chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 22.0
Sex: M
Vaccine: HEPAB
Symptoms: Paraesthesia, Pneumonia, Pyrexia, Upper respiratory tract infection
Clinical narrative: On December 19 patient (pt) received his influenza, IPV, meningococcal, and Td vaccinations. On December 24 he then received Hep A-HepB #1. He stated he felt fine and approx 1 wk later he developed URI symptoms consisting of a non-productive cough and nasal congestion. He denied fever or diarrhea.  Approx 2-3 days prior to admission he noticed weakness that started in his legs and arms associated with numbness and tingling. Also noticed drooping of his eyelids. Went to the emergency room on Jan 12 and was admitted with a diagnosis of probable Guillain Barre Syndrome (GBS).  Hospital Course as transcribed from discharge summary:  Pt was admitted to neurology service after two days of ptosis, followed by rapidly progressive diffuse bilateral weakness and paresthesias. Pt noted only a recent mild URI with no anticedent diarrhea. Admitted to ICU for close monitoring of neuro-muscular and resp status. EMG c/w GBS. Pt given IV Solumedrol and IVIG (2g/kg) continuous infusion for 48 hours. Head CT was performed which was negative for acute bleed. Pt transferred to MICU service on HD#2 secondary to impending intubation (increasing dysphagia and SOB). Pt electively intubated on 1/14. He then was noted to have a RLL infiltrate that slowly progressed, and on 1/16 he became febrile. Pt started on ABX for aspiration pneumonia. A CT angio was obtained on 1/18 and displayed a collapsed RLL, likely from mucous plug. On 1/19, bronchoscopy was performed, and copious secretions suctioned, but unable to re-expand RLL. Pt began to show increased strength and did well on CPAP trials 1/20-21, and subsequently was extubated 1/21. Pt transferred to 9D and back to the neurology service on 1/22. Pts strength recovering well. Pneumonia resolved with ABX therapy. Residual neuro deficits include: left eye ptosis, some unsteadiness/difficulty balancing, Positive Rhomberg, shuffling/steppage gait, difficulty with fine motor skills, DTRs 0-1+.  Update 4-2-04: Pt is now at home and reports that he is doing well. He states that all of his strength has returned but he is still working on his endurance. He states that he still tires easily and that he is increasing his activity.  Nurse follow up on 06/28/04 states: "ADD: Fine motor skill decreased, decreased HR, decreased BP, Nausea, Ileus."  Follow up on 06/25/04 states: "The final diagnosis is still guillain-Barre syndrome.  The diagnosis was made by a neurologist. The pt experienced other illnesses such as mild upper respiratory infection.  The pt never previously experienced GBS related illnesses. The pt never previouisly received influenza vaccination. "
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Injection site, left deltoid, red, swollen. Swelling did not pass shoulder nor elbow.
Age: 1.6
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Site of injection, left deltoid, red,swollen,did not pass shoulder or elbow
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, Restlessness
Clinical narrative: Elevated temperature--103 degrees Farenheit 24 hours after.  Increased restlessness.
Age: 20.0
Sex: F
Vaccine: SMALL
Symptoms: Unintended pregnancy
Clinical narrative: 20 y/o F was vaccinated with SPV on 2/19/04, after denying the possibility of pregnancy on her screening form and listing LMP as 2/2/04.  Positive vaccine take documented on 2/25/04.  On 4/1/04, pt presented for pregnancy testing after not having another period since 2/2/04.  Urine hCG was positive.  Pt has had no complications to date.  She currently plans to terminate the pregnancy, but this decision was not based on having had SPV.  She has been educated & counseled regarding SPV in pregnancy, and encouraged to submit products of conception for research purposes if she terminates.
Age: 46.0
Sex: M
Vaccine: ANTH
Symptoms: Hyperaesthesia, Injection site swelling, Oedema, Pruritus, Rash
Clinical narrative: STARTED DEVELOPING ITCHING AND RASH WITIN 24 HOURS.  CONTINUES ON AND OFF AND INCREASINGLY BECOMES WORSE.  SENSITIVE TO TOUCH; SWELLING AROUND ARMPITS AND SWELLING AT INJECTIONS SITE.  HIVES IN BACK OF THE NECK, INNER GROIN, STOMACH.  REACTION OCCURS AT PREVIOUS INJECTION SITE WHEN CURRENT SHOT IS GIVEN.  SYMPTOMS ARE STILL DISTRESSING PATIENT. SYMPTOMS HAVE BEEN CONSISTANT SINCE SHOT #2 ON AN IRRADIC BASIS.    PT. USED BENADRYL CREME TO PROVIDE TEMP. RELIEF. DOCTOR RECOMMENDED CONTINUING TO USE BENADRYL CREME AND RECOMMENDED PT. TO DISCONTINUE ANTHRAX SERIES
Age: 46.0
Sex: M
Vaccine: ANTH
Symptoms: Urticaria
Clinical narrative: STARTED DEVELOPING ITCHING AND RASH WITIN 24 HOURS.  CONTINUES ON AND OFF AND INCREASINGLY BECOMES WORSE.  SENSITIVE TO TOUCH; SWELLING AROUND ARMPITS AND SWELLING AT INJECTIONS SITE.  HIVES IN BACK OF THE NECK, INNER GROIN, STOMACH.  REACTION OCCURS AT PREVIOUS INJECTION SITE WHEN CURRENT SHOT IS GIVEN.  SYMPTOMS ARE STILL DISTRESSING PATIENT. SYMPTOMS HAVE BEEN CONSISTANT SINCE SHOT #2 ON AN IRRADIC BASIS.    PT. USED BENADRYL CREME TO PROVIDE TEMP. RELIEF. DOCTOR RECOMMENDED CONTINUING TO USE BENADRYL CREME AND RECOMMENDED PT. TO DISCONTINUE ANTHRAX SERIES
Age: 56.0
Sex: M
Vaccine: FLUX, PPV, PPV
Symptoms: Bronchitis, Erythema, Feeling hot, Pain, Pyrexia
Clinical narrative: THIS YEAR I GOT THE FLU SHOT. NO PROBLEM. I EAT  EGGS EVERYDAY. NO PROBLEM. ON 3/31/04 I WENT TO DR. WITH 103.5 FEVER AND BRONCHITIS. I TOOK  ONE LISINOPRIL-HCTZ 12.5 MG FOR BLOOD PRESSURE, TWO BIAXIN 500 MG AND TWO ADVAIR DISKUS  250/50 AND GOT AN INHALATION TREATMENT FROM DR FOR BRONCHITIS. I ALSO GOT A PNEUMONIA SHOT. WENT BACK TO DR ON 4/2/04 FOR TREATMENT FOR SHOT REACTION. DR RECOMMENDED HEAT AND CALL BACK ON 4/5 FOR FOLLOWUP. SHE SAID SHE HAS NEVER SEEN A REACTION LIKE MINE. MY CURRENT SYMPTOMS ARE NO FEVER DUE TO 2 BIAXIN PER DAY, ARM SOLLEN, HOT, SORE, AND RED FROM SHOT SITE TO 8 INCHES BELOW COVERING 80 TO 90 PERCENT OF MY ARM SKIN. I AM CURRENTLY TAKING BENADRYL. YOU MAY CONTACT ME BY PHONE OR EMAIL FOR QUESTIONS OR TREATMENT. YOU HAVE MY PERMISSION TO FAX THIS FORM. THIS IS MY PERMISSION FOR DOCTOR TO RELEASE ALL OF MY MEDICAL RECORDS.  JUST TALKED TO DOCTOR AND SHE WILL ALSO SUMBIT A FORM SO YOU DON'T HAVE TO CALL ME WITH A TREATMENT.
Age: 56.0
Sex: M
Vaccine: FLUX, PPV, PPV
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: THIS YEAR I GOT THE FLU SHOT. NO PROBLEM. I EAT  EGGS EVERYDAY. NO PROBLEM. ON 3/31/04 I WENT TO DR. WITH 103.5 FEVER AND BRONCHITIS. I TOOK  ONE LISINOPRIL-HCTZ 12.5 MG FOR BLOOD PRESSURE, TWO BIAXIN 500 MG AND TWO ADVAIR DISKUS  250/50 AND GOT AN INHALATION TREATMENT FROM DR FOR BRONCHITIS. I ALSO GOT A PNEUMONIA SHOT. WENT BACK TO DR ON 4/2/04 FOR TREATMENT FOR SHOT REACTION. DR RECOMMENDED HEAT AND CALL BACK ON 4/5 FOR FOLLOWUP. SHE SAID SHE HAS NEVER SEEN A REACTION LIKE MINE. MY CURRENT SYMPTOMS ARE NO FEVER DUE TO 2 BIAXIN PER DAY, ARM SOLLEN, HOT, SORE, AND RED FROM SHOT SITE TO 8 INCHES BELOW COVERING 80 TO 90 PERCENT OF MY ARM SKIN. I AM CURRENTLY TAKING BENADRYL. YOU MAY CONTACT ME BY PHONE OR EMAIL FOR QUESTIONS OR TREATMENT. YOU HAVE MY PERMISSION TO FAX THIS FORM. THIS IS MY PERMISSION FOR DOCTOR TO RELEASE ALL OF MY MEDICAL RECORDS.  JUST TALKED TO DOCTOR AND SHE WILL ALSO SUMBIT A FORM SO YOU DON'T HAVE TO CALL ME WITH A TREATMENT.
Age: 68.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Dyspnoea, Erythema, Injection site induration, Oedema, Pain
Clinical narrative: Information has been received from a licensed practical nurse concerning a 68 year old female with chronic obstructive pulmonary disease, "IGT", reflux, oropharyngeal yeast and an allergy to DEMEROL and sulfa and a history of splenectomy who on 25-FEB-2004 at 9:30 AM was vaccinated with PNEUMOVAX 23 (lot # 645355/0064N; lot #647272/0664N was also reported), intramuscularly in the left deltoid. Concomitant therapy included DUONEB, PULMICORT, simvastatin, NAPROSYN, FLEXERIL, MACRODANTIN, PREVACID, aspirin, iron (unspecified), PAXIL CR, NEURONTIN, ATARAX and MIACALCIN. On 25-FEB-2004 at 5:00 PM the patient developed "immediate" swelling, erythema, induration, extreme pain, and paresthesia of the arm involving almost half of her arm. It was also reported that the patient "immediately" experienced swelling, induration and extreme pain at injection site of left arm. The patient was admitted to the hospital for "1 - 2 days", was discharged and recovered. It was noted that the patient had previously received PNEUMOVAX 23 in 1999. There was no product quality complaint involved. The licensed practical nurse also reported the experience of another patient vaccinated with PNEUMOVAX 23 (WAES # 0403USA00321). Additional information is not expected.   Nurse follow up on 07/21/04 states: "wheezing, short of breath
Age: 68.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Paraesthesia
Clinical narrative: Information has been received from a licensed practical nurse concerning a 68 year old female with chronic obstructive pulmonary disease, "IGT", reflux, oropharyngeal yeast and an allergy to DEMEROL and sulfa and a history of splenectomy who on 25-FEB-2004 at 9:30 AM was vaccinated with PNEUMOVAX 23 (lot # 645355/0064N; lot #647272/0664N was also reported), intramuscularly in the left deltoid. Concomitant therapy included DUONEB, PULMICORT, simvastatin, NAPROSYN, FLEXERIL, MACRODANTIN, PREVACID, aspirin, iron (unspecified), PAXIL CR, NEURONTIN, ATARAX and MIACALCIN. On 25-FEB-2004 at 5:00 PM the patient developed "immediate" swelling, erythema, induration, extreme pain, and paresthesia of the arm involving almost half of her arm. It was also reported that the patient "immediately" experienced swelling, induration and extreme pain at injection site of left arm. The patient was admitted to the hospital for "1 - 2 days", was discharged and recovered. It was noted that the patient had previously received PNEUMOVAX 23 in 1999. There was no product quality complaint involved. The licensed practical nurse also reported the experience of another patient vaccinated with PNEUMOVAX 23 (WAES # 0403USA00321). Additional information is not expected.   Nurse follow up on 07/21/04 states: "wheezing, short of breath
Age: 68.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Dyspnoea, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Information has been received from a licensed practical nurse concerning a 68 year old female with chronic obstructive pulmonary disease, "IGT", reflux, oropharyngeal yeast and an allergy to DEMEROL and sulfa and a history of splenectomy who on 25-FEB-2004 at 9:30 AM was vaccinated with PNEUMOVAX 23 (lot # 645355/0064N; lot #647272/0664N was also reported), intramuscularly in the left deltoid. Concomitant therapy included DUONEB, PULMICORT, simvastatin, NAPROSYN, FLEXERIL, MACRODANTIN, PREVACID, aspirin, iron (unspecified), PAXIL CR, NEURONTIN, ATARAX and MIACALCIN. On 25-FEB-2004 at 5:00 PM the patient developed "immediate" swelling, erythema, induration, extreme pain, and paresthesia of the arm involving almost half of her arm. It was also reported that the patient "immediately" experienced swelling, induration and extreme pain at injection site of left arm. The patient was admitted to the hospital for "1 - 2 days", was discharged and recovered. It was noted that the patient had previously received PNEUMOVAX 23 in 1999. There was no product quality complaint involved. The licensed practical nurse also reported the experience of another patient vaccinated with PNEUMOVAX 23 (WAES # 0403USA00321). Additional information is not expected.   Nurse follow up on 07/21/04 states: "wheezing, short of breath
Age: 68.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Paraesthesia, Wheezing
Clinical narrative: Information has been received from a licensed practical nurse concerning a 68 year old female with chronic obstructive pulmonary disease, "IGT", reflux, oropharyngeal yeast and an allergy to DEMEROL and sulfa and a history of splenectomy who on 25-FEB-2004 at 9:30 AM was vaccinated with PNEUMOVAX 23 (lot # 645355/0064N; lot #647272/0664N was also reported), intramuscularly in the left deltoid. Concomitant therapy included DUONEB, PULMICORT, simvastatin, NAPROSYN, FLEXERIL, MACRODANTIN, PREVACID, aspirin, iron (unspecified), PAXIL CR, NEURONTIN, ATARAX and MIACALCIN. On 25-FEB-2004 at 5:00 PM the patient developed "immediate" swelling, erythema, induration, extreme pain, and paresthesia of the arm involving almost half of her arm. It was also reported that the patient "immediately" experienced swelling, induration and extreme pain at injection site of left arm. The patient was admitted to the hospital for "1 - 2 days", was discharged and recovered. It was noted that the patient had previously received PNEUMOVAX 23 in 1999. There was no product quality complaint involved. The licensed practical nurse also reported the experience of another patient vaccinated with PNEUMOVAX 23 (WAES # 0403USA00321). Additional information is not expected.   Nurse follow up on 07/21/04 states: "wheezing, short of breath
Age: 83.0
Sex: M
Vaccine: FLU3
Symptoms: Apnoea, Cough, Pharyngolaryngeal pain, Pneumonia, Pyrexia
Clinical narrative: A report was received from a health care professional on 11/19/03 concerning a male vaccinee more than 65 years old who experienced sniffles, cough, fever, and sore throat up to 1 week after receiving Fluvirin on approximately 11/6/03. On an unspecified date, up to one week after vaccination, the vaccinee experienced sniffles, cough, fever, and sore throat. Results of a chest x-ray taken on an unspecified date were negative. The outcome of the event was reported as unknown. There was insufficient information to determine the reporter's causality assessment. Update 3/22/04: A follow up report was received from a health care professional indicating that the vaccinee experienced a fever of 101.5 degrees F and productive cough one day after receiving Fluvirin on 11/16/03. An x-ray taken on an unspecified date revealed a left lower lob infiltrate. The vaccinee died on 11/26/03. Concomitant medication taken included levofloxacin. Follow up pending. Discharge summary for 04/30/04 states: respiratory failure, pneumonia, acute renal failure, Rhabdomyolysis, shock, sepsis.
Age: 83.0
Sex: M
Vaccine: FLU3
Symptoms: Renal failure acute, Rhinorrhoea, Shock
Clinical narrative: A report was received from a health care professional on 11/19/03 concerning a male vaccinee more than 65 years old who experienced sniffles, cough, fever, and sore throat up to 1 week after receiving Fluvirin on approximately 11/6/03. On an unspecified date, up to one week after vaccination, the vaccinee experienced sniffles, cough, fever, and sore throat. Results of a chest x-ray taken on an unspecified date were negative. The outcome of the event was reported as unknown. There was insufficient information to determine the reporter's causality assessment. Update 3/22/04: A follow up report was received from a health care professional indicating that the vaccinee experienced a fever of 101.5 degrees F and productive cough one day after receiving Fluvirin on 11/16/03. An x-ray taken on an unspecified date revealed a left lower lob infiltrate. The vaccinee died on 11/26/03. Concomitant medication taken included levofloxacin. Follow up pending. Discharge summary for 04/30/04 states: respiratory failure, pneumonia, acute renal failure, Rhabdomyolysis, shock, sepsis.
Age: 6.0
Sex: M
Vaccine: MMR
Symptoms: Autism
Clinical narrative: Information has been received from a consumer concerning her 6 year old grandson with no reported medical history who in 1998 was vaccinated with MMR II, SC. There were no concomitant medications. Subsequently, the pt developed autism. The pt sought unspecified medical attention. Autism was considered to be disabling. Additional info has been requested.
Age: 29.0
Sex: F
Vaccine: SMALL
Symptoms: Blood creatine phosphokinase increased, Fatigue, Haematuria, Oedema, Rhabdomyolysis
Clinical narrative: Rhabdomyolysis, (swelling, soreness), fatigue, hematuria.
Age: 29.0
Sex: F
Vaccine: SMALL
Symptoms: Tenderness
Clinical narrative: Rhabdomyolysis, (swelling, soreness), fatigue, hematuria.
Sex: U
Vaccine: ANTH, FLUX, HEPAB, SMALL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Minor reaction to small pox vaccine- redness around area. Local erythema & induration.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Dyspnoea, Wheezing
Clinical narrative: Wheezing. Prednisone for 3 days. Shortness of breath. Albuterol 3 times a day for 3 days.
Age: 14.0
Sex: F
Vaccine: FLU3
Symptoms: Hyperaesthesia, Injection site oedema, Pain, Paraesthesia
Clinical narrative: Pt reported to the Health Unit 45 min after injection with left arm pain, radiating to hand; hand tingling, skin very sensitive to touch. Mild swelling at site with no redness. Treatment: IM Depo-Medrol 40 mg also to left deltoid. Then Motrin three times a day as needed.
Age: 12.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Urticaria
Clinical narrative: 3/23/04- Hives & itching all over was given Benadryl by mouth & cream.
Age: 1.25
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MMR, PNC
Symptoms: Drug ineffective, Pyrexia, Rash
Clinical narrative: Rash consistent with measles from head to toe spared palms and creases. Had fever 103 degrees F for one day. Stated 9 days after immunizations.
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Aphasia, Laryngitis, Pharyngolaryngeal pain
Clinical narrative: Within 2 hours of receiving dose developed sore irritated thoat & then it progressed to laryngitis- lost voice for 2 days. History exercise induced asthma. Did not see doctor. Took asthma medicine & by 3/29 it had improved.
Age: 1.17
Sex: M
Vaccine: VARCEL
Symptoms: Infection, Rash, Skin ulcer
Clinical narrative: Seen in office 3-18-04- Rash on abdomen and legs 3 weeks earlier had varicella vaccine. Vesicular lesions on legs and diaper area.
Age: 4.5
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site swelling, Pruritus, Skin ulcer
Clinical narrative: Oblong, raised, erythematous, pruritic lesion surrounding injection site measuring 4 cm x 9.5 cm.
Age: 1.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MMR, VARCEL
Symptoms: Abasia, Abdominal discomfort, Anorexia, Diarrhoea, Myalgia
Clinical narrative: Two days after shots developed diarrhea and wouldn't eat; 3rd day wouldn't walk, acted "like muscles hurt", 4th day kept Pedialyte down went to clinic & was told she had a GI upset, no signs of symptoms of dehydration & sent home. 5th day has diarrhea and vomiting, not taking solids. Called doctor again and was told to give Pedialyte- "start over' * call back tomorrow. 3/31/04. Still with Nausea & Vomiting.
Age: 1.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MMR, VARCEL
Symptoms: Nausea, Vomiting
Clinical narrative: Two days after shots developed diarrhea and wouldn't eat; 3rd day wouldn't walk, acted "like muscles hurt", 4th day kept Pedialyte down went to clinic & was told she had a GI upset, no signs of symptoms of dehydration & sent home. 5th day has diarrhea and vomiting, not taking solids. Called doctor again and was told to give Pedialyte- "start over' * call back tomorrow. 3/31/04. Still with Nausea & Vomiting.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Skin nodule
Clinical narrative: Patient had vaccine administered yesterday 3/10/04. When she woke today 3/11/04 left thigh had positive erythema and induration measuring 7 cm lat. 4.5 cm long. No shortness of breath. No wheezing.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Bacterial infection, Erythema, Oedema
Clinical narrative: 3/13 Arm red, swollen (left). 3/14 Significant swelling to urgent care doctor measured 5 inches long by 3 inches across. Doctor said bacterial infection per mom and put child on prescription antibiotics. Much better now 3/18 per mom.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Erythema, Oedema
Clinical narrative: Patient presented with redness and swollen upper arm on the same day of administration. The next day her mother noted some blisters also in her upper arm.
Age: 36.0
Sex: F
Vaccine: PPV, TD
Symptoms: Feeling hot, Oedema, Urticaria
Clinical narrative: Left deltoid region with edema, urticaria, warmth.
Age: 5.08
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Injection site reaction
Clinical narrative: 3/28/04 Localized reaction, site red, swollen, warm 4pm to touch. Instructed mom on Motrin, Ice, return to clinic if worsens.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site swelling, Pallor, Rash papular
Clinical narrative: 24 hr post-vaccination noted to have tense swelling, redness, warmth of entire upper arm (left). Tx w/ cool compresses, benadryl see at 48 hrs with raised pale central papule at injection site, all but posterior upper arm pink, moderate swelling, non-tender. Zyrtec cleared 24hr. Local questionable urticarial.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Swelling, Urticaria
Clinical narrative: 24 hr post-vaccination noted to have tense swelling, redness, warmth of entire upper arm (left). Tx w/ cool compresses, benadryl see at 48 hrs with raised pale central papule at injection site, all but posterior upper arm pink, moderate swelling, non-tender. Zyrtec cleared 24hr. Local questionable urticarial.
Age: 10.75
Sex: M
Vaccine: HEPA, RUB
Symptoms: Infection, Rash vesicular
Clinical narrative: Child developed varricella with >70 lesions by day #2 (AM)
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site induration
Clinical narrative: 6x8 cm thigh induration at vaccine site. Treated with Benadryl and cool compress. Began next day
Age: 11.9
Sex: M
Vaccine: HEP, TD
Symptoms: Unevaluable event
Clinical narrative: Received 2-25-2004 first Hep B in left arm. Gradually resolved over 2 weeks.
Age: 5.5
Sex: M
Vaccine: MMR
Symptoms: Chest pain, Cough, Vomiting, Wheezing
Clinical narrative: In for recheck following some asthma and otitis-all were on right arm: given MMR #2: First dose was given by allergist because of egg allergy and did okay. Allergist has checked and said no longer allergic- Developed cough and chest pain with some wheezing around 10 min-15 min post shot. Tried  Nebulizer + Orapad. Vomited - called EMT.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Swelling, red upper extremity.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Rash erythematous
Clinical narrative: Right deltoid 50x45 mm Red/puffy x 48-72hrs. Tx: Tylenol, Benadryl
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site induration, Swelling
Clinical narrative: Left arm red-swollen-hard. No heat at site. No pain.
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Cellulitis, Injection site rash, Injection site reaction, Pyrexia
Clinical narrative: Fever 103 degress, rash to site. Dx with cellulitis.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Left arm redness, swelling at site of injection DTaP
Age: 5.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash
Clinical narrative: Pt seen in office with rash.
Age: 64.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Local reaction at injection site- redness, slightly warm
Age: 4.25
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Nasal congestion, Pruritus, Urticaria
Clinical narrative: 4 year old female previously healthy with no significant PMH was in clinic for 4yo preventive/ well check and immunization. Pt given MMR 2, DTaP #4, IPV #4. Approximately 30 min after, patient developed pruritus, congestion. Given Benedryl, pruritus improved but developed urticarial rash on face, trunk, upper thighs--given subcutaneous Epi; with no eventual resolution of rash. Patient did not have any edema or wheezing/ respiratory distress. Flu 24 hrs later--no problems, no previous history of any problems with other vaccines. Follow-up note. Other patients have received vaccines from the same lots without any problems. The patient was referred to allergist for testing. Patient received MMR #1 no problems and no history of egg allergies.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Pruritus
Clinical narrative: Moderately large local reaction over left deltoid with redness across area where IPV administered. Pt complained of itching. Viewed by pediatrician. Advised Benadryl, cool compress.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site induration, Injection site warmth, Pain
Clinical narrative: Red, hot firm to touch. Painful only if touched. Full use of arm. Symptoms started 03/26/04 AM. Grandmother report size 4". Grandmother using ibuprofen and cool cloths to area. Afebrile.
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Convulsion, Cough, Febrile convulsion, Pyrexia
Clinical narrative: Received immunization on Fri had convulsions and fever. Mother called 911. Taken to hospital. Fever 104.1 at ER. Treated with Tylenol and Motrin. Seen at clinic 3/2/04. No fever. Per RN at clinic- child had febrile seizure. "Ears WNL, cough + fever x 15 days" per ER MD.
Age: 4.7
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Eye oedema, Eye pain, Urticaria
Clinical narrative: Patient developed edema around mouth and eyes after vaccines given. Also had eye pain and hives appearing around mouth. Given epinephrine 0.15ml (1:1000) and Benadryl 2.5mg after symptoms appeared with improvement of symptoms in one minute. Date of vaccination and adverse event was 03/08/2004.
Age: 1.8
Sex: M
Vaccine: DTAP, PNC
Symptoms: Erythema, Feeling hot, Pruritus, Rash erythematous, Swelling
Clinical narrative: Patients mother brought him to clinic on 2-25-04, 2 days following vaccines. States child developed redness, swelling and itching 1 day following vaccine. Left upper arm with erythema 9cmx10cm, area warm and slightly raised. No pain with palpation. Recommend cool compress for comfort, monitor site and see provider if no improvement in 1-3 days.
Age: 30.0
Sex: F
Vaccine: TD, YF
Symptoms: Pyrexia, Vomiting, Yellow skin
Clinical narrative: Per husband "fever, vomiting and her skin is yellow" --student back in class 3/25/04 with no ill effects by report.
Age: 45.0
Sex: M
Vaccine: HEPA, TD, YF
Symptoms: Urticaria
Clinical narrative: Awoke with hives the day after receiving the vaccines. Symptoms resolved in 3hrs, but awoke with hives again the following day. Treated with Solu Medrol injection-Medrol dose pack and Benadryl.
Age: 45.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site mass, Pruritus
Clinical narrative: 4 inch diameter red lump on Right arm. Lump area is itchy and is in area where Anthrax Shot #8 was given.
Age: 56.0
Sex: M
Vaccine: ANTH, MEN, TYP
Symptoms: Injection site abscess, Injection site erythema, Injection site mass, Injection site pain
Clinical narrative: 4 Inch in diameter lump on right upper arm that is Red and Sore to the touch. Center of shot area is weeping fluid.
Age: 12.0
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Irritability, Pyrexia, Urticaria
Clinical narrative: Hives present on whole body.  Ran fever, Mother stated child was very fussy until next morning.  Mom stated fever was 101.6.  Gave tylenol as appropriate for age.
Age: 1.8
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Pyrexia, Rash, Viral infection
Clinical narrative: Father stated that child started with rash on face approximately 4pm on 03/03/04.  Went to E.R. and rash spread over body.  Temp on admit 103.1 to ER/  Made full admit to hospital on 03/04/04 at1430.  Discharged from hospital on 03/05/04.  Father stated that doctor thought rash was related to MMR and child possibly had viral infection.  Father stated rash gone after 3 days.  Admit dx: rash viral exantham
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: In March, 2004 had varicella illness despite vaccine. He was seen in ER for fever and rash.
Age: 25.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Injection site abscess, Injection site erythema, Injection site vesicles, Laboratory test abnormal, Pruritus
Clinical narrative: received smallpox vaccination 1/31/03 and had a major reaction that resulted in a scar on the left deltoid.  He denies any trauma, rash, pruritus at the site since the major reaction resolved.  Approximately ten days ago he developed a dime-sized area of erythema and pruritus at the site of the scar resulting from the smallpox vaccination. Two days later he noticed a vesicle that was eventually 3  4 mm in diameter with several smaller vesicles also present at the site of the smallpox scar.  He kept these vesicles covered with a bandage until they broke open approximately 3  4 days ago and drained a "clear fluid that was greenish".  A scab has not developed.  The area remains pruritic.  He denies fever, chills, cough, night sweats, nausea, vomiting, diarrhea, upset stomach.
Age: 39.0
Sex: F
Vaccine: DT
Symptoms: Erythema, Feeling hot, Injection site inflammation, Pain, Swelling
Clinical narrative: Td given Thursday 4/1/04.  Arm became very sore by Friday night and became red and inflammed.  Visible swelling and hot to touch. SX continue today as client presented to clinic for followup.
Age: 41.0
Sex: F
Vaccine: HEPA, TTOX
Symptoms: Blood pressure increased, Pruritus
Clinical narrative: Soon after receiving the Tetanus and Hip A shot. I Delevoped a sense of itching, Blood pressure taken 6 times. 145/111 stayed 1 hour at health dept then released.
Age: 1.3
Sex: F
Vaccine: DTAP, FLU3, MMR, VARCEL
Symptoms: Cough, Pharyngolaryngeal pain, Pyrexia, Rash morbilliform, Rhinorrhoea
Clinical narrative: 7 days after shots, had running nose and fever for 72 hours. After 72 hours fever went down but sore throat and cough started. 1 day after fever went down, broke out in Measels-like rash
Age: 1.27
Sex: M
Vaccine: DTAP, HBHEPB, PNC, DTAP, HBHEPB, PNC, DTAP, HBHEPB, PNC, DTAP, HBHEPB, PNC
Symptoms: Tonsillitis, Upper respiratory tract infection
Clinical narrative: From initial information received on 2/20/04 from a health care professional regarding an adverse event, it was reported that a 15 month old male pt received a fourth dose of Daptacel, Prevnar, and Comvax on 2/10/04. An unspecified amount of time later, the pt had a seizure. The pt's recovery status is unknown. No other info was available at the time of this report and the reporter stated that more information will be available at follow-up. It is not known if the pt required medical intervention; however, for technical purposes the section "required emergency room/ doctor visit" is checked in box 8 of the VAERS report. From additional info received on 2/27/04 from manufacturer, it was reported that the pt also experienced a temp of 101.4 deg F. The onset of the events began on 2/15/04. Both the seizure and temperature were considered to be medically important events (OMIC). The pt has recovered from these events. No other info was provided. From additional info received on 3/15/04 from another manufacturer (WAES0402USA01608), it was reported that the pt was not hospitalized. The responsible physician's name was provided and the telephone number of the reporting nurse was corrected. From additional info received on 3/29/04, from information provided by another manufacturer, the pt's address and middle initial were provided. The pt received the vaccinations at 10:20 am on 2/10/04. No further info is anticipated, this case is considered closed. Seriousness criteria: other medically significant (OMIC).  From additional information received on 07JUN2004 from a physician, the patient's full name, address and telephone number were provided. From hospital records provided, the patient was seen in the urgent care unit on 15Feb2004 due to cold symptoms and was diagnosed with early right otitis media. His temperature at that time was noted to be 97.7 degrees Fahrenheit (axillary). He was started on Augmentin ES and discharged home. On the way home, the child experienced a seizure, which lasted approximately four minutes. Per the patient's mother, the patient's eyes rolled back and he experienced convulsive movements of his legs, arms, and total body. Reportedly, the patient's arms were crossed over the chest veery tight and his hands were spastic. The child was postictal for about 20 minutes. Emergency services responded and he was noted to have a fever of 101.4 degrees Fahrenheit by the paramedics. He was transported to the emergency room and laboratory testing and reportedly normal. He was given Tylenol and his fever decreaed to 100.5 degrees Fahrenheit. The emergency room physician felt that the event was a febrile seizure. A routine MRI of the head was performed on 08MAR2004 and revealed prominent retro-cerebellar CSF, likely small arachnoid cysts not likely of clinical significance. It was otherwise negative. The adverse events codes for "seizure" and "fever" were updated to "febrile seizure". No further information is anticipated, this case is considered closed.
Age: 1.27
Sex: M
Vaccine: DTAP, HBHEPB, PNC, DTAP, HBHEPB, PNC, DTAP, HBHEPB, PNC, DTAP, HBHEPB, PNC
Symptoms: Otitis media, Pyrexia
Clinical narrative: From initial information received on 2/20/04 from a health care professional regarding an adverse event, it was reported that a 15 month old male pt received a fourth dose of Daptacel, Prevnar, and Comvax on 2/10/04. An unspecified amount of time later, the pt had a seizure. The pt's recovery status is unknown. No other info was available at the time of this report and the reporter stated that more information will be available at follow-up. It is not known if the pt required medical intervention; however, for technical purposes the section "required emergency room/ doctor visit" is checked in box 8 of the VAERS report. From additional info received on 2/27/04 from manufacturer, it was reported that the pt also experienced a temp of 101.4 deg F. The onset of the events began on 2/15/04. Both the seizure and temperature were considered to be medically important events (OMIC). The pt has recovered from these events. No other info was provided. From additional info received on 3/15/04 from another manufacturer (WAES0402USA01608), it was reported that the pt was not hospitalized. The responsible physician's name was provided and the telephone number of the reporting nurse was corrected. From additional info received on 3/29/04, from information provided by another manufacturer, the pt's address and middle initial were provided. The pt received the vaccinations at 10:20 am on 2/10/04. No further info is anticipated, this case is considered closed. Seriousness criteria: other medically significant (OMIC).  From additional information received on 07JUN2004 from a physician, the patient's full name, address and telephone number were provided. From hospital records provided, the patient was seen in the urgent care unit on 15Feb2004 due to cold symptoms and was diagnosed with early right otitis media. His temperature at that time was noted to be 97.7 degrees Fahrenheit (axillary). He was started on Augmentin ES and discharged home. On the way home, the child experienced a seizure, which lasted approximately four minutes. Per the patient's mother, the patient's eyes rolled back and he experienced convulsive movements of his legs, arms, and total body. Reportedly, the patient's arms were crossed over the chest veery tight and his hands were spastic. The child was postictal for about 20 minutes. Emergency services responded and he was noted to have a fever of 101.4 degrees Fahrenheit by the paramedics. He was transported to the emergency room and laboratory testing and reportedly normal. He was given Tylenol and his fever decreaed to 100.5 degrees Fahrenheit. The emergency room physician felt that the event was a febrile seizure. A routine MRI of the head was performed on 08MAR2004 and revealed prominent retro-cerebellar CSF, likely small arachnoid cysts not likely of clinical significance. It was otherwise negative. The adverse events codes for "seizure" and "fever" were updated to "febrile seizure". No further information is anticipated, this case is considered closed.
Age: 1.27
Sex: M
Vaccine: DTAP, HBHEPB, PNC, DTAP, HBHEPB, PNC, DTAP, HBHEPB, PNC, DTAP, HBHEPB, PNC
Symptoms: Convulsion, Pyrexia
Clinical narrative: From initial information received on 2/20/04 from a health care professional regarding an adverse event, it was reported that a 15 month old male pt received a fourth dose of Daptacel, Prevnar, and Comvax on 2/10/04. An unspecified amount of time later, the pt had a seizure. The pt's recovery status is unknown. No other info was available at the time of this report and the reporter stated that more information will be available at follow-up. It is not known if the pt required medical intervention; however, for technical purposes the section "required emergency room/ doctor visit" is checked in box 8 of the VAERS report. From additional info received on 2/27/04 from manufacturer, it was reported that the pt also experienced a temp of 101.4 deg F. The onset of the events began on 2/15/04. Both the seizure and temperature were considered to be medically important events (OMIC). The pt has recovered from these events. No other info was provided. From additional info received on 3/15/04 from another manufacturer (WAES0402USA01608), it was reported that the pt was not hospitalized. The responsible physician's name was provided and the telephone number of the reporting nurse was corrected. From additional info received on 3/29/04, from information provided by another manufacturer, the pt's address and middle initial were provided. The pt received the vaccinations at 10:20 am on 2/10/04. No further info is anticipated, this case is considered closed. Seriousness criteria: other medically significant (OMIC).  From additional information received on 07JUN2004 from a physician, the patient's full name, address and telephone number were provided. From hospital records provided, the patient was seen in the urgent care unit on 15Feb2004 due to cold symptoms and was diagnosed with early right otitis media. His temperature at that time was noted to be 97.7 degrees Fahrenheit (axillary). He was started on Augmentin ES and discharged home. On the way home, the child experienced a seizure, which lasted approximately four minutes. Per the patient's mother, the patient's eyes rolled back and he experienced convulsive movements of his legs, arms, and total body. Reportedly, the patient's arms were crossed over the chest veery tight and his hands were spastic. The child was postictal for about 20 minutes. Emergency services responded and he was noted to have a fever of 101.4 degrees Fahrenheit by the paramedics. He was transported to the emergency room and laboratory testing and reportedly normal. He was given Tylenol and his fever decreaed to 100.5 degrees Fahrenheit. The emergency room physician felt that the event was a febrile seizure. A routine MRI of the head was performed on 08MAR2004 and revealed prominent retro-cerebellar CSF, likely small arachnoid cysts not likely of clinical significance. It was otherwise negative. The adverse events codes for "seizure" and "fever" were updated to "febrile seizure". No further information is anticipated, this case is considered closed.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Convulsion, Encephalitis
Clinical narrative: Patient died 2 weeks after receiving his 4 months immunizations. The medical examiner diagnosed him with encephalitis. He died as a result of a seizure. Prior to this, he showed no signs of distress. Nurse follow up on 05/14/04 states: Complete.
Age: 0.13
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Asphyxia
Clinical narrative: None reported. Autopsy Report received on 4/08/2004 states COD was asphyxia.
Age: 44.0
Sex: M
Vaccine: HEP
Symptoms: Asthenia, Brain oedema, Cerebral infarction, Cerebrovascular accident, Hemiplegia
Clinical narrative: Patient reported acute hemiplasia of the left side with resulting slight hemisphere stroke later in the day following the vaccine. Discharge summary received on 4/8/2004 states pt experienced weakness.  Nurse follow up on 08/04/04 states: "weakness, cerebral artery infarct, LUE weakness, Cerebral edema
Age: 44.0
Sex: M
Vaccine: HEP
Symptoms: Laboratory test abnormal, Myasthenic syndrome
Clinical narrative: Patient reported acute hemiplasia of the left side with resulting slight hemisphere stroke later in the day following the vaccine. Discharge summary received on 4/8/2004 states pt experienced weakness.  Nurse follow up on 08/04/04 states: "weakness, cerebral artery infarct, LUE weakness, Cerebral edema
Sex: M
Vaccine: FLUX, MMR
Symptoms: Asthenia, Asthma, CSF test abnormal, Dehydration, Guillain-Barre syndrome
Clinical narrative: Asthma, GBS. Nurse follow up on 05/18/04: dehydration, leg cramps, weakness in lower extremities, tightness in neck, numbness in fingers, difficulty standing.
Sex: M
Vaccine: FLUX, MMR
Symptoms: Laboratory test abnormal, Muscle spasms, Nuchal rigidity, Paraesthesia
Clinical narrative: Asthma, GBS. Nurse follow up on 05/18/04: dehydration, leg cramps, weakness in lower extremities, tightness in neck, numbness in fingers, difficulty standing.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Local swelling, erythema of most of thigh (left) with increased heat to palpation. No tenderness. Review of hosp. d/c summary confirms diagnosis of CELLULITIS
Age: 1.07
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Agitation, Diarrhoea, Eye disorder, Hypotonia, Pallor
Clinical narrative: Pt had episode of "limpness," "eye deviation" and "pallor" associated with fever 8 days after MMR and Varivax given.   Nurse follow up on 08/19/04 states: "agitation; Sinusitis; Rash; Diarrhea." Information from Annual Follow-up report states parents remain concerned that MMR will have long term effects.
Age: 1.07
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash, Sinusitis
Clinical narrative: Pt had episode of "limpness," "eye deviation" and "pallor" associated with fever 8 days after MMR and Varivax given.   Nurse follow up on 08/19/04 states: "agitation; Sinusitis; Rash; Diarrhea." Information from Annual Follow-up report states parents remain concerned that MMR will have long term effects.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Febrile convulsion, Otitis media
Clinical narrative: Pt had a 45 minute complex febrile seizure less than 12 hrs after receiving his 4 month vaccinations, DTaP, IPV, Prevnar, Comvax. Pt was diagnosed with bilateral middle ear infection in the hospital.
Age: 47.0
Sex: F
Vaccine: ANTH
Symptoms: Infection, Injection site mass, Injection site pain, Injection site swelling, Joint range of motion decreased
Clinical narrative: Right arm vaccinated. Within 36 hours, large knot around site, swelling, hurt. Within 3 days, lymph nodes swollen. I had fever, site hurt. I had a hard time moving my arm without pain. Then I got severe ear infection.
Age: 47.0
Sex: F
Vaccine: ANTH
Symptoms: Lymphadenopathy, Meniere's disease, Pyrexia
Clinical narrative: Right arm vaccinated. Within 36 hours, large knot around site, swelling, hurt. Within 3 days, lymph nodes swollen. I had fever, site hurt. I had a hard time moving my arm without pain. Then I got severe ear infection.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Asthma, Cellulitis, Erythema, Oedema, Pain
Clinical narrative: Swelling ++, erythema and pain-mother instructed to ice area, Cephalexin prescribed, Benadryl. Saw Dr 3/26/04 at 410 appt in after clinic. Pt returned to ER later evening of 3/26 and was admitted for cellulitis. Discharged home 3/28/04 at 9:30 am. Pt seen by Dr 3/25 for asthma recheck.
Age: 1.25
Sex: F
Vaccine: VARCEL
Symptoms: Convulsion
Clinical narrative: Phone call from patient's mom. Pt had seizure at home. 911 called and to ER.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Right deltoid with increased swelling, redness, warm to touch, no tenderness, no fever. Symptoms happened 24 hrs post vaccine. Tx: benadryl, motrin, cold compresses
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site swelling
Clinical narrative: DTaP- swollen arm - left deltoid
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Feeling hot
Clinical narrative: 4.5x6 inches warm, red non indurated area.
Age: 6.0
Sex: M
Vaccine: DTAP, HIBV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Marked induration and erythema at injection site extending down to elbow. Right arm.
Age: 22.0
Sex: F
Vaccine: TD
Symptoms: Abdominal pain upper, Malaise, Pyrexia
Clinical narrative: Vaccine td administered 04/01/04 in afternoon. Pt telephoned clinic 04-02-04 afternoon and complained of upset stomach, mild fever and malaise. Upset because of need to leave work due to not feeling well; suspects "bad vaccine."  Plans to go home and rest (TC from cell phone while client driving home from work).
Age: 9.6
Sex: M
Vaccine: DTPHIB
Symptoms: Pruritus, Rash
Clinical narrative: Rash to back, tummy, arms, neck x 24 hours, increased itching, afebrile.
Age: 1.6
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Feeling hot, Swelling, Tenderness
Clinical narrative: Right lateral thigh with increased swelling and erythematous, warm to touch, mild tenderness with palpation. No fever.
Age: 83.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Exfoliative rash, Eye swelling, Rash erythematous
Clinical narrative: Redness in face. Swelling and redness in the peri-orbital areas. Redness around each fingernail. Red, scaly rash over the chest, upper back and lower back. Still recovering.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Skin atrophy
Clinical narrative: Approximately 3 months, post vaccination, noticed "sinking in" on arm.
Age: 10.0
Sex: F
Vaccine: HEP, IPV, MMR, TD, VARCEL
Symptoms: Fall, Syncope
Clinical narrative: 10 yr old client received 5 immunizations per documentation. The child was quiet and calm when she received the immunizations. RN accompanied the child, who was alert and awake, from the immunization room to the reception area of the clinic. Approximately 10 minutes after the immunizations were given, the RN (and coworkers) witnessed the child having a syncopal episode. She fell from a standing position and hit the occiput of her head on the carpeted floor. No bleeding, circumoral or facial edema, cyanosis or difficulty breathing was observed. No incontinence or vomiting was noted. Syncopal episode lasted approximately 5-10 seconds and the child woke up screaming. A second RN brought the immunization anaphylaxis kit which was not needed. The 911 system was activated. The child was assessed by ambulance personnel and was transported to the Emergency Dept. by private vehicle.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Swelling, redness, itch 24 hrs later. Given Benadryl, ice.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection, Pruritus, Skin ulcer
Clinical narrative: 3/18/04-03/23/04 developed chickenpox lesions, 20 lesions started on legs and back and then scattered all over body, itchy, no fever, no meds.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Headache, Rash vesicular
Clinical narrative: Questionable chickenpox, had one "bump" on forehead 2/19/04, headache and several days later had 3 more spots on back, no fever.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection, Pruritus, Pyrexia, Rash vesicular
Clinical narrative: 3/16/04 started lesion of chickenpox. 2 large but rest were tiny, about 25 on body, slightly itchy, T99-100 degrees, ate well, played.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection, Listless, Pyrexia, Skin ulcer
Clinical narrative: 3/4/04 listless with low grade fever started with chickenpox lesions, 2, on neck and then more on trunk few on legs, less than 100, used Aveeno baths.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: 03/14/04 had chickenpox breakout, one on nose, more on trunk, few on legs, no fever, called office to report it on 3/18/04.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Injection site inflammation
Clinical narrative: Per mother inflammation of left deltoid area started on 3/18/04 around noon no other symptoms just large & hot.