chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Headache, Paraesthesia
Clinical narrative: On set of tingling in left pinky finger started about one week after second injection. Symptoms have gotten worse and now have traveled to ring finger, hand, arm, leg, foot and toes all centralized to the left side. She is experiencing dizzy spells and headaches that last days at a time.  We are in the third to forth week of this and she has been taken to her pediatrician who is consulting with a neurologist. No word back yet.  We do not know if there will be permanent damage at this time. 9/18/08-records received-presented to PCP on 9/8/08- C/O left arm and leg numbness for past 2 weeks. Started with left pinky and progressed to arm. Left leg becomes numb and tingly. Headache off and on for few months some dizziness a month ago. PE normal. Seen in PCP office on 9/11/08-C/O recurrent headaches and recurrent numbness.  To see neurologist.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Drug hypersensitivity, Injection site cellulitis, Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Patient received imms on 8/18/08 and on 8/20/08 her Lt. thigh was red and swollen(5" by 4") per mom.She was seen by her own MD and also 4 times in the ER. Also seen by a pediatrician. Diagnosed with cellulitis and put on Bactrim. It did improve. She was given a second course of Bactrim but developed an allergic reaction to it and was switched to Zithromax.She has had fevers off and on as hihg as 102.5.
Age: 4.0
Sex: F
Vaccine: MMR
Symptoms: Urticaria
Clinical narrative: 2 days after vaccines Child presented hives on her legs.  3 days after she had hives on her legs, arms, butt, and back.  Was taken back to the doctors on the 3rd day after and was told to administer Claritin Redi Tabs 1 tab bid. 4 days after she had hives on her chest, back, legs, feet, hands, face, back of neck, and butt. There were alot more of them on the 4th day after having had 3 doses of Claritin.  They are still there and not fading.
Age: 1.08
Sex: F
Vaccine: DTAP, HEPA, HIBV, IPV, MMR, PNC, VARCEL
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Patient developed papular, puritic  areas on B thighs at injection sites. the areas are nontender wilth no edema no erythema
Age: 12.0
Sex: M
Vaccine: IPV, MMR, IPV, MMR
Symptoms: Amnesia, Confusional state, Dizziness, Feeling hot, Headache
Clinical narrative: 9/6/08, 6:00 p.m., Patient began complaining of feeling dizzy.  The next morning the dizziness was increased, he complained of a severe headache and right arm numbness [the arm in which the MMR was given], and he exhibited memory loss and confusion when trying to read.  He also reported that his right arm had been swollen at some time in the night.  On physical exam, the MD noted significantly enlarged lymph nodes in his neck.  Patient felt warm to me, despite a normal oral temperature.  He had spent the night with a friend, and because I had not been with him to observe the development of his complaints, and because of the complaint of severe headache and arm numbness, I called the on-call pediatric office, who referred us to the ER.
Age: 12.0
Sex: M
Vaccine: IPV, MMR, IPV, MMR
Symptoms: Hypoaesthesia, Laboratory test abnormal, Lymphadenopathy, Oedema peripheral, Streptococcal identification test negative
Clinical narrative: 9/6/08, 6:00 p.m., Patient began complaining of feeling dizzy.  The next morning the dizziness was increased, he complained of a severe headache and right arm numbness [the arm in which the MMR was given], and he exhibited memory loss and confusion when trying to read.  He also reported that his right arm had been swollen at some time in the night.  On physical exam, the MD noted significantly enlarged lymph nodes in his neck.  Patient felt warm to me, despite a normal oral temperature.  He had spent the night with a friend, and because I had not been with him to observe the development of his complaints, and because of the complaint of severe headache and arm numbness, I called the on-call pediatric office, who referred us to the ER.
Age: 12.0
Sex: M
Vaccine: IPV, MMR, IPV, MMR
Symptoms: Viral infection
Clinical narrative: 9/6/08, 6:00 p.m., Patient began complaining of feeling dizzy.  The next morning the dizziness was increased, he complained of a severe headache and right arm numbness [the arm in which the MMR was given], and he exhibited memory loss and confusion when trying to read.  He also reported that his right arm had been swollen at some time in the night.  On physical exam, the MD noted significantly enlarged lymph nodes in his neck.  Patient felt warm to me, despite a normal oral temperature.  He had spent the night with a friend, and because I had not been with him to observe the development of his complaints, and because of the complaint of severe headache and arm numbness, I called the on-call pediatric office, who referred us to the ER.
Age: 12.0
Sex: M
Vaccine: IPV, MMR, IPV, MMR
Symptoms: Blood calcium decreased, Confusional state, Dizziness, Full blood count, Haemoglobin normal
Clinical narrative: 9/6/08, 6:00 p.m., Patient began complaining of feeling dizzy.  The next morning the dizziness was increased, he complained of a severe headache and right arm numbness [the arm in which the MMR was given], and he exhibited memory loss and confusion when trying to read.  He also reported that his right arm had been swollen at some time in the night.  On physical exam, the MD noted significantly enlarged lymph nodes in his neck.  Patient felt warm to me, despite a normal oral temperature.  He had spent the night with a friend, and because I had not been with him to observe the development of his complaints, and because of the complaint of severe headache and arm numbness, I called the on-call pediatric office, who referred us to the ER.
Age: 12.0
Sex: M
Vaccine: IPV, MMR, IPV, MMR
Symptoms: Headache, Hypoaesthesia, Oedema peripheral, Streptococcal identification test, White blood cell count decreased
Clinical narrative: 9/6/08, 6:00 p.m., Patient began complaining of feeling dizzy.  The next morning the dizziness was increased, he complained of a severe headache and right arm numbness [the arm in which the MMR was given], and he exhibited memory loss and confusion when trying to read.  He also reported that his right arm had been swollen at some time in the night.  On physical exam, the MD noted significantly enlarged lymph nodes in his neck.  Patient felt warm to me, despite a normal oral temperature.  He had spent the night with a friend, and because I had not been with him to observe the development of his complaints, and because of the complaint of severe headache and arm numbness, I called the on-call pediatric office, who referred us to the ER.
Age: 34.0
Sex: F
Vaccine: HEPAB
Symptoms: Dizziness, Vomiting
Clinical narrative: 10 minutes after twinrx injection pt. felt dizzy and started vomiting. phenagren 25mg injection was given then after 20 min symptoms went away.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Injection site bruising, Injection site mass
Clinical narrative: Baby given pediarix in right thigh at about 1130a 9/4/2008.  mom noted a knot in the skin 2 inches medial to the shot site.  the knot got bigger over the next couple hours and bruised looking.  parents brought the infant back on 9/5/2008, stating 'the nurse had stabbed the infant with the needle, it went though his leg.' Dr  looked at the leg and felt that the bruise/knot on the right top of thigh, 2 inches away was not related to the injection site on the lateral side of right leg
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Diarrhoea, Vomiting
Clinical narrative: vomiting, loose stool x1  9/23/08 Reviewed hospital medical records of 8/28-8/30/2008. FINAL DX:  vomiting, lethargy, resolved.  Suspect immunization reaction. Records reveal patient experienced vomiting & lethargy later on the day of vaccination then became lethargic.  Tx in ER w/IVF & IV antibiotics.   Improved & d/c to home.
Age: 0.5
Sex: M
Vaccine: DTP, FLUX, HIBV, OPV
Symptoms: Anorexia, Asthenia, Febrile convulsion, Moaning, Pyrexia
Clinical narrative: After receiving vaccinations, my son was developing a fever at 102 degree at that night.  I treated him tylenol infants' drop 0.6ML at 8:30pm.  After one hour, his fever was not decreased.  I called his doctor and was advised to treat him tylenol again after 4 hours.  Around 10pm, my son was getting so weak, vomit, moaning and febrile convulsion.  He was taking his second tylenol at 12:30am.  In the next morning, he had low-grade fever and no appetite.
Age: 0.5
Sex: M
Vaccine: DTP, FLUX, HIBV, OPV
Symptoms: Vomiting
Clinical narrative: After receiving vaccinations, my son was developing a fever at 102 degree at that night.  I treated him tylenol infants' drop 0.6ML at 8:30pm.  After one hour, his fever was not decreased.  I called his doctor and was advised to treat him tylenol again after 4 hours.  Around 10pm, my son was getting so weak, vomit, moaning and febrile convulsion.  He was taking his second tylenol at 12:30am.  In the next morning, he had low-grade fever and no appetite.
Age: 5.0
Sex: M
Vaccine: PPV
Symptoms: Asthenia, Condition aggravated, Convulsion, Gait disturbance, Hypoglycaemia
Clinical narrative: FEVER UP TO 103.8 WITHIN < 24 HOURS OF ADMINISTRATION AND LASTED FOR 72 HOURS, STILL HAS LOW GRADE FEVER TO 100 DEGREES F. ON 4TH DAY AFTER ADMINISTRATION, ALSO HAS REDNESS, SWELLING AND INCREASED WARMTH OF RIGHT THIGH MEASURING 11 X 8.5 CM AND STILL PRESENT 4 DAYS AFTER ADMINISTRATION, TREATED FOR THIGH CELLULITIS WITH AUGMENTIN 600/42.9/5 ML- ONE TEASPOON BID X 10 DAYS, PATIENT ALSO EXPERIENCED "BLOOD SUGAR" SEIZURE (FROM PRESUMED HYPOGLYCEMIA) PER MOM 1 DAY AFTER THE INJECTION WAS GIVEN. HAS HISTORY OF THESE BUT HAD NOT HAD ONE FOR 3 YEARS. CHILD WAS PALE AND WEAK WITH HIGH FEVER, HIVES ON LIP AND BACK PEA-SIZE 24 HOURS AFTER INJECTION, WENT AWAY WITH BENADRYL. PAIN WITH WALKING FROM THIGH CELLULITIS.
Age: 5.0
Sex: M
Vaccine: PPV
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling, Injection site warmth, Pain
Clinical narrative: FEVER UP TO 103.8 WITHIN < 24 HOURS OF ADMINISTRATION AND LASTED FOR 72 HOURS, STILL HAS LOW GRADE FEVER TO 100 DEGREES F. ON 4TH DAY AFTER ADMINISTRATION, ALSO HAS REDNESS, SWELLING AND INCREASED WARMTH OF RIGHT THIGH MEASURING 11 X 8.5 CM AND STILL PRESENT 4 DAYS AFTER ADMINISTRATION, TREATED FOR THIGH CELLULITIS WITH AUGMENTIN 600/42.9/5 ML- ONE TEASPOON BID X 10 DAYS, PATIENT ALSO EXPERIENCED "BLOOD SUGAR" SEIZURE (FROM PRESUMED HYPOGLYCEMIA) PER MOM 1 DAY AFTER THE INJECTION WAS GIVEN. HAS HISTORY OF THESE BUT HAD NOT HAD ONE FOR 3 YEARS. CHILD WAS PALE AND WEAK WITH HIGH FEVER, HIVES ON LIP AND BACK PEA-SIZE 24 HOURS AFTER INJECTION, WENT AWAY WITH BENADRYL. PAIN WITH WALKING FROM THIGH CELLULITIS.
Age: 5.0
Sex: M
Vaccine: PPV
Symptoms: Pallor, Pyrexia, Urticaria
Clinical narrative: FEVER UP TO 103.8 WITHIN < 24 HOURS OF ADMINISTRATION AND LASTED FOR 72 HOURS, STILL HAS LOW GRADE FEVER TO 100 DEGREES F. ON 4TH DAY AFTER ADMINISTRATION, ALSO HAS REDNESS, SWELLING AND INCREASED WARMTH OF RIGHT THIGH MEASURING 11 X 8.5 CM AND STILL PRESENT 4 DAYS AFTER ADMINISTRATION, TREATED FOR THIGH CELLULITIS WITH AUGMENTIN 600/42.9/5 ML- ONE TEASPOON BID X 10 DAYS, PATIENT ALSO EXPERIENCED "BLOOD SUGAR" SEIZURE (FROM PRESUMED HYPOGLYCEMIA) PER MOM 1 DAY AFTER THE INJECTION WAS GIVEN. HAS HISTORY OF THESE BUT HAD NOT HAD ONE FOR 3 YEARS. CHILD WAS PALE AND WEAK WITH HIGH FEVER, HIVES ON LIP AND BACK PEA-SIZE 24 HOURS AFTER INJECTION, WENT AWAY WITH BENADRYL. PAIN WITH WALKING FROM THIGH CELLULITIS.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Headache
Clinical narrative: See attached does; The patient presents with headache. These symptoms began 2 months ago. Other comments Include: seen here for headaches about 6 weeks ago was referred to Dr at that time mother has been unable to get through to the neurology department though (and Dr now on maternity leave); bad headaches twice a day now has been able to continue her job went to ER last month for a headache, there head CT normal. Comments: patient said that she has been getting headaches on and off since June she would like some bloodwork done.
Age: 37.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Chills, Erythema, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Edema, Fever, chills, local swelling, heat, erythema. L arm injection site and surrounding tissue with erythema, swelling, L axillary lymph nodes are enlarged and tender. Severe pain upper left arm. Tdap injection 9/2/08. 9/22/08-records received for DOS 9/6/08-presented to ED with C/O fever and pain and swelling at injection site of Tdap left upper extremity. Very painful axilla. Left upper extremity macular, warm erythema. DX hypersensitivity vs. cellulitis left upper extremity. Probably cellulitis possible abscess.
Age: 37.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injection site warmth, Local swelling, Lymph node pain, Lymphadenopathy, Oedema
Clinical narrative: Edema, Fever, chills, local swelling, heat, erythema. L arm injection site and surrounding tissue with erythema, swelling, L axillary lymph nodes are enlarged and tender. Severe pain upper left arm. Tdap injection 9/2/08. 9/22/08-records received for DOS 9/6/08-presented to ED with C/O fever and pain and swelling at injection site of Tdap left upper extremity. Very painful axilla. Left upper extremity macular, warm erythema. DX hypersensitivity vs. cellulitis left upper extremity. Probably cellulitis possible abscess.
Age: 37.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Pyrexia
Clinical narrative: Edema, Fever, chills, local swelling, heat, erythema. L arm injection site and surrounding tissue with erythema, swelling, L axillary lymph nodes are enlarged and tender. Severe pain upper left arm. Tdap injection 9/2/08. 9/22/08-records received for DOS 9/6/08-presented to ED with C/O fever and pain and swelling at injection site of Tdap left upper extremity. Very painful axilla. Left upper extremity macular, warm erythema. DX hypersensitivity vs. cellulitis left upper extremity. Probably cellulitis possible abscess.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Lethargy, Pneumonia, Pyrexia
Clinical narrative: Fever x 5 days, pneumonia, extreme lethargy. Was admitted to hospital.  9/16/08 Reviewed hospital medical records of 8/22-8/25/2008. FINAL DX: none provided but tx for pneumonia Records reveal patient experienced cough x 1 week. On day of vaccination patient developed fever, lethargy & wet cough when worsened over 2 days & seen by PCP.  O2 sats were 87% w/rapid breathing, spasmodic cough & chest crackles.  Tx w/nebs & sats inproved to low 90's but clinically unchanged.  Admitted for observation.  Tx s/nebs, O2, steroids, IVF, IV antibiotics.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Diarrhoea, Malaise, Skin papilloma, Vomiting
Clinical narrative: Patient's mom say first vaccine was 8-2-07.  (Patient got sick on 8-31-07.  (Vomiting, diarrhea x 2 days) no doctor visit).  Second vaccine 10-12-07.  Patient had abd pain, pain 1 week later and was in hospital.  Oct 14 left hospital.  Last dose 2-26-08 - patient got sick March 7th and pain now has warts on knees.  9/15/2008 MR received for 3 admssions: 10/16-20/07 with D/C Dx:  Abdominal pain with persistance after multiple evaluations. 10/27-30/2007 with D/C DX: Nausea, Vomiting, Abdominal Pain, mild non-erosive gastritis.  helicobacter pylori. Recent appendectomy.  hematuria, need outpt f/u. Constipation. 02/8-15/2008 with D/C DX:  Intractable nausea and vomiting.  Severe epigastric pain NOS. Mild ileus. Pt initially presented to ER 10/16/07 with c/o RLQ abd pain, nausea, decreased appetite and fever.  W/u (-) but sent for laparoscopy with appendectomy. D/C stable.  Returned 10/27/07 and admitted with chest pain, nausea, vomiting and abd pain. Required PCA for pain mgmt. Sx improved with PPI and Carafate and D/c. Returned 2/8/08 with recent return of sx, now with epigastric pain. pt awakens from sleep screaming in pain. Again required PCA. Etiology of sx unclear per GI consult.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, MMR
Symptoms: Wrong drug administered
Clinical narrative: Child given PEDIARIX to complete 5th Dtap and 5th IPV, instead of INFANRIX and IPV. No adverse reaction occurred.
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Induration, Pain
Clinical narrative: Area of erythema and induration 1 1/2 inches x 2 1/4 inches. Complained of pain at area. No drainage. Treated with Keflex and cool compresses.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Erythema, Immediate post-injection reaction, Urticaria
Clinical narrative: 30-60 seconds after injection redness, 2 min after inj hives. 10 min. after inj. gave BENADRYL PO. 10 min after oral BENADRYL, Hive gone and redness decreasing.
Sex: F
Vaccine: DTAP, IPV, PNC, RV5
Symptoms: Erythema, Rash papular, Skin exfoliation
Clinical narrative: Pink to slight erythematous flaky patches over torso, more scattered papules over torso, few macules and excuriations over torso and face. No hives/urticaria . Suspect dermatitis - concurrent exacerbation due to recent immunizations. Clinically improving.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Dysmenorrhoea, Ultrasound scan
Clinical narrative: Since completing vaccines she has developed dysmenorrhea
Age: 5.0
Sex: M
Vaccine: DTAP, FLUN3, IPV, MMR, VARCEL
Symptoms: Oedema peripheral, Weight bearing difficulty
Clinical narrative: Swelling of left leg from upper thigh to below knee-increasing knot. Inability to bear weight.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site warmth, Pain in extremity
Clinical narrative: Vaccinated Wed 9/3. On Sat 9/6 noticed arm hurt to touch - not sore otherwise. On Sun 9/7, arm was hot and red around injection site - No fever - called H.D. and Dr - was free to take Motrin or Tylenol and use cool compress. If not better in a few days gets worse to call us:
Age: 4.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: TDAP was given inadvertently.  DTAP should have been given.  No reaction was reported.
Age: 13.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: 6 x 8 cm swelling and redness, left upper deltoid, site of injections 2 d before.
Age: 15.0
Sex: M
Vaccine: MNQ
Symptoms: Nervousness, Presyncope
Clinical narrative: Very nervous about getting vaccine. Preceded by smaller step-adopted brother. Received vaccine w/o any resistance. Walked down hall and into waiting room-sat in chair and almost passed out-Instructed to put head down and give cool cloth for back of neck and forehead.
Age: 47.0
Sex: M
Vaccine: HEPA
Symptoms: Wrong drug administered
Clinical narrative: Peds dose given instead of adult dose. Client called and informed client to return for adult Hep A #1 then follow 6 months for Hep A #2. Medication error.
Age: 6.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Abscess, Skin lesion, Urticaria
Clinical narrative: Received Hepatitis A and Varivax vaccines.  Developed 2 urticaria lesion on face and urticaria abscess 1/2 hour later then urticaria progressed.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, MMR, VARCEL
Symptoms: Varicella
Clinical narrative: Mild case of varicella
Age: 15.0
Sex: M
Vaccine: HEPA, TTOX
Symptoms: Medication error
Clinical narrative: Immunizations were administered without my permission and not needed.  Wrong chart - immunization card in patient's file - it was my other child - he did not need shots either.
Age: 24.0
Sex: F
Vaccine: HEP, MMR, VARCEL, HEP, MMR, VARCEL
Symptoms: Erythema, Pruritus, Rash, Skin warm
Clinical narrative: Friday or Saturday face itching, red, warm to touch. Body feels warm to touch, like running a fever. Observed from patient face red, warm to touch with small red bumps all over resembling a rash. Instructed pt to take 25 mg BENADRYL and apply hydrocortisone to face BID. F/U in 1 day.
Age: 24.0
Sex: F
Vaccine: HEP, MMR, VARCEL, HEP, MMR, VARCEL
Symptoms: Erythema, Pruritus, Rash erythematous, Skin warm
Clinical narrative: Friday or Saturday face itching, red, warm to touch. Body feels warm to touch, like running a fever. Observed from patient face red, warm to touch with small red bumps all over resembling a rash. Instructed pt to take 25 mg BENADRYL and apply hydrocortisone to face BID. F/U in 1 day.
Age: 4.0
Sex: M
Vaccine: IPV
Symptoms: Unevaluable event
Clinical narrative: Patient on chemotherapy for ALL.  Administered 4th IPV.  Given outside recommendations.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Pallor, Pharyngitis, Pyrexia, Rash, Tonsillitis
Clinical narrative: Receive MMR, VZV and PREVNAR on 8/12/08. Developed fever 8/14, doctor visit 8/15/08, had URI symptoms. stuffy nose, fever 103.3. No swelling at site of vaccine. Pharyngitis +, and tonsillitis, nl color, started Amoxicillin, swabs sent to lab for strep. Developed rash 8/23 over face, scalp, neck, trunk, extremities (maculopapular), blanching, no fever then, workup  + cat well. 7 day course of antibiotics completed on 8/22. BENADRYL started.
Age: 1.0
Sex: F
Vaccine: IPV, VARCEL
Symptoms: Crying, Erythema, Pyrexia, Rash, Swelling
Clinical narrative: Crying inconsolably greater 1 hour, temperature greater 101.  Red, raised, swollen rash top of head down to buttocks (? hives).
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Contusion, Erythema, Local reaction
Clinical narrative: Erythema and bruising on left upper arm that stayed present for nearly 2 weeks. No fevers. Large local reaction after DTaP #5; It gradually resolved on its own.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Local reaction, Swelling
Clinical narrative: Large, local reaction after DTaP #5.  Entire appearance red and swollen up to 5 days after vaccine was given.  Afebrile.  Child was able to use arm just fine.
Age: 1.4
Sex: M
Vaccine: DTAP, HEPA, MMR, PNC, VARCEL
Symptoms: Pyrexia
Clinical narrative: Patient received 5 vaccinations - high down x 3 days now resolved.
Age: 1.0
Sex: M
Vaccine: DTAP, HEPA, MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Fever and generalized rash - onset few days after vaccination rash is measles-like.
Age: 42.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Started itching within 1 hour - no hives; fine rash - turned red - went to ER on 9/6 given prednisone and Zanta
Age: 0.8
Sex: M
Vaccine: HIBV, PNC
Symptoms: Pyrexia, Rash maculo-papular
Clinical narrative: Fever, maculopapular rash to face and trunk occurring 3 days after receiving vaccines.
Age: 1.3
Sex: F
Vaccine: VARCEL
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Fever of 104 less than 24 hours if receiving VARIVAX. Had febrile seizure as well. Child had febrile seizure 03/18/08 which was not related to vaccines.
Age: 1.8
Sex: M
Vaccine: DTAP, HEPA, VARCEL
Symptoms: Blister, Rash, Scab
Clinical narrative: 21 month old recently received vaccinations 21 Aug 08, 5 days later developed blistering rash over left wrist, now resolving.  Then right wrist which is now crusting and smaller rash above right eyebrow.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Headache, Muscle spasms, Paraesthesia, Pyrexia
Clinical narrative: Initial information was received from a health care professional on 18 August 2008.  A 17 year old female with allergies to augmentin, penicillin, strawberries, cashews, and pitted fruits received a first dose injection of MENACTRA (U2422AA) intramuscularly in the left deltoid on 14 August 2008.  On 14 August 2008 she complained of "pins and needles" in the hands, fingers, and feet.  A few hours after vaccination she developed cramping in her knees and elbows.  She had a temperature of 101.9 the evening after vaccination.  The following day she complained of a headache.  She was seen by a doctor and her temperature was 98.9.  The patient's recovery status was unknown at the time of the report.  10/31/08 Reviewed PCP office records & vaccination records. Records reveal patient felt dull ping sensation in hands, feet, fingers, toes, cramping feeling in knees & elbows starting evening of vaccination 8/14/08.  Developed HA & fever 8/15/when seen in office & arms/feet/hands were feeling normal.  Was encouraged to rest & increase fluids, monitor condition. No further medical records available.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Diarrhoea, Lethargy, Pyrexia
Clinical narrative: Initial report received on 25 August 2008 from an other manufacturer who had received the original report from their company representative who had obtained the report from a health care professional. An 11-year-old male patient had received "T-Dap" (Trade name not provided), and MENACTRA vaccine on an unspecified date. The lot numbers, routes and sites of administration were not provided. The patient returned to the physician's office a couple of days after receiving the vaccine complaining of fever, diarrhea and lethargy. It was not reported whether the patient received any treatment, or had diagnostic tests completed. The recovery status of the patient was not reported. No further information was provided.
Age: 22.0
Sex: F
Vaccine: MNQ
Symptoms: Disturbance in attention, Fatigue, Headache, Immediate post-injection reaction, Injection site pain
Clinical narrative: Initial non-serious case received from a health care professional on 28 August 2008.  A 22-year-old female patient developed slight swelling at the left deltoid two minutes after receiving an intramuscular left deltoid injection of MENACTRA (lot number U2544AA).  Within 24 hours, the patient complained of increased swelling to 6cm at the left deltoid.  It was painful for the patient to lift her arm, but she did have good range of motion.  The injection site became tender.  The patient also complained of headache, neck pain, fatigue and difficulty concentrating.  The patient was seen by a nurse practitioner who advised taking Benadryl, Tylenol and using an ice pack.  At the time of the report, the patient had not recovered.
Age: 22.0
Sex: F
Vaccine: MNQ
Symptoms: Neck pain, Oedema peripheral, Pain
Clinical narrative: Initial non-serious case received from a health care professional on 28 August 2008.  A 22-year-old female patient developed slight swelling at the left deltoid two minutes after receiving an intramuscular left deltoid injection of MENACTRA (lot number U2544AA).  Within 24 hours, the patient complained of increased swelling to 6cm at the left deltoid.  It was painful for the patient to lift her arm, but she did have good range of motion.  The injection site became tender.  The patient also complained of headache, neck pain, fatigue and difficulty concentrating.  The patient was seen by a nurse practitioner who advised taking Benadryl, Tylenol and using an ice pack.  At the time of the report, the patient had not recovered.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Lymphadenopathy, Pain in extremity
Clinical narrative: Initial report received on 19 Jun 2008 from a nurse. A 12-year-old male patient who had a concurrent illnesses, pre-existing medical conditions or use of other medication, and who had no known allergies, had received a first intramuscular left deltoid injection of MENACTRA (Lot # U2635AA) on 16 June 2008 in the am. The vaccine was administered in a 1cc tuberculin syringe. Approximately 24 hours post-vaccination, on 17 June 2008 in the am, the patient reported lymph node swelling of 2 x 3 cm under the left arm. The left arm was not swollen, but was sore to touch. The patient was evaluated by a physician the following day and prescribed Keflex. The patient was scheduled to have a flu culture dose on 19 June 2008. At the time of this report, the patient had not recovered.
Age: 16.0
Sex: M
Vaccine: DT, MNQ
Symptoms: Diarrhoea, Dysuria, Influenza like illness, Lethargy, Pain
Clinical narrative: Initial report was received 17 April 2008 from a consumer, who is the patient's parent. A 16-year-old male patient had received a right arm injection of MENACTRA (lot number and route of administration not provided) and a left arm injection Tetanus Diphtheria vaccine (manufacturer, lot number and route of administration not provided) on 15 April 2008 and within 24 hours after vaccination, he experienced a fever of 101 degrees Fahrenheit, diarrhea, generalized body aches, flu-like symptoms, dysuria and testicular pain. On 17 April 2008, the following day, the fever elevated to 103 degrees Fahrenheit, body aches worsened and the patient was lethargic. The patient also experienced wheezing for a few hours but no chest tightness and he did not need to use his inhaler. The patient's medical history included Asthma and seasonal allergies and they had been taking Tylenol concomitantly at the time of the vaccination for pain from cutting a wisdom tooth. According to vaccination visit records received, the patient had active medications which consisted of NASACORT, ALLEGRA, ALBUTEROL SULFATE and BENZAMYCIN (Gel). At the time of the report the patient had not recovered from the event. No further information was provided. Follow-up information was received 21 April 2008 from a consumer, who is the patient's parent. The vaccines received by the patient were confirmed to have been MENACTRA, lot number U2613AA and DECAVAC, lot number U1963DA, both manufactured by Sanofi Pasteur. According to the reporter, the patients symptoms resolved by 19 April 2008. No further information was provided. List of documents held by sender: Doctor vaccination summary. This patient experienced two other events which have been captured in cases 2008-01109 and 2008-01110.
Age: 16.0
Sex: M
Vaccine: DT, MNQ
Symptoms: Pyrexia, Testicular pain, Wheezing
Clinical narrative: Initial report was received 17 April 2008 from a consumer, who is the patient's parent. A 16-year-old male patient had received a right arm injection of MENACTRA (lot number and route of administration not provided) and a left arm injection Tetanus Diphtheria vaccine (manufacturer, lot number and route of administration not provided) on 15 April 2008 and within 24 hours after vaccination, he experienced a fever of 101 degrees Fahrenheit, diarrhea, generalized body aches, flu-like symptoms, dysuria and testicular pain. On 17 April 2008, the following day, the fever elevated to 103 degrees Fahrenheit, body aches worsened and the patient was lethargic. The patient also experienced wheezing for a few hours but no chest tightness and he did not need to use his inhaler. The patient's medical history included Asthma and seasonal allergies and they had been taking Tylenol concomitantly at the time of the vaccination for pain from cutting a wisdom tooth. According to vaccination visit records received, the patient had active medications which consisted of NASACORT, ALLEGRA, ALBUTEROL SULFATE and BENZAMYCIN (Gel). At the time of the report the patient had not recovered from the event. No further information was provided. Follow-up information was received 21 April 2008 from a consumer, who is the patient's parent. The vaccines received by the patient were confirmed to have been MENACTRA, lot number U2613AA and DECAVAC, lot number U1963DA, both manufactured by Sanofi Pasteur. According to the reporter, the patients symptoms resolved by 19 April 2008. No further information was provided. List of documents held by sender: Doctor vaccination summary. This patient experienced two other events which have been captured in cases 2008-01109 and 2008-01110.
Age: 18.0
Sex: M
Vaccine: MNQ, TTOX
Symptoms: Computerised tomogram abnormal, Fatigue, Pain, Pyrexia
Clinical narrative: Initial report received from parent of a patient on 13 May an 18 year old, male patient (with a medical history of hayfever and lactose intolerance) developed low grade fever, body aches, fatigue after he received MENACTRA (lot number U2234AA, route and site of administration not provided), Tetanus vaccine and TB Test (manufacturer, lot number, route and site of administration not provided) on 13 November 2007. He was seen at the Medical Center ER X 2 and given antibiotics (CIPRO, AUGMENTIN, AVALOX) with no response. His CAT Scan showed swollen nasal passages. He did not have any illness at the time of vaccination. At the time of the report, he had not recovered.
Age: 57.0
Sex: M
Vaccine: MNQ
Symptoms: Chest X-ray, Inappropriate schedule of drug administration, Laboratory test, Lymphadenopathy
Clinical narrative: Initial information was received from a consumer (patient's parent) on 08 July 2008. A 17 year old male patient with a history of hay fever and a family history of Hodgkin's Disease (patient's father): on 30 June 2008 received an intramuscular left arm injection of MENACTRA (lot number not provided). On 01 July 2008, the patient developed swollen lymph glands in the left clavicle area. The patient had a chest X ray completed and labs drawn (results not provided). The patient's swollen lymph gland continued to resolve. No additional information was reported.
Age: 14.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Full blood count normal, Petechiae
Clinical narrative: Initial report received on 21 April 2008 from a Health Care Professional.  A 14-year-old female patient with no concurrent illnesses had received a first left arm injection of MENACTRA (Lot # U2543AA), and a dose of "TDAP" (Trade name not reported, manufacturer unknown, Lot # AC52B024AA) on 11 April 2008.  The route of the MENACTRA, and the route and site of administration of the "TDAP" were not reported.  Three days post-vaccination, the patient developed generalized petechiae rash, and was subsequently evaluated by a physician and prescribed Prednisone.  A Complete Blood Count was performed on 19 April 2008 that was "normal."  Per the reporter, it was unknown if the patient recovered, and there will be no further patient evaluation for cause of the petechial rash.
Age: 15.0
Sex: F
Vaccine: MNQ
Symptoms: Anger, Crying, Mood swings
Clinical narrative: Initial report was received 16 May 2008 from a health care professional. A 15-year-old female patient had received a left deltoid intramuscular injection of MENACTRA, lot number U2563AA on 04 April 2008, and 30 minutes later, she experienced mood swings, crying and anger. The event last 1.5 hours and the patient recovered from the event. No further information were reported.
Age: 23.0
Sex: M
Vaccine: MNQ
Symptoms: Arthralgia, Asthenia, Pyrexia, Tachycardia
Clinical narrative: Initial report was received 22 May 2008 from a health care a 23-year-old male patient had received an intramuscular left deltoid injection of MENACTRA, lot number U2331AA and within 12 hours of vaccination, he developed tachycardia, joint pains, weakness and a high fever. The patient's heart rate and temperature were not reported. The patient was evaluated by a physician on an unspecified date and results from that medical evaluation were not provided. The patient was reported to have had no past medical history and they had not been ill at the time of vaccination. According to the reporter, the event was still resolving at the time of the report. No further information was provided.
Age: 59.0
Sex: F
Vaccine: HEPA, IPV, TDAP, TYP
Symptoms: Biopsy, Cutaneous lupus erythematosus
Clinical narrative: Initial information received from health care professional on 02 September 2008. A 59 year old female patient with no reported past medical history received an injection of ADACEL (C2997AA), IPOL (AO491-4), TYPHIM VI (AO923-3), and an initial injection of Hepatitis A (AHAVB251AA, manufacturer unknown) on 25 July 2008 (route and site reported). On 29 July 2008 the patient developed a sunburn like reaction on both arms 72 hours post vaccination. The reaction was not seen by the reporter. A skin biopsy was positive for cutaneous lupus. The patient had not recovered at that time.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Asthenia, Ataxia, Cerebellar ataxia, Encephalitis, Motor dysfunction
Clinical narrative: Cerebellitis, Acute Cerebellar Ataxia; Sudden onset weakness and Ataxia  10/07/08 Reviewed hospital medical records of 8/8-8/11/2008, FINAL DX: acute cerebellar ataxia Records reveal patient experienced sudden onset of ataxia on 8/8 consisting of HA, trembling & difficulty walking which progressively worsened until unable to walk.  Had been transferred from outlying ER.  Neuro consult abnormal & revealed ataxic gait,  decreased reflexes, Romberg (+).  Improved & d/c to home w/continued mild ataxia in AM that improved during the day. 1/26/2010 Majority of symptoms are resolved but has persisting fine motor problems.
Age: 17.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Electromyogram abnormal, Injected limb mobility decreased, Musculoskeletal pain, X-ray normal
Clinical narrative: Received call 8/7/08, child in severe left shoulder pain.  Patient seen - injection site not warm/tender/erythemateous.  Patient complained of severe left shoulder pain - strength WNL, ROM WNL.  Given Vicodan/ice.  8/13/08 received call from dad, pain now > right arm and decreased mobility of left = ortho consult suggested ASAP.  8/13/08 received call from ER.  8/14/08 again sugg ortho, our office made appt for 8/15/08.
Age: 14.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Urticaria
Clinical narrative: Hives on right arm; advised Benadryl po
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: No side effects
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness, Hyperhidrosis, Syncope
Clinical narrative: Patient fainted 25 minutes after immunization was given. After incident patient complained of feeling "dizzy and sweaty.  No loss of LOC. Patient didn't get hurt and went home after 40 minutes.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Dizziness, Feeling hot, Syncope
Clinical narrative: Patient fainted 20 minutes after immunization was given. Patient complained of feeling hot and dizzy. No loss of LOC. Patient went home after 30 minutes feeling good.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Dizziness, Nausea
Clinical narrative: At 4:30 am 2/23/08 she developed nausea, abdominal cramping and dizziness that slowly resolved and was gone by midnight of the next day. Patient reported reaction when she came in for her 3rd HPV.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Injection site swelling, Malaise, Oedema peripheral, Pyrexia
Clinical narrative: Child had TDaP immunization on 9-3-08 at 11:30am.  In the early morning hours of 9-4-08 he began to feel unwell, vomiting and swelling of injection site.  Was seen in ER at 4:30AM with fever, significant swelling, redness of left upper arm.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Vomiting
Clinical narrative: Child had TDaP immunization on 9-3-08 at 11:30am.  In the early morning hours of 9-4-08 he began to feel unwell, vomiting and swelling of injection site.  Was seen in ER at 4:30AM with fever, significant swelling, redness of left upper arm.
Sex: F
Vaccine: MEN
Symptoms: Back pain, Bacteria urine, Body temperature increased, Headache, Injection site pain
Clinical narrative: Patient with tender injection site (left deltoid), fever, myalgias, headache, diffuse back pain, malaise.
Sex: F
Vaccine: MEN
Symptoms: Malaise, Myalgia, Pyrexia, White blood cell count normal, White blood cells urine positive
Clinical narrative: Patient with tender injection site (left deltoid), fever, myalgias, headache, diffuse back pain, malaise.
Age: 12.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Chills, Headache, Neck pain, Pain in extremity
Clinical narrative: "Patient" started with pain from neck -> fingertips on same side as vaccine administered left one day after vaccine; she also had chills. The pain persists for 6 days with change of site to right arm, head and neck ache  at different times. At day 6 she was not responding to 2 mg Valium BID or 200 mg Ibuprofen 1-2 times per day. On day 6 we changed to 4 mg Valuim TID and increased Ibuprofen to 600 mg Ibuprofen Q 6 hours.
Age: 12.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Activities of daily living impaired, Arthralgia, Back pain, Chills, Ear pain
Clinical narrative: "Patient" started with pain from neck -> fingertips on same side as vaccine administered left one day after vaccine; she also had chills. The pain persists for 6 days with change of site to right arm, head and neck ache  at different times. At day 6 she was not responding to 2 mg Valium BID or 200 mg Ibuprofen 1-2 times per day. On day 6 we changed to 4 mg Valuim TID and increased Ibuprofen to 600 mg Ibuprofen Q 6 hours.
Age: 12.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Fatigue, Headache, Lumbar puncture, Neck pain, Nuclear magnetic resonance imaging
Clinical narrative: "Patient" started with pain from neck -> fingertips on same side as vaccine administered left one day after vaccine; she also had chills. The pain persists for 6 days with change of site to right arm, head and neck ache  at different times. At day 6 she was not responding to 2 mg Valium BID or 200 mg Ibuprofen 1-2 times per day. On day 6 we changed to 4 mg Valuim TID and increased Ibuprofen to 600 mg Ibuprofen Q 6 hours.
Age: 12.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Nuclear magnetic resonance imaging brain, Pain, Pain in extremity, Paraesthesia
Clinical narrative: "Patient" started with pain from neck -> fingertips on same side as vaccine administered left one day after vaccine; she also had chills. The pain persists for 6 days with change of site to right arm, head and neck ache  at different times. At day 6 she was not responding to 2 mg Valium BID or 200 mg Ibuprofen 1-2 times per day. On day 6 we changed to 4 mg Valuim TID and increased Ibuprofen to 600 mg Ibuprofen Q 6 hours.
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Local erythema and area of edema at injection site, started 24 hours after injection, gradually improved over 5 days.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Rash
Clinical narrative: Mother called 8/30/08 at 10:30 am states "patient" has a splotchy rash on her face, neck, and upper back that she feels is caused by the meningitis shot she received 8/29. Mom states rash was noticed this AM is improving. Mom advised to give Benadryl. If no improvement to call back. Injection site per mom looks fine.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL, HPV4, MNQ, TDAP, VARCEL
Symptoms: Acne, Culture wound, Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Multiple red pustules with surrounding erythema starting 13-14 days after receiving multiple vaccines. Follow-up Information 05-SEP-2008: Client states approx. 1 hour after receiving imms on 8/19/08 both arms became swollen and painful. Client states this lasted 4 days then resolved. Then on 9/1/08 client reports she had swelling and black and blue marks in her upper arms with approx 20-30 "pimples" on her arms, face, and head. She states they were painful to the touch. Client visited the health center 9/3/08 for evaluation. PP gave client a prescription for Bactrim, took culture of her "pimples" that are now scabbed over and made a follow-up appt for next week.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL, HPV4, MNQ, TDAP, VARCEL
Symptoms: Rash pustular, Scab
Clinical narrative: Multiple red pustules with surrounding erythema starting 13-14 days after receiving multiple vaccines. Follow-up Information 05-SEP-2008: Client states approx. 1 hour after receiving imms on 8/19/08 both arms became swollen and painful. Client states this lasted 4 days then resolved. Then on 9/1/08 client reports she had swelling and black and blue marks in her upper arms with approx 20-30 "pimples" on her arms, face, and head. She states they were painful to the touch. Client visited the health center 9/3/08 for evaluation. PP gave client a prescription for Bactrim, took culture of her "pimples" that are now scabbed over and made a follow-up appt for next week.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL, HPV4, MNQ, TDAP, VARCEL
Symptoms: Acne, Oedema peripheral, Pain in extremity, Scab, Skin discolouration
Clinical narrative: Multiple red pustules with surrounding erythema starting 13-14 days after receiving multiple vaccines. Follow-up Information 05-SEP-2008: Client states approx. 1 hour after receiving imms on 8/19/08 both arms became swollen and painful. Client states this lasted 4 days then resolved. Then on 9/1/08 client reports she had swelling and black and blue marks in her upper arms with approx 20-30 "pimples" on her arms, face, and head. She states they were painful to the touch. Client visited the health center 9/3/08 for evaluation. PP gave client a prescription for Bactrim, took culture of her "pimples" that are now scabbed over and made a follow-up appt for next week.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Aura, Headache, Nuclear magnetic resonance imaging brain normal, Visual disturbance
Clinical narrative: Began having ocular auras 6/30/08. Saw opthamologist 7/2/08. Tests all OK. Told me to see Medical Dr if auras continued. Dull headaches began (ocular auras continued also) 7/20. Saw Dr 7/24/08. Prescribed Propranolol 80 mg and Tylenol x strength. Auras and headaches continued, headaches worsening. Saw Dr 8/7/08. Charged med. to Verapamil 120mg. Dr added Isometh-D-Chloralphanz-APAP after phone consult. Scheduled Brain MRI. Had MRI on 8/16 - showed no bleeding, clots, tumors (8/13-Dr Rx Xanax .25mg - at night); Still having severe headaches and auras. No previous headache or auras history.
Age: 10.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Syncope
Clinical narrative: Patient fainted after getting her shot.  Mom had told us ahead of time she might.  We had the back of the exam table in sitting position so she could lean against it.  We laid her down and gave her a sucker.  After she felt better we sat her up in stances and leg exercises and gave her a mountain dew.  She fainted a 2nd time.  Had her lay down for about 1/2 hour then had her rest in waiting room then escorted her to her car.
Age: 20.0
Sex: F
Vaccine: MNQ
Symptoms: Decreased appetite, Nausea, Vomiting
Clinical narrative: Patient returned to clinic on 9/3/08 stating that her private physician thought she might have had on adverse reaction to MENACTRA due to ? latex allergy - she reports nausea, vomiting, and decreased appetite with onset about 24 hours after vaccination which was resolved in - 10 days-
Age: 6.0
Sex: M
Vaccine: FLUN3
Symptoms: Blood pressure decreased, Disorientation, Heart rate increased, Hyperhidrosis, Immediate post-injection reaction
Clinical narrative: Near syncopal event immediately following Flumist.  Patient had increased heart rate, decreased blood pressure, pallor, diaphoresis and disorientation, all self resolved.
Age: 6.0
Sex: M
Vaccine: FLUN3
Symptoms: Pallor, Presyncope
Clinical narrative: Near syncopal event immediately following Flumist.  Patient had increased heart rate, decreased blood pressure, pallor, diaphoresis and disorientation, all self resolved.
Age: 9.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Inappropriate schedule of drug administration, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Swelling, erythema, pruritis; entire injection site posterior left arm.
Age: 11.0
Sex: M
Vaccine: DTAP, MNQ, VARCEL
Symptoms: Angioedema, Dyspnoea, Immediate post-injection reaction, Nasal congestion, Nausea
Clinical narrative: Patient immediately developed nausea, vomiting followed by nasal congestion which rapidly progressed to dyspnea and SOB and angioedema.  He was given IM Benadryl and SQ epinephrine and observed in the ER for 6 hours.  Sent home with epi pen, undergoing allergy testing.
Age: 11.0
Sex: M
Vaccine: DTAP, MNQ, VARCEL
Symptoms: Vomiting
Clinical narrative: Patient immediately developed nausea, vomiting followed by nasal congestion which rapidly progressed to dyspnea and SOB and angioedema.  He was given IM Benadryl and SQ epinephrine and observed in the ER for 6 hours.  Sent home with epi pen, undergoing allergy testing.
Age: 59.0
Sex: F
Vaccine: TDAP
Symptoms: Aspiration joint, Injected limb mobility decreased, Laboratory test normal, Nuclear magnetic resonance imaging abnormal, Pain in extremity
Clinical narrative: On 6-17-08, I received a T-DAP shot in left arm.  Within 2 days, I couldn't raise my arm in any direction and had severe pain.  On 7-1-08, I had an MRI left shoulder - moderate interfusion capsulitis.  U/S aspiration of joint and tendon sheath - labs all negative.  8-26-08 arm is still only about 30-40% of normal w/much pain.