chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 2.0
Sex: M
Vaccine: DTP, PPV, DT, PPV
Symptoms: Abasia, Convulsion, Dyspnoea, Grand mal convulsion, Hallucination
Clinical narrative: Approximately 11 hours following vaccination, the patient developed visual hallucinations and mild lower extremity weakness. He was afebrile when symptoms started, but over the next several hours developed fever (max 101.9 F).  Hallucinations and weakness resolved within next 5-6 hours.  He was evaluated in the emergency room (labs listed below) at which time symptoms had resolved and were thought due to fever.  En route to  home, the patient's parents reported that he had a generalized tonic clonic seizure and was evaluated another emergency department and discharged home.  Over the next 2 weeks, he returned to baseline except for brief, intermittent periods of weakness, odd jerking movements and occasional biting.  These resolved completely over the next month.
Age: 2.0
Sex: M
Vaccine: DTP, PPV, DT, PPV
Symptoms: Inflammation, Nuclear magnetic resonance imaging brain, Oedema peripheral, Personality change, Pyrexia
Clinical narrative: Approximately 11 hours following vaccination, the patient developed visual hallucinations and mild lower extremity weakness. He was afebrile when symptoms started, but over the next several hours developed fever (max 101.9 F).  Hallucinations and weakness resolved within next 5-6 hours.  He was evaluated in the emergency room (labs listed below) at which time symptoms had resolved and were thought due to fever.  En route to  home, the patient's parents reported that he had a generalized tonic clonic seizure and was evaluated another emergency department and discharged home.  Over the next 2 weeks, he returned to baseline except for brief, intermittent periods of weakness, odd jerking movements and occasional biting.  These resolved completely over the next month.
Age: 2.0
Sex: M
Vaccine: DTP, PPV, DT, PPV
Symptoms: Sleep study, Tremor, Vaccination complication
Clinical narrative: Approximately 11 hours following vaccination, the patient developed visual hallucinations and mild lower extremity weakness. He was afebrile when symptoms started, but over the next several hours developed fever (max 101.9 F).  Hallucinations and weakness resolved within next 5-6 hours.  He was evaluated in the emergency room (labs listed below) at which time symptoms had resolved and were thought due to fever.  En route to  home, the patient's parents reported that he had a generalized tonic clonic seizure and was evaluated another emergency department and discharged home.  Over the next 2 weeks, he returned to baseline except for brief, intermittent periods of weakness, odd jerking movements and occasional biting.  These resolved completely over the next month.
Age: 2.0
Sex: M
Vaccine: DTP, PPV, DT, PPV
Symptoms: Alanine aminotransferase normal, Aspartate aminotransferase increased, Blood calcium normal, Blood chloride normal, Blood creatinine normal
Clinical narrative: Approximately 11 hours following vaccination, the patient developed visual hallucinations and mild lower extremity weakness. He was afebrile when symptoms started, but over the next several hours developed fever (max 101.9 F).  Hallucinations and weakness resolved within next 5-6 hours.  He was evaluated in the emergency room (labs listed below) at which time symptoms had resolved and were thought due to fever.  En route to  home, the patient's parents reported that he had a generalized tonic clonic seizure and was evaluated another emergency department and discharged home.  Over the next 2 weeks, he returned to baseline except for brief, intermittent periods of weakness, odd jerking movements and occasional biting.  These resolved completely over the next month.
Age: 2.0
Sex: M
Vaccine: DTP, PPV, DT, PPV
Symptoms: Blood glucose increased, Blood potassium normal, Blood sodium normal, Blood urea normal, Carbon dioxide normal
Clinical narrative: Approximately 11 hours following vaccination, the patient developed visual hallucinations and mild lower extremity weakness. He was afebrile when symptoms started, but over the next several hours developed fever (max 101.9 F).  Hallucinations and weakness resolved within next 5-6 hours.  He was evaluated in the emergency room (labs listed below) at which time symptoms had resolved and were thought due to fever.  En route to  home, the patient's parents reported that he had a generalized tonic clonic seizure and was evaluated another emergency department and discharged home.  Over the next 2 weeks, he returned to baseline except for brief, intermittent periods of weakness, odd jerking movements and occasional biting.  These resolved completely over the next month.
Age: 2.0
Sex: M
Vaccine: DTP, PPV, DT, PPV
Symptoms: Dyskinesia, Grand mal convulsion, Haematocrit normal, Hallucination, visual, Muscular weakness
Clinical narrative: Approximately 11 hours following vaccination, the patient developed visual hallucinations and mild lower extremity weakness. He was afebrile when symptoms started, but over the next several hours developed fever (max 101.9 F).  Hallucinations and weakness resolved within next 5-6 hours.  He was evaluated in the emergency room (labs listed below) at which time symptoms had resolved and were thought due to fever.  En route to  home, the patient's parents reported that he had a generalized tonic clonic seizure and was evaluated another emergency department and discharged home.  Over the next 2 weeks, he returned to baseline except for brief, intermittent periods of weakness, odd jerking movements and occasional biting.  These resolved completely over the next month.
Age: 2.0
Sex: M
Vaccine: DTP, PPV, DT, PPV
Symptoms: Platelet count normal, Pyrexia, Urine analysis normal, White blood cell count normal
Clinical narrative: Approximately 11 hours following vaccination, the patient developed visual hallucinations and mild lower extremity weakness. He was afebrile when symptoms started, but over the next several hours developed fever (max 101.9 F).  Hallucinations and weakness resolved within next 5-6 hours.  He was evaluated in the emergency room (labs listed below) at which time symptoms had resolved and were thought due to fever.  En route to  home, the patient's parents reported that he had a generalized tonic clonic seizure and was evaluated another emergency department and discharged home.  Over the next 2 weeks, he returned to baseline except for brief, intermittent periods of weakness, odd jerking movements and occasional biting.  These resolved completely over the next month.
Age: 70.0
Sex: F
Vaccine: HEP, VARZOS
Symptoms: Culture positive, Herpes zoster, Varicella
Clinical narrative: Patient developed shingles approximately 1 month after immunization.  She was treated with acyclovir.  A viral culture collected early in her illness course confirmed the presence of varicella zoster virus.  She had an uneventful recovery.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Aortic rupture, Death, Myocardial infarction
Clinical narrative: Information has been received from a consumer concerning his friend, a 73 year old male with a "deteriorating heart" and no known allergies who on 23-JUL-2007 at "about 07:30" was vaccinated once SC with a 0.65 mL dose of Zostavax. Concomitant therapy included COUMADIN and oxygen (started "a few days before this happened"). Two hours after vaccination the patient "died from a heart attack when his aorta ruptured." It was reported that the patient was revived with CPR but when the patient got to the hospital the doctor stated that he had "died instantly." There was no product quality complaint involved. No further information was provided. Additional information has been requested. The reporter considered the patient's to be serious as other important medical events. The patient's events were also considered serious for death.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Dehydration, Eye pain, Full blood count, Headache, Nausea
Clinical narrative: Information has been received from a registered nurse concerning her 17 year old daughter with a sulfonamide allergy, migraines and "2 months of periods" who on 18-JUL-2007 was vaccinated with a dose of 0.5 ml intramuscularly in the deltoid with Gardasil. Concomitant therapy included ibuprofen, acetaminophen (TYLENOL) and sumatriptan succinate (IMITREX (sumatriptan succinate). On 21-JUL-2007 the patient developed a headache that hurt behind her eyes and on 22-JUL-2007 the patient developed a fever lasting 3 1/2 days. On approximately 25-JUL-2007 the patient developed nausea and dehydration. On 25-JUL-2007 the patient visited her physician where she was given IV saline for dehydration, ketorolac tromethamine (TORADOL) for the headache, 1 GM IV of ceftriaxone sodium (ROCEPHIN), promethazine hydrochloride (PHEERGAN) for nausea, and amoxicillin (+) clavulanate potassium (AUGMENTIN). The physician thought that the patient might also have had a sinus infection. A complete blood count (CBC) and thyroid panel were completed, but the results were not reported. At the time of the report the patient had not recovered from nausea, dehydration, eye pain, headache, and the sinus infection. The physician considered headache, fever, sinus infection, nausea, and dehydration to be other important medical events. Additional information has been requested.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Pyrexia, Sinusitis, Thyroid function test
Clinical narrative: Information has been received from a registered nurse concerning her 17 year old daughter with a sulfonamide allergy, migraines and "2 months of periods" who on 18-JUL-2007 was vaccinated with a dose of 0.5 ml intramuscularly in the deltoid with Gardasil. Concomitant therapy included ibuprofen, acetaminophen (TYLENOL) and sumatriptan succinate (IMITREX (sumatriptan succinate). On 21-JUL-2007 the patient developed a headache that hurt behind her eyes and on 22-JUL-2007 the patient developed a fever lasting 3 1/2 days. On approximately 25-JUL-2007 the patient developed nausea and dehydration. On 25-JUL-2007 the patient visited her physician where she was given IV saline for dehydration, ketorolac tromethamine (TORADOL) for the headache, 1 GM IV of ceftriaxone sodium (ROCEPHIN), promethazine hydrochloride (PHEERGAN) for nausea, and amoxicillin (+) clavulanate potassium (AUGMENTIN). The physician thought that the patient might also have had a sinus infection. A complete blood count (CBC) and thyroid panel were completed, but the results were not reported. At the time of the report the patient had not recovered from nausea, dehydration, eye pain, headache, and the sinus infection. The physician considered headache, fever, sinus infection, nausea, and dehydration to be other important medical events. Additional information has been requested.
Age: 32.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Blood culture negative, Chills, Influenza like illness, Injection site cellulitis, Injection site erythema
Clinical narrative: Pt returned to ED 4 days after receiving Pneumovax 23 c/o flu like symptoms (N/V/chills) and pain 10/10 at injection with blotchy reddened area....cellulitis nodule noted at site of injection. Admit Abx and pain control
Age: 32.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site nodule, Injection site pain, Nausea, Nuclear magnetic resonance imaging abnormal, Rash macular
Clinical narrative: Pt returned to ED 4 days after receiving Pneumovax 23 c/o flu like symptoms (N/V/chills) and pain 10/10 at injection with blotchy reddened area....cellulitis nodule noted at site of injection. Admit Abx and pain control
Age: 32.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Vomiting, White blood cell count increased
Clinical narrative: Pt returned to ED 4 days after receiving Pneumovax 23 c/o flu like symptoms (N/V/chills) and pain 10/10 at injection with blotchy reddened area....cellulitis nodule noted at site of injection. Admit Abx and pain control
Age: 32.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Asthenia, Blood culture negative, Condition aggravated, Granulocyte count increased, Haematocrit decreased
Clinical narrative: Pt returned to ED 4 days after receiving Pneumovax 23 c/o flu like symptoms (N/V/chills) and pain 10/10 at injection with blotchy reddened area....cellulitis nodule noted at site of injection. Admit Abx and pain control
Age: 32.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Haemoglobin decreased, Injection site pain, Lymphocyte count decreased, Mean platelet volume decreased, Monocyte count decreased
Clinical narrative: Pt returned to ED 4 days after receiving Pneumovax 23 c/o flu like symptoms (N/V/chills) and pain 10/10 at injection with blotchy reddened area....cellulitis nodule noted at site of injection. Admit Abx and pain control
Age: 32.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Monocyte count increased, Red blood cell count increased, White blood cell count decreased, White blood cell count increased
Clinical narrative: Pt returned to ED 4 days after receiving Pneumovax 23 c/o flu like symptoms (N/V/chills) and pain 10/10 at injection with blotchy reddened area....cellulitis nodule noted at site of injection. Admit Abx and pain control
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Abdominal pain, Diarrhoea, Haematochezia
Clinical narrative: Child seen 7/12/07 for well visit - was fine. Hep A, Menactra, Gardasil administered. Presented to the office on 7/13/07 with severe diarrhea "too numerous to count" abdominal cramps, and blood in stool. Sx started the night of 7/12/07 - admitted to hospital for IVF and evaluation. 8/27/07-records received for DOS 07/13/07-DX: Colitis.C/O diarrhea since yesterday. Associated with abdominal pain and cramps. No fever no vomiting. This afternoon had bloody stools with large volume of blood. Treated with IV fluids.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, IPV, PPV, RV5
Symptoms: Coma, Convulsion, Crying, Dyspnoea, Irritability
Clinical narrative: Within minutes baby had breathing problems and was given a breathing treatment in Dr. office. Days later developed irritability, crying for no apparent reason, vomiting to violent throwing up then seizures to hospital ER to coma like state. Hospitalized 12 days. Subdural hematoma and retinal hemorrhage and fractured rib.  9/14/07 Reviewed hospital medical records which reveal patient experienced abnormal behavior w/abnormal crying s/p being cared for by father while mother was at work.  Reported emesis x 3.  Seen by pcp 5/15 for cough & URI.  In ER, bruising noted on left face, mandible & chest. Right SDH w/left shift by CT scan. Admitted 5/18-5/30/2007.  Intubated & admitted to PICU until 5/23 when transferred to floor on RA.  Hemodynamically stable but had seizures.  Neurosurgery, ophthalmology & neurology consult done.  No surgery required, medically managed.  Found to have diffuse bilateral retinal hemorrhages & preretinal hemorrhage involving macula of right eye.  Referred to CPS & d/c to CPS.  It was felt child would have developmental delays & referral was made.  D/C to CPS on anticonvulsant, thickened formula & left eye patching. FINAL DX: Shaken baby syndrome; SDH; bilateral retinal hemorrhages; preretinal hemorrhages; non accidental trauma. 11/6/07 Reviewed pcp medical records which reveal patient had cough x 1 wk on day of vax along with umbilical hernia, skin bumps, dry skin & scratching at face. Dx w/bronchiolitis on day of vax.  Tx w/nebs.  Returned to clinic on 5/15 much improved.  Dx w/GERD at that time secondary to overfeeding.  Seen in Neurology clinic 7/26/07 s/p hospitalization as described above & started weaning off antiseizure med.  1/11/08 Received birth records which reveal mother w/PNC, chlamidya in 2nd trimester & no complications during pregnancy.  Apgars 7/9 at 1/5 min.  Patient w/mild jaundice at birth w/no phototx required.  Received Hep B 2/22/2007, lot #0640F.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, IPV, PPV, RV5
Symptoms: Retinal haemorrhage, Rib fracture, Subdural haematoma, Vomiting
Clinical narrative: Within minutes baby had breathing problems and was given a breathing treatment in Dr. office. Days later developed irritability, crying for no apparent reason, vomiting to violent throwing up then seizures to hospital ER to coma like state. Hospitalized 12 days. Subdural hematoma and retinal hemorrhage and fractured rib.  9/14/07 Reviewed hospital medical records which reveal patient experienced abnormal behavior w/abnormal crying s/p being cared for by father while mother was at work.  Reported emesis x 3.  Seen by pcp 5/15 for cough & URI.  In ER, bruising noted on left face, mandible & chest. Right SDH w/left shift by CT scan. Admitted 5/18-5/30/2007.  Intubated & admitted to PICU until 5/23 when transferred to floor on RA.  Hemodynamically stable but had seizures.  Neurosurgery, ophthalmology & neurology consult done.  No surgery required, medically managed.  Found to have diffuse bilateral retinal hemorrhages & preretinal hemorrhage involving macula of right eye.  Referred to CPS & d/c to CPS.  It was felt child would have developmental delays & referral was made.  D/C to CPS on anticonvulsant, thickened formula & left eye patching. FINAL DX: Shaken baby syndrome; SDH; bilateral retinal hemorrhages; preretinal hemorrhages; non accidental trauma. 11/6/07 Reviewed pcp medical records which reveal patient had cough x 1 wk on day of vax along with umbilical hernia, skin bumps, dry skin & scratching at face. Dx w/bronchiolitis on day of vax.  Tx w/nebs.  Returned to clinic on 5/15 much improved.  Dx w/GERD at that time secondary to overfeeding.  Seen in Neurology clinic 7/26/07 s/p hospitalization as described above & started weaning off antiseizure med.  1/11/08 Received birth records which reveal mother w/PNC, chlamidya in 2nd trimester & no complications during pregnancy.  Apgars 7/9 at 1/5 min.  Patient w/mild jaundice at birth w/no phototx required.  Received Hep B 2/22/2007, lot #0640F.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Asthenia, Electroencephalogram normal, Laboratory test
Clinical narrative: Mom states baby went limp after shots (immediately) then approx 3 hrs later went limp again and was transported by EMS to hospital. Spent 23hrs in hospital with normal EEG and labs. Went home recovered.  8/17/07 Received hospital medical records which reveal patient experienced a near syncopal episode, pale, limp unresponsive.  Sent from PCP office to ER for BP check & then released to home.  Second episode of unresponsiveness/limpness occured & returned to ER.  Admitted 7/31-8/1/07 for observation.  No further spells in hospital FINAL DX: AE after a vax. 9/4/07 Received vax records from PCP which confirms RO dose & lot # as reported.
Sex: U
Vaccine: FLU3, HEP
Symptoms: Unevaluable event
Clinical narrative: Discovered by a third nurse who removed an influenza vaccine syringe and then in double-checking the drug noticed the drug name on the syringe.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Itchy and redness about 2 inches below injection site started 1 hour after injections were given. Redness continued to worsen as time went by, swelling, warm to touch.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Rash erythematous
Clinical narrative: Raised erythematous rash through out bilat UE, torso, back, bilat thighs. Pt given Benadryl which improved sx x 1d. Pt now on Benadryl and Prednisone taper.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Chills, Dehydration, Diarrhoea, Lymphadenopathy, Nausea
Clinical narrative: Nausea, diarrhea, fever, chills x 5d. Pt had enlarged lymph nodes x 7d. Pt dehydrated x3d. Pt tx with 2L LR. Advised to hydrated, eat clear diet advance to BRAT diet as tolerated
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Pyrexia, Tilt table test
Clinical narrative: Nausea, diarrhea, fever, chills x 5d. Pt had enlarged lymph nodes x 7d. Pt dehydrated x3d. Pt tx with 2L LR. Advised to hydrated, eat clear diet advance to BRAT diet as tolerated
Age: 5.0
Sex: F
Vaccine: IPV, MMR, TDAP
Symptoms: Wrong drug administered
Clinical narrative: Patient was given Adacel (Tetanus toxoid, reduced diphtheria toxoid and acellular pertussis vaccine ) for children greater than 7 yrs of age. Patient should have received Infanrix for children 7 and under
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Herpes zoster
Clinical narrative: Patients mother reported to doctor that pt developed shingles (2 weeks)after Gardasil injection
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Chills, Headache, Injection site rash, Nausea, Pyrexia
Clinical narrative: Nausea and chills 1 hour after injection. Vomit x1 6 hours after injection. Fever x2 days (to 101.5 F). 6x6cm raised rash surrounding injection site (8/1/07). Headache on 8/1/07.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Vomiting
Clinical narrative: Nausea and chills 1 hour after injection. Vomit x1 6 hours after injection. Fever x2 days (to 101.5 F). 6x6cm raised rash surrounding injection site (8/1/07). Headache on 8/1/07.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Hypoaesthesia, Neuralgia, Paraesthesia
Clinical narrative: Left UE neuralgia: pain, tingling, numbness fingers to arm. Pain to active motion. Referred to ped. neurology 8/8/07-records received for DOS 7/31/07-Assessment:left upper extremity neuralgia associated with human papilloma virus vaccine number two. C/O pain in left arm, numbness and tingling started in fingers and progessed to hand. PE: significant decreased feeling to light touch on third, fourth and fifth fingers but less so on the first and second fingers on the dorsal hand but uniformly decreased to light touch on palmar aspect. Decreased feeling to light touch lessened towards the elbow. Pain to palpation of her arm in anterior and lateral aspects, pain to active motion. To see neurologist on 8/10/07 10/9/07-records received from neurologist for DOS 8/10/07-Impression: history of transient arm numbness and possible weakness status post human papillomavirus immunization. Normal neurological examination presently with no symptomatology and no weakness or peripheral sensory deficit. Overall presentation suggest an acute brachial neuritis possibly immunization induced. Recommend no further similar immunization. No additional diagnostic or laboratory tests ordered.
Age: 15.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Asthenia, Blood pressure increased, Hyperhidrosis, Nausea, Pallor
Clinical narrative: After Gardasil vaccination client became pale, c/o weakness, diaproic, N/V. BP 120/60. Symptoms abated - BP 102/58. Client was to have Tdap, Gardasil - MCV4 held.
Age: 15.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Vomiting
Clinical narrative: After Gardasil vaccination client became pale, c/o weakness, diaproic, N/V. BP 120/60. Symptoms abated - BP 102/58. Client was to have Tdap, Gardasil - MCV4 held.
Age: 15.0
Sex: F
Vaccine: HPV4, TDAP, HPV4, TDAP
Symptoms: Asthenia, Hyperhidrosis, Pallor
Clinical narrative: After Gardasil vaccination client became pale, c/o weakness, diaproic, N/V. BP 120/60. Symptoms abated - BP 102/58. Client was to have Tdap, Gardasil - MCV4 held.
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Neuropathy peripheral, Rheumatoid arthritis, Sensory loss
Clinical narrative: Right upper brachial neuropathy (sensory loss)
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site erythema, Injection site inflammation, Injection site warmth
Clinical narrative: 7-30-07 erythema and inflammation noted on left arm from deltoid to just above elbow. Warm to touch. Vaccines were given on 7-27-07
Age: 53.0
Sex: F
Vaccine: MNQ, TYP, YF
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: "silver dollar" sized red, raised welt noted on back of left upper arm.  Itchy.  Client taking Benadryl for treatment.  No pain or heat noted.  Noted on Friday, Aug 3, 2007 around 2pm.  Client called today stating effected area is slightly smaller in size today.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Left arm swollen, reddened and warm to touch. Deltoid up to shoulder.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Balance disorder, Cerebral palsy, Injection site erythema, Injection site rash, Muscular weakness
Clinical narrative: 4/5/07 Whining c/o itchy red blotchy rash at injection site RUT. Grandmother reports size: half dollar size. 4/8/07 Rash same and weakness in right leg. "Legs will not work grandma". Grandma then reports she was off balance but it may have been the DX. re: CP. 4/12/07 8th day post vaccine: mild blotchy rash remains 12.5mm around injection site RUT. No other side effect S/S. Follow up HV scheduled 4/19/07.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Rash macular, Rash pruritic
Clinical narrative: 4/5/07 Whining c/o itchy red blotchy rash at injection site RUT. Grandmother reports size: half dollar size. 4/8/07 Rash same and weakness in right leg. "Legs will not work grandma". Grandma then reports she was off balance but it may have been the DX. re: CP. 4/12/07 8th day post vaccine: mild blotchy rash remains 12.5mm around injection site RUT. No other side effect S/S. Follow up HV scheduled 4/19/07.
Age: 14.0
Sex: F
Vaccine: TDAP
Symptoms: Urticaria
Clinical narrative: Clients mother called about 45 minutes after vaccine was administered stating she had developed "hives"on both arms and her face. Benadryl 50mg was given. Client denied any resp. distress. Clients mom advised to call physician for follow up.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Infection, Rash, Rash pruritic, Rash pustular, Scab
Clinical narrative: Had shot in morning 7/9/2007. Immediately red spots with a white pus in center form a lot of places and itched like crazy. This clinic was closed and went to see my family doctor. I'd had some scabs taken off on 6-29. Became infested; checked still infected 7/31. Still broke out of new spots daily. I'm miserable. Shingles shot has caused this infection.
Age: 13.0
Sex: F
Vaccine: HEP, HPV4
Symptoms: Depressed level of consciousness, Gait disturbance
Clinical narrative: Client received 2 vaccines at the health dept. Staff member observed wavering gait. Walked back to chambers for 15 min observation period. Was observed by RN who assisted immediately. Client was lowered to the floor, eyes closed, non-verbal for a few seconds. Responsive to name. Assisted to chair, cool cloth/ice to forehead, back of neck.
Age: 16.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Electrocardiogram normal, Syncope
Clinical narrative: After receiving Menactra and Adacel, pt felt well. Had previously eaten in day. Walked to reception and had syncopal episode
Age: 1.4
Sex: F
Vaccine: DTAPH, HEPA, MMRV, PNC
Symptoms: Injection site swelling, Injection site warmth, Pyrexia, Rash generalised
Clinical narrative: Her left thigh was swollen and hot the following day. (The entire thigh) Four days after vaccine, she developed a rash that spread head to toe. She still has red bumps and rash. She had fever for about 4 days.
Age: 22.0
Sex: F
Vaccine: HPV4, TDAP, UNK
Symptoms: Erythema, Pain, Swelling
Clinical narrative: 7/25/07 Given in morning started in PM red, swollen, painful.
Age: 1.3
Sex: F
Vaccine: DTAPH, MMRV
Symptoms: Eye discharge, Nasopharyngitis, Pyrexia, Rash
Clinical narrative: Pt had MMRV vaccine on 7-9-07. On 7/18/07 pt started running a fever of 103.4 and a rash. By 7-20-07 the rash had spread all over her body, she had matty eyes and cold symptoms. Her temp was now down to 100.4. The physician felt the rash was from the vaccine
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Angioedema, Eye pruritus, Eyelid oedema, Urticaria
Clinical narrative: Two days after vaccines given pt had itchy eyes. Next AM upper and lower eyelids swollen and hives on face. This continued for 3 days. Pt seen in office 7/25/07 with angioedema of face. No trouble breathing. No relief with Loratadine or Benadryl. Trial Atarax.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Anxiety, Asthenia, Disorientation, Dizziness
Clinical narrative: Pt was given vaccines. After vaccines given, she started feeling anxious, weak, then disoriented. Felt dizzy nearly passing out. Pt was given 50mg of Benadryl injection. Blood
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness
Clinical narrative: Patient felt dizzy had to sit for like 5 min. Felt better.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Induration, Injection site induration
Clinical narrative: Indurated left deltoid area
Age: 13.0
Sex: M
Vaccine: HEPA
Symptoms: Rash
Clinical narrative: Reported by mother on 7/30/07. States two hours after injection child had rash on anterior and posterior trunk. States no other symptoms - no respiratory distress or swelling. Seen by physician and given shot.
Age: 17.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Pt received 2 doses of Menactra 2005, 2007
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, MMRV
Symptoms: Rash, Rash papular
Clinical narrative: Had MMR and Varicella (Proquad) and Pediarix (DTaP, IPV, Hep B) on 7-12-07. Developed rash on 7-22-07 on torso and legs. Had less than 50 vesiculo-papular lesions. No fever.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Fall, Immediate post-injection reaction, Pain in extremity, Unresponsive to stimuli
Clinical narrative: Pt received the Menactra vaccine (left arm) then the Gardasil vaccine (right arm). Immediately following the Gardasil vaccine she said her arm hurt but was feeling fine. She then immediately fell off the exam table, hit the wall and was unresponsive for about 2-3 seconds.
Age: 76.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Rash
Clinical narrative: Diagnosed with Shingles 2 weeks after vaccine. Had rash 4 days before diagnosis.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Headache, Injection site bruising, Injection site erythema, Pyrexia
Clinical narrative: 7/28/07 - bruise at injection site 7/2907 - 1/2 dollar red mark at injection site. 7/29/07 - evening tangerine red area at site - fever, headache, chills, warm to touch - 7/30 - 8 cm raised area at injection site.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Skin warm
Clinical narrative: 7/28/07 - bruise at injection site 7/2907 - 1/2 dollar red mark at injection site. 7/29/07 - evening tangerine red area at site - fever, headache, chills, warm to touch - 7/30 - 8 cm raised area at injection site.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Eye rolling, Fall, Head injury
Clinical narrative: After receiving vaccines, pt and her grandmother walked to the check-out area. At 11:18 AM, pt was witnessed "eyes rolled back in head" and fell to the floor striking the back of head on the floor. Pt regained consciousness immediately and vital signs were WNL.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Loss of consciousness
Clinical narrative: No noted difficulty after injection. Pt stayed in the clinic for 5 min. after inject. - pt. was in her car, passenger seat. A friend came into clinic saying pt passed out and was having a seizure - nurse checked pt. - pt was awake, alert, pallor, vital signs stable. Pt stated she always faints/seizures when any type of inject given - pt brought into the clinic - given a Coke, laid down for approx. 20 min. Pt left with partner without problem.
Age: 28.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site nodule, Injection site warmth, Nausea
Clinical narrative: Patient reported two weeks prior to vaccination, she had a concussion with symptoms of headaches and nausea, Vicodin prescribed at the time of diagnosis of concussion, but never taken medication. On August 4, 2007, Tetanus-Diphtheria administered, patient called the unit from her place of employment on 6 Aug 07 that she was having a reaction from the vaccine with nausea and redness warm bump at the injection site. Began the evening of the vaccination. Patient instructed to seek medical attention immediately.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Dermatitis contact, Oedema peripheral, Urticaria
Clinical narrative: About 4 hrs after vaccine - developed scattered hives, swelling at fingertips, lots, contact dermatitis like rash - Grosred viser; Benadryl quiet
Age: 12.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL, HPV4, TDAP, VARCEL
Symptoms: Body temperature increased, Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 7/30/07 (Info. per Mom) Child c/o lt. arm sore, red at shot site. No fever. No comfort measures done. Then next day 7/31 child c/o lt. up. arm hurts, red, hot to touch, temp. 101 by mouth, Tylenol given by Mom. On 8/1/07 Mom took child to see her doctor. On 8/1/07 at 1:20 PM rec'd a call from clinic that child presented and treated for increased lt deltoid red, swollen, hot to touch at inj. site only. Child sent home w/ Mom. Rx Claritin 10mg/d PO until sx subside, alternate Tylenol and Motrin po every 4 hr. until sx subside. Cool pack to upper lt. arm area prn. No fever noted at clinic visit. F/U as need. No other S/Sxs noted.
Age: 12.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL, HPV4, TDAP, VARCEL
Symptoms: Injection site warmth, Pain in extremity
Clinical narrative: 7/30/07 (Info. per Mom) Child c/o lt. arm sore, red at shot site. No fever. No comfort measures done. Then next day 7/31 child c/o lt. up. arm hurts, red, hot to touch, temp. 101 by mouth, Tylenol given by Mom. On 8/1/07 Mom took child to see her doctor. On 8/1/07 at 1:20 PM rec'd a call from clinic that child presented and treated for increased lt deltoid red, swollen, hot to touch at inj. site only. Child sent home w/ Mom. Rx Claritin 10mg/d PO until sx subside, alternate Tylenol and Motrin po every 4 hr. until sx subside. Cool pack to upper lt. arm area prn. No fever noted at clinic visit. F/U as need. No other S/Sxs noted.
Age: 12.0
Sex: F
Vaccine: HPV4, TDAP, VARCEL, HPV4, TDAP, VARCEL
Symptoms: Body temperature increased, Injection site erythema, Injection site warmth, Pain in extremity
Clinical narrative: 7/30/07 (Info. per Mom) Child c/o lt. arm sore, red at shot site. No fever. No comfort measures done. Then next day 7/31 child c/o lt. up. arm hurts, red, hot to touch, temp. 101 by mouth, Tylenol given by Mom. On 8/1/07 Mom took child to see her doctor. On 8/1/07 at 1:20 PM rec'd a call from clinic that child presented and treated for increased lt deltoid red, swollen, hot to touch at inj. site only. Child sent home w/ Mom. Rx Claritin 10mg/d PO until sx subside, alternate Tylenol and Motrin po every 4 hr. until sx subside. Cool pack to upper lt. arm area prn. No fever noted at clinic visit. F/U as need. No other S/Sxs noted.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: CSF protein increased, Dehydration, Guillain-Barre syndrome
Clinical narrative: This 8 yr old female was vaccinated with Varivax, on 6/12/07. She was seen with Dehydration on 7/19/07. Admitted on 7/29 and Dx with Guillain Barre by neurologist.  08/13/2007 MR received for DOS 7/29 to 8/2/2007.   Child presented to the ED with worseninglower extremity weakness and difficulty walking.  Child had a 2 day hx of nausea/vomiting attributed to viral infection. She recovered and LE weakness began several days later with more N&V. % lb weight loss due to decreased po intake.  PE (+) for elevated BP, tachycardia, LE proximal muscle weakness, unsteady gait. LE reflexes absent.  Child remained hypertensive with BPs 130-140s /100s initially but dropped with antihypertensives. Critical care note on DoD/C  with following Assessment:  1)Guillain Barre Syndrome 2) Hypertension 3)  Tachycardia resolved  4) Mild LVH. 09/04/2007 D/C summary received for DOS 7/29-8/02/2007 for admitting DX of lower extremity weakness as above. Bilateral lower extremity paresthesias and proximal muscle weakness present upon exam. Discharge PE with no neurologic focal deficits and grossly intact cranial nerves. D/C DX:  Guillain-Barre Syndrome . 02/02/2010 Child still experiences weakeness in the lower extremities. However she is off the walker.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Blood culture negative, Culture stool negative, Culture urine negative, Diarrhoea haemorrhagic, Necrotising colitis
Clinical narrative: Bloody diarrhea, fever - pneumatonis - necrotizing enterocolitis. Treated conservatively (NPO, IV ASA x 10 days). Did well. No surgery needed.  9/4/07 Received hospital medical records which reveal patient experienced emesis, bloody diarrhea & decreased oral intake.  Seen in ER on 7/15 & d/c to home.  Returned on 7/16 w/continued symptoms.  Admitted 7/16-7/23/07 to ICU & tx w/parenteral nutrition & IV antibiotics.  Received transfusion for Hct 23.  Transferred to another hospital 7/23/07 for long term IV antibiotics. FINAL DX: Necrotizing viral enterocolitis. 9/12/07 Received vax record from pcp which corrected DTaP lot #, otherwise as reported.  VAERS database updated w/same.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Pneumonitis, Pyrexia
Clinical narrative: Bloody diarrhea, fever - pneumatonis - necrotizing enterocolitis. Treated conservatively (NPO, IV ASA x 10 days). Did well. No surgery needed.  9/4/07 Received hospital medical records which reveal patient experienced emesis, bloody diarrhea & decreased oral intake.  Seen in ER on 7/15 & d/c to home.  Returned on 7/16 w/continued symptoms.  Admitted 7/16-7/23/07 to ICU & tx w/parenteral nutrition & IV antibiotics.  Received transfusion for Hct 23.  Transferred to another hospital 7/23/07 for long term IV antibiotics. FINAL DX: Necrotizing viral enterocolitis. 9/12/07 Received vax record from pcp which corrected DTaP lot #, otherwise as reported.  VAERS database updated w/same.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Body temperature increased, Injection site erythema, Injection site mass, Injection site swelling
Clinical narrative: 2" ring of redness at site/hard ump, temp 100.3 F
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Flushing, Lip swelling, Oedema peripheral
Clinical narrative: Received vaccine 1230 on 7/31/07. Pt. reports woke 0630 on 8/1/07 with swollen lips, lightly red face and bilateral swollen hands. Resolved in 2 hours with Benadryl. NO recurrence. Pt also started new multivitamin on 7/30/07. D/C'ed after.
Sex: F
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: Hives has gotten progressively worse. Seem allergists a couple of times. Has tried taking a combination of medications such as Clarinex, Zantac, Doxepin and Benadryl with no alleviating effects.
Sex: F
Vaccine: HPV4
Symptoms: Injection site streaking
Clinical narrative: 8cm green line inferior to injection site left arm. Appeared like superficial thrombophlebitis but not red, palpable or warm.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Dry skin, Erythema, Excoriation, Skin lesion
Clinical narrative: Drying excoriated 1/2-1cm patches scattered on lower legs c/o insect bites. Eryth papular lesions scattered on trunk esp. right flank about 20-30 total.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Skin lesion, Swelling
Clinical narrative: Swelling and erythematous lesion, approx 3-4 cm
Age: 1.3
Sex: M
Vaccine: DTAPH, MMR
Symptoms: Erythema, Rash macular, Swelling
Clinical narrative: Left thigh swelled up, skin looked red and blotchy. Took one day to react.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Pruritus, Rash
Clinical narrative: Rash on legs, trunk and arms, itching started 7/29/07 when awoke. Used Benadryl 7/29 and 7/30 but rash was spreading. Saw provider on 7/31/07. Instr. to con't Benadryl 12.5mg q 6-8 hours PRN. Calamine lotion and oatmeal baths. Follow up if not improved.
Age: 6.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Pyrexia, Swelling
Clinical narrative: Fever 1 and 2 days after given. Redness and swelling and drugs after. Advised Tylenol and icing the given swollen area.
Age: 9.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Blister, Erythema, Rash maculo-papular, Skin lesion
Clinical narrative: Developed multiple erythematous maculopapular and vesicular lesions in the trunk and legs
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, MMR
Symptoms: Drug hypersensitivity, Injection site erythema, Injection site warmth
Clinical narrative: Pt experienced redness warmth to injection site right deltoid; suspected allergy to tetanus (Mother allergic to tetanus)
Age: 38.0
Sex: M
Vaccine: ANTH, MNQ
Symptoms: Arthralgia, Complement factor C3, Complement factor C4, Complement factor normal, Dysarthria
Clinical narrative: Description: polyarthralgia, onset 4 hours following Anthrax vaccine, dose #8; also received Meningococcal vaccine same day, but not documented in DEERS data; within 24 hours, joint pain became severe, also developed generalized muscle aches, fatigue, headache, scalp tenderness, facial swelling, slurred speech, loss of peripheral vision bilaterally, and bilateral hand and foot swelling
Age: 38.0
Sex: M
Vaccine: ANTH, MNQ
Symptoms: Fatigue, Headache, Laboratory test normal, Myalgia, Oedema peripheral
Clinical narrative: Description: polyarthralgia, onset 4 hours following Anthrax vaccine, dose #8; also received Meningococcal vaccine same day, but not documented in DEERS data; within 24 hours, joint pain became severe, also developed generalized muscle aches, fatigue, headache, scalp tenderness, facial swelling, slurred speech, loss of peripheral vision bilaterally, and bilateral hand and foot swelling
Age: 38.0
Sex: M
Vaccine: ANTH, MNQ
Symptoms: Pain of skin, Swelling face, Visual field defect
Clinical narrative: Description: polyarthralgia, onset 4 hours following Anthrax vaccine, dose #8; also received Meningococcal vaccine same day, but not documented in DEERS data; within 24 hours, joint pain became severe, also developed generalized muscle aches, fatigue, headache, scalp tenderness, facial swelling, slurred speech, loss of peripheral vision bilaterally, and bilateral hand and foot swelling
Age: 75.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Cellulitis
Clinical narrative: Pt previously hospitalized 2/27 - 2/28 for cellulitis of left humerus area (site of fx and repair May 2005) for Abx tx, received Pneumovax 23 at discharge.
Age: 75.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site pain
Clinical narrative: Pt previously hospitalized 2/27 - 2/28 for cellulitis of left humerus area (site of fx and repair May 2005) for Abx tx, received Pneumovax 23 at discharge.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Erythema, Vaccination failure, Varicella
Clinical narrative: Pt received varicella vaccine 6/19/07 and developed chicken pox 7/10/07
Sex: U
Vaccine: DTAP
Symptoms: Unevaluable event
Clinical narrative: I found hair in the single viral dose of the Tripedia vaccine
Age: 31.0
Sex: F
Vaccine: ANTH, HEP, ANTH, HEP
Symptoms: Chest discomfort, Chest pain, Influenza like illness, Pain
Clinical narrative: Shot given approx 1130 hrs 7 Jul 07. Illness (flu-like symptoms) at 24 hr mark. Soreness at injection site (left del.) on 9 July - "chest pain/tightness - with general achy all over body." 10 July, seen doctor about issues of past three days. Meds given - Atarax 10mg, PO/Piroxicam 10mg caps. Pleased on 24 hr quarters.
Age: 31.0
Sex: F
Vaccine: ANTH, HEP, ANTH, HEP
Symptoms: Chest discomfort, Chest pain, Influenza like illness, Malaise, Pain
Clinical narrative: Shot given approx 1130 hrs 7 Jul 07. Illness (flu-like symptoms) at 24 hr mark. Soreness at injection site (left del.) on 9 July - "chest pain/tightness - with general achy all over body." 10 July, seen doctor about issues of past three days. Meds given - Atarax 10mg, PO/Piroxicam 10mg caps. Pleased on 24 hr quarters.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Oedema peripheral
Clinical narrative: Swelling of extremity where DTaP was given
Age: 1.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: Cellulitis right thigh
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Secondary transmission, Varicella
Clinical narrative: Varicella rash, > 280 lesions (brother had breakthrough 2 weeks previous about 10 lesions
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Erythema, Induration, Injected limb mobility decreased, Irritability, Pain
Clinical narrative: Patient developed fever, vomited twice, was irritable, had limited range of mov't. in right arm with red warm hard indurated swelling painful.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Pyrexia, Skin necrosis, Skin warm, Swelling, Vomiting
Clinical narrative: Patient developed fever, vomited twice, was irritable, had limited range of mov't. in right arm with red warm hard indurated swelling painful.
Age: 1.08
Sex: F
Vaccine: MMR, PNC, VARCEL
Symptoms: Rash, Skin lesion
Clinical narrative: Onset of rash 7/27/07. Has red lesions on trunk
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Secondary transmission, Skin lesion, Varicella
Clinical narrative: Exposed to varicella about 5 weeks ago. Has about 10 vesicular lesions on upper thighs.
Age: 52.0
Sex: F
Vaccine: HEP
Symptoms: Aplastic anaemia, Blood test, Blood test abnormal, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: Blood work before first two shots  was good. (OCT 9, 2006) Bloodwork after the two shots (April 2007) was poor.  Blood work in May 2007 after third shot was worse.  I have developed Aplastic Anemia.  All three blood counts have been low since the Hep b shots.  Will be getting ATG in the hospital soon and other meds. Dates of shots:10-18-06, 11-22-06 and 4-30-07. 8/21/07-records received-DX: aplastic anemia diagnosed 6/27/07-associated with grade 3 to grade 4 pancytopenia.  In usual state of health until early April when routine blood work revelaed pancytopenia. C/O fagtigue. Easy bruising. 1/11/2010 Not making blood.  02/02/2010 Hospitalized for Aplastic Anemia-received ATG etc. Still have low blood counts after treament- low Hemaglobin, low white cells, low platelets, tired, no energy-feel lousy, not recovered.
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Oedema peripheral, Pruritus
Clinical narrative: after patient received vaccine the next morning she noticed itching, swelling, erythema about 4 inches by 2 inches on arm.  No other symptoms.  She came so we at the clinic could check it out on 7/27.  pt given some zyrtec syrup.
Age: 29.0
Sex: F
Vaccine: MMR, TTOX
Symptoms: Abasia, Chills, Dyspnoea, Muscle spasms, Pain
Clinical narrative: Pt reports pain in her legs from her knees down to her ankles. She states she was a little sore on 08/03/2007, but on the morning of 08/04/2007 pain was worse and has gotten progressively worse since then.  SHe has be taking Tylenol and Ibuprofen but the pain has not gone away.  Pt states she can barely walk and when she stands up there is pain and cramping in her lower extremities.  She says the pain is causing her to have chills and SOB. She said the pain was worse in the right leg in the beginning but pain is now bad in both legs.
Age: 29.0
Sex: F
Vaccine: MMR, TTOX
Symptoms: Pain in extremity
Clinical narrative: Pt reports pain in her legs from her knees down to her ankles. She states she was a little sore on 08/03/2007, but on the morning of 08/04/2007 pain was worse and has gotten progressively worse since then.  SHe has be taking Tylenol and Ibuprofen but the pain has not gone away.  Pt states she can barely walk and when she stands up there is pain and cramping in her lower extremities.  She says the pain is causing her to have chills and SOB. She said the pain was worse in the right leg in the beginning but pain is now bad in both legs.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site urticaria, Injection site warmth
Clinical narrative: two days(8-4-07) after recieving Dtap(given on 8-02-07), Pateint retruned to clinic.  Pateint had about a sowllen, hot to the touch, red wheel on her right arm where the Dtap was admin.
Age: 56.0
Sex: F
Vaccine: DTAP
Symptoms: Arthralgia, Oedema peripheral, Pruritus generalised, Pyrexia, Wrong drug administered
Clinical narrative: Patient received shot on 8/2/07. On 8/3/07 pm patient developed fever, joint pains, left arm & left axilla swelling and generalized itching .Pt took NSAIDs for the above symptoms, felt little better next day pt continued to work, as the pain was getting worse pt had been to ER on 8/5/07 where pt was advised to take NSAID & benedryl and discharged same day.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: Bilateral heel pain four days after immunizaiton lasting about four days.