chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: FLUX
Symptoms: Pelvic pouch procedure, Pouchitis, Surgery, Uveitis
Clinical narrative: We received the following information from a literature article on 02 SEP 2009: A female adult patient with ulcerative colitis had been managed with 6-MP, sulfasalazine, and intermittent steroids and she had been in remission without steroids for 9 months. After 9 months on 6-MP and while in remission, she received a subcutaneous injection of influenza vaccine (manufacturer and batch no. unknown) and that night she developed abdominal pain and bloody diarrhea. On examination she had very active ulcerative colitis with friability, ulceration, and exudate. She also had recurrence of bilateral uveitis. She was hospitalised and treated with intravenous adrenocorticotropin hormone (ACTH) followed by tapering doses of prednisone. Again she improved, but incompletely. The 6-MP was increased to 150 mg/day and she required larger doses of steroids, becoming very cushingoid. One year after the diagnosis of ulcerative colitis was established the chronicity of her illness and the complications of steroids warranted surgical intervention. She underwent total colectomy with establishment of an ileoanal pouch anastomosis. Pathology confirmed the presence of a universal ulcerative colitis and there was no involvement of the terminal ileum. After 1 year with intermittent pouchitis, the pouch and the ileum looked normal. The patient suffered from earlier exacerbation of ulcerative colitis after a previous influenza vaccination (please refer to case MA2009-2378). (Requests were sent on 03 SEP 2009, 09 SEP 2009 and 17 NOV 2009, no follow-up information received.)
Age: 44.0
Sex: M
Vaccine: CHOL, HEP, TYP, YF
Symptoms: Contusion, Immunisation reaction, Platelet count decreased, Rash generalised
Clinical narrative: Initial report received on 02 September 2009 from a nurse. The nurse had received the information from a friend of the patient. A 44 year old male patient, with no known medical history, received YF-VAX (lot number C3337AA) on 21 August 2009. On 31 August 2009, the patient was admitted to a hospital, with an all over body rash, bruising, and platelet count of "1000". Apparently, the physician advised the patient that he believed that the reaction was vaccine related. According to the patient's friend, the physician was afraid that the patient "may bleed out". At the time of the report, the patient had not recovered. The reporting nurse was planning to get further information. 10/13/09 Vaccination records received. bhp 10/13/09 Received MR from Hematologist. DX: Immune thrombocytopenia after receiving vaccinations for Hepatitis B, YF, meningococcal. Steroid induced diabetes. Initial symptoms: Pt received vaccinations to Hep B, YF, Meningococcal, and Dukoral on 8/21/09 denied any illness at time of vaccines. Was seen by ER on 8/31/09 for c/o petechial rash and his platelets were 1. Given oral tx with no response. IVIG was given. Platelet then 49. Presenting symptoms at time of consult: denies any rash or decrease in energy. (+) occasional drenching sweats, decrease in weight. Recent dx with sinus infection. Pt following a naturopathic therapy. Impression: Most likely immune thrombocytopenia which has not shown response with steroid therapy. Would like to do bone marrow biopsy and suggest a splenectomy and f/u.   12/17/09 and 12/23/09 DC summary received for DOS 08/31/09-09/05/09. DX: thrombocytopenic purpura, rash, constipation, hyperglycemia.  Pt with rash that improved. Tx: prednisone, Solu-Medrol, CPAP,
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Dyspnoea, Electrocardiogram, Erythema, Hypersensitivity, Paraesthesia
Clinical narrative: Information has been received from a licensed practical nurse concerning a 62 year old male patient with no medical history or allergies who on 08-SEP-2009 was vaccinated subcutaneously with a 0.65 ml dose of ZOSTAVAX (Merck) (lot # 663882/0133Y). There was no concomitant medication. On 08-SEP-2009 the patient experienced an allergic reaction after receiving ZOSTAVAX (Merck). Approximately 30 minutes after receiving ZOSTAVAX (Merck), the patient came back into the office complaining of redness on his whole body and difficulty in breathing. The patient also complained of tingling sensation all over the body. The patient was given epinephrine, oxygen, and BENADRYL. The patient was taken to an emergency room and released. Electrocardiogram (EKG) was performed and the outcome was unknown. At the time of report, the patient was recovering. Allergic reaction was considered to be life-threatening and an other important medical event by the physician. A lot check has been initiated. Additional information has been requested.
Age: 6.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Autism, Gastrointestinal disorder, Gluten free diet, Lactose intolerance
Clinical narrative: Information has been received from a consumer concerning her 5 year old son with no drug allergies who on 11-JAN-2005 was vaccinated with a 0.5 ml dose of MMR (lot number not reported). Suspect vaccination included hepatitis B virus vaccine (manufacturer unknown). Concomitant vaccination on the same day included poliovirus and DTaP. After the vaccination, in February 2005, the patient developed a severe lower intestinal reaction. In July 2006 he was diagnosed as lactose intolerant and was put on gluten free diet. After that, in July 2006 the patient's intestinal issues cleared up. Since then he had also been diagnosed with autism. Unspecified medical attention was sought. No laboratory diagnostics studies were performed. The patient had recovered from lactose intolerant in July 2006. Upon internal review, autism was determined to be other important medical events. Additional information has been requested.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Pregnancy test positive
Clinical narrative: Information has been received from a 22 year old female consumer with no pertinent medical history or drug reactions or allergies, for the Pregnancy Registry for GARDASIL, who on approximately 17-SEP-2008, "about two months ago", was vaccinated with the second dose of GARDASIL. There was no concomitant medication. On 17-NOV-2008, "today", she did a home pregnancy test and found out that she was pregnant. The LMP was 20-OCT-2008. No adverse event involved. The consumer reported that she had called her physician, but had not seen the physician as of yet. Follow-up information was received from the patient which reported that the pregnancy resulted in miscarriage after two months (on approximately 20-DEC-2008). The patient thought it was due to GARDASIL especially that "she was only 22 year old and already had one child". The patient stated that she never received her third dose. Upon internal review, miscarriage was considered to be other important medical event. The patient also reported that she recently got pregnant again (WAES # 0909USA00978). Additional information has been requested.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Arnold-Chiari malformation, Dizziness, Headache, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Information has been received from a nurse concerning a 20 year old female with no drug allergies and no pertinent medical history who in 2006-2007 had possibly received the entire series of GARDASIL (LOT# not reported). the patient started having headaches in the winter of 2008. The MRI or computed axial tomography of the brain was performed on an unspecified date showing chiari malformations. Unspecified eye studies and a computed axial tomography of brain (CT scan) were also performed with no reported results. The patient had an office and emergency room visit. The patient continues to have persistent headaches. Follow-up information has been received via a telephone call from the nurse concerning the 20 year old female patient. The patient received GARDASIL while away at college several years ago. The nurse reported that the patient experienced chronic headaches for more than 6 months. The nurse also reported that the patient's first MRI was performed in January 2008 and was diagnosed with mild chiari malformations and the rest of the MRI was normal. On 02-AUG-2008 the patient went to the emergency room for headache and dizziness. The patient was admitted. They ruled out meningitides and performed another MRI where they concluded there was no change in the scan. The patient was discharged on 03-AUG-2008 with  mild chiari malformations; the patient was under the care of a neurologist and was treated with unspecified medications. The patient was hospitalized. The patient's mother was questioning the relationship between her daughter's chronic headaches and her GARDASIL series; the office did not believe the headache was related to GARDASIL. Additional information is not expected.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from a nurse practitioner concerning a 21 year old female with no known drug allergies or pertinent medical history who on 27-AUG-2009 was vaccinated with the first dose of GARDASIL (lot no.663454/0672Y). Concomitant therapy included ORTHO EVRA. On 27-AUG-2009 the patient experienced seizure 30 seconds following vaccination and quickly recovered. In follow up, the nurse practitioner reported there were no laboratory or diagnostic tests performed and no treatment necessary. Upon internal review seizure was considered to be an other important medical event. No further information is available.
Age: 1.5
Sex: F
Vaccine: DTAP, TDAP
Symptoms: Diarrhoea, Inappropriate schedule of drug administration
Clinical narrative: Very busy immunization clinic.  Besides giving unusual vaccines, it was first day opened to public for flu shots.  I grabbed TDAP and gave to 18 month old instead of DTAP.  Letters too similar or rather same in just different order. Mom said child had diarrhea for 2 days, nothing else.  Moved 2 vaccines to separate shelves in refrigerator.  Had them beside each other before.
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Asthma, Chest pain, Chills, Dizziness, Nausea
Clinical narrative: Went to ER 6/17/09 0200 for chills, fever, bodyaches, chest pain, dizziness, nausea. Asthma type s/s starting <12 hrs after Tdap. -No rash-. Reports given shot, steroids, PO at ER. Told they couldn't say for sure it was an allergic reaction to Tdap. No problems now. Site of shot normal.
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Pyrexia
Clinical narrative: Went to ER 6/17/09 0200 for chills, fever, bodyaches, chest pain, dizziness, nausea. Asthma type s/s starting <12 hrs after Tdap. -No rash-. Reports given shot, steroids, PO at ER. Told they couldn't say for sure it was an allergic reaction to Tdap. No problems now. Site of shot normal.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Drug exposure during pregnancy, Wrong drug administered
Clinical narrative: Patient was injected with Fluvirin instead of Afluria. Patient is Pregnant.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal distension, Abdominal pain, Back pain, Hypoaesthesia
Clinical narrative: Noted pain (Lt) lower back. While driving home had received flu vaccine prior to pain also noted staring in abd. and numbness lower (Lt) abd and left side vaginal area.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pruritus, Injection site warmth
Clinical narrative: Localized warmth and pruritus at injection site (right deltoid).
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Was given Influenza on 8/31/009, stated left arm from shoulder to elbow painful for a few days. States had small reddened area at site of injection none noted today.
Age: 30.0
Sex: M
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Arthralgia, Burning sensation, Injection site pain, Tenderness
Clinical narrative: Flu vaccine given (Lt) upper arm , noted pain and burning sensation down arm and joint pain wrist, (Lt) thumb and elbow. Tender to touch unable to exercise. Also noted tenderness (Lt) side of body to mid back
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site dermatitis, Injection site erythema
Clinical narrative: 6.5 X 4.5 cm raised erythematous dermatitis over right deltoid.  Treatment:  BENADRYL elixir.
Age: 4.0
Sex: M
Vaccine: DTAP, FLUN3, IPV
Symptoms: Cough, Lip swelling, Rash papular, Swelling face, Urticaria
Clinical narrative: After shots, patient returned within a few minutes with hives on face, and small papules and swelling of cheeks and lips.  No swelling of tongue.  Occasional cough.  Lungs clear.  Given BENADRYL and resolved.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash vesicular
Clinical narrative: Received VARICELLA vaccine 8/17/09.  On 8/28/09 broke out in VARICELLA -like- rash (spots, 0 vesicles).
Age: 3.0
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: FOC called 9/2/09. States child had possible adverse RXN 3 days after vaccination on 8/28/09. Client # 972517, had spike a fever 99 to 101    . Relieved by MOTRIN and an occasion of febrile SZ. FOC states child u/hx of febrile Sx at 19 mos. Plan to follow up u/PMD scheduled for 9/3/09. States went to PMD 9/3 @ Clinic QC states child Ok now 9/8/09 on follow up call.
Age: 1.0
Sex: F
Vaccine: HEP, HEPA, PNC, VARCEL
Symptoms: Rash
Clinical narrative: Rash, Acycliver 200 1/2 tp to qil 45D.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Incorrect storage of drug
Clinical narrative: GARDASIL vaccine was noted at temperature that was out of normal range.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Incorrect storage of drug
Clinical narrative: GARDASIL vaccine was stored at temperature that was out of normal range.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Incorrect storage of drug
Clinical narrative: GARDASIL vaccine was noted at temperature that was out of normal range.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Incorrect storage of drug
Clinical narrative: GARDASIL vaccine was stored at temperature that was out of normal range.
Age: 27.0
Sex: F
Vaccine: HPV4
Symptoms: Incorrect storage of drug
Clinical narrative: GARDASIL vaccine was stored at temperature that was out of normal range.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Incorrect storage of drug
Clinical narrative: GARDASIL vaccine was not stored at temperature that was out of normal range.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Incorrect storage of drug
Clinical narrative: GARDASIL vaccine was stored at temperature that was stored at temperature that was out of normal range.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Incorrect storage of drug
Clinical narrative: GARDASIL vaccine was stored at temperature that was out of normal range.
Age: 22.0
Sex: F
Vaccine: HPV4
Symptoms: Incorrect storage of drug
Clinical narrative: Gardisil vaccine was stored at temperature that was out of normal range.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Incorrect storage of drug
Clinical narrative: GARDASIL vaccine was stored at temperature that was out of normal.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Incorrect storage of drug
Clinical narrative: Gardisil vaccine was stored at temperature that was out of normal range.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Incorrect storage of drug
Clinical narrative: Gardisil vaccine was stored at temperature that was out of normal range.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Incorrect storage of drug
Clinical narrative: Gardisil vaccine was stored at temperature that was out of normal.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Incorrect storage of drug
Clinical narrative: GARDASIL vaccine was stored at temperature that was out of range
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Incorrect storage of drug
Clinical narrative: GARDASIL vaccine was stored at temperature that was out of normal range.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Incorrect storage of drug
Clinical narrative: GARDASIL vaccine was stored at a temperature that was out of range.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Incorrect storage of drug
Clinical narrative: Gardisil vaccine was store at temperature that was out of normal range.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Incorrect storage of drug
Clinical narrative: GARDASIL vaccine was stored at temperature that was out of normal range.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Incorrect storage of drug
Clinical narrative: GARDASIL vaccine was stored at temperature that was out of normal range.
Age: 24.0
Sex: F
Vaccine: HPV4
Symptoms: Incorrect storage of drug
Clinical narrative: Gardisil vaccine was stored at temperature that was out of normal range.
Age: 23.0
Sex: F
Vaccine: HPV4
Symptoms: Incorrect storage of drug
Clinical narrative: GARDASIL vaccine was stored at temperature that was out of normal range.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Incorrect storage of drug
Clinical narrative: Gardisil vaccine was stored at temperature that was out of normal range.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Incorrect storage of drug
Clinical narrative: GARDASIL vaccine was stored at temperature that was out of normal range.
Age: 17.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Local reaction, Tenderness
Clinical narrative: LEFT SHOULDER AND DELTOID 3" IRREGULAR TENDER FROM MIDDLE RED. LOCAL REACTION TO VACCINE
Age: 34.0
Sex: M
Vaccine: SMALL
Symptoms: Rash
Clinical narrative: 3 days ago 4 mm rash inceased, progress to groin, back, and chest. Was seen yesterday 9/13/09 and given Zyrtec, today 9/14/09 follow up with PA.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Jaundice, Ocular icterus
Clinical narrative: Mom reports pt developed jaundice on Thursday am by Aunt who is a nurse.  Pt's sclera was visibly jaundiced.  That was the only symptom.  Mom denies pt having fever, N/V, pain or other problems.  Pt was eating and drinking with activity as normal for the pt.  9/18/09  Labs received from pcp. Pt was not seen for office visit. Labs:  Total bili 0.72 (WNL).  Direct bili 0.14 (WNL).  Alk phos 250 (H). ALT 31 (H).  AST 11 (WNL).
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Left arm became very red and swollen the next day after the DTaP injection there
Age: 55.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Injection site erythema, Injection site mass, Injection site swelling, Injection site warmth
Clinical narrative: Patient contacted the health dept this morning. Reports onset of symptoms 9/9/09 with swelling and redness at injection site. Warm to touch. Has been taking Tylenol. Has a lump the size of an egg at injection site and arm still red and swollen.
Age: 4.0
Sex: M
Vaccine: IPV, MMR, TDAP, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient received Tdap instead of Dtap for age 4yr. old on 09/12/2009
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Biopsy skin abnormal, Blood product transfusion, Injection site rash, Pyrexia, Rash
Clinical narrative: 2 days after vaccine administration, she developed a fever to 103.7 and subsequently diffuse rash. Worse at site of injection with large patch. Admitted 5 days after administration, diagnosed with Stevens Johnson Syndrome via biopsy and clinical status. Received IVIG 1mg/kg x 3 days. 9/29/09 MR received for DOS 9/11-19/2009 with D/C DX:  Stevens-Johnson Syndrome. Pt presented with maculoapular rash and fever. Pt developed hypotension and shock and was admitted to the PICU. Tachypneic and on O2. Tx IVIG.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Stevens-Johnson syndrome
Clinical narrative: 2 days after vaccine administration, she developed a fever to 103.7 and subsequently diffuse rash. Worse at site of injection with large patch. Admitted 5 days after administration, diagnosed with Stevens Johnson Syndrome via biopsy and clinical status. Received IVIG 1mg/kg x 3 days. 9/29/09 MR received for DOS 9/11-19/2009 with D/C DX:  Stevens-Johnson Syndrome. Pt presented with maculoapular rash and fever. Pt developed hypotension and shock and was admitted to the PICU. Tachypneic and on O2. Tx IVIG.
Age: 21.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Malaise, Pyrexia
Clinical narrative: Patient presented 24 hours following vaccine administration with fever of 102.8.  Patient denied any symptoms other than malaise which she attributed to fever.  Patient instructed to take Acetaminophen 325 mg 2 tablets q4-6 hours PRN fever.  Patient seen for follow-up the following day and had been afebrile since early that morning.
Age: 65.0
Sex: F
Vaccine: YF
Symptoms: Throat tightness
Clinical narrative: Received Yellow Fever Vaccine (Lot UF 583 AA EXP 15 APR 10) around 4:15 pm on Monday August 24, 2009.  Around 8:45 pm that evening my throat started closing up (reaction level about a 7 on a 10 scale of severity) --- in a manner similar to past experiences with food allergies.  Food intake prior to reaction was entirely normal.  I took 1 Benadryl 25mg tablet and when my throat failed to respond I took a second Benadryl and received relief.  The next morning I could feel a slight continuing throat closure sensation --- but not enough to justify further Benadryl intake.
Age: 2.0
Sex: M
Vaccine: VARCEL
Symptoms: Pyrexia, Varicella
Clinical narrative: pt had varicella vaccine, within 2 hrs of vaccine, he developed fever. About 13-14 hrs after vaccine had developed pox. Mother reports child has over 100 pox.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness
Clinical narrative: Patient felt dizzy 30 minutes after the chot was given.  She sat for 20 minutes then left.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Injection site erythema, Injection site pain, Migraine, Pain
Clinical narrative: Pt received injection on the 11th, she states she came down with a migraine that pm.  She also c/o joint pain and generalized body aches.  She had pain at the site with redness, she c/o pain radiating down her arm.  She is unsure if she had a fever.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity
Clinical narrative: Pt received injection on the 11th, she states she came down with a migraine that pm.  She also c/o joint pain and generalized body aches.  She had pain at the site with redness, she c/o pain radiating down her arm.  She is unsure if she had a fever.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Patient's husband described: within 2 hrs developed itching, burning of skin at site of vaccine. Continued with redness, burning for 5 days. Symptoms have resolved
Age: 4.0
Sex: F
Vaccine: FLUN3
Symptoms: Abdominal pain, Decreased appetite, Immediate post-injection reaction, Oropharyngeal pain, Pyrexia
Clinical narrative: Patient began complaining of sore throat from the Flu Mist, immediately. Saturday and Sunday had loss of appetite and abdominal pain. Monday began running fever of over 101 degrees.
Age: 2.0
Sex: M
Vaccine: FLUN3
Symptoms: Pyrexia
Clinical narrative: Began running fever, almost immediately. Continued running fever of 100.6 - 101.3 for next two days.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU3, MMR, VARCEL
Symptoms: Gait disturbance, Injection site discolouration, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: C/O BURNING AND REDNESS LEFT THIGH, GOT IMMUNIZATIONS THURS 9-10-09.FRIDAY CHILD LIMPING AND LEG LOOKED PURPLE AND VERY WARM. IMPROVED BY TIME SEEN SAT, ERYTHEMATOUS COVERING ANTERIOR PORTION OF THIGH. PT EXAMINED IN ER 9-12-09.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU3, MMR, VARCEL
Symptoms: Rash erythematous
Clinical narrative: C/O BURNING AND REDNESS LEFT THIGH, GOT IMMUNIZATIONS THURS 9-10-09.FRIDAY CHILD LIMPING AND LEG LOOKED PURPLE AND VERY WARM. IMPROVED BY TIME SEEN SAT, ERYTHEMATOUS COVERING ANTERIOR PORTION OF THIGH. PT EXAMINED IN ER 9-12-09.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Abasia, Abdominal pain upper, Headache, Hypoaesthesia, Mobility decreased
Clinical narrative: On 9/4/09@ 1400 client called me and notified me of the following information...9/3/09 @0630 client states woke up with tingling pain in bilateral lower extremities. States was able to attend school but also had tummy ache, head ache but no temp.  Denies having taken any other meds to help aleve some of the discomfort.  On 9/4/09@0630 client stated when getting out of bed that morning she was unable to walk due to pain in both legs.  Client describes pain as feeling like your legs are asleep but they're tingling so bad it hurts to move them.  States pain is bilateral lower extremities and nowhere else.  Client denies having taken anything for the pain.  I was taking the report on 9/4/09 at approx. 2pm and asked if she had taken any meds to help alleviate pain and client denies at this time, but does state that symptoms have subsided.  I instructed her to see a pcp at the local walk in clinic immediately to evaluate symptoms.  Client voices that she will do so as soon as we hang up. 9/7/09@0815 Phone call made to client to check on progress.  Aunt state's she is better and is at school @ this time but will have patient call when she's back from school today.  9/8/09@1600  patient returns call and states that all the s/sx have disappeared.  She worked an 8 hour shift on that Saturday 9/5/09 following onset of her s/sx and did fine.  Denies having seen a doctor for any follow up care states that she feels fine and didn't feel like she needed further care.
Age: 17.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Pain in extremity, Paraesthesia
Clinical narrative: On 9/4/09@ 1400 client called me and notified me of the following information...9/3/09 @0630 client states woke up with tingling pain in bilateral lower extremities. States was able to attend school but also had tummy ache, head ache but no temp.  Denies having taken any other meds to help aleve some of the discomfort.  On 9/4/09@0630 client stated when getting out of bed that morning she was unable to walk due to pain in both legs.  Client describes pain as feeling like your legs are asleep but they're tingling so bad it hurts to move them.  States pain is bilateral lower extremities and nowhere else.  Client denies having taken anything for the pain.  I was taking the report on 9/4/09 at approx. 2pm and asked if she had taken any meds to help alleviate pain and client denies at this time, but does state that symptoms have subsided.  I instructed her to see a pcp at the local walk in clinic immediately to evaluate symptoms.  Client voices that she will do so as soon as we hang up. 9/7/09@0815 Phone call made to client to check on progress.  Aunt state's she is better and is at school @ this time but will have patient call when she's back from school today.  9/8/09@1600  patient returns call and states that all the s/sx have disappeared.  She worked an 8 hour shift on that Saturday 9/5/09 following onset of her s/sx and did fine.  Denies having seen a doctor for any follow up care states that she feels fine and didn't feel like she needed further care.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Incorrect storage of drug
Clinical narrative: Gardisil vaccine was stored at at temperature that was out of normal range.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Incorrect storage of drug
Clinical narrative: Gardisil vaccine was store at temperature that was out of normal range.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Injection site pain
Clinical narrative: extreme achiness at site and into joint area
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Client reported 4" X 11/2" area of induration that started near the injection site and spread distal the site.  Reported area was red.  Denied itching.  Took Hydrochloride 10mg tables.  Area was observed by Medical Director and he recommended Benadryl per client.
Age: 23.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Pain in extremity, Pruritus, Rash
Clinical narrative: morning after receiving the Pneumovax vaccine, red & splotchy rash on upper arm away from injection site, pain, tenderness, warm skin.  Next day redness had spread: called and visited doctor on 9/3/09 who diagnosed cellulitis and prescribed Clindamycin for 7 days.  Indicated situation would be serious if infection reached the elbow or shoulder joint.  Experienced patches of warm, red, itchy areas that would come and go only at the site of the cellulitis on day 2 of antibiotic.  That resolved in 24 hours.  Finished antibiotic 3 days ago, and SO FAR recovery OK and no apparent sequelae from Clindamycin to date.
Age: 23.0
Sex: F
Vaccine: PPV
Symptoms: Skin warm, Tenderness
Clinical narrative: morning after receiving the Pneumovax vaccine, red & splotchy rash on upper arm away from injection site, pain, tenderness, warm skin.  Next day redness had spread: called and visited doctor on 9/3/09 who diagnosed cellulitis and prescribed Clindamycin for 7 days.  Indicated situation would be serious if infection reached the elbow or shoulder joint.  Experienced patches of warm, red, itchy areas that would come and go only at the site of the cellulitis on day 2 of antibiotic.  That resolved in 24 hours.  Finished antibiotic 3 days ago, and SO FAR recovery OK and no apparent sequelae from Clindamycin to date.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Nodule, Pain, Swelling
Clinical narrative: Enlarged, grape-sized nodule above collarbone. Painful and swollen.
Age: 1.54
Sex: F
Vaccine: FLUX, HEPA, HIBV
Symptoms: Decreased appetite, Dizziness, Lethargy, Pyrexia
Clinical narrative: High Fever (104 degrees), dizziness, loss of appetite, moderate lethargy.  Fever developed within 6 hours of vaccinations.  Fever and symptoms did not abate until 78 hours after the vaccination.  Treatment regimen was 5ml Motrin/Tylenol every 5 hours, tepid baths to keep fever under control.
Age: 6.0
Sex: M
Vaccine: FLUN3
Symptoms: Activities of daily living impaired, Headache, Lethargy, Malaise, Pyrexia
Clinical narrative: 48 hours after nasal flu mist vaccination-became ill with severe headache, fever of 102.5 under armpit and continued for 4 days (missed 4 days of school)-even after fever free,severe headache continued for 2 additional days.  Last year, same occurence (did not report last year) but much more severe with uncontrolled 105 temp, severe lethargy and headache and missed 5 days of school-nearly took to ER but out of town and uncomfortable with medical care there
Age: 6.0
Sex: M
Vaccine: FLUN3
Symptoms: Vaccine positive rechallenge
Clinical narrative: 48 hours after nasal flu mist vaccination-became ill with severe headache, fever of 102.5 under armpit and continued for 4 days (missed 4 days of school)-even after fever free,severe headache continued for 2 additional days.  Last year, same occurence (did not report last year) but much more severe with uncontrolled 105 temp, severe lethargy and headache and missed 5 days of school-nearly took to ER but out of town and uncomfortable with medical care there
Age: 0.08
Sex: M
Vaccine: HEP
Symptoms: Diet refusal, Dyspnoea, Infantile spitting up, Insomnia, Tremor
Clinical narrative: My son's whole body was shaking. He would not sleep. He was gasping for air. He wouldn't eat and when he did he spit it back up. When I went back to Dr. he told me it wasn't possible for the vaccine to have any adverse effects on my son. I called him a liar and now he sees a new pediatrician. I don't have my records in front of me but I know it was done in June of this year.  9/16/09 PCP records received DOS 6/8-6/16/2009. Assessment: GERD. Milk protein intolerance. Patient presents with papular rash on face, chest. Fussy, not sleeping much, crying. Spits up.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: SWOLLEN,REDNESS ON VACCINE SITE
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Arthroscopy abnormal, Aspiration joint, Blood test, Culture negative, Erythema
Clinical narrative: Severe shoulder pain beginning ~2 hrs after vaccination.  Progressed to cause immobility of shoulder joint with excruciating pain on any range of motion. ~76 hours post-vaccination, shoulder symptoms still severe, and patient developed fever along with skin erythema and subcutaneous edema extending over a matter of several hours from the shoulder joint (apparently via the biceps tendon sheath) down to the antecubital fossa.  Pt presented to ER, where bloodwork, shoulder X-ray, shoulder arthrocentesis were done due to concern about misplaced vaccination resulting in possible septic arthritis versus "pseudoseptic" arthritis.  Deltoid muscle never sore, tender, or swollen.  Pt admitted from ER. Inpatient shoulder MRI obtained pre-op showed abnormal amount of fluid in joint. Arthroscopy done under general anethesia to obtain cultures and to lavage the joint, with substantial improvement in pain and limitation of shoulder range of motion.  Fluid reflected substantial inflammation; stains and cultures negative for infection and pt. discharged from hospital 4 days after ER presentation.  Significant pruritis in the subcutaneous tissue noted post-discharge, lasting several days, rx'd with OTC antihistamine.  Physical therapy prescribed to regain shoulder range of motion and strength.  Patient gradually improving day by day, though still limited with respect to range of motion and strength 2 and 1/2 weeks post-vaccination.  Hope is for full recovery, but that remains to be seen.  NOTE:  Below in Item 13, the "Route" field is filled out as "Intramuscular" which was the intended route.  However, the vaccination was given high on the arm in the shoulder area, and is it apparent from all available evidence that the vaccine was actually adminstered into the shoulder joint. 11/30/09 Hospital records received for date 8/30/09 to 9/3/09. DX: left shoulder pseudo septic arthritis after pneumovax vaccine. Presented to ER w/ left shoulder pain, swelling, redness x5 days. Sx began 2hrs after vax. Assessment: (+)fever, pain. Arthroscopic I&D surgery, no infection found but significant inflammation.
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Joint range of motion decreased, Musculoskeletal pain, Oedema, Pruritus, Pyrexia
Clinical narrative: Severe shoulder pain beginning ~2 hrs after vaccination.  Progressed to cause immobility of shoulder joint with excruciating pain on any range of motion. ~76 hours post-vaccination, shoulder symptoms still severe, and patient developed fever along with skin erythema and subcutaneous edema extending over a matter of several hours from the shoulder joint (apparently via the biceps tendon sheath) down to the antecubital fossa.  Pt presented to ER, where bloodwork, shoulder X-ray, shoulder arthrocentesis were done due to concern about misplaced vaccination resulting in possible septic arthritis versus "pseudoseptic" arthritis.  Deltoid muscle never sore, tender, or swollen.  Pt admitted from ER. Inpatient shoulder MRI obtained pre-op showed abnormal amount of fluid in joint. Arthroscopy done under general anethesia to obtain cultures and to lavage the joint, with substantial improvement in pain and limitation of shoulder range of motion.  Fluid reflected substantial inflammation; stains and cultures negative for infection and pt. discharged from hospital 4 days after ER presentation.  Significant pruritis in the subcutaneous tissue noted post-discharge, lasting several days, rx'd with OTC antihistamine.  Physical therapy prescribed to regain shoulder range of motion and strength.  Patient gradually improving day by day, though still limited with respect to range of motion and strength 2 and 1/2 weeks post-vaccination.  Hope is for full recovery, but that remains to be seen.  NOTE:  Below in Item 13, the "Route" field is filled out as "Intramuscular" which was the intended route.  However, the vaccination was given high on the arm in the shoulder area, and is it apparent from all available evidence that the vaccine was actually adminstered into the shoulder joint. 11/30/09 Hospital records received for date 8/30/09 to 9/3/09. DX: left shoulder pseudo septic arthritis after pneumovax vaccine. Presented to ER w/ left shoulder pain, swelling, redness x5 days. Sx began 2hrs after vax. Assessment: (+)fever, pain. Arthroscopic I&D surgery, no infection found but significant inflammation.
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Wrong technique in drug usage process
Clinical narrative: Severe shoulder pain beginning ~2 hrs after vaccination.  Progressed to cause immobility of shoulder joint with excruciating pain on any range of motion. ~76 hours post-vaccination, shoulder symptoms still severe, and patient developed fever along with skin erythema and subcutaneous edema extending over a matter of several hours from the shoulder joint (apparently via the biceps tendon sheath) down to the antecubital fossa.  Pt presented to ER, where bloodwork, shoulder X-ray, shoulder arthrocentesis were done due to concern about misplaced vaccination resulting in possible septic arthritis versus "pseudoseptic" arthritis.  Deltoid muscle never sore, tender, or swollen.  Pt admitted from ER. Inpatient shoulder MRI obtained pre-op showed abnormal amount of fluid in joint. Arthroscopy done under general anethesia to obtain cultures and to lavage the joint, with substantial improvement in pain and limitation of shoulder range of motion.  Fluid reflected substantial inflammation; stains and cultures negative for infection and pt. discharged from hospital 4 days after ER presentation.  Significant pruritis in the subcutaneous tissue noted post-discharge, lasting several days, rx'd with OTC antihistamine.  Physical therapy prescribed to regain shoulder range of motion and strength.  Patient gradually improving day by day, though still limited with respect to range of motion and strength 2 and 1/2 weeks post-vaccination.  Hope is for full recovery, but that remains to be seen.  NOTE:  Below in Item 13, the "Route" field is filled out as "Intramuscular" which was the intended route.  However, the vaccination was given high on the arm in the shoulder area, and is it apparent from all available evidence that the vaccine was actually adminstered into the shoulder joint. 11/30/09 Hospital records received for date 8/30/09 to 9/3/09. DX: left shoulder pseudo septic arthritis after pneumovax vaccine. Presented to ER w/ left shoulder pain, swelling, redness x5 days. Sx began 2hrs after vax. Assessment: (+)fever, pain. Arthroscopic I&D surgery, no infection found but significant inflammation.
Age: 8.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Daughter vomitted 4 hours after receiving influenza vaccination
Age: 19.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site cellulitis, Injection site swelling
Clinical narrative: He got PNEUMOVAX vaccine (SC) on his left upper arm. After 2-3 days, mom called here and told he got swelling (L) arm and diagnosed with cellulitis.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus generalised, Skin warm
Clinical narrative: Itchy all over, feels warm all over Benadryl 20 mg PO @ 9:45 self administered.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Throat tightness, Urticaria
Clinical narrative: "Throat closing" - itching, hives - Lot# 092040D  exp02/2011 Westward epinephrine 5.3 cc SC @ 10:30 AM (R) forearm- 11:15 AM spoke to Doctor's office  - to see Pt @ 1:45 PM
Age: 0.12
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Crying, Hypotonia, Lethargy, Pallor, Somnolence
Clinical narrative: Infant was given vaccines. Cried, and then became very pale and limp about 60 seconds later, lethargic. Color improved over 10 minutes. Infant remained very sleepy.  Infant had several more limp/pale events over the next few days after the vaccines.  Had a normal holter monitor exam.  Suspect this may have been a vasovagal/breath-holding spell event.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia, Skin lesion, Viral test
Clinical narrative: The patient developed erosive lesions that oozed 48 hours after the receipt of 4yo immunizations (including VARIVAX). Initially began on the nose and spread at nares and to right arm. Fever developed for 1 day 72 hours after vaccine given.
Age: 16.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Computerised tomogram normal, Concussion, Confusional state, Fall, Head injury
Clinical narrative: Received flu shot and Hep A.  3 minutes later standing at check out counter, fell backwards onto floor.  Hit back of head on ground.  Some twitching for 5 secs.  Regained consciousness.  Took water.  Sat up after 5 minutes walked out after 15 mins.
Age: 16.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Headache, Laboratory test normal, Loss of consciousness, Muscle twitching
Clinical narrative: Received flu shot and Hep A.  3 minutes later standing at check out counter, fell backwards onto floor.  Hit back of head on ground.  Some twitching for 5 secs.  Regained consciousness.  Took water.  Sat up after 5 minutes walked out after 15 mins.
Age: 12.0
Sex: M
Vaccine: FLUN3, MNQ
Symptoms: Rash generalised, Urticaria
Clinical narrative: Urticarial rash all over body.
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Swelling 4.5cm x 4.5 cm, erythema, warmth at injection site.
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, erythema, warmth at injection site 7x6 cm size.
Age: 19.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure decreased, Loss of consciousness, Musculoskeletal stiffness
Clinical narrative: Several minutes after vaccine patients arms and legs went stiff and patient passed out. Patient recovered shortly after.
Age: 73.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Induration, Mass, White blood cell count normal
Clinical narrative: 4 hours after immunization, left deltoid red, hard and egg shaped lump. Told pt to ice and use APAP call if worse. Patient went to ER next day - Dr. said possible cellulitis (WBC count normal). Dr. gave KEFLEX and patient's arm normal next day.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Oedema peripheral
Clinical narrative: Left outer aspect of arm swollen with about 50mm by 50mm of protrusion.
Age: 26.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: -Redness, swelling at injection site of both vaccines PNEUMOVAX > then FLUVIRIN.
Age: 63.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Dyspepsia
Clinical narrative: Indigestion, 20 minutes.
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, FLU3, PNC, RV5
Symptoms: Hypotonia, Lethargy
Clinical narrative: Episode of apparent limpness, lethargy occurring during car ride home after vaccinations, lasting several minutes. Normal exam when subsequently reassessed, no treatment.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Induration, Pain in extremity, Urticaria
Clinical narrative: Received flu shot on 9/1/09 by 1200 on 9/2/09 right deltoid developed a silver dollar welt it was red, hard and painful. She took Benadryl, Tylenol and heat until 9/6/09 went it was gone. On 9/3/09 she reported it to Hospital.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site urticaria
Clinical narrative: By evening a nickel size welt appeared at injection site.  It was red, swollen, and hard.  Plan: Watch.  Gone:  By Friday Sept. 4, 2009.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Induration, Urticaria
Clinical narrative: Two Quarter size welts on left deltoid. Welt is red, hard. Treatment: Watched until it was gone Friday 9/4/09.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Induration, Tenderness, Urticaria
Clinical narrative: 1/2 dollar size welt on (L) deltoid. Welt was red, tender and hard. Treatment: watched until gone - Gone by Friday 9/4/09.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Movement disorder
Clinical narrative: "Right deltoid burned on injection and keep burning". It became hard to move by the next morning it was swollen and red. Treatment- watch applied heat. Gone by Sunday Sept 6 2009.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Oedema peripheral, Pruritus, Rash macular
Clinical narrative: Over the course of 2 days developed redness and swelling on left arm that itched and was blotchy. On 9/3/09 went to Clinic to see physician. She stated it was starting to spread dawn bicep. Plan-Prednisone X 11 days and loratadine. Follow up in 2 wks.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Developed redness and started to itch on 9/3/09. Continued to get worse want to Dr. on pt had hives down left arm. Plan-CLARITIN x 30 days. PREDNISONE taper 11 days. 3 week physician following.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Swelling, Urticaria
Clinical narrative: Received the flu shot on 9/2/09 at 08AM.  By 21:00 on 9/2/09 she noticed hives on left arm and bilateral thighs.  The hives were red, raised, and white in center.  She reported them on 9/3/09 when she went to campus clinic.  Plan - CLARITIN X 1 month, and PREDNISONE x 11 days.  Follow up 2 weeks.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus
Clinical narrative: On 9/3/09 in the evening face and ears began to itch, overnight the itching got worse. Nothing seen. Pt takes CLARITIN for seasonal allergies, so took some for the itching. Which improved. It was better by Sept. 5, 2009.
Age: 62.0
Sex: M
Vaccine: FLU3
Symptoms: Hypoaesthesia, Immediate post-injection reaction, Vision blurred
Clinical narrative: Patient said shortly after vaccination had following sx: 1. Blurry vision, 2. Numbing forearm, 3. Numbing arm and leg (left) vision got better shortly after forearm also, leg and arm (left) was also getting better. Patient left and said would call if needed.
Age: 9.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient received Boostrix one month prior to 10th birthday.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature decreased, Hyperhidrosis, Nausea, Vomiting
Clinical narrative: Was not feeling well prior to shot (nauseated). 2hrs after shot, vomiting and sweating a drop in temp. (96.1F) continued for 3-4 days. Patient feels this may be a coincidence. PCP Doctor would like reported as well.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site warmth, Pruritus
Clinical narrative: Pt awoke approx 18 hours after vaccination with (R) upper arm (elbow to over shoulder area) red and hot. Pt did not complain to father other than pruritus. Was taken to ER 9/10/09 Rx KEFLEX - Dx Cellulitis.  9/14 Reported no reaction and child back to normal.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling, Injection site warmth, Pain, Pruritus, Pyrexia
Clinical narrative: Pt reported on 09-12-09 at 9:30 AM noted raised, warm area on (L) arm where was vaccine given. Stated as day progressed noted itching under skin, increase whole body achy, felt feverish. Large raised, reddish purplish area noted near injection site 16 mm -> 12 mm increase raise 0.10 mm ->.20 mm  - took ZYRTEC that AM - No other treatment.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Skin discolouration
Clinical narrative: Pt reported on 09-12-09 at 9:30 AM noted raised, warm area on (L) arm where was vaccine given. Stated as day progressed noted itching under skin, increase whole body achy, felt feverish. Large raised, reddish purplish area noted near injection site 16 mm -> 12 mm increase raise 0.10 mm ->.20 mm  - took ZYRTEC that AM - No other treatment.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Nausea
Clinical narrative: 4 hours post vaccination 5 episodes of dizziness followed by nausea lasting about 2 minutes. Patient noticed reaction on 9-4-09. These episodes continued 9-7-09. Frequency change to 2 times a day with only mild dizziness w/ nausea.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Rash generalised
Clinical narrative: Patient immunized in am, a few hours later, patient presented with rash all over body, mom called concerned patient has no problems breathing, gave mom phone number for shot line and instructed to give patient BENADRYL.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Redness began 7/30 with swelling on R deltoid. Ibuprofen has been used - Patient states it seems to have helped with ice. Current 7/31: 5 - 6" vertical redness with heat and hardness - Come to office. X 4" wide on (R) arm