chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 42.0
Sex: F
Vaccine: TD
Symptoms: Pain in extremity
Clinical narrative: Pt states her right arm is still very sore and hurts to even use it sometimes. It's now been almost 4 mo. since she received the inj. No treatment given at this time.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: Reported by mother 8-8-07: itchy sensation left upper arm on 8-2-07. Red area left upper arm on 8-5-07. Red area now 5" high, 6" wide and warm to touch. Denies fever. Normal use of arm. No visit/exam by HCP. Reported by father on 8-10-07: site improving.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Skin warm
Clinical narrative: 5cm x 3cm, red, warm to touch given Benadryl
Age: 1.3
Sex: M
Vaccine: DTAP
Symptoms: Pyrexia, Rash erythematous
Clinical narrative: Red swollen anterior thigh lateral thigh low grade fever ----> Tylenol every 6. Red rash over upper leg after 48 post injection ---> office visit 8/9/07.
Age: 3.0
Sex: M
Vaccine: PNC
Symptoms: Cellulitis, Erythema, Rash
Clinical narrative: Developed cellulitis of upper thigh on rt. leg from pneumococcal vaccine administered 8/3/07. Started with red, rashy, swelling that descended to lower extremity below knee. Monday 8/6/07 - went to physician and received 10 days of antibiotic - Cephalexin.
Age: 38.0
Sex: M
Vaccine: MMR, TD
Symptoms: Arthralgia, Dizziness, Eye pain, HIV test negative, Nausea
Clinical narrative: Joint aches, nausea, dizziness and retro-orbital pain. Started 2-3 days ago. Instructed to go to ER for eval.
Age: 38.0
Sex: M
Vaccine: MMR, TD
Symptoms: Syphilis test negative
Clinical narrative: Joint aches, nausea, dizziness and retro-orbital pain. Started 2-3 days ago. Instructed to go to ER for eval.
Age: 10.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Full blood count, Oedema peripheral, Pruritus
Clinical narrative: Lower 1/3 of left arm red and swollen about 3 1/2 x 5 cm size. C/O itching. Advised cool compresses and Benadryl PRN
Age: 1.0
Sex: F
Vaccine: HEP, HIBV, VARCEL
Symptoms: Rash, Skin lesion
Clinical narrative: Expose to grandmother with shingles 1 week ago. Rash developed on arms, face, trunk and extremities. Has numerous lesions. To use Benadryl and Calamine lotion.
Age: 3.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Client had called to report redness of left deltoid area no for child. States child ate well and played normally. Mother stated she took child to the ED at 11. Physical
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Blood creatine phosphokinase, Blood creatine phosphokinase MB increased, Blood creatine phosphokinase increased, Chest pain, Dyspnoea
Clinical narrative: This is a 33-year-old who received his primary smallpox vaccination on December 29, 2003. He developed chest pain on January 20, 2004. At the time, he was training out in the field and thought the chest pain was related to dust and pollutants he had inhaled. He describes the pain as sharp, in the center of his chest, causing difficulty breathing. He rated the pain 7-8/10 on the pain scale. The pain lasted for 2-3 minutes and would occur several times daily. During the chest pain, he reports that he had dyspnea on exertion and some diaphoresis; he denies having nausea or vomiting. He does not remember if a change of positions made the pain worse, better, or had any effect. He reported to the emergency room for evaluation on January 25, 2004. His Troponin I was 0.640; CK was 397; CK-MB was 1.14. He was transferred to a cardiologist.  9/4/07 Reviewed medical records which reveal patient experienced intermittent sharp chest pain, difficulty breathing, DOE, diaphoresis.  Seen in outlying ER where initial troponin 0.64, CK 397, CK-MB 1.14.  Referred to private cardiologist 2/2004 for chest pain x 1 week associated w/borderline troponin.  Patient also experienced cold symptoms at that time.  Referred to military internal medicine clinic for f/u. Then referred to cardiology 5/04 for f/u which found dx of probable smallpox associated myocarditis in resolution.  FINAL DX: Myopericarditis temporally associate w/smallpox vaccine.
Age: 32.0
Sex: M
Vaccine: SMALL
Symptoms: Dyspnoea exertional, Hyperhidrosis, Troponin I increased
Clinical narrative: This is a 33-year-old who received his primary smallpox vaccination on December 29, 2003. He developed chest pain on January 20, 2004. At the time, he was training out in the field and thought the chest pain was related to dust and pollutants he had inhaled. He describes the pain as sharp, in the center of his chest, causing difficulty breathing. He rated the pain 7-8/10 on the pain scale. The pain lasted for 2-3 minutes and would occur several times daily. During the chest pain, he reports that he had dyspnea on exertion and some diaphoresis; he denies having nausea or vomiting. He does not remember if a change of positions made the pain worse, better, or had any effect. He reported to the emergency room for evaluation on January 25, 2004. His Troponin I was 0.640; CK was 397; CK-MB was 1.14. He was transferred to a cardiologist.  9/4/07 Reviewed medical records which reveal patient experienced intermittent sharp chest pain, difficulty breathing, DOE, diaphoresis.  Seen in outlying ER where initial troponin 0.64, CK 397, CK-MB 1.14.  Referred to private cardiologist 2/2004 for chest pain x 1 week associated w/borderline troponin.  Patient also experienced cold symptoms at that time.  Referred to military internal medicine clinic for f/u. Then referred to cardiology 5/04 for f/u which found dx of probable smallpox associated myocarditis in resolution.  FINAL DX: Myopericarditis temporally associate w/smallpox vaccine.
Age: 3.0
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Erythema, Oedema peripheral, Pyrexia
Clinical narrative: Red swollen arm. Mom reports fever although not measured.
Age: 39.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Dysphagia, Dyspnoea, Oxygen supplementation, Urticaria
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of anaphylactic reaction in a 39-year-old female subject who was vaccinated with Engerix B for prophylaxis. Concurrent medications included Midrin, Aspirin and Zoloft. On 26 March 2007 the subject received 1st dose of Hepatitis B vaccine (unknown). The subject developed a possible fever an unspecified amount of time following vaccination. the outcome of the fever was not reported. On 8 August 2007 at 12:07 the subject received received 2nd dose of Engerix B at 20 mcg in the right arm. Within 17 to 18 minutes after vaccination with Engerix B, the subject experienced anaphylactic reaction, itching, hives (on the right arm in the deltoid region) and difficulty breathing. She also developed swallowing difficulty. An ambulance was called and the subject went to the emergency room. The subject was treated with an epi-pen prior to the ambulance arriving. The healthcare professional considered the events were life threatening and clinically significant (or requiring intervention). At the time of reporting the outcome of the events were unspecified.
Age: 39.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Anaphylactic reaction, Dysphagia, Dyspnoea, Pruritus, Pyrexia
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of anaphylactic reaction in a 39-year-old female subject who was vaccinated with Engerix B for prophylaxis. Concurrent medications included Midrin, Aspirin and Zoloft. On 26 March 2007 the subject received 1st dose of Hepatitis B vaccine (unknown). The subject developed a possible fever an unspecified amount of time following vaccination. the outcome of the fever was not reported. On 8 August 2007 at 12:07 the subject received received 2nd dose of Engerix B at 20 mcg in the right arm. Within 17 to 18 minutes after vaccination with Engerix B, the subject experienced anaphylactic reaction, itching, hives (on the right arm in the deltoid region) and difficulty breathing. She also developed swallowing difficulty. An ambulance was called and the subject went to the emergency room. The subject was treated with an epi-pen prior to the ambulance arriving. The healthcare professional considered the events were life threatening and clinically significant (or requiring intervention). At the time of reporting the outcome of the events were unspecified.
Age: 39.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Urticaria
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of anaphylactic reaction in a 39-year-old female subject who was vaccinated with Engerix B for prophylaxis. Concurrent medications included Midrin, Aspirin and Zoloft. On 26 March 2007 the subject received 1st dose of Hepatitis B vaccine (unknown). The subject developed a possible fever an unspecified amount of time following vaccination. the outcome of the fever was not reported. On 8 August 2007 at 12:07 the subject received received 2nd dose of Engerix B at 20 mcg in the right arm. Within 17 to 18 minutes after vaccination with Engerix B, the subject experienced anaphylactic reaction, itching, hives (on the right arm in the deltoid region) and difficulty breathing. She also developed swallowing difficulty. An ambulance was called and the subject went to the emergency room. The subject was treated with an epi-pen prior to the ambulance arriving. The healthcare professional considered the events were life threatening and clinically significant (or requiring intervention). At the time of reporting the outcome of the events were unspecified.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Biopsy skin abnormal, Blood glucose normal, Glucose tolerance test normal, Granuloma annulare, Pruritus
Clinical narrative: Information has been received from a physician concerning a 66 year old white female with seasonal allergies, allergies to penicillin, DEMEROL, codeine and "fluoroquinolones", hyperlipidemia, hypothyroidism, anxiety disorder and glucose intolerance who was vaccinated SC in the left upper extremity with a first dose of Zostavax (lot # 652965/0622F). Concomitant therapy included hydrochlorothiazide, SYNTHROID, ZOLOFT, montelukast sodium and ezetimibe. There was no illness at the time of vaccination. Within 24 hours of vaccination the patient developed a rash which was persisted. The rash covers her face, both arms, the trunk of her body and the lower limbs. The physician mentioned that the patient complains of a little itching, but no pain was noted. The patient went to see a dermatologist and an endocrinologist. The dermatologist performed a biopsy on 24-JAN-2007 which a diagnosis of granuloma annulare was determined. The endocrinologist performed various tests including fasting blood sugar and glucose tolerance testing in regards to possible diabetes that were all negative. As of 11-JUN-2007, the patient was recovering. Additional information from the physician indicated that on 14-NOV-2006, in the am, the patient developed a diffuse erythematous palpable macular rash in the bilateral axilla, torso and bilateral groin with pruritus. The patient had a biopsy of the left inner thigh and right cheek. The left inner thigh biopsy showed granuloma annulare. At the time of the report, the patient had not recovered. The physician reported that another office administered the vaccine. It was reported that the patient had no adverse events following prior vaccinations. The physician considered the patient's experiences to be disabling. Additional information has been requested.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Rash erythematous, Rash macular
Clinical narrative: Information has been received from a physician concerning a 66 year old white female with seasonal allergies, allergies to penicillin, DEMEROL, codeine and "fluoroquinolones", hyperlipidemia, hypothyroidism, anxiety disorder and glucose intolerance who was vaccinated SC in the left upper extremity with a first dose of Zostavax (lot # 652965/0622F). Concomitant therapy included hydrochlorothiazide, SYNTHROID, ZOLOFT, montelukast sodium and ezetimibe. There was no illness at the time of vaccination. Within 24 hours of vaccination the patient developed a rash which was persisted. The rash covers her face, both arms, the trunk of her body and the lower limbs. The physician mentioned that the patient complains of a little itching, but no pain was noted. The patient went to see a dermatologist and an endocrinologist. The dermatologist performed a biopsy on 24-JAN-2007 which a diagnosis of granuloma annulare was determined. The endocrinologist performed various tests including fasting blood sugar and glucose tolerance testing in regards to possible diabetes that were all negative. As of 11-JUN-2007, the patient was recovering. Additional information from the physician indicated that on 14-NOV-2006, in the am, the patient developed a diffuse erythematous palpable macular rash in the bilateral axilla, torso and bilateral groin with pruritus. The patient had a biopsy of the left inner thigh and right cheek. The left inner thigh biopsy showed granuloma annulare. At the time of the report, the patient had not recovered. The physician reported that another office administered the vaccine. It was reported that the patient had no adverse events following prior vaccinations. The physician considered the patient's experiences to be disabling. Additional information has been requested.
Sex: U
Vaccine: RV5
Symptoms: Intussusception
Clinical narrative: Information has been received from a physician concerning a patient who was vaccinated with a third dose of Rotateq. Subsequently, 4 weeks after the third dose, the patient developed intussusception. It was noted that the patient's chart was not at the office so no further data was available at the time of the report. Upon internal review, the patient's intussusception was considered to be an other important medical event. Additional information has been requested.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Eye swelling, Pharyngeal oedema
Clinical narrative: Information has been received from a physician concerning a 7 year old female who, on an undisclosed date, was vaccinated with 0.5 ml of Varivax. After being vaccinated the patient developed swollen eyes and her throat was swollen, and was subsequently rushed to the emergency room (ER). The reporting physician considered the events to be immediately life-threatening. No lot number was provided. At the time of reporting the patient's status was unknown. Unspecified medical attention was sought. There was no product quality complaint. Additional information has been requested.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Cough, Local swelling, Nasal congestion, No reaction on previous exposure to drug, Swelling face
Clinical narrative: Initial report received in the United States from the patient's parent on 03 August 2007. A five-year-old female patient with a history of asthma and allergies to beef, pork, eggs (mild) and dairy products experienced severe coughing, congestion and neck and facial swelling 10-15 minutes after she had received a left thigh injection of Daptacel, lot number C2657AA, and a left thigh injection of IPOL, lot number AVB20873. The routes of administration were not reported and the lot number reported for IPOL is not valid. The patient has a history of asthma and was receiving the medication Flovent until June 2007. No other concomitant medications were reported. The patient's parent denied any previous reactions following vaccination. On 01 August 2007, 10-15 minutes after she had received the vaccine, the patient experienced severe coughing, congestion, and neck and facial swelling. The patient was treated with oral Benadryl and epinephrine and her symptoms improved. She was instructed to continue taking epinephrine for three days. The reporter provided information relating to the patient's allergist and stated that this patient had recovered from this event.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Atrioventricular block second degree, Bradycardia, Cardiac pacemaker insertion, Electrocardiogram, Fatigue
Clinical narrative: Weak legs, fatigue, nausea, bradycardia. Patient taken to Urgent Care sent via ambulance to ER second degree to heart block pacemaker placed 7-13-07.  8/17/07 Received PCP medical records which reveal patient was in usual state of health on 7/11/07.  Returned to office on 7/24/07 as f/u to hospitalization where pacemaker inserted secondary to bundle branch block.  Had right pneumothorax while in hospital requiring chest tube.  Dx w/COPD at hospital.  8/28/07 Reviewed hospital medical records which reveal patient experienced tiredness, fatigue, dizziness  & worsened SOB over a few days.  In ER found to be in complete heart block w/ventricular rate of 32.  Admitted 7/13-7/20/07 & pacemaker inserted 7/13.  on 7/14 developed right side chest pain & decreased breath sounds.  DX: right pneumothorax.  Chest tube placed 7/14 & had persistent but intermittent air leak, chest tube d/c on 7/20.   FINAL DX: complete heart block; right pneumothorax; s/p pacemaker.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Muscular weakness, Nausea
Clinical narrative: Weak legs, fatigue, nausea, bradycardia. Patient taken to Urgent Care sent via ambulance to ER second degree to heart block pacemaker placed 7-13-07.  8/17/07 Received PCP medical records which reveal patient was in usual state of health on 7/11/07.  Returned to office on 7/24/07 as f/u to hospitalization where pacemaker inserted secondary to bundle branch block.  Had right pneumothorax while in hospital requiring chest tube.  Dx w/COPD at hospital.  8/28/07 Reviewed hospital medical records which reveal patient experienced tiredness, fatigue, dizziness  & worsened SOB over a few days.  In ER found to be in complete heart block w/ventricular rate of 32.  Admitted 7/13-7/20/07 & pacemaker inserted 7/13.  on 7/14 developed right side chest pain & decreased breath sounds.  DX: right pneumothorax.  Chest tube placed 7/14 & had persistent but intermittent air leak, chest tube d/c on 7/20.   FINAL DX: complete heart block; right pneumothorax; s/p pacemaker.
Age: 20.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Hypoaesthesia, Oedema peripheral
Clinical narrative: Swelling and numbness 3rd and 4th fingers - ipsilateral to injection site. Occurred 12-17 hrs after injection and progressing
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis of both thighs in annular pattern at injection site. Presented on 8-6-07 and treated with antibiotic
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Fatigue, Headache, Lymphadenopathy, Pain
Clinical narrative: Headache, redness, swelling, pain, fever, fatigue, swollen lymph nodes
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Pyrexia, Swelling
Clinical narrative: Headache, redness, swelling, pain, fever, fatigue, swollen lymph nodes
Age: 13.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Injection site induration
Clinical narrative: 2 1/2 cm tender induration on left arm at Varivax site 2 days after administration. No Rx required, resolved spontaneously. No systemic symptoms.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Dizziness, Immediate post-injection reaction, Musculoskeletal stiffness, Syncope
Clinical narrative: I gave HPV first in LA and patient was standing and appeared fine. I then gave the Menactra vaccine in the RA and patient immediately fainted and body stiffened for less than one minute. She then quickly reoriented and stood up and she was fine. Had two dizzy spells while sitting down, but they resolved w/ her head b/w legs. Monitored pt x2: 1st laying then sitting, then standing.
Age: 15.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Anxiety, Cyanosis, Eye rolling, Malaise, Musculoskeletal stiffness
Clinical narrative: About a few minutes after vaccine administration (Tdap, Menactra and Hep A), pt noted to be pale. Pt given water and candy. About 10 minutes after giving vaccine, she said she didn't feel well, put her head on her hands then suddenly stiffened up, head extended, eyes rolled backwards with stiffening of arms and legs, mild circumoral cyanosis lasted 5 seconds. Pt regained consciousness. BP 90/62, Pulse Ox = 98%, 911 called. Transferred to ER. Patient already slightly apprehensive prior to vaccination.
Age: 15.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Pallor
Clinical narrative: About a few minutes after vaccine administration (Tdap, Menactra and Hep A), pt noted to be pale. Pt given water and candy. About 10 minutes after giving vaccine, she said she didn't feel well, put her head on her hands then suddenly stiffened up, head extended, eyes rolled backwards with stiffening of arms and legs, mild circumoral cyanosis lasted 5 seconds. Pt regained consciousness. BP 90/62, Pulse Ox = 98%, 911 called. Transferred to ER. Patient already slightly apprehensive prior to vaccination.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Localized area of redness and induration about 3cm. diameter at injection site for MMRV posterior aspect of left arm with no tenderness at time of exam
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV, PNC
Symptoms: Cough, Lip swelling, Pruritus, Rash morbilliform, Urticaria
Clinical narrative: PGM called about 8:40 AM 7/17/07. Stated child had a measle-like rash on lower abdomen and groin area. C/O of some itching. Denied any other problems at this time. Discussed taking some Benadryl or using "Caladryl" lotion. She called back in about 10 min. stating child's lips were swelling had had whelps on upper chest. Denied SOB but stated he was coughing some. Told her to give him some Benadryl. Advised her to take to PMD or take to nearest ER. Took child to doctor this morning. Stated by the time the doctor saw child the rash was almost gone and lips were not as swollen. GM stated that the doctor didn't know if this was food allergy - reaction to shots or combination of both. Doctor gave him medicine but GM doesn't know the name. I tried several times to speak with nurse at doctors office but have been unsuccessful. 7-18-07 and 7-19-07 I spoke with child's grandmother and she stated child was fine.
Age: 38.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 4 cm x 4 cm reddened induration at vaccine site (R deltoid)
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Pain, Pyrexia
Clinical narrative: Fever the night of immunizations went up to 105. Body achy. was up most of night. Fever off and on. 8-10-07 started to feel better. 8-11-07 doing well.
Age: 81.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Injection site pain
Clinical narrative: Vaccine was administered in my physician's office on 6-28-07. three days later I experienced pain in and around the area of the vaccine-Saw my Dr. on 7-3-and was diagnosed with Shingles
Age: 14.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Blood pressure decreased, Heart rate decreased, Syncope
Clinical narrative: Syncope within 1 minute of receiving Varivax and Gardasil-HR decreased to 60, BP dropped to 90/50-patient slumped over-patient back to normal approx 25 minutes later
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Oedema peripheral, Pain
Clinical narrative: Arm swelling, redness, pain no treatment
Age: 15.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Back pain, Headache, Muscular weakness, Myalgia, Pyrexia
Clinical narrative: Headache,severe,developed backache within 12hr of vaccine,fever,myalgia,no evidence of muscle weakness, treatment with 800mg ibuprofen q6-8hr,pt seen within 24hrs after vaccines given
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, VARCEL
Symptoms: Effusion, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: left arm swollen, c/o pain (mild). 2nd such episode. erythemia, warmth, and extensive effusion.  8/17/07 Received provider medical records which included hospital medical records.  Patient experienced fever, red, warm, swollen & painful left arm on 7/27/07 w/extensive effusion of elbow..  Noted to be 2nd such episode. DX: severe immunization reaction involving a joint.  Sent to ER for possible drainage of elbow & IV antibiotics.  Admitted to hospital 7/27-7/30/07. Parent recalled insect bite on that arm where blisters on medial aspect of elbow approx 2-3 days prior.  Tx w/IV antibiotics. FINAL DX: Cellulitis of left arm, most likely secondary to possible insect bite, possible secondary infection w/o abscess. 8/23/07 Received hospital medical records of H&P, x-ray & US of elbow & labs.  No new info.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, VARCEL
Symptoms: Vaccine positive rechallenge
Clinical narrative: left arm swollen, c/o pain (mild). 2nd such episode. erythemia, warmth, and extensive effusion.  8/17/07 Received provider medical records which included hospital medical records.  Patient experienced fever, red, warm, swollen & painful left arm on 7/27/07 w/extensive effusion of elbow..  Noted to be 2nd such episode. DX: severe immunization reaction involving a joint.  Sent to ER for possible drainage of elbow & IV antibiotics.  Admitted to hospital 7/27-7/30/07. Parent recalled insect bite on that arm where blisters on medial aspect of elbow approx 2-3 days prior.  Tx w/IV antibiotics. FINAL DX: Cellulitis of left arm, most likely secondary to possible insect bite, possible secondary infection w/o abscess. 8/23/07 Received hospital medical records of H&P, x-ray & US of elbow & labs.  No new info.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Chills, Erythema, Headache, Myalgia
Clinical narrative: Achy joints, rednes, swelling, hot to the touch to entire bicep of left arm, nausea, muscle sorness, headache, and chills.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Nausea, Oedema peripheral, Skin warm
Clinical narrative: Achy joints, rednes, swelling, hot to the touch to entire bicep of left arm, nausea, muscle sorness, headache, and chills.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Urticaria
Clinical narrative: HIVES 48 HOURS AFTER INJECTION. RECEIVED SOLUMEDROL 250 MG IM X 1 IN OFFICE.
Age: 26.0
Sex: M
Vaccine: MMR, TDAP
Symptoms: Body temperature increased, Injection site rash, Malaise
Clinical narrative: Patient presented with themp of 99 F and lacey rash from about the site of the Tdap injection to the finger tips on the left arm.  States he started feeling unwell last evening.  He was not aware of the rash.
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Abdominal pain, Nausea, Vomiting
Clinical narrative: mother called morning after vaccines.  child c/o abdominal pain, nausea and vomiting.  no fever. no diarrhea. no other symptoms.  09/04/2007 MR received for DOS 8/16-20/2007.  Pt presented with 2 day hx of abdominal pain, nausea, vomiting. Upon PE a large protuberant mass was noted in her abdomen. (+) tenderness. Pt taken to OR for Exploratory Lap with L salpingo-oophorectomy for a hemorrhagic ovarian mass and necrosed Fallopian tube. Post-op course complicated by severe anemia.  Transfused with   2 units PRBCs. Discharge DX:  Left ovarian mass.  Follow-up: This is follow up to form completed 8/15/07. Pnone call to mother today who state she took child to pediatrician for continued abdominal pain and vomiting. Received shot for symptoms. No relief. Went to ER and was admitted to hospital for "abdominal mass" according to mother from sonogram/CT scan.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Chills, Dizziness, Dysphagia, Fatigue
Clinical narrative: PAIN AT THE INJECTION SITE, PAIN TRAVELED FROM INJECTION SITE DOWN THE ENTIRE LEFT ARM, THEN THE ENTIRE LEFT SIDE OF MY BODY WAS IN TERRIBLE PAIN.  BECAME VERY NERVOUS, FATIGUED AND DIZZY.  DEVELOPED HEADACHE, HIGH FEVER, BODY ACHES, CHILLS, SORE JOINTS.  THROAT/TONSIL AREA BECAME IRRITATED AND SWOLLEN.  VERY PAINFUL TO SWALLOW.  COULD NOT SWALLOW SOLIDS - VERY LITTLE LIQUIDS.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Injection site pain, Nervousness, Odynophagia, Pain
Clinical narrative: PAIN AT THE INJECTION SITE, PAIN TRAVELED FROM INJECTION SITE DOWN THE ENTIRE LEFT ARM, THEN THE ENTIRE LEFT SIDE OF MY BODY WAS IN TERRIBLE PAIN.  BECAME VERY NERVOUS, FATIGUED AND DIZZY.  DEVELOPED HEADACHE, HIGH FEVER, BODY ACHES, CHILLS, SORE JOINTS.  THROAT/TONSIL AREA BECAME IRRITATED AND SWOLLEN.  VERY PAINFUL TO SWALLOW.  COULD NOT SWALLOW SOLIDS - VERY LITTLE LIQUIDS.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity, Pharyngeal oedema, Pyrexia, Throat irritation
Clinical narrative: PAIN AT THE INJECTION SITE, PAIN TRAVELED FROM INJECTION SITE DOWN THE ENTIRE LEFT ARM, THEN THE ENTIRE LEFT SIDE OF MY BODY WAS IN TERRIBLE PAIN.  BECAME VERY NERVOUS, FATIGUED AND DIZZY.  DEVELOPED HEADACHE, HIGH FEVER, BODY ACHES, CHILLS, SORE JOINTS.  THROAT/TONSIL AREA BECAME IRRITATED AND SWOLLEN.  VERY PAINFUL TO SWALLOW.  COULD NOT SWALLOW SOLIDS - VERY LITTLE LIQUIDS.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Expired drug administered
Clinical narrative: No adverse symptoms.  Repeat vaccine as soon as possible.
Age: 19.0
Sex: F
Vaccine: MEN
Symptoms: Dizziness, Hypoaesthesia, Injection site anaesthesia, Nausea
Clinical narrative: Within about 1 minute after injection, Client stated that she felt light-headed and nauseous. Had her lie down in exam room. After about 30 minutes, she stated that she felt quite a bit better.   Also c/o's of numbness down side of arm where injection given.  All symptoms had improved but not totally gone when she said she felt well enough to leave the clinic. Will follow-up with her this afternoon.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Muscle rigidity, Mydriasis, Syncope
Clinical narrative: Patient was given HPV vaccine and within 30 seconds had a syncopal episode lasting 30 secinds. Her arms and legs became rigid and eyed dilated. Recovered quickly. Treatment was application of cool compresses to forehead and neck. Patient had not eaten much that day. B/P was 94/66 prior to administration.
Age: 0.5
Sex: M
Vaccine: DTAP, IPV
Symptoms: Listless, Pyrexia, Rash generalised, Vomiting
Clinical narrative: (All hx obtained from the mother)A few hours after the administration of the DTaP vaccine and IPOL, the patient developed fever and continued to have fever for 3 days.  The Tmax was 104.  The day following the vaccination, the patient also had several bouts of vomiting, and was listless. Then on the third day after the vaccine, the baby developed a total body rash which resolved after three days.  I saw the baby on day 7 after the vaccine and the physical exam was completely normal.
Age: 23.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Pruritus, Skin warm, Swelling, Throat irritation
Clinical narrative: She received a varicella shot as a part of the community college requirements on 7/10/2007.Three days after received this shot she developed a 2 x 2 in swelling that was red and hot to the touch abd itched as did her throat. She went to the MD and received a steroid shot and 3 steroid pills to take.  This reaction resolved within 2 days of having the steroid shot. She subsequently decided to have the 2nd varicella shot on 8/14/07 and was asked to call if this reaction repeated.
Age: 13.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: Left upper back of arm red, warm to touch with slight swelling. Started today on Cephalexin 500mg TID x10 days.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Angioedema, Arthralgia, Blood bicarbonate, Blood chloride normal, Blood creatinine normal
Clinical narrative: developed serum sickness with arthralgias, urticaria, and angioedema of eyes and lips, high CRP during hospitalization (CRP = 7.9).  Received Gardasil on 7/6/07, 5 days before her symptoms began.  Hospitalization lasted 5 days for refractory pain from arthralgias.  Did not have fever.  Urticaria were refractory and lasted for several days after her hospitalization.  Of potential confouding interest, she had also recently received keflex (finished a few days prior to when her symptoms began) 8/16/07-records received for DOS-8/9/07-clinic visit after hospitalization for uticaria, angioedema and pain secondary to arthralgias. 7/11/07-began having mild arthralgias in hands and feet followed by urticarial rash head to toe and angioedema of her eyes and lips. Sensation of throat swelling. Two days later after steroid treatment admitted to hospital with worsening arthralgias for pain control.  Impression chronic idiopathic urticaria with angioedema.  8/22/07records received for DOS 7/13/07-7/17/07-DC DX: Allergic reaction. Episode 3 days ago of urticaria, extreme arthralgias accompanied by angioedema of face lip and tongue. Generalized itching was severe and generalized rash.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Blood culture negative, Blood potassium normal, Blood sodium normal, Blood urea normal, C-reactive protein increased
Clinical narrative: developed serum sickness with arthralgias, urticaria, and angioedema of eyes and lips, high CRP during hospitalization (CRP = 7.9).  Received Gardasil on 7/6/07, 5 days before her symptoms began.  Hospitalization lasted 5 days for refractory pain from arthralgias.  Did not have fever.  Urticaria were refractory and lasted for several days after her hospitalization.  Of potential confouding interest, she had also recently received keflex (finished a few days prior to when her symptoms began) 8/16/07-records received for DOS-8/9/07-clinic visit after hospitalization for uticaria, angioedema and pain secondary to arthralgias. 7/11/07-began having mild arthralgias in hands and feet followed by urticarial rash head to toe and angioedema of her eyes and lips. Sensation of throat swelling. Two days later after steroid treatment admitted to hospital with worsening arthralgias for pain control.  Impression chronic idiopathic urticaria with angioedema.  8/22/07records received for DOS 7/13/07-7/17/07-DC DX: Allergic reaction. Episode 3 days ago of urticaria, extreme arthralgias accompanied by angioedema of face lip and tongue. Generalized itching was severe and generalized rash.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Full blood count, Haematocrit normal, Liver function test normal, Pain, Platelet count normal
Clinical narrative: developed serum sickness with arthralgias, urticaria, and angioedema of eyes and lips, high CRP during hospitalization (CRP = 7.9).  Received Gardasil on 7/6/07, 5 days before her symptoms began.  Hospitalization lasted 5 days for refractory pain from arthralgias.  Did not have fever.  Urticaria were refractory and lasted for several days after her hospitalization.  Of potential confouding interest, she had also recently received keflex (finished a few days prior to when her symptoms began) 8/16/07-records received for DOS-8/9/07-clinic visit after hospitalization for uticaria, angioedema and pain secondary to arthralgias. 7/11/07-began having mild arthralgias in hands and feet followed by urticarial rash head to toe and angioedema of her eyes and lips. Sensation of throat swelling. Two days later after steroid treatment admitted to hospital with worsening arthralgias for pain control.  Impression chronic idiopathic urticaria with angioedema.  8/22/07records received for DOS 7/13/07-7/17/07-DC DX: Allergic reaction. Episode 3 days ago of urticaria, extreme arthralgias accompanied by angioedema of face lip and tongue. Generalized itching was severe and generalized rash.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Red blood cell sedimentation rate normal, Serum sickness, Urine analysis normal, Urticaria, White blood cell count increased
Clinical narrative: developed serum sickness with arthralgias, urticaria, and angioedema of eyes and lips, high CRP during hospitalization (CRP = 7.9).  Received Gardasil on 7/6/07, 5 days before her symptoms began.  Hospitalization lasted 5 days for refractory pain from arthralgias.  Did not have fever.  Urticaria were refractory and lasted for several days after her hospitalization.  Of potential confouding interest, she had also recently received keflex (finished a few days prior to when her symptoms began) 8/16/07-records received for DOS-8/9/07-clinic visit after hospitalization for uticaria, angioedema and pain secondary to arthralgias. 7/11/07-began having mild arthralgias in hands and feet followed by urticarial rash head to toe and angioedema of her eyes and lips. Sensation of throat swelling. Two days later after steroid treatment admitted to hospital with worsening arthralgias for pain control.  Impression chronic idiopathic urticaria with angioedema.  8/22/07records received for DOS 7/13/07-7/17/07-DC DX: Allergic reaction. Episode 3 days ago of urticaria, extreme arthralgias accompanied by angioedema of face lip and tongue. Generalized itching was severe and generalized rash.
Age: 6.0
Sex: M
Vaccine: DTAP, HEP, HEPA, IPV
Symptoms: Nausea, Pain in extremity, Retching, Skin warm, Urticaria
Clinical narrative: On Monday August 13th client received vaccines with no complications.  Denies prior reactions.  Next morning he slept two extra hours and woke up feeling nauseated.  He had dry heaves.  Mother gave him something to eat and he felt better.  Today he developed a large welt appoximately 2in wide and 2 across "bigger than a golf ball" on his arm- where he received two of the vaccinations - Arm is warm and sore to the touch.  No further symptoms noted.  Client feels "ok"
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Received varivax on 8/13/2007.  Last night mom noticed redness and induration at site 2cmx3cm, no pain.
Age: 12.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: Seen in Uniontown Hospital ER for pain, swelling and redness posterior left arm.  Started on Keflex.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema
Clinical narrative: Redness to left outer upper arm at vaccine site given on 8/13/07. Seen by same provider 8/15/07. Ice packs ordered. Benadryl 12.5mg/5ml 2 tsp stat then q6-8h prn for itching. informed to go to ER if symptoms worsen or fever. Recheck appt given 8/22/07
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cold compress therapy, Erythema, Swelling
Clinical narrative: Redness and swelling of right deltoid started 8/13/07 in PM shot given at 2:30 PM. Covers 3/4 of upper arm.  Denies fever and not painful to touch.  Warm to touch.  Treatment: cool compresses and IBU. RTC if get worse.
Age: 1.08
Sex: F
Vaccine: HEPA, IPV, MMR
Symptoms: Anorexia, Asthenia, Blood culture, Culture urine, Dehydration
Clinical narrative: The day after she recieved her immunizations she had a fever she slept all day,she has been very sleepy,weak, personality has changed, dehydrated still to this date which is a week later she will not respond to her name doesn't want to stay awake for very long and doesn't have much of an appetite.
Age: 1.08
Sex: F
Vaccine: HEPA, IPV, MMR
Symptoms: Personality change, Pyrexia, Somnolence
Clinical narrative: The day after she recieved her immunizations she had a fever she slept all day,she has been very sleepy,weak, personality has changed, dehydrated still to this date which is a week later she will not respond to her name doesn't want to stay awake for very long and doesn't have much of an appetite.
Age: 0.19
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Acidosis, Brain damage, Cardio-respiratory arrest, Culture negative, Intensive care
Clinical narrative: Patient received vaccinations on 7/17 pm. Mother reported no illness or fever. Mother reported normal feeding that evening and in the morning. On 7/18 am, mother reported feeding the baby and then putting in crib after feeding finished. Baby did not move when put in crib and found to be not breathing by mom. 911 called and child was found to be in pulseless arrest. CPR performed for 25 minutes or more before pulse restored in ER. Child has been in PICU with evidence of brain damage since then.
Age: 0.19
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pulse absent, Respiratory arrest
Clinical narrative: Patient received vaccinations on 7/17 pm. Mother reported no illness or fever. Mother reported normal feeding that evening and in the morning. On 7/18 am, mother reported feeding the baby and then putting in crib after feeding finished. Baby did not move when put in crib and found to be not breathing by mom. 911 called and child was found to be in pulseless arrest. CPR performed for 25 minutes or more before pulse restored in ER. Child has been in PICU with evidence of brain damage since then.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Death, Unresponsive to stimuli
Clinical narrative: Patient was found August 9,2007 in between both parents unresponsive.  8/17/07 Received call from provider, will not send vax record but read lot #s to check against report.  RO dose & lot # correct as reported; however, 2 other lot #s corrected in VAERS database. 9/25/07 Reviewed Autopsy Report which reveals COD as traumatic asphyxia due to entrapment of head between mattress & headboard.  Manner of Death: accident.
Age: 75.0
Sex: F
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration, Pain in extremity
Clinical narrative: Patient given vaccine out of recommended age range. Patient reports her arm was sore for 2 days
Age: 9.0
Sex: M
Vaccine: IPV, VARCEL
Symptoms: Varicella
Clinical narrative: My son had a chicken pox booster shot on August 9, 2007. On August 13, 2007 we began to see small bumps on his stomach and buttox. On August 14, 2007 we contacted the doctor's office to be seen. They said that it couldn't be chicken pox because you couldn't get it from the booster shot and they said that he is probably having an allergic reaction. On August 15 we again called the doctor's office before my son went to school and they said that it couldn't be chicken pox and to send him to school. When he got home from school the rash had spread and there was little yellow liquid filled pimples on parts of his body. We again called the doctor's and demanded to be seen. When we arrived and saw the doctor it was confirmed that it was chicken pox. They had never seen chicken pox from a booster shot before and recommended we file this report. I would like to be contacted about this filing.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Inflammation, Skin warm
Clinical narrative: (+) erythematous, warmth, inflamed with small crust of vesicles formation Amoxicillin/Benadryl liquid
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: shot site swollen and warm to touch, left arm.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Cellulitis, Erythema, Induration, Skin warm, Tenderness
Clinical narrative: 5x5 cm area of erythema, warmth, tenderness and induration following varicella vaccination to (L) deltoid. Dx: Cellulitis Tx: Keflex 500 mg BID x 10d
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site induration, Injection site swelling
Clinical narrative: swelling and induration at site of vaccine.
Age: 8.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Inappropriate schedule of drug administration, Swelling
Clinical narrative: Redness. Swelling about size of softball itching mom called and was told to put hydrocortisone cream on it also was given dose of Tylenol
Age: 65.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: got (Td) in (R) deltoid on 08-10-07. Later that evening, pt noticed increased red, increased swollen, tender at site. Used Tylenol prn. Seen by me again 08-13-07 in office; had approx 7 cm diam. swollen, tender, erythematous area (R) shoulder/deltoid
Age: 13.0
Sex: F
Vaccine: PPV, TD
Symptoms: Aspartate aminotransferase increased, Blood bilirubin normal, Blood creatinine normal, Blood thyroid stimulating hormone normal, Erythema
Clinical narrative: (Td) placed 08-03-07 in (R) deltoid; pt. came to office 08-07-07 c/o (R) arm sore with "huge red area" has 3" to 4" (approx 8cmx10cm) erythema with 1.5 cm diam. firm, tender. SQ nodule centrally at site of injection. Pt. refused 50 mg for Keflex; seen again 08-10-07 with decreased erythema 6x6cm, decreased tender.
Age: 13.0
Sex: F
Vaccine: PPV, TD
Symptoms: Induration, Injection site nodule, Liver function test normal, Pain in extremity, Tenderness
Clinical narrative: (Td) placed 08-03-07 in (R) deltoid; pt. came to office 08-07-07 c/o (R) arm sore with "huge red area" has 3" to 4" (approx 8cmx10cm) erythema with 1.5 cm diam. firm, tender. SQ nodule centrally at site of injection. Pt. refused 50 mg for Keflex; seen again 08-10-07 with decreased erythema 6x6cm, decreased tender.
Age: 13.0
Sex: F
Vaccine: PPV, TD
Symptoms: White blood cell count
Clinical narrative: (Td) placed 08-03-07 in (R) deltoid; pt. came to office 08-07-07 c/o (R) arm sore with "huge red area" has 3" to 4" (approx 8cmx10cm) erythema with 1.5 cm diam. firm, tender. SQ nodule centrally at site of injection. Pt. refused 50 mg for Keflex; seen again 08-10-07 with decreased erythema 6x6cm, decreased tender.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Rash generalised, Urticaria
Clinical narrative: Hives/rash appeared about 20-30 min after immunization on entire body. Child treated with Solumedrol 40mg IM and Orapred 1 1/2 tsp qd x 4 days.
Age: 12.0
Sex: F
Vaccine: MNQ
Symptoms: Pyrexia
Clinical narrative: fever
Age: 59.0
Sex: F
Vaccine: JEV
Symptoms: Arthralgia, Cardiac murmur, Diarrhoea, Full blood count, Paraesthesia
Clinical narrative: fever x 3 days Tingling in all 4 limbs x 3 days joint pain x 3 days pins and needles in back x 3 days diarrhea x 1 day presented to office w/this on 7/14/07
Age: 59.0
Sex: F
Vaccine: JEV
Symptoms: Pyrexia, Red blood cell sedimentation rate normal
Clinical narrative: fever x 3 days Tingling in all 4 limbs x 3 days joint pain x 3 days pins and needles in back x 3 days diarrhea x 1 day presented to office w/this on 7/14/07
Age: 1.3
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Herpes zoster, Rash, Varicella
Clinical narrative: 8-2-07 - was seen in office for rash on back only. Started on Keflex for folliculitis. 8-6-07 Rechecked in office since new lesions continued to appear - dx with chicken pox. Per triage note dated 6-15-07 mom dx with shingles.
Age: 18.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Hypoaesthesia, Injected limb mobility decreased
Clinical narrative: 8/10/07 Patients mother calls to report that her daughter is having trouble lifting both arms. Also complains of numbness in arms started after receiving Imm on 7/18/07.
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Eye haemorrhage, Eye pain, Fatigue, Hyphaema, Migraine
Clinical narrative: 1) 1st severe migraine 6-4-07. 2) 2nd severe migraine on evening July 6, 07 with severe eye pain on the morning of July 7th, hemorrhagic left eye then (hyphema). 3) July 11, saw ophthalmologist - diagnosed hyphema, blood in eye. 4) July 13, sudden onset sore throat/sinus problems/fatigue - sinus duration 6 days. 5) July 25 blood clearing - return to ophthalmologist in 2 weeks.
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Pharyngolaryngeal pain, Sinus disorder
Clinical narrative: 1) 1st severe migraine 6-4-07. 2) 2nd severe migraine on evening July 6, 07 with severe eye pain on the morning of July 7th, hemorrhagic left eye then (hyphema). 3) July 11, saw ophthalmologist - diagnosed hyphema, blood in eye. 4) July 13, sudden onset sore throat/sinus problems/fatigue - sinus duration 6 days. 5) July 25 blood clearing - return to ophthalmologist in 2 weeks.
Age: 46.0
Sex: M
Vaccine: TYP
Symptoms: Body temperature increased, Malaise, Pyrexia
Clinical narrative: "The night of 8-13-07, I felt sick. I had a low-grad fever and took Tylenol and bed rest, I had the same thing yesterday and went home. I had a temperature of 103.7 last night. I took Tylenol and ibuprofen and used ice. I called my Dr. and he said to go to the E/R or wait a couple of hours to see if I felt better. I did, to I didn't go.
Age: 35.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Arthralgia, Full blood count, Headache, Influenza like illness, Malaise
Clinical narrative: Flu-like symptoms of fever, malaise, myalgias, arthralgia, nausea, headache
Age: 35.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Metabolic function test, Myalgia, Nausea, Pyrexia
Clinical narrative: Flu-like symptoms of fever, malaise, myalgias, arthralgia, nausea, headache
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Local reaction
Clinical narrative: large local reaction symptomatic tx w/compress and Motrin
Age: 64.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis
Clinical narrative: Right shoulder cellulitis developed 2-3 days after Pneumovax