chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 40.0
Sex: M
Vaccine: HEP
Symptoms: Cold sweat, Dizziness, Hyperhidrosis, Nausea, Skin warm
Clinical narrative: Complained of light headedness, nausea, cold/clammy forehead at first, soon skin change to very hot and sweaty.  Came in with symptoms approximately 2 hours post injection. EMS called, taken to ER and received IV fluids, Benadryl and "some shots" per employee. Home from ER, with next day off to continue Benadryl and rest.
Age: 17.0
Sex: M
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Persistent pain in left upper arm.  Several weeks after administration and following very vigorous physical exercise sharp exacerbation in pain.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Condition aggravated, Joint range of motion decreased, Joint swelling, Oedema peripheral
Clinical narrative: This form is being completed by parent who is a physician. 16 yo female with 2 y h/o JRA, stable on 20 mg piroxicam q day.  H/O only 3 mild flares.  Pt received 3 vaccines at regular healthy child visit on 8/23/07: first dose ever of MCV4, Hep A, and HPV.  On 11/13/07 she received 2nd dose of HPV. In mid December (specific time to onset unknown) she developed multiple, scattered, small painful pustules on her toes filled with clear liquid and two swollen and painful toes. Over the following weeks her wrists, multiple toes and joints of her fingers swelled and became quite painful with reduced range of motion. She visited her pediatric rheumatologist for a regularly scheduled visit on Jan 2. "low dose" Methotrexate q week and folic acid were initiated. Little improvement in symptoms at this time.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Pain in extremity, Rash pustular
Clinical narrative: This form is being completed by parent who is a physician. 16 yo female with 2 y h/o JRA, stable on 20 mg piroxicam q day.  H/O only 3 mild flares.  Pt received 3 vaccines at regular healthy child visit on 8/23/07: first dose ever of MCV4, Hep A, and HPV.  On 11/13/07 she received 2nd dose of HPV. In mid December (specific time to onset unknown) she developed multiple, scattered, small painful pustules on her toes filled with clear liquid and two swollen and painful toes. Over the following weeks her wrists, multiple toes and joints of her fingers swelled and became quite painful with reduced range of motion. She visited her pediatric rheumatologist for a regularly scheduled visit on Jan 2. "low dose" Methotrexate q week and folic acid were initiated. Little improvement in symptoms at this time.
Age: 0.2
Sex: F
Vaccine: RV5, UNK
Symptoms: Hypotonia, Immediate post-injection reaction, Respiratory arrest
Clinical narrative: Information has been received from a physician concerning a 2 month old female who was vaccinated PO with her first dose of Rotateq.  Concomitant vaccinations included "standard two month old vaccines."  Immediately after vaccination, the patient's body went limp and the patient stopped breathing.  The physician reported that they did not have to resuscitate the patient, and the patient was fine to leave the office that day."  Subsequently the patient recovered.  There was no product quality complaint.  The physician considered the patient's body went limp and stopped breathing to be life-threatening.  Additional information has been requested.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Laboratory test
Clinical narrative: Information has been received from a 24 year old female consumer who on 25-JUL-2007 was vaccinated with her first dose of Gardasil (Lot # 658490/0802U).  On 25-SEP-2007, the patient was vaccinated with her second dose of Gardasil (Lot # 656050/0245U).  On 25-Jan-2008, the patient was vaccinated with her third dose of Gardasil (Lot # 659439/1267U).  There was no concomitant medication.  On an unspecified date, the patient found out she was pregnant (LMP approximately 12-OCT-2007).  The patient had unspecified blood work performed.  On an unspecified date, the patient had to go to the emergency room where she was informed that she had a miscarriage.  No additional information was provided.  Upon internal review, miscarriage was considered to be an other important medical event.  Additional information has been requested.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Dizziness, Loss of consciousness
Clinical narrative: Information has been received from a newspaper article concerning a 24 year old female who in approximately July 2007, was vaccinated with a dose of Gardasil.  Less than a month after receiving Gardasil, the patient blacked out and had a seizure ("or what looked like one").  It was reported that her doctors could not figure out what's wrong.  At the time of reporting, the patient was still blacking out, dizzy all the time and having minor convulsions.  Upon internal review, the patient's seizure was considered an other important medical event.  Additional information is not expected.
Age: 14.0
Sex: F
Vaccine: HPV4, MEN
Symptoms: Convulsion, Immediate post-injection reaction, Syncope
Clinical narrative: Information has been received from a newspaper article concerning a 14 year old "very healthy, athletic" female with no previous reaction to shots who on an unspecified date was vaccinated with Gardasil.  The patient was concomitantly vaccinated with meningococcal vaccine (unspecified).  The patient immediately fainted and had a seizure.  The outcome was unknown.  Upon internal review, the patient's seizure was considered an other important medical event.  Additional information is not expected.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Dizziness, Dyspnoea, Fall, Hyperhidrosis
Clinical narrative: Information has been received from a registered nurse concerning a 17 year old female with a history of an orbital fracture, knee operation, fainting at needles, and no drug allergies, who on 21-JUN-2007 was vaccinated with a first dose of Gardasil.  The patient was vaccinated with a second dose of Gardasil on an unspecified date.  On 21-JAN-2008 the patient was vaccinated intramuscularly with a 0.5 mL third dose of Gardasil (Lot# 659437/1266U).  There was no concomitant medication.  On 21-JAN-2008 the patient had a seizure in the office.  The patient was administered the vaccine in a lying position and was observed for 10 minutes.  When the patient stood to leave, she felt dizzy and was seated back on the exam table.  At that time, the patient fell back onto the table, drew up her arms, clinched her hands in towards her chest and her legs became stiff.  The nurse reported that the patient had demonstrated "dolls eyes".  The patient's pupils were dilated 7-8mm.  The patient was having seizure movements, but not thrashing about.  The patient was unresponsive, but did not lose complete consciousness.  The seizure lasted 3-5 minutes.  After the seizure the patient was "pasty colored" and sweating.  At this time the patient was able to speak, but could not "track" (she could follow the person that was speaking to her).  At this time the patient's breathing was labored but she was not in distress.  The nurse called EMS and the patient was taken to the emergency room for evaluation.  While the patient was being assisted to the litter she again became pale and fell onto the litter.  The patient was not able to follow directions given to her by the EMS.  The patient's head was turned in the opposite direction of people speaking to her.  No laboratory diagnostic studies were performed.  The patient was released home with her mom (a scrub nurse at the hospital she was evaluated at).  The nurse reported that the mother told her that the patient had taken a nap on the previous afternoon and when she woke up her mother allowed her to compete in a basketball game.  The patient recovered on 21-JAN-2008.  No product quality complaint was involved.  Upon internal review the seizure/seizure movements was considered to be an other important medical event.  Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Muscle rigidity, Mydriasis, Pallor, Unresponsive to stimuli, Vision blurred
Clinical narrative: Information has been received from a registered nurse concerning a 17 year old female with a history of an orbital fracture, knee operation, fainting at needles, and no drug allergies, who on 21-JUN-2007 was vaccinated with a first dose of Gardasil.  The patient was vaccinated with a second dose of Gardasil on an unspecified date.  On 21-JAN-2008 the patient was vaccinated intramuscularly with a 0.5 mL third dose of Gardasil (Lot# 659437/1266U).  There was no concomitant medication.  On 21-JAN-2008 the patient had a seizure in the office.  The patient was administered the vaccine in a lying position and was observed for 10 minutes.  When the patient stood to leave, she felt dizzy and was seated back on the exam table.  At that time, the patient fell back onto the table, drew up her arms, clinched her hands in towards her chest and her legs became stiff.  The nurse reported that the patient had demonstrated "dolls eyes".  The patient's pupils were dilated 7-8mm.  The patient was having seizure movements, but not thrashing about.  The patient was unresponsive, but did not lose complete consciousness.  The seizure lasted 3-5 minutes.  After the seizure the patient was "pasty colored" and sweating.  At this time the patient was able to speak, but could not "track" (she could follow the person that was speaking to her).  At this time the patient's breathing was labored but she was not in distress.  The nurse called EMS and the patient was taken to the emergency room for evaluation.  While the patient was being assisted to the litter she again became pale and fell onto the litter.  The patient was not able to follow directions given to her by the EMS.  The patient's head was turned in the opposite direction of people speaking to her.  No laboratory diagnostic studies were performed.  The patient was released home with her mom (a scrub nurse at the hospital she was evaluated at).  The nurse reported that the mother told her that the patient had taken a nap on the previous afternoon and when she woke up her mother allowed her to compete in a basketball game.  The patient recovered on 21-JAN-2008.  No product quality complaint was involved.  Upon internal review the seizure/seizure movements was considered to be an other important medical event.  Additional information has been requested.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Allergy to vaccine, Anaphylactic reaction, Dyspnoea, Flushing, Hypersensitivity
Clinical narrative: Information has been received from FDA (VAERS #286767) concerning a 4-year-old female with a history of hand syndactyly who on 30-JUL-2007 was vaccinated with the first SC dose in the right arm of MMR. Concomitant vaccines administered on that same day included a dose of diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid and a dose of poliovirus vaccine inactivated (unspecified). There was no other concomitant drug therapy or illness at the time of vaccination. On 30-JUL-2007, within 10 minutes of being vaccinated, the patient experienced an allergy to the vaccine, an anaphylactic reaction, dyspnea, flushing, hypersensitivity, rhinorrhea, sneezing, swelling face, tachycardia, throat tightness ("throat closing") and vomiting (mucous emesis). The patient was taken to the Emergency Department (ED) where she was treated with epinephrine, BENADRYL and SOLU-MEDROL. NO laboratory/diagnostic tests were performed. The patient as discharged to home from the ED and subsequently recovered. The patient's events were considered to be life-threatening. This is an amended report. (rHA) was added to MMR throughout the narrative. No further information is available.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Rhinorrhoea, Sneezing, Swelling face, Tachycardia, Throat tightness
Clinical narrative: Information has been received from FDA (VAERS #286767) concerning a 4-year-old female with a history of hand syndactyly who on 30-JUL-2007 was vaccinated with the first SC dose in the right arm of MMR. Concomitant vaccines administered on that same day included a dose of diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid and a dose of poliovirus vaccine inactivated (unspecified). There was no other concomitant drug therapy or illness at the time of vaccination. On 30-JUL-2007, within 10 minutes of being vaccinated, the patient experienced an allergy to the vaccine, an anaphylactic reaction, dyspnea, flushing, hypersensitivity, rhinorrhea, sneezing, swelling face, tachycardia, throat tightness ("throat closing") and vomiting (mucous emesis). The patient was taken to the Emergency Department (ED) where she was treated with epinephrine, BENADRYL and SOLU-MEDROL. NO laboratory/diagnostic tests were performed. The patient as discharged to home from the ED and subsequently recovered. The patient's events were considered to be life-threatening. This is an amended report. (rHA) was added to MMR throughout the narrative. No further information is available.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Vomiting
Clinical narrative: Information has been received from FDA (VAERS #286767) concerning a 4-year-old female with a history of hand syndactyly who on 30-JUL-2007 was vaccinated with the first SC dose in the right arm of MMR. Concomitant vaccines administered on that same day included a dose of diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid and a dose of poliovirus vaccine inactivated (unspecified). There was no other concomitant drug therapy or illness at the time of vaccination. On 30-JUL-2007, within 10 minutes of being vaccinated, the patient experienced an allergy to the vaccine, an anaphylactic reaction, dyspnea, flushing, hypersensitivity, rhinorrhea, sneezing, swelling face, tachycardia, throat tightness ("throat closing") and vomiting (mucous emesis). The patient was taken to the Emergency Department (ED) where she was treated with epinephrine, BENADRYL and SOLU-MEDROL. NO laboratory/diagnostic tests were performed. The patient as discharged to home from the ED and subsequently recovered. The patient's events were considered to be life-threatening. This is an amended report. (rHA) was added to MMR throughout the narrative. No further information is available.
Age: 92.0
Sex: M
Vaccine: VARZOS
Symptoms: Acute leukaemia, Dyspnoea, Full blood count abnormal
Clinical narrative: Information has been received from a physician concerning a 92 year old male with chronic arterial disease, hypertension, high cholesterol and asthma who on 16-MAR-2007 was vaccinated with a single dose of Zostavax. On approximately 12-JAN-2008 the patient experienced had trouble breathing, so the patient had complete blood count test done, but the results were in the normal limits. On 26-JAN-2008 the patient was still having trouble breathing, so he had gone to the ER and there they had done another CBC test and the patient was diagnosed with acute leukemia. The patient was admitted through the ER and the patient was still in the hospital. Unspecified medical attention was sought. A product quality complaint was not involved. The reporter considered patient's experience as immediately life-threatening and disabling. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Blood glucose, Convulsion, Electrocardiogram, Metabolic function test
Clinical narrative: Seizure like episode lasting approx 10 seconds. 2/14/08-records received for DOS 1/22/08- Became light-headed after vaccination, eye began rolling back, unresponsive to voice. Began jerking movements of right and left arm and head. Post ictal state. 5/27/08-DC Summary received for DOS 1/22-1/23/08-DC DX: Reaction to HPV vaccine. Light headed few seconds after vaccination.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Convulsion, Syncope
Clinical narrative: Seizure like episode lasting approx 10 seconds. 2/14/08-records received for DOS 1/22/08- Became light-headed after vaccination, eye began rolling back, unresponsive to voice. Began jerking movements of right and left arm and head. Post ictal state. 5/27/08-DC Summary received for DOS 1/22-1/23/08-DC DX: Reaction to HPV vaccine. Light headed few seconds after vaccination.
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Antinuclear antibody, Borrelia burgdorferi serology negative, Brachial plexopathy, Chest X-ray, Electrophoresis protein normal
Clinical narrative: Development of right brachial plexitis.  Injection given 10/24/2007.  Symptoms developed ~ 1 wk later.  Neuropathic pain nonresponsive to treatment.  Empiric course of high dose steroids ~ 3-4 wks after onset.  EEG & NCS confirm brachial plexitis.  Pt seen by neurology, no history of trauma.  Continuing pain but improving.  03/10/2008 Consult letter dated 12/4/07 received from PCP with DX: Probable Right Brachial Neuritis. Pt reported significant aching in R arm following DPT in August 2007.  Pt then received Flu shot in L arm on 10/24/07.  Following this pt developed severe R arm pain, immobilizing the arm to minimize it. ROM intact. Fasciculations noted in the region of the tricep.  Sleep disrupted 2' to pain. PE WNL except decreased pinprick in the distribution of the R axillary nerve and 1+ DTRs at the R biceps and brachioradialis. 03/11/2008 MR received from neuro consult (see above) 12/4/07 with c/o R arm pain following flu shot. 1/20/2010 Still with persistent brochial pleats right arm; symptoms are less prominent however.  Persistent pain from brochial plexitis on the right. Expected time to resolve> 6months.
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Full blood count, Nerve conduction studies abnormal, Neuralgia, Red blood cell sedimentation rate normal
Clinical narrative: Development of right brachial plexitis.  Injection given 10/24/2007.  Symptoms developed ~ 1 wk later.  Neuropathic pain nonresponsive to treatment.  Empiric course of high dose steroids ~ 3-4 wks after onset.  EEG & NCS confirm brachial plexitis.  Pt seen by neurology, no history of trauma.  Continuing pain but improving.  03/10/2008 Consult letter dated 12/4/07 received from PCP with DX: Probable Right Brachial Neuritis. Pt reported significant aching in R arm following DPT in August 2007.  Pt then received Flu shot in L arm on 10/24/07.  Following this pt developed severe R arm pain, immobilizing the arm to minimize it. ROM intact. Fasciculations noted in the region of the tricep.  Sleep disrupted 2' to pain. PE WNL except decreased pinprick in the distribution of the R axillary nerve and 1+ DTRs at the R biceps and brachioradialis. 03/11/2008 MR received from neuro consult (see above) 12/4/07 with c/o R arm pain following flu shot. 1/20/2010 Still with persistent brochial pleats right arm; symptoms are less prominent however.  Persistent pain from brochial plexitis on the right. Expected time to resolve> 6months.
Age: 1.0
Sex: F
Vaccine: DTAP, FLU3, IPV, PNC
Symptoms: Body temperature increased, Hypersomnia
Clinical narrative: Temperature.  Tylenol did not help.  About 2 days later went to ER and in there thought high temperature from flu shot.  No other symptoms noted.  Child slept a lot over next few days.  Ran 104 temp approximately 4 days later.
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Hypersomnia, Pyrexia
Clinical narrative: Started running fever 4-5 hrs after flu shot administered.  On about day 2 went to ER & Dr there thought fever related to flu shot.  No other s/s noted.  Child slept a lot of next few days.  Ran 104 temp x4 days total.
Age: 48.0
Sex: F
Vaccine: HEP
Symptoms: Rash
Clinical narrative: 5-6 hrs after the vaccine (that evening) patient noted a "light, smooth" faint rash on stomach & back (from shoulders to hips), no itching, no hot, no other symptoms.  Resolved by morning.  Pt didn't come in to be seen by provider.
Age: 14.0
Sex: F
Vaccine: DTAP
Symptoms: Unevaluable event, Wrong drug administered
Clinical narrative: DTaP given instead of Tdap.
Age: 24.0
Sex: F
Vaccine: HPVX
Symptoms: Injection site mass
Clinical narrative: One month after having the HPV (Gardasil) vaccine administered at her doctor's office at home she developed a raised mass at the site (Left upper arm) 2.5 cm in diameter round. She was treated with warm compresses and Keflex 500 mg 4 times daily for 10 days.
Age: 18.0
Sex: M
Vaccine: MMR, MNQ, PPV, MNQ
Symptoms: CSF culture positive, CSF white blood cell count increased, Gram stain, Meningitis meningococcal
Clinical narrative: Patient vaccinated on 8/29/07 with Menactra.  Was admitted facility with severe meningococcal meningitis on 1/28/08.  Serogroup Y by public health lab.  Patient recovering well.  He is currently under my care I contacted Sanofi Pasteur about the case and they requested that I submit a VAERS. 3/24/08-records received for DOS 1/29-2/4/08-DC DX: Bacterial Meningitis, Neisseria Meningitidis. Presented with 2 day C/O fever, and not feeling well, 2 days of emesis with concurrent loose stools. Headache with neck stiffness and cough productive of green sputum with dry sore throat. Photophobia. Bilateral joint pain to upper and lower extremities. Temp 103, tachycardic.
Age: 18.0
Sex: M
Vaccine: MMR, MNQ, PPV, MNQ
Symptoms: CSF culture positive, CSF white blood cell count increased, Gram stain positive, Meningitis meningococcal
Clinical narrative: Patient vaccinated on 8/29/07 with Menactra.  Was admitted facility with severe meningococcal meningitis on 1/28/08.  Serogroup Y by public health lab.  Patient recovering well.  He is currently under my care I contacted Sanofi Pasteur about the case and they requested that I submit a VAERS. 3/24/08-records received for DOS 1/29-2/4/08-DC DX: Bacterial Meningitis, Neisseria Meningitidis. Presented with 2 day C/O fever, and not feeling well, 2 days of emesis with concurrent loose stools. Headache with neck stiffness and cough productive of green sputum with dry sore throat. Photophobia. Bilateral joint pain to upper and lower extremities. Temp 103, tachycardic.
Age: 47.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Burning sensation, Musculoskeletal pain
Clinical narrative: Received Tdap vaccine on 12/10/07 in right deltoid has had burning, painful sensation since receiving vaccine to right shoulder.
Age: 1.71
Sex: F
Vaccine: DTAP, DTPHIB, MMRV
Symptoms: Chest X-ray normal, Cough, Cyanosis, Febrile convulsion, Full blood count normal
Clinical narrative: Fever ~ 6 hours post-vaccination.  The fever continued the following day (1/16) with vomiting that morning & at ~ noon she was fine and 5 minutes later she was found blue, not breathing, unresponsive, rigid, head back, and eyes rolled back.  Oxygen was given right away and she was transported to the ER.  Upon arrival she was breathing and responsive.  Fever at ER was 101.5.  Chest x-ray was normal, blood work - CBC chemistry was normal, urinalysis was normal, eyes, ears, throat were all clear and normal some nasal congestion and cough. Red raised area on left leg at vaccine injection site ~ the size of half dollar. Diagnosis - febrile seizure and viral syndrome.  Hospitalized until late evening 1/17/08.  Given IV fluids, IV antibiotics, oral antibiotics and Tylenol/Motrin.  Continual fever until late 1/19/08.  Doc paperwork states she received DT DTP DTaP1 & Hib 4 as one shot (witnessed the shots) manufacture GSK Left leg and Rt leg was one shot MMR Varicella - Merck. 2/11/08-records received for DOS 1/16-1/17/08-DC DX: Viral syndrome. Sudden onset of symptoms, coll pale skin, had been running a fever at home. Temp in ER 101.5. Observed overnight.
Age: 1.71
Sex: F
Vaccine: DTAP, DTPHIB, MMRV
Symptoms: Gaze palsy, Injection site erythema, Injection site swelling, Laboratory test normal, Muscle rigidity
Clinical narrative: Fever ~ 6 hours post-vaccination.  The fever continued the following day (1/16) with vomiting that morning & at ~ noon she was fine and 5 minutes later she was found blue, not breathing, unresponsive, rigid, head back, and eyes rolled back.  Oxygen was given right away and she was transported to the ER.  Upon arrival she was breathing and responsive.  Fever at ER was 101.5.  Chest x-ray was normal, blood work - CBC chemistry was normal, urinalysis was normal, eyes, ears, throat were all clear and normal some nasal congestion and cough. Red raised area on left leg at vaccine injection site ~ the size of half dollar. Diagnosis - febrile seizure and viral syndrome.  Hospitalized until late evening 1/17/08.  Given IV fluids, IV antibiotics, oral antibiotics and Tylenol/Motrin.  Continual fever until late 1/19/08.  Doc paperwork states she received DT DTP DTaP1 & Hib 4 as one shot (witnessed the shots) manufacture GSK Left leg and Rt leg was one shot MMR Varicella - Merck. 2/11/08-records received for DOS 1/16-1/17/08-DC DX: Viral syndrome. Sudden onset of symptoms, coll pale skin, had been running a fever at home. Temp in ER 101.5. Observed overnight.
Age: 1.71
Sex: F
Vaccine: DTAP, DTPHIB, MMRV
Symptoms: Musculoskeletal stiffness, Nasal congestion, Oxygen supplementation, Pyrexia, Respiratory arrest
Clinical narrative: Fever ~ 6 hours post-vaccination.  The fever continued the following day (1/16) with vomiting that morning & at ~ noon she was fine and 5 minutes later she was found blue, not breathing, unresponsive, rigid, head back, and eyes rolled back.  Oxygen was given right away and she was transported to the ER.  Upon arrival she was breathing and responsive.  Fever at ER was 101.5.  Chest x-ray was normal, blood work - CBC chemistry was normal, urinalysis was normal, eyes, ears, throat were all clear and normal some nasal congestion and cough. Red raised area on left leg at vaccine injection site ~ the size of half dollar. Diagnosis - febrile seizure and viral syndrome.  Hospitalized until late evening 1/17/08.  Given IV fluids, IV antibiotics, oral antibiotics and Tylenol/Motrin.  Continual fever until late 1/19/08.  Doc paperwork states she received DT DTP DTaP1 & Hib 4 as one shot (witnessed the shots) manufacture GSK Left leg and Rt leg was one shot MMR Varicella - Merck. 2/11/08-records received for DOS 1/16-1/17/08-DC DX: Viral syndrome. Sudden onset of symptoms, coll pale skin, had been running a fever at home. Temp in ER 101.5. Observed overnight.
Age: 1.71
Sex: F
Vaccine: DTAP, DTPHIB, MMRV
Symptoms: Skin discolouration, Unresponsive to stimuli, Urine analysis normal, Viral infection, Vomiting
Clinical narrative: Fever ~ 6 hours post-vaccination.  The fever continued the following day (1/16) with vomiting that morning & at ~ noon she was fine and 5 minutes later she was found blue, not breathing, unresponsive, rigid, head back, and eyes rolled back.  Oxygen was given right away and she was transported to the ER.  Upon arrival she was breathing and responsive.  Fever at ER was 101.5.  Chest x-ray was normal, blood work - CBC chemistry was normal, urinalysis was normal, eyes, ears, throat were all clear and normal some nasal congestion and cough. Red raised area on left leg at vaccine injection site ~ the size of half dollar. Diagnosis - febrile seizure and viral syndrome.  Hospitalized until late evening 1/17/08.  Given IV fluids, IV antibiotics, oral antibiotics and Tylenol/Motrin.  Continual fever until late 1/19/08.  Doc paperwork states she received DT DTP DTaP1 & Hib 4 as one shot (witnessed the shots) manufacture GSK Left leg and Rt leg was one shot MMR Varicella - Merck. 2/11/08-records received for DOS 1/16-1/17/08-DC DX: Viral syndrome. Sudden onset of symptoms, coll pale skin, had been running a fever at home. Temp in ER 101.5. Observed overnight.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Diarrhoea, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: RED, HOT, SWOLLEN, AND TENDER INSERTION SITE. DIARRHEA AND VOMITING. OCCURRED 12 HOURS AFTER IMMUNIZATION. KEFLEX 750MG QID. IBUPROFEN. PHENERGAN QID PRN. IMMODIUM PRN. NO MILK PRODUCTS OR CAFFEINE FOR A COUPLE DAYS. ICE OK, ALT WITH HEAT.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Vomiting
Clinical narrative: RED, HOT, SWOLLEN, AND TENDER INSERTION SITE. DIARRHEA AND VOMITING. OCCURRED 12 HOURS AFTER IMMUNIZATION. KEFLEX 750MG QID. IBUPROFEN. PHENERGAN QID PRN. IMMODIUM PRN. NO MILK PRODUCTS OR CAFFEINE FOR A COUPLE DAYS. ICE OK, ALT WITH HEAT.
Age: 24.0
Sex: F
Vaccine: ANTH
Symptoms: Cellulitis
Clinical narrative: Localized cellulitis.
Age: 47.0
Sex: F
Vaccine: MMR
Symptoms: Blood pressure increased, Chest pain, Feeling hot, Hypoaesthesia oral, Laboratory test normal
Clinical narrative: On 1-23-2008 employee was given first dose of the MMR vaccine at 8:20am she stayed in this office until 8:50am for routine observation. At 9:00 am she started feeling numbness, swelling and tingling in her lips and tongue after returning to her job. She then c/o of sharp chest pain in right side of chest and that it also felt hot. B/P was elevated. She was taken to emergency room for further evaluation at 12:00 noon. (she did not want to go to er prior) patient was kept for several hours in the er and monitored for any cardiac problems all test for negative and dx chest pain "uncertain cause". She was seen here on 1-24-08 for follow up a rash had developed over chest, back, neck. She was taking Benadryl otc. Dr. saw her on 1/24/08 gave her prescription for Sterapred #6. I spoke with employee on 1-25-08 and 1-28-08 she was doing fine rash had gone no swelling or itching or chest pain.  She has declined to take the second dose of MMR.
Age: 47.0
Sex: F
Vaccine: MMR
Symptoms: Lip swelling, Paraesthesia oral, Rash
Clinical narrative: On 1-23-2008 employee was given first dose of the MMR vaccine at 8:20am she stayed in this office until 8:50am for routine observation. At 9:00 am she started feeling numbness, swelling and tingling in her lips and tongue after returning to her job. She then c/o of sharp chest pain in right side of chest and that it also felt hot. B/P was elevated. She was taken to emergency room for further evaluation at 12:00 noon. (she did not want to go to er prior) patient was kept for several hours in the er and monitored for any cardiac problems all test for negative and dx chest pain "uncertain cause". She was seen here on 1-24-08 for follow up a rash had developed over chest, back, neck. She was taking Benadryl otc. Dr. saw her on 1/24/08 gave her prescription for Sterapred #6. I spoke with employee on 1-25-08 and 1-28-08 she was doing fine rash had gone no swelling or itching or chest pain.  She has declined to take the second dose of MMR.
Age: 11.0
Sex: M
Vaccine: DTAP
Symptoms: Inappropriate schedule of drug administration, Wrong drug administered
Clinical narrative: The patient was give a dose of DTaP instead of Tdap.
Age: 11.0
Sex: M
Vaccine: DTAP
Symptoms: Inappropriate schedule of drug administration, Wrong drug administered
Clinical narrative: Pt was give DTaP instead of Dtap.
Age: 29.0
Sex: F
Vaccine: MMR, TTOX
Symptoms: Drug exposure during pregnancy, Pregnancy test positive
Clinical narrative: No adverse event yet. Patient did not think she was pregnant and a urine pregnancy test was negative at the date of service. Patient called our office on 02/04/08 stated she had a positive test.
Age: 15.0
Sex: F
Vaccine: DTAP
Symptoms: Inappropriate schedule of drug administration, Wrong drug administered
Clinical narrative: Pt was given DTaP instead of Tdap.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Influenza, Myalgia
Clinical narrative: Pt. states she developed flu type symptoms the day of first vaccine. (joint and muscle pain, etc.)
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Arthralgia, Blood creatine phosphokinase normal, Chills, Full blood count normal, Influenza serology negative
Clinical narrative: Pain at the site of injection on the day of administration. Fever spike to 100 with chills, body aches and joint pains for 2 days.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site pain, Laboratory test normal, Pain, Pyrexia, Urine analysis normal
Clinical narrative: Pain at the site of injection on the day of administration. Fever spike to 100 with chills, body aches and joint pains for 2 days.
Age: 67.0
Sex: F
Vaccine: HEPA, IPV
Symptoms: Accidental exposure
Clinical narrative: Patient was accidentally splashed in the right eye with a minute amount of hepatitis A vaccine while the medical assistant was removing a bubble from the syringe. The patient's right contact was removed and her right eye received a 15 minute rinse with sterile saline. The physician was contacted. The data safety sheet was reviewed. GSK was contacted as well. This dose not given in arm. A new syringe of Hep A was given in the right arm.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Irritability, Torticollis, Vomiting
Clinical narrative: Pt has had vomiting, loose stools and increased fussiness with torticollis since 2 mo vaccines.
Age: 0.32
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Activated partial thromboplastin time shortened, Blood urine present, Contusion, Haematochezia, Idiopathic thrombocytopenic purpura
Clinical narrative: Patient received 4 month immunizations on 1/18/08. Over weekend, parents noticed streaks of blood in diaper which worsened 1/22/08 am. Patient went to ER for evaluation. Petechia and bruising were noted in ER. Platelet count was zero. Patient was transferred to tertiary care center PICU and idiopathic thrombocytopenic purpura was diagnosed. Patient received IVIG, steroids and platelet transfusion.  02/12/2008 MR received for DOS01/22-25/2008 with DX: ITP likely viral/immunization related.  Infant presented with  bloody stools and petechiae/bruising noted on extremities. (+) epistaxis. On PE infant noted to be pale with numerous petechiae. TXd with platelet transfusion, IVIG, and steroids. Peds Hemotolgy impression:  Probable Immune Thrombocytopenia
Age: 0.32
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Intensive care, International normalised ratio, Petechiae, Platelet count decreased, Urine analysis abnormal
Clinical narrative: Patient received 4 month immunizations on 1/18/08. Over weekend, parents noticed streaks of blood in diaper which worsened 1/22/08 am. Patient went to ER for evaluation. Petechia and bruising were noted in ER. Platelet count was zero. Patient was transferred to tertiary care center PICU and idiopathic thrombocytopenic purpura was diagnosed. Patient received IVIG, steroids and platelet transfusion.  02/12/2008 MR received for DOS01/22-25/2008 with DX: ITP likely viral/immunization related.  Infant presented with  bloody stools and petechiae/bruising noted on extremities. (+) epistaxis. On PE infant noted to be pale with numerous petechiae. TXd with platelet transfusion, IVIG, and steroids. Peds Hemotolgy impression:  Probable Immune Thrombocytopenia
Age: 0.32
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: White blood cell count increased
Clinical narrative: Patient received 4 month immunizations on 1/18/08. Over weekend, parents noticed streaks of blood in diaper which worsened 1/22/08 am. Patient went to ER for evaluation. Petechia and bruising were noted in ER. Platelet count was zero. Patient was transferred to tertiary care center PICU and idiopathic thrombocytopenic purpura was diagnosed. Patient received IVIG, steroids and platelet transfusion.  02/12/2008 MR received for DOS01/22-25/2008 with DX: ITP likely viral/immunization related.  Infant presented with  bloody stools and petechiae/bruising noted on extremities. (+) epistaxis. On PE infant noted to be pale with numerous petechiae. TXd with platelet transfusion, IVIG, and steroids. Peds Hemotolgy impression:  Probable Immune Thrombocytopenia
Age: 0.32
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Contusion, Epistaxis, Haematochezia, Idiopathic thrombocytopenic purpura, Immunoglobulins
Clinical narrative: Patient received 4 month immunizations on 1/18/08. Over weekend, parents noticed streaks of blood in diaper which worsened 1/22/08 am. Patient went to ER for evaluation. Petechia and bruising were noted in ER. Platelet count was zero. Patient was transferred to tertiary care center PICU and idiopathic thrombocytopenic purpura was diagnosed. Patient received IVIG, steroids and platelet transfusion.  02/12/2008 MR received for DOS01/22-25/2008 with DX: ITP likely viral/immunization related.  Infant presented with  bloody stools and petechiae/bruising noted on extremities. (+) epistaxis. On PE infant noted to be pale with numerous petechiae. TXd with platelet transfusion, IVIG, and steroids. Peds Hemotolgy impression:  Probable Immune Thrombocytopenia
Age: 0.32
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Intensive care, Petechiae, Platelet count decreased, Transfusion
Clinical narrative: Patient received 4 month immunizations on 1/18/08. Over weekend, parents noticed streaks of blood in diaper which worsened 1/22/08 am. Patient went to ER for evaluation. Petechia and bruising were noted in ER. Platelet count was zero. Patient was transferred to tertiary care center PICU and idiopathic thrombocytopenic purpura was diagnosed. Patient received IVIG, steroids and platelet transfusion.  02/12/2008 MR received for DOS01/22-25/2008 with DX: ITP likely viral/immunization related.  Infant presented with  bloody stools and petechiae/bruising noted on extremities. (+) epistaxis. On PE infant noted to be pale with numerous petechiae. TXd with platelet transfusion, IVIG, and steroids. Peds Hemotolgy impression:  Probable Immune Thrombocytopenia
Age: 0.32
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Contusion, Epistaxis, Haematochezia, Idiopathic thrombocytopenic purpura, Petechiae
Clinical narrative: Patient received 4 month immunizations on 1/18/08. Over weekend, parents noticed streaks of blood in diaper which worsened 1/22/08 am. Patient went to ER for evaluation. Petechia and bruising were noted in ER. Platelet count was zero. Patient was transferred to tertiary care center PICU and idiopathic thrombocytopenic purpura was diagnosed. Patient received IVIG, steroids and platelet transfusion.  02/12/2008 MR received for DOS01/22-25/2008 with DX: ITP likely viral/immunization related.  Infant presented with  bloody stools and petechiae/bruising noted on extremities. (+) epistaxis. On PE infant noted to be pale with numerous petechiae. TXd with platelet transfusion, IVIG, and steroids. Peds Hemotolgy impression:  Probable Immune Thrombocytopenia
Age: 0.32
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Platelet count decreased
Clinical narrative: Patient received 4 month immunizations on 1/18/08. Over weekend, parents noticed streaks of blood in diaper which worsened 1/22/08 am. Patient went to ER for evaluation. Petechia and bruising were noted in ER. Platelet count was zero. Patient was transferred to tertiary care center PICU and idiopathic thrombocytopenic purpura was diagnosed. Patient received IVIG, steroids and platelet transfusion.  02/12/2008 MR received for DOS01/22-25/2008 with DX: ITP likely viral/immunization related.  Infant presented with  bloody stools and petechiae/bruising noted on extremities. (+) epistaxis. On PE infant noted to be pale with numerous petechiae. TXd with platelet transfusion, IVIG, and steroids. Peds Hemotolgy impression:  Probable Immune Thrombocytopenia
Age: 0.32
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Blood urine present, Contusion, Haematocrit, Haemoglobin, Idiopathic thrombocytopenic purpura
Clinical narrative: Patient received 4 month immunizations on 1/18/08. Over weekend, parents noticed streaks of blood in diaper which worsened 1/22/08 am. Patient went to ER for evaluation. Petechia and bruising were noted in ER. Platelet count was zero. Patient was transferred to tertiary care center PICU and idiopathic thrombocytopenic purpura was diagnosed. Patient received IVIG, steroids and platelet transfusion.  02/12/2008 MR received for DOS01/22-25/2008 with DX: ITP likely viral/immunization related.  Infant presented with  bloody stools and petechiae/bruising noted on extremities. (+) epistaxis. On PE infant noted to be pale with numerous petechiae. TXd with platelet transfusion, IVIG, and steroids. Peds Hemotolgy impression:  Probable Immune Thrombocytopenia
Age: 0.32
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Immunoglobulins, Intensive care, International normalised ratio, Petechiae, Platelet count decreased
Clinical narrative: Patient received 4 month immunizations on 1/18/08. Over weekend, parents noticed streaks of blood in diaper which worsened 1/22/08 am. Patient went to ER for evaluation. Petechia and bruising were noted in ER. Platelet count was zero. Patient was transferred to tertiary care center PICU and idiopathic thrombocytopenic purpura was diagnosed. Patient received IVIG, steroids and platelet transfusion.  02/12/2008 MR received for DOS01/22-25/2008 with DX: ITP likely viral/immunization related.  Infant presented with  bloody stools and petechiae/bruising noted on extremities. (+) epistaxis. On PE infant noted to be pale with numerous petechiae. TXd with platelet transfusion, IVIG, and steroids. Peds Hemotolgy impression:  Probable Immune Thrombocytopenia
Age: 0.32
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Prothrombin time, Red blood cells urine positive, Respiratory tract congestion, Transfusion, Urine analysis abnormal
Clinical narrative: Patient received 4 month immunizations on 1/18/08. Over weekend, parents noticed streaks of blood in diaper which worsened 1/22/08 am. Patient went to ER for evaluation. Petechia and bruising were noted in ER. Platelet count was zero. Patient was transferred to tertiary care center PICU and idiopathic thrombocytopenic purpura was diagnosed. Patient received IVIG, steroids and platelet transfusion.  02/12/2008 MR received for DOS01/22-25/2008 with DX: ITP likely viral/immunization related.  Infant presented with  bloody stools and petechiae/bruising noted on extremities. (+) epistaxis. On PE infant noted to be pale with numerous petechiae. TXd with platelet transfusion, IVIG, and steroids. Peds Hemotolgy impression:  Probable Immune Thrombocytopenia
Age: 0.32
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: White blood cell count
Clinical narrative: Patient received 4 month immunizations on 1/18/08. Over weekend, parents noticed streaks of blood in diaper which worsened 1/22/08 am. Patient went to ER for evaluation. Petechia and bruising were noted in ER. Platelet count was zero. Patient was transferred to tertiary care center PICU and idiopathic thrombocytopenic purpura was diagnosed. Patient received IVIG, steroids and platelet transfusion.  02/12/2008 MR received for DOS01/22-25/2008 with DX: ITP likely viral/immunization related.  Infant presented with  bloody stools and petechiae/bruising noted on extremities. (+) epistaxis. On PE infant noted to be pale with numerous petechiae. TXd with platelet transfusion, IVIG, and steroids. Peds Hemotolgy impression:  Probable Immune Thrombocytopenia
Age: 1.4
Sex: F
Vaccine: DTAPHEPBIP, MMR, VARCEL
Symptoms: Body temperature increased, Computerised tomogram, Crying, Pyrexia, Sepsis
Clinical narrative: This case was reported by a physician via a sales representative and described the occurrence of possible sepsis in a 14-month-old female subject who was vaccinated with Pediarix, MMR and Varicella for prophylaxis.  In January 2008 the subject received unspecified dose of Pediarix (.5 ml, unknown), unspecified dose of MMR vaccine (unknown) and unspecified dose of Varicella vaccine (unknown).  In January 2008, 1 day after vaccination with Pediarix, MMR vaccine and Varicella vaccine, the subject experienced fever of 104 degrees Fahrenheit and inconsolable crying.  The subject was taken to the emergency room where she received a full septic work up and a CAT scan.  No results were provided.  Five days following vaccinations, the fever and inconsolably crying persisted and the subject was taken to an urgent care facility.  This case was assessed as medically serious.  At the time of reporting the outcome of the events were unspecified.
Age: 1.0
Sex: M
Vaccine: PNC
Symptoms: Blood culture positive, Streptococcal identification test positive, Tonsillitis
Clinical narrative: Patient was fully immunized and became ill w/ invasive Strept pneumoniae bacteremia.  Hospitalized 1/28/08-2/1/08 w/ severe tonsillitis and bacteremia.  Still recovering at home with PICC line and IV Rocephin x14 days. 2/12/08-records received for DOS 1/28-2/1/08-DC DX: Severe tonsillitis with strep pneumococcus on blood culture. Admitted with severe tonsillitis, high fever and dehydration. Ill for several days with high fever.
Age: 1.5
Sex: M
Vaccine: DTAPHEPBIP, FLU3
Symptoms: Echocardiogram abnormal, Ejection fraction decreased, Intensive care, Intubation, Myocarditis
Clinical narrative: Myocarditis leading to pulmonary edema, respiratory distress and needing intubation. Admission to PICU for 7 days. Initial treatment with Ceftriaxone, Niburone drip. Now on Captopril and Lasix.  02/19/2008 MR received for DOS 1/22-31/2008 with D/C DX:  Acute Myocarditis.  Acute Pancreatitis.  Child presented with 2-3 day hx of fever, cough, and increased WOB. Pt had vomited x 2.  Pt developed worsening respiratory distress with tachypnea and wheezing despite albuterol nebs and Prelone. Upon arrival in ED pt had an O2 sat of 70% on RA and significant retractions. Breath sounds were diminished on the R with bilateral rales. Pt was intubated due to worsening status. Admitted for ? status asthamticus with respiratory failure.  Cardiac consult with DX of myocarditis and later pancreatitis.  Feeding tube inserted. TXd with Milrinone with improvement in LV fxn and Actigall for gallbladder sludge.  Amylase and lipase had stablized by d/c. Stable or RA following extubation.
Age: 1.5
Sex: M
Vaccine: DTAPHEPBIP, FLU3
Symptoms: Pulmonary oedema, Respiratory distress
Clinical narrative: Myocarditis leading to pulmonary edema, respiratory distress and needing intubation. Admission to PICU for 7 days. Initial treatment with Ceftriaxone, Niburone drip. Now on Captopril and Lasix.  02/19/2008 MR received for DOS 1/22-31/2008 with D/C DX:  Acute Myocarditis.  Acute Pancreatitis.  Child presented with 2-3 day hx of fever, cough, and increased WOB. Pt had vomited x 2.  Pt developed worsening respiratory distress with tachypnea and wheezing despite albuterol nebs and Prelone. Upon arrival in ED pt had an O2 sat of 70% on RA and significant retractions. Breath sounds were diminished on the R with bilateral rales. Pt was intubated due to worsening status. Admitted for ? status asthamticus with respiratory failure.  Cardiac consult with DX of myocarditis and later pancreatitis.  Feeding tube inserted. TXd with Milrinone with improvement in LV fxn and Actigall for gallbladder sludge.  Amylase and lipase had stablized by d/c. Stable or RA following extubation.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Blood culture negative, CSF culture negative, Computerised tomogram normal, Culture urine negative, Electroencephalogram normal
Clinical narrative: Seizure around 4 AM 1-31-08. Fever. Imm. given 1-30-08. 04/28/08-records received for DOS 1/31-2/24/08-DC DX: Febrile seizures. Comples febrile seizures. Left undescended testicle.Presented to ED with  fever 100.4 and seizure that was generalized, tonic-clonic and lasted more than 25 minutes. Intubated and admitted to PICU.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pyrexia, Scan brain
Clinical narrative: Seizure around 4 AM 1-31-08. Fever. Imm. given 1-30-08. 04/28/08-records received for DOS 1/31-2/24/08-DC DX: Febrile seizures. Comples febrile seizures. Left undescended testicle.Presented to ED with  fever 100.4 and seizure that was generalized, tonic-clonic and lasted more than 25 minutes. Intubated and admitted to PICU.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: Vaccine given 12/17/07, developed hives per mom that evening on arms, neck and torso. Given antihistamine with resolution of symptoms.