chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Discomfort, Dysphagia, Neck pain, Pain in extremity, Pain in jaw
Clinical narrative: Developed discomfort left side of body after injection L deltoid.  Developed over an hour with left jaw & neck aching.  Slight difficulty swallowing, no respiratory changes.  Rec'd 25 mg Benadryl from paramedic per her request.  States she felt better in about an hour.  Called client 11/15/07 pm, stated she felt better after Benadryl.  Called 11/16/07 at work, sl. residual.
Age: 1.1
Sex: M
Vaccine: FLU3, MMR, PNC, VARCEL
Symptoms: Chest X-ray normal, Full blood count, Full blood count normal, Pyrexia
Clinical narrative: Pt. started having a fever at about 12:00pm, it continues to get higher & they went to the ER at 7:00pm when temp. was 106.5 degrees.  They did some labs and a CXR, was treated with Tylenol & Motrin & sent home.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Chest discomfort, Dizziness, Hypoaesthesia oral, Syncope, Throat tightness
Clinical narrative: Symptoms-dizziness, numbness around the lips area, fainting spells, tightness in the throat, chest pressure.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Pruritus, Urticaria
Clinical narrative: 3 1/2 weeks after shot, client developed spot on buttocks area.  3 days later it was 2x size with blisters.  Client had shingles 6 years ago.  10/25/07-area healed over but still urticaric. No pain.  Started Acyclovir 800 mg 5x day x 5 days.  Still with healed over blisters, some itching.
Age: 34.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injection site pain, Neck pain, Pain in extremity, Paraesthesia
Clinical narrative: Pain at injection site radiating to neck and hands.  Had some tingling in fingertips only.  Physical exam showed intact strength, sensation and only pain over injection site without swelling or erythema.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Swelling face, Tenderness
Clinical narrative: 24 hrs. after receiving MMR vaccine pt. developed facial/cheek swelling & tenderness.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Skin tightness
Clinical narrative: 48 hrs after immun. were given child was taken to Emergency Room.  L arm red/swollen/hot to touch and "very tight" from elbow to shoulder.  MD examined site and prescribed an antibiotic and gave Benadryl.  No systemic effect/activity normal.  By 5th day pt. was fine.
Age: 1.1
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Body temperature increased, Febrile convulsion
Clinical narrative: Vaccines MMR, varicella & Prevnar administered 9/19/07.  On 9/23/07 pt had fever & a seizure.  Temp not taken until fever started to come down, was 103.6 at that time.
Age: 44.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Activities of daily living impaired, Chills, Fatigue, Headache, Hyperhidrosis
Clinical narrative: Swollen arm, itchy, very hot to the touch w/rash that spread. very bad headache. fever, chills and sweating. Lethargic and very tired. Missed work. Felt very bad for 4 days and then felt worn out for another 1 1/2 weeks.
Age: 44.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Lethargy, Malaise, Oedema peripheral, Pruritus, Pyrexia
Clinical narrative: Swollen arm, itchy, very hot to the touch w/rash that spread. very bad headache. fever, chills and sweating. Lethargic and very tired. Missed work. Felt very bad for 4 days and then felt worn out for another 1 1/2 weeks.
Age: 44.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Rash, Skin warm
Clinical narrative: Swollen arm, itchy, very hot to the touch w/rash that spread. very bad headache. fever, chills and sweating. Lethargic and very tired. Missed work. Felt very bad for 4 days and then felt worn out for another 1 1/2 weeks.
Age: 67.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Pain in extremity
Clinical narrative: Beginning 2-4 weeks after vaccination patient states has sharp pain that runs between the shoulder & elbow with exertion of muscle & joint.  Per consult of regional office I suggested patient consult PCP.
Age: 65.0
Sex: M
Vaccine: FLU3, TD
Symptoms: Pain in extremity
Clinical narrative: Beginning 2-4 weeks after vaccination, patient states has sharp pain that runs between the shoulder and elbow with exertion of muscle and joint.  Per consult of regional office suggested patient consult PCP.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Loss of consciousness, Nervousness, Syncope vasovagal
Clinical narrative: Patient was nervous for vaccine.  She sat for the vaccine and was told to wait 15 minutes before leaving.  About 4 minutes after the shot, she told boyfriend she was going to pass out and she did.  BP - 133/72.  Patient said she had a vagal response to pain.
Age: 22.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Pallor, Urticaria
Clinical narrative: L upper arm 1 cm & 3 (1-3 mm) urticarial wheals (lesions).  Central blanching & surrounding 3 cm area of erythema and redness.  Started 20 min ago just after lunch.  Had influenza vaccine yesterday.
Age: 1.0
Sex: M
Vaccine: FLU3, HIBV, MMR, VARCEL
Symptoms: Injection site bruising, Injection site discolouration, Injection site erythema, Injection site pain
Clinical narrative: Patient developed a sensitive hyperpigmented area at site of vaccines.  Was initially red, then became bruise-like and now is red/purple.  No lump felt.  Not hot.  "1"x 1/2" on left anterior thigh.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Lymphadenitis, Mammogram normal, Ultrasound scan normal
Clinical narrative: Lymphadenitis
Age: 36.0
Sex: M
Vaccine: FLU3
Symptoms: Influenza, Influenza serology positive
Clinical narrative: Pt developed influenza B.
Age: 15.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Incorrect dose administered
Clinical narrative: Patient received Dtap instead of Tdap or Td.
Age: 1.3
Sex: F
Vaccine: DTAP, PNC
Symptoms: Injection site erythema, White blood cell count normal
Clinical narrative: 5 cm redness R thigh.  2.5 cm redness L thigh.  Tx: Tylenol and Motrin.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Grand mal convulsion, Local reaction, Oedema peripheral
Clinical narrative: Pt has a stable seizure disorder.  1. Seizure, 'one', tonic clonic about 40 hours post vaccination.  2. Moderately severe local reaction with swelling, erythema RUE.
Age: 34.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Rash
Clinical narrative: Localized irritation, redness
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Induration, Pyrexia, Swelling
Clinical narrative: Red, swollen, started at 7 pm day of injection, fever 102, erythema 12 x 11 cm, 5 cm central induration.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Tuberculosis skin test positive
Clinical narrative: Pt. was seen here on 1-4-08 for school exam, PPD & immun update.  Exam was normal.  Varicella was given in R upper arm/SQ.  Pt. came back in for PPD reading on 1-7-08.  PPD reading was 4 mm.  Upper arm had a large, red area reaching from shoulder to almost elbow w/ firm round area at site almost 3 inches wide.  Pt. did not appear sick.  No fever.
Age: 0.6
Sex: F
Vaccine: PPV
Symptoms: Drug administered at inappropriate site
Clinical narrative: Pneumococcal vaccine polyvalent pneumovax 23.
Sex: U
Vaccine: DTAP, HEPA, VARCEL
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis R arm-2 days.
Age: 1.6
Sex: M
Vaccine: FLU3
Symptoms: Erythema multiforme, Eye swelling, Platelet count normal, Rash, Red blood cell sedimentation rate normal
Clinical narrative: Puffy eyes, erythema multiforme (no mucosal involvement, no trouble breathing).  Treated with epinephrine in the ER several times, oral Prednisone, Benadryl, dexamethasone.  Symptoms occurred 6 days after vaccine and the rash lasted about 4 days then resolved.
Age: 10.0
Sex: F
Vaccine: DTAP
Symptoms: Medication error
Clinical narrative: No adverse event.  Patient was given Dtap instead of Tdap.
Age: 78.0
Sex: F
Vaccine: PPV
Symptoms: Blood test, Injected limb mobility decreased, Injection site pain, Pain in extremity
Clinical narrative: Approximately 15 minutes after patient received the vaccine on November 29th, 2007, she c/o severe left arm pain which patient did not report until follow-up in clinic on January 10th, 2008. She reports that the severe pain subsided after two to three days which now is a mild amount of dull, intermittent pain. Denies anaphylactic reactions on November 29th and any of the other following days. Denies any other neurological symptoms, constitutional symptoms, nausea, vomiting, SOB, diarrhea, headaches, paresthesias, and weakness.
Age: 84.0
Sex: M
Vaccine: VARZOS
Symptoms: Pruritus, Rash vesicular
Clinical narrative: Vesicular rash on trunk, neck, upper arms; itchy.
Age: 46.0
Sex: F
Vaccine: RAB
Symptoms: Arthralgia, Erythema, Joint swelling, Oedema peripheral, Pyrexia
Clinical narrative: Received rabies booster due to low titer. Had post-exposure treatment in 1998. Joint pains within 24 hrs. of administration. 13 days after administration hands and knees were swollen, knees were red. The next day, face was swollen, knees were more swollen and she had a fever of 100 degrees. She was seen in ER, given epinephrine and started on a 5 day course of steroids. Saw her PCP on 1/2/08 with persistent symptoms and was started on another course of steroids.
Age: 46.0
Sex: F
Vaccine: RAB
Symptoms: Swelling face
Clinical narrative: Received rabies booster due to low titer. Had post-exposure treatment in 1998. Joint pains within 24 hrs. of administration. 13 days after administration hands and knees were swollen, knees were red. The next day, face was swollen, knees were more swollen and she had a fever of 100 degrees. She was seen in ER, given epinephrine and started on a 5 day course of steroids. Saw her PCP on 1/2/08 with persistent symptoms and was started on another course of steroids.
Age: 17.0
Sex: M
Vaccine: FLU3, MNQ
Symptoms: Erythema, Oedema peripheral, Pruritus, Swelling, Swelling face
Clinical narrative: PATIENT HAD RECEIVED INFLUENZA VACCINE EARLIER IN THE DAY BY HIS PERSONAL PHYSICIAN & RECEIVED MENINGOCOCCAL VACCINE AT PUBLIC HEALTH DEPT LATER IN THE DAY ON 1/7/2008. AT 3 A.M. ON 1/9/2008, PATIENT HAD REDNESS & ITCHING OF FACE; SWELLING OF FACE, HANDS & TONGUE.  ACCORDING TO PHYSICIAN'S REPRESENTATIVE, PATIENT WAS SEEN ON 1/9/2008 IN LATE A.M. AND DIAGNOSED WITH A REACTION TO EITHER THE FLU VACCINE OR THE MENINGOCOCCAL VACCINE.  PATIENT GIVEN MEDROL (METHYLPREDNISOLONE 4 MG) DOSE PACK.  AS OF 11:30 AM 1/10/2008, PATIENT'S SYMPTOMS HAVE DIMINISHED, BUT NOT COMPLETELY RESOLVED (ACCORDING TO PATIENT'S PARENTS).
Age: 17.0
Sex: M
Vaccine: FLU3, MNQ
Symptoms: Swollen tongue, Vaccination complication
Clinical narrative: PATIENT HAD RECEIVED INFLUENZA VACCINE EARLIER IN THE DAY BY HIS PERSONAL PHYSICIAN & RECEIVED MENINGOCOCCAL VACCINE AT PUBLIC HEALTH DEPT LATER IN THE DAY ON 1/7/2008. AT 3 A.M. ON 1/9/2008, PATIENT HAD REDNESS & ITCHING OF FACE; SWELLING OF FACE, HANDS & TONGUE.  ACCORDING TO PHYSICIAN'S REPRESENTATIVE, PATIENT WAS SEEN ON 1/9/2008 IN LATE A.M. AND DIAGNOSED WITH A REACTION TO EITHER THE FLU VACCINE OR THE MENINGOCOCCAL VACCINE.  PATIENT GIVEN MEDROL (METHYLPREDNISOLONE 4 MG) DOSE PACK.  AS OF 11:30 AM 1/10/2008, PATIENT'S SYMPTOMS HAVE DIMINISHED, BUT NOT COMPLETELY RESOLVED (ACCORDING TO PATIENT'S PARENTS).
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Local reaction, Skin warm, Swelling
Clinical narrative: Pt. had a varicella SQ injection left arm .  Localized red, warm, swollen reaction
Age: 0.36
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Irritability
Clinical narrative: Fussy x 4 days.  OTC Tylenol, Motrin.
Age: 16.0
Sex: F
Vaccine: HPV4, MEN
Symptoms: Cold sweat, Dizziness, Nausea
Clinical narrative: Daughter became very dizzy and clammy about 10 minutes after taking Gardasil Shot.  Felt nauseous and had to lie down.
Age: 0.58
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Antimicrobial susceptibility test resistant, Body temperature increased, Cellulitis, Culture wound positive, Erythema
Clinical narrative: Immunizations given on 11/19/2007. Mom states infant had "red bump" on L side of buttocks which spreaded to scrotum area and "high temp". Primary MD P O Treatment 11/21; ER 11/23;  MC admission 11/23/07;  Wound Culture per microbiology - "MRSA"; IV antibiotics given. Discharged 11/28/07 on Cleocin by mouth. Admit diagnosis: Cellulitis L Buttock and L Leg (not in same area of injection site);  D/C Summary improved with antibiotic treatment. 1/22/08-records received for DOS 11/23-11/28/07-DC DX: Left leg abscess and cellulitis status post incision and drainage. MRSA positive. 11/20/07-Swelling at injection site day after vaccination, small pimple. 11/22/07-red area left hip, temp 105. Refused to weight bear on left leg. Fluctuan area palpated and 10cc serosanguinous fluid aspirated from site with subsequent incision and drainage.
Age: 0.58
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Rash erythematous
Clinical narrative: Immunizations given on 11/19/2007. Mom states infant had "red bump" on L side of buttocks which spreaded to scrotum area and "high temp". Primary MD P O Treatment 11/21; ER 11/23;  MC admission 11/23/07;  Wound Culture per microbiology - "MRSA"; IV antibiotics given. Discharged 11/28/07 on Cleocin by mouth. Admit diagnosis: Cellulitis L Buttock and L Leg (not in same area of injection site);  D/C Summary improved with antibiotic treatment. 1/22/08-records received for DOS 11/23-11/28/07-DC DX: Left leg abscess and cellulitis status post incision and drainage. MRSA positive. 11/20/07-Swelling at injection site day after vaccination, small pimple. 11/22/07-red area left hip, temp 105. Refused to weight bear on left leg. Fluctuan area palpated and 10cc serosanguinous fluid aspirated from site with subsequent incision and drainage.
Age: 27.0
Sex: M
Vaccine: FLU3, HEP, HEPA, MNQ, TDAP
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: Patient came in for five vaccines (Hepatitis B, Tdap, Hepatitis A, Influenza, and Meningococcal) on January 10, 2008 at 3:15 p.m. Patient was asked if he had allergies to medications, foods or previous vaccines. He denied having any allergies, except to tomatoes at one time. Patient was alert oriented to place, time and name. Patient was reminded that if he were to feel light headed to notify administrator so that the vaccines could be stopped. He acknowledged. Patient was sitting in a chair at the time of administration of vaccines. Tdap, Hepatitis A and Meningococcal were administered via intramuscular injections on the right deltoid. Patient was asked if he felt okay, and he stated "yes". Hepatitis B and the Influenza Vaccine were then placed on the left deltoid via intramuscular injection. After the completion of the vaccines patient complained of feeling light headed. He then placed his head in between his legs for about 3 minutes; he proceeded to sit up again. But, he felt dizzy and began sweating profusely. Patient stated that he had not eaten all day long. He was offered a hard candy and chewed on it for a while. Again, he placed his head in between his leg. He was asked to spit out his candy so as to prepare to lay him flat on the floor. With no relief in dizziness and sweating patient was assisted down to the floor. His legs were elevated above the level of his heart. Emergency medical services were notified. After remaining on the floor of the clinic for a couple of minutes, patient stated he felt better. His vital signs were 120/72 mm/Hg. blood pressure and 72/minute pulse. Again his pulse was checked minutes later and it was 80/minute. E.M.S. arrived at the scene and rendered first aid. Patient refused medical transport and stated he felt much better. He stated that he takes Lexapro (unknown dosage) and another bi-polar medication. Patient remained at the clinic for about 30 minutes before requesting to step outside to smoke a cigarette. Patient did not have any wheezing or difficulty breathing. Patient was alert oriented to time, place and person and was very cooperative. Patient did state that he did have a similar reaction when he was given multiple vaccines and had blood drawn several years prior.
Age: 12.0
Sex: F
Vaccine: FLUX, UNK
Symptoms: Anxiety, Convulsion, Dizziness, Headache, Nausea
Clinical narrative: 24 days after having the flu shot and Gardasil vaccine simultaneously, experienced an episode of nausea, dizziness, severe headache, seeing black spots, fainted and seizure activity (her teacher reported that she was shaking). She continues to have frequent headaches, nausea and occassional dizziness, & anxiety over the above.
Age: 12.0
Sex: F
Vaccine: FLUX, UNK
Symptoms: Syncope, Ultrasound abdomen, Visual disturbance
Clinical narrative: 24 days after having the flu shot and Gardasil vaccine simultaneously, experienced an episode of nausea, dizziness, severe headache, seeing black spots, fainted and seizure activity (her teacher reported that she was shaking). She continues to have frequent headaches, nausea and occassional dizziness, & anxiety over the above.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Irritability, Laboratory test, Lumbar puncture normal, Pyrexia
Clinical narrative: Shots given 11AM 1/9/08.  Began inconsolable crying spell then developed fever to 103.  To ER-sepsis workup including LP negative so far.  Still fussy but consolable on 1/10/08.
Age: 45.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: L deltoid swelling, redness, pain.  Onset 12/31/07.  Tx: ice, muscle relaxer.
Age: 0.6
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Convulsion
Clinical narrative: 4 hr and 24 min after immunizations, had episodes of stretching of arms, turning head to side, glazed appearance, unable to gain eye contact.  Lasted less than 1 min, no color change.  Looking back, mom thinks she had same reaction after 2 and 4mm immunizations.  No other history of seizure activity.
Age: 1.3
Sex: F
Vaccine: MMR
Symptoms: Varicella
Clinical narrative: Varicella (despite vaccinated 9/25/98).
Age: 7.0
Sex: M
Vaccine: MMR
Symptoms: Varicella
Clinical narrative: Varicella despite vaccination 1/30/01, 2/13/07.
Age: 61.0
Sex: F
Vaccine: FLU3, PPV, VARZOS
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis right arm.
Age: 15.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site papule
Clinical narrative: 5 cm x 6 cm red, indurated lesion at site of vaccine.  2-3 mm raised, red papule at injection site.  1st noticed 48 hrs after vaccine admin.
Age: 1.4
Sex: F
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Erythema, Pyrexia, Swelling, Weight bearing difficulty
Clinical narrative: Fever 102.9 evening of shot and unable to bear weight on leg for 2 days with redness and swelling for 2 days.  Fussiness for 3 weeks.  No redness or swelling at time of revisit 1/8/08.
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain upper, Headache
Clinical narrative: Had 2 Gardasil vaccines, next day 3 hours headache & stomach ache.  Reported to public health.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Rash vesicular
Clinical narrative: 1/2/08 Vesicular rashes on face and chest. 1/7/08 Vesicular rashes on trunk, legs, and arms.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Reported to OH today complained of pain, redness, warmth to left deltoid and, complained of itching on 1/6/08. States that morning noticed  symptoms, redness, warmth at injection site 2 3/4 " below site has area of redness Temp 97.9.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pruritus
Clinical narrative: Persistent swelling L UE x6 months with continued tenderness & erythema.  No F/U, positive mild pruritis. 5/2/08-records received-1/10/08-seen for C/O left upper extremity arm swelling, tenderness since 8/8/07-pain persistent since that time and now has 1-2 months swelling. Received her 3rd Gardasil injection in right arm without complaints. Seen 1/29/08 for C/O joint pains. Each vaccination produced pain at the site of injection without any erythema or site reaction. By end of series in December experienced migratory arthralgias including hips, knees, feet, toes and hands. Daily pain. Impression:arthralgias and positive ANA titer.
Age: 16.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Laboratory test, Oedema peripheral, Pain in extremity, Systemic lupus erythematosus
Clinical narrative: Persistent swelling L UE x6 months with continued tenderness & erythema.  No F/U, positive mild pruritis. 5/2/08-records received-1/10/08-seen for C/O left upper extremity arm swelling, tenderness since 8/8/07-pain persistent since that time and now has 1-2 months swelling. Received her 3rd Gardasil injection in right arm without complaints. Seen 1/29/08 for C/O joint pains. Each vaccination produced pain at the site of injection without any erythema or site reaction. By end of series in December experienced migratory arthralgias including hips, knees, feet, toes and hands. Daily pain. Impression:arthralgias and positive ANA titer.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Blood pressure, Body temperature decreased, Dizziness, Heart rate normal, Hyperhidrosis
Clinical narrative: Onset 7 mins. after 2nd dose Gardasil pt. pale, diaphoretic, lightheaded.  After lying flat approx. 15 mins. symptoms subsided.  Vital signs remained stable.  Was released home at 10:35, improved.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Pallor
Clinical narrative: Onset 7 mins. after 2nd dose Gardasil pt. pale, diaphoretic, lightheaded.  After lying flat approx. 15 mins. symptoms subsided.  Vital signs remained stable.  Was released home at 10:35, improved.
Age: 14.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: Pt. rec. Gardasil 1/9/08.  Fainted 2 mins post vaccine.  Awoke immediately.  Ice applied.  No laceration/no sx. head injury.
Age: 44.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site rash, Rash
Clinical narrative: Varivax given L deltoid, 1-7-08 at 14:15.  Pt developed 4 cm redness/rash to injection site by late Tuesday and a rash to her chest.  The rash is non-resonpt .  No vesicles.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt received Varivax 1/10/08. Woke up with swollen red area around injection site 4cm x 4.5 cm.
Age: 17.0
Sex: F
Vaccine: HEP
Symptoms: Convulsion, Disorientation, Fatigue, Leukoencephalomyelitis, Pain
Clinical narrative: Information has been received regarding a case in litigation concerning a 17 year old female, who on 25-JUN-1993, was vaccinated with hepatitis B virus vaccine rHBsAg (yeast). Four days after the vaccination (29-JUN-1993), it was reported that the patient developed a seizure while driving as observed by a passenger in her car and was hospitalized.  During her hospitalization the patient reported generalized pain, fatigue, and disorientation.  The petitioner's expert witness (a physician) acknowledged they were typical symptoms following an initial seizure.  The same physician admitted that epilepsy tended to appear in patients at that age but insisted that, had if tests been performed by the treating neurologist, he "would have found" evidence of white matter disease to support his contention that the patient suffered from acute disseminated encephalomyelitis (ADEM).  The Special Master went on to report that her medical records did not reflect any evidence of white matter disease.  Nonetheless, the expert witness (physician) maintained that the treating neurologist did not perform an adequate investigation of the patient's condition during her hospitalization in 1993.  The expert witness proclaimed that if the treating neurologist had performed a spinal tap or pursued serial scans, signs of white matter disease would have been found.  The expert witness insisted that the evidence for ADEM was that the patient did not have the proper work up to prove that she had ADEM.  The Special Master went on to report that the expert witness had neither proof that the patient neither sustained ADEM on June 1993, nor proof that she did not sustain ADEM in June 1993.  The Special Master stated that "all bluster aside, the physician's stance that she suffered ADEM in June 1993 amounted to nothing more than speculation".
Age: 32.0
Sex: F
Vaccine: HEP
Symptoms: Joint stiffness, Joint swelling, Oedema, Renal impairment, Scar
Clinical narrative: Information has been received regarding a case in litigation via of literature article concerning a nurse received three Recombivax HB injections over a seven month period in 1991 and 1992 and developed swollen and stiff joints in her hands, knees and feet two months later. She was diagnosed with scleroderma in June 1992, was hospitalized in November 1992 and was found to have restricted function in her right kidney. The patient filed a compensation petition in June 1999. A special master found that the onset of the patient's scleroderma occurred in mid-February 1992 based on medical records and knowledge about scleroderma. "The undersigned hold that the onset of petitioner's scleroderma was approximately one month after she received her third Recombivax HB vaccination," she wrote. According to supportive case law it was noted, "In light of all these cases in which Recombivax HB vaccine insighted or worsened an autoimmune disease involving various organs, the undersigned holds that it is consistent that Recombivax HB can and did cause diffuse scleroderma or systemic sclerosis occurring one month after Recombivax HB. The timing here is appropriate for an immune responses," she continued. "Autoimmune reactions take time, in this case one month." It was also noted, "Petitioner has shown a logical sequence of cause and effect from the vaccination to the onset of he diffuse scleroderma," the special master held, "a disease in which the body turns against itself because of a combination of generic proliviry and external immunologic challenged (the vaccination), producing autoantibodies that proceeded to attack her skin and other organs, causing edema, scarring, and multiple organ damage."
Age: 32.0
Sex: F
Vaccine: HEP
Symptoms: Scleroderma, Systemic sclerosis
Clinical narrative: Information has been received regarding a case in litigation via of literature article concerning a nurse received three Recombivax HB injections over a seven month period in 1991 and 1992 and developed swollen and stiff joints in her hands, knees and feet two months later. She was diagnosed with scleroderma in June 1992, was hospitalized in November 1992 and was found to have restricted function in her right kidney. The patient filed a compensation petition in June 1999. A special master found that the onset of the patient's scleroderma occurred in mid-February 1992 based on medical records and knowledge about scleroderma. "The undersigned hold that the onset of petitioner's scleroderma was approximately one month after she received her third Recombivax HB vaccination," she wrote. According to supportive case law it was noted, "In light of all these cases in which Recombivax HB vaccine insighted or worsened an autoimmune disease involving various organs, the undersigned holds that it is consistent that Recombivax HB can and did cause diffuse scleroderma or systemic sclerosis occurring one month after Recombivax HB. The timing here is appropriate for an immune responses," she continued. "Autoimmune reactions take time, in this case one month." It was also noted, "Petitioner has shown a logical sequence of cause and effect from the vaccination to the onset of he diffuse scleroderma," the special master held, "a disease in which the body turns against itself because of a combination of generic proliviry and external immunologic challenged (the vaccination), producing autoantibodies that proceeded to attack her skin and other organs, causing edema, scarring, and multiple organ damage."
Age: 29.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Chest pain, Erythema, Headache, Local reaction, Myalgia
Clinical narrative: Smallpox vaccine administered with Anthrax #2 on 12/26/2007.  Onset of symptoms on 01/06/2008.  Symptoms include fever, mayalgia, chest pain, head ache, and local redness & swelling.
Age: 29.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Pyrexia, Swelling
Clinical narrative: Smallpox vaccine administered with Anthrax #2 on 12/26/2007.  Onset of symptoms on 01/06/2008.  Symptoms include fever, mayalgia, chest pain, head ache, and local redness & swelling.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: I was given a shingles vaccination and had the following symptoms.  SWELLING, REDNESS, (2" diameter) TENDER AND WARM AT INJECTION SITE.  HEADACHE.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site anaesthesia, Injection site pain
Clinical narrative: Patient complained of numbness and pain to injection site which lasted for several days.
Age: 18.0
Sex: M
Vaccine: SMALL
Symptoms: Electrocardiogram, Syncope
Clinical narrative: Syncopy Episode.
Age: 1.11
Sex: M
Vaccine: DTAP, HIBV, MMRV, PNC
Symptoms: Herpes zoster, Lacrimation increased, Pyrexia, Rash vesicular, Rhinorrhoea
Clinical narrative: The mother noticed spots on the left hip below the diaper. Clusters appeared on the left thigh about two to three inches above the knee. Mother said he had a runny nose and runny eyes with a fever that that was low grade prior to the cluster. She said they scabbed over and the child did not appear to have any itching or irritation from the clusters.
Age: 1.11
Sex: M
Vaccine: DTAP, HIBV, MMRV, PNC
Symptoms: Scab
Clinical narrative: The mother noticed spots on the left hip below the diaper. Clusters appeared on the left thigh about two to three inches above the knee. Mother said he had a runny nose and runny eyes with a fever that that was low grade prior to the cluster. She said they scabbed over and the child did not appear to have any itching or irritation from the clusters.
Age: 20.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Injection site erythema, Injection site induration, Injection site nodule, Injection site pain, Injection site warmth
Clinical narrative: Had pea sized lump under skin at vaccine site after HPV vaccine RUE    then slept on floor 1/3/08 at friends and next am site sore and red worsened over next few d still looks red, tender no fevers no d/c. 2 cm area erythema, induration, warmth, tenderness R deltoid c/w injection site. No fluctuance appreciated.
Age: 31.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Body temperature increased, Chest X-ray, Injection site pain, Injection site swelling, Laboratory test
Clinical narrative: Information has been received from a physician, concerning a 32 year old female patient with attention deficit disorder, migraines and irregular menstruation, and a history (02-OCT-2007) of vaccination with Pneumovax 23 vaccine (lot #657626/1084U) while hospitalized with bilateral pneumonitis which required intubation. On 04-JAN-2008 the patient was again vaccinated in the right shoulder, with a dose of Pneumovax 23 (lot # not reported). Concomitant vaccine therapy included a dose in the left shoulder, of influenza virus vaccine (STRATTERA), desogestrel/ethinyl estradiol (DESOGEN), estradiol (ESTRACE), hyoscyamineSO4 (LEVSIN) and rizatriptan benzoate (MSD). On 05-JAN-2008, 24 hours after vaccination, the patient developed a fever of 102 F, myalgia, photophobia, pain and swelling at the injection site in right shoulder, and leukocytosis. She was hospitalized, and treatment included ertapenem (INVANZ), administered twice, ibuprofen and intravenous fluids. Diagnostic labs were obtained (not specified), as well as a chest x-ray (results not provided). On 07-JAN-2007, the patient was afebrile, but had continued leukocytosis. The physician stated the patient was recovering from the events. The physician considered the events to be serious as an other important medical event. Additional information has been requested.
Age: 31.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Leukocytosis, Myalgia, Photophobia, Pyrexia
Clinical narrative: Information has been received from a physician, concerning a 32 year old female patient with attention deficit disorder, migraines and irregular menstruation, and a history (02-OCT-2007) of vaccination with Pneumovax 23 vaccine (lot #657626/1084U) while hospitalized with bilateral pneumonitis which required intubation. On 04-JAN-2008 the patient was again vaccinated in the right shoulder, with a dose of Pneumovax 23 (lot # not reported). Concomitant vaccine therapy included a dose in the left shoulder, of influenza virus vaccine (STRATTERA), desogestrel/ethinyl estradiol (DESOGEN), estradiol (ESTRACE), hyoscyamineSO4 (LEVSIN) and rizatriptan benzoate (MSD). On 05-JAN-2008, 24 hours after vaccination, the patient developed a fever of 102 F, myalgia, photophobia, pain and swelling at the injection site in right shoulder, and leukocytosis. She was hospitalized, and treatment included ertapenem (INVANZ), administered twice, ibuprofen and intravenous fluids. Diagnostic labs were obtained (not specified), as well as a chest x-ray (results not provided). On 07-JAN-2007, the patient was afebrile, but had continued leukocytosis. The physician stated the patient was recovering from the events. The physician considered the events to be serious as an other important medical event. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Unevaluable event
Clinical narrative: Information has been received from a female consumer via a letter concerning a female (age unknown) who, on an unspecified date, was vaccinated with a dose of Gardasil. According to the reporting consumer, on an unspecified date, the patient "nearly died," At the time of this report, the patient's outcome was unknown. Upon internal review, "nearly died" was considered to be an other important medical event. This is a hearsay report in the absence of an identifiable patient. Attempts are being made to verify the existence of a patient. No further information is available.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Haematochezia
Clinical narrative: Information has been received from a registered nurse concerning a 9 weeks old female with no pertinent medical history and drug reactions/allergies who on 28-NOV-2007 was vaccinated po with a "first dose of series" of Rotateq (lot number: 657977/1195U). Concomitant therapy (that day) on 28-NOV-2007 included Prevnar, Pediarix and Pedvax HIB. No other medications were noted. On 04-DEc-2007 the patient experienced diarrhea for 10 days. On 14-DEC-2007 unspecified medical attention was sought, the patient was seen in the office. The patient continued with 6 loose stools per day. The patient's formula was switched from enfamil to similac and back to enfamil supplementing the nursing. Some blood in stool the night (13-DEC-2007) before was noted. The outcome was reported as not recovered. There were no lab diagnostic studies performed. It was unknown if the patient will receive the next dose of Rotateq. No additional information was provided at this time. There was no product quality complaint. Upon internal review, blood in stool is considered to be an other medical event. Additional information has been requested.
Age: 0.53
Sex: F
Vaccine: DTAPHEPBIP, FLU3, HIBV, RV5
Symptoms: Convulsion, No reaction on previous exposure to drug, Pyrexia
Clinical narrative: Infant received administration of Pediarix, hib (Sanofi), Fluzone, Prevnar, and Rotateq on 10/12/07. She had received Pediarix, Hib, Prevnar, and Rotateq previously on 6/8/07 and 8/10/07 without any adverse event.  This was her first flu vaccine dosage. That evening around 8 p.m. the infant developed high fever to 103 and had a seizure.  After the seizure, the infant appeared normal.  She had no further fever after that night. She has been growing and developmentally normal since that evening without any further seizure activity.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Areflexia, Asthenia, Guillain-Barre syndrome, Pain, Paraesthesia
Clinical narrative: Pain, paresthesias in limbs, weakness, areflexia.  Diagnosed as Guillain Barre syndrome. 1/28/08-records received for DOS 11/28-12/13/07-DC DX: Guillain-Barre syndrome. On 11/17/07 developed pain and numbness in both feet and pain in hands, pain and numbness persisted began to ascend to her legs. This is the second time the patient has experienced these symptoms. Eight years ago had similar symptoms of ascending numbness and weakness after receiving the flu vaccine but not as severe. Developed decreased muscle strength bilaterally in legs, unsteady gait.
Age: 24.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Chest X-ray normal, Chills, Computerised tomogram normal, Dysphemia
Clinical narrative: Severe chills, loss of control of arms/legs, hyperventilation, fever, stutter in speech, sore joints, duration 3 hrs then stopped then reoccurred for 2 hrs.  1/22/08 Reviewed vax record & hospital records which reveal patient experienced severe shaking chills, fever, diaphoresis, uncontrollable shaking in extremities, spasms of hands on day of admit.  Admitted 12/27-12/29/2007.  Temp on admit 38.6 & continued to be febrile until AM of d/c to home.  FINAL DX: Fever w/o obvious infectious source, possible adverse reaction to Tdap vaccine.
Age: 24.0
Sex: M
Vaccine: TDAP
Symptoms: Hyperventilation, Loss of control of legs, Nuclear magnetic resonance imaging normal, Pyrexia
Clinical narrative: Severe chills, loss of control of arms/legs, hyperventilation, fever, stutter in speech, sore joints, duration 3 hrs then stopped then reoccurred for 2 hrs.  1/22/08 Reviewed vax record & hospital records which reveal patient experienced severe shaking chills, fever, diaphoresis, uncontrollable shaking in extremities, spasms of hands on day of admit.  Admitted 12/27-12/29/2007.  Temp on admit 38.6 & continued to be febrile until AM of d/c to home.  FINAL DX: Fever w/o obvious infectious source, possible adverse reaction to Tdap vaccine.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Erythema
Clinical narrative: Patient recieving Tdap vaccine exeperienced mild cellulitis and erythema. Patient treated with Keflex 500mg qid for 10 days and Benadryl 25mg tid.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspepsia, Feeling cold, Pain, Sleep disorder
Clinical narrative: Patient reports having an "achy" arm from her shoulder to fingertips, throbbing and "cold" sensation, radiating up to her nect, ribs.  No redness or swelling at injection site.  She also reports "heartburn" that wouldn't go away. Denies chest pain.  Sx started to improve after 1 1/2 days but lasted 3 days.  Sx were reported on her left side (where the injection was given).  She has a hx of "heartburn" but this time it lasted.  She said that ibuprofen 600 mg did not relieve the discomfort.  Pain was severe enough to disrupt her sleep.  She spoke with her family physician but he did not seem concerned or advise any medical follow-up.  Symptoms have completely resolved.  She says that she typically experiences severe pain after a flu shot but not as extensive as this time.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Dizziness, Fatigue, Feeling abnormal, Lymphadenopathy
Clinical narrative: Major take with smallpox vaccine with lymphadenopathy.  Feeling lousy with some dizziness and fatigue.  Recommended quarters for rest of today and tommorrow due to his complaints.  I submit this VAERS due to quarters and not due to unexpected symptoms.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: Pt c/o redness, warmth, and itching (R) arm, (R) side of body and (R) leg. Lasted x 48 hours. Took Benadryl and helped.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain upper, Dizziness
Clinical narrative: Pt. received Gardasil.  C/O dizziness, stomach cramps.  Advised to treat as viral.  Increased fluids, sm. am'ts bland food.  Call if change of sx.
Age: 16.0
Sex: M
Vaccine: FLU3, HEPA, MNQ, FLU3, HEPA, MNQ
Symptoms: Dyspnoea, Stridor, X-ray normal
Clinical narrative: Trouble in breathing at night with stridor lasting for four seconds.  He never had asthma.  He was getting these episodes 2-3 times a wk.
Age: 1.1
Sex: F
Vaccine: HIBV, PNC
Symptoms: Allergy test, Blood immunoglobulin G decreased, Diarrhoea, Full blood count abnormal, Injection site mass
Clinical narrative: Diarrhea Started 48 hours later Dr says chronic non specific diarrhea. (Treatment: High Fat diet) undigested food particles in stool. Hard Rd Knots on legs 1 lasted over 6 weeks.
Age: 1.1
Sex: F
Vaccine: HIBV, PNC
Symptoms: Stool analysis normal
Clinical narrative: Diarrhea Started 48 hours later Dr says chronic non specific diarrhea. (Treatment: High Fat diet) undigested food particles in stool. Hard Rd Knots on legs 1 lasted over 6 weeks.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Incorrect route of drug administration
Clinical narrative: IM influenza vaccine was mistaken for 'FluMist' and administered to the nasal passage as a liquid. Once mistake was determined it was given IM.
Age: 15.0
Sex: U
Vaccine: HPV4, MNQ, FLUX, HPV4, MNQ
Symptoms: Contusion, Immediate post-injection reaction, Injury, Syncope
Clinical narrative: Pt. fainted immediately after receiving Gardasil and Menactra.  Hit mouth-injury gum & cutting lip.  Contusion on cheek and forehead.
Age: 15.0
Sex: U
Vaccine: HPV4, MNQ, FLUX, HPV4, MNQ
Symptoms: Loss of consciousness
Clinical narrative: Pt. fainted immediately after receiving Gardasil and Menactra.  Hit mouth-injury gum & cutting lip.  Contusion on cheek and forehead.
Age: 7.0
Sex: F
Vaccine: FLUN3
Symptoms: Bronchospasm, Cough
Clinical narrative: Bronchospastic cough that persisted for 2 weeks, worse at night. No other symptoms - gave 5 day course of 1mg/kg steroid.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site mass, Injection site pain
Clinical narrative: Patient called pharmacy eve of her shots & said her left arm (Pneumovax arm) was hurting and felt like there was an "egg-shaped lump" in her arm.  She took Tylenol & it felt "a little better, but still hurt".
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Blood pressure decreased, Dizziness, Syncope
Clinical narrative: Pt. C/O feeling lightheaded after getting Gardasil.  Fainted in waiting room.  BP 80/50. BP taken after 10 mins-100/40, 98/65 awake & alert.
Age: 15.0
Sex: F
Vaccine: FLU3, HEP, PPV
Symptoms: Bronchitis, Influenza serology negative, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Large area bright red raised rash (L) arm at injection site, edema, pain. Fever 101.2.
Age: 15.0
Sex: F
Vaccine: FLU3, HEP, PPV
Symptoms: Injection site rash, Pyrexia, Urinary tract infection
Clinical narrative: Large area bright red raised rash (L) arm at injection site, edema, pain. Fever 101.2.
Age: 0.4
Sex: F
Vaccine: HIBV, PNC
Symptoms: Crying, Irritability, Pyrexia, Somnolence
Clinical narrative: Fever 103.5 at 5:00am on 12-29-07. Fussy 12-28 and 12-29, crying, sleepy. Give Tylenol at time of shot and every 4 hours - applied ice every hour for 15 minutes first 6 hours. Very irritable for four days.
Age: 4.0
Sex: F
Vaccine: DTAP, MMR, PNC
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Vaccines given on 12-13-07 in afternoon.  Mom called Dr. Friday 12-14-07 in evening.  Pt. C/O redness, warmth, pain at injection site L leg.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site swelling, Oedema peripheral
Clinical narrative: Received Dtap, MMRV, IPV on 1/3/08. Later that evening mother noted L forearm swollen from shoulder to Wrist. Ice and Tylenol. Today swollen from shoulder to elbow.
Age: 14.0
Sex: M
Vaccine: TDAP
Symptoms: Activities of daily living impaired, Body temperature increased, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient received Adacel vaccine on 01-09-08 due to dog bite. On 01-10-08 patient developed fever 101 orally with vomiting. Patient complained of redness and pain at injection site right deltoid that interfered with routine activities and had to leave school. Patient returned to office today temperature was 98.1 at 11:30 am stating temperature was 100 this AM. Patient was given Ibuprofen by father this Am. Redness, pain, and swelling still present at injection site.
Age: 14.0
Sex: M
Vaccine: TDAP
Symptoms: Pyrexia, Vomiting
Clinical narrative: Patient received Adacel vaccine on 01-09-08 due to dog bite. On 01-10-08 patient developed fever 101 orally with vomiting. Patient complained of redness and pain at injection site right deltoid that interfered with routine activities and had to leave school. Patient returned to office today temperature was 98.1 at 11:30 am stating temperature was 100 this AM. Patient was given Ibuprofen by father this Am. Redness, pain, and swelling still present at injection site.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chest discomfort, Laryngitis, Wheezing
Clinical narrative: Laryngitis, tight chest, wheezing, weakness. RX: Spiriva
Sex: M
Vaccine: FLU3, PPV
Symptoms: Arthralgia, Asthenia, Glycosylated haemoglobin, Haematocrit decreased, Joint swelling
Clinical narrative: Has arthralgias/weakness with evidence of joint swelling in hand. Arthralgias included neck/shoulder/arms/hands.
Sex: M
Vaccine: FLU3, PPV
Symptoms: Red blood cell sedimentation rate normal, Vitamin D deficiency, White blood cell count normal
Clinical narrative: Has arthralgias/weakness with evidence of joint swelling in hand. Arthralgias included neck/shoulder/arms/hands.
Age: 33.0
Sex: F
Vaccine: HEP, TD
Symptoms: Chest discomfort, Feeling hot, Hyperhidrosis, Insomnia, Paraesthesia
Clinical narrative: Felt odd 30 mins. no tired out, nodded off. Later 1hr at home felt tingly that pm heart felt pounding in chest, insomnia x 2 days. 3rd day heart is decreased pounding sensation. Felt like had a fever with the sweating. Today temp Nml upon arrival and then 99.2 while talking-retook as she complained felt hot. Also today but better then 2 days ago. Does not believe she is ill believes this was result of vaccinations.
Age: 33.0
Sex: F
Vaccine: HEP, TD
Symptoms: Pyrexia, Somnolence
Clinical narrative: Felt odd 30 mins. no tired out, nodded off. Later 1hr at home felt tingly that pm heart felt pounding in chest, insomnia x 2 days. 3rd day heart is decreased pounding sensation. Felt like had a fever with the sweating. Today temp Nml upon arrival and then 99.2 while talking-retook as she complained felt hot. Also today but better then 2 days ago. Does not believe she is ill believes this was result of vaccinations.
Age: 0.36
Sex: F
Vaccine: DTAP, DTAPHEPBIP, PNC
Symptoms: Overdose
Clinical narrative: DTaP and Pediarix administred at same time in error.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash papular
Clinical narrative: Fine red papular rash beginning at (R) elbow and generalizing to cover trunk and extremities.
Age: 35.0
Sex: M
Vaccine: HEPA
Symptoms: Injection site rash
Clinical narrative: A symptomatic papular rash at site of his injection approximately 1 wk later suggest topical cream
Age: 61.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Condition aggravated, Headache, Herpes zoster
Clinical narrative: Severe Headache the day following vaccine administation which lasted several days.  Severe case of Shingles starting December 1, 2007 which is just now starting to fade.  Patient has had Shingles in the past 2-3 times yearly for the last 10 years.  However, he states he has never been treated with antiviral medication.
Age: 0.09
Sex: M
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration, Medication error
Clinical narrative: Pt. was administered PediFlu at 5 wks of age in a misidentification medication error on 11/23/07. No adverse reaction detected at time of administration. Mother advised to watch for fever by M.D. Pt was reportedly admitted to hospital for evaluation. Unknown to health center if directly related to vaccination.  1/22/08 Reviewed hospital medical records which reveal patient experienced 3 episodes of becoming limp, floppy, pale, arching of back, abnormal movements of extremities, w/eyes rolling back followed by period of lethargy, decreased activity & reduced oral intake.  Seen at outlying ER & transferred to higher level of care.  Admitted 11/25-11/27/2007 for sepsis w/u.  Tx w/antiviral & antibiotic.  Neuro exam was WNL on admit.  (+) Gr III systolic murmur present.   FINAL DX: none provided on d/c summary. Follow-up: No contact with pt / mother since shortly after event.