chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.26
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Hyperaesthesia, Immediate post-injection reaction, Middle insomnia, Oedema peripheral, Pain
Clinical narrative: Patient's legs immediately began to swell, much larger than I had seen swell in his older sister.  The nurse advised me to administer ibuprofen when we got home.  From the time of vaccination, patient screamed a very high pitched scream from 2:00 PM 3/5/07 until midnight -- 10 hours straight.  He flinched at the slightest touch and pain was evident.  I called my doctor's office at approximately 3:30, and the nurse told me to administer more ibuprofen and rub the sites where he received vaccination.  I did not administer more ibuprofen as I was uncomfortable with giving him another dose, but I did rub his legs -- which proved to be completely excruciating for him to endure.  I called my doctor's office again at 5:00, but the office was closed so I called a "Call A Nurse" from the hospital.  She suggested a myriad of ridiculous suggestions from teething to gas.  I tried to nurse him several times but he would not nurse and his screams of pain would turn into gasps for air if I touched him.  At one point, I laid him on the floor and leaned over the top of him to try and nurse him.  He suckled for under a minute and continued crying.  He did not sleep or eat for 10 hours.  At approximately midnight it seemed like he began to have trouble breathing.  Strangely enough, it seemed that this calmed him down, and within a minute his breathing became regular and he fell asleep.  I called the "Ask A Nurse" again and talked to a gentleman that said I let him sleep if he's sleeping and bring him in to the doctor again the following day.  Patient slept for 15-30 minutes at a time during the night, waking up often screaming a scream I had never heard from him before.  In the morning, I called the doctor's office and talked to the nurse.  I told her what had happened since I talk to her last and she said "That sort of reaction happens often.  It might be the Pertussis part of the vaccine because it often gives people trouble.  We'll give him his next round of shots in a couple months, and if this reaction happens again we'll consider taking out the Pertussis."    Patient was not the same baby he was previously to 3/5/07.  He cried often and was inconsolable.  He always seemed like he was in pain.  I discussed my concerns with my doctor and his nurse, and they both assured me it was a normal reaction and that he was not injured or hurt long term.  They both urged me to continue vaccinating him.   Patient's behavior for the next 14 months was... odd.  He was always "touchy" and cried often as if he was always in pain.  I found him many times standing in one spot, hitting his head with his hand.  When he was about 14 months, I found him hitting his head with his hand saying "ow ow ow" with every touch to his head.  My little boy would have been a different person had he not received those vaccinations.   He passed away on 4/10/2008, unrelated to vaccinations.
Age: 0.26
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Self injurious behaviour
Clinical narrative: Patient's legs immediately began to swell, much larger than I had seen swell in his older sister.  The nurse advised me to administer ibuprofen when we got home.  From the time of vaccination, patient screamed a very high pitched scream from 2:00 PM 3/5/07 until midnight -- 10 hours straight.  He flinched at the slightest touch and pain was evident.  I called my doctor's office at approximately 3:30, and the nurse told me to administer more ibuprofen and rub the sites where he received vaccination.  I did not administer more ibuprofen as I was uncomfortable with giving him another dose, but I did rub his legs -- which proved to be completely excruciating for him to endure.  I called my doctor's office again at 5:00, but the office was closed so I called a "Call A Nurse" from the hospital.  She suggested a myriad of ridiculous suggestions from teething to gas.  I tried to nurse him several times but he would not nurse and his screams of pain would turn into gasps for air if I touched him.  At one point, I laid him on the floor and leaned over the top of him to try and nurse him.  He suckled for under a minute and continued crying.  He did not sleep or eat for 10 hours.  At approximately midnight it seemed like he began to have trouble breathing.  Strangely enough, it seemed that this calmed him down, and within a minute his breathing became regular and he fell asleep.  I called the "Ask A Nurse" again and talked to a gentleman that said I let him sleep if he's sleeping and bring him in to the doctor again the following day.  Patient slept for 15-30 minutes at a time during the night, waking up often screaming a scream I had never heard from him before.  In the morning, I called the doctor's office and talked to the nurse.  I told her what had happened since I talk to her last and she said "That sort of reaction happens often.  It might be the Pertussis part of the vaccine because it often gives people trouble.  We'll give him his next round of shots in a couple months, and if this reaction happens again we'll consider taking out the Pertussis."    Patient was not the same baby he was previously to 3/5/07.  He cried often and was inconsolable.  He always seemed like he was in pain.  I discussed my concerns with my doctor and his nurse, and they both assured me it was a normal reaction and that he was not injured or hurt long term.  They both urged me to continue vaccinating him.   Patient's behavior for the next 14 months was... odd.  He was always "touchy" and cried often as if he was always in pain.  I found him many times standing in one spot, hitting his head with his hand.  When he was about 14 months, I found him hitting his head with his hand saying "ow ow ow" with every touch to his head.  My little boy would have been a different person had he not received those vaccinations.   He passed away on 4/10/2008, unrelated to vaccinations.
Age: 1.05
Sex: F
Vaccine: HIBV, IPV, MMR, PER, RVX
Symptoms: Rash, Rash erythematous, Rash generalised, Urticaria, Vomiting
Clinical narrative: 7am - light red rash around mouth and stomach 11am - vomiting, rash spread around body and turned darker red 1pm - rash became hives 4pm - gave 1ml Benadryl 6am following day - hives faded to light red rash
Age: 66.0
Sex: F
Vaccine: HEPA, YF, HEPA, YF
Symptoms: Back pain, Nerve injury, Pain in extremity
Clinical narrative: Started a few days after imms - nerve damage (very painful) in balls of feet & hands & mid back. Better now, but still 4-5 pain scale of 1-10 in hands & feet, 1 - feet.
Age: 66.0
Sex: F
Vaccine: HEPA, YF, HEPA, YF
Symptoms: Adverse event, Back pain, Neck pain, Nerve injury, Pain in extremity
Clinical narrative: Started a few days after imms - nerve damage (very painful) in balls of feet & hands & mid back. Better now, but still 4-5 pain scale of 1-10 in hands & feet, 1 - feet.
Age: 0.53
Sex: F
Vaccine: DTAPIPVHIB, PNC
Symptoms: Endotracheal intubation, Extubation, Meningitis enteroviral, Partial seizures
Clinical narrative: On August 5th AM Pt. admitted for focal seizure. Intubated transferred to Childrens. Extubated diagnosed with enteroviral meningitis. Pt. placed on Phenobarb sent home 8-8-11.
Age: 18.0
Sex: F
Vaccine: TDAP
Symptoms: Blood thyroid stimulating hormone normal, Electrocardiogram normal, Full blood count normal, Metabolic function test normal, Sluggishness
Clinical narrative: Pt was given Tdap walked to lab & had blood drawn - got up to walk back to room - fainted used ammonia to awaken but was still very sluggish, O2 adm. transported to hosp via EMS.
Age: 18.0
Sex: F
Vaccine: TDAP
Symptoms: Syncope
Clinical narrative: Pt was given Tdap walked to lab & had blood drawn - got up to walk back to room - fainted used ammonia to awaken but was still very sluggish, O2 adm. transported to hosp via EMS.
Age: 40.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Borrelia test, VIIth nerve paralysis
Clinical narrative: (R) Bell's Palsy <12 hrs post vaccine on ipsilateral side.
Age: 40.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Borrelia test negative, VIIth nerve paralysis
Clinical narrative: (R) Bell's Palsy <12 hrs post vaccine on ipsilateral side.
Age: 4.0
Sex: U
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Cellulitis, Injection site erythema, Vasculitis
Clinical narrative: Presents today after hours clinic with redness at injection site, early cellulitis/non-septic vasculitis. Immunizations were given on 08/08/2011. Please ask MA for additional questions of PCP Dr.
Age: 14.0
Sex: U
Vaccine: PPV
Symptoms: Cellulitis, Oedema peripheral
Clinical narrative: Swelling at right arm.
Age: 6.0
Sex: U
Vaccine: VARZOS
Symptoms: No adverse event
Clinical narrative: Information has been received from a medical assistant concerning a 6 year old patient who was intended to receive the second dose of VARIVAX (Merck) on 02-JUN-2010, was inadvertently vaccinated SC with a dose of ZOSTAVAX (Merck) (lot # 665514/0145Z). No adverse symptoms were reported. It is unknown if the patient sought medical attention. Additional information has been requested.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Induration, Local reaction, Rash erythematous
Clinical narrative: Information has been received from a consumer concerning his 54 year old wife who on 18-APR-2011 ("yesterday at noon") was vaccinated with a dose of ZOSTAVAX (Merck) (lot # not reported) into left arm. The reporter stated that now ("on 19-APR-2011") the patient had a localized reaction below the injection sit eof her left arm, rash which was raised, red and hard. At the time of reporting, the outcome of the patient was unknown. It was unknown if the patient sought medical attention. This is one of several reports received from the same source. Additional information is not expected.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: Patient came in with an appointment for a rash on 8/3/11. Was diagnosed with varicella. Is taking TYLENOL/MOTRIN prn for temperature. Gave varicella handout. Advised to return to clinic for worsening cough/difficulty breathing. Recommended immunization of other children at home (mom declined).
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Fall
Clinical narrative: While seated after shot, patient fell on his back hit head against the wall (hollow) opened eyes. Immediately after 45 seconds came back.
Age: 17.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Headache, Musculoskeletal stiffness
Clinical narrative: Pt received ADACEL (Tdap) & MENVEO vaccines 8/6/11 at 12:00 PM. On 8/7/11, 3:45 AM pt woke with dizziness, nausea, fever, vomiting, SOB & heavy chest. Went to ER dept. Monday 8/8/11 went to ER again with complaints of stiff neck & massive headache.
Age: 17.0
Sex: M
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Pt received ADACEL (Tdap) & MENVEO vaccines 8/6/11 at 12:00 PM. On 8/7/11, 3:45 AM pt woke with dizziness, nausea, fever, vomiting, SOB & heavy chest. Went to ER dept. Monday 8/8/11 went to ER again with complaints of stiff neck & massive headache.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Feeling hot, Flushing, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Vaccine given on 8/8/11. 8/9/11 she noticed large, red and warm area where she had received her shot. She took some BENADRYL with no relief. She also mentions feeling "flushed all over" or hot. The site continued to grow in size, warmth and tenderness. No throat symptoms or any wheezing or shortness of breath. She came to the clinic, placed on KEFLEX, MEDROL and ZYRTEC. She is to see her PCP in the am.
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB, HEPA, MMR, VARCEL
Symptoms: Dyspnoea, Rhinorrhoea, Sneezing, Urticaria, Wheezing
Clinical narrative: Approx. 10 min post vaccination, while in the lobby, had sudden dyspnea, wheezing, profuse nasal discharge, sneezing. Given EPIPEN Jr, BENADRYL 25 mg, Prednisolone 30 mg po, and an albuterol nebulizer. His respirations improved and wheezing stopped. Developed hives also! Left office 20 min. later improved. PO2 = 99%. To continue BENADRYL 25mg po q 6 hrs x 2 days. Prednisolone 30mg, po qd x 2 days.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Induration, Local reaction
Clinical narrative: 12 x 13 cm induration. Localized reaction right deltoid home medications ADVIL for comfort. Ice area. CLARITIN 10mg 1 po in AM, BENADRYL 50mg 1 po PM, ZANTAC 150mg BID with CLARITIN & BENADRYL.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Fall, Pallor
Clinical narrative: Patient was standing up after vaccination and then turned pale, mom caught patient before she fell and put her up on patient bed feet elevated. BP is 122/90 at 3:27pm. Patient is conscious, Mom states symptoms never occurred in previous vaccinations. Patient advised to lie down a couple of minutes.
Age: 29.0
Sex: M
Vaccine: MMR
Symptoms: Syncope
Clinical narrative: Syncope. Had pt. lay on the floor. Pt. recovered. No injury or other treatment needed.
Age: 0.55
Sex: F
Vaccine: DTAPHEPBIP, PNC13, RV5
Symptoms: Abdominal pain, Diarrhoea haemorrhagic, Intussusception, Vomiting
Clinical narrative: Pt with abd pain and bloody diarrhea after imm and admitted to hosp with above as well as vomiting.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 08/8/11 mom stated after patient received injections and left home (LA) deltoid and (R) arm subcutaneous began to swell with redness. Patient returned for TB reading 8/10/11 and (L) deltoid was red with a diameter of 5mm as well as (R) subcutaneous with a diameter of 2 1/2 mm. Pt was advised to put cold compresses & medication was prescribed.
Age: 62.0
Sex: M
Vaccine: YF
Symptoms: Hypoaesthesia, Middle insomnia, Poor quality sleep
Clinical narrative: "Restless" at night - toss & turn, wake frequently. Both hands intermittently "fall asleep" during night.
Age: 64.0
Sex: F
Vaccine: YF
Symptoms: Erythema, Hypoaesthesia, Local reaction, Middle insomnia, Poor quality sleep
Clinical narrative: "Restless" at night - toss & turn, wake frequently. Both hands intermittently "fall asleep" during night. Also 2" x 1" local reaction red, itchy - resolving.
Age: 64.0
Sex: F
Vaccine: YF
Symptoms: Pruritus
Clinical narrative: "Restless" at night - toss & turn, wake frequently. Both hands intermittently "fall asleep" during night. Also 2" x 1" local reaction red, itchy - resolving.
Age: 0.19
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Pallor, Rash papular
Clinical narrative: Fine papular rash to (B) upper legs anterior only. ? slight blanching. Almost appears like contact vs atopic derm.
Age: 89.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin lesion
Clinical narrative: Pt received ZOSTAVAX vaccination on 8/2/11 at 230pm. She developed a lesion on 8/4/11, above rt. breast. 2nd lesion appeared under rt. arm on 8/5/11. Pt saw MD evening of 8/5/11 & was prescribed acyclovir 800mg, 1 5x/day x 7 days.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR, PNC13
Symptoms: Injection site erythema
Clinical narrative: Mom called our office 8/10/11 in the morning to notify us of patient's site reaction to his PREVNAR #13 reaction. He is presently better. Stated the redness on his arm was baseball-sized for approx 4-5 days. Denied signs, symptoms of infection or streaks. (R) deltoid.            us of patient's site reaction to his PREVNAR #13 reaction. He is presently better. Stated the redness on his arm was baseball-sized for approx 4-5 days. Denies signs, symptoms of infection or streaks (R) deltoid.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness & swelling to injection site.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site oedema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Presented with red swollen site - approximately the size of a silver-dollar. Edema present x5 days, pain x6 days, heat x4 days. Pt self-administered TYLENOL OTC to treat pain and soreness.
Age: 35.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Swollen, red, painful (L) arm. Went to ER twice -> given IV ABX (unknown); now on a 7 day course of clindamycin 300mg QID. Pt. reports diagnosis of cellulitis.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Dizziness, Muscular weakness
Clinical narrative: As pt. left exam room after vaccines, she began feeling dizzy, knees buckled but did not lose consciousness. Placed back on exam table in Trendelenburg, rested supine for a few min. & drank Gatorade. Discharged home in stable condition BP 106/60 at discharge.
Age: 16.0
Sex: M
Vaccine: HEP, HPV4, MNQ, TDAP
Symptoms: Abdominal pain, Chills, Skin warm
Clinical narrative: Morning after vaccination, mom called to report son had awoken chills & felt warm to touch. Also c/o abdo cramping pain. No N, V, D. Advised to give TYLENOL.
Age: 15.0
Sex: M
Vaccine: TDAP
Symptoms: Convulsion
Clinical narrative: Patient fears needles, after shot was given she was happy and thankful. I told her to have a seat for 15-20 min to be monitored per protocol. 5 min later she had a seizure. Mom said no need to call 911 since patient had seizures before and should be fine. I attended patient until recovered and was ready to go home. A follow up call was made and patient was very pleasant and everything was fine. Patient MD was called and notified next day.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Dizziness, Gait disturbance, Headache, Inappropriate affect
Clinical narrative: Headaches, dizziness x 25 minutes associated with laughter and unsteady gait; Gradual improvement over 45 minutes. Released home in 45 minutes.
Age: 11.0
Sex: M
Vaccine: HPV4, MNQ, TDAP
Symptoms: Pallor, Syncope
Clinical narrative: Injections given, pt became faint, pale, resolved after lying down legs elevated, rest, candy given.
Age: 1.29
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Blood test normal, Febrile convulsion, Pyrexia, Rash generalised, Urine analysis normal
Clinical narrative: Fever, in the afternoon. Treatment with Tylenol. Fever continued for two more days. On 8/1/2011 at 8:15pm she had a febrile seizure when fever reached above 104 degrees, and was rushed to ER by rescue. Treated around the clock with Tylenol and Motrin but spiked another high fever that night. On 8/4/11 rash developed all over body. Fever was still present. On 8/8/11 rash finally cleared completely and fevers were gone completely.
Age: 1.29
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Viral test negative
Clinical narrative: Fever, in the afternoon. Treatment with Tylenol. Fever continued for two more days. On 8/1/2011 at 8:15pm she had a febrile seizure when fever reached above 104 degrees, and was rushed to ER by rescue. Treated around the clock with Tylenol and Motrin but spiked another high fever that night. On 8/4/11 rash developed all over body. Fever was still present. On 8/8/11 rash finally cleared completely and fevers were gone completely.
Age: 18.0
Sex: M
Vaccine: MNQ, PPV
Symptoms: Erythema, Headache, Joint range of motion decreased, Nausea, Pain in extremity
Clinical narrative: Initial report was received 15 July 2011 from a health care professional. An 18-year-old male patient had received an intramuscular left deltoid injection of MENACTRA, lot number U4008AA and an intramuscular left deltoid injection of PENUMOVAX 23 (manufacturer Merck, lot number 0930Z) on 11 July 2011 and within 24 hours post vaccination, he developed a fever 101-102 degrees Fahrenheit, a headache, nausea and complained of a red, painful arm with limited range of motion. He had not received any other vaccines within the four weeks prior, he had no concurrent illness, and he had not experienced any adverse events following prior vaccinations. The patient had a history of asthma. Concomitant medications consisted of Albuterol prn and SYNTHROID  2.5 mcg. Outcome was not recovered. Documents held by sender: None.
Age: 18.0
Sex: M
Vaccine: MNQ, PPV
Symptoms: Pyrexia
Clinical narrative: Initial report was received 15 July 2011 from a health care professional. An 18-year-old male patient had received an intramuscular left deltoid injection of MENACTRA, lot number U4008AA and an intramuscular left deltoid injection of PENUMOVAX 23 (manufacturer Merck, lot number 0930Z) on 11 July 2011 and within 24 hours post vaccination, he developed a fever 101-102 degrees Fahrenheit, a headache, nausea and complained of a red, painful arm with limited range of motion. He had not received any other vaccines within the four weeks prior, he had no concurrent illness, and he had not experienced any adverse events following prior vaccinations. The patient had a history of asthma. Concomitant medications consisted of Albuterol prn and SYNTHROID  2.5 mcg. Outcome was not recovered. Documents held by sender: None.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Left upper arm red, warm, swollen and itchy. Symptoms began 08/09/2011 and got progressively worse on 08/10/2011.
Age: 18.0
Sex: F
Vaccine: TDAP
Symptoms: Clonic convulsion, Loss of consciousness, Nervousness
Clinical narrative: Patient was very nervous about receiving a shot. After assuring her it was not painful, I administered a TDAP in left arm, After I applied bandage, she slumped in chair and had a mild clonic seizure. She regained consciousness within 1 minute. I telephoned Dr; he said she did not need EMS. She was to double her KEPPRA dose. He also talked to her father.
Age: 25.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Bradycardia, Chest discomfort, Chest pain, Dizziness, Dyspnoea
Clinical narrative: Initial report received on 01 August 2011 from an investigator participating in a trial. A 25-year-old male subject, who has a benign past medical history (blepharitis) experienced dull substernal chest pain and palpitations 30 minutes after receiving ACAM2000, and TYPHIM VI vaccines on 15 July 2011. No lot numbers were reported. The subject was evaluated by doctor, and ECG (electrocardiogram) showed bradycardia and he was referred to the ER (emergency room). In the ER he received IV BENADRYL, prednisone and ZANTAC. At that time he was still having residual symptoms of palpitations, chest pain (2 out of 5), and chest pressure, and dizziness, shortness of breath, headaches, fatigue and muscle weakness. ECG again demonstrated only bradycardia. Rapid troponin test and laboratory troponin tests were normal. The subject was referred to a clinic. The subject was discharged with MEDROL dose pack. He was seen on 19 July 2011 and given PHENERGAN for nausea and acetaminophen for headache. Follow-up on 22 July 2011 revealed his symptoms to still be present, but controlled. VHC was consulted and the subject was diagnosed with allergic reaction to any of the 3 vaccines received. The subject's probable allergic reaction following receipt of the 3 vaccines, including ACAM2000, and his receipt of IV medications, emergency care, and time off from work deemed the event to be a serious adverse event. Per the reporter, given the subject's receipt of the 3 vaccines simultaneously, it was uncertain as to which vaccine he had the allergic reaction to, thought it was highly probable that it was to at least 1 of the 3 vaccines, or the combination of all 3. The relationship of the serious adverse event to ACAM2000, specifically, was determined by the investigator to be "possible" until further information was available. At the time of the report, residual effects were still present. Subject has not recovered. The investigator will submit follow-up report when further records and/or subject reports are available. Documents held by sender: Medical records.
Age: 25.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Electrocardiogram abnormal, Fatigue, Headache, Hypersensitivity, Laboratory test normal
Clinical narrative: Initial report received on 01 August 2011 from an investigator participating in a trial. A 25-year-old male subject, who has a benign past medical history (blepharitis) experienced dull substernal chest pain and palpitations 30 minutes after receiving ACAM2000, and TYPHIM VI vaccines on 15 July 2011. No lot numbers were reported. The subject was evaluated by doctor, and ECG (electrocardiogram) showed bradycardia and he was referred to the ER (emergency room). In the ER he received IV BENADRYL, prednisone and ZANTAC. At that time he was still having residual symptoms of palpitations, chest pain (2 out of 5), and chest pressure, and dizziness, shortness of breath, headaches, fatigue and muscle weakness. ECG again demonstrated only bradycardia. Rapid troponin test and laboratory troponin tests were normal. The subject was referred to a clinic. The subject was discharged with MEDROL dose pack. He was seen on 19 July 2011 and given PHENERGAN for nausea and acetaminophen for headache. Follow-up on 22 July 2011 revealed his symptoms to still be present, but controlled. VHC was consulted and the subject was diagnosed with allergic reaction to any of the 3 vaccines received. The subject's probable allergic reaction following receipt of the 3 vaccines, including ACAM2000, and his receipt of IV medications, emergency care, and time off from work deemed the event to be a serious adverse event. Per the reporter, given the subject's receipt of the 3 vaccines simultaneously, it was uncertain as to which vaccine he had the allergic reaction to, thought it was highly probable that it was to at least 1 of the 3 vaccines, or the combination of all 3. The relationship of the serious adverse event to ACAM2000, specifically, was determined by the investigator to be "possible" until further information was available. At the time of the report, residual effects were still present. Subject has not recovered. The investigator will submit follow-up report when further records and/or subject reports are available. Documents held by sender: Medical records.
Age: 25.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Muscular weakness, Nausea, Palpitations, Troponin
Clinical narrative: Initial report received on 01 August 2011 from an investigator participating in a trial. A 25-year-old male subject, who has a benign past medical history (blepharitis) experienced dull substernal chest pain and palpitations 30 minutes after receiving ACAM2000, and TYPHIM VI vaccines on 15 July 2011. No lot numbers were reported. The subject was evaluated by doctor, and ECG (electrocardiogram) showed bradycardia and he was referred to the ER (emergency room). In the ER he received IV BENADRYL, prednisone and ZANTAC. At that time he was still having residual symptoms of palpitations, chest pain (2 out of 5), and chest pressure, and dizziness, shortness of breath, headaches, fatigue and muscle weakness. ECG again demonstrated only bradycardia. Rapid troponin test and laboratory troponin tests were normal. The subject was referred to a clinic. The subject was discharged with MEDROL dose pack. He was seen on 19 July 2011 and given PHENERGAN for nausea and acetaminophen for headache. Follow-up on 22 July 2011 revealed his symptoms to still be present, but controlled. VHC was consulted and the subject was diagnosed with allergic reaction to any of the 3 vaccines received. The subject's probable allergic reaction following receipt of the 3 vaccines, including ACAM2000, and his receipt of IV medications, emergency care, and time off from work deemed the event to be a serious adverse event. Per the reporter, given the subject's receipt of the 3 vaccines simultaneously, it was uncertain as to which vaccine he had the allergic reaction to, thought it was highly probable that it was to at least 1 of the 3 vaccines, or the combination of all 3. The relationship of the serious adverse event to ACAM2000, specifically, was determined by the investigator to be "possible" until further information was available. At the time of the report, residual effects were still present. Subject has not recovered. The investigator will submit follow-up report when further records and/or subject reports are available. Documents held by sender: Medical records.
Age: 0.55
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Chest X-ray normal, Cough, Culture positive, Laboratory test abnormal, Pertussis
Clinical narrative: Initial report received on 03 August 2011 from the Investigator under the reference number M5A16. A case of pertussis disease in an 18 month-old female subject (initials not collected) was identified by the investigator based on review of data from the electronic database. The subject's vaccine history included three doses of PENTACEL; lot number C3554AA was received on 12 March 2010, lot number C3591AA was received on 14 May 2010 and lot number C3591AA was received on 16 July 2010 (routes and sites of administration were not reported). The subject developed a cough on 11 July 2011, approximately 12 months after the last dose. On 11 July 2011, the subject developed a paroxysmal cough without a whoop and posttussive vomiting. The subject also experienced sleep disturbance. Laboratory testing included positive PCR and culture on 13 July 2011. Chest x-ray findings were negative for pneumonia. Corrective treatments consisted of Azithromycin starting on 15 July 2011 for 5 days. The subject was not hospitalized. At the time of final contact on 25 July 2011, the subject's cough was still persisting. The duration of the cough was reported at the time as 14 days. Investigator causality assessment is not required as per protocol. Documents held by sender: None.
Age: 0.55
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Polymerase chain reaction, Post-tussive vomiting, Sleep disorder
Clinical narrative: Initial report received on 03 August 2011 from the Investigator under the reference number M5A16. A case of pertussis disease in an 18 month-old female subject (initials not collected) was identified by the investigator based on review of data from the electronic database. The subject's vaccine history included three doses of PENTACEL; lot number C3554AA was received on 12 March 2010, lot number C3591AA was received on 14 May 2010 and lot number C3591AA was received on 16 July 2010 (routes and sites of administration were not reported). The subject developed a cough on 11 July 2011, approximately 12 months after the last dose. On 11 July 2011, the subject developed a paroxysmal cough without a whoop and posttussive vomiting. The subject also experienced sleep disturbance. Laboratory testing included positive PCR and culture on 13 July 2011. Chest x-ray findings were negative for pneumonia. Corrective treatments consisted of Azithromycin starting on 15 July 2011 for 5 days. The subject was not hospitalized. At the time of final contact on 25 July 2011, the subject's cough was still persisting. The duration of the cough was reported at the time as 14 days. Investigator causality assessment is not required as per protocol. Documents held by sender: None.
Age: 5.0
Sex: F
Vaccine: HEP
Symptoms: Convulsion
Clinical narrative: Mother came into health center to report child had seziure and was taken to the emergency room by ambulance for treatment and observation.
Age: 3.0
Sex: M
Vaccine: PNC13
Symptoms: Pain, Skin warm, Swelling
Clinical narrative: area raised swollen, hot to touch, painful
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Dyspnoea, Pruritus, Urticaria
Clinical narrative: Itching, hives under arms spreading over whole body; shortness of breath.  Seen @ ER.  Treated with prednisone, Benadryl, Zantac in ER. Has Rx for prednisone 20 mg #18; Zantac 150 mg bidx7 days, Benadryl 25 mg q 6hrs prn.
Age: 0.24
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Abdominal discomfort, Crying, Decreased appetite, Eczema, Infantile spitting up
Clinical narrative: EXTREME FUSSINESS, RARELY EATING/VERY LITTLE AT EAT FEEDING, DIFFICULT TO CONSOLE, SPITTING UP, UPSET STOMACH. ALL LASTED FOR 9 DAYS. WITH IN TWO WEEKS OF VACCINATIONS, SHE BROKE OUT WITH ECZEMA AND STILL HAS IT.
Age: 0.24
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Irritability
Clinical narrative: EXTREME FUSSINESS, RARELY EATING/VERY LITTLE AT EAT FEEDING, DIFFICULT TO CONSOLE, SPITTING UP, UPSET STOMACH. ALL LASTED FOR 9 DAYS. WITH IN TWO WEEKS OF VACCINATIONS, SHE BROKE OUT WITH ECZEMA AND STILL HAS IT.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Pain in extremity, Skin warm
Clinical narrative: 8/4 RECEIVED PHONE CALL FROM MOM REPORTING A QUARTER SIZE AREA ON BACK OF LEFT ARM. DENIES WARMTH, BLISTERING, PEELING. ADVISED TO USE OTC MOTRIN AND COLD COMPRESSES AND IF NO IMPROVEMENT TO TAKE TO FAMILY DOCTOR SINCE OUR CLINIC WAS CLOSED 8/5. ASKED MOTHER IF SHE NEEDS TO TAKE CHILD TO DOCTOR TO LET CLINIC KNOW. 2ND PHONE CALL FROM MOM ON 8/11 REPORTED SHE TOOK CHILD TO FAMILY DOCTOR BECAUSE AREA ON ARM INCREASED TO BASEBALL SIZE, HOT TO TOUCH, PAINFUL. DENIES ANY OTHER SYMPTOMS. REPORTED WAS GIVEN CEPHALEXIN FOR 10 DAYS AND BENADRYL. REPORTS STILL TAKING MEDICINE AS ORDERED BUT SX GONE.
Age: 57.0
Sex: M
Vaccine: TDAP
Symptoms: Chills, Pyrexia
Clinical narrative: Chills, fever(102),
Age: 33.0
Sex: M
Vaccine: HEPAB
Symptoms: Anxiety, Condition aggravated, Feeling abnormal, Tremor
Clinical narrative: Floating sensation, anxiety, tremor
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: Pt had swelling in left leg with fever.
Age: 25.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Alopecia
Clinical narrative: Alopecia, required treatment with Minoxidil 5% topical solution
Age: 0.56
Sex: M
Vaccine: HEP, HIBV, OPV
Symptoms: Crying, Injection site erythema, Injection site swelling, Pyrexia, Screaming
Clinical narrative: Swelling & redness at injection site, fever, screaming & crying for 3 or more hours. Administered baby Tylenol, cold compress at injection site.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Condition aggravated, Hypoaesthesia, Syncope
Clinical narrative: syncope and complain of arm numbness
Age: 18.0
Sex: F
Vaccine: HEPA, MEN
Symptoms: Computerised tomogram head, Computerised tomogram normal, Fear of needles, Laboratory test normal, Movement disorder
Clinical narrative: Patient left the exam room after waiting alotted time and walked to waiting room where she had a syncopal episode and seizure like activity.  She was caught by her mother and staff rushed immediately to her side where she was taken back to the exam room put in Trendelenburg position.  She had a total of 4 seizure activity episodes within the time we were able to get her from the clinic to the hospital.  Patient had told staff that she is very scared of needles and the doctor does believe that this was a vasovagal response.
Age: 18.0
Sex: F
Vaccine: HEPA, MEN
Symptoms: Presyncope, Syncope, Trendelenburg position
Clinical narrative: Patient left the exam room after waiting alotted time and walked to waiting room where she had a syncopal episode and seizure like activity.  She was caught by her mother and staff rushed immediately to her side where she was taken back to the exam room put in Trendelenburg position.  She had a total of 4 seizure activity episodes within the time we were able to get her from the clinic to the hospital.  Patient had told staff that she is very scared of needles and the doctor does believe that this was a vasovagal response.
Age: 57.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain, Injection site swelling
Clinical narrative: Soreness and swelling at injection area. She returned on 8/11/11 for evaluation. The tricep area at the injection site was red and inflamed 10 x 6 cm. No abscess or fluctuance. Antibiotics given.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Injection site pain
Clinical narrative: Pain at site of injection started 8/9/11 at 8:00pm and by 8/10/11 10:00am aching joints in arm shot was given, area 4 inches in diameter firm to touch, no redness or fever noted. Patient called me 8/10/11 after 10:00am to report side affects.   Patient had been icing the site occasionally since the initial pain started the day before.  I instructed her on continuing icing site and to take pain medication/anti-inflammatory medication and on symptoms to report to MD if symptoms worsened. TC to patient on 8/11/11 and she states arm is greatly improved and she had been icing vigorously and taking Excedrin around the clock, no more swelling or firmness at site and all joint discomfort is gone.
Age: 69.0
Sex: M
Vaccine: FLUX, VARZOS
Symptoms: Eye pruritus, Wheezing
Clinical narrative: Complained of itching eyes and wheezing. No rash. Noted with diffuse expiratory wheezing.  Given Benadryl and Solumedrol with resolution of symptoms. O2 sat 98%.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Dyspnoea, Pharyngeal oedema
Clinical narrative: Shortness of breath and swelling of the throat. Treated with epi shot, Benadryl shot, and prednisone.
Age: 39.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Aphthous stomatitis, Arthralgia, Blood blister, Fatigue, Lymphadenopathy
Clinical narrative: 1. "Blood blisters in mouth".  They disappear in a few days but re-appear periodically. 2.  "Memory issues".  Started 3-4 months after shot.  Got better and haven't reoccurred. 3. Extreme fatigue. Started 3-4 months after shot and still present. 4.  Joints in hands hurt.  Started 6 months after shot and still present. 5.  Enlarged lymph nodes in neck.  Reoccur periodically. 6. Sinus blockage &/or drainage and sore throat.  Occurs periodically. 7. Canker sores in mouth and throat. Had oral herpes as a child. 8. Ringing in ears.  Present now.
Age: 39.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Memory impairment, Oropharyngeal pain, Paranasal sinus hypersecretion, Rheumatoid factor negative, Sinus congestion
Clinical narrative: 1. "Blood blisters in mouth".  They disappear in a few days but re-appear periodically. 2.  "Memory issues".  Started 3-4 months after shot.  Got better and haven't reoccurred. 3. Extreme fatigue. Started 3-4 months after shot and still present. 4.  Joints in hands hurt.  Started 6 months after shot and still present. 5.  Enlarged lymph nodes in neck.  Reoccur periodically. 6. Sinus blockage &/or drainage and sore throat.  Occurs periodically. 7. Canker sores in mouth and throat. Had oral herpes as a child. 8. Ringing in ears.  Present now.
Age: 39.0
Sex: F
Vaccine: FLUX(H1N1)
Symptoms: Tinnitus
Clinical narrative: 1. "Blood blisters in mouth".  They disappear in a few days but re-appear periodically. 2.  "Memory issues".  Started 3-4 months after shot.  Got better and haven't reoccurred. 3. Extreme fatigue. Started 3-4 months after shot and still present. 4.  Joints in hands hurt.  Started 6 months after shot and still present. 5.  Enlarged lymph nodes in neck.  Reoccur periodically. 6. Sinus blockage &/or drainage and sore throat.  Occurs periodically. 7. Canker sores in mouth and throat. Had oral herpes as a child. 8. Ringing in ears.  Present now.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Convulsion
Clinical narrative: Seizure, 10 seconds
Age: 42.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site mass
Clinical narrative: Area around injection site was red and the size of a softball.  Hard lump in the middle of red circle size of a marble.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Neurological examination normal, Pallor, Somnolence, Syncope, Tension
Clinical narrative: PATIENT WAS ADMINISTERED 4 VACCINES.  WITH EACH NEEDLE STICK HE FLINCHED AND TENSED UP.  THE 4TH VACCINE ADMINISTERED WAS VARICELLA.  WITH NEEDLE STICK, HE FAINTED.  HE WAS SEATED ON THE EXAM TABLE AT THE TIME.  WHEN HE FAINTED, I WAS EASILY ABLE TO SUPPORT HIM AND LOWER HIM FLAT ON HIS BACK.  HE RECOVERED AFTER ABOUT 15 SECONDS AND WAS ALERT AND ORIENTATED X3 BUT STILL A LITTLE GROGGY AND PALE.  HE WAS KEPT IN THE SUPINE POSITION WITH A COOL WASH CLOTH AND MONITORED FOR 15 MINUTES AT WHICH POINT HE FELT MUCH BETTER, COLOR WAS BETTER, AND NEUROLOGICAL AND MENTAL STATUS EXAMS WERE NORMAL.
Age: 0.66
Sex: F
Vaccine: DTAPIPVHIB, HIBV, PNC13
Symptoms: Rash, Vomiting
Clinical narrative: VOMITING, SKIN RASH
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Limb discomfort, Pain in extremity, Skin warm
Clinical narrative: Increased redness, pain and heat radiating down from deltoid area of arm to lower arm.  Discomfort with bending elbow.  Treated with Motrin and prednisone.
Age: 0.14
Sex: M
Vaccine: DTAP, HEP, HIBV, OPV, PNC13, RV5
Symptoms: Anaemia, Haemoglobin decreased, Haemorrhage intracranial, Injection site haemorrhage
Clinical narrative: PATIENT BLED FROM INJECTION SITES NOW IS SEVERLY ANEMIC, HIGH SUSPICION OF INTRACRANIAL BLEED
Age: 1.5
Sex: F
Vaccine: DTAP, HIBV, PPV
Symptoms: Blister, Blood blister, Decreased appetite, Irritability, Laboratory test normal
Clinical narrative: High fever over 102, numerous large, deep blisters on soles of feet with one filling with blood, lethargic, crankiness, refusal to eat. Fever lasted for three days (07/27/2011-07/30/2001). Blisters still present but healing as of 08/11/2011.
Age: 1.5
Sex: F
Vaccine: DTAP, HIBV, PPV
Symptoms: Lethargy, Pyrexia
Clinical narrative: High fever over 102, numerous large, deep blisters on soles of feet with one filling with blood, lethargic, crankiness, refusal to eat. Fever lasted for three days (07/27/2011-07/30/2001). Blisters still present but healing as of 08/11/2011.
Age: 17.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Gaze palsy, Syncope
Clinical narrative: Patient felt light headed and dizzy. According to mom, eyes rolled back into head and patient fainted. Mom called 911 and I came over with an Epipen (not given) just in case. Provided supportive care until paramedics arrived.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 8/9/11 received Meningitis, Tdap & Varicella - Varicella site, red, warm, painful & swollen.
Age: 70.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Chills, Feeling of body temperature change, Hyperhidrosis, Injection site pain, Injection site warmth
Clinical narrative: Per pt was having hot & cold chills thru out the night. Site of injection is tender and warm, elevated BP & HR. Sweating reported.
Age: 12.0
Sex: M
Vaccine: HEPA, HPV4, MNQ, VARCEL
Symptoms: Erythema, Flushing, Full blood count abnormal, Injection site erythema, Injection site induration
Clinical narrative: On 8/4/11 pt's mother called Dr relating pt had erythema and swelling of bil arms - admitted to hospital given IV Ceftriaxone and SOLU MEDROL symptoms improved. Pt discharged 8/5/11. Symptoms came back - induration and redness over injection sites, fever, face flushing, admitted to hospital 8/6/11 - observed overnight discharged 8/7/11.
Age: 12.0
Sex: M
Vaccine: HEPA, HPV4, MNQ, VARCEL
Symptoms: Laboratory test abnormal, Metabolic function test normal, Oedema peripheral, Pyrexia
Clinical narrative: On 8/4/11 pt's mother called Dr relating pt had erythema and swelling of bil arms - admitted to hospital given IV Ceftriaxone and SOLU MEDROL symptoms improved. Pt discharged 8/5/11. Symptoms came back - induration and redness over injection sites, fever, face flushing, admitted to hospital 8/6/11 - observed overnight discharged 8/7/11.
Age: 18.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Fall, Hyperhidrosis, Loss of consciousness
Clinical narrative: Patient received 1    2     3. Blacked out after the 3rd vaccine, fell over onto assistants shoulder. Couldn't remember what happened. Diaphoretic. No significant change in vitals. BP before 95/63 after 103/52 pulse before 51 after 53.
Age: 52.0
Sex: F
Vaccine: PPV
Symptoms: Hallucination, Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: High fever started the night following vaccination - 2 days hallucinations per patient. Also redness and swelling around injection site which lasted 3 days.
Age: 0.23
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV1
Symptoms: Blood culture, Blood thyroid stimulating hormone, Culture stool, Culture urine, Differential white blood cell count
Clinical narrative: 8-1-11 - PENTACEL, Hep B, PREVNAR 13, ROTARIX given. 8-8-11 - Seen in clinic for fever 104 (R). Lab, X-ray done. Normal finding except for pos Lactoferrin. Flu, RSV also neg.
Age: 0.23
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV1
Symptoms: Epstein-Barr virus antibody, Full blood count, Fungal test, Influenza virus test negative, Metabolic function test
Clinical narrative: 8-1-11 - PENTACEL, Hep B, PREVNAR 13, ROTARIX given. 8-8-11 - Seen in clinic for fever 104 (R). Lab, X-ray done. Normal finding except for pos Lactoferrin. Flu, RSV also neg.
Age: 0.23
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV1
Symptoms: Pyrexia, Respiratory syncytial virus test, Thyroxine
Clinical narrative: 8-1-11 - PENTACEL, Hep B, PREVNAR 13, ROTARIX given. 8-8-11 - Seen in clinic for fever 104 (R). Lab, X-ray done. Normal finding except for pos Lactoferrin. Flu, RSV also neg.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Pt. was seen at Dr office. The provider called and stated that she think the patient may have had an adverse reaction to immunizations that I gave. She stated the pt. (L) leg was red, itching, with swelling and the size on the site was 10 x 12cm. She prescribed him BENADRYL/ibu/and told mom to apply ice.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Pruritus, Rash generalised
Clinical narrative: Aunt states pt woke early this am w/ a full body rash, excluding arms; c/o itching.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Hypersensitivity
Clinical narrative: Localized allergic reaction.
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Lip swelling, Urticaria
Clinical narrative: Welts on skin (abdomen & chest). Swollen upper lip. BENADRYL given.
Age: 15.0
Sex: F
Vaccine: TDAP
Symptoms: Lymphadenopathy, Neck mass, Pain
Clinical narrative: Onset of painful lump (L) side of neck 1 day after vaccine. No injury or other lumps determined to be enlarged lymph node which resolved w/out onset of any other sx.
Age: 1.25
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Acidosis, Autopsy, Blood gases abnormal, Death, Laboratory test
Clinical narrative: Onset of fever on 8-6-11 up to 102 degrees. Playful when afebrile. Seen in doctor's office on 8/8. Presented later to ER where resp. arrest occurred during evaluation. CPR and defibrillation with aggressive IV inotropes unsuccessful. (intermittent fever present 8/6-8/8).
Age: 1.25
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Respiratory arrest, Resuscitation
Clinical narrative: Onset of fever on 8-6-11 up to 102 degrees. Playful when afebrile. Seen in doctor's office on 8/8. Presented later to ER where resp. arrest occurred during evaluation. CPR and defibrillation with aggressive IV inotropes unsuccessful. (intermittent fever present 8/6-8/8).
Age: 23.0
Sex: M
Vaccine: MNQ
Symptoms: Cellulitis
Clinical narrative: Very mild localized cellulitis - resolving spontaneously. No systemic symptoms. No treatment needed. F/U prn.
Age: 19.0
Sex: M
Vaccine: MNQ
Symptoms: Pruritus, Rash generalised
Clinical narrative: Body-widerash & itching. Temp 36.8 Celsius. Pulse 58. Respirations 16. BP 124/78. Seen in ER. Treatment in ER: SOLU MEDROL 125 ml IM, BENADRYL 25-50 ml q 6 hrs, PEPCID 20ml 2qd.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site rash
Clinical narrative: 10cm x 7cm rash around injection site. Painful & red. Blotchy rash not itchy.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Abdominal pain upper, Chills, Headache, Nausea, Pyrexia
Clinical narrative: Low grade fever, nausea, stomach ache, headache, chills.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Dizziness, Nausea, Presyncope
Clinical narrative: 08/11/2011 Moderate, Other. Presyncope, lightheaded, dizzy, nauseous.
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB, HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Patient had area at warmth & redness 6.5 in x 4.5 in on Left thigh where MMR & PENTACEL given. On right thigh had 1.5 in x 2.5 in area of redness & warmth where Hep A & Varicella were given. MOTRIN & BENADRYL used as treatment.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Lymphadenopathy
Clinical narrative: Swelling, redness, pain and warmth to (L) deltoid (injection site) swollen lymph nodes x 6days. Anti-inflammatory medications and TYLENOL with little relief.