chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 32.0
Sex: F
Vaccine: VARCEL
Symptoms: Abortion, Abortion spontaneous, Medication error, Unintended pregnancy
Clinical narrative: Information has been received through a pregnancy registry from a 32 year old female with a sulfa allergy with a history of 2 pregnancies; one birth and one miscarriage who on 10/7/04 was vaccinated SC with a 0.5ml dose of varicella virus vaccine live. Concomitant therapy included ascorbic acid (+) beta carotene (+) calcium carbonate (+) carbonyl iron (+) cholecalciferol (+) copper (unspecified) (+) docusate sodium (+) folic acid (+) magnesium oxide (+) vitamin B complex (+) vitamin E acetate (+) zinc oxide. On 10/12/04 the patient discovered she was pregnant. A pregnancy test was done. Unspecified medical attention was sought. On 10/15/04 the patient had a miscarriage. Follow up information from the RN indicated that the pt had a complete spontaneous abortion on 20Oct04, 6 weeks from her LMP. No further information is expected. Follow up 03/03/05: Patient has not recovered from the adverse event(s).
Age: 81.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Chills, Injection site erythema, Injection site pain, Injection site warmth, Pyrexia
Clinical narrative: Information hsa been recieved from a registered nurse concerning an 81 year old male with high blood pressure, type II diabetes mellitus, hypothyroidism, chronic renal failure and osteoarthritis who on 10/12/04 was vaccinated in the left arm with a second dose of pneumococcal 23v polysaccharide vaccine (lot # 647359/0740N). On 10/12/04, the patient was concomitantly vaccinated with a dose of influenza virus split virion 3v vaccine inactivated in the right arm. COncomitant therapy included terazosin hydrochloride, benazepril HCl, amlodipine besylate, iron, levothyroxoine Na, atorvastatin calcium, torsemide, warfarin sodium, allopurinol, acetaminophen (+) propoxyphen napsylate, pantoprazole sodium, folic acid, vitamin E, xanthophyll, epipen shots, and pyenogenol. Less than 24 hours later, on 10/13/04, the patient's left arm from his armpit to his elbow became red, hot, tender, and patchy/blotchy cellulitis like. The nurse confirmed that the reaction was not true cellulitis, and that all symptoms were considered injection site reactions. He also had chills and fever. Unspecified medical attention was sought. The patient was treated with an unspecified antibiotic and ice packs. It was reported that the patient's first vaccination was approximately 10 years ago. At the time of this report, the patient had not recovered. The nurse reported that the patient was scheduled for a follow up re-evaluation on 10/20/04. The patient's fever, chills, and injection site erythema, warmth, pain and blotchy/cellulitis like reaction, not cellulitis were considered other medical events (OMIC). Additional information has been requested.
Age: 81.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Rash macular
Clinical narrative: Information hsa been recieved from a registered nurse concerning an 81 year old male with high blood pressure, type II diabetes mellitus, hypothyroidism, chronic renal failure and osteoarthritis who on 10/12/04 was vaccinated in the left arm with a second dose of pneumococcal 23v polysaccharide vaccine (lot # 647359/0740N). On 10/12/04, the patient was concomitantly vaccinated with a dose of influenza virus split virion 3v vaccine inactivated in the right arm. COncomitant therapy included terazosin hydrochloride, benazepril HCl, amlodipine besylate, iron, levothyroxoine Na, atorvastatin calcium, torsemide, warfarin sodium, allopurinol, acetaminophen (+) propoxyphen napsylate, pantoprazole sodium, folic acid, vitamin E, xanthophyll, epipen shots, and pyenogenol. Less than 24 hours later, on 10/13/04, the patient's left arm from his armpit to his elbow became red, hot, tender, and patchy/blotchy cellulitis like. The nurse confirmed that the reaction was not true cellulitis, and that all symptoms were considered injection site reactions. He also had chills and fever. Unspecified medical attention was sought. The patient was treated with an unspecified antibiotic and ice packs. It was reported that the patient's first vaccination was approximately 10 years ago. At the time of this report, the patient had not recovered. The nurse reported that the patient was scheduled for a follow up re-evaluation on 10/20/04. The patient's fever, chills, and injection site erythema, warmth, pain and blotchy/cellulitis like reaction, not cellulitis were considered other medical events (OMIC). Additional information has been requested.
Age: 77.0
Sex: F
Vaccine: FLU3
Symptoms: Atrial fibrillation, Chest pain, Condition aggravated, Hyperhidrosis, Laboratory test abnormal
Clinical narrative: 10/11/04 Prednisone started. 10/14/04 Flu vaccine administered. 10/25/04 Complaints of chest pain; left arm feels funny, diaphoretic. 96.8, 72, 20, 142/80, out today. 10/27/04 Remains hospitalized. Discharge Summary received on 1/25/2005 states pt experienced thrombocytopenia and myocardial infarction. Follow up 01/26/05: Patient still has not recovered, has had several transfers to hospital since October for heart condition. As per annual follow up report: pt continues to have atrial Fib which she had history of prior to flu vaccine but was not an issue again until after vaccine. Questionable if vaccine caused reoccurrance of atrial Fib.
Age: 77.0
Sex: F
Vaccine: FLU3
Symptoms: Myocardial infarction, Thrombocytopenia
Clinical narrative: 10/11/04 Prednisone started. 10/14/04 Flu vaccine administered. 10/25/04 Complaints of chest pain; left arm feels funny, diaphoretic. 96.8, 72, 20, 142/80, out today. 10/27/04 Remains hospitalized. Discharge Summary received on 1/25/2005 states pt experienced thrombocytopenia and myocardial infarction. Follow up 01/26/05: Patient still has not recovered, has had several transfers to hospital since October for heart condition. As per annual follow up report: pt continues to have atrial Fib which she had history of prior to flu vaccine but was not an issue again until after vaccine. Questionable if vaccine caused reoccurrance of atrial Fib.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Bacterial infection, Laboratory test abnormal, Lethargy, Somnolence, Tremor
Clinical narrative: 10/20/04 Sleepy; not as alert. 10/21/04 Arousable, no behavior issues; increased lethargy. 10/26/04 Lethargic; unable to grasp objects or feed self. Slight hand tremor visible. Oxygen started. Transferred to hospital for evaluation. Medical Record received on 2/02/2005 states UTI. Follow up 01/19/05: The patient has not recovered, he requires more assistance with activities of daily living, continues to have some confusion.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Urinary tract infection, White blood cell count increased
Clinical narrative: 10/20/04 Sleepy; not as alert. 10/21/04 Arousable, no behavior issues; increased lethargy. 10/26/04 Lethargic; unable to grasp objects or feed self. Slight hand tremor visible. Oxygen started. Transferred to hospital for evaluation. Medical Record received on 2/02/2005 states UTI. Follow up 01/19/05: The patient has not recovered, he requires more assistance with activities of daily living, continues to have some confusion.
Age: 94.0
Sex: M
Vaccine: FLU3
Symptoms: Anorexia, Cardiac failure congestive, Cough, Dehydration, Hyperventilation
Clinical narrative: 10/19 Raled left lung; temp 97.4. 10/20 Mild congestive heart failure seen on x-ray, noisy breathing; started antibiotics. 10/21 Temp 99.5. 10/24 Temp 98.8. 10/25 Pale, rochi/crackles, decreased appetite, decreased voiding, slept all day. 10/26 Refused food, dehydration, water given, shallow breathing, O2 saturation 79%. Care refused by prior request. Medical Record received on 11/23/2004 states pt experienced rales and cough. Follow up 01/19/05, Recovery status unknown, patient expired in October.
Age: 94.0
Sex: M
Vaccine: FLU3
Symptoms: Hypoventilation, Hypoxia, Oral intake reduced, Pyrexia, Rales
Clinical narrative: 10/19 Raled left lung; temp 97.4. 10/20 Mild congestive heart failure seen on x-ray, noisy breathing; started antibiotics. 10/21 Temp 99.5. 10/24 Temp 98.8. 10/25 Pale, rochi/crackles, decreased appetite, decreased voiding, slept all day. 10/26 Refused food, dehydration, water given, shallow breathing, O2 saturation 79%. Care refused by prior request. Medical Record received on 11/23/2004 states pt experienced rales and cough. Follow up 01/19/05, Recovery status unknown, patient expired in October.
Age: 94.0
Sex: M
Vaccine: FLU3
Symptoms: Somnolence
Clinical narrative: 10/19 Raled left lung; temp 97.4. 10/20 Mild congestive heart failure seen on x-ray, noisy breathing; started antibiotics. 10/21 Temp 99.5. 10/24 Temp 98.8. 10/25 Pale, rochi/crackles, decreased appetite, decreased voiding, slept all day. 10/26 Refused food, dehydration, water given, shallow breathing, O2 saturation 79%. Care refused by prior request. Medical Record received on 11/23/2004 states pt experienced rales and cough. Follow up 01/19/05, Recovery status unknown, patient expired in October.
Age: 83.0
Sex: F
Vaccine: FLU3
Symptoms: Anaemia, Atrial fibrillation, Chest pain, Constipation, Cor pulmonale
Clinical narrative: 2/26/04 Admitted to facility. 8/19 examined for possible atrial fib; results on EKG. 10/17 complained of chest pain, pulse 115-130; admitted to hospital. EKG showed atrial fib, rales (mild); Topol administered and stabilized. 10/20 Discharged. 10/24 Being given O2. 10/26 began moving self in wheelchair; no complaints.   Nurse follow up on 11/01/04 states: "anemia; dementia; depression; constipation; mitral valve disease." Follow up 01/19/05: Patient has not recovered. Activity level did not recover, she continues to experience fatigue.
Age: 83.0
Sex: F
Vaccine: FLU3
Symptoms: Dementia, Depression, Heart rate increased, Hypoxia
Clinical narrative: 2/26/04 Admitted to facility. 8/19 examined for possible atrial fib; results on EKG. 10/17 complained of chest pain, pulse 115-130; admitted to hospital. EKG showed atrial fib, rales (mild); Topol administered and stabilized. 10/20 Discharged. 10/24 Being given O2. 10/26 began moving self in wheelchair; no complaints.   Nurse follow up on 11/01/04 states: "anemia; dementia; depression; constipation; mitral valve disease." Follow up 01/19/05: Patient has not recovered. Activity level did not recover, she continues to experience fatigue.
Age: 1.31
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Blood alkaline phosphatase increased, Convulsion, Febrile convulsion, Gaze palsy, Vomiting
Clinical narrative: Seizure; admitted to PICU. Pt's mother states child was staring and vomited prior to onset of seizure. The child was premedicated with Tylenol and also given a dose that evening. No fever was noted. Discharge diagnosis: febrile seizure.
Age: 1.31
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: White blood cell count increased
Clinical narrative: Seizure; admitted to PICU. Pt's mother states child was staring and vomited prior to onset of seizure. The child was premedicated with Tylenol and also given a dose that evening. No fever was noted. Discharge diagnosis: febrile seizure.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site induration, Pruritus
Clinical narrative: Bump on right arm, itches, then goes away.
Age: 49.0
Sex: M
Vaccine: ANTH
Symptoms: Headache, Pruritus, Rash
Clinical narrative: Itchy bump or bumps reoccurrence on right arm in upper tricep area and sore joints, occasional headaches.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR
Symptoms: Urticaria
Clinical narrative: Pt broke out in hives 30 minutes after receving immunizations. Pt was given Benadryl and was monitored in clinic.
Age: 77.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cough, Lacrimation increased, Malaise, Myalgia, Pain
Clinical narrative: Muscle aches beginning evening 10/14. Next 2 days. Fever 102, malaise, all over aches, watery eyes, sneezing, deep cough, 3rd day symptoms continued without fever. 4th day felt better. 10/19 fever to 101 and aches resumed, not as bad as before. Today 10/21 feeling better but cough continues.
Age: 77.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia, Sneezing
Clinical narrative: Muscle aches beginning evening 10/14. Next 2 days. Fever 102, malaise, all over aches, watery eyes, sneezing, deep cough, 3rd day symptoms continued without fever. 4th day felt better. 10/19 fever to 101 and aches resumed, not as bad as before. Today 10/21 feeling better but cough continues.
Age: 1.12
Sex: M
Vaccine: FLU3
Symptoms: Contusion, Laboratory test abnormal, Thrombocytopenia
Clinical narrative: Bruising 2 days after vaccine. Treated at hospital.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Abnormal dreams, Asthenia, Dizziness, Hyperhidrosis, Hypotension
Clinical narrative: Complaints of dizziness, weak, color pale. Feet elevated, severely diaphoretic. Passed out approximately 25 seconds. open eyes but glazed appearance and states "feel like I'm dreaming." Resps even and slow. BP 126/84 prior to vaccination 114/68 post. Escorted to ER via wheelchair. BP 92/49. O2 sats 97-100. Pulse 62-66. BP further decreased to 86/49. IV fluids given in ER. BP increased 99/63 then to 118/77. Recurred and discharged at 12:00.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Pallor, Respiratory rate decreased, Staring, Syncope
Clinical narrative: Complaints of dizziness, weak, color pale. Feet elevated, severely diaphoretic. Passed out approximately 25 seconds. open eyes but glazed appearance and states "feel like I'm dreaming." Resps even and slow. BP 126/84 prior to vaccination 114/68 post. Escorted to ER via wheelchair. BP 92/49. O2 sats 97-100. Pulse 62-66. BP further decreased to 86/49. IV fluids given in ER. BP increased 99/63 then to 118/77. Recurred and discharged at 12:00.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Decreased appetite, Dizziness, Headache, Malaise
Clinical narrative: 10/6/04: one hour after received vaccine. Had severe headache: increased severity during day. Felt light-headed. Nausea by evening. Chills. 10/7: severe headaches, malaise , poor appetite. 10/8: no headaches, symptoms resolved next 24 hours.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea
Clinical narrative: 10/6/04: one hour after received vaccine. Had severe headache: increased severity during day. Felt light-headed. Nausea by evening. Chills. 10/7: severe headaches, malaise , poor appetite. 10/8: no headaches, symptoms resolved next 24 hours.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Tremor
Clinical narrative: 10/5/04: severe dizziness started two hours after vaccine. Dizziness increases with charge eye movement. 10/6/04: Increased light headedness, slight tremors  both hands. Symptoms resolved next 24 hours.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Difficulty in walking, Dizziness
Clinical narrative: 10/7/04: Dizzy getting out of bed. Held onto wall to walk. Could walk very slowly. Less dizzy when eyes closed: 6 A. By 11:30 AM, some improvement : still dizzy. Walking slowly. Resolved in 24 hours.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Myalgia, Neck pain, Pyrexia, Rash
Clinical narrative: Received flu shot 10/18/04 on left arm. On 10/20 or 10/21 arm started breaking out red bumps: spread on neck and chest and arm. Complained of arm and neck hurting. Slight fever.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Contusion, Erythema, Pain, Swelling, Tenderness
Clinical narrative: Patient receive flu shot in right deltoid on 10/18/2004 at 2 pm. Patient reported no reaction at that time. Patient awoke on the morning of 10/20/04 with pain in right arm in the triceps , redness, swelling and tenderness. On exam, 45mm x 25mm area of redness, nickel-sized bruise at injection which was rather high for an IM injection in the deltoid, no palpable induration ,or warmth at site. Patient will take Tylenol every 4 to 6 hours for pain. Will follow up with health department if symptoms do not resolve.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Difficulty in walking, Erythema, Feeling hot, Swelling
Clinical narrative: Pt complained of extreme swelling, redness, across entire upper thigh, difficulty walking , hot to the touch, occurred within 12 hours q dose administration. Resolved by 72 hours  He had similar episode 2 years ago.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site induration
Clinical narrative: Lump left deltoid around 1 inch diameter, firm . Advised, assessed
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Chronic Right shoulder pain at injection site. It's been sent to ortho (x-ray)site.
Age: 0.86
Sex: M
Vaccine: FLU3
Symptoms: Cough, Erythema, Hypersensitivity, Urticaria, Wheezing
Clinical narrative: Here for check up, lungs clear. No hives. Within 5-7 minutes of administration of flu vaccine, pt skin erythemic with multiple hives face/neck and chest extending to entire body. By 20 min past injection, occ wheezing at ER: Epi 1/1000 0.1ml + Benadryl 2.5 cc po. Resolution of symptoms with treatment. Medical records state increased cough, allergic reaction. msv
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Dysphonia, Pelvic pain, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Within 24 hours of receiving flu vaccine. Developed severe sore throat, elevated temp for 3.5 days hoarsness; severe back and hip/pelvic pain. Most symptoms continued for 1 week.
Age: 1.02
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Rash papular
Clinical narrative: Numerous papules and vesicles
Age: 39.0
Sex: M
Vaccine: LYME
Symptoms: Arthritis, Pain, Tendonitis
Clinical narrative: In 2003 right shoulder pain (severe at times) treated for Tendonitis (cortisone shot). In summer of 2004 pain returned in right shoulder (Constart). MRI shoed joint being totally gone due to arthritis ( no injuries ever to said joint). Need surgery now and probable replacement in 5 years.
Age: 1.57
Sex: M
Vaccine: DTAP, PNC
Symptoms: Abnormal behaviour, Anxiety, Coma, Irritability, Pyrexia
Clinical narrative: 1. Unusual behavior, poorly responsive, anxious/ irritable x few hours. 2. Rash distal to injection both LEs 3. Low grade fever.
Age: 1.57
Sex: M
Vaccine: DTAP, PNC
Symptoms: Rash
Clinical narrative: 1. Unusual behavior, poorly responsive, anxious/ irritable x few hours. 2. Rash distal to injection both LEs 3. Low grade fever.
Age: 0.17
Sex: M
Vaccine: DTAP
Symptoms: Agitation, Crying, Injection site pain, Injection site swelling
Clinical narrative: Child had prolonged course of uncontrollable crying. Swelling, pain noted at DTaP site.
Age: 1.55
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Rash erythematous, Rash macular
Clinical narrative: Pt presented around two weeks after shot and resolving erythematous macular rash that started two days after shot.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Local reaction right deltoid after receiving vaccine (IPV) complained of redness, warmth, swelling.
Age: 87.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site induration, Swelling, Tenderness
Clinical narrative: Redness, tenderness, swollen, hardness around the area, redness spreads down from injection site.
Age: 7.0
Sex: M
Vaccine: IPV
Symptoms: Cellulitis, Feeling hot, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: 10/19/04: left thigh, increased heat, redness, in 3-4cm area around injection site, elevated, hard.  10/20/04Local reaction, rarely cellulitis. Treated with antibiotic. Keflex 250/5ml x 7 days. 10/22/04: improving, cellulitis, continue antibiotic.
Age: 3.0
Sex: F
Vaccine: DTAP, HEP, IPV
Symptoms: Erythema, Injection site swelling, Rash, Tenderness, Urticaria
Clinical narrative: Left arm: deltoid area with 2.5x2" red, raised and tender area. No axilla involvement. No lymphadenopathy. Pink, raised sandpaper like rash on trunk associated with urticaria.
Age: 0.18
Sex: F
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Abnormal behaviour, Agitation, Feeling hot, Irritability, Screaming
Clinical narrative: 4cm x 3.5cm right thigh, purple, warmth, inconsolable, screaming, behavioral change and no smiling. Fussy. Left thigh looks great.
Age: 0.18
Sex: F
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Skin discolouration
Clinical narrative: 4cm x 3.5cm right thigh, purple, warmth, inconsolable, screaming, behavioral change and no smiling. Fussy. Left thigh looks great.
Age: 1.25
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Rash typical of varicella, >50 lesions
Age: 54.0
Sex: F
Vaccine: HEP
Symptoms: Blister, Dizziness, Fatigue, Feeling hot, Nausea
Clinical narrative: 9/24/04: 30 minutes after shot, got dizzy and warm feeling, not hot flash. Nose running non-stop. 4 hours after shot, very tired. 6 hours after shot, blisters on back of neck, 9/25/04: tongue red, swollen with blisters on it nauseated, achy, very tired, shot  site very sore. Same on 9/26/04. 9/27/04 better...tongue with less blisters...used saline solution to help tongue.
Age: 54.0
Sex: F
Vaccine: HEP
Symptoms: Pain, Swelling, Tenderness, Tongue discolouration
Clinical narrative: 9/24/04: 30 minutes after shot, got dizzy and warm feeling, not hot flash. Nose running non-stop. 4 hours after shot, very tired. 6 hours after shot, blisters on back of neck, 9/25/04: tongue red, swollen with blisters on it nauseated, achy, very tired, shot  site very sore. Same on 9/26/04. 9/27/04 better...tongue with less blisters...used saline solution to help tongue.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Abscess, Cellulitis
Clinical narrative: Cellulitis/ Abscess: warm compresses and Omnicef 250 po BID x 7 days.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Pyrexia
Clinical narrative: Patient brought into office. Father concerned about arm. States red around shot area and slight fever. Patient states no pain.
Age: 1.03
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous, Drug ineffective, Infection
Clinical narrative: + varicella diagnosis <25 vesicles
Age: 16.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Feeling hot, Injection site induration, Pain
Clinical narrative: 10/21/2004. TD shot administered. 10/25/04 phone call from mom. Arm red, hot,hard and achy. Mom states has not gotten worse since yesterday. Denied fever. Inc ice. 10/26/04: resolving. 10/27: mom states much better.
Age: 3.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Swelling, redness around injection site and temperature of 100-104.
Age: 64.0
Sex: F
Vaccine: PNC
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Right arm red, hot and swollen.
Sex: U
Vaccine: FLU3
Symptoms: Headache, Unintended pregnancy, Visual acuity reduced
Clinical narrative: Young pregnant woman developed diminished vision bilaterally and headaches 3 wks post Fluzone injection. Reporter will file a complete report after he sees pt. Evaluation incomplete.
Age: 21.0
Sex: M
Vaccine: TYP
Symptoms: Headache, Nausea
Clinical narrative: PT C/O NAUSEA AND H/A APPROX. 1HR AFTER ADMINISTRATION OF TYPHOID VACCINE.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Discomfort, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Swelling, redness and warmth of skin surrounding site of injection (right deltoid).  Initially began as a firm lump Day 1, then spread outward from site of injection to include warmth, redness and firmness Day 2.  At time of reporting, surrounding redness, firmness of skin measures 10cm x 12cm (elliptical shape).  Also noted onset of discomfort (Day 1), then subsequent swelling and pain of right knee (Day 2).  No warmth or redness here.  Inability to bend knee back further than 90 degrees without significant pain Day 2.  Symptom onset and progression followed same course as the local reaction at site of vaccine administration.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site warmth, Joint range of motion decreased
Clinical narrative: Swelling, redness and warmth of skin surrounding site of injection (right deltoid).  Initially began as a firm lump Day 1, then spread outward from site of injection to include warmth, redness and firmness Day 2.  At time of reporting, surrounding redness, firmness of skin measures 10cm x 12cm (elliptical shape).  Also noted onset of discomfort (Day 1), then subsequent swelling and pain of right knee (Day 2).  No warmth or redness here.  Inability to bend knee back further than 90 degrees without significant pain Day 2.  Symptom onset and progression followed same course as the local reaction at site of vaccine administration.
Age: 1.22
Sex: M
Vaccine: FLUX
Symptoms: Nasal congestion, Rhinorrhoea
Clinical narrative: My son developed a runny nose and nasal congestion a day and a half after receiving the flu vaccine.  He got the shot on Thursday, October 19th, symptoms began on October 21st, and he still currently has the runny nose and nasal congestion. The symptoms began six days ago through current.
Age: 5.0
Sex: M
Vaccine: DTAP, FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Redness and swelling on left arm below site of injection.  6cm x 6 1/2 cm area of erythema and firmness approx 4-5cm in diameter.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pain
Clinical narrative: Whole arm swollen, red, hot and very painful from shoulder to elbow.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Contusion, Injection site erythema
Clinical narrative: Right Upper arm 5in x 4 in red ring around injection site.  None tender, mild bruising at injection site.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Erythema, Feeling hot, Pain
Clinical narrative: Irregular shaped red, warm area on right ant. shoulder w/in musculature but not at shot site.  Slightly painful with external rotation but not with adduction or abduction.
Age: 67.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Feeling hot, Oedema peripheral, Pyrexia
Clinical narrative: Pt called to complain of swelling, warmth, and redness in left arm down to wrist and unable to bend arm.  Also has fever up to 104.0. Saw MD for symptoms. Was given steroids, antibiotics and a sling for his arm.  Taking Tylenol for fever.
Age: 27.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: 10/21/2004 Developed swelling and pain at the injection site. 10/22/04 Presents with redness, pain and swelling of left shoulder to the elbow. Low grade temp also. Referred her to her Physician who prescribed Augmentin 1000mgm two times a day for 10 days.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site swelling, Pruritus
Clinical narrative: developed swelling and itching and redness at the sight of immunization on the right arm. a 5x8cm area of redness and swelling was observed; she could use her arm without difficulty.
Age: 48.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site hypersensitivity, Injection site reaction, Pruritus
Clinical narrative: Patient had itching at the vaccination site 4-5 months after immunization.  Site scabbed over slightly.  There was no systemic reaction.  Itching only.  Covered site with band aid and educated patient on proper care of site/scab.
Age: 0.34
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Agitation, Crying, Oedema peripheral, Pallor
Clinical narrative: Excessive crying.  Unconsolabe.  Swelling of both legs and feet.  Strange gray color.
Age: 32.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Pt woke up @ 0200, 28 Oct 04, with increased redness, swelling and induration to SPV site.  The redness/swelling had spread to the front and around to the inner arm with a  "pseudopod" appearance.  No increase in pain but the "pseudopod" was tender to touch.  No fever noted.  Area without increased warmth.  SPV eschar approx 1.5cm with induration 9cm x 9.5cm and pseudopod approx 2-3cm x 6cm.  No lymphadenopathy on exam but pt noted some soreness in his L armpit earlier in week.  Pt appears to, also, be experiencing an adhesive reactions around the SPV site.  He states that on 25 Oct 04, he was slugged in the arm directly over the SPV site.  He has kept the site covered continuosly by gauze adhered with surgical tape or cloth bandaids.  Pt placed on Gatifloxacin, 400mg QD x 10d, due to imminent travel out of the area.  Pictures are available upon request.
Age: 1.27
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Rash, Viral infection
Clinical narrative: ABOUT AN HOUR AFTER MY SON RECIEVED HIB, MMR, AND HIS VARICELLA SHOTS I NOTICED THAT HIS CHIN HAD A RASH ON IT.  THE NEXT DAY IT WORSENED AND SPREAD ALONG HIS JAW LINE AND ONTO HIS CHEEKS. HE RECIEVED THESE SHOTS ON 10-20-2004.  EIGHT DAYS LATER THIS "VIRAL RASH" HIS PEDIATRICIAN CALLED IT IS NOW ALL OVER HIS BODY.
Age: 43.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site vesicles, Pruritus, Rash erythematous, Urticaria
Clinical narrative: Received influenza vaccine 10/19/2004.  10/26/2006 1" diameter red raised skin with whelt in center.  10/28/2004 involved skin now 3" diameter red raised skin with multiple vessicles in the center.  Burning/itching sensation.  Sx not at the site of vaccine administration.  10/28/2004 primary MD seen.  Acyclovir 800mg 1 PO TID for shingles like reaction probably due to flu vaccine.
Age: 0.34
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Bacterial infection, Laboratory test abnormal, Meningitis, Pyrexia, Sepsis
Clinical narrative: Information regarding Prevnar was received from a healthcare professional regarding a 5 month old male patient who experienced pneumococcal meningitis and pneumococcal bacteremia. At 4 months of age the patient received the second dose on 8/26/04. The patient's concurrent illness includes gastroesophageal reflux disease with a past history of coxsackie viral infection. Indication for Prevnar was immunization. Product was administered on 8/26/04. Dose regimen was 1 dose 1 time per day (IM). Concomitant therapy included Zantac. The patient experienced pneumococcal meningitis and pneumococcal bacteremia on 10/11/04. He was treated with Motrin for fever on 10/11/04. The infant expired that same day. No additional information was available at the time of this report. 11/7/04 Received PCP progress notes. Autopsy Report received on 11/22/2004 states COD is Sepsis due to streptococcus pneumoniae w/associated injury in multiple organs.
Age: 0.34
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Shock
Clinical narrative: Information regarding Prevnar was received from a healthcare professional regarding a 5 month old male patient who experienced pneumococcal meningitis and pneumococcal bacteremia. At 4 months of age the patient received the second dose on 8/26/04. The patient's concurrent illness includes gastroesophageal reflux disease with a past history of coxsackie viral infection. Indication for Prevnar was immunization. Product was administered on 8/26/04. Dose regimen was 1 dose 1 time per day (IM). Concomitant therapy included Zantac. The patient experienced pneumococcal meningitis and pneumococcal bacteremia on 10/11/04. He was treated with Motrin for fever on 10/11/04. The infant expired that same day. No additional information was available at the time of this report. 11/7/04 Received PCP progress notes. Autopsy Report received on 11/22/2004 states COD is Sepsis due to streptococcus pneumoniae w/associated injury in multiple organs.
Age: 2.0
Sex: M
Vaccine: VARCEL
Symptoms: Autism, Mental retardation severity unspecified
Clinical narrative: Information has been received from a pharmacist and a mother concerning her 25 month old son with food allergies who on 8/29/02 and 10/9/03 was vaccinated by injection with the first and second doses of varicella virus vaccine live. Concomitant therapy included HIB conjugate vaccine and hepatitis B vaccine, recomb. It was noted that the three year old child is at 2 year old level mentally and has been placed on autistic spectrum. Unspecified medical attention was sought. There was no product quality complaint. The reporter considered the three year old child is at 21 year old level mentally and has been placed on autistic spectrum to be disabling. Additional information has been requested. Follow up 03/03/05: Patient's recovery status is unknown. Followup report received 06/14/2005:  Patient's recovery status still unknown.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Feeling hot, Oedema peripheral, Rash
Clinical narrative: Initial and follow up information has been received from a registered medical assistant concerning a 67 year old white retired male who on 8/11/04 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (lot # 647028/0564N). It was reported that the patient "...developed swelling in arm from elbow up to neck and chest area. Red rash also in the same areas warm to the touch". On 8/13/04 the patient was seen in the office and was afebrile. He was placed on methylprednisolone and cetirizine hydrochloride  for allergic reaction, and was instructed to go to the emergency room if his symptoms got worse. As of 10/5/04 the patient recovered from the events, and did not need to follow up for any additional treatment in the emergency room. Additional follow up information received on 10/20/04 indicated that the patient was given pneumococcal 23v polysaccharide vaccine on 8/11/04, and returned to clinic on 8/13/04 with "...left arm swollen and red extending through shoulder and left upper chest". The medical assistant indicated that the patient had had pneumococcal 23v polysaccharide vaccine in 1997 and that there had been no reaction at that time. Left arm swollen and red extending through shoulder and left upper chest was considered immediately life threatening. No further information is available. The medical assistant also reported at least 2 other patients maybe even 3 other patients with the same reaction when vaccinated with pneumococcal 23v polysaccharide vaccine (WAES0410USA00285).
Sex: F
Vaccine: FLU3
Symptoms: Dry mouth, Flushing, Tremor
Clinical narrative: Shaky, flushing, dry mouth, Benadryl 50mg IM x1.
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Redness, warmth, elevation 30mm appearing within 24 hours and disappearing 48 hours later.
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Feeling hot, Injection site oedema
Clinical narrative: Redness, warmth, elevation 30mm appearing within 24 hours and disappearing 48 hours later
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Oedema, Pain
Clinical narrative: Pain, swelling, erythema
Age: 74.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Injection site pain, Pruritus
Clinical narrative: Pain left arm, redness from vaccination area to elbow. Swelling left arm to elbow, itching lasted 4-5 days, arm was very hot. Follow up: problem at pneumococcal site only.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Asthenia, Chills, Heart rate increased, Hypokinesia
Clinical narrative: Severe weakness, stiff neck , fast heart beat, chills, shoulder/arm connection pain, stiffness, can't raise arms, wrists pain, can't move in any direction, tickling sensation in center of back.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Musculoskeletal stiffness, Paraesthesia
Clinical narrative: Severe weakness, stiff neck , fast heart beat, chills, shoulder/arm connection pain, stiffness, can't raise arms, wrists pain, can't move in any direction, tickling sensation in center of back.
Age: 43.0
Sex: F
Vaccine: FLUX
Symptoms: Feeling hot, Injection site erythema, Injection site pain
Clinical narrative: Very Large oval red circle at exact area where flu vaccine was administered. Ask for size. Dr. Warm to touch, was sore only for a day. Not sore as of now.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site mass
Clinical narrative: Pt developed bump in muscle immediately following shot. Pt reported no numbness or tingling and was able to move arm and fingers appropriately. A cold compress was applied immediately after shot and pt was monitored for signs of allergic reaction. Pt MD was notified and RPH will follow up with pt also.
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site mass, Injection site pain
Clinical narrative: Evening of shot developed red, sore, arm with lump size of orange. Was painful for 36 hrs. Did not take any meds, resolved on own. Also had "Montezumas revenge" first flu shot ever.
Age: 63.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Headache, Pain
Clinical narrative: Immediately shooting electrical pains in top right back of head x 7 days. Then dull aches continuing at time of report.
Age: 63.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Headache
Clinical narrative: Immediately shooting electrical pains in top right back of head x 7 days. Then dull aches continuing at time of report.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Hyperhidrosis, Nausea, Pyrexia, Rash
Clinical narrative: Pt received influenza vaccine on 10/22/04. On Saturday she noticed several round red areas on stomach about the size of a quarter thinks she had a fever, was diaphoretic with Nausea. Her doctor's office told her to take Benadryl. She took 25 mg and feels better, but rash is still there.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chills, Heart rate increased
Clinical narrative: Pt says had chills, heart started racing and legs were weak.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphonia, Injection site erythema, Injection site oedema, Wheezing
Clinical narrative: Redness and swelling at site of injection, hoarseness, wheezing intermittent for 2-3 hours.
Age: 7.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Urticarial skin rash within 12 hours of flu vaccine.
Age: 36.0
Sex: M
Vaccine: FLU3
Symptoms: Cough, Dyspnoea, Pruritus, Rash erythematous, Tachycardia
Clinical narrative: SOB, Cough, Rash (Diffuse erythema), Pruritis, Urticaria, Mild Tachycardia (122). NS 1,000 sec at wide open rate then 200 sec/hr. Solumedral 125mg IV, Discharge Meds: Prednisone 20mg twice each day for 4 days, Benadryl 50mg ever 6 hr today then if needed. Final diagnosis: allergic reaction to Flu vaccine.
Age: 36.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: SOB, Cough, Rash (Diffuse erythema), Pruritis, Urticaria, Mild Tachycardia (122). NS 1,000 sec at wide open rate then 200 sec/hr. Solumedral 125mg IV, Discharge Meds: Prednisone 20mg twice each day for 4 days, Benadryl 50mg ever 6 hr today then if needed. Final diagnosis: allergic reaction to Flu vaccine.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Left upper red and swollen within 30 minutes of injection. Minor redness at site remains 10/28/04. No medical treatment administered.
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site oedema, Rash maculo-papular
Clinical narrative: Rash on inside of both arms from wrist to armpit. Small raised pimples. Right side of arm red and swollen. All rashes gone on 10/21/04.
Age: 24.0
Sex: F
Vaccine: SMALL
Symptoms: Hypersensitivity
Clinical narrative: Possible relationship to contact sensitivity to latex that formed two days later.
Age: 40.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia
Clinical narrative: Reproducible, persistent arthralgias to the AVA series.
Age: 0.59
Sex: F
Vaccine: DTAP, HEP
Symptoms: Injection site erythema, Injection site swelling, Pain
Clinical narrative: Positive redness and swelling of right anterior and lateral thigh with prolonged crying, but less than 2 hours. Cool compresses and Motrin used to treat symptoms. Pain decreased next day but redness and swelling persists.
Age: 52.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Joint range of motion decreased
Clinical narrative: MOderately severe deltoid pain at and around injection site requiring Tylenol with Codeine and severely limiting range of motion. Moderate injection site swelling lasting 3 days.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Skin ulcer
Clinical narrative: Red lesion started on head 10/21/04. Red lesion 10/22/04 all over body. No fever. Per mom, classroom mate has chicken pox.
Age: 2.0
Sex: M
Vaccine: PPV
Symptoms: Difficulty in walking, Injection site erythema, Injection site mass, Pyrexia, Urticaria
Clinical narrative: Temp to 100, red welt, swollen lump on thigh at innoculation shite. Growing over 48 hours following immunization. Not wanting to walk on leg initially. Now better. On Motrin/Tylenol.
Age: 12.0
Sex: M
Vaccine: HEP, TD
Symptoms: Headache, Pyrexia, Stomach discomfort
Clinical narrative: Fever 100.7, headache, upset stomach. Better by Wednesday night 10/20/04. Twice had a headache over weekend 10/21-10/24.
Age: 12.0
Sex: F
Vaccine: HEP, TD
Symptoms: Abdominal pain upper, Headache, Pyrexia, Vomiting
Clinical narrative: Fever 100.4, headache, stomach ache, emesis. Ate breakfast at school, then ran a mile in gym.
Age: 11.0
Sex: F
Vaccine: HEP, TD
Symptoms: Abdominal pain upper, Headache, Pyrexia
Clinical narrative: 99.3 fever, headache, stomach ache; better by 10/20/04. Attended school.
Age: 12.0
Sex: M
Vaccine: TD
Symptoms: Headache, Pyrexia
Clinical narrative: 100.6 fever, headache; better that afternoon. Had run a mile in morning of 10/20/04.
Age: 48.0
Sex: F
Vaccine: RAB
Symptoms: Arterial spasm, Throat tightness
Clinical narrative: Client reported to RN after second dose of RabAvert administered on 9/16. She felt her neck and throat spasm and tightness occurring and while eating a sandwich, choked and spit it out.  Doctor notified.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Discomfort, Feeling hot, Injection site induration, Injection site mass, Rash
Clinical narrative: 10/12/04 Hard knot and discomfort niticed; unable to slee due to discomfort. Knot on arm went down at injection site but developed rash on arms about 1 week later. 10/22/04 No swelling but red rash, warm to touch from shoulder to elbow noted. To PMD today.
Age: 6.0
Sex: M
Vaccine: HEPA
Symptoms: Asthenia, Fatigue, Pyrexia, Somnolence
Clinical narrative: Hep A given 0.5ml right deltoid on 9/3/04 at 10:30 AM. Developed sudden temp of 103 at 4:30 PM on 9/3/04. Patient was fatigued, exhausted, with decreased energy and increased sleepiness. These symptoms continued throughout 9/4/04 with anorexia included. On the morning of 9/5/04, he awoke and was back to his baseline of excellent health.
Age: 16.0
Sex: F
Vaccine: HEP
Symptoms: Rash
Clinical narrative: 8/27/04 Telephone call from patient's mom. She states patient had broken out in rash all over her body that day. 8/31/04 Spoke with patient's mom. Had been to MD (for another problem) and had MD look at rash. States unknown origin. Mom states steroids were prescribed, but unknown if steroids were for rash or other problem.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site swelling, Pain
Clinical narrative: The evening of the vaccination his left deltoid became swollen. The next morning swelling was from left shoulder to elbow, red and painful. He was seen at the emergency room and was determined to be a DTaP reaction.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: DTaP injection on left deltoid given Tuesday 9/28/04. On 9/30/04, developed swollen, itchy, hot to touch area at site of DTaP. Seen by doctor at office. Rx given. Follow up report received 02/22/2005: vaccine lot numbers updated.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pruritus
Clinical narrative: Pt had localized reaction to left deltoid, very red, swollen, warm to touch, mother advised cool wash clothes, Tylenol, Motrin or OTC Benadryl for itching at site.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Pt has large localized reaction following 5th DTaP administered. Thigh has swelling and induration, feverish approximately 1/2 of upper thigh where  vaccine was administered.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Crying, Movement disorder, Screaming
Clinical narrative: This case was reported by a physician and described the occurrence of leg thrashing in a 2 month old female patient who received DTaP adsorbed, hepatitis B recombinant and inactivated poliovirus vaccine combined (Pediarix). The patient's medical history was notable for a premature birth at 33 weeks of gestation. On 27 MAY2004, the patient received the first dose of Pediarix in the right thigh. At an unspecified time following the administration of Pediarix, on 27MAY2004, the patient experienced leg thrashing, "excessive" crying, and screaming. The events resolved on 29MAY2004. The physician considered the events to possibly be related to vaccination with Pediarix. Report initially received via Wyeth Ref: HQWYE152702JUN04.
Sex: M
Vaccine: YF
Symptoms: Dyspnoea, Feeling hot, Urticaria
Clinical narrative: 45 minutes after administered shot, felt warm evidence of hives and hard time breathing. ER admin a Benadryl shot. 20 minutes recovered and went home.
Age: 43.0
Sex: F
Vaccine: RUB, VARCEL, RUB, VARCEL
Symptoms: Headache, Lymph node pain, Lymphadenopathy, Malaise, Nausea
Clinical narrative: Pt. called clinic 11 days after vaccination to report a very painful, swollen lymph node behind her right ear, headache, sore neck, low grade temp. (99) and malaise. She also had nausea & vomiting. We suggested NSAIDS and try applications of heat and/or cold for the painful ear area.
Age: 43.0
Sex: F
Vaccine: RUB, VARCEL, RUB, VARCEL
Symptoms: Neck pain, Pyrexia, Vomiting
Clinical narrative: Pt. called clinic 11 days after vaccination to report a very painful, swollen lymph node behind her right ear, headache, sore neck, low grade temp. (99) and malaise. She also had nausea & vomiting. We suggested NSAIDS and try applications of heat and/or cold for the painful ear area.
Age: 43.0
Sex: F
Vaccine: RUB, VARCEL, RUB, VARCEL
Symptoms: Asthenia, Dyspnoea, Headache, Injection site rash, Laboratory test abnormal
Clinical narrative: Pt. called clinic 11 days after vaccination to report a very painful, swollen lymph node behind her right ear, headache, sore neck, low grade temp. (99) and malaise. She also had nausea & vomiting. We suggested NSAIDS and try applications of heat and/or cold for the painful ear area.
Age: 43.0
Sex: F
Vaccine: RUB, VARCEL, RUB, VARCEL
Symptoms: Meningitis, Muscle twitching, Nausea, Ocular hyperaemia, Oral intake reduced
Clinical narrative: Pt. called clinic 11 days after vaccination to report a very painful, swollen lymph node behind her right ear, headache, sore neck, low grade temp. (99) and malaise. She also had nausea & vomiting. We suggested NSAIDS and try applications of heat and/or cold for the painful ear area.
Age: 43.0
Sex: F
Vaccine: RUB, VARCEL, RUB, VARCEL
Symptoms: Pain, Speech disorder, Swelling, Urticaria, Vomiting
Clinical narrative: Pt. called clinic 11 days after vaccination to report a very painful, swollen lymph node behind her right ear, headache, sore neck, low grade temp. (99) and malaise. She also had nausea & vomiting. We suggested NSAIDS and try applications of heat and/or cold for the painful ear area.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema peripheral, Tenderness
Clinical narrative: Child was given DTAP and IPV in right arm.  Localized swelling and erythema from shoulder to forearm (approv 10 inches).  Patient complains of tenderness in shoulder area.
Age: 6.0
Sex: M
Vaccine: FLUN3
Symptoms: Bacterial infection, Vomiting
Clinical narrative: Patient vomited twice on 10/14/04 at 3am and 5am starting 9 hrs after receiving the Flumist vaccine. Patient had no previous symptoms and no one in family did. Patient on 10/29/04 tested positive for strep throat.
Age: 29.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Erythema, Oedema peripheral
Clinical narrative: LARGE AREA OF ERYTHEMA (>120 MM) W/ SWELLING AND PAIN EXTENDING FROM L. SHOULDER TO L. ELBOW.
Age: 26.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Pain
Clinical narrative: IMMUNIZATION GIVEN 10-28-04. PT REPORTS PAIN @ INJECTION SITE BY 6:00PM SAME DAY AND WAS ACHEY FEELING "ALL OVER" BY BEDTIME.  TOO TENDER TO TOUCH SITE 10-29-04, AND NOT RELIEVED BY 800MG IBUPROFEN.