chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 48.0
Sex: F
Vaccine: MMR
Symptoms: Chills, Drug ineffective, Fatigue, Headache, Lymphadenopathy
Clinical narrative: Fatigue, headache, neck pain (posterior), chills-unknown if fever-no thermometer. Glandular swelling L & R into cheeks, cervical lymph nodes. All started on 4/7/06.
Age: 48.0
Sex: F
Vaccine: MMR
Symptoms: Neck pain
Clinical narrative: Fatigue, headache, neck pain (posterior), chills-unknown if fever-no thermometer. Glandular swelling L & R into cheeks, cervical lymph nodes. All started on 4/7/06.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Swelling, erythema and itching at R arm in tricep area with 24 hrs of MMR administration. Benadryl 25mg qb shr; topical pramoxine.
Age: 0.17
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying
Clinical narrative: On the AM of 3/27/06, the child was given 4 vaccines by injections. Mother called 3-4 hours later to report that he had been crying despite receiving Tylenol. The crying stopped after about 5 hours. Mother did not he would be seen. No other signs or symptoms.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, redness, warmth at injection site.
Age: 2.0
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Contusion, Injection site induration, Injection site swelling
Clinical narrative: Local reaction upper L arm, bruising/swelling, sm induration
Age: 28.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site erythema, Rash, Wheezing
Clinical narrative: Employee received #1 Hep-A of a 2 dose series for a trip out of the country. She reported that at 20:00 during her gym work-out, she noted large red circular rash patches at injection site R deltoid, L under arm, R side of face and neck. Our employee reported she began wheezing shortly afterwards (she's DX'd with asthma and went to an outpatient facility. There she received an injection but since rash had disappeared. Physician could not determine whether the rash was caused by the vaccine because it had disappeared. Client had an appointment to return on Friday 4/14/06. Also, states she received a breathing treatment at the doctor's office. No rash or breathing difficulty noted today.
Age: 1.25
Sex: M
Vaccine: HBHEPB, HEP, IPV
Symptoms: Unevaluable event
Clinical narrative: Hepatitis B given with Comvax. Hep A ordered. No adverse side effects noted in office.
Age: 4.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Pyrexia, Rash maculo-papular
Clinical narrative: Large local reaction with papulo-macular erythematous area with 8cm X 8cm on R upper thigh with STS and R thigh diameter (31 cm) L thigh diameter (30cm), increased STS noted after 12 hrs s/p shot. Fever to 104 after 12 hrs s/p shot.
Age: 1.63
Sex: F
Vaccine: DTAP, HBHEPB, HEPA, MER, PNC, VARCEL
Symptoms: Medication error, Unevaluable event
Clinical narrative: No event. Error identified when placing vaccine in /// system. Parent notified by doctor.
Age: 6.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Unevaluable event
Clinical narrative: No event. Error discovered after pt received meningococcal vaccine. Parent notified of event by doctor.
Age: 0.19
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion, Electroencephalogram, Nuclear magnetic resonance imaging, Scan brain, Tuberous sclerosis
Clinical narrative: Pt presented on Feb. 6, 2006 at Emergency Room with 1 week history of seizures. Pt was subsequently diagnosed with tuberous sclerosis, a genetic neurological disease. Parents feel seizures and tuberous sclerosis are related to vaccines given on 12/29/05.
Age: 59.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Alopecia, Anxiety, Arthralgia, Asthenia, Blood cholesterol increased
Clinical narrative: Aches joint and muscles, mood anxiety, blood pressure (high), high cholesterol, bursitis, concentration loss, difficulty trouble, Delirium, Depression with psychosis, Dry mouth, declining Energy, Hair loss, ringing in ears, Joint pain in right hip, Muscle and joint pain, Reflux, Rhinitis, rotating hot and cold spells, Insomnia, Sleep problem, feel not refreshed upon waking up, use medication to sleep, speech disorder, testicle problems, tinnitus, thyroid problems.
Age: 59.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Blood pressure increased, Bursitis, Delirium, Depression, Disturbance in attention
Clinical narrative: Aches joint and muscles, mood anxiety, blood pressure (high), high cholesterol, bursitis, concentration loss, difficulty trouble, Delirium, Depression with psychosis, Dry mouth, declining Energy, Hair loss, ringing in ears, Joint pain in right hip, Muscle and joint pain, Reflux, Rhinitis, rotating hot and cold spells, Insomnia, Sleep problem, feel not refreshed upon waking up, use medication to sleep, speech disorder, testicle problems, tinnitus, thyroid problems.
Age: 59.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Dry mouth, Feeling cold, Gastrooesophageal reflux disease, Hot flush, Insomnia
Clinical narrative: Aches joint and muscles, mood anxiety, blood pressure (high), high cholesterol, bursitis, concentration loss, difficulty trouble, Delirium, Depression with psychosis, Dry mouth, declining Energy, Hair loss, ringing in ears, Joint pain in right hip, Muscle and joint pain, Reflux, Rhinitis, rotating hot and cold spells, Insomnia, Sleep problem, feel not refreshed upon waking up, use medication to sleep, speech disorder, testicle problems, tinnitus, thyroid problems.
Age: 59.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Myalgia, Psychotic disorder, Rhinitis, Speech disorder, Testicular disorder
Clinical narrative: Aches joint and muscles, mood anxiety, blood pressure (high), high cholesterol, bursitis, concentration loss, difficulty trouble, Delirium, Depression with psychosis, Dry mouth, declining Energy, Hair loss, ringing in ears, Joint pain in right hip, Muscle and joint pain, Reflux, Rhinitis, rotating hot and cold spells, Insomnia, Sleep problem, feel not refreshed upon waking up, use medication to sleep, speech disorder, testicle problems, tinnitus, thyroid problems.
Age: 59.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Thyroid disorder, Tinnitus
Clinical narrative: Aches joint and muscles, mood anxiety, blood pressure (high), high cholesterol, bursitis, concentration loss, difficulty trouble, Delirium, Depression with psychosis, Dry mouth, declining Energy, Hair loss, ringing in ears, Joint pain in right hip, Muscle and joint pain, Reflux, Rhinitis, rotating hot and cold spells, Insomnia, Sleep problem, feel not refreshed upon waking up, use medication to sleep, speech disorder, testicle problems, tinnitus, thyroid problems.
Age: 13.0
Sex: M
Vaccine: HEP, IPV, MMR, TDAP
Symptoms: Abdominal pain upper, Fatigue, Malaise, Rash
Clinical narrative: C/O fatigue, malaise, stomach ache x 2 days no fever. Presented scattered, raised non fluid filled areas to bilateral palms, more pronounced between fingers. Observed upon returning to clinic for PPD reading. Advised to MD for rash.
Age: 2.0
Sex: F
Vaccine: DTAP, HEP, PNC
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site warmth
Clinical narrative: Soon after vaccine administration left thigh red, hot, swollen.
Age: 1.24
Sex: M
Vaccine: MMR
Symptoms: Urticaria
Clinical narrative: Few scattered, small hives on upper chest, lower back, and upper arms and thighs. Occurred 10 min after MMR. We observed for 45 mins. No meds, VSS and faded. Follow-up Information 01-JUN-2006: Quick onset of urticaria within 5min. Man gave EPI-PEN dose. Monitored in office for 1 hrs post injection.
Age: 1.3
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Rash pruritic
Clinical narrative: 15 mins after admin pt broke out in itching rash in diaper area, back and legs, given 10mg Benadryl IM and rash resolved within 30 mins pt breathing fine. No acute distress.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Contusion, Injection site induration, Injection site oedema, Rash macular, Skin discolouration
Clinical narrative: Developed blotchy skin on left thigh 1 day post vaccine, then swelling and induration from hop to below knee, followed by greenish bruising throughout thigh. On day 4 all SX improving but still significant swelling.
Age: 37.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Dyspepsia, Erythema, Flushing, Hyperhidrosis
Clinical narrative: Flushing, pruritis, heartburn, facial erythema, diaphoresis, chills.
Age: 37.0
Sex: M
Vaccine: FLU3
Symptoms: Pruritus
Clinical narrative: Flushing, pruritis, heartburn, facial erythema, diaphoresis, chills.
Age: 29.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Hypoaesthesia, Injection site mass, Injection site swelling, Pain
Clinical narrative: Pt. c/o slight swelling appr. 8 hours after vacination. Awoke in am with 155mm X 75mm size lump around vacination site. Pt also c/o numbness and pain throughout entire arm and extending to neck. Pt. has had six other anthrax vacination with no other side effects.
Age: 4.0
Sex: M
Vaccine: DTPHEP, HBHEPB, MMR, VARCEL
Symptoms: Autism spectrum disorder, Developmental delay, Motor developmental delay
Clinical narrative: Autism Spectrum Disorder. 5/23/06 Received medical records from PCP which reveal pt had URI & OM week prior to vax.  Day of vax, continued URI sys but resolved OM.  PMH: mult recurrent bouts of URI w/bronchitis, exudative tonsillitis, bilateral OM, wheezing, nasal congestion, difficulty breathing/eating/drinking, & atopic dermatitis.  Delayed speech noted at 2yo check up.  Eval at Easter Seals 2004 revealed developmental & motor delays & started on OT.  Slow progress & dx w/autism 2/2006.  Continues in PT/OT/ST & special ed class/ss 3/30/2010 Autism spectrum disorder.
Age: 0.76
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Patient went to ER for hives ER doctor said it was from the hept b vaccine given that day.
Age: 34.0
Sex: F
Vaccine: HEPAB
Symptoms: Erythema, Fatigue, Myalgia, Oedema peripheral, Skin nodule
Clinical narrative: Client presented back on 3/15 with myalgia, fatigue, and red raised nodules on both lower legs, and left ankle edema (mild). She stated this had occured also after her 2/1/2006 dose of Twinrix. I obtained an appt. with doctor the next day for evaluation.
Age: 14.0
Sex: M
Vaccine: TDAP
Symptoms: Pruritus, Rash, Thermal burn, Urticaria
Clinical narrative: Mother reports that after she immunized her son with TDAP (Boostrix) he c/o burning sensation in IM arm. At 1230am he woke up c/o burning & itching all over his body. She took him to the ER. ER Dr. didn't think it was from the IM but something he came in contact with while mowing the evening before. At the Er he was treated with IV solumedrol & benedryl, observed for 30 min & released home. There was still some rash & itching when he was relesed from ER. On 4-11-06 he stayed home from school. There was still rash & itching present on his body. It progressively got worse again. Mother then took him to the doctor. The doctor felt that IM caused hives & itching VIS shown to doctor. Prednisone & Zyrtec RX to Pt.
Age: 0.34
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Erythema, Skin nodule
Clinical narrative: Patients mother called this am due to a small bump on baby's leg. She stated she read the VIS sheets given, but she wanted to make sure. She also said the baby had a temp of 100.4 brachial. I told mom to continue with Tylenol and bring baby in so I could assess. Leg had a small pink local reaction and bump could be felt. Reassured mom that unfortunately these bumps do happen, reviewed VIS sheet for immunization that was placed on that leg, and mom felt better. Also instructed mom to cont. with tylenol and that I would call her on Friday to check on the baby.
Age: 14.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: CSF test abnormal, Convulsion, Dizziness, Electroencephalogram abnormal, Headache
Clinical narrative: After receiving Menacta vaccine child developed severe unilateral headaches. Ten days after the vaccine was given she developed a headache with dizziness, nausea, vomiting and loss of speech. An EEG showed left temporal spikes and she was started on Tegretol for seizures. CSF was positive for Varicella by PCR. Child had Varicella disease at 2 years old. She had no rash at the time of the seizures.
Age: 14.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Nausea, Speech disorder, Viral infection, Vomiting
Clinical narrative: After receiving Menacta vaccine child developed severe unilateral headaches. Ten days after the vaccine was given she developed a headache with dizziness, nausea, vomiting and loss of speech. An EEG showed left temporal spikes and she was started on Tegretol for seizures. CSF was positive for Varicella by PCR. Child had Varicella disease at 2 years old. She had no rash at the time of the seizures.
Age: 14.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Aphasia, Headache
Clinical narrative: After receiving Menacta vaccine child developed severe unilateral headaches. Ten days after the vaccine was given she developed a headache with dizziness, nausea, vomiting and loss of speech. An EEG showed left temporal spikes and she was started on Tegretol for seizures. CSF was positive for Varicella by PCR. Child had Varicella disease at 2 years old. She had no rash at the time of the seizures.
Sex: M
Vaccine: LYME
Symptoms: Cognitive disorder, Dyspnoea, Fatigue, Immune system disorder, Malaise
Clinical narrative: This case was reported by a lawyer and described the occurrence of shortness of breath in a male subject of unspecified age who was vaccinated with Lyme disease vaccine recombinant (Lymerix) for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of Lymerix (unknown). At an unknown time after vaccination with Lymerix, the subject experienced shortness of breath, fatigue, general malaise, rash, rheumatological symptoms, neurological impairment, cognitive impairment and autoimmune disease. The subject died. The cause of death was not reported. It was unknown whether an autopsy was performed. This information was received via a statement of injuries.
Sex: M
Vaccine: LYME
Symptoms: Rash, Rheumatoid arthritis
Clinical narrative: This case was reported by a lawyer and described the occurrence of shortness of breath in a male subject of unspecified age who was vaccinated with Lyme disease vaccine recombinant (Lymerix) for prophylaxis. A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of Lymerix (unknown). At an unknown time after vaccination with Lymerix, the subject experienced shortness of breath, fatigue, general malaise, rash, rheumatological symptoms, neurological impairment, cognitive impairment and autoimmune disease. The subject died. The cause of death was not reported. It was unknown whether an autopsy was performed. This information was received via a statement of injuries.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Chills, Cough, Nausea
Clinical narrative: 2 hours after injection developed chest pressure cough. Chills and nausea, resolved on their own within several hours.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Dry mouth, Thirst, Throat tightness
Clinical narrative: Approx 1 hour after receiving the shot, felt tightness in throat, dry mouth, thirsty, funny feeling in lower lip, vital signs stable, no respiratory distress, heart rate normal. Given 50 mm Benadryl, Returned to work after 1 hr observation.
Age: 1.25
Sex: M
Vaccine: MMRV, MMRV
Symptoms: Erythema, Irritability
Clinical narrative: Diffuse erythema within 60 minutes of injection fussy,12:45am Decadron 5mg administered IM 1 hour after vac inject. Benadryl 10 mg given PO.
Age: 1.25
Sex: M
Vaccine: MMRV, MMRV
Symptoms: Agitation, Crying, Erythema
Clinical narrative: Diffuse erythema within 60 minutes of injection fussy,12:45am Decadron 5mg administered IM 1 hour after vac inject. Benadryl 10 mg given PO.
Age: 15.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Pt presented back to us at 17:40 with 5" X 4" red, hot, itchy, swollen and indurated area of R deltoid. The rash induration, etc was also on L cheek, under chin, L arm and R thigh of variable sizes. No involvement in mouth, throat, tongue. At 17:43, 5mg Benadryl IM L arm was administered. Approx. 5 minutes later, redness was beginning to subside; alter 30 minutes much improvement was seen. No breathing difficulty. Adjusted Benadryl 4-6 hrs prn and if breathing, throat, or tongue swelling occurs call 911.
Age: 32.0
Sex: F
Vaccine: TD
Symptoms: Injection site induration, Injection site inflammation, Injection site oedema, Injection site pain
Clinical narrative: 1 day after TD (tetanus Diph) inj pt complained of swollen, inflamed hard to the touch at injection site. Pt says it hurts.
Age: 1.04
Sex: F
Vaccine: HEPA, HIBV, MMR, VARCEL
Symptoms: Convulsion, Pyrexia
Clinical narrative: Fever 104 with seizure.
Age: 23.0
Sex: M
Vaccine: VARCEL
Symptoms: Chills, Erythema, Pain, Pruritus, Skin irritation
Clinical narrative: 03/20/2006 reported general body ache, chills onset 3/18, 3/30/2006 reported itchy skin LU arm nodular erythema. Temperature normal. 04/03/2006 skin irritation, itching resolving. No other c/o.
Age: 23.0
Sex: M
Vaccine: VARCEL
Symptoms: Skin nodule
Clinical narrative: 03/20/2006 reported general body ache, chills onset 3/18, 3/30/2006 reported itchy skin LU arm nodular erythema. Temperature normal. 04/03/2006 skin irritation, itching resolving. No other c/o.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site warmth, Rash
Clinical narrative: The following day after #5 DaPT given in left arm the left arm became red, swollen and hot. Next day (today) rash had spread to proximal left forearm.
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Injection site induration, Injection site pain, Pain
Clinical narrative: Pain, redness, induration at injection site. Pain mediates entire arm.
Age: 1.93
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site reaction
Clinical narrative: L swelling 10 x 12 cm with erythema of anterior thigh after DTaP 3/28/06.
Age: 2.0
Sex: F
Vaccine: HIBV
Symptoms: Injection site mass
Clinical narrative: 2 CM lump, not red or warm left thigh will observe.
Age: 45.0
Sex: M
Vaccine: TYP
Symptoms: Diarrhoea, Hyperhidrosis, Muscle spasms, Tremor
Clinical narrative: C/O extreme cramps, diarrhea, the shakes and sweating. Stated it lasted for about 12 hours. Pt allowed illness to take it course, did not take any medications.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site warmth
Clinical narrative: Left deltoid with approximately 5x5 cm area of redness, swelling and warm to touch.
Age: 1.3
Sex: F
Vaccine: HEP, HIBV, MMR
Symptoms: Autism, Speech disorder
Clinical narrative: Information has been received from a healthcare professional concerning a 15 month old female who on 5/4/2001 was vaccinated with a first intramuscular dose of measles virus vaccine live (+) mumps virus vaccine live (+) rubella virus vaccine live. Concomitant vaccine administered on the same day included a fourth intramuscular dose of Hib conj vaccine (CRM197) (Hibtiter) (Lot 560753A) and a third intramuscular dose of hepatitis B vaccine, recomb (manufacturer unknown). Sometime in June 2001, the patient experienced receptive language and speech delay which did not show improvement at subsequent visits to the physicians. By early 2004, the patient was diagnosed with autism. The reporter noted that the child was receiving therapy to improve her skills. It was noted that the patients sister developed autism following administration of Hib conj vaccine CRM 197 Hibtiter and diphtheria toxoid + tetanus toxoid. The patients vaccination history included a first, second and third intramuscular dose of hepatitis B vaccine recomb (manufacturer unknown) on 7/18/2000 and 10/19/2000, respectively, a first, second, and third intramuscular dose of Hib conj vaccine CRM 197 Hibtiter on 3/16/2000, 5/15/2000, and 7/18/2000, respectively, a first IV dose and a second intramuscular dose of poliovirus vaccine live oral Orimune on 3/16/2000 and 5/15/2000, respectively, and an intramuscular dose of varicella virus vaccine live on 1/26/2001. Autism was considered to be an other important medical event (OMIC). No additional information was available at the time of the report.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Chills, Cough, Difficulty in walking, Dizziness, Encephalitis
Clinical narrative: Service member with URI symptoms (sore throat, cough dizziness 7 vomiting x 1 on day 4 post primary smallpox and anthrax 2 inoculations. Seen 1/16/06 (day 7) and treated with OTC Ibuprofen Tylenol, increase fluids and decrease fatty/greasy foods. He continued to feel badly (continued coughing, sore throat, wheezing and axillary lymphadenopathy) and was seen again and treated with Zithromax, Albuterol ING, Advair ING, Entex, Solumedrol injection and put on quarters for 24 hours. His profile was extended on 1/20/2006. On 1/25/2006 while on duty his 1st SGT noticed that the SM appeared confused and disoriented. He was taken to Hospital ER where he presented with a fever of 103F and mental status changes. He was treated with ceftriaxone and acyclovir and admitted with suspected post SPV encephalitis. Couth, dry start 1/13/2006, lymphadenopathy, axillary start 1/16/2006, wheezing start 1/19/2006, pain sore throat 1/13/2006, dizziness start 1/13/2006 confused start 1/25/2006 comment mental status change, fever start 1/25/2006 103F, Flu like symptoms 96 hour start 1/16/2006
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Influenza like illness, Lymphadenopathy, Pharyngitis, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Service member with URI symptoms (sore throat, cough dizziness 7 vomiting x 1 on day 4 post primary smallpox and anthrax 2 inoculations. Seen 1/16/06 (day 7) and treated with OTC Ibuprofen Tylenol, increase fluids and decrease fatty/greasy foods. He continued to feel badly (continued coughing, sore throat, wheezing and axillary lymphadenopathy) and was seen again and treated with Zithromax, Albuterol ING, Advair ING, Entex, Solumedrol injection and put on quarters for 24 hours. His profile was extended on 1/20/2006. On 1/25/2006 while on duty his 1st SGT noticed that the SM appeared confused and disoriented. He was taken to Hospital ER where he presented with a fever of 103F and mental status changes. He was treated with ceftriaxone and acyclovir and admitted with suspected post SPV encephalitis. Couth, dry start 1/13/2006, lymphadenopathy, axillary start 1/16/2006, wheezing start 1/19/2006, pain sore throat 1/13/2006, dizziness start 1/13/2006 confused start 1/25/2006 comment mental status change, fever start 1/25/2006 103F, Flu like symptoms 96 hour start 1/16/2006
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Sinusitis, Upper respiratory tract infection, Vomiting
Clinical narrative: Service member with URI symptoms (sore throat, cough dizziness 7 vomiting x 1 on day 4 post primary smallpox and anthrax 2 inoculations. Seen 1/16/06 (day 7) and treated with OTC Ibuprofen Tylenol, increase fluids and decrease fatty/greasy foods. He continued to feel badly (continued coughing, sore throat, wheezing and axillary lymphadenopathy) and was seen again and treated with Zithromax, Albuterol ING, Advair ING, Entex, Solumedrol injection and put on quarters for 24 hours. His profile was extended on 1/20/2006. On 1/25/2006 while on duty his 1st SGT noticed that the SM appeared confused and disoriented. He was taken to Hospital ER where he presented with a fever of 103F and mental status changes. He was treated with ceftriaxone and acyclovir and admitted with suspected post SPV encephalitis. Couth, dry start 1/13/2006, lymphadenopathy, axillary start 1/16/2006, wheezing start 1/19/2006, pain sore throat 1/13/2006, dizziness start 1/13/2006 confused start 1/25/2006 comment mental status change, fever start 1/25/2006 103F, Flu like symptoms 96 hour start 1/16/2006
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Confusional state, Cough, Disorientation, Dizziness, Electroencephalogram abnormal
Clinical narrative: Service member with URI symptoms (sore throat, cough dizziness 7 vomiting x 1 on day 4 post primary smallpox and anthrax 2 inoculations. Seen 1/16/06 (day 7) and treated with OTC Ibuprofen Tylenol, increase fluids and decrease fatty/greasy foods. He continued to feel badly (continued coughing, sore throat, wheezing and axillary lymphadenopathy) and was seen again and treated with Zithromax, Albuterol ING, Advair ING, Entex, Solumedrol injection and put on quarters for 24 hours. His profile was extended on 1/20/2006. On 1/25/2006 while on duty his 1st SGT noticed that the SM appeared confused and disoriented. He was taken to Hospital ER where he presented with a fever of 103F and mental status changes. He was treated with ceftriaxone and acyclovir and admitted with suspected post SPV encephalitis. Couth, dry start 1/13/2006, lymphadenopathy, axillary start 1/16/2006, wheezing start 1/19/2006, pain sore throat 1/13/2006, dizziness start 1/13/2006 confused start 1/25/2006 comment mental status change, fever start 1/25/2006 103F, Flu like symptoms 96 hour start 1/16/2006
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Encephalitis, Influenza like illness, Laboratory test abnormal, Lymphadenopathy, Malaise
Clinical narrative: Service member with URI symptoms (sore throat, cough dizziness 7 vomiting x 1 on day 4 post primary smallpox and anthrax 2 inoculations. Seen 1/16/06 (day 7) and treated with OTC Ibuprofen Tylenol, increase fluids and decrease fatty/greasy foods. He continued to feel badly (continued coughing, sore throat, wheezing and axillary lymphadenopathy) and was seen again and treated with Zithromax, Albuterol ING, Advair ING, Entex, Solumedrol injection and put on quarters for 24 hours. His profile was extended on 1/20/2006. On 1/25/2006 while on duty his 1st SGT noticed that the SM appeared confused and disoriented. He was taken to Hospital ER where he presented with a fever of 103F and mental status changes. He was treated with ceftriaxone and acyclovir and admitted with suspected post SPV encephalitis. Couth, dry start 1/13/2006, lymphadenopathy, axillary start 1/16/2006, wheezing start 1/19/2006, pain sore throat 1/13/2006, dizziness start 1/13/2006 confused start 1/25/2006 comment mental status change, fever start 1/25/2006 103F, Flu like symptoms 96 hour start 1/16/2006
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: Pharyngolaryngeal pain, Pyrexia, Upper respiratory tract infection, Vomiting, Wheezing
Clinical narrative: Service member with URI symptoms (sore throat, cough dizziness 7 vomiting x 1 on day 4 post primary smallpox and anthrax 2 inoculations. Seen 1/16/06 (day 7) and treated with OTC Ibuprofen Tylenol, increase fluids and decrease fatty/greasy foods. He continued to feel badly (continued coughing, sore throat, wheezing and axillary lymphadenopathy) and was seen again and treated with Zithromax, Albuterol ING, Advair ING, Entex, Solumedrol injection and put on quarters for 24 hours. His profile was extended on 1/20/2006. On 1/25/2006 while on duty his 1st SGT noticed that the SM appeared confused and disoriented. He was taken to Hospital ER where he presented with a fever of 103F and mental status changes. He was treated with ceftriaxone and acyclovir and admitted with suspected post SPV encephalitis. Couth, dry start 1/13/2006, lymphadenopathy, axillary start 1/16/2006, wheezing start 1/19/2006, pain sore throat 1/13/2006, dizziness start 1/13/2006 confused start 1/25/2006 comment mental status change, fever start 1/25/2006 103F, Flu like symptoms 96 hour start 1/16/2006
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL
Symptoms: White blood cell count increased
Clinical narrative: Service member with URI symptoms (sore throat, cough dizziness 7 vomiting x 1 on day 4 post primary smallpox and anthrax 2 inoculations. Seen 1/16/06 (day 7) and treated with OTC Ibuprofen Tylenol, increase fluids and decrease fatty/greasy foods. He continued to feel badly (continued coughing, sore throat, wheezing and axillary lymphadenopathy) and was seen again and treated with Zithromax, Albuterol ING, Advair ING, Entex, Solumedrol injection and put on quarters for 24 hours. His profile was extended on 1/20/2006. On 1/25/2006 while on duty his 1st SGT noticed that the SM appeared confused and disoriented. He was taken to Hospital ER where he presented with a fever of 103F and mental status changes. He was treated with ceftriaxone and acyclovir and admitted with suspected post SPV encephalitis. Couth, dry start 1/13/2006, lymphadenopathy, axillary start 1/16/2006, wheezing start 1/19/2006, pain sore throat 1/13/2006, dizziness start 1/13/2006 confused start 1/25/2006 comment mental status change, fever start 1/25/2006 103F, Flu like symptoms 96 hour start 1/16/2006
Age: 0.36
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, HIBV, PNC
Symptoms: Gait disturbance, Pain
Clinical narrative: Mom noticed on 3/11/06 at 08:00AM son's reaction. He was in day care for the previous days and she noticed on the weekend when she was playing with him. On Saturday he was not using his R leg anymore, he kept it in a bent position. He used to stand on both legs and he wasn't standing. She spoke to day care on Monday to see if they noticed and they did notice that he wasn't using both legs when he previously used to. She took him to the pediatrician, and he wasn't sure what it was and he did not think it was related to the shot. The doctor told mom to give him Advil every 6 hours and to pull his R leg. He referred her to the physical therapist who gave him stretches for the hip and the leg. The doctor ordered blood work for a deep tissue infection and to get x-rays for the leg and hip. Everything came back normal. Mom started taking him to the (Chiropractor and Acupuncture). The chiropractor, adjusted him and tried to adjust the knee and his wife, acupuncturist, did pressure points with the baby and a little electro pressure points. They went there 4 times as of today (4/20/06) then the doctor ordered an MRI and it showed swollen lymph nodes on the back of the knee and water on the knee. He talked to an orthopedic specialist to re-order all of the blood work to check for everything (baby arthritis, metabolizing food, etc) they were looking for a deep tissue infection again. She took the baby to an orthopedic specialist) who took more x-rays-it came up normal. Now the doctor wants to take a nerve test and mom made a different appointment to see a physical therapist that sees babies. This appointment is on 4/24/06. She wants him to see an orthopedic pediatric specialist. The baby is not crawling and not using the leg.
Age: 0.36
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, HIBV, PNC
Symptoms: Fluid retention, Hypokinesia, Lymphadenopathy
Clinical narrative: Mom noticed on 3/11/06 at 08:00AM son's reaction. He was in day care for the previous days and she noticed on the weekend when she was playing with him. On Saturday he was not using his R leg anymore, he kept it in a bent position. He used to stand on both legs and he wasn't standing. She spoke to day care on Monday to see if they noticed and they did notice that he wasn't using both legs when he previously used to. She took him to the pediatrician, and he wasn't sure what it was and he did not think it was related to the shot. The doctor told mom to give him Advil every 6 hours and to pull his R leg. He referred her to the physical therapist who gave him stretches for the hip and the leg. The doctor ordered blood work for a deep tissue infection and to get x-rays for the leg and hip. Everything came back normal. Mom started taking him to the (Chiropractor and Acupuncture). The chiropractor, adjusted him and tried to adjust the knee and his wife, acupuncturist, did pressure points with the baby and a little electro pressure points. They went there 4 times as of today (4/20/06) then the doctor ordered an MRI and it showed swollen lymph nodes on the back of the knee and water on the knee. He talked to an orthopedic specialist to re-order all of the blood work to check for everything (baby arthritis, metabolizing food, etc) they were looking for a deep tissue infection again. She took the baby to an orthopedic specialist) who took more x-rays-it came up normal. Now the doctor wants to take a nerve test and mom made a different appointment to see a physical therapist that sees babies. This appointment is on 4/24/06. She wants him to see an orthopedic pediatric specialist. The baby is not crawling and not using the leg.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Body aches, high fever, chills.
Age: 31.0
Sex: F
Vaccine: HEPA, YF
Symptoms: Rash
Clinical narrative: Rash began on 8th day after vaccines. No angioedema, no breathing difficulty. Rash covers from face to toes, does not itch. Benadryl 25 mg had no effect on rash. Private provider unsure of a diagnosis or cause.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Hypersensitivity, Injection site hypersensitivity, Injection site oedema, Injection site warmth
Clinical narrative: Redness, warmth, swelling from shoulder to her elbow TX'd with Keflex per mom. 05/17/06-16 page hospital record reviewed from hospital, includes ED, H&P and DC summary. Hospitalization 4/13-4/14/06(15 hour stay)-admitted with diagnosis cellulitis and reaction to immunization. RX at hospital with Kefzol. DC diagnosis Adverse reaction to immunization and possible infection of arm. DC medications include Melatonin, Keflex and Ibuprofen.
Age: 1.0
Sex: F
Vaccine: HIBV, MMRV, PNC
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site induration, Injection site mass
Clinical narrative: Left upper thigh red with 2 injections marks, lateral one firm, 4x5cm mass, laterally erythema at mark of other injection.
Age: 10.0
Sex: F
Vaccine: HEP, IPV, TDAP, VARCEL
Symptoms: Agitation, Crying, Depressed level of consciousness, Pallor, Salivary hypersecretion
Clinical narrative: 9/12 10 yo female came in for exam noted in vaccine record present by mother lack appropriate vaccine for age. When ask mother if any other vaccine record available or given beside listed denied. Pt therefore given Tdap, Hep B varicella,PPD, IPV. Last vaccine (Varicella) given patient noted became pale in color, tremor, decreased alertness, lasting seconds. Pt. crying after noticed by nurse and parent. Pt foaming from mouth, no lose of urine or stool. Patient afterward no increase sleepiness, pain. Able to communicate. Observed for 1 hour then sent home. Follow up in am.
Age: 10.0
Sex: F
Vaccine: HEP, IPV, TDAP, VARCEL
Symptoms: Tremor
Clinical narrative: 9/12 10 yo female came in for exam noted in vaccine record present by mother lack appropriate vaccine for age. When ask mother if any other vaccine record available or given beside listed denied. Pt therefore given Tdap, Hep B varicella,PPD, IPV. Last vaccine (Varicella) given patient noted became pale in color, tremor, decreased alertness, lasting seconds. Pt. crying after noticed by nurse and parent. Pt foaming from mouth, no lose of urine or stool. Patient afterward no increase sleepiness, pain. Able to communicate. Observed for 1 hour then sent home. Follow up in am.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Headache, Lymphadenopathy, Nausea, Nervousness
Clinical narrative: Local-day 1, local spread-day 2 enlarged lymph nodes, skin red, itchy, day 3-headache, nausea, panic; day6-headache and nervousness remain (day reported); day 7-much better. Advised to check up with PMD.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Pruritus
Clinical narrative: Local-day 1, local spread-day 2 enlarged lymph nodes, skin red, itchy, day 3-headache, nausea, panic; day6-headache and nervousness remain (day reported); day 7-much better. Advised to check up with PMD.
Age: 33.0
Sex: F
Vaccine: MU, TDAP
Symptoms: Arthralgia, Headache, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Vaccine given 4/11/06 at 14:05. Onset of symptoms started 4/12am with headache, mild body aches and progressed through day. Fever 102 at 19:00. Medicated with with Advil after vaccination, then next at 07:00, then at 1900 with fever. Continues to take every 8 hours. Fever broke at 2100 on 4/12. Had joint pain with fever more in the knees. Difficulty to stand. Joint pain decreased gradually after fever broke. Has pain at site in left axilla. Has dry pustule at injection site and perimeter remains swollen and warm.
Age: 33.0
Sex: F
Vaccine: MU, TDAP
Symptoms: Pain, Pyrexia
Clinical narrative: Vaccine given 4/11/06 at 14:05. Onset of symptoms started 4/12am with headache, mild body aches and progressed through day. Fever 102 at 19:00. Medicated with with Advil after vaccination, then next at 07:00, then at 1900 with fever. Continues to take every 8 hours. Fever broke at 2100 on 4/12. Had joint pain with fever more in the knees. Difficulty to stand. Joint pain decreased gradually after fever broke. Has pain at site in left axilla. Has dry pustule at injection site and perimeter remains swollen and warm.
Age: 48.0
Sex: F
Vaccine: MU, TDAP
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Injection site warmth, Musculoskeletal stiffness
Clinical narrative: Mumps vaccine 4/12 in right upper arm and right arm hurt from time of injection and upper arm felt tingling from site to elbow and stiffness, also 4/13 did not feel well. Felt feverish, didn't take temp, fatigue took Tylenol ES x 1, no further doses. 4/14 feels better T97.8, continues to have tingling and stiffness in upper right arm injection site. Site appears red and is warm and slight swollen. No pusticle at injection site.
Age: 48.0
Sex: F
Vaccine: MU, TDAP
Symptoms: Paraesthesia
Clinical narrative: Mumps vaccine 4/12 in right upper arm and right arm hurt from time of injection and upper arm felt tingling from site to elbow and stiffness, also 4/13 did not feel well. Felt feverish, didn't take temp, fatigue took Tylenol ES x 1, no further doses. 4/14 feels better T97.8, continues to have tingling and stiffness in upper right arm injection site. Site appears red and is warm and slight swollen. No pusticle at injection site.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Joint range of motion decreased
Clinical narrative: Patient C/O severe pain in Left deltoid that began in the am following receipt of Tdap. The pain has not improved since this time. The pain increase with movement. She rated the pain as 3-8/10. She is experiencing decreased ROM. She denies pain in any of her joints. She is using Ibuprofen PRN with Minimum relief. She saw her PMD on 3/21/06 and states that he told her to continue with comfort measures such as the application of heat or cold PRN, and use of Ibuprofen PRN. He also prescribed Vicodin PRN pain not relieved by Ibuprofen.
Age: 22.0
Sex: M
Vaccine: FLU3, PPV, TDAP
Symptoms: Injection site hypersensitivity, Injection site oedema, Joint range of motion decreased, Pain, Pyrexia
Clinical narrative: Reports He ETOH abuse and low immune system. On 3/10 he requested following TD, Flu, Pneumonia vaccine, even though he is only 22 YR old. On Sat 3/11, client reports awakening with red, swollen, tender left arm with limited ROM. Around 2pm, noted fever 102.4, and feeling achy all over. Saw DR who prescribed Z Pac 5day and Ibuprofen. 3/14 Still C/O some tenderness, and swelling able to move arm better, but still not full ROM.
Age: 22.0
Sex: M
Vaccine: FLU3, PPV, TDAP
Symptoms: Tenderness
Clinical narrative: Reports He ETOH abuse and low immune system. On 3/10 he requested following TD, Flu, Pneumonia vaccine, even though he is only 22 YR old. On Sat 3/11, client reports awakening with red, swollen, tender left arm with limited ROM. Around 2pm, noted fever 102.4, and feeling achy all over. Saw DR who prescribed Z Pac 5day and Ibuprofen. 3/14 Still C/O some tenderness, and swelling able to move arm better, but still not full ROM.
Age: 34.0
Sex: F
Vaccine: MU, TDAP
Symptoms: Fatigue, Injection site hypersensitivity, Injection site oedema, Pain, Tenderness
Clinical narrative: 04/12/06 17:00 body aches, T 100, fatigue, swollen, tender, red at site of injection. Took Advil 600mg and went to bed at 20:00. Slept. Fever broke during meddle of night approx 0400. 4/13 no fever, took 400mg Advil before work. Continued feel achy and fatigued. Site less red, but tender and swollen, red pinpoint injection site.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site rash, Injection site reaction, Pruritus
Clinical narrative: Within minutes after vaccination, child developed erythematous pruritic edematous center with a halo of erythema about 1 cm next to MMR injection side. Rash resolved wit Benadryl injection. 4/14/06 7:30am child developed 5x5 cm red tender swelling on Dtap injection site.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Tenderness
Clinical narrative: Within minutes after vaccination, child developed erythematous pruritic edematous center with a halo of erythema about 1 cm next to MMR injection side. Rash resolved wit Benadryl injection. 4/14/06 7:30am child developed 5x5 cm red tender swelling on Dtap injection site.
Age: 0.62
Sex: F
Vaccine: DTAPHEPBIP, HEP, HIBV, PNC
Symptoms: Muscle twitching
Clinical narrative: Twitching motions after immun 2-3 30 seconds episodes. Treatment no more pertussis.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site hypersensitivity, Injection site oedema, Pyrexia, Tremor
Clinical narrative: Redness and swelling lt arm at the site. Extends 2" below site. States he had a fever late nite, shaking but thermometer read normal temp, (per mom).
Age: 1.33
Sex: F
Vaccine: DTAP, HIBV, MMR
Symptoms: Pyrexia, Rash
Clinical narrative: Mother called stated child had MMR 1 week ago. Now has T 101 mild rash.
Age: 0.15
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Irritability
Clinical narrative: Mother called stating baby was fussy, inconsolable at times had vaccines in AM at the office.
Age: 17.0
Sex: M
Vaccine: JEV
Symptoms: Headache, Rhinorrhoea
Clinical narrative: Developed headache and rhinorrhea on 4/16. 4/17 throbbing headache continue severe not able to attend school.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Tic
Clinical narrative: Tics (new onset) 2/12/2006
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Erythema, Rash, Rash macular
Clinical narrative: Pt seen by MD 4/19/06 rash began 4/17/06 erythematous, macular, diffuse spanning soles and palms.
Age: 56.0
Sex: F
Vaccine: HEP
Symptoms: Hypoaesthesia, Pain, Paraesthesia, Sensory disturbance
Clinical narrative: C/O arm being achy and tingling from shoulder to index finger ant thumb. States it is intermitting APP every 15 minutes. Shooting sensation then numb. States symptoms started later in the day after injection. No immediate symptoms.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: Cellulitis at site of injection Treated with Keflex.
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Injection site induration
Clinical narrative: 3 inch induration/erythema.
Age: 16.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site infection
Clinical narrative: Local erythema, infection.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 5cm red, hot, itchy, swollen area to right thigh. Pain with touch and ambulation. Given Keflex, ibuprofen and desenex cream.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Influenza like illness, Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Client's mother stated when she called, that client received her shots on Thursday 3/2/06 PM and that evening became ill with flu-like symptoms and fever x 2 days. When daughter awoke on Saturday 3/4/06 AM, she showed her mother her R leg was swollen and red at the site of one of the injections. Mother called the pediatrician and he stated to watch the area and go to a clinic if it increased in size which mother did on 3/5/06 and was sent to ER. Client was given 1 dose IM Keflex and oral Keflex. Diagnosed with acute cellulitis or sterile abscess. 3/21/06 /// clinic supv.
Age: 0.63
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Febrile convulsion
Clinical narrative: Please see attached sheet. Unable to contact mother for more info since 3/6/06. Visit to clinic with mother. Child appears to get febrile seizures off and on. Imms. deferred at 3/6/06 visit.
Age: 0.52
Sex: F
Vaccine: DTAP, HEP, HIBV, OPV, PNC
Symptoms: Convulsion, Dyskinesia
Clinical narrative: Possible seizure. Head jerking to side repetitively for about 15 minutes.
Age: 1.5
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 1.5 X 2" swollen and red at site of injection.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: R deltoid swollen, area of 4" X 4" redness and warm to touch, noted 26 hours after injection. Child received Tylenol every 4 hrs. after injection on 4/11/06 X 3 doses, then 4 doses 8AM, 12PM and 4PM on 4/12/06. Saw FNP on 4/13. Tx: Benadryl and cold compresses.
Age: 14.0
Sex: F
Vaccine: HEP, HEPA, TD
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness
Clinical narrative: Pt lost consciousness 1-3 minutes after injections for approx. 15 seconds. Pt stated, "I feel dizzy", she became white, diaphoretic and unconscious. She was sitting in a chair and did not fall. She required consciousness and walked out of the clinic. She later with a steady gait.
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: R thigh swollen, red, R thigh 35cm round; L thigh 30cm round, R thigh warm to touch.
Age: 1.03
Sex: M
Vaccine: HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Erythema, Injection site reaction, Urticaria
Clinical narrative: With 2 minutes following MMR vaccine client develops 3 hives 1/4 inch lateral of MMR site on right mid anterior thigh above knee. Hives converge to 1/2 centimeter hive. Client remains alert active, good color, no respiratory distress or signs of hives elsewhere. Mom remains with at clinic for 20 minutes hive recedes, spot is mildly red. Instructed to call or have seen emergency if symptoms return.
Age: 1.07
Sex: F
Vaccine: MMR
Symptoms: Vomiting
Clinical narrative: Vomiting x 5 days after immunization received. No fever and only occurred after eating. Mother got antrimetic med from pharmacy.
Age: 0.17
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Anorexia, Crying, Screaming
Clinical narrative: Excessive and prolonged high pitch crying 4 hours refusing breast feedings.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Hypokinesia, Injection site erythema, Injection site induration, Pain
Clinical narrative: LEFT DELTOID INJECTION SITE REDDENED AREA--APPROX 4" IN DIAMETER, HARD TO TOUCH, INCREASED PAIN WITH ANY MOVEMENT AND TOUCH.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Anaphylactic reaction, Cough, Dyspnoea, Erythema, Pain in extremity
Clinical narrative: 1620: CHILD WAS SEEN FOR 5 YEAR WELL CHILD VISIT.  AFTER VISIT ON THE WAY TO CAR PT LOOKED PUFFY, RED, FEET HURT AND COMPLAINED OF DIFFICULTY BREATHING.  1640: PT RETURNED TO OFFICE ABOUT 30 MINUTES POST VACCINATION C/O COUGH,DIFFICULTY BREATHING AND GENERALIZED ITCHING.  1645: PT ADMINISTERED ORAL DOSE OF BENADRYL 9 ML (12 MG/4ML), BUT SUBSEQUENTLY VOMITED.  PERIPHERAL IV CATHETER PLACED.  GIVEN 20 MG IV BOLUS BENADRYL, 40 MG SOLU-MEDROL (125 GM/2ML) IV, IV SALINE, ALBUTEROL NEB.  1700: URTICARIA RESOLVED, AND NO TROUBLE BREATHING.  1730: EDEMA RESOLVED. ABOUT 1800 ON 4/4/06, PATIENT TRANSFERRED BY AMBULANCE TO HOSPITAL FOR OBSERVATION WTIH A CHIEF COMPLAINT OF ANALPHYLACTIC RXN TO VACCINES.  PT MARKEDLY IMPROVED SINCE TRANSFER.  ARRANGEMENTS TO SEE ALLERGIST RECHECK.  2200: DISCHARGED FROM THE HOSPITAL WITH PREDNISOLONE 2 MG/KG/DAY X 2 DOSES (1 DOSE IN PM, AND 1 DOSE IN AM, BENADRYL X 4 DAYS, ZANTAC AND EPI PEN.  PT HAS HAD SIMILAR RXNS TO TRAIL NUTS, ALTHOUGH SKIN TESTS NEGATIVE.  ALSO HAD RXN TO GUMMY WORMS.  HAS RECEIVED ALL CHILDHOOD IMMUNIZATIONS IN PAST WITHOUT REACTION.