chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Abdominal X-ray, Enema administration, Faeces discoloured, Intussusception, Irritability
Clinical narrative: Symptoms started 8-29-07 with vomiting, decreased oral intake, lethargy, fussiness, intermittent green stools. Intussusception seen on gastrograffin BE and successful reduced.  9/11/07 Received hospital medical records which reveal patient experienced progressively bilious emesis blood tinged stools, decreased oral intake for approx 5 days & then becoming profoundly lethargic on day of admit 8/31-9/1/07.  Kept overnight for observation s/p enema reduction of IS.  Did well & d/c to home.  FINAL DX: Intussusception, enema reduced.  9/11/07 T/C to pcp to request vax record to include lot #s.  Unable to print.  Verbally confirmed on phone that vax dose & lot #s correct as reported on VAERS form.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Lethargy, Oral intake reduced, Vomiting
Clinical narrative: Symptoms started 8-29-07 with vomiting, decreased oral intake, lethargy, fussiness, intermittent green stools. Intussusception seen on gastrograffin BE and successful reduced.  9/11/07 Received hospital medical records which reveal patient experienced progressively bilious emesis blood tinged stools, decreased oral intake for approx 5 days & then becoming profoundly lethargic on day of admit 8/31-9/1/07.  Kept overnight for observation s/p enema reduction of IS.  Did well & d/c to home.  FINAL DX: Intussusception, enema reduced.  9/11/07 T/C to pcp to request vax record to include lot #s.  Unable to print.  Verbally confirmed on phone that vax dose & lot #s correct as reported on VAERS form.
Age: 27.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Arthralgia, Chills, Cough, Dizziness, Influenza like illness
Clinical narrative: flu like symptoms presented 18Aug07, coughing, sneezing, nausea, dizziness, cold chills, aches and pains in the joints. Vaccinated with smallpox on 12Aug07.
Age: 27.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Myalgia, Nausea, Sneezing
Clinical narrative: flu like symptoms presented 18Aug07, coughing, sneezing, nausea, dizziness, cold chills, aches and pains in the joints. Vaccinated with smallpox on 12Aug07.
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Pain in extremity, Paraesthesia
Clinical narrative: Tdap given 8/15/07 per RN. Pt. states she felt "tingling sensation" in (L) arm immediately upon receiving Tdap. (L) arm has continued to hurt in (L) arm/shoulder joint ever since injection, in spite of usual comfort measures (Tylenol, cold compress). As of 8/23/07 pt. still c/o arm/shoulder joint pain. Pt has maintained full ROM and no redness or swelling ever since injection but because of c/o pain - referred to FNP. N meds given. They will re-eval next week.
Age: 13.0
Sex: U
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Raised red area (R) lat deltoid
Age: 12.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth, Pyrexia
Clinical narrative: Fever -99 2 day after shot 5x6 cm area induration warm red tender with surrounding erythema whole deltoid
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Inappropriate schedule of drug administration, Pruritus, Rash vesicular
Clinical narrative: Symptoms began 8/18: small patch of itchy blisters erupted in posterior aspect of left thigh, RUQ over next few days, several single vesicle-like eruption appeared on both lower legs on the medial aspect of both knees and on the back of my right thigh. 8/20 another small patch of blisters - appeared this time on inner aspect of right thigh (high) all patches and vesicular have itched and were or are fluid filled no pain 8/30 Vesicles cont to appear.
Age: 15.0
Sex: F
Vaccine: TDAP
Symptoms: Pruritus, Swelling face
Clinical narrative: Pt. returned c/o itching and swelling to face. No c/o SOB. ER called and pt sent immediately to ER for evaluation.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Contusion, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: see attached note Both legs swollen, red and hot-entire legs Called Mom to get update on pt re: vaccine reaction. Mom states he got 2 mo shots on 8/28. Had given infant Tylenol (dye-free cherry) @ 0630 and 1100 that day. Vaccines were given between 1430-1500. Within a few hrs-thighs started swelling, red and hot to touch. Redness and swelling spread down both legs. Also noted bruising unrelated to injection sites. Went to medical center in pm. He stayed a few hrs for observation. Redness and swelling resolved on its own. No other prob. Mom continued infant Tylenol through the night. Will report to VAERS
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Urticaria
Clinical narrative: Localized urticarial response
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Induration, Skin warm
Clinical narrative: 4 cm x 3 cm eryth. are with hard area beneath area warm to touch
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Pt presents with red, warm to touch site on LA approx. 25 mm in diameter.
Age: 25.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Pruritus
Clinical narrative: Red area below area of vaccination, itchiness,
Age: 31.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Cough, Headache, Lymphadenopathy, Malaise, Myalgia
Clinical narrative: fever, nausea, vomiting, headaches, muscle aches, lymphadenopathy, coughing, malaise fluids, rest, ibuprofen, Ultracet
Age: 31.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: fever, nausea, vomiting, headaches, muscle aches, lymphadenopathy, coughing, malaise fluids, rest, ibuprofen, Ultracet
Age: 15.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Computerised tomogram normal, Dizziness, Headache, Nausea, Vomiting
Clinical narrative: 48 hrs after vaccination developed headache, dizziness, nausea. Symptoms worsened over nex 48 hrs w/ T headache, nausea progressed to vomiting, dizziness (dysequilibrium and pressure). Seen in ER given IV fluids antiemetics, analgesic and gradually improving over next 4-5 days
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Cold compress therapy, Cold sweat, Dyskinesia, Hypotonia, Pallor
Clinical narrative: Patient received PPD test 1st on left arm; received Gardasil - rt. arm # :30 PM - 8-29-07. Almost passed out immed. upon injection. Body went limp, pale, clammy skin, jerked for a second. Came to very quickly. Rested with feet elevated - cool compress to forehead. BP 100/56 and 94/56. Rested approx. 20 min.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Presyncope, Syncope
Clinical narrative: Patient received PPD test 1st on left arm; received Gardasil - rt. arm # :30 PM - 8-29-07. Almost passed out immed. upon injection. Body went limp, pale, clammy skin, jerked for a second. Came to very quickly. Rested with feet elevated - cool compress to forehead. BP 100/56 and 94/56. Rested approx. 20 min.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Unevaluable event
Clinical narrative: Multiple phone calls made after occurrence without response.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Cellulitis, Erythema, Skin warm, Swelling
Clinical narrative: Both arms became red, swollen and hot to touch after receiving vaccines. Dx with cellulitis. Tx with Omnicef 600mg q day x 7 days.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Blister, Erythema
Clinical narrative: Varivax given in (L) upper arm on 8/27/07. 14.5cm x 9cm area of erythema with 4.5x2cm raised red, blistery area central to area of erythema.
Age: 1.0
Sex: M
Vaccine: MMRV
Symptoms: Rash, Rash generalised
Clinical narrative: Generalized rash over trunk starting 7 days and lasting up to 12 days. No mucositis.
Age: 25.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Blood test, Body temperature increased, Muscle spasms, Musculoskeletal stiffness
Clinical narrative: About 1 week after received shot stiffness and cramping on left side below rib cage with 104 degree temp x 2 days; started day before cramping.
Age: 20.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Asthenia, Dizziness, Feeling abnormal, Headache, Rash
Clinical narrative: Started "feeling bad" 5th day after receiving Smallpox vaccination including dizziness, weakness, unable to focus, and headache. On 9th evening rash began with dots and was bumps by the next morning mainly on torso, some on arms
Age: 20.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Vision blurred
Clinical narrative: Started "feeling bad" 5th day after receiving Smallpox vaccination including dizziness, weakness, unable to focus, and headache. On 9th evening rash began with dots and was bumps by the next morning mainly on torso, some on arms
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Erythema, Pain
Clinical narrative: Mother states red painful area on outer left thigh yesterday after HIB (L) leg, Prevnar (L) leg.
Age: 0.1
Sex: F
Vaccine: HEP, IPV, RV5
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Developed diarrhea and vomiting 2 days after administering Rotavirus vaccine on 8/8/07. Has not resolved 8/28/07 visit.
Age: 21.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Erythema, Rash pruritic
Clinical narrative: red, itchy rash started on face, gradually spread to arms and chest.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Lymph node pain, Pruritus, Rash, Tenderness
Clinical narrative: MBR presented with localized rash on (R) lateral chest and shoulder R/T smallpox vaccine rec'd 11 AUG 07. Reported minor itching and mild tenderness of area with palpation. Also stated he had painful lymph nodes, (R) axillary area.
Age: 4.0
Sex: F
Vaccine: HEPA, IPV, MMR, TDAP
Symptoms: Wrong drug administered
Clinical narrative: Tdap given instead of DTaP.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Local reaction
Clinical narrative: pt rec'd 2 days after injection of Menactra and Gardasil c/o increased redness, swelling and area warm to touch. S/B Dr-dx with localized reaction-Benadryl and ice compresses c/o return in AM.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Body temperature increased, Irritability, Scab, Varicella
Clinical narrative: Child received DTaP, IPV, MMRV on 8/17/07 - on 8/23/07 began breaking out with what looked like varicella. Broke out on 8/23/07; 8/24/07 was very irritable, temp 101 - starting to scab. On 8/24/07, is recovering. Pt had generalized varicella like event; chicken pox too numerous to count.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Pyrexia, Rash vesicular
Clinical narrative: Vesicular rash on face, chest, back Treated with Benadryl, Calamine lotion. Tylenol prn fever
Age: 58.0
Sex: M
Vaccine: TDAP
Symptoms: Chest discomfort, Ear pain, Toothache
Clinical narrative: At 9 PM, day of injection (9:30 AM) while watching TV-felt tightness across chest with deep inspiration and radiated to left jaw. (same side of injection)-2 am-woke with pain (L) ear and teeth
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Fatigue, Nausea, Pyrexia, Vomiting
Clinical narrative: No localized reactions at injection site. Adacel given at about 1600 8/22/07. On 8/23/07 0400 became febrile 102-104. Had 1 episode of nausea and vomiting. Was given Tylenol 650mg by mom. Cool shower. By 0800 T was 101. Afebrile at noon. 8/24 tired and afebrile.
Age: 15.0
Sex: M
Vaccine: TDAP
Symptoms: Wrong drug administered
Clinical narrative: Pt received Infanrix rather than ordered Adacel. M.D. called-no concern @ immunity coverage No exams reported
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Urticaria
Clinical narrative: Urticaria over arms, scalp, .5cm lesions. Tx: Benadryl 50mg IM, Allegra 180mg q d, Vistoril 50mg q 6h.
Age: 13.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Ophthalmological examination, Pyrexia, Rash vesicular
Clinical narrative: Developed liver and vesicular lesions that erupted eleven days after Varicella (Varivax) injection Fever lasted x 5 days and vesicles cleared by 6th day
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: Localized erythema, swelling, tenderness from left deltoid to elbow. Ice, Benadryl 25mg TID, Motrin prn.
Age: 16.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Dizziness, Headache, Vomiting
Clinical narrative: At 11:00 pm., per patient's stepfather (who interpreted), patient complained of dizziness, headache and vomiting. He was taken to the emergency room, where he was given one medicine for his headache and one medicine for his stomach (names of meds not known). Pt felt better after taking medicines. He was not admitted to the hospital.
Age: 13.0
Sex: F
Vaccine: MNQ
Symptoms: Decreased appetite, Erythema, Fatigue, Headache, Malaise
Clinical narrative: About 15 hours after vaccine, developed increased (L) arm pain, headache, photophobia, fatigue, fever 102, decreased appetite, malaise, neck pain. Symptoms present for 24 hours then began to decrease. Noted to have large amt (12x4cm + 11.5 x 10cm) erythema, tenderness to (L) arm and (L) axillae 40 hours after injections. Resolved completely on its own by 96 hours after injection.
Age: 13.0
Sex: F
Vaccine: MNQ
Symptoms: Neck pain, Pain in extremity, Photophobia, Pyrexia, Tenderness
Clinical narrative: About 15 hours after vaccine, developed increased (L) arm pain, headache, photophobia, fatigue, fever 102, decreased appetite, malaise, neck pain. Symptoms present for 24 hours then began to decrease. Noted to have large amt (12x4cm + 11.5 x 10cm) erythema, tenderness to (L) arm and (L) axillae 40 hours after injections. Resolved completely on its own by 96 hours after injection.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Blister, Contusion, Erythema, Skin warm, Swelling
Clinical narrative: (R) arm red, swollen, hot to touch. Bruised, and blistered
Age: 11.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Blister, Injection site erythema, Injection site swelling
Clinical narrative: Rt arm red, swollen, 4x5cm of erythema surrounding inj. site, no tenderness - advised to keep covered due to chance of varicella under blister.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Body temperature increased
Clinical narrative: Temp 103 24 hours after vaccine. (4 other kids same lot DTaP with elevated temp).
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Hypersensitivity, Injection site erythema
Clinical narrative: Marked erythema at site of DTaP; ? allergic rxn.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Muscular weakness, Nausea
Clinical narrative: One hour after IM injection, pt with c/o weak legs, headache, nausea. Pt ate lunch and symptoms improved.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Local reaction, Urticaria
Clinical narrative: Severe local reaction after 24 hrs. Urticarial rash after 2-3 days.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Local reaction, Pain, Rash, Skin warm
Clinical narrative: Severe local reaction after 24 hrs. Urticarial rash after 2-3 days.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Swelling, Urticaria
Clinical narrative: Severe local reaction after 24 hrs. Urticarial rash after 2-3 days.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Hypoaesthesia
Clinical narrative: Numbness of (L) chest wall, (L) axillary area. No local reaction at injection site (L) deltoid.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Pruritus, Rash, Skin burning sensation
Clinical narrative: Pt had rash on face, chest, back, and head, with some burning and itching. Redness.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Rash
Clinical narrative: Developed rash-Being tx for shingles Pt treated elsewhere reported to MD 8/6/07.  Pt did not followup here for her rash.  Date unknown when she developed.  She notified us on Aug 6 of event.
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Pruritus generalised, Urticaria
Clinical narrative: The next morning after the vaccine, patient woke up with hives mostly on her trunk ,back and legs and was itchy all over.She had these symptoms until 2days ago.They did not worsen but did persist.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Hypersensitivity
Clinical narrative: Received vaccine 8/29/07, seen in office 9/06/07 for left upper arm erythemia. Diagnosis -local allergic reaction, ? cellulitis of left arm. Given RX for zyrtec and keflex.
Age: 1.75
Sex: F
Vaccine: DTAP, HEPA, HIBV, PNC
Symptoms: Dyspnoea, Pain in extremity, Urticaria
Clinical narrative: welts, hives, (all over body) , difficult breathing, painful, both legs.
Age: 20.0
Sex: F
Vaccine: TDAP
Symptoms: Musculoskeletal pain, Pain in extremity
Clinical narrative: Severe right shoulder pain and riht arm pain.  Patient denies any reddness or severe swelling just pain.
Age: 0.42
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia, Rash generalised
Clinical narrative: Pt presented with fever one day after immunizations and rash over entire body.  Mom notified clinic 11 days after event.  Fever presently is gone, rash still present.
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, RV5
Symptoms: Haematochezia
Clinical narrative: BLOOD IN STOOLS
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia
Clinical narrative: Patient came down with a fever of 102.6 on the sixth day after receiving a Varicella booster.  Fever responded to tylenol.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Blister, Rash erythematous, Rash pruritic
Clinical narrative: patient developed itchy rash with vesicle that contains clear fluid on top of an erythematous base-rash located on left wrist/forearm
Age: 15.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: Dr. Ordered Tdap vaccine to be administered.  Medical Assistant administered DTap by mistake. GSK vaccine company contacted regarding error and they will file report as well.  Patient suffered to adverse reation from the DTap and had no previous reaction from her infant shots. No further vazccination is necessary per the CDC. Next vaccine would not be due for 10 years.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, UNK
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Vomiting and diarrhea without fever within 72 hours of immunization lasting approximately 24 hours
Age: 13.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Body temperature increased, Dizziness, Hyperaesthesia
Clinical narrative: MOC REPORTS THAT CHILD HAD A TEMPERATURE OF 101.3, DIZZINES, SENSITIVITY TO LEFT ARM.  MOTHER GAVE TYLENOL EVERY 4 HOURS AND COOL BATH.
Age: 25.0
Sex: M
Vaccine: ANTH, HEPA, SMALL, TYP
Symptoms: Injection site pustule, Post vaccination autoinoculation
Clinical narrative: Patient was vaccinated on 8/3/07, he has been keeping his site covered.  He came in to the immunization clinic for a site check 2 weeks after his vaccination date.  Patient stated that he told the immunization tech. that the scab fell off but it wasn't healed yet.  The tech told the patient to just keep a regular bandage on it, but the tech did not check the site.  Patient noticed several pustules around the original vaccination site on 9/4/07, he has been keeping them covered.  Myself  and someone else examined the site and provided him with several bandages.  Patient is deploying on 9/9/07, advised him to follow up here if he has any problems before he leaves, otherwise to follow up at his deployed location in one week.
Age: 37.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Blood calcium increased, Blood creatine phosphokinase MB increased, Blood creatine phosphokinase normal, Blood culture negative, Blood glucose increased
Clinical narrative: Patient had c/o HA, stiff joints, low grade fever of 99 on 8/28/07. He was seen in the field and given 2L of fluids. A heart murmur was picked up by the PA who saw the patient in the field. He was evaluated by the Medical Clinic that same day and the murmur was again heard. He returned to the MC on 8/29/07 for follow up, since the murmur was still present he was referred on to MC. Past Medical History significant for recent MRSA infection of the R axilla that was treated with I&D and antibiotics. There had been a question regarding increased swelling to the area so antibiotics had been restarted on 8/27/07. On assessment in ER SM reported dyspnea for the past 2 to 3 months. He denied CP but reported having a funny sensation in his chest. Axilla looked well healed. Heart regular rate and rhythm with a 3/6 sytsolic ejection murmur head at the apex. EKG was obtained, see lab data notes. Diagnosed with New systolic ejection murmur, HA, recent MRSA infection and transferred to MC for admission. I do not have a discharge date for this patient.  10/01/2007 MR received for hospital DOS 8/29-31/2007 for D/C DX of Hypertrophic, obstructive cardiomyopathy.  Suspected infective endocarditis.  R axilla abscess with (+) MRSA. Pt presented to clinic with fever, headache, lightheadedness, and arthralgias. Several week hx of fatigue, some dyspnea, and a funny feeling in his chest. Upon eval a new systolic murmur was noted and pt refered to hospital for eval.   D/C with activity limitations pending further testing. 10/05/2007 Additional F/U records received from reporter for Dx: Hypertrophic obstructive cardiomyopathy.  Endocarditis r/o and pt recommended for defibrillator.
Age: 37.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: C-reactive protein increased, Cardiac murmur, Chest X-ray abnormal, Chest discomfort, Dyspnoea
Clinical narrative: Patient had c/o HA, stiff joints, low grade fever of 99 on 8/28/07. He was seen in the field and given 2L of fluids. A heart murmur was picked up by the PA who saw the patient in the field. He was evaluated by the Medical Clinic that same day and the murmur was again heard. He returned to the MC on 8/29/07 for follow up, since the murmur was still present he was referred on to MC. Past Medical History significant for recent MRSA infection of the R axilla that was treated with I&D and antibiotics. There had been a question regarding increased swelling to the area so antibiotics had been restarted on 8/27/07. On assessment in ER SM reported dyspnea for the past 2 to 3 months. He denied CP but reported having a funny sensation in his chest. Axilla looked well healed. Heart regular rate and rhythm with a 3/6 sytsolic ejection murmur head at the apex. EKG was obtained, see lab data notes. Diagnosed with New systolic ejection murmur, HA, recent MRSA infection and transferred to MC for admission. I do not have a discharge date for this patient.  10/01/2007 MR received for hospital DOS 8/29-31/2007 for D/C DX of Hypertrophic, obstructive cardiomyopathy.  Suspected infective endocarditis.  R axilla abscess with (+) MRSA. Pt presented to clinic with fever, headache, lightheadedness, and arthralgias. Several week hx of fatigue, some dyspnea, and a funny feeling in his chest. Upon eval a new systolic murmur was noted and pt refered to hospital for eval.   D/C with activity limitations pending further testing. 10/05/2007 Additional F/U records received from reporter for Dx: Hypertrophic obstructive cardiomyopathy.  Endocarditis r/o and pt recommended for defibrillator.
Age: 37.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Electrocardiogram ST segment, Electrocardiogram ST-T change, Electrocardiogram normal, Full blood count normal, Headache
Clinical narrative: Patient had c/o HA, stiff joints, low grade fever of 99 on 8/28/07. He was seen in the field and given 2L of fluids. A heart murmur was picked up by the PA who saw the patient in the field. He was evaluated by the Medical Clinic that same day and the murmur was again heard. He returned to the MC on 8/29/07 for follow up, since the murmur was still present he was referred on to MC. Past Medical History significant for recent MRSA infection of the R axilla that was treated with I&D and antibiotics. There had been a question regarding increased swelling to the area so antibiotics had been restarted on 8/27/07. On assessment in ER SM reported dyspnea for the past 2 to 3 months. He denied CP but reported having a funny sensation in his chest. Axilla looked well healed. Heart regular rate and rhythm with a 3/6 sytsolic ejection murmur head at the apex. EKG was obtained, see lab data notes. Diagnosed with New systolic ejection murmur, HA, recent MRSA infection and transferred to MC for admission. I do not have a discharge date for this patient.  10/01/2007 MR received for hospital DOS 8/29-31/2007 for D/C DX of Hypertrophic, obstructive cardiomyopathy.  Suspected infective endocarditis.  R axilla abscess with (+) MRSA. Pt presented to clinic with fever, headache, lightheadedness, and arthralgias. Several week hx of fatigue, some dyspnea, and a funny feeling in his chest. Upon eval a new systolic murmur was noted and pt refered to hospital for eval.   D/C with activity limitations pending further testing. 10/05/2007 Additional F/U records received from reporter for Dx: Hypertrophic obstructive cardiomyopathy.  Endocarditis r/o and pt recommended for defibrillator.
Age: 37.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Joint stiffness, Oedema peripheral, Protein total decreased, Pyrexia, Red blood cell sedimentation rate normal
Clinical narrative: Patient had c/o HA, stiff joints, low grade fever of 99 on 8/28/07. He was seen in the field and given 2L of fluids. A heart murmur was picked up by the PA who saw the patient in the field. He was evaluated by the Medical Clinic that same day and the murmur was again heard. He returned to the MC on 8/29/07 for follow up, since the murmur was still present he was referred on to MC. Past Medical History significant for recent MRSA infection of the R axilla that was treated with I&D and antibiotics. There had been a question regarding increased swelling to the area so antibiotics had been restarted on 8/27/07. On assessment in ER SM reported dyspnea for the past 2 to 3 months. He denied CP but reported having a funny sensation in his chest. Axilla looked well healed. Heart regular rate and rhythm with a 3/6 sytsolic ejection murmur head at the apex. EKG was obtained, see lab data notes. Diagnosed with New systolic ejection murmur, HA, recent MRSA infection and transferred to MC for admission. I do not have a discharge date for this patient.  10/01/2007 MR received for hospital DOS 8/29-31/2007 for D/C DX of Hypertrophic, obstructive cardiomyopathy.  Suspected infective endocarditis.  R axilla abscess with (+) MRSA. Pt presented to clinic with fever, headache, lightheadedness, and arthralgias. Several week hx of fatigue, some dyspnea, and a funny feeling in his chest. Upon eval a new systolic murmur was noted and pt refered to hospital for eval.   D/C with activity limitations pending further testing. 10/05/2007 Additional F/U records received from reporter for Dx: Hypertrophic obstructive cardiomyopathy.  Endocarditis r/o and pt recommended for defibrillator.
Age: 37.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Troponin, Urine analysis normal, White blood cell count normal
Clinical narrative: Patient had c/o HA, stiff joints, low grade fever of 99 on 8/28/07. He was seen in the field and given 2L of fluids. A heart murmur was picked up by the PA who saw the patient in the field. He was evaluated by the Medical Clinic that same day and the murmur was again heard. He returned to the MC on 8/29/07 for follow up, since the murmur was still present he was referred on to MC. Past Medical History significant for recent MRSA infection of the R axilla that was treated with I&D and antibiotics. There had been a question regarding increased swelling to the area so antibiotics had been restarted on 8/27/07. On assessment in ER SM reported dyspnea for the past 2 to 3 months. He denied CP but reported having a funny sensation in his chest. Axilla looked well healed. Heart regular rate and rhythm with a 3/6 sytsolic ejection murmur head at the apex. EKG was obtained, see lab data notes. Diagnosed with New systolic ejection murmur, HA, recent MRSA infection and transferred to MC for admission. I do not have a discharge date for this patient.  10/01/2007 MR received for hospital DOS 8/29-31/2007 for D/C DX of Hypertrophic, obstructive cardiomyopathy.  Suspected infective endocarditis.  R axilla abscess with (+) MRSA. Pt presented to clinic with fever, headache, lightheadedness, and arthralgias. Several week hx of fatigue, some dyspnea, and a funny feeling in his chest. Upon eval a new systolic murmur was noted and pt refered to hospital for eval.   D/C with activity limitations pending further testing. 10/05/2007 Additional F/U records received from reporter for Dx: Hypertrophic obstructive cardiomyopathy.  Endocarditis r/o and pt recommended for defibrillator.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Lip swelling, Pharyngeal oedema
Clinical narrative: FIFTEEN MINUTES AFTER VACCINE, PT. STARTED SWELLING AROUND THE LIPS AND THROAT. PARENTS GAVE PT. BENADRYL HOWEVER SWELLING DID NOT GO AWAY. PT. WAS TAKEN TO ER AND SEEN BY DR. AT MEDICAL CENTER ER.  PT GIVEN 20MG OF PREDNISONE AND A RX IF NEEDED.  ER VISIT ON 8/17.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, VARCEL
Symptoms: Erythema, Injection site vesicles, Oedema peripheral, Skin warm
Clinical narrative: Pt. presented to clinic two days after recieving immunizations with very red, swollen left arm. Also noted blistering at injection site, over the deltoid, the site was very warm to the touch. Advised mom to give Ibuprofen every 6-8hrs, apply cold compress to arm. Motrin with proper dosing instructions given. See PMD if no improvement, or if arm gets worse. Child had no previous adverse reactions with immunizations.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient came to office for 3rd Gardasil Vaccine.  The vaccine was not due until 10/19/2007.  Vaccine was given 2 months early.  Manufacture contacted and they stated that there should be no adverse reaction. Merck recommended giving regular due dose in 2 months.
Age: 67.0
Sex: F
Vaccine: TD
Symptoms: Joint swelling, Urticaria
Clinical narrative: swelling down to elbow, welts
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Erythema, Rash, Rash generalised, Rash macular, Rash pruritic
Clinical narrative: Child received her second Gardasil vaccine at around nine in the morning.  By 6pm she had an itchy rash all over and by the next day the rash had intensified (darker red) in the original spots (trunk and face and neck) and was spreading to extremities.  Benadryl helped somewhat by mouth as did topical pramoxine.  Rash was deeply erythematous macules, 5-7 mm diam widely spaced on extremities (3 cm apart) to closely spaced and confluent on neck and trunk.  Face involved as well.  No respiratory distress.
Age: 15.0
Sex: M
Vaccine: MNQ
Symptoms: Asthenia, Dizziness, Dyspnoea, Heart rate increased, Pyrexia
Clinical narrative: Patient received Menactra on 9/5/07 and presented in my office with the following symptons on 9/6/07:  High fever, difficulty breathing, weakness, a fast heart beat, and dizziness, and felt sore. Vaccine received from program.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Confusional state, Dizziness, Hyperhidrosis, Pallor, Pyrexia
Clinical narrative: Immunization given approx. 3 pm.  Approx 15 minutes later developed diaphoresis, became pale and dizzy, BP 90/60, pulse 72-60.  Left building ambulatory 15 minutes later, no difficulty walking out of the building.  That evening patient developed fever (no temperature has been taken at any time) and confusion (didn't know where he was, stumbling around, no loss of bowel or bladder function).  Mom gave him Tylenol, and prayed, and his fever would come down, and he would act normal.  Patient has had 4-5 episodes since Tdap was given, about once or twice a week.  Mom states these episodes always occur after patient has fallen sleep, and occur sometime though the night.  She has not taken him to a private provider because she "knows he will be okay."  Patient has had no previous problem with immunizations and siblings have not had any problems either.  Mom states she is "not happy", She "doesn't know what is in that vaccine" and she will not be bringing him back for any more immunizations.  Instructed I will report adverse reaction (on VAERS) and get back with her to see how patient is doing. Mom states she "does not expect patient to be doing bad" but we can check.
Age: 1.25
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Blister, Injection site erythema, Rash
Clinical narrative: red area at injection site x 5 days, rash on chest and leg, blister on hand; tx with Benedryl
Age: 1.25
Sex: M
Vaccine: DTAP, HEPA, HIBV, MMR, PNC
Symptoms: Abnormal faeces, Pyrexia, Rash, Roseola
Clinical narrative: Fever of 102-103 on 8/30/07. mon states child had foul bm's & fine rash in groin area on 9/3/07. continued with fever 9/5/05.  afebrile at this time but woke with fine rash over entire body and along the hairline.  Pediatrician feels that the DX is roseola.
Age: 1.0
Sex: F
Vaccine: UNK
Symptoms: Flushing, Pyrexia, Rash macular
Clinical narrative: Fever of 102F 7 days after MMR vaccine. Rash 10 days after MMR vaccine. Fine, small red dots, all over trunk, legs and buttock, cheeks flushed.
Age: 17.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Erythema, Oedema peripheral, Pain
Clinical narrative: c/o swelling of both hands with red knuckles with pain.  Referred to his private Dr. for evaluation, but office unable to see him so referred to ER
Age: 12.0
Sex: F
Vaccine: HEPA, MMR, MNQ, TDAP
Symptoms: Dizziness, Pallor, Tinnitus, Visual disturbance
Clinical narrative: Had immunizations. Walked out into waiting room and became pale, lightheaded. Had client lay on the floor. c/o ringing in ear and seeing spots. Color gradually returned. Able to assume sitting position within 5 minutes and standing within 15 minutes.
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, IPV, RVX, UNK
Symptoms: Feeling cold, Hyperhidrosis, Hypotonia, Pallor, Screaming
Clinical narrative: Three to four hours after shots were administered, the baby awoke from her nap screaming and then turned pale and unresponsive/limp.  She felt cold and was perspiring.  She appeared to have fainted for a period.  After about 5 minutes she seemed to get a little color back and nursed a little.  She did not have a fever according to our thermometer.  Temp was 96.8 (underarm).  We gave her some Tylenol anyway.  We did not take her to the doctor but called the nurse at the clinic.  She did not seem too concerned, but of course we were.  Since the baby seemed better after a few minutes, we thought it best to let her rest at home instead of taking to the ER.
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, IPV, RVX, UNK
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Three to four hours after shots were administered, the baby awoke from her nap screaming and then turned pale and unresponsive/limp.  She felt cold and was perspiring.  She appeared to have fainted for a period.  After about 5 minutes she seemed to get a little color back and nursed a little.  She did not have a fever according to our thermometer.  Temp was 96.8 (underarm).  We gave her some Tylenol anyway.  We did not take her to the doctor but called the nurse at the clinic.  She did not seem too concerned, but of course we were.  Since the baby seemed better after a few minutes, we thought it best to let her rest at home instead of taking to the ER.
Age: 52.0
Sex: F
Vaccine: ANTH
Symptoms: Feeling drunk, Impaired driving ability, Vertigo positional
Clinical narrative: Feeling drunk, but not drinking.  Trouble driving.  Perception of surroundings abnormal.  Blocked right ear.  Physical exam by clinic revealed vertigo.  After diagnosis of BPPV underwent
Age: 1.0
Sex: F
Vaccine: DTAP, HBHEPB, IPV, MMRV, PNC
Symptoms: Herpes zoster
Clinical narrative: Herpes zoster/shingles (R) lower abdomen
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Gait disturbance, Headache, Injection site swelling, Lethargy, Pain
Clinical narrative: Swelling on site of injection, soreness headache 1st day, 2nd day headache. Motrin 8/22/07. Persisted soreness and swelling yesterday. More swollen and redness today. 1st day limping and lethargic 3rd day no limping.
Age: 1.3
Sex: M
Vaccine: DTAPH, HEPA
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: (L) thigh very hot, red and swollen.
Age: 1.3
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Cellulitis, Erythema, Swelling
Clinical narrative: Red and swollen bilat. thigh worse on right. Diagnosed with cellulitis; treated with Cephalexin 125mg.
Age: 2.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Induration, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: June 8, 2007, child received DTaP and IPV in clinic. June 10, 2007, child brought back to clinic with complaints of left arm pain,s welling, redness. Doctor's assessment: erythema, warmth, induration, localized adverse reaction to DTaP. Patient instructions given By MD. Apply ice to arm, may give Benadryl by mouth.
Age: 40.0
Sex: F
Vaccine: MMR
Symptoms: Nuclear magnetic resonance imaging, Optic neuritis
Clinical narrative: Optical neuritis in my right eye.
Age: 10.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Pain, Skin warm, Swelling
Clinical narrative: Pain, redness, warmth to lesion on (L)L arm. 9x15cm circular area at 2c swelling of diameter of arm.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: erythema, increased warmth, sl. tender at injection site: left upper lat. arm/deltoid injected 2 days ago; tx: antibiotics NSAID, ice prn
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Body temperature increased, Chest pain, Dyspnoea, Injection site irritation, Pain in extremity
Clinical narrative: Picture was taken Thursday evening and by Friday her rash was starting to coalesce to the point it looked like a raised sunburn. Patient was sick on July 26th, 2007. She had a high temp and was c/o a sore throat. On Friday July 27th, she was seen by her pediatrician. It was at that point that she was Dx with having strep. She was placed on Amoxicil 2x a day for 7 dys. On July 30th she received her required vaccines for school. She immediately c/o burning on the left side where the DTaP was given and even the next day she said that arm really hurt. On August 1st, 2007 she developed the patchy rash that was seen in the first email I sent to you on her left arm. I dropped her off to my mom at 7:00 am on August 2nd. There was no sign of a rash at that time. I notified the doctor when they opened and the office wanted her to come in so that they could document the reaction in her chart. She was scheduled to be seen by the pediatrician on August 3rd, 2007 at 3:15 pm. I received a phone call from my mom at 10:30 on August 2nd, 2007 stating that patient had a rash on her face. Immediately called the doctors office back and she was seen at 11:30 on August 2nd. The rash began progressing from her face and chest to her abdomen, arms, and legs to her palms of her hands and the soles of her feet. As we were waiting in the office she began c/o of her chest hurting and having problems breathing. The doctor placed her on Benadryl 1 6 hours and then steroids q 12 hours for 5 days with a taper. She had a follow-up the next day with Dr. Please let me know if you need any other information with regards to this. Mother.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Pharyngolaryngeal pain, Rash
Clinical narrative: Picture was taken Thursday evening and by Friday her rash was starting to coalesce to the point it looked like a raised sunburn. Patient was sick on July 26th, 2007. She had a high temp and was c/o a sore throat. On Friday July 27th, she was seen by her pediatrician. It was at that point that she was Dx with having strep. She was placed on Amoxicil 2x a day for 7 dys. On July 30th she received her required vaccines for school. She immediately c/o burning on the left side where the DTaP was given and even the next day she said that arm really hurt. On August 1st, 2007 she developed the patchy rash that was seen in the first email I sent to you on her left arm. I dropped her off to my mom at 7:00 am on August 2nd. There was no sign of a rash at that time. I notified the doctor when they opened and the office wanted her to come in so that they could document the reaction in her chart. She was scheduled to be seen by the pediatrician on August 3rd, 2007 at 3:15 pm. I received a phone call from my mom at 10:30 on August 2nd, 2007 stating that patient had a rash on her face. Immediately called the doctors office back and she was seen at 11:30 on August 2nd. The rash began progressing from her face and chest to her abdomen, arms, and legs to her palms of her hands and the soles of her feet. As we were waiting in the office she began c/o of her chest hurting and having problems breathing. The doctor placed her on Benadryl 1 6 hours and then steroids q 12 hours for 5 days with a taper. She had a follow-up the next day with Dr. Please let me know if you need any other information with regards to this. Mother.
Age: 68.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Pain in extremity
Clinical narrative: Very red swollen and sore arm for 10 days a hard lump Never had an adverse reaction to any vaccine except this one.
Age: 48.0
Sex: M
Vaccine: ANTH
Symptoms: Abdominal pain, Arthralgia, Dizziness, Fatigue, Headache
Clinical narrative: Flu like symptoms (x 2 wks) myalgia, arthralgia fatigue. Myalgia/arthralgia hands, feet, ankle, knees elbows. Also had lightheaded but no vertigo. Rare HA. Abd pain but this preceded vaccine. Ibuprofen/Aleve
Age: 48.0
Sex: M
Vaccine: ANTH
Symptoms: Influenza, Myalgia
Clinical narrative: Flu like symptoms (x 2 wks) myalgia, arthralgia fatigue. Myalgia/arthralgia hands, feet, ankle, knees elbows. Also had lightheaded but no vertigo. Rare HA. Abd pain but this preceded vaccine. Ibuprofen/Aleve
Age: 4.0
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Condition aggravated, Eczema, Injection site erythema, Rash
Clinical narrative: Patient received DTaP in LA thigh 8/28/07 she comes in today with erythema at the site, an area of 4 x 4 cm. Rash on chest since this AM act eczema on hands-Benadryl 12.5 mg PO given
Age: 7.0
Sex: M
Vaccine: HEPA, IPV, MMR, TD, VARCEL
Symptoms: Rash, Urticaria
Clinical narrative: Pt developed reels and red areas around neck and chest area, no c/o difficulty breathing or SOB. Pt given 200mg Benadryl PO and observed in exam room for one hr.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Immunizations given on 8-27-07 Mom called on 8-27-07 reported increased swelling at injection site. Area red and hot to touch. Seen by MD on 8-29-07" Lt deltoid 3 cm induration, inj. point visible overlying. Total induration 12 cm sup to inf and 5-6 cm ant post. No streaking, No discharge, No crusting, mild ant edema no erythema
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash, Urticaria, Vomiting
Clinical narrative: Given Varivax at medical center. Left office and returned with emesis approx 10 min after shot Emesis -> urticaria-> 25 mg Benadryl given. VSS throughout. D/C with rash. Completely resolved by A.M.
Age: 0.6
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Erythema, Rash
Clinical narrative: Vaccines given at 2:30 PM. Mom called advised nurse at 5:20 PM stating patient had developed rash on back, which spread to abdomen and then behind ears. Described as bright pink spots. Mom states rash spread rapidly. Patient brought back to clinic for recheck. No fever or resp. symptoms. Benadryl given. Mom called next day for f/u instructions.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Redness and swelling to left arm, radiates to left forearm.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema, Injection site nodule
Clinical narrative: (R) thigh 0.5 cm in diameter red raised nodule (L) thigh 0.25 cm in diameter red raised nodule
Age: 15.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Pt given vaccination on 8/27/07 in (LA) Sq. Now with 7cm x 6 cm area of erythema with mild induration
Age: 5.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Injection site necrosis, Injection site nodule, Skin warm
Clinical narrative: Day 1 after vaccine, hard nodule formed at site of injection, nodule resolved then erythema spread over back of arm from axilla to elbow. Pt seen  7/18/07 - tx'd for possible cellulitis w/ Keflex PO and oral Benadryl. Follow-up Information 29-OCT-2007: 8/14/07 - received varicella and Hepatitis A vaccines - site where varicella vaccine was given, localized erythema with firm nodule appeared the next day with erythma firmness, warmth spreading over back of upper arm to elbow - Tx'd for possible cellulitis - Pt did not return for follow-up.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site urticaria
Clinical narrative: Large wheal at injection site - tx - ice, chlorpheniramine.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Cellulitis, Erythema, Oedema peripheral
Clinical narrative: red and swollen right thigh diagnosis-cellulitis antibiotic-Cephalexin 125 mg
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Cyst, Pain, Tenderness
Clinical narrative: Cysts like bump on left forearm, tender, hurts when pressed on.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Cellulitis, Erythema, Swelling
Clinical narrative: Red and swollen right thigh. Diagnosis - cellulitis. Antibiotic - Cephalexin 125mg.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Eye swelling, Pruritus
Clinical narrative: Within 5-10 of receiving vaccinations client c/o itching feet and eyes, eyes became puffy after 5 mins-client given 25mg diphenhydramine SQ-itching subsided within 20 mins
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Cellulitis
Clinical narrative: Pt developed superficial cellulitis and required oral abx.
Age: 16.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: Pt immunized 8/22. No symptoms for about 24 hours. Pt with redness and swelling on (L) deltoid at about 24 hours (8/23).
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness, swelling over shot area
Age: 51.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Injection site erythema, Injection site swelling, Injection site warmth, Type III immune complex mediated reaction
Clinical narrative: Received anthrax shot morning, by evening vaccination site had turned red, warm to touch, swelling, turned to ache in joints by Sunday morning. Sought care Tues 4/17 and was diagnosed with arthus reaction, tx with ice x 2 and ibuprofen and some improvement seen Wed morning.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Vomiting
Clinical narrative: Vomiting every 1 hour to 1 1/2 hours-started in the middle of the night. No fever and there was no swelling or redness at the sight. Behavior was fine, child playing-etc...
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Hyperaesthesia, Rash, Swelling
Clinical narrative: Mom noticed rash on (R) arm 1 day after shot given. Rash is red and swollen. Only "hurts"when touched.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Oedema peripheral, Pyrexia, Skin warm
Clinical narrative: From exam on 8-23-07, T 98.2 ax, (R) upper arm swollen, erythematous, warm, no notable tenderness to palpation. No sharp demarcations. Good ROM of arm, normal sensation. Mom reports that 24 hours after vaccine she noted swelling of (R) UE. Took to clinic and started on Augmentin, r/o cellulitis. Mom tried ice and Ibuprofen. Mom reports to activity - subjective fever.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Herpes zoster
Clinical narrative: Shingles on left thigh. Given Zovirax orally 200mg QID x 5 days.
Age: 1.7
Sex: M
Vaccine: DTAP, HEPA, HIBV
Symptoms: Pruritus, Pyrexia, Urticaria
Clinical narrative: Hives and fever 106 lasted 3-4 days. Itching.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Redness, pain, swelling to site and fever
Age: 16.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site necrosis, Injection site warmth
Clinical narrative: Mom phoned office 8-22-07 at 11:50 AM, stating pt. has large, hard, hot to touch area where Varivax was given.