10 years earlier with no adverse event.  This was first and only Shingles vaccine, so I am assuming the reaction was form the shingles vaccine.  This was my routine yearly Dr. Visit,  I was entirely well,  have had many vaccines with no adverse reactions.)    My fever started at midnight on June 2,  and lasted 3 days,  102.9 and 103.6 orally ,  would break with alternating doses of Ibuprofen and tylenol.  Arm was swollen ,  hard, red and painful into my left arm pit and no rash but itching down over the veins of my left forearm and left wrist.  The last of the fever was in the late afternoon of June 5th 2008.  I had Profuse sweating from start of fever on June 3rd through June 8,  assoc with weakness, I forced fluids and ate small amts. food during the illness,   I had no vomiting or diarrhea during the illness.  Routine labs were drawn on meon the way out of the Dr. Office that day since I was still fasting and my Dr. reported to me that all were normal except I have elevated cholesterol.   I feel fine today June 10 except for weakness but am able to do ADL's.  I did ask my Dr.'s nurse to report this event to VAERS.
Age: 71.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Oedema peripheral, Pain in extremity, Pruritus, Pyrexia
Clinical narrative: Received Shingles and pneumonia vaccine at 2pm on June 2, 2008 in left deltoid.  (I Had first pneumonia vaccine 5-10 years earlier with no adverse event.  This was first and only Shingles vaccine, so I am assuming the reaction was form the shingles vaccine.  This was my routine yearly Dr. Visit,  I was entirely well,  have had many vaccines with no adverse reactions.)    My fever started at midnight on June 2,  and lasted 3 days,  102.9 and 103.6 orally ,  would break with alternating doses of Ibuprofen and tylenol.  Arm was swollen ,  hard, red and painful into my left arm pit and no rash but itching down over the veins of my left forearm and left wrist.  The last of the fever was in the late afternoon of June 5th 2008.  I had Profuse sweating from start of fever on June 3rd through June 8,  assoc with weakness, I forced fluids and ate small amts. food during the illness,   I had no vomiting or diarrhea during the illness.  Routine labs were drawn on meon the way out of the Dr. Office that day since I was still fasting and my Dr. reported to me that all were normal except I have elevated cholesterol.   I feel fine today June 10 except for weakness but am able to do ADL's.  I did ask my Dr.'s nurse to report this event to VAERS.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Blood pressure, Hypotonia, Pallor, Syncope, Unresponsive to stimuli
Clinical narrative: Patient became limp unresponsive,pale,slumped in chair, ammonia ampule used to gain responsiveness.Positioned verticle on exam table, vital signs taken.  Responded quickly to ammonia ampule. No history of fainting with other vaccines. discharged from DOH alert, talking, walked to car. Episodelasted about 8 seconds.
Age: 52.0
Sex: M
Vaccine: TDAP
Symptoms: Pain, Paraesthesia
Clinical narrative: After receiving Adacel vaccination, patient intially had a "good tingling" feeling in shoulder region for the follow 4-6 days.  Then the tingling turned painful.  The pain seems to jumps around.  He described it as dull and achy.  He stated it was not a sharp pain.  Pain persisted for 14 to 21 days before patient went to see physician.  Dr gave a steriod shot and patient is now feeling better.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: At time when administrating the shot she fainted for about 30 seconds.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, TDAP, VARCEL
Symptoms: Hypotonia, Pallor, Unresponsive to stimuli
Clinical narrative: Patient became limp upon the administration of the fourth vaccine, nonresponsive, slumped in chair,pale color. ammonia ampule immediately used, patient immediately responded,alert,color improved(pink), able to sit, drink juice, talk. Episode lasted about 10 seconds. Left DOH talking,alert, walked to car.
Age: 10.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Immunisation reaction, Injection site swelling
Clinical narrative: Day after vaccine administration, patient had swelling of the right upper arm around the Varicella administration site. Went to the Emergency Room. Diagnosed with likely immunization reaction and not cellulitis. Given prescription for Clindamycin if it got worse. Mom started above on June 2.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Local reaction
Clinical narrative: patient recieved varicella on 5/28/08 called the office the next day re; pain,swelling and redness at injection site. pt was seen on 5/30/2008 by N.P and diagnosed with localized reaction to varicella. area noted by practitioner to be erythamatus with small knot about quarter size in middle. advised cool compresses to site and benedryl 25mg q6hrs
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Dizziness, Fatigue, Nausea, Urticaria
Clinical narrative: Five minutes after gardasil shot administration client c/o weakness, fatigue, light headedness, nausea.  Approximately 45 minutes after administration client contacted office stating she now has hives on back, b/l arms, waist line and bra line.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Asthenia, Back pain, Headache, Pain, Pyrexia
Clinical narrative: High Fever around 102 degrees, Headache, severe pain along spine and base of skull, weakness, glassy eyes, general aches all over.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: left arm swollen, red, and hot after vaccine administration. Tried to contact mom- not answering.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Ecchymosis, Erythema, Induration, Local reaction, Pain in extremity
Clinical narrative: Large local reaction: up to 7 cm induration with erythema, ecchymosis, pain and tenderness. 3.5 cm induration and erythema when examined 7 days after vaccination, incidental to medical followup of other problems.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Tenderness
Clinical narrative: Large local reaction: up to 7 cm induration with erythema, ecchymosis, pain and tenderness. 3.5 cm induration and erythema when examined 7 days after vaccination, incidental to medical followup of other problems.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Hepatitis B surface antigen positive
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of a 2-month-old male subject testing hepatitis B surface antigen positive following vaccination with PEDIARIX (GlaxoSmithKline). This baby was already hospitalized at the time of vaccination. The baby was sick due to being premature, including anemia, interuterine growth restriction and cholestatic jaundice. On 6 April 2008 the subject received 1st dose of PEDIARIX (unknown). On 10 April 2008, 4 days after vaccination with PEDIARIX, the subject was tested and found to be hepatitis B surface antigen positive (a systemic reaction). The result is believed to possibly be a false positive result due to the PEDIARIX. The reporting nurse did not know if the infant received a birth dose of hepatitis B vaccine. It was also known by the reporter if the infant's hospitalization was prolonged due to the events. The healthcare professional considered the events were clinically significant (or requiring intervention). At the time of reporting the outcome of the events was unspecified. The healthcare professional considered the events were probably related to vaccination with PEDIARIX.
Age: 28.0
Sex: F
Vaccine: HEPA, TD, TYP, YF
Symptoms: Abdominal pain lower, Alanine aminotransferase increased, Antibody test positive, Aspartate aminotransferase increased, Blood immunoglobulin M
Clinical narrative: Lower abdominal pain, nausea, vomiting, low grade fever. Patient also admits to consuming alcohol, which is a little increased. Temp 100. 8/6/08-records received for DOS 6/10-6/13/08-DC DX: Alcohol-induced hepatitis. Alcohol withdrawal. C/O acute onset of abdominal pain started 2 days prior to admission radiating to groin and bilateral lower extremities. Associated with nausea, vomiting and mild non-bloody diarrhea. History of extremely heavy drinking in past but stated that she drank at least 6-8 Tequila shots everyday for past six to seven months. Drank heavily on day before admission. C/O of early satiety for a couple fo months. Follow-up Information 30-JUN-2008: We are responding to the enclosed letter concerning this patient. The patient was evaluated by a doctor at a medical group. On the day we submitted the report we spoke with the doctor and obtained the infirmation we included on the report. We do not have the manufacturer name or lot number of her tetanus diphtheria vaccine. Similarly, the name of the manufacturer of her oral typhoid vaccine is not available to us. The doctor may be able to supply information concerning her tetanus diphtheria vaccine. The patient clinically improved. After further investigation it seems unlikely that her liver findings and symptoms were related to any vaccines she received previously. I hope you find the above information useful, please do not hesitate to contact me if you need further information from me.
Age: 28.0
Sex: F
Vaccine: HEPA, TD, TYP, YF
Symptoms: Haemoglobin decreased, Nausea, Pyrexia, Vomiting
Clinical narrative: Lower abdominal pain, nausea, vomiting, low grade fever. Patient also admits to consuming alcohol, which is a little increased. Temp 100. 8/6/08-records received for DOS 6/10-6/13/08-DC DX: Alcohol-induced hepatitis. Alcohol withdrawal. C/O acute onset of abdominal pain started 2 days prior to admission radiating to groin and bilateral lower extremities. Associated with nausea, vomiting and mild non-bloody diarrhea. History of extremely heavy drinking in past but stated that she drank at least 6-8 Tequila shots everyday for past six to seven months. Drank heavily on day before admission. C/O of early satiety for a couple fo months. Follow-up Information 30-JUN-2008: We are responding to the enclosed letter concerning this patient. The patient was evaluated by a doctor at a medical group. On the day we submitted the report we spoke with the doctor and obtained the infirmation we included on the report. We do not have the manufacturer name or lot number of her tetanus diphtheria vaccine. Similarly, the name of the manufacturer of her oral typhoid vaccine is not available to us. The doctor may be able to supply information concerning her tetanus diphtheria vaccine. The patient clinically improved. After further investigation it seems unlikely that her liver findings and symptoms were related to any vaccines she received previously. I hope you find the above information useful, please do not hesitate to contact me if you need further information from me.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Chest X-ray normal, Crying, Musculoskeletal stiffness, Oxygen saturation decreased, Pyrexia
Clinical narrative: Severe crying, high fever 102.5, body stiffening, WBC elevated 24,000, wheezing, decreased Sa O2 (85%). Nebulization, lab work, hospital observation.  7/17/2008 MR received for ER visit 6/09/2008 with DX: Febrile Illness, possible vaccine reaction.  Acute respiratory distress. Infant presented with acute onset of markedly increased temp, wheezing, respiratory distress and severe screaming which developed several hours after receiving 4 mon vax. Given neb en route with improvement noted. Observed o/n and d/c in am.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Wheezing, White blood cell count increased
Clinical narrative: Severe crying, high fever 102.5, body stiffening, WBC elevated 24,000, wheezing, decreased Sa O2 (85%). Nebulization, lab work, hospital observation.  7/17/2008 MR received for ER visit 6/09/2008 with DX: Febrile Illness, possible vaccine reaction.  Acute respiratory distress. Infant presented with acute onset of markedly increased temp, wheezing, respiratory distress and severe screaming which developed several hours after receiving 4 mon vax. Given neb en route with improvement noted. Observed o/n and d/c in am.
Age: 18.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Endoscopy abnormal, Helicobacter infection, Malaise
Clinical narrative: Mother stated patient became sick 2 days after receiving the vaccine, had UGI endoscopy, has h-pylori and is still very ill. 6/20/08-records received-4/17/08-C/O diarrhea, lethargy and feeling weak since date of vaccine. PE:WNL. Assessment flu syndrome. 5/28/08-C/O abdominal pain, nausea weight loss. Unable to eat. Tender epigastric area.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Syncope vasovagal
Clinical narrative: Patient had a vasovagal attack in office. EMTs were called but patient denied to go to hospital as she was feeling fine and patient was monitored in office for half an hour.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash papular
Clinical narrative: Diffuse papular eruption, simultaneously developing over 24 hrs on extremities and trunk.
Age: 15.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Drug exposure during pregnancy
Clinical narrative: Parent of child called me on 6/4/08 to state that unbeknown to her patient was pregnant when she received shots on 4/24/08. No known ill effects reported per parent.
Age: 57.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Injection site erythema, Injection site swelling, Local reaction, Pain in extremity, Skin warm
Clinical narrative: 6-4-08 OV FTF complained redness, swelling, pain to left deltoid area approximately 2 inches wide - X 6 inches long, red, warm to touch - referred to PMD.
Age: 6.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Nurse gave GARDASIL to this 6 yr old female by mistake.  No adverse effect noted.
Age: 8.0
Sex: F
Vaccine: HPV4
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Nurse gave GARDASIL to this 6 yr old by mistake.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Blister, Rash, Rash papular, Rash pustular, Scab
Clinical narrative: Rash on face papules, vesicles, pustules and crusts
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site urticaria
Clinical narrative: 4x6cm hive on left upper arm at injection site
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Blood glucose normal, Convulsion, Gaze palsy, Hypotonia
Clinical narrative: Nurse gave vaccines and then left room to get band-aids. Returned to pt's mother holding him up - he was limp, convulsing and eyes rolled back in head. Laid pt on table and took vitals including glucose - finger stick. All WNL.
Age: 0.8
Sex: M
Vaccine: HIBV
Symptoms: Pyrexia
Clinical narrative: Fever
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: (L) upper arm red/sore/swollen next day gradually
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Irritability, Pyrexia, Vomiting
Clinical narrative: Had fever, on 6/6/08, today 6/10/08 fussy, mom says vomiting.
Age: 2.0
Sex: F
Vaccine: DTAP, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Rash/ fever developed 9 days after vaccines where administered. This information was reported by the pts mother via a phone call.
Age: 4.0
Sex: F
Vaccine: IPV, IPV
Symptoms: Injection site cellulitis
Clinical narrative: Patient received IPV to L thigh 5/23/08.  Seen in ER 5/26/08 Dx post immunization cellulitis of L thigh.
Age: 4.0
Sex: F
Vaccine: IPV, IPV
Symptoms: Cellulitis
Clinical narrative: Patient received IPV to L thigh 5/23/08.  Seen in ER 5/26/08 Dx post immunization cellulitis of L thigh.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Chest pain, Dyspnoea, Pericardial effusion, Pericarditis
Clinical narrative: Pericarditis Chest Pain
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Chest X-ray, Chest pain, Computerised tomogram, Echocardiogram, Laboratory test
Clinical narrative: Pericarditis Chest Pain
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Pericarditis
Clinical narrative: Pericarditis Chest Pain
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Anion gap increased, Blood creatine phosphokinase increased, Chest pain, Computerised tomogram abnormal, Dyspnoea
Clinical narrative: Pericarditis Chest Pain
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Eosinophil percentage decreased, Fibrin D dimer increased, Globulins increased, Pericardial effusion, Pericarditis
Clinical narrative: Pericarditis Chest Pain
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Protein total increased, White blood cell count increased
Clinical narrative: Pericarditis Chest Pain
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Chills, Cyanopsia, Disorientation, Dizziness, Hyperhidrosis
Clinical narrative: nausea, lightheaded, sweating with chills, visual disturbances(bluish coloration to all), disoriented to place, time. Lasted approximately 10  minutes. no treatment was given after the effects wore off.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Nausea, Visual disturbance
Clinical narrative: nausea, lightheaded, sweating with chills, visual disturbances(bluish coloration to all), disoriented to place, time. Lasted approximately 10  minutes. no treatment was given after the effects wore off.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Alpha 1 foetoprotein normal, Anaemia, Caesarean section, Drug exposure during pregnancy, Fungal infection
Clinical narrative: Initial information has been received for the Pregnancy Registry for GARDASIL from a physician concerning a 20 year old female who was a smoker and allergic to peanuts who on 16-JUL-2007 was vaccinated with a first dose of GARDASIL. The physician reported that the patient was pregnant when she was given the first dose of GARDASIL vaccine. It was unknown if patient sought any medical attention. The outcome was unknown. Follow up information from the doctor's office received concerning a 21 year old (previous reported as 20 years old) female patient who was a smoker (one pack per day), had one Pregnancy and one elective termination (date and year not reported). The patient also had concurrent condition of peanut allergy, attention deficit disorder, questionable bipolar disorder (off therapy x 6 months), "asthma rare", thalassaemia trait ("B thal trait") and was rhesus antibodies negative. On 18-JUL-2007 (previous reported as 16-JUL-2007) she was vaccinated with a second dose of GARDASIL, lot # 653938/0954F. It was reported that on 22-AUG-2007 patient was treated with VITAFOL +DHA for prenatal care and on 18-JAN-2008 she was treated with REPLIVAA 21/7) for anemia. On 20-FEB-2008 she was treated with MONISTAT 7) for yeast infection. It was also reported that she was off of therapy CONCERTA, ABILIFY and KLONOPIN for six months. In follow up information from the physician's office it was reported that patient had an ultrasound on 14-SEP-2007 for validity and dating. The result showed intrauterine pregnancy and fetal heart was positive. On 01-NOV-2007 the maternal serum alpha-fetoprotein test was done and the result was within normal. On 15-NOV-2007 a diagnostic test level 11 was done which showed placenta previa anatomic evaluation was within normal limit. On 21-NOV-2007, 04-FEB-2008 and on 03-MAR-2008 patient received three doses of globulin, RHOGAM x1 for Rh negative bleeding. In follow up it was reported that patient had routine pregnancy laboratory tests and in November 2007 she had "MSQS" laboratory test and the result was within normal range. On 15-NOV-2007 she had a level 11 ultrasound which showed placenta previa and on 30-JAN-2008 she had another ultrasound which also showed placental previa. On 29-FEB-2008 the patient was treated with CELESTONE 12 milligram (for reason unknown). On 01-MAR-2008 patient delivered a normal female baby by cessesaren section delivery due to placenta previa, bleeding 33 weeks from her LMP. The baby weighed 3 lb 10 oz and her length was 16.25. Her apgar score was 8/9 and her head circumference was 30.25 centimeter. The baby was reported as premature and was transferred the neonatal intensive care unit (NICU) in the hospital. Upon internal review mother having placental previa, bleeding which required a cesesarean section delivery was determined to be an other medical event. No other information available at this time. Additional information has been requested.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Laboratory test normal, Placenta praevia haemorrhage, Premature labour, Ultrasound antenatal screen normal, Ultrasound scan abnormal
Clinical narrative: Initial information has been received for the Pregnancy Registry for GARDASIL from a physician concerning a 20 year old female who was a smoker and allergic to peanuts who on 16-JUL-2007 was vaccinated with a first dose of GARDASIL. The physician reported that the patient was pregnant when she was given the first dose of GARDASIL vaccine. It was unknown if patient sought any medical attention. The outcome was unknown. Follow up information from the doctor's office received concerning a 21 year old (previous reported as 20 years old) female patient who was a smoker (one pack per day), had one Pregnancy and one elective termination (date and year not reported). The patient also had concurrent condition of peanut allergy, attention deficit disorder, questionable bipolar disorder (off therapy x 6 months), "asthma rare", thalassaemia trait ("B thal trait") and was rhesus antibodies negative. On 18-JUL-2007 (previous reported as 16-JUL-2007) she was vaccinated with a second dose of GARDASIL, lot # 653938/0954F. It was reported that on 22-AUG-2007 patient was treated with VITAFOL +DHA for prenatal care and on 18-JAN-2008 she was treated with REPLIVAA 21/7) for anemia. On 20-FEB-2008 she was treated with MONISTAT 7) for yeast infection. It was also reported that she was off of therapy CONCERTA, ABILIFY and KLONOPIN for six months. In follow up information from the physician's office it was reported that patient had an ultrasound on 14-SEP-2007 for validity and dating. The result showed intrauterine pregnancy and fetal heart was positive. On 01-NOV-2007 the maternal serum alpha-fetoprotein test was done and the result was within normal. On 15-NOV-2007 a diagnostic test level 11 was done which showed placenta previa anatomic evaluation was within normal limit. On 21-NOV-2007, 04-FEB-2008 and on 03-MAR-2008 patient received three doses of globulin, RHOGAM x1 for Rh negative bleeding. In follow up it was reported that patient had routine pregnancy laboratory tests and in November 2007 she had "MSQS" laboratory test and the result was within normal range. On 15-NOV-2007 she had a level 11 ultrasound which showed placenta previa and on 30-JAN-2008 she had another ultrasound which also showed placental previa. On 29-FEB-2008 the patient was treated with CELESTONE 12 milligram (for reason unknown). On 01-MAR-2008 patient delivered a normal female baby by cessesaren section delivery due to placenta previa, bleeding 33 weeks from her LMP. The baby weighed 3 lb 10 oz and her length was 16.25. Her apgar score was 8/9 and her head circumference was 30.25 centimeter. The baby was reported as premature and was transferred the neonatal intensive care unit (NICU) in the hospital. Upon internal review mother having placental previa, bleeding which required a cesesarean section delivery was determined to be an other medical event. No other information available at this time. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion induced, Drug exposure during pregnancy
Clinical narrative: Initial and follow-up information has been received from the Merck Pregnancy Registry via a nurse practitioner concerning a 17 year old female who on 26-JUL-2007 was vaccinated with a third dose of GARDASIL.  Subsequently, the patient became pregnant.  The patient's last menstrual period was on 15-Jun-2007 and the estimated date of delivery is 21-Mar-2008.  No adverse reactions were reported.  In August 2007 the patient had an elective termination.  At the time of the report the patient's outcome was unknown.  Upon internal review elective termination was considered to be an other important medical event.  Additional information has been requested.
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Herpes zoster, Oedema peripheral, Pain in extremity
Clinical narrative: Information has been received from a female consumer with a history of shingles who was vaccinated on an unspecified date with ZOSTAVAX (Oka/Merck) (Dose, route and Lot # not reported).  The consumer reported that on an unspecified date "I got the shingles through the nerve in my left arm down to my fingers with all the symptoms, of course, the blisters, pain and swelling".  "My doctor told me later that the shot had live cultures in it and that most patients get shingles from it".  The consumer reported that this was the third time that she had shingles.  At the time of the event, the outcome was unknown.  Upon internal review, shingles was considered to be disabling.
Sex: U
Vaccine: MNQ
Symptoms: Chest pain, Dyspnoea, Wheezing
Clinical narrative: SERIOUSNESS CRITERIA: OTHER MEDICALLY SIGNIFICANT.  Initial report received on 03 June 2008 from a physician.  A patient (demographic not provided) who had no concurrent illnesses, and who has past medical history of seasonal allergies and allergy to penicillin, had received on an Unknown date a first intramuscular injection of MENACTRA (Lot # U2613AA).  The site of administration was not provided.  Approximately 45 minutes post-vaccination, the patient developed chest pain and shortness of breath.  The patient was evaluated in the emergency room where wheezing was heard.  The patient was treated with BENADRYL, prednisone and one nebulizer treatment.  At the time of this report, the patient had recovered.
Age: 36.0
Sex: F
Vaccine: TTOX
Symptoms: Headache
Clinical narrative: Donor complained of slight tolerable headache on the day after receiving tetanus injection as become less in severity.  Advised donor to see MD if headache does not resolve.  No complaints of soreness at injection site or fever.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left anterior thigh with slight swelling, significant erythema, & slightly warmer to touch.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Body temperature increased, Rash macular
Clinical narrative: 9 days after receiving MMR/Varicella as separated injections developed temp to 102 degF then generalized macular blotchy rash. Temp resolved after 4 days, rash after 7 days.
Age: 1.05
Sex: F
Vaccine: MMR, PNC
Symptoms: Bacterial test negative, Febrile convulsion, Pyrexia
Clinical narrative: 10 AM on May 14, 2008. Given MMR + PREVNAR.  8 PM on May 14, 2008 seizure -> emergency rm -> complex febrile seizure fever.  6 AM on May 15, 2008 seizure in crib at home.
Age: 5.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Painful dark pink swelling 25 cent-size rxn to shot on thigh (where VARIVAX given the day before - (phone call 24 hours after shot).  Repeat phone call next day - large 1 1/2 in diameter with lighter ring outer -> seen in after clinic - C.O.M. - 3cm red firm mild tender area with 1 cm pink circumference.
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: 2 days after vaccination DTaP in left deltoid, see for red swollen tender rash from shoulder to elbow.
Age: 1.1
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Pallor, Pyrexia, Rash macular
Clinical narrative: Pt developed rash 8d after MMR vaccine.  Accompanied by tactile fever.  Rash-blanching, macular; afebrile in office.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Erythema, Erythema of eyelid, Eye pain, Facial pain
Clinical narrative: Pt reports: 6/2/08 noticed redness in inner corner of pt eye (skin area) with soreness, "started down face onto cheek, increasingly becoming worse with slight swelling.  6/4/08 increased redness and soreness with 2 small blisters.  Was seen by ophthalmologist 6/5/08, started on acyclovir 400mg one QID and mometasone furoate cream.  Skin had "open lesion".  6/9/08 lesions are dried.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin lesion, Swelling face
Clinical narrative: Pt reports: 6/2/08 noticed redness in inner corner of pt eye (skin area) with soreness, "started down face onto cheek, increasingly becoming worse with slight swelling.  6/4/08 increased redness and soreness with 2 small blisters.  Was seen by ophthalmologist 6/5/08, started on acyclovir 400mg one QID and mometasone furoate cream.  Skin had "open lesion".  6/9/08 lesions are dried.
Age: 0.2
Sex: F
Vaccine: RV5
Symptoms: Intussusception, Ultrasound scan abnormal
Clinical narrative: Intussusception 8/7/08-records received-6/10/08-emesis and bloody stool. Laparscopic reduction of intussusception 8/7/08-records received-6/10/08-emesis and bloody stool. Laparscopic reduction of intussusception after multiple attempts to reduce using air barium contrast enema. Reduction incomplete and intussuception remained in ascending colon.8/28/08-DC Summary received for DOS 6/10-6/11/08-DC DX: Intussusception. Presented to ED with C/O bilious emesis and bloody stools, yesterday began spitting up more, fussy and taking less formula, bloody stool this morning, refuses to take formula.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Dyspnoea, Erythema, Pain, Pruritus, Skin warm
Clinical narrative: Sore, red, itchy, SOB - 6/10 - still red, raised, warm to touch, itchy.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL, DTAP, IPV, MMR, VARCEL
Symptoms: Cellulitis, Erythema, Oedema peripheral
Clinical narrative: On 6-3-08 I administered 4 yr vaccines Dtap 5 and IPV 4 to L thigh 1 on middle of front thigh and 1 on side of thigh MMR L arm sub Q VAR R arm Sub Q with no problems. On 6-5-08 pt came in with redness, swelling, itching of L thigh - treated for cellulitis - given Bactrim.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL, DTAP, IPV, MMR, VARCEL
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: On 6-3-08 I administered 4 yr vaccines Dtap 5 and IPV 4 to L thigh 1 on middle of front thigh and 1 on side of thigh MMR L arm sub Q VAR R arm Sub Q with no problems. On 6-5-08 pt came in with redness, swelling, itching of L thigh - treated for cellulitis - given Bactrim.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Induration, Injection site erythema, Local reaction, Swelling
Clinical narrative: Localized reaction with swelling, induration, erythema at the injection site right lateral thigh.  24 hours after injection measuring 5cm (Ant/Pat) 3 1/2 cm.
Age: 32.0
Sex: M
Vaccine: ANTH, FLUX, HEP, HEPA, MMR
Symptoms: Eye swelling, Eyelid oedema, Rash, Swelling face
Clinical narrative: Pt describes "like a heat rash that started around both wrists about 2 days after vaccine receipt".  Received multiple vaccines on Saturday (5/3/08) and rash appeared on Monday (5/5/08) as well as his wife noted that his right eye was little puffy.  Pt said by Wednesday (5/7/08), the right side of his face was swollen and his right eyelid was almost swollen closed.  He still had a rash on his arms and also had a rash around his right eye and on the right side of his nose.  He denies any local reactions.  (Some of vaccines given in right upper arm and remainder given in left upper arm.)  He denies any fever, chills, joint pain, headaches, fatigue, rhinorrhea, itchy or swollen throat, swollen tongue, difficulty swallowing, dyspnea, cough, sneezing or wheezing.  No visual changes, facial drooping or slurred speech.  Pt went to his local doctor on Wednesday (5/7/08) and received a steroid shot and was prescribed a MEDROL pack and ZYRTEC.  The right sided facial swelling was completely gone by Saturday (5/10/08) and the rest of his symptoms resolved by the following Monday (5/12/08).  He denies any exposures around time of vaccines like yard or work-related chemicals, detergents, bug sprays, soaps, insect bites, new foods, cleansers, lotions, new clothing or bed linens, or household chemicals.  No history of similar rashes or adverse vaccine reactions.  Will not be deploying until April 2009; will not have drill until Sept 2008.  Pt currently has no symptoms.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain upper, Dysarthria, Headache, Menstruation irregular, Pelvic pain
Clinical narrative: Irregular menstruation; urinary incontinence-sporadic/episodic; headaches, especially left-sided; stomach pain after meals; slurring words; excessive vaginal discharge, itching; pelvic pain; vulvar pain; vulvar bumps.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Urinary incontinence, Vaginal discharge, Vulvovaginal disorder
Clinical narrative: Irregular menstruation; urinary incontinence-sporadic/episodic; headaches, especially left-sided; stomach pain after meals; slurring words; excessive vaginal discharge, itching; pelvic pain; vulvar pain; vulvar bumps.
Age: 76.0
Sex: F
Vaccine: TDAP
Symptoms: Unevaluable event
Clinical narrative: No symptoms
Age: 44.0
Sex: M
Vaccine: ANTH, HEP
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site irritation, Injection site pain, Injection site swelling
Clinical narrative: Vaccination was given Saturday, 7 June.  Mild swelling at injection site and typical burning post administration were the only immediate effects.  Saturday evening "the entire backside of my arm in the tricep are was bright red from the injection site to my elbow, probably about the size of a hand.  Swollen, red, sore and hot to the touch"  Member spoke to the doctor on Sunday and again Monday morning.  The doctor said to let him know if it got any worse.  Patient presented to the clinic today stating that the swelling had increased last evening and the redness had spread down his arm around his elbow.  The patient flew twice on Monday (patient is A-10 pilot) and reports that the swelling had increased quite a bit by that night.  Patient states "the swelling seems to be migrating down the arm, past his elbow."  He reports that his arm has been achy and sore since vaccination and that his elbow was swollen last night to the size of a baseball.  Additionally pt has had difficulty sleeping as a result.  Upon examination this morning, patient's arm is still red and swelling is still present though pt states it has decreased since yesterday evening.
Age: 44.0
Sex: M
Vaccine: ANTH, HEP
Symptoms: Injection site warmth, Insomnia
Clinical narrative: Vaccination was given Saturday, 7 June.  Mild swelling at injection site and typical burning post administration were the only immediate effects.  Saturday evening "the entire backside of my arm in the tricep are was bright red from the injection site to my elbow, probably about the size of a hand.  Swollen, red, sore and hot to the touch"  Member spoke to the doctor on Sunday and again Monday morning.  The doctor said to let him know if it got any worse.  Patient presented to the clinic today stating that the swelling had increased last evening and the redness had spread down his arm around his elbow.  The patient flew twice on Monday (patient is A-10 pilot) and reports that the swelling had increased quite a bit by that night.  Patient states "the swelling seems to be migrating down the arm, past his elbow."  He reports that his arm has been achy and sore since vaccination and that his elbow was swollen last night to the size of a baseball.  Additionally pt has had difficulty sleeping as a result.  Upon examination this morning, patient's arm is still red and swelling is still present though pt states it has decreased since yesterday evening.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site swelling, Injection site vesicles
Clinical narrative: ERYTHEMA AND SWELLING AROUND INJECTION SITE MEASURES ONE INCH IN DIAMETER.  SMALL BLISTER ON BORDER OF ERYTHEMA 3DAYS POST INJECTION.  NO FEVER,CHILLS, NIGHT SWEATS.  BLISTER BROKEN X 2DAYS AFTER APPEARING.
Age: 20.0
Sex: M
Vaccine: HEP, TDAP
Symptoms: Dizziness, Fall, Hypoaesthesia facial, Oxygen supplementation, Pallor
Clinical narrative: Within minutes of administering Tdap and Hep B (first dose), patient admitted feeling dizzy and proceeded to get pale in color.  PHN asked patient to move to floor in laying position, and half way down patient fell to floor and went unresponsive for about a minute.  Patient then became responsive and stated his face felt numb, and he continued to look pale.  PHN administered .3ml of epinephrine SQ, oxygen administered and transported to local emergency room via ambulance per protocol.
Age: 20.0
Sex: M
Vaccine: HEP, TDAP
Symptoms: Unresponsive to stimuli
Clinical narrative: Within minutes of administering Tdap and Hep B (first dose), patient admitted feeling dizzy and proceeded to get pale in color.  PHN asked patient to move to floor in laying position, and half way down patient fell to floor and went unresponsive for about a minute.  Patient then became responsive and stated his face felt numb, and he continued to look pale.  PHN administered .3ml of epinephrine SQ, oxygen administered and transported to local emergency room via ambulance per protocol.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Blood pressure, Dizziness, Hunger, Immediate post-injection reaction, Pallor
Clinical narrative: PATIENT RECIEVED MENACTRA. IMMEDIATELY FELT DIZZY AND LOOKED PALE. BP 100/42. PATIENT WAS HUNGRY AND GIVEN A GRANOLA BAR AND APPLE JUICE. STATED SHE FELT BETTER AFTER EATING. PATIENT SEEN BY NURSE PRACTIONER AND BP WAS 84/42 WHEN SHE SAT BACK UP. REPEAT AND FINAL BP WAS 100/50 AND SEEN AGAIN BY PRACTIONER. ALL VITALS OK AND PATIENT WAS SENT HOME IN CARE OF MOTHER.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR, VARCEL
Symptoms: Injection site bruising, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Symptoms began in A.M. of 6/11/08 with redness, swelling, warm to touch and mild bruising in Left arm where Dtap was given on 6/9/08.   Mom  will take him to see health care provider 6/11/08.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Condition aggravated, Fatigue, Joint stiffness
Clinical narrative: PATIENT WITH RHEUMATOID ARTHRITIS NOTICED AFTER IMMUNIZATION STIFFNESS IN JOINTS ALONG WITH FATIGUE
Age: 1.92
Sex: M
Vaccine: DTPHIB, HEPA, MMR, VARCEL
Symptoms: Injection site induration, Injection site inflammation
Clinical narrative: 1.5 x 2 inch inflamed, hard area on top of left thigh. Patient in no distress, active and playing. Given a prescription of prednisone oral solution 5mg/5ml with instructions. Told to return to clinic on 06/13/2008 if persist.
Age: 26.0
Sex: F
Vaccine: ANTH
Symptoms: Chills, Headache, Hyperhidrosis, Injection site cellulitis, Pyrexia
Clinical narrative: Patient given Anthrax vaccine in spite of patient's report to vaccine clinic of an allergic reaction. Patient is active duty sailor and has to maintain readiness. Was given vaccine in keeping with instruction that requires administration if no documentation exists for adverse reaction.  Symptoms were fever, chills, sweats, cellulitis at injection site, and headache conitnuing through 2 days after administraiton.
Age: 0.25
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Abnormal behaviour, Body temperature, Crying, Diet refusal, Erythema
Clinical narrative: about 2 hours after pediarix, prevnar and Hib vaccine, became limp would not eat or interact, lasted for 2 hours then cried unconsolably for x's 2 hours then red blotches that itched x's 2 hours, then woke up limp again-total time of acting abnormal was 21 hours then normal, Temp 99.  Suspect HHE due to Dtap. Gave DT on 6-10-08 without problems.
Age: 0.25
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Hypotonia, Pruritus, Rash macular
Clinical narrative: about 2 hours after pediarix, prevnar and Hib vaccine, became limp would not eat or interact, lasted for 2 hours then cried unconsolably for x's 2 hours then red blotches that itched x's 2 hours, then woke up limp again-total time of acting abnormal was 21 hours then normal, Temp 99.  Suspect HHE due to Dtap. Gave DT on 6-10-08 without problems.
Age: 38.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient was given the Td vaccine on 6/4/08, prior to his leaving work.  He returned to the clinic on 6/5/08 complaining of redness,pain and swelling to the injection site.  Had a "golf ball" size red area at the site of the injection. At the close of his shift the red area had increase to baseball size.  Was sent to the local clinic and given antibiotics and benadryl.  Next seen 6/9/08 and reaction has resolved.  No residual soreness.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Blood glucose decreased, Fall, Hyperhidrosis, Laceration, Malaise
Clinical narrative: Given TdaP at approximately 1430 on 6/9/08. At approximately 0300, 6/10/08, began to "feel ill" with fever (101), vomiting, "feeling of low glucose", sweating, and "syncopal by morning", while at home.  Stated that during a syncopal episode, fell in kitchen and hit left ear on kitchen counter; thin laceration, approximately 3.5 cm noted on upper third of left ear.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia, Syncope, Vomiting
Clinical narrative: Given TdaP at approximately 1430 on 6/9/08. At approximately 0300, 6/10/08, began to "feel ill" with fever (101), vomiting, "feeling of low glucose", sweating, and "syncopal by morning", while at home.  Stated that during a syncopal episode, fell in kitchen and hit left ear on kitchen counter; thin laceration, approximately 3.5 cm noted on upper third of left ear.
Age: 22.0
Sex: M
Vaccine: ANTH, YF
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pain, Mass
Clinical narrative: The area in which the vaccine was administered turned red, and became very sore.  A lump was present immediately after and never dissipated.  The lump still remains.