chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: M
Vaccine: HEPA, HPV4, MNQ
Symptoms: Loss of consciousness, Syncope
Clinical narrative: Patient fainted after GARDASIL vaccine (+) LOC; then no sequelae.
Age: 47.0
Sex: F
Vaccine: HEP
Symptoms: Pyrexia, Rash pruritic, Swelling face
Clinical narrative: Fever, facial swelling, rash with itching.
Age: 25.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Cellulitis, Headache, Injection site erythema, Injection site swelling, Nausea
Clinical narrative: Patient received Tdap and Pneumovax.  On 06Mar11 @ 1538, she was seen in the E.R. for redness and swelling at injection site with nausea and fever of up to 103F.  She was prescribed clindomycin 300mg PO, Motrin 800mg PO, and Tylenol 650mg PO.  Patient was diagnosed with cellulitis.   Mrs. Gabbard went into the ER again on 07Mar@0845 due to ongoing fevers and headache.  Patient was evaluated by doctor and was instructed to followe-up with her Primary Care Manager which was done on 11Mar11.
Age: 25.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Pyrexia
Clinical narrative: Patient received Tdap and Pneumovax.  On 06Mar11 @ 1538, she was seen in the E.R. for redness and swelling at injection site with nausea and fever of up to 103F.  She was prescribed clindomycin 300mg PO, Motrin 800mg PO, and Tylenol 650mg PO.  Patient was diagnosed with cellulitis.   Mrs. Gabbard went into the ER again on 07Mar@0845 due to ongoing fevers and headache.  Patient was evaluated by doctor and was instructed to followe-up with her Primary Care Manager which was done on 11Mar11.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Dysgeusia
Clinical narrative: I HAD A METALLIC TASTE IN MY MOUTH SHORTLY AFTER THE VACCINE WAS ADMINISTERED AND IT LASTED FOR APPROXIMATELY 3 DAYS. NO TREATMENT WAS REQUIRED.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL, DTAP, IPV, MMR, VARCEL, DTAP, IPV, MMR, VARCEL
Symptoms: Anaphylactic reaction, Dyspnoea, Hypersensitivity, Unresponsive to stimuli, Wheezing
Clinical narrative: Approximately 5-10 mins after vaccines given, pt began to experience an acute allergic & anaphylactic reaction. Wheezing with increased work of breathing. He became unresponsive & required Epi-Pen Jr (0.15 mg) admin, O2 & albuterol before transfer to ER by 911. In ER received steroids, BENADRYL, ZANTAC.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL, DTAP, IPV, MMR, VARCEL, DTAP, IPV, MMR, VARCEL
Symptoms: Anaphylactic reaction, Loss of consciousness, Respiratory distress, Vomiting
Clinical narrative: Approximately 5-10 mins after vaccines given, pt began to experience an acute allergic & anaphylactic reaction. Wheezing with increased work of breathing. He became unresponsive & required Epi-Pen Jr (0.15 mg) admin, O2 & albuterol before transfer to ER by 911. In ER received steroids, BENADRYL, ZANTAC.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL, DTAP, IPV, MMR, VARCEL, DTAP, IPV, MMR, VARCEL
Symptoms: Loss of consciousness, Respiratory distress, Vomiting
Clinical narrative: Approximately 5-10 mins after vaccines given, pt began to experience an acute allergic & anaphylactic reaction. Wheezing with increased work of breathing. He became unresponsive & required Epi-Pen Jr (0.15 mg) admin, O2 & albuterol before transfer to ER by 911. In ER received steroids, BENADRYL, ZANTAC.
Age: 1.5
Sex: F
Vaccine: HEPA, MMRV
Symptoms: Erythema multiforme, Rash generalised, Wrong drug administered
Clinical narrative: On 2/25/11 pt was to receive her MMR but was given PROQUAD in error. On 3/6/11 erythema multiforme dx. On 3/18/11 hive like rash full body ZYRTEC x 2 wks.
Age: 26.0
Sex: F
Vaccine: HEPAB, IPV, MEN, TDAP
Symptoms: Dyspnoea, Feeling abnormal, Rash erythematous, Swollen tongue, Throat tightness
Clinical narrative: She was given a total of fours shots in one day: polio, hep A/B in the right arm, she thinks she got tetanus and meningococcus in the left. Within five minutes she "did not feel right," throat closed up, her tongue swelled up and she could not breathe, her chest and right arm got broke out with a bumpy red rash (does not recall if it was pruritic). An ambulance crew gave her BENADRYL and took her to the hospital where she got an EPIPEN. She was not admitted overnight; took BENADRYL for a couple of days. She has never had a reaction like that to anything. She has subsequently received the hep A/B shot without problems and also FLUMIST.
Age: 61.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Pt. received a Tdap on 3-16-11 and returned on 3-23-11 with redness, swelling & hardness in injection site. It has been this way since receiving her inj.
Age: 0.21
Sex: F
Vaccine: RV5
Symptoms: Culture stool negative, Diarrhoea, Faeces discoloured, Laboratory test normal, Mucous stools
Clinical narrative: Vomiting then chronic diarrhea with mucusy green stools.
Age: 0.21
Sex: F
Vaccine: RV5
Symptoms: Vomiting
Clinical narrative: Vomiting then chronic diarrhea with mucusy green stools.
Age: 59.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Computerised tomogram normal, Confusional state, Dizziness
Clinical narrative: Initial case was retrieved from the scientific literature on 15 March 2011. Verbatim from the report: "A 59-year-old man developed nausea and lightheadedness 45 minutes after receiving the 2009 H1N1 monovalent inactivated influenza vaccine intramuscular lt (0.5 mL). Concurrent medications included aspirin (325 mg/d), lisinopril (20 mg/d), furosemide (40 mg/d), spirocolactone (25 mg/d), pravastatin (40 mg/d), hydralazine (50 mg 3 times/d), isosorbide mononitrate (20 mg twice/d), ranitidine (150 mg twice/d), theophylline (200 mg twice/d), and tiotropium bromide and budesonide inhalers. The patient had received the trivalent seasonal influenza vaccine 2 months earlier without incident. The patient's wife reported rhythmic jerking of all extremities that lasted 4 minutes, associated with eye rolling, frothy oral secretions, bladder and bowel incontinence, diminished responsiveness, and confusion. The patient's mental status had resolved on arrival to the emergency room approximately 90 minutes after receiving the vaccine. Physical examination was unremarkable except for end-expiratory wheezing. Abnormal labs were elevations in alanine aminotransferase (108 U/L) and aspartate aminotransferase (121 U/L) levels. His theophylline level was subtherapeutic at 6.6 mg/dL. Electroencephalography and noncontrast computed tomography scan were normal. The authors concluded that there is a possible association between the receipt of the H1N1 influenza vaccine and new-onset seizure. According to the Naranjo adverse drug reaction probability scale, the seizure was "possible" adverse drug reaction from the vaccine. The mechanism of the association is unclear." Documents held by sender: none.
Age: 59.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Drug level below therapeutic, Dyskinesia, Electroencephalogram normal, Faecal incontinence, Foaming at mouth
Clinical narrative: Initial case was retrieved from the scientific literature on 15 March 2011. Verbatim from the report: "A 59-year-old man developed nausea and lightheadedness 45 minutes after receiving the 2009 H1N1 monovalent inactivated influenza vaccine intramuscular lt (0.5 mL). Concurrent medications included aspirin (325 mg/d), lisinopril (20 mg/d), furosemide (40 mg/d), spirocolactone (25 mg/d), pravastatin (40 mg/d), hydralazine (50 mg 3 times/d), isosorbide mononitrate (20 mg twice/d), ranitidine (150 mg twice/d), theophylline (200 mg twice/d), and tiotropium bromide and budesonide inhalers. The patient had received the trivalent seasonal influenza vaccine 2 months earlier without incident. The patient's wife reported rhythmic jerking of all extremities that lasted 4 minutes, associated with eye rolling, frothy oral secretions, bladder and bowel incontinence, diminished responsiveness, and confusion. The patient's mental status had resolved on arrival to the emergency room approximately 90 minutes after receiving the vaccine. Physical examination was unremarkable except for end-expiratory wheezing. Abnormal labs were elevations in alanine aminotransferase (108 U/L) and aspartate aminotransferase (121 U/L) levels. His theophylline level was subtherapeutic at 6.6 mg/dL. Electroencephalography and noncontrast computed tomography scan were normal. The authors concluded that there is a possible association between the receipt of the H1N1 influenza vaccine and new-onset seizure. According to the Naranjo adverse drug reaction probability scale, the seizure was "possible" adverse drug reaction from the vaccine. The mechanism of the association is unclear." Documents held by sender: none.
Age: 59.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Gaze palsy, Mental status changes, Nausea, Slow response to stimuli, Urinary incontinence
Clinical narrative: Initial case was retrieved from the scientific literature on 15 March 2011. Verbatim from the report: "A 59-year-old man developed nausea and lightheadedness 45 minutes after receiving the 2009 H1N1 monovalent inactivated influenza vaccine intramuscular lt (0.5 mL). Concurrent medications included aspirin (325 mg/d), lisinopril (20 mg/d), furosemide (40 mg/d), spirocolactone (25 mg/d), pravastatin (40 mg/d), hydralazine (50 mg 3 times/d), isosorbide mononitrate (20 mg twice/d), ranitidine (150 mg twice/d), theophylline (200 mg twice/d), and tiotropium bromide and budesonide inhalers. The patient had received the trivalent seasonal influenza vaccine 2 months earlier without incident. The patient's wife reported rhythmic jerking of all extremities that lasted 4 minutes, associated with eye rolling, frothy oral secretions, bladder and bowel incontinence, diminished responsiveness, and confusion. The patient's mental status had resolved on arrival to the emergency room approximately 90 minutes after receiving the vaccine. Physical examination was unremarkable except for end-expiratory wheezing. Abnormal labs were elevations in alanine aminotransferase (108 U/L) and aspartate aminotransferase (121 U/L) levels. His theophylline level was subtherapeutic at 6.6 mg/dL. Electroencephalography and noncontrast computed tomography scan were normal. The authors concluded that there is a possible association between the receipt of the H1N1 influenza vaccine and new-onset seizure. According to the Naranjo adverse drug reaction probability scale, the seizure was "possible" adverse drug reaction from the vaccine. The mechanism of the association is unclear." Documents held by sender: none.
Age: 59.0
Sex: M
Vaccine: FLUX(H1N1)
Symptoms: Wheezing
Clinical narrative: Initial case was retrieved from the scientific literature on 15 March 2011. Verbatim from the report: "A 59-year-old man developed nausea and lightheadedness 45 minutes after receiving the 2009 H1N1 monovalent inactivated influenza vaccine intramuscular lt (0.5 mL). Concurrent medications included aspirin (325 mg/d), lisinopril (20 mg/d), furosemide (40 mg/d), spirocolactone (25 mg/d), pravastatin (40 mg/d), hydralazine (50 mg 3 times/d), isosorbide mononitrate (20 mg twice/d), ranitidine (150 mg twice/d), theophylline (200 mg twice/d), and tiotropium bromide and budesonide inhalers. The patient had received the trivalent seasonal influenza vaccine 2 months earlier without incident. The patient's wife reported rhythmic jerking of all extremities that lasted 4 minutes, associated with eye rolling, frothy oral secretions, bladder and bowel incontinence, diminished responsiveness, and confusion. The patient's mental status had resolved on arrival to the emergency room approximately 90 minutes after receiving the vaccine. Physical examination was unremarkable except for end-expiratory wheezing. Abnormal labs were elevations in alanine aminotransferase (108 U/L) and aspartate aminotransferase (121 U/L) levels. His theophylline level was subtherapeutic at 6.6 mg/dL. Electroencephalography and noncontrast computed tomography scan were normal. The authors concluded that there is a possible association between the receipt of the H1N1 influenza vaccine and new-onset seizure. According to the Naranjo adverse drug reaction probability scale, the seizure was "possible" adverse drug reaction from the vaccine. The mechanism of the association is unclear." Documents held by sender: none.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 2.5 cm x 3 cm raised red area to lateral (L) leg. Pt's mother gave appropriate dose of ADVIL for child's wt upon discovery.
Age: 15.0
Sex: F
Vaccine: TYP, YF
Symptoms: Erythema, Oedema peripheral, Rash
Clinical narrative: (YF & oral Typhoid 3-14-11) 3/21/11 reaction red & swelling arm and rash.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: Pt reports that 3-4 hours after receiving first Gardasil vaccine, she broke out in widespread hives.  She saw her PCP and was told possible reaction to Gardasil and was advised to discontinue the series.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site haematoma, Injection site pain, Injection site scar, Nerve injury
Clinical narrative: Pinprick red scar where the needle entered, Bruising around the shot area, Pain up to a level "8" on scale of "10".  Seen by 3 different doctors who diagnosed nerve damage and ordered Mobic for the Pain.  All these symptoms are still present as of 3/23/11.
Age: 2.0
Sex: M
Vaccine: DPP
Symptoms: Injection site erythema, Injection site nodule, Injection site swelling
Clinical narrative: RIGHT UPPER THIGH SWOLLEN AND ERYTHEMIC, AT PUNCTURE SITE SLIGHTLY SWOLLEN, WITH SMALL NODULE JUST BELOW PUNCTURE SITE.
Age: 15.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: ONE WEEK AFTER VARICELLA #2, CHILD BROKE OUT IN MACULO PAPULAR RASH ON TRUNK, SOME ON ARMS AND A FEW ON UPPER THIGHS. 03/23/2011 RASH STILL PRESENT HOWEVER, NO REDNESS SWELLING OR RASH AT THE VACCINATION SITE CHILD RETURNED TODAY TO VACCINE CLINIC AND REFERRED TO PUBLIC CLINIC FOR MD EVALUATION
Age: 48.0
Sex: M
Vaccine: DTAP
Symptoms: Body temperature increased, Dyspnoea, Muscular weakness, Tachycardia
Clinical narrative: Elevated temperature 104 Tachycardia 150 SOB Leg weakness
Age: 22.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Rash erythematous, Rash pruritic
Clinical narrative: Red itchy rash, redness swelling hot at injection site. Dx w/varicella on 3/23/11.
Age: 22.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Varicella
Clinical narrative: Red itchy rash, redness swelling hot at injection site. Dx w/varicella on 3/23/11.
Age: 0.16
Sex: M
Vaccine: DTAPIPVHIB, HIBV, PNC13, RV1
Symptoms: Diarrhoea, Pyrexia
Clinical narrative: fever and diarrhea
Age: 23.0
Sex: F
Vaccine: SMALL
Symptoms: Rash maculo-papular
Clinical narrative: Diffuse maculopapular rash on all 4 extremities, no pustules initially.
Age: 11.0
Sex: M
Vaccine: MMR, MNQ, TDAP
Symptoms: Hyperhidrosis, Malaise, Nausea, Pallor
Clinical narrative: 1-2 minutes after shots, patient stated that he didn't feel well.  He became diaphoretic in the face, pale, and stated he was nauseated.  He was able to walk over to the bed to lie down in shock position.  Pt. never lost consciousness.  Was alert and oriented x 3.  BP checks 88/62, 98/72, 110/78.  Respirations WNL.  Water offered for patient.  Able to sit up and drink the whole cup.  Patient sucking on a lollipop when left.  Stated he felt better.  No syncope.  Patient with nurse for 45 minutes.  Patient's father called and notified over the phone of the above.  Grandmother with patient the whole time.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, UNK, VARCEL
Symptoms: Asthenia, Decreased appetite, Diarrhoea, Fatigue, Hypersomnia
Clinical narrative: Low-grade fever in the afternoon. Administered children's ibuprofen. By 8 PM, fever was at 102.1, he was shaking and tired. The next day, his fever hovered around 100 degrees, and he slept most of the day and refused to eat. Toward the end of the day, he had a small amount of diarrhea. The following day, his fever was again low-grade, his energy was low, but his appetite improved somewhat. Diarrhea continued into the evening.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, UNK, VARCEL
Symptoms: Pyrexia, Tremor
Clinical narrative: Low-grade fever in the afternoon. Administered children's ibuprofen. By 8 PM, fever was at 102.1, he was shaking and tired. The next day, his fever hovered around 100 degrees, and he slept most of the day and refused to eat. Toward the end of the day, he had a small amount of diarrhea. The following day, his fever was again low-grade, his energy was low, but his appetite improved somewhat. Diarrhea continued into the evening.
Age: 13.0
Sex: M
Vaccine: HPV4
Symptoms: Myoclonus, Syncope
Clinical narrative: syncope with myoclonic jerks
Age: 35.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Burning sensation, Feeling abnormal, Headache, Injection site erythema, Injection site induration
Clinical narrative: Noted burning sensation at site of Tdap approx 12 hrs. after injection. Redness noted later, warm to touch and firm deltoid. Pt stated she had "paralyzed" feeling with increased burning sensation starting to feel better when seen at clinic, appears firm much of deltoid, no redness, very slightly warmer than rest of arm. Pt. does not know if she had fever, but did have headache.
Age: 35.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Injection site pain, Injection site warmth
Clinical narrative: Noted burning sensation at site of Tdap approx 12 hrs. after injection. Redness noted later, warm to touch and firm deltoid. Pt stated she had "paralyzed" feeling with increased burning sensation starting to feel better when seen at clinic, appears firm much of deltoid, no redness, very slightly warmer than rest of arm. Pt. does not know if she had fever, but did have headache.
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Discomfort, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red, raised, warm area measuring 50mm x 35mm noted left posterolateral fat of upper arm. Redness & discomfort started 3-22-11 & increased today.
Age: 2.0
Sex: M
Vaccine: PNC13
Symptoms: Erythema, Local swelling
Clinical narrative: Localize swelling & redness.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: 2in x2in red raised rash at site of injection. Ice 2-3 days as needed per Dr. Area of rash was Lt arm at varicella vac site.
Age: 77.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Erythema, swelling, itching, at injection site (size - about 2x a silver dollar) length greater than width.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Axillary pain, Pruritus, Rash erythematous, Skin burning sensation
Clinical narrative: 1st day - red, rash on arm that spread to about the size (6" x 6"), pain in armpit of arm she received vaccine. 2nd day - started to itch & burn, HA (pt stated not unusual for her), pt still reports rash w/ occasional itching 2 wks post vaccination.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Swelling of thigh & knee below sit of injection occurred 2 days after vaccine administration. Localized pain resolved. No fever. No limitation on movement.
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient presents with 8 x 6 cm red, raised area at injection site.
Age: 2.0
Sex: F
Vaccine: PNC13
Symptoms: Dermatitis allergic, Full blood count normal, Purpura, Urine analysis normal, Vasculitis
Clinical narrative: PREVENAR 13 given 3/10/11. Pt presented to ER 3/13 with "allergic rash" given BENADRYL, prednisone &  ibuprofen. Seen in office 3/14, 3/15/11 & 3/16/11 with worsening purpura. Seen 3/17 with some clearing - Dx: Vasculitis.
Age: 36.0
Sex: U
Vaccine: RAB, VARCEL
Symptoms: Pyrexia, Rash, Urticaria
Clinical narrative: Fever, rash/wheals on back, right neck, right arm, right leg.
Age: 47.0
Sex: F
Vaccine: MMR
Symptoms: Pruritus
Clinical narrative: After receiving vaccine #2 had itching under arms (bilateral), spreading downward to hands and torso. Seen by PCP. Took steroids. Resolved in 4 weeks. Patient notified us on 3-22-11.
Age: 0.35
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Injection site erythema, Injection site reaction, Pallor
Clinical narrative: Approximately 5 minutes after PCV 13 injection given in (R) upper lateral thigh entire leg below injection site became mottled with blanching erythema. No swelling or warmth noted. Rxn improved & was practically resolved by 3/16/2011.
Age: 33.0
Sex: M
Vaccine: MMR
Symptoms: Erythema, Rash
Clinical narrative: EE received immunization shot for MMR on 3/8/11 in RA. On 3/23/11 he called & stated he noticed a rash over face, arms & chest on 3/22/11. Came to EOH on 3/23/11 to be assessed by nurse. Small red like raised areas noted to both forearms & five reddish rashlike areas on face. No rash to chest. T-98.2.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, PNC13
Symptoms: Cardiac arrest, Death, Pulse absent
Clinical narrative: Arrived at hospital ER at 1:59AM pulseless, in asystole.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, UNK
Symptoms: Blood culture negative, Computerised tomogram head, Computerised tomogram normal, Skin discolouration, Unresponsive to stimuli
Clinical narrative: The patient's mother found the infant in his swing at home & napping & he was unresponsive & gray (about 3 hours after receiving his vaccines at our office). He did not appear acutely ill during his well check up appt. earlier in the day, so he was given all of the standard 2 mo. old vaccines. The pt. was transferred by EMS to Hospital ED & from there to another hospital for admission. The patient has not returned for a follow-up visit after his hospital admission on 3/4/11. He did not show up for his appt. on 03/18/11.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, UNK
Symptoms: Urine analysis normal, Viral test negative
Clinical narrative: The patient's mother found the infant in his swing at home & napping & he was unresponsive & gray (about 3 hours after receiving his vaccines at our office). He did not appear acutely ill during his well check up appt. earlier in the day, so he was given all of the standard 2 mo. old vaccines. The pt. was transferred by EMS to Hospital ED & from there to another hospital for admission. The patient has not returned for a follow-up visit after his hospital admission on 3/4/11. He did not show up for his appt. on 03/18/11.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, UNK
Symptoms: Skin discolouration, Unresponsive to stimuli
Clinical narrative: The patient's mother found the infant in his swing at home & napping & he was unresponsive & gray (about 3 hours after receiving his vaccines at our office). He did not appear acutely ill during his well check up appt. earlier in the day, so he was given all of the standard 2 mo. old vaccines. The pt. was transferred by EMS to Hospital ED & from there to another hospital for admission. The patient has not returned for a follow-up visit after his hospital admission on 3/4/11. He did not show up for his appt. on 03/18/11.
Age: 0.27
Sex: U
Vaccine: PNC13, RV5, PNC13, RV5
Symptoms: Abdominal X-ray, Barium double contrast, Intussusception, Lethargy, Vomiting
Clinical narrative: Information has been received from a physician concerning a 13 weeks old patient who on 16-FEB-2011, received the first dose of ROTATEQ, orally, lot number (668951/1136Z), expiration date 03-AUG-2012. Concomitantly on 16-FEB-2011 the patient received a dose of PREVENAR 13 (lot number E12400, expiration date 12-MAY-2012) (dose not reported). On 20-FEB-2011, the patient was seen by the physician with symptoms of vomiting, less urination and less tears. The patient was admitted on 20-FEB-2011 to the hospital with the diagnosis of vomiting and dehydration. The patient was diagnosed with intussusception. The patient was treated with air enema and the intussusception was reduced. The patient was discharged from the hospital on 22-FEB-2011. The physician stated that the patient was seen for a post hospital visit and the patient was fine. Therapy with ROTATEQ was discontinued. At the time of the report, the patient's outcome was recovered. On 21-JAN-2011 the patient had received a dose of ACTHIB (dose, duration, indication and lot number not reported) and concomitantly on 21-JAN-2011 the patient received a dose of DTaP (unspecified) (dose, duration, indication and lot number not reported). Additional information is not expected.
Age: 0.27
Sex: U
Vaccine: PNC13, RV5, PNC13, RV5
Symptoms: X-ray abnormal
Clinical narrative: Information has been received from a physician concerning a 13 weeks old patient who on 16-FEB-2011, received the first dose of ROTATEQ, orally, lot number (668951/1136Z), expiration date 03-AUG-2012. Concomitantly on 16-FEB-2011 the patient received a dose of PREVENAR 13 (lot number E12400, expiration date 12-MAY-2012) (dose not reported). On 20-FEB-2011, the patient was seen by the physician with symptoms of vomiting, less urination and less tears. The patient was admitted on 20-FEB-2011 to the hospital with the diagnosis of vomiting and dehydration. The patient was diagnosed with intussusception. The patient was treated with air enema and the intussusception was reduced. The patient was discharged from the hospital on 22-FEB-2011. The physician stated that the patient was seen for a post hospital visit and the patient was fine. Therapy with ROTATEQ was discontinued. At the time of the report, the patient's outcome was recovered. On 21-JAN-2011 the patient had received a dose of ACTHIB (dose, duration, indication and lot number not reported) and concomitantly on 21-JAN-2011 the patient received a dose of DTaP (unspecified) (dose, duration, indication and lot number not reported). Additional information is not expected.
Age: 0.27
Sex: U
Vaccine: PNC13, RV5, PNC13, RV5
Symptoms: Dehydration, Enema administration, Intussusception, Lacrimation decreased, Urine output decreased
Clinical narrative: Information has been received from a physician concerning a 13 weeks old patient who on 16-FEB-2011, received the first dose of ROTATEQ, orally, lot number (668951/1136Z), expiration date 03-AUG-2012. Concomitantly on 16-FEB-2011 the patient received a dose of PREVENAR 13 (lot number E12400, expiration date 12-MAY-2012) (dose not reported). On 20-FEB-2011, the patient was seen by the physician with symptoms of vomiting, less urination and less tears. The patient was admitted on 20-FEB-2011 to the hospital with the diagnosis of vomiting and dehydration. The patient was diagnosed with intussusception. The patient was treated with air enema and the intussusception was reduced. The patient was discharged from the hospital on 22-FEB-2011. The physician stated that the patient was seen for a post hospital visit and the patient was fine. Therapy with ROTATEQ was discontinued. At the time of the report, the patient's outcome was recovered. On 21-JAN-2011 the patient had received a dose of ACTHIB (dose, duration, indication and lot number not reported) and concomitantly on 21-JAN-2011 the patient received a dose of DTaP (unspecified) (dose, duration, indication and lot number not reported). Additional information is not expected.
Age: 0.27
Sex: U
Vaccine: PNC13, RV5, PNC13, RV5
Symptoms: Vomiting
Clinical narrative: Information has been received from a physician concerning a 13 weeks old patient who on 16-FEB-2011, received the first dose of ROTATEQ, orally, lot number (668951/1136Z), expiration date 03-AUG-2012. Concomitantly on 16-FEB-2011 the patient received a dose of PREVENAR 13 (lot number E12400, expiration date 12-MAY-2012) (dose not reported). On 20-FEB-2011, the patient was seen by the physician with symptoms of vomiting, less urination and less tears. The patient was admitted on 20-FEB-2011 to the hospital with the diagnosis of vomiting and dehydration. The patient was diagnosed with intussusception. The patient was treated with air enema and the intussusception was reduced. The patient was discharged from the hospital on 22-FEB-2011. The physician stated that the patient was seen for a post hospital visit and the patient was fine. Therapy with ROTATEQ was discontinued. At the time of the report, the patient's outcome was recovered. On 21-JAN-2011 the patient had received a dose of ACTHIB (dose, duration, indication and lot number not reported) and concomitantly on 21-JAN-2011 the patient received a dose of DTaP (unspecified) (dose, duration, indication and lot number not reported). Additional information is not expected.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chest pain, Dyspnoea, Echocardiogram abnormal, Ejection fraction, Electrocardiogram normal
Clinical narrative: 20 y/o male developed exertional chest pain and dyspnea while performing a physical fitness test.  EKG was normal.  Troponins drastically elevated.  Admitted to Hospital.  Diagnosed with myocardititis after receving smallpox vaccine 10 days prior to onset of symptoms.  Hospitalized for 5 days, discharged in good condition.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Myocarditis, Troponin I increased
Clinical narrative: 20 y/o male developed exertional chest pain and dyspnea while performing a physical fitness test.  EKG was normal.  Troponins drastically elevated.  Admitted to Hospital.  Diagnosed with myocardititis after receving smallpox vaccine 10 days prior to onset of symptoms.  Hospitalized for 5 days, discharged in good condition.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Chest pain, Dyspnoea exertional, Echocardiogram abnormal, Ejection fraction, Electrocardiogram normal
Clinical narrative: 20 y/o male developed exertional chest pain and dyspnea while performing a physical fitness test.  EKG was normal.  Troponins drastically elevated.  Admitted to Hospital.  Diagnosed with myocardititis after receving smallpox vaccine 10 days prior to onset of symptoms.  Hospitalized for 5 days, discharged in good condition.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Papule, Rash morbilliform, Rash pustular, Respiratory disorder
Clinical narrative: 20 y/o male with a scattered morbilliform rash consisting of erythematous pustules and papules.  Nonpruritic, nontender.  Scattered diffusely across the arms, trunk, and legs.  No lesions on face.  Discussed case with Dr., diagnosis presumed to be non-viral pustulosis.  Patient stable with only mild upper respiratory symptoms.  The lesions subsided over the course of 2-3 days without treatment.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Erythema, Rash, Rash morbilliform, Rash papular, Rash pustular
Clinical narrative: 20 y/o male with a scattered morbilliform rash consisting of erythematous pustules and papules.  Nonpruritic, nontender.  Scattered diffusely across the arms, trunk, and legs.  No lesions on face.  Discussed case with Dr., diagnosis presumed to be non-viral pustulosis.  Patient stable with only mild upper respiratory symptoms.  The lesions subsided over the course of 2-3 days without treatment.
Age: 20.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Respiratory disorder
Clinical narrative: 20 y/o male with a scattered morbilliform rash consisting of erythematous pustules and papules.  Nonpruritic, nontender.  Scattered diffusely across the arms, trunk, and legs.  No lesions on face.  Discussed case with Dr., diagnosis presumed to be non-viral pustulosis.  Patient stable with only mild upper respiratory symptoms.  The lesions subsided over the course of 2-3 days without treatment.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Mobility decreased, Oedema peripheral, Pain in extremity, Rash
Clinical narrative: Severe swelling of my arm from the elbow to the shoulder.  Extremely hot to touch and painful...could not raise my arm. Redness, skin discolored to red with bumps. I called the on call physician to report problem. I took a Benadryl that night. Swelling has gone done some but this is the third night for swelling and taking Benadryl. The swelling is now moving down my arm and is below my elbow and the upper arm has gotten somwhat better. No telling where it is going next but now it is below my elbow and it was not there the past two days. I will go back to Dr. to show her if I see it getting worse or more serious. But right now there does not seem to be anything anyone can do but I can take Benadryl and hope it goes away. Never had a reaction to any vaccine or any medicine before this.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Skin warm
Clinical narrative: Severe swelling of my arm from the elbow to the shoulder.  Extremely hot to touch and painful...could not raise my arm. Redness, skin discolored to red with bumps. I called the on call physician to report problem. I took a Benadryl that night. Swelling has gone done some but this is the third night for swelling and taking Benadryl. The swelling is now moving down my arm and is below my elbow and the upper arm has gotten somwhat better. No telling where it is going next but now it is below my elbow and it was not there the past two days. I will go back to Dr. to show her if I see it getting worse or more serious. But right now there does not seem to be anything anyone can do but I can take Benadryl and hope it goes away. Never had a reaction to any vaccine or any medicine before this.
Age: 9.0
Sex: M
Vaccine: RAB
Symptoms: Contusion, Dizziness, Headache, Lethargy, Photophobia
Clinical narrative: Pt had rabies shot and immunoglobulin 3/21/11. 3/22/11 lethargic, headache, dizzy, photophobia, dry heaves and emesis, has bruising (L) forearm where dog bit.
Age: 9.0
Sex: M
Vaccine: RAB
Symptoms: Retching
Clinical narrative: Pt had rabies shot and immunoglobulin 3/21/11. 3/22/11 lethargic, headache, dizzy, photophobia, dry heaves and emesis, has bruising (L) forearm where dog bit.
Age: 61.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Injection site rash, Malaise, Pain in extremity
Clinical narrative: On 3/16/11 started feeling pain (5/10) in joint of Rt/Lt big toe both feet. Now less pain (2/10). Saw chiropractor on 3/17 - had adjustment for upper back T.S. 3/21 - developed Rt. knee pain 8/10. Today 3/24 - pain less (6/10). 3/24 pain swelling Lt. thumb & five fingers soreness 3/10. Initially rash Lt deltoid (vaccine site) & malaise until now. Taking TYLENOL ES 1 tab 3/23 PM & this AM TYLENOL tablet.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Rash
Clinical narrative: Rash
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC13, VARCEL, DTAP, IPV, MMR, PNC13, VARCEL, DTAP, IPV, MMR, PNC13, VARCEL
Symptoms: Ocular hyperaemia, Pruritus, Rhinorrhoea, Urticaria, Wheezing
Clinical narrative: Post vaccination patient developed itching, hives, runny nose, eye redness and wheezing- treated with Epi, Albuterol, and Benadryl- transposted to local hospital
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC13, VARCEL, DTAP, IPV, MMR, PNC13, VARCEL, DTAP, IPV, MMR, PNC13, VARCEL
Symptoms: Anaphylactic reaction, Circulatory collapse, Ocular hyperaemia, Pruritus, Rhinorrhoea
Clinical narrative: Post vaccination patient developed itching, hives, runny nose, eye redness and wheezing- treated with Epi, Albuterol, and Benadryl- transposted to local hospital
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC13, VARCEL, DTAP, IPV, MMR, PNC13, VARCEL, DTAP, IPV, MMR, PNC13, VARCEL
Symptoms: Stridor, Urticaria, Wheezing
Clinical narrative: Post vaccination patient developed itching, hives, runny nose, eye redness and wheezing- treated with Epi, Albuterol, and Benadryl- transposted to local hospital
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC13, VARCEL, DTAP, IPV, MMR, PNC13, VARCEL, DTAP, IPV, MMR, PNC13, VARCEL
Symptoms: Allergy test positive, Anaphylactic reaction, Circulatory collapse, Condition aggravated, Food allergy
Clinical narrative: Post vaccination patient developed itching, hives, runny nose, eye redness and wheezing- treated with Epi, Albuterol, and Benadryl- transposted to local hospital
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC13, VARCEL, DTAP, IPV, MMR, PNC13, VARCEL, DTAP, IPV, MMR, PNC13, VARCEL
Symptoms: Ocular hyperaemia, Pruritus, Rhinorrhoea, Skin test positive, Stridor
Clinical narrative: Post vaccination patient developed itching, hives, runny nose, eye redness and wheezing- treated with Epi, Albuterol, and Benadryl- transposted to local hospital
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC13, VARCEL, DTAP, IPV, MMR, PNC13, VARCEL, DTAP, IPV, MMR, PNC13, VARCEL
Symptoms: Urticaria, Wheezing
Clinical narrative: Post vaccination patient developed itching, hives, runny nose, eye redness and wheezing- treated with Epi, Albuterol, and Benadryl- transposted to local hospital
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Complaints of redness/swelling/itching at the injection site. Pt. came to employee health services 3/24/11 and was seen by MD. Started on Z-PAK and MEDROL dose pack.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Cellulitis on right upper arm. Sx's: erythema, warmth, tenderness at injection site, one week after injection - treated with Doxycycline 100mg BID x 10days.
Age: 0.18
Sex: M
Vaccine: DTP, HIBV, PPV
Symptoms: Tremor
Clinical narrative: At 1 yr 3 mos. patient received (2/28/02) DTP, Hib, pneumococcal on the same day. He soon developed shaking in his hands. He still has shaking hands at 9 yrs.
Age: 9.0
Sex: M
Vaccine: HEPA
Symptoms: Fatigue, Headache, Rash, Urticaria, Vomiting
Clinical narrative: Vomiting, hives, rashes, tiredness, headaches.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Rt arm with some redness & swelling 3 x 4cm no abscess 48 hrs after immunization given.
Age: 59.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Joint swelling
Clinical narrative: 9 days after MMR administered for a rubella-susceptible, pt experienced increased joint pain to entire body. (L) knee & (L) wrist more painful with swelling. Denies fever or flu like symptom. Instructed to call PCP ASAP.
Age: 65.0
Sex: F
Vaccine: UNK
Symptoms: Hypersensitivity, Injection site inflammation, Injection site swelling
Clinical narrative: Pt. experienced allergic reaction swollen, inflamed around injection site. Pt. prescribed hydroxyzine HCl.
Age: 6.0
Sex: M
Vaccine: FLU3, HPV4
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: Pt was given GARDASIL due to confusion between he and a siblings info, pt is too young for the vaccine.
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Blood creatinine normal, Blood electrolytes normal, Blood urea normal, Oedema, Periorbital oedema
Clinical narrative: Child was noted to be swollen day after immunizations at office periorbital and pedal edema noted weight gain from 16-12oz to 17-3oz. Urinalysis, serum electrolytes, BUN, creatinine, protein & albumin normal. Weight & edema decreased next day.
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Protein albumin ratio normal, Swelling, Urine analysis normal, Weight increased
Clinical narrative: Child was noted to be swollen day after immunizations at office periorbital and pedal edema noted weight gain from 16-12oz to 17-3oz. Urinalysis, serum electrolytes, BUN, creatinine, protein & albumin normal. Weight & edema decreased next day.
Age: 29.0
Sex: F
Vaccine: TD
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: (+) swelling at site of injection, pruritus, pain. Ice, NSAIDS, prednisone, & - histamines.
Age: 11.0
Sex: M
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Erythema, Headache, Oedema peripheral
Clinical narrative: Onset of symptoms noted by mom over 24 hrs after vaccines administered-c/o headache and swollen arm (L)-red area size of grapefruit and elevated area size of quarter-TYLENOL given & heat applied. Recovering well 48hrs after vaccines.
Age: 24.0
Sex: F
Vaccine: TD, VARCEL
Symptoms: Erythema, Headache, Irritability, Pain, Skin irritation
Clinical narrative: Pt had headaches the same day that vaccine was administered on 3/15/11 on the left arm, the next day 3/16/11 her arm felt hot to the touch and was very irritated and red. She is in pain and concerned.
Age: 24.0
Sex: F
Vaccine: TD, VARCEL
Symptoms: Skin warm
Clinical narrative: Pt had headaches the same day that vaccine was administered on 3/15/11 on the left arm, the next day 3/16/11 her arm felt hot to the touch and was very irritated and red. She is in pain and concerned.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Depression, Expired drug administered, Pain in extremity
Clinical narrative: Initial report received from a pharmacist on 03 Mar 2011: This patient was vaccinated with expired FLUVIRIN (batch number 11170P1) intramuscularly on 01 Mar 2011. The vaccine was expired in Feb 2011. No other information reported. Follow up pharmacist report received on 14 Mar 2011: The patient experienced depression and pain in one foot on 02 Mar 2011. The events lasted for one week and patient recovered completely on 09 Mar 2011. The causality was not reported.
Age: 63.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Lymphadenopathy, Pruritus, Rash
Clinical narrative: itching first swollen lymph nodes back of neck then rash to torso joint pain ankles and wrists Clinic visit to primary care: Benadryl Rx given by primary care physician
Age: 2.0
Sex: F
Vaccine: DTAPIPV, DTAPIPVHIB
Symptoms: Body temperature, Injection site pain, Injection site swelling
Clinical narrative: Temperature and soreness and swelling at injection site.
Age: 2.0
Sex: U
Vaccine: PNC13
Symptoms: Hypersensitivity, Purpura, Vasculitis
Clinical narrative: This is a spontaneous report from a contactable physician. A 2-year-old (gender and race unknown) received a dose of PREVNAR 13 on 10Mar2011. Relevant medical history, concomitant therapy and past product history was not provided. Three days after being administered the vaccine, the patient developed an allergic reaction. The patient was treated in the Emergency Room with BENADRYL and ibuprofen. The patient currently has vasculitis that resembles purpura and involves entire body. Based on the information provided in the case, this individual report would not seem to modify the benefit/risk profile of PREVNAR 13.
Age: 22.0
Sex: F
Vaccine: VARCEL
Symptoms: Dyspnoea, Injection site urticaria, Nausea, Pruritus
Clinical narrative: Welt at injection site. Shortness of breath. Itching/nausea.
Age: 1.04
Sex: F
Vaccine: FLU3, VARCEL
Symptoms: Injection site cellulitis, Injection site vesicles, Local reaction
Clinical narrative: Local reaction/cellulitis - treat with antibiotic. Small vesicles - thigh.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Red, swelling to both RA, LA treatments known are BENADRYL and BACTRIM, massaging to area.
Age: 28.0
Sex: F
Vaccine: HEP
Symptoms: Anxiety, Asthenia, Blood test normal, Decreased appetite, Dizziness
Clinical narrative: Extremely light headed, faint, felt like I was going to pass out when just sitting, rapid heartbeat which caused me to have an anxiety attack, extremely sensitive to sound and light, extremely weak (bedridden), whole body ached, extremely dizzy, and loss of appetite.
Age: 28.0
Sex: F
Vaccine: HEP
Symptoms: Heart rate increased, Hyperacusis, Pain, Photophobia, Syncope
Clinical narrative: Extremely light headed, faint, felt like I was going to pass out when just sitting, rapid heartbeat which caused me to have an anxiety attack, extremely sensitive to sound and light, extremely weak (bedridden), whole body ached, extremely dizzy, and loss of appetite.
Age: 1.02
Sex: M
Vaccine: DTAP, HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Erythema, Fall, Pyrexia, Rash
Clinical narrative: 3/4/11-Started having high fever & falling down; 03/7/11-Saw Dr., Red Red & Rash; 3/22/11-Walking better, now no problems.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling, Rash vesicular
Clinical narrative: Pt presented to office with redness and swelling at DTaP site and varicella like lesions around site at VARIVAX.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Chest pain, Dizziness, Dyspnoea, Headache, Pain
Clinical narrative: headache, dizziness, tingling in arms and legs, breathing problems, chest pains, body aches within 6 hours of receiving vaccine
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Paraesthesia
Clinical narrative: headache, dizziness, tingling in arms and legs, breathing problems, chest pains, body aches within 6 hours of receiving vaccine
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal discomfort, Abdominal pain, Dizziness, Feeling abnormal, Pallor
Clinical narrative: 3/11 few hours after vaccine given c/o faintness/abd pain/feeling "weird". PE - alert oriented pale color, "lightheaded"; abd exam nl. Phone f/u next AM mother states feeling better, some abd discomfort, no D/V. Went to school.
Age: 0.55
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Blood culture negative, Culture urine negative, Endotracheal intubation, Extubation, Febrile convulsion
Clinical narrative: Fever followed by febrile seizure.  Generalized tonic-clonic activity for 5-10 minutes, no cyanosis.  Ativan given x1, seizure abated.  Intubated in Emergency Department for airway protection, extubated immediately on arrival in PICU at 08:05 am on 3/22/2011.
Age: 0.55
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Full blood count normal, Grand mal convulsion, Intensive care, Pyrexia, Urine analysis normal
Clinical narrative: Fever followed by febrile seizure.  Generalized tonic-clonic activity for 5-10 minutes, no cyanosis.  Ativan given x1, seizure abated.  Intubated in Emergency Department for airway protection, extubated immediately on arrival in PICU at 08:05 am on 3/22/2011.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: arm where injections given became red, hot and hard just below deltoid on right arm
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Antinuclear antibody, Arthralgia, Full blood count, Malaise
Clinical narrative: could hardly get out of bed-severe joint pain in all joints, fever, general malaise
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Rheumatoid factor, Urine analysis
Clinical narrative: could hardly get out of bed-severe joint pain in all joints, fever, general malaise
Age: 15.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Chills, Dizziness, Dysstasia, Pain in extremity, Somnolence
Clinical narrative: Client first reported sore arms to school nurse and actually had placed one of her arms in a sling.  The nurse told her to remove the sling and move her arms around.  Client said that did help.  The school nurse followed up with client's Mom today.  Says Mom told her client later in PM became dizzy and had a scratchy throat.  Says she was so dizzy she could not stand.  Mom tried to go to their own dr. and was told to go to the ER.  Mom took her to ER and waited 4 hours and still had not been seen, so they left.  (It is college Spring Break for the next 5 weeks in our town and so many emergencies.)  The school nurse says today client is very sleepy.  I contacted Mom for condition check at 1:30 PM today.  Mom says client is better today.  Says she is still sleepy and has some chills and some soreness in the arms.  Discussed warm compresses for the arms.  Ibuprofen for fever reducer and anti-inflammatory properties.  Advised Mom we still have to recommend dr. for symptoms.  Mom says she is done with drs. and described the wait in the ER.  Advised Mom we do not have a dr. on site at our facility.  We give vaccines based on standing orders.  Mom said "I figured that.  I'm kind of busy here.  Is that all?"  Mom did not wish to discuss anything further.