chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 14.0
Sex: M
Vaccine: TD
Symptoms: Hypersensitivity, Hypoaesthesia
Clinical narrative: Pt, male, comes referring his L arm numbness and red. Allergic reaction to TD vaccine.
Age: 25.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Urticaria
Clinical narrative: Hive-like (urticaria) rash diffuse appeared 4/19/06, pt seen on 4/21/06. DTAP (Adacel) vaccine given 4/12/06. No prior reaction to Hep-A given 11/29/05. No other response/meds to account for hives.
Age: 0.49
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Irritability
Clinical narrative: Very irritable. Treatment: OTC Benadryl
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Mother states vaccine site large/red/hardened. Took to ER. Pt gave Benadryl and Prednisone. Vaccine site was LD where DTAP was given.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA, HIBV, MMR, PNC
Symptoms: Urticaria
Clinical narrative: 4/1/06; was the date mother states child started "breaking out in hives". States she took him to ER and ER physician gave her prescription for EPI PEN  Foux at home.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, PNC
Symptoms: Erythema, Pruritus, Somnolence, Swelling, Swelling face
Clinical narrative: Child rec'd 5 vaccines. Saturday, mom noted child sleepy that afternoon. Noted redness, swelling on face, trunk, ears; itching upper arm and a fever on Sunday morning. Taken to physician today, 4/10/06 AM. RX for Hydroxyelle and ointment given of Locoid Lipocream. Observed child 4/10/06 here. Checked with mom this PM. Improvement in rash and itching. Taking medications/recovering/improvement.
Age: 44.0
Sex: F
Vaccine: TD
Symptoms: Asthenia, Faecal incontinence, Fatigue, Feeling cold, Hyperhidrosis
Clinical narrative: One episode of fecal and urinary incontinence about 15 min after Td. Followed by about 10 mins of feeling cold, sweating and entire body shaking. Then felt weak and tired for about next 24 hrs. Then back to normal feeling and no problem since then.
Age: 44.0
Sex: F
Vaccine: TD
Symptoms: Tremor, Urinary incontinence
Clinical narrative: One episode of fecal and urinary incontinence about 15 min after Td. Followed by about 10 mins of feeling cold, sweating and entire body shaking. Then felt weak and tired for about next 24 hrs. Then back to normal feeling and no problem since then.
Age: 6.0
Sex: F
Vaccine: PNC
Symptoms: Pain, Pruritus
Clinical narrative: Itching and pain, local compresses and Motrin and Benadryl.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left thigh with significant swelling, erythema and warmth, nontender, no fever. Treatment with Benadryl prn and cold compresses.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: R arm with induration, erythema, slight edema.
Age: 35.0
Sex: F
Vaccine: HEP
Symptoms: Skin discolouration, Skin exfoliation
Clinical narrative: Darkening and peeling facial skin.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left deltoid red, swollen and warm to touch. Cold compresses for 15 minutes Q 2 hrs for 24 hrs then warm. Make appt. if not better.
Age: 1.01
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Rash vesicular, Viral infection
Clinical narrative: 4/24/2006 Seen by Dr presented with rash on trunk, shoulders, upper arms. Diagnosed with chicken pox.
Age: 1.15
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection, Pruritus, Pyrexia, Rash papular
Clinical narrative: 4/25/06, seen by doctor for increased fever and itchy rash on face, neck, back and chest, spreading; excoriated with some vesicles. Diagnosed with chickenpox. Treatment: Zovirax and Benadryl.
Age: 1.02
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Blister, Rash, Rash pruritic, Skin burning sensation, Upper respiratory tract infection
Clinical narrative: 04/24/06 seen by Dr for viral URI and rash on neck. 4/25/06 Seen by another DR. Presented with itchy, burning rash on face and body, Numerous bumps on torso and extremities as vesicles. A couple were scabbed, Diagnosed with chickenpox. Treatment calamine lotion, Aveeno oatmeal baths, Zovirax.
Age: 1.02
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Viral infection
Clinical narrative: 04/24/06 seen by Dr for viral URI and rash on neck. 4/25/06 Seen by another DR. Presented with itchy, burning rash on face and body, Numerous bumps on torso and extremities as vesicles. A couple were scabbed, Diagnosed with chickenpox. Treatment calamine lotion, Aveeno oatmeal baths, Zovirax.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Feeling hot, Injection site erythema
Clinical narrative: Cellulitis of the arm, red with warm to touch, put on Keflex per ED.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site reaction, Injection site swelling
Clinical narrative: Injection in R upper thigh on 4/24/06. Swelling at site by that PM. Less today.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Pt complained of red and swollen left deltoid. Site of Pneumovax injection on 4/26/06.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt's mother called to report his Rt upper arm was swollen "like a sausage" by Saturday, 2 days after shots on Thursday, 3/30/06. Arm was red and with rash, warm with swelling extending to forearm. Took to urgent care 4/1/06. Given Zyrtec and prednisone. Better now on 4/6/06.
Age: 52.0
Sex: M
Vaccine: HEP
Symptoms: Feeling hot, Hypoaesthesia, Hypokinesia, Myalgia, Paraesthesia
Clinical narrative: On 4/20/06 pt reports to administrator that in late 01/06 he began experiencing aching in his left forearm, coupled with tingling from his elbow to the tips of his fingers and numb fingertips. The pain radiates to his Left shoulder and neck. The pain is alleviated by raising his arm above and his behind his head for 2-3 mins. However, the ache remains constant. Pt reported the above signs and symptoms to his primary care provider (he did not mention that he received the first of three vaccine series of Hep B on Jan 19,2006) and cardiac involvement was ruled out. Pt denies injury or event that could result in signs/symptoms. Forearm warmer than hands, bilaterally; hand grip strength equal, bilaterally; capillary refill of left nail beds appears slower (more than 3 seconds) than refill of right nail beds (less than 3-seconds). Pt states that he did not correlate vaccine with signs and symptoms until today when asked if he had experienced any adverse effects to the first vaccine, prior to admin of the second vaccine in the series.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site hypersensitivity
Clinical narrative: Localized Hypersensitivity reaction to vaccine in right arm.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Localized reaction, red, edema, hot to the touch, size 5 1/2 inches in length 4 1/2 inches width.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Cellulitis, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Lt deltoid cellulitis, arm swollen, red hot to touch and itching. Treated with Augmentin and Benadryl.
Age: 1.31
Sex: M
Vaccine: DTAP, MMR
Symptoms: Pyrexia, Rash macular
Clinical narrative: Immz given 4/10/06 fever started 4/16/06. Few shots on 4/17/06. Dr saw pt on 4/21/06 all over body macular rash. Rash resolved 4/25/06.
Age: 42.0
Sex: F
Vaccine: DTP
Symptoms: Dizziness, Dyspnoea, Nausea
Clinical narrative: On Friday morning approx. 7:30 AM, I woke up dizzy and nauseous. I tried to walk to the restroom, but almost fell into the wall. I took 2 24mg of Meclizine HCl. It helped but the dizziness kept coming back. I had to take 4 days off of work. Nausea, difficulty breathing, dizziness.
Age: 1.5
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Rash papular
Clinical narrative: Rash/multiple punctate papules and vesicles and temperature.
Age: 19.0
Sex: M
Vaccine: HEP, HEPA, TYP
Symptoms: Asthenia, Dyspnoea, Hypotension, Pallor, Shoulder pain
Clinical narrative: C/o weakness, pale, decreased BP, shoulder pain and SOB.
Age: 0.56
Sex: M
Vaccine: PNC
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: R leg (thigh) with local reaction, redness and swelling approx. size quarter.
Age: 2.0
Sex: M
Vaccine: DTAP, HBHEPB
Symptoms: Cellulitis, Injection site vesicles
Clinical narrative: R thigh cellulitis with grouped vesicles. Cellulitis from injection to area to knee and was almost completely circumferential. Transferred to the ER for further treatment.
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 1-2 weeks after vaccine, red, indurated but non-tender area at site of injection. Resolved after 1 month.
Age: 36.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Pain, Pain in jaw, Pyrexia, Rash
Clinical narrative: Generalized rash on 4/23/06, fever to 101 on 4/23/06. On 4/22/06 achiness in B knees and R parotid tenderness on 4/23/06. Appears to be resolving. Rash and arthralgias still present.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Rt upper arm 7 x 5cm redness and swelling. No pain from shoulder to elbow.
Age: 46.0
Sex: M
Vaccine: TD
Symptoms: Fatigue, Injection site erythema, Injection site oedema
Clinical narrative: Tx: Benadryl. Pt refused Medrol dose pak. Pt received injection of single dose vial/syringe on 4/20/06 and had large mosquito like edema after to right upper arm, 2 days later was feeling extreme fatigue and had right arm to elbow erythema and edema distal to site to elbow.
Age: 1.03
Sex: M
Vaccine: VARCEL
Symptoms: Drug ineffective, Malaise, Pruritus, Pyrexia, Rash vesicular
Clinical narrative: Outbreak of chicken pox 8 yrs after receiving vaccine. Mom reports pt feeling ill with fever on 4/23/06. Pox broke out 4/24/06, afebrile on 4/24/06, c/o itch.
Age: 1.03
Sex: M
Vaccine: VARCEL
Symptoms: Viral infection
Clinical narrative: Outbreak of chicken pox 8 yrs after receiving vaccine. Mom reports pt feeling ill with fever on 4/23/06. Pox broke out 4/24/06, afebrile on 4/24/06, c/o itch.
Age: 35.0
Sex: M
Vaccine: MMR
Symptoms: Dizziness, Headache, Hot flush
Clinical narrative: Mild headache, hot flash, dizziness, approx 30-45 minutes after administration of MMR.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Localized swelling and redness with itching left deltoid area. Benadryl and cold compresses.
Age: 59.0
Sex: F
Vaccine: HEP
Symptoms: Herpes zoster
Clinical narrative: Pt received hep B adult dose 4/26/06.Basically by 4/30/06 broke out with herpes, mild case, painful. No previous eruptions.
Age: 1.09
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Rash vesicular, Viral infection
Clinical narrative: Contracted chickenpox.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Abdominal pain, Dyspnoea, Erythema, Eyelid oedema, Mucous membrane disorder
Clinical narrative: Stomach ache immediately after immunizations given. Developed SOB, mucosa edema, puffy eyelids, erythema and abdominal pain within 5-10 mins. 0.1ml epi given at 2:50PM 50mg Solucortif given at 3PM. 1 tsp Benadryl given at 3:10PM. Epi 0.1ml given at 3:30PM. No local reaction. Fully recovered and left office by 4:30PM. Tx: Orapred 2tsp q D.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Oedema
Clinical narrative: Stomach ache immediately after immunizations given. Developed SOB, mucosa edema, puffy eyelids, erythema and abdominal pain within 5-10 mins. 0.1ml epi given at 2:50PM 50mg Solucortif given at 3PM. 1 tsp Benadryl given at 3:10PM. Epi 0.1ml given at 3:30PM. No local reaction. Fully recovered and left office by 4:30PM. Tx: Orapred 2tsp q D.
Age: 41.0
Sex: M
Vaccine: SMALL
Symptoms: Hyperhidrosis, Lymphadenopathy, Pruritus, Rash, Rash papular
Clinical narrative: MILD generalized vaccinia 11 days after vaccination (primary vaccination-3 jabs).   Developed rash on chest, upper back, shoulders.  Pruritis raised macules/early papules.  Sweats at night x1.  No fevers or chills.   Major reaction w/o excess induration.   Pt describes notable adenopathy day 5-7 in both axillary regions, but this resolved at time of presentation.
Age: 3.0
Sex: M
Vaccine: DTAP, PNC
Symptoms: Heart rate increased, Pyrexia, Vomiting
Clinical narrative: Approximately 1 hour after receiving immunizations child experienced fever of 103, vomiting and rapid heart rate that lasted for the rest of the day.  Was treated with Tylenol and Motrin alternating for fever after seeing doctor.
Age: 1.06
Sex: F
Vaccine: IPV, PNC
Symptoms: Pyrexia, Rash, Vomiting
Clinical narrative: Fever and vomiting starting 1 day after vaccines. Fever lasted approximately 1 week. Rash developed >4 days after vaccine. Was seen by another Physician who told  patient that this was a vaccine reaction.
Age: 66.0
Sex: F
Vaccine: PPV, TD
Symptoms: Abdominal discomfort, Anorexia, Back pain, Chills, Headache
Clinical narrative: Back pain, muscle aches, headache, abd. discomfort, upset stomach, chills, edema at site with redness, warmth, anorexia and insomnia. Had surgery scheduled for 4/25/2006 and was cancelled. Was started on Cephalexen 500 mg. twice daily for 10 days.
Age: 66.0
Sex: F
Vaccine: PPV, TD
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Insomnia, Myalgia
Clinical narrative: Back pain, muscle aches, headache, abd. discomfort, upset stomach, chills, edema at site with redness, warmth, anorexia and insomnia. Had surgery scheduled for 4/25/2006 and was cancelled. Was started on Cephalexen 500 mg. twice daily for 10 days.
Age: 66.0
Sex: F
Vaccine: PPV, TD
Symptoms: Stomach discomfort
Clinical narrative: Back pain, muscle aches, headache, abd. discomfort, upset stomach, chills, edema at site with redness, warmth, anorexia and insomnia. Had surgery scheduled for 4/25/2006 and was cancelled. Was started on Cephalexen 500 mg. twice daily for 10 days.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Injection site pain, Joint range of motion decreased, Musculoskeletal stiffness
Clinical narrative: Employee (patient) reports expected soreness at site within 24 hours of vaccination. However at about 3 weeks, discomfort progressed to muscle tightness affecting ROM - which progressed to arthralgia in shoulders, hips and knees. Sought assistance from primary care provider who felt this was most likely due to an inflammatory response to the pertussis component of the vaccine as the patient had never experienced a like reaction with Td alone.  He treated her with a Medrol (prednisone) dose pack.  Employee (patient) reports a complete resolution of symptoms.
Age: 15.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Eyelid disorder, Facial palsy, Nausea, Vomiting
Clinical narrative: The patient received the Menactra vaccine on 4//06.  She developed right sided Bells Palsy on 4/27/06.  She was evaluated in the ER and was sent home on Prednisone and Acyclovir.  She was admitted 4/29/06 for emesis and inability to tolerate p.o.  She was discharged after 24 hours.  She continues to have Bell's Palsy and is being evaluated by a neurologist today. 60 day Follow-up Information 01-AUG-2006: Acc. to reporter, the patient continues to have diff. closing R eye lid. She is being referred back to Neurology.
Age: 15.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Drug tolerance decreased, Facial palsy, Nausea, Vomiting
Clinical narrative: The patient received the Menactra vaccine on 4//06.  She developed right sided Bells Palsy on 4/27/06.  She was evaluated in the ER and was sent home on Prednisone and Acyclovir.  She was admitted 4/29/06 for emesis and inability to tolerate p.o.  She was discharged after 24 hours.  She continues to have Bell's Palsy and is being evaluated by a neurologist today. 60 day Follow-up Information 01-AUG-2006: Acc. to reporter, the patient continues to have diff. closing R eye lid. She is being referred back to Neurology.
Age: 27.0
Sex: F
Vaccine: MMR
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: 2-3 days after receiving MMR, developed rash on face, neck, & both arms.  Very itchy. At time of office visit on 4/21/06 she had small, diffuse, 2mm raised erythemic spots to face, trunk, arms & legs, pruritic.  No signs of infection.  Afebrile.
Age: 20.0
Sex: F
Vaccine: TYP
Symptoms: Erythema, Rash
Clinical narrative: After Taking one tab of oral typhoid vaccine (Vivotif), at 8am on 3/30/06 Patient noticed at 10:30am a single erythemic papule. By noon arms, neck, palms, wrists had erythemic plaques.  Patient went to ER.  She was given IV Benadryl, PO predisone and one tab Pepsid. Symptoms resolved. Took PO Benadryl and Prednisone at 8:30 am 5/1/06.  By 11am rash had reappeared on dorsal aspect of palms and inner aspect of feet.  Patient took an additional 50 mg of Benadryl and came to the clinic and which time she was evaluated and given 20 mg of prednisone, continue with 40 mg prednisone x 4 days.  To take Benadryl prn and Allegra 180 mg po qd.  Patient exhibited no anaphylaxis.
Age: 30.0
Sex: F
Vaccine: ANTH
Symptoms: Arthralgia, Arthropathy, Bronchitis, Cough, Influenza like illness
Clinical narrative: This 46 year old received Typhoid, Tetanus-diphtheria, influenza, immunoglobulin, and meningococcal vaccinations on 03 Jan 1991 along with a PPD skin test (negative) prior to deployment. She reported feeling "ill" upon arrival with fevers up to 102, body aches, cough and other flu-like symptoms lasting approximately 7-10 days.  She was diagnosed with bronchitis and treated by increasing fluids, resting, and using Tylenol/Motrin with resolution of these symptoms.  Her first Anthrax vaccination was administered 20 Jan 1991 with no adverse events remembered.  Her second AVA vaccination was administered on 11 Feb 1991, again with no remembered adverse events.   While demobilized she remembers having another "cold" with "allergy-like" symptoms treated with Flonase and Seldane. Review of medical records on 08 May 1991 document notations of a productive cough, fever of 102 and diagnosis of Bronchitis in Jan 1991 with sinus problems during demobilization diagnosed as post nasal drip treated with Amoxicillin, Seldane and Beconase nasal spray (March-May,1991). She reported experiencing exposure to multiple "sand storms near an area being blown-up." She also experienced a contaminated needle stick with negative HIV/Hepatitis screening while deployed.   She began to experience intermittent repetitive left then right foot joint pain 2-6/10 following her return home with worsening of symptoms between 1992-1995. She initially attributed the discomfort-achiness in her feet to her pregnancy in 1993-94; however by 1995 this discomfort caused her to seek medical care-orthopedic evaluation.  She reported her left foot hurt worse than the right, had morning stiffness that resolved some during the day but worsened after sitting in the evening. She was given cortisone injections with some relief reported.  She stated she had a "Positive Bone Scan" but cannot clarify further.   She moved to another state where she saw a podiatrist who recommended NSAIDs and shoe supports.  In 1999, increasing foot pain sent her again to a podiatrist and orthopedist where x-rays diagnosed "degenerative joint disease."  She stated her fingers began to "bend" in 2002-2003. She described her right third fingertip digit (DIP) was bowed. She again complained of morning stiffness and variable pain with swelling now in her hands and feet. X-rays and an MRI showed "degenerative joint disease."  She was referred to a rheumatologist in Dec 2005-Jan 2006 who diagnosed her with Rheumatoid Arthritis. She requested evaluation by the Vaccine Healthcare center for rheumatoid arthritis after AVA vaccinations. She also reported receiving a letter from the government 05 December 2000 stating if she was active and deployed between 1997-10 March 1991 she may have been exposed to a "low level chemical agent".  She is initiating follow up.
Age: 30.0
Sex: F
Vaccine: ANTH
Symptoms: Malaise, Pain, Pain in extremity, Pharyngitis, Postnasal drip
Clinical narrative: This 46 year old received Typhoid, Tetanus-diphtheria, influenza, immunoglobulin, and meningococcal vaccinations on 03 Jan 1991 along with a PPD skin test (negative) prior to deployment. She reported feeling "ill" upon arrival with fevers up to 102, body aches, cough and other flu-like symptoms lasting approximately 7-10 days.  She was diagnosed with bronchitis and treated by increasing fluids, resting, and using Tylenol/Motrin with resolution of these symptoms.  Her first Anthrax vaccination was administered 20 Jan 1991 with no adverse events remembered.  Her second AVA vaccination was administered on 11 Feb 1991, again with no remembered adverse events.   While demobilized she remembers having another "cold" with "allergy-like" symptoms treated with Flonase and Seldane. Review of medical records on 08 May 1991 document notations of a productive cough, fever of 102 and diagnosis of Bronchitis in Jan 1991 with sinus problems during demobilization diagnosed as post nasal drip treated with Amoxicillin, Seldane and Beconase nasal spray (March-May,1991). She reported experiencing exposure to multiple "sand storms near an area being blown-up." She also experienced a contaminated needle stick with negative HIV/Hepatitis screening while deployed.   She began to experience intermittent repetitive left then right foot joint pain 2-6/10 following her return home with worsening of symptoms between 1992-1995. She initially attributed the discomfort-achiness in her feet to her pregnancy in 1993-94; however by 1995 this discomfort caused her to seek medical care-orthopedic evaluation.  She reported her left foot hurt worse than the right, had morning stiffness that resolved some during the day but worsened after sitting in the evening. She was given cortisone injections with some relief reported.  She stated she had a "Positive Bone Scan" but cannot clarify further.   She moved to another state where she saw a podiatrist who recommended NSAIDs and shoe supports.  In 1999, increasing foot pain sent her again to a podiatrist and orthopedist where x-rays diagnosed "degenerative joint disease."  She stated her fingers began to "bend" in 2002-2003. She described her right third fingertip digit (DIP) was bowed. She again complained of morning stiffness and variable pain with swelling now in her hands and feet. X-rays and an MRI showed "degenerative joint disease."  She was referred to a rheumatologist in Dec 2005-Jan 2006 who diagnosed her with Rheumatoid Arthritis. She requested evaluation by the Vaccine Healthcare center for rheumatoid arthritis after AVA vaccinations. She also reported receiving a letter from the government 05 December 2000 stating if she was active and deployed between 1997-10 March 1991 she may have been exposed to a "low level chemical agent".  She is initiating follow up.
Age: 30.0
Sex: F
Vaccine: ANTH
Symptoms: Pyrexia, Rheumatoid arthritis, Rhinitis
Clinical narrative: This 46 year old received Typhoid, Tetanus-diphtheria, influenza, immunoglobulin, and meningococcal vaccinations on 03 Jan 1991 along with a PPD skin test (negative) prior to deployment. She reported feeling "ill" upon arrival with fevers up to 102, body aches, cough and other flu-like symptoms lasting approximately 7-10 days.  She was diagnosed with bronchitis and treated by increasing fluids, resting, and using Tylenol/Motrin with resolution of these symptoms.  Her first Anthrax vaccination was administered 20 Jan 1991 with no adverse events remembered.  Her second AVA vaccination was administered on 11 Feb 1991, again with no remembered adverse events.   While demobilized she remembers having another "cold" with "allergy-like" symptoms treated with Flonase and Seldane. Review of medical records on 08 May 1991 document notations of a productive cough, fever of 102 and diagnosis of Bronchitis in Jan 1991 with sinus problems during demobilization diagnosed as post nasal drip treated with Amoxicillin, Seldane and Beconase nasal spray (March-May,1991). She reported experiencing exposure to multiple "sand storms near an area being blown-up." She also experienced a contaminated needle stick with negative HIV/Hepatitis screening while deployed.   She began to experience intermittent repetitive left then right foot joint pain 2-6/10 following her return home with worsening of symptoms between 1992-1995. She initially attributed the discomfort-achiness in her feet to her pregnancy in 1993-94; however by 1995 this discomfort caused her to seek medical care-orthopedic evaluation.  She reported her left foot hurt worse than the right, had morning stiffness that resolved some during the day but worsened after sitting in the evening. She was given cortisone injections with some relief reported.  She stated she had a "Positive Bone Scan" but cannot clarify further.   She moved to another state where she saw a podiatrist who recommended NSAIDs and shoe supports.  In 1999, increasing foot pain sent her again to a podiatrist and orthopedist where x-rays diagnosed "degenerative joint disease."  She stated her fingers began to "bend" in 2002-2003. She described her right third fingertip digit (DIP) was bowed. She again complained of morning stiffness and variable pain with swelling now in her hands and feet. X-rays and an MRI showed "degenerative joint disease."  She was referred to a rheumatologist in Dec 2005-Jan 2006 who diagnosed her with Rheumatoid Arthritis. She requested evaluation by the Vaccine Healthcare center for rheumatoid arthritis after AVA vaccinations. She also reported receiving a letter from the government 05 December 2000 stating if she was active and deployed between 1997-10 March 1991 she may have been exposed to a "low level chemical agent".  She is initiating follow up.
Age: 1.77
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Crusting, vesicular lesions on torso, face, extremities.
Age: 1.76
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Complex partial seizures, Condition aggravated, Electroencephalogram
Clinical narrative: Had 1st complex partial seizure within 2 hours of vaccination.  5 days after vaccination had an EEG that was normal but continued to have seizures.  12 days past vaccination was admitted to hospital for 48 hour Video EEG.  Has now been prescribed anti-epileptic medication to control complex partial seizures.  Not yet under control as of todays date. Follow-up: Patient is still having daily seizures a year later. Up to 10/day.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site vesicles, Lymphadenopathy, Rash maculo-papular
Clinical narrative: THREE SMALL VESSICULAR LESIONS AT THE VACCINATION SITE, CHARACTERISTIC OF VARICELLA. IN ADDITION A GENERALIZED MACULOPAPULAR RASH LEGS AND FACE, POST AURICULAR LYMPHADENOPATHY AND SMALL OCCIPITAL NODES.  FIRST NOTED AT THE VACCINATION SITE 10 DAYS AFTER VACCINATION, THEN GENERALIZING OVER THE NEXT THREE DAYS. NO FEVER NOTED.  TREATED SUPPORTIVELY AND WITH ISOLATION/CONTAGION PRECAUTIONS. PARENTS TO MONITOR PROGRESS AND CALL IF ANY COMPLICATIONS.
Age: 0.52
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion
Clinical narrative: Patient went through ER on 4/27/06. Diagnosed with seizure disorder and transferred to hospital. 5/15/06Received medical records from hospital which revealed patient admitted 4/27 w/dx new onset seizures.  PMH: normal SVD w/o complication, only bronchitis.  Patient's mother had seizure disorder & found to have brain tumor.  Ped neuro cx. D/C home 5/2/06/ss
Age: 1.02
Sex: M
Vaccine: MMRV
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Cellulitis left anterior thigh at site of Proquad.
Age: 13.0
Sex: M
Vaccine: TDAP
Symptoms: Feeling hot, Headache, Injection site erythema, Injection site oedema
Clinical narrative: The evening after administration of Tdap pt got a headache and upper arm became red, warm to touch and swollen. Pt observed (temp, not taken). Pt continued to attend school but still c/o pain in entire upper arm. Still swollen, but improved et sl. Red 3 days later.
Age: 88.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Injection site erythema, Injection site pain, Injection site swelling, Pruritus
Clinical narrative: Decavac given 4/13/06, no reaction noted by pt until 4/20/06 am woke with approx 6cm x 8cm raised, reddened, warm touch, itchy, pain with pressure area at place on right deltoid where vaccine was given no bite, mark or lesion noted at the site.
Age: 1.03
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Blister, Pyrexia, Somnolence, Viral infection
Clinical narrative: 4/24 or 04/25 started fever, had 2-3 days, very sleepy, 4/24 blister on right wrist, 2 on chest, 1 on back, 3-4 arms, 3-4 legs. The DR who saw her is family friend but said is definite varicella (is a pediatrician).
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site mass, Injection site oedema, Pruritus
Clinical narrative: Left deltoid red, swollen, hard hot to touch, itching, no fever child eating and sleeping well.
Age: 31.0
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Telephone call from pt states hives developed that evening of 4/28/06 after receiving the hep B.  States previous Hep B 1st dose 3/28/06 same thing happened but did not report, wasn't sure it was related to vaccine then. Hives in her back, a few in her abdomen and legs. None upper body. Taking Benadryl, symptoms relieved some.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Left Deltoid at Dtap site pt had red raised area approx 3 1/2 cm in length by 4 1/2 min width. No pain. Benadryl given by MD.
Age: 11.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Erythema, Injection site mass, Medication error
Clinical narrative: Left arm outer aspect, erythema, induration 13cm x 8cm. Tx: Benadryl, Tylenol.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Anorexia, Bacterial infection, Cough, Headache, Infection
Clinical narrative: Experienced flu like symptoms (body ache, headache, low grade fever, lose of appetite), within hours of receiving vaccination. Symptoms persisted to varying degrees over the next 3 months. Developed a persistent dry cough after a couple of weeks. Developed a large (tennis ball size) infection in lower back area at site of a previous surgery (performed in 2002). The culture came back as Serratia Marcescens. Required emergency surgery to clean site of infection and use of antibiotics.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Influenza like illness, Pain, Pyrexia
Clinical narrative: Experienced flu like symptoms (body ache, headache, low grade fever, lose of appetite), within hours of receiving vaccination. Symptoms persisted to varying degrees over the next 3 months. Developed a persistent dry cough after a couple of weeks. Developed a large (tennis ball size) infection in lower back area at site of a previous surgery (performed in 2002). The culture came back as Serratia Marcescens. Required emergency surgery to clean site of infection and use of antibiotics.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema
Clinical narrative: Right arm: 8x8cm erythema; left arm: 7x6 cm erythema with central 1.5x2cm red area around injection site.
Age: 22.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Chills, Pyrexia, Vomiting
Clinical narrative: High fever and chills, vomiting, over a week after shot administered.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Cellulitis, Convulsion, Injection site erythema, Injection site pain, Syncope
Clinical narrative: 1) sore red arm, cellulitis?. 2) Fainting vs seizure the following day.
Age: 1.26
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Irritability, Pyrexia
Clinical narrative: Dime sized redness right thigh, fever, fussy 9-10 days after vaccine given.
Age: 1.27
Sex: M
Vaccine: HEPA, MMRV
Symptoms: Face oedema, Joint swelling, Parotitis
Clinical narrative: Mother noted right sided face/jaw swelling hrs AM (4/28/06) no fevers, eating well, active. Afebrile, 4AM right pre-auricular and sucinandibular swelling near angle of jaw on right. No erythema, no warmth. Rx given for Augmentin but is suspected more likely to be parotitis 2 hrs vaccination.
Age: 1.22
Sex: M
Vaccine: FLU3
Symptoms: Rash papular
Clinical narrative: Pt developed a papular and vesicular rash over his trunk, neck, head and later, on extremities about 1 week after vaccine. On exam, crusted lesions were noticed. (Pt came to office approx. 5 days after onset of rash).
Age: 1.09
Sex: M
Vaccine: MMRV, PNC
Symptoms: Injection site discolouration, Injection site erythema, Rash, Rash erythematous, Rash macular
Clinical narrative: Welts plus red developed rash on arm. Tx 4/16/06 4/17 had a rash on trunk that increased. rash erythematous macular rash, trunk, blanched, pressure over angle. Dx viral exanthem vs reaction to ProQuad.
Age: 1.09
Sex: M
Vaccine: MMRV, PNC
Symptoms: Urticaria, Viral infection
Clinical narrative: Welts plus red developed rash on arm. Tx 4/16/06 4/17 had a rash on trunk that increased. rash erythematous macular rash, trunk, blanched, pressure over angle. Dx viral exanthem vs reaction to ProQuad.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Pruritus, Pyrexia, Urticaria
Clinical narrative: Fever 103F (oral) 06:00 on 4/26/06. Rash, urticaria all over torso, limbs with little change 4 hours after 50mg Benadryl. Onset about 02:00 on 4/26/06. Treated with 5 days of Prednisone due to severe "itching" with the rash. History of Pertussis Reaction as infant, OK after DT, MMR, OPV, Hep-B.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Anaphylactic reaction, Pruritus, Urticaria
Clinical narrative: Broke out in hives x 4 (3 on forehead and one  on left cheek) within 15 min. and he experienced itching on neck. No resp. distress. Offered Epinephrine for anaphylactic reaction-mother refused. Signed waiver Instructed to immediately go to ER or doctor's office. Mother states that she did not want any further shots to be given to her son. Treatment: Discussed providing Benadryl. Mom said she would buy it and provide it to her son but then she was worried about him getting sleepy. Reassurance provided. Parents left immediately with their son to seek medical attention from their MD or ER. They said they would be back later to get the WIC coupons. Spoke to MD today re: client's reaction. Plan: F/u with family to see how pt is doing. On 4/25/06; spoke to (nursing supervisor) today re: event. Telephone call made to client's residence. Spoke with pt's mother. She states "we took him to MD. He didn't give him anything, but we got a script for Benadryl that we're going to have filled today. He's doing fine.
Age: 0.17
Sex: M
Vaccine: DTAP
Symptoms: Oral intake reduced, Pyrexia, Somnolence, Staring, Tremor
Clinical narrative: 3 hrs after immunization, fevers to 101, floppy throughout, eyes glassy, decrease formula intake. This resolved and now with episodes of shaking and staring off into space.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Urticaria
Clinical narrative: Phone Call: c/o red welts from injection area to knee. Referred to family MD.
Age: 48.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: Member received tetanus vaccination to left arm on Mar. 18, 2006. Developed localized swelling and erythema to area. Never had similar reaction before. Member now reports small firm nodule to region of previous vaccinations.
Age: 1.3
Sex: F
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Cellulitis, Hypersensitivity, Pyrexia
Clinical narrative: Seen 4/14/06 cellulitis vs allergic rxn w/in 24 hrs on right thigh. Omnicef 1/2 tsp PO bid x 5 days. Motrin prn fever or PCN. Benadryl 1 tsp q6. Rev'd on 4/17/06 was better.
Age: 0.44
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Rash maculo-papular
Clinical narrative: Fine rash, pink, maculopapular, eruption on face, neck, trunk and extremities. 4/12/06.
Age: 1.36
Sex: M
Vaccine: HIBV, PNC
Symptoms: Convulsion, Dyskinesia, Eye movement disorder, Myoclonus
Clinical narrative: Myoclonic jerks first reported 4-6 hours after injection and persisting. One episode associated with eyes rolling back.
Age: 1.07
Sex: F
Vaccine: HBHEPB, PNC, VARCEL
Symptoms: Pyrexia
Clinical narrative: Fever 105l6 at ER. Fluids, iced down, Motrin and Tylenol,
Age: 0.88
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash vesicular
Clinical narrative: High fever to 104F and vesicular rash, 4 days after MMR, VZV, Prevnar and HIB given.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Circumferential thigh swelling, focussed around more proximal of 2 injection site. Elevated at DPT, started 18 hours after shot, already resolving after 48 hours but left leg still 4cm bigger that the right leg, very local, erythema and some tenderness. Child has remained active. Recovering well at 48 hours.
Age: 1.26
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: L anterior thigh with erythema and mild swelling. Fever 102.4F. Given Motrin x 96 hours and Benadryl 1 tsp every 6 hours.
Age: 4.0
Sex: F
Vaccine: HEPA, IPV, MMR, PNC
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Rt upper arm swollen, red, tender to touch. Use Tylenol/Motrin for pain.
Age: 1.11
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Chickenpox rash. On 4/25/06, given Zovirax Susp 2 tsp po qid x 5 days.
Age: 3.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Feeling hot, Injection site rash, Rash erythematous
Clinical narrative: Pt returned to office 4/26/06 in afternoon with red raised varigated rash approx 9cm vertical on right leg with adm. site approx 4.5 cm above distal rash. Rash ranging in width at 6.5cm to 1.5cm. Warm to touch.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Multiple vesicular lesions face, trunk and legs. Recovering.
Age: 10.0
Sex: F
Vaccine: DT, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Per mom, noticed redness and swelling and c/o pain on L arm and R arm, one day after child given vaccines.
Age: 59.0
Sex: M
Vaccine: TYP
Symptoms: Chills, Dizziness, Hyperhidrosis
Clinical narrative: Received the injection (painless) prior to deployment to airport to make a 08:30 departure. While standing in line about 07:20, at the ticket counter. I began to have chills that began the check-in process. When I stooped to get my tickets and passport and my carryon, I had a near syncope episode when I stood. I then developed diaphoresis which continued for a few more minutes and ///.
Age: 39.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site hypersensitivity, Injection site oedema
Clinical narrative: Back of Pts left arm was very red and swollen area about 15x10cm. Sent pt to Occ Health Clinic.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Pain, redness, warmth, induration around injection site in left deltoids.
Age: 24.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 3 inch diameter swollen and red patch around injection site, very tender. Pt already taking Motrin. Added Claritin/Benadryl. This appears to be a moderate local reaction.
Age: 2.0
Sex: F
Vaccine: HEPA, PPV
Symptoms: Injection site hypersensitivity, Injection site induration, Medication error, Pyrexia, Vomiting
Clinical narrative: Fever to 104.5 late same day of vaccine. Emesis and persistent fever to 101.0 since (2 days) 8cm area red, indurated skin left thigh IM site.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site inflammation
Clinical narrative: Inflammation, erythema no induration, tenderness at injection site 24 hours after administration treated as cellulitis with 10 day course antibiotics.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Cough, Pyrexia, Swelling
Clinical narrative: Mother noted fever; croupy cough approximately 1-1 1/2 hours after vaccines done. Called 911 and went to ER. 5cm swelling/puffy. Given Benadryl ///. D/c home.
Age: 0.37
Sex: M
Vaccine: DTAPHEPBIP, MMR, PNC
Symptoms: Medication error, Pyrexia
Clinical narrative: Mother reports fever of 105 nine hours after administration of vaccines. Pt was given a single dose of TYLENOL and symptoms resolved within 1 hour. No further problems or other symptoms.
Age: 0.99
Sex: M
Vaccine: VARCEL
Symptoms: Rash vesicular, Viral infection
Clinical narrative: Break thru case varicella less than or equal to 10 lesions.
Age: 1.01
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC, TDAP
Symptoms: Medication error
Clinical narrative: Administered TDaP instead of Dtap.
Age: 1.01
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Blister, Rash maculo-papular, Skin ulcer
Clinical narrative: Local reaction at site with raised lesions at first were vesicular now clumped together total area 2 cm.
Age: 14.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Back pain, Chills, Headache, Injection site oedema, Nausea
Clinical narrative: Pt received Adacel on 4/17/06 on evening of 4/17/06 began to have back ache, chills, fever, headache, nausea, Rt arm swelling.
Age: 14.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Pyrexia
Clinical narrative: Pt received Adacel on 4/17/06 on evening of 4/17/06 began to have back ache, chills, fever, headache, nausea, Rt arm swelling.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Contusion, Injection site erythema, Injection site oedema
Clinical narrative: Slight Erythema, swelling, bruise at inj site.
Age: 30.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia, Tremor
Clinical narrative: Fever with shakes.
Age: 1.07
Sex: F
Vaccine: DTAP, MMRV, PNC
Symptoms: Pyrexia, Rash, Serum sickness, Urticaria, Viral infection
Clinical narrative: Generalized urticaria with fever up to 105. Starting 5 days after immunization lasting 4 days. Treated with Benadryl. Hospitalized for 2 days to excluded other causes of fever, rash. Discharge summary states viral exanthum or serum sickness. msv
Age: 16.0
Sex: F
Vaccine: UNK
Symptoms: Urticaria
Clinical narrative: 2 Hives left check, lower left lip, hydrocortisone cream 25 mg Benadryl.
Sex: F
Vaccine: UNK
Symptoms: Rash
Clinical narrative: Student discovers a rash covering entire body. Began 24 hrs after the vaccine administration. Sought doctors diagnosis and treatment on day 4. Treated with Benadryl.
Age: 22.0
Sex: M
Vaccine: TYP
Symptoms: Dizziness, Feeling hot, Nasal congestion, Nausea, Pharyngolaryngeal pain
Clinical narrative: 4/28/06 had been recovering from cold symptoms that began 2 wks prior. Had nasal congestion day of vaccine. Went to school after vaccine became hot, dizzy, sl. nauseated, left school, temp 100.2. Symptoms lasted several hrs then gone. 4/29 and 4/30 nasal congestion only. 5/1 and 5/2 sore throat increased nasal congestion.
Age: 22.0
Sex: M
Vaccine: TYP
Symptoms: Pyrexia
Clinical narrative: 4/28/06 had been recovering from cold symptoms that began 2 wks prior. Had nasal congestion day of vaccine. Went to school after vaccine became hot, dizzy, sl. nauseated, left school, temp 100.2. Symptoms lasted several hrs then gone. 4/29 and 4/30 nasal congestion only. 5/1 and 5/2 sore throat increased nasal congestion.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Immunization given 4/25/06 A/R noted 4/26/06 pm. Into office 4/27/06 reassurance just Tylenol/Motrin. Right thigh 11cm x 9cm erythema, indurated.
Age: 0.34
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Irritability, Lethargy, Oral intake reduced, Tremor
Clinical narrative: Within 48 hours, pt developed trembling of body about 10 seconds, fussiness, lethargy, decreased appetite. Pt had blood work done and EEG ordered (to rule out seizures).
Age: 1.03
Sex: F
Vaccine: MMR, PNC
Symptoms: Diarrhoea, Erythema, Pyrexia, Rash maculo-papular, Skin ulcer
Clinical narrative: Immunization (MMR and Prevnar) given 4/20/06 1 week later developed fever x5 days as high as 105. Seen in ER. Also had diarrhea x several days. Fever gone, diarrhea resolving. Rash started 4/29 1-2mm red/raised lesions in trunk area.
Age: 43.0
Sex: M
Vaccine: TD
Symptoms: Muscle spasms
Clinical narrative: Muscle spasms x 2 days. Started 2 days after vaccine. Spasms started in R shoulder, both shoulders, neck and cervical area.
Age: 6.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site swelling, Swelling
Clinical narrative: 5 year old got DT, got swelling around injection right away. Then spread to upper arm on other side next day. Then all over body including face 3 days after shot.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Arm swollen shoulder to elbow, red/warm to touch and slightly tender.
Age: 1.11
Sex: M
Vaccine: IPV, MMR, PNC
Symptoms: Urticaria
Clinical narrative: Hives all over. No shortness of breath. Just checked this afternoon and put on Atarax and Orapred.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Erythematous area anterior right thigh extending from hip joint almost to knee, mainly inner portion of thigh, warm to touch and swelling. Asymmetrical around injection site. Treatment with Septra Suspension 40mg/5ml 2 tsp po tid x 10 days and Amoxicillin 15ml one tsp tid x 10 days.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site swelling
Clinical narrative: Localized swelling-symmetric around injection site 9cm X 11cm.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Patient brought to clinic on 4/6/06 to have PPD read.  Mother stated that son's Left upper arm had been red, swollen and hot to the touch since vaccines were adm. on 4/3/06.  MD examined arm and told mother to administer Benadryl as needed to relieve swelling and Tylenol as needed for pain.
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site hypersensitivity, Injection site pain, Pain
Clinical narrative: Pneumovax 0.5CC IM LD was administered 12/28/05 at 1515. 12/29/05 she presented at ER saying a few hours after shot she noticed redness in injection area. It was accompanied by severe pain radiating to the left shoulder and upper back. 5/16/06 -22 page DC summary and medical notes from hospital stay 12/29-12/31-2005-Pneumovax on 12/28/05-presented to ED on 12/28/05, approximately 2 hours after injection with c/o swelling and pain in left arm and shoulder, the site of the vaccine, with pain radiating to left shoulder and upper back. ED DX of cellulitis in left arm-admitted. Treated with IV Ancef and SoluMedrol for vaccine reaction symptoms.DC with oral steroid taper dose pack. F/U with physician in 1 week.
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Hypokinesia, Injection site swelling
Clinical narrative: Pt received vaccination 4/25/06. Pt called office next morning c/o arm swollen and cannot bend. Pt came in for exam.
Age: 64.0
Sex: M
Vaccine: MMR
Symptoms: Arthralgia, Headache, Musculoskeletal stiffness, Nausea, Pharyngolaryngeal pain
Clinical narrative: Sudden onset of sore throat, elevated temp., stiff neck, HA, Joint aches, nausea and rash 7 days after receiving MMR vaccine. Not resolved at this time 5/2/06. Appeared to get better by 5/10/06. Last week pt broke out in rash again - noting just rash, no respiratory symptoms will monitor pt so resolves.
Age: 64.0
Sex: M
Vaccine: MMR
Symptoms: Pyrexia, Rash
Clinical narrative: Sudden onset of sore throat, elevated temp., stiff neck, HA, Joint aches, nausea and rash 7 days after receiving MMR vaccine. Not resolved at this time 5/2/06. Appeared to get better by 5/10/06. Last week pt broke out in rash again - noting just rash, no respiratory symptoms will monitor pt so resolves.
Age: 67.0
Sex: M
Vaccine: PPV, TD
Symptoms: Dizziness, Headache, Malaise, Nausea, Pyrexia
Clinical narrative: Dizziness, vertigo, fever, malaise, nausea, headache, and vomiting.