chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 20.0
Sex: F
Vaccine: HIBV, PNC
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Fourth DtaP and second Hep A were given on 8/27/08, which was not six months from the previous doses.  These errors were found on a random chart review.  Mother of patient was notified by letter.
Age: 20.0
Sex: M
Vaccine: HIBV, PNC
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Fourth DtaP and second Hep A were given on 8/27/08, which was not six months from the previous doses.  These errors were found on a random chart review.  Mother of patient was notified by letter.
Age: 18.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Oedema peripheral
Clinical narrative: Evaluation of arthralgias that began after she received a Pneumovax injection on March 3, the same day she developed some aching and swelling in her left forearm and wrist, and she has developed some aching in both ankles and in the left knee. She thinks there may have been some swelling. She has had no fever or chills. She has had problems with recurrent upper respiratory tract infections. She had recent quantitative immunoglobulins on 2/07/2008, that were normal. A CBC was done on 3/05, which showed a white count of 7200. Her hemoglobin was 12.8. Sedimentation rate was elevated at 35. She was started on prednisone 2 mg b.i.d. at the Clinic. Pt concerned. Probably had localized reaction to the Pneumovax.  Did not improve with taking prednisone.
Age: 27.0
Sex: M
Vaccine: FLUX
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: Trouble breathing in the afternoon. Chest was very tight and breathing was constricted. Symptoms remained throughout the night but have started to retreat. Slight tightness of breath still remains.
Age: 19.0
Sex: F
Vaccine: FLU3, HEP, IPV, MMR, TDAP, VARCEL
Symptoms: Abdominal pain upper, Drug exposure during pregnancy, Headache
Clinical narrative: PATIENTS HUSBAND CALLED THIS MORNING, STATES THE PATIENT WAS PREGNANT AT TIME OF VACCINATION, COMPLAINS OF HEADACHE AND STOMACH ACHES
Age: 4.0
Sex: M
Vaccine: MMR
Symptoms: Borrelia burgdorferi serology negative, Cytomegalovirus test, Epstein-Barr virus test negative, Lymphadenopathy, Pyrexia
Clinical narrative: Patient approximately 1 week after vaccine, pt had 1 week of fevers from 101-104.  He was diagnosed with strep, treated with abx and had continued fever for 3 days.  Pt then had 5 days of fevers with massive cervical adenopathy 2 weeks later, that was not treated with antibiotics.
Age: 4.0
Sex: M
Vaccine: MMR
Symptoms: Red blood cell sedimentation rate increased, Streptococcal infection, Virus serology test negative
Clinical narrative: Patient approximately 1 week after vaccine, pt had 1 week of fevers from 101-104.  He was diagnosed with strep, treated with abx and had continued fever for 3 days.  Pt then had 5 days of fevers with massive cervical adenopathy 2 weeks later, that was not treated with antibiotics.
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal pain upper, Drug exposure during pregnancy, Headache
Clinical narrative: PATIENTS HUSBAND CALLED THIS MORNING STATED SHE IS APPROXIMATELY 3 WEEKS PREGNANT, COMPLAINS OF HEADACHE AND STOMACH ACHE
Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal pain upper, Blood human chorionic gonadotropin positive, Drug exposure during pregnancy, Dyspnoea, Pruritus
Clinical narrative: PATIENTS HUSBAND CALLED THIS MORNING STATED SHE IS APPROXIMATELY 3 WEEKS PREGNANT, COMPLAINS OF HEADACHE AND STOMACH ACHE
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Woke up 3:00am on 11/01/2008 with fever.
Age: 0.2
Sex: M
Vaccine: HEP, PNC, RV5
Symptoms: Wrong drug administered
Clinical narrative: RN drew up in syringe Tdap, which was administered.  Spoke with mother; baby did not experience fever, was not cranky, irritable, did not have redness at site.  Baby breastfed/bottle fed normal; slept normal.
Age: 1.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Muscle spasms, Pyrexia
Clinical narrative: FEVER, MUSCLE SPASMS, AND POSSIBLE SEIZURE
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Oropharyngeal pain, Pain in extremity
Clinical narrative: patient called in day after injection stating her arm ached from left shoulder to left elbow ( "felt like I had been slugged in my arm) 2 hours after receiving injection and that today she had a sore throat and fatigue. denies fever.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Infection, Injection site erythema, Injection site pain
Clinical narrative: PT. RECEIVED VACCINATION ON 10/22/08. CALLED PHARMACY ON 10/23/08 AND STATED THAT THEY HAD PAIN AT INJECTION SITE AND REDNESS DOWN TO ELBOW AREA. PHARMACIST INSTRUCTED TO KEEP AN EYE ON IT FOR A DAY OR TWO AND TO REPORT IF THE REACTION DIDN'T RESOLVE IN A COUPLE DAYS.  PT. ENDED UP GOING TO DOCTOR ON 10/27/08 FOR TREATMENT AND RECEIVED ANTIBIOTIC FOR INFECTION.  PT REPORTED LATER IN THE WEEK THAT THE PAIN AND SITE WERE IMPROVING WITH CONTINUED ANTIBIOTIC TREATMENT.
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Culture, Skin lesion
Clinical narrative: Mother refers the patient presented with lesions on the skin on the third day after the immunization shot. Dr. prescribed Benadryl and Caladryl topically.  12/18/08 Reviewed PCP medical records. FINAL DX: Impetigo Records reveal patient experienced macular rash w/some crusts.  Treated w/antivirals, antibiotics & labs.  Records partially in Spanish. No other records available.  1/27/09 Reviewed hospital records of 8/21-8/25/2008. FINAL DX: Impetigo reaction to varicella Records reveal patient developed skin lesions s/p 2nd dose of varicella which progressed to oozing crusty lesions.  Tx w/IV antibiotics, improved & d/c to home on continued oral antibiotics.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: SO FAR, SHE HAS HAD NONE
Age: 24.0
Sex: M
Vaccine: TDAP
Symptoms: Pain in extremity, Pyrexia, Skin nodule
Clinical narrative: Fever for 3 days 103F Nodule in the L arm, Soarness.
Age: 4.0
Sex: F
Vaccine: DTAP, FLU3, HEPA, IPV, MMR, VARCEL
Symptoms: Fatigue, Injection site erythema, Skin warm
Clinical narrative: 11/4/08 - Redness on left arm at injection site.  11/5/08 - Left arm from shoulder to elbow red, warm to touch.  Also, complaints of tiredness; no fever
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site discomfort, Injection site erythema, Injection site reaction, Local reaction
Clinical narrative: Large local reaction on Lt upper arm noted 11-5-08.  Client received DTaP and Varivax in Lt arm on 11-3-08.  No fever. Site is uncomfortable.  Client taken to see Dr on 11-5-08; she reports area of erythema is 10cm long and 6cm wide and MD thinks it is related to DTaP injection. MD advised mother to watch area and use ice for discomfort.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Received influenza and pneumonia vaccine on 11/04/08.  Left forearm pneumonia site and red and warm to touch.  Redness and warmth has radiated to posterior area.  Has applied ice packs but very painful.  Physician referred to hospital ER to evaluate possibility of cellulitis.  Reports problem started immediately after receiving injection.
Age: 60.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Erythema, Injection site haematoma, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Received Tdap and flu vaccine in left arm per patient request. Patient states arm was sore and a little swollen on day of injection(11/04/08). The next morning when she woke up (11/05/08) she noticed a bruise at the injection site and her arm was swollen and painful to touch.  This morning she said it turned red and hot.  Patient instructed to apply ice packs to area. Take tylenol prn fever and/or swelling.  Take Benadryl prn itching.  Pt also instructed to follow up with PMD if s/s get worse.  Pt instructed to call prn if questions/concerns.  If patient experiences difficulty breathing call 911.  Pt informed that agency will follow up with her.
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Incorrect route of drug administration, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Influenza vaccine given SC, not IM.  Member experienced erythema, swelling, heat 2.5" x 1". Member reported pain and itching at injection site.  Duration of symptoms- 72hrs.
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site warmth
Clinical narrative: Influenza vaccine given SC, not IM.  Member experienced erythema, swelling, heat 2.5" x 1". Member reported pain and itching at injection site.  Duration of symptoms- 72hrs.
Age: 26.0
Sex: F
Vaccine: FLUX
Symptoms: Cough, Fatigue, Influenza like illness, Injection site pain, Malaise
Clinical narrative: Coworker and I were administered flu shot on 10/22/08.  From what I read, symptoms should not be occuring, but both of us are experiencing the same symptoms:  flu like symptoms, fatigue, sore throat, dry cough, slight fever.  Both of us just do not feel well and normally do not fall ill.  No one else in the office has received the shot or nasal spray, has fallen ill, or become infected by either of us.  Also, site of injection was usually sore compared to the previous 5 years I have received the flu shot.
Age: 26.0
Sex: F
Vaccine: FLUX
Symptoms: Oropharyngeal pain, Pyrexia
Clinical narrative: Coworker and I were administered flu shot on 10/22/08.  From what I read, symptoms should not be occuring, but both of us are experiencing the same symptoms:  flu like symptoms, fatigue, sore throat, dry cough, slight fever.  Both of us just do not feel well and normally do not fall ill.  No one else in the office has received the shot or nasal spray, has fallen ill, or become infected by either of us.  Also, site of injection was usually sore compared to the previous 5 years I have received the flu shot.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus
Clinical narrative: 11/06/2008  Pt. States started itching on head then noticed on shoulder and breast area 6 hours after receiving the Flu shot. Also took Naprosyn.  States called PMD and was told to take Benadryl, 50mg. States it was effective, the next day started again 3 hours after taking Naprosyn.  States was told by PMD that "she should probably not receive flu shots anymore."
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: RT ARM, REDDENED AND SWOLLEN, WARM TO TOUCH. 9CM LONG, 7CM WIDE
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Incorrect route of drug administration, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Influenza vaccine given SC instead of IM.  Member experienced slight redness, itching and soreness at injection site for app. 48 hours.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Initially there was redness right at the injection site of the varicella vaccine.  Over night the swelling and redness increased.  on exam redness measuring 15 1/2 cm X 12 1/2 cm on the right upper arm.  Induration worse n the 4 cm area around the injection site then to a less degree for the remaining area of redness
Age: 5.0
Sex: M
Vaccine: FLUN3
Symptoms: Vomiting
Clinical narrative: 3 days following administration of vaccine vomited x 2-3 days.
Age: 16.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site haematoma, Injection site pruritus
Clinical narrative: Nine days after Varicella vaccine c/o bruising, reddness and itching at injection site
Age: 73.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: swelling,redness,warmth and pain to touch x1 day in rt upper deltoid and down to posterior/ antrior bicept.
Age: 3.0
Sex: F
Vaccine: FLUN3
Symptoms: Accidental exposure
Clinical narrative: Went to give the child the flumist (nasal), and child jolted head back as spraying - small amount of flumist sprayed into child's eye.  We immediatelty flushed with water.  Patient did not have any effects.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Large area of erythema, warmth-measures 8by7.5 cm today.
Age: 31.0
Sex: M
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Injection site mass, Insomnia, Pain in extremity, Pyrexia
Clinical narrative: Stated, "5 hrs after injection arm extremely sore, made it difficult to sleep at night, 2nd day after injection had to use R hand to lift L arm above head, ran fever off and on for 3 days. Used Motrin daily for last 3 days. No c/o redness but had a very small bump at injection site. Rcd injection is same arm dislocated 17 years ago. Feel there might be some decrease in pain today" Client referred to Dr. if doesn't continue to see improvement.
Age: 30.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Cellulitis, Chills, Headache, Influenza like illness, Malaise
Clinical narrative: Cellulitis of the left arm, encompassing the entire upper arm. Flu like symptoms such as fever, chills, body aches, malaise, headache and nausea. Given clyndamycin 300mg four times a day for 10 days and bactrim twice a day for 15 days, also vicodin for pain.
Age: 30.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Nausea, Pain, Pyrexia
Clinical narrative: Cellulitis of the left arm, encompassing the entire upper arm. Flu like symptoms such as fever, chills, body aches, malaise, headache and nausea. Given clyndamycin 300mg four times a day for 10 days and bactrim twice a day for 15 days, also vicodin for pain.
Age: 71.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Injection site discolouration, Injection site erythema
Clinical narrative: PATIENT RECEIVED TDAP INJECTION ON 10/23/08.  PT STATED SHE HAD NO PROBLEMS UNTIL 11/01/08 WHEN SHE NOTICED THE INJECTION SITE WAS RED/PURPLE WITH SMALL WHITE SPOTS ON IT.  PT STATED THAT SHE NEVER FELT ANY PAIN/DISCOMFORT ASSOCIATED WITH IT.  SHE RETURNED TO CLINIC ON 11/04/08 TO HAVE THE AREA LOOKED AT AND AT THAT TIME, THE INJECTION SITE AREA WAS SLIGHTLY PINK APPROXIMATELY 1 INCH IN DIAMETER AND WAS NOT WARM TO THE TOUCH.  PT STATED THAT IT WAS GREATLY IMPROVED FROM 11/01/08.  CALLED PT TODAY, 11/06/08, AND PATIENT REPORTS THE AREA IS BACK TO NORMAL.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Injection site pruritus, Pruritus
Clinical narrative: Pt. has had an adverse reaction the hepatitis B shot in the past that consisted of a rash with an onset of 10 minutes after administration. Pt. received HPV shot and meningoccal today.  I waited 15 minutes between adminstration of each vaccine to check for reactions.  The meningococcal vaccine was adminstered first with no reaction. After 15 minutes the HPV vaccine was adminstered and patient had some localized itching at the injection site and some slight itching on her face but did not report any problems swallowing or breathing.  After 15 minutes the patient left the office with instructions to call if itching increased. After one hour the patient's mother called in complaining of increased itching by the patient.  The patient was informed to come in and per Dr. a 4mg/ml 1 ml dose of dexamethasone sodium phospate was injected in the gluteus muscle. The patient was held at the office for one hour and reported feeling better with less itching.  The patient was sent home with instructions to go to the ER if any signs of trouble breathing or swallowing were found.
Age: 5.0
Sex: F
Vaccine: DTAP, FLU3, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site haematoma, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: RA,presumed site of varicella vaccine administration 11/03/2008, shows erythematous  area, sl textured, warm to touch, 60mm high X 50 mm across, noted last evening initially.  Guardian states it was firmer, and more swollen last pm.  Child is afebrile, normal activity level.  Incidental is 15 mm bruise noted in R deltoid area:  dtap and influenza vaccine were administered to RD on same day.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Herpes zoster, Immune system disorder, Lymph node pain, Lymphadenopathy
Clinical narrative: 10/31 3pm malaise, lo graade fever, nausea, fatique 11/2 AM rash on left side of back spreading to side to groin, lymph nodes swelling and pain.  11/3 Dr visit dx with shingles due to immune supression effect of flu vaccine, at which time I was prescribed Acyclovir.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Malaise, Nausea, Pyrexia, Rash
Clinical narrative: 10/31 3pm malaise, lo graade fever, nausea, fatique 11/2 AM rash on left side of back spreading to side to groin, lymph nodes swelling and pain.  11/3 Dr visit dx with shingles due to immune supression effect of flu vaccine, at which time I was prescribed Acyclovir.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: One day after I received the flu shot, I have had a fever.  The fever starts in the afternoon and lasts 5 or 6 hours.  The fever ranges from 99 ot 101.
Age: 11.0
Sex: M
Vaccine: FLUN3
Symptoms: Pruritus, Urticaria
Clinical narrative: Per mom, hives that started on chest (avoiding the nipple area), back, stomach and shoulders.  Took child to emergency room and given epinepherine, steroids and benadryl.  No breathing difficulties noted. Hives subsided with treatment.  Next morning, hives on shoulders,neck, face, pelvic area, thighs and legs.  Taken to pediatrician.  Given prednisone and atarax for the itching.  Pediatrician described the rash as "moderately severe urticaria covering most of his body."  Symptoms started approximately 3-4 hours after receiving first dose of FluMist.
Age: 0.4
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Haematochezia, Ultrasound scan normal
Clinical narrative: SUDDEN ONSET HEMATOCHEZIA 10/15/2008, ADMITTED TO HOSPITAL.  U/S NEGATIVE FOR INSUSSUSCEPTION. MECKEL'S SCAN ALSO NEGATIVE. RESOLVED SPONTANEOUSLY. 12/22/08-records received for DOS 10/15-10/16/08-DC DX:Blood in stool. Presented with 2 episodes of bloody stools on day of admission. Crying more than normal. Pain while stooling. Fussy.
Sex: F
Vaccine: FLU3
Symptoms: Deafness
Clinical narrative: This case was reported by a pharmacist and described the occurrence of hearing loss in an adult female subject who was vaccinated with FLULAVAL (GlaxoSmithKline). On an unspecified date the subject received a dose of FLULAVAL at 0.5 ml. At an unspecified time after vaccination with FLULAVAL, the subject experienced hearing loss. This case was assessed as medically serious by GSK. At the time of reporting the outcome of the event was unspecified.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Echocardiogram normal, Ultrasound scan
Clinical narrative: Information has been received from a nurse for the Merck pregnancy registry for GARDASIL concerning a 16 year old female smoker with attention deficit/hyperactivity disorder and a history of a functional murmur and febrile seizure as a child who on 25-APR-2007 was vaccinated intramuscularly with the first dose of GARDASIL (655205/1426F). On 28-JUN-2007, the patient received the second dose intramuscularly of GARDASIL (657868/0523U). Following the second dose, the patient was confirmed to be pregnant by ultrasound with a conception date of 12-JUL-2007. Concomitant therapy included prenatal vitamins. The patient had been taking SEROQUEL, METADATE, and TOPAMAX for ADHD but had stopped medications prior to conception. Gestation on 28-SEP-2007 was 11 weeks and 1 day. The patient sought unspecified medical attention. Additional information received from telephone call (09-JUN-2008): The physician reported that the patient delivered a healthy, normal male baby on 21-APR-2008 at 40 weeks gestation. Apgar scores were 8 at 1 minutes and 9 at 5 minutes. Birthweight was 8 pounds, 5 ounces, length 20 3/4 inches, head circumference was 14 1/4 inches and he was blood type O positive. On 29-APR-2008 the baby was seen for a one week well child visit. The baby is a healthy appearing infant, well nourished, bottle feeding and alert. Weight is within normal range for stated age. No known drug allergies. On 02-JUN-2008 the baby was seen for congestion, crying for no reason, vomiting yellow x 2, coughing and fever for a few days. Acute otitis media was suspected and the parents were instructed to take the baby to the emergency room for a septic work up and he was admitted to the hospital. On 24-JUN-2008 the baby was seen for a 2 month well child visit. The parents had no concerns. The baby's ear, nose and throat exam was normal. Additional information is not expected. All medical records are available upon request.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Autopsy, Death
Clinical narrative: Pt. was found dead in the crib at daycare the following afternoon. 2/18/09-autopsy report received-COD Sudden Infant Death Syndrome.
Age: 0.6
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Pyrexia
Clinical narrative: Fever 105 degrees after taking 6 month shots.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Gait disturbance, Headache, Skin discomfort, Swelling
Clinical narrative: Severe headache, skin and joint aches, swelling everywhere, could not walk or sit, Lupus attack
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Systemic lupus erythematosus
Clinical narrative: Severe headache, skin and joint aches, swelling everywhere, could not walk or sit, Lupus attack
Age: 33.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: 10/30 Pt states started to develop hives at waist/wrists bil and L leg at 0830 24 hours after flu immunization. No local reaction. Benadryl given 1500 10/30/08. On 10/31 Pt states hives spread to most of body then resolved by 11/1.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ, TD, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Varicella given subq R arm on 11/4/2008 and it starting turning red and swelling on 11/5/2008 around late PM. Return to RN on 11/06/08 at 4PM, injection site red and swollen.
Age: 2.0
Sex: F
Vaccine: FLUN3
Symptoms: Nasal congestion, Otitis media, Respiratory tract congestion, Rhinitis, Wheezing
Clinical narrative: Nasal congestion/rhnitis onset evening after flu mist. Seen 10-9 with persistent congestion, wheezing and evidence bilat OM
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Eye swelling, Ocular hyperaemia
Clinical narrative: Red, puffy, swollen eyes. Start of symptoms 2 hours later and abated 24 hours later. No treatment other than cool water splashed in eyes.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphonia, Dyspnoea, Hypertension, Nasal congestion, Ocular hyperaemia
Clinical narrative: Injection @ 1050. Started feeling nasal congestion @ approx 1700, feeling of scratchy throat and feverish. Took a vitamin @ 1730, returned to work and became hoarse, but felt better. Co-worker noticed blood shot eyes @ approx 2000. At approx 2100 no new symptoms, but pt had difficulty taking a deep breath in which had improved from 3 hrs previously. Arrived in ER @ 2115 noted to have high blood pressure. Received Benadryl injection which caused pt to feel worse, however the voice returned spontaneously. Illness deemed viral and pt sent home. Pt felt fine //// No other symptoms.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Throat irritation, Viral infection
Clinical narrative: Injection @ 1050. Started feeling nasal congestion @ approx 1700, feeling of scratchy throat and feverish. Took a vitamin @ 1730, returned to work and became hoarse, but felt better. Co-worker noticed blood shot eyes @ approx 2000. At approx 2100 no new symptoms, but pt had difficulty taking a deep breath in which had improved from 3 hrs previously. Arrived in ER @ 2115 noted to have high blood pressure. Received Benadryl injection which caused pt to feel worse, however the voice returned spontaneously. Illness deemed viral and pt sent home. Pt felt fine //// No other symptoms.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dyspnoea, Feeling hot, Hyperhidrosis, Tremor
Clinical narrative: Injection @ 1600. At approx 1830 Pt felt very hot and sweaty, hands shaky, and sensation of inability to take a deep breath with spontaneous cough. Evaluated by factory first aid attendant and taken to ER @ 2115. Received injection of Benadryl in ER. No relief from this. Pt then went home @ 0000 and vomited at home, symptoms then subsided. Pt went to bed @ 0115 and woke up feeling fine.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Injection @ 1600. At approx 1830 Pt felt very hot and sweaty, hands shaky, and sensation of inability to take a deep breath with spontaneous cough. Evaluated by factory first aid attendant and taken to ER @ 2115. Received injection of Benadryl in ER. No relief from this. Pt then went home @ 0000 and vomited at home, symptoms then subsided. Pt went to bed @ 0115 and woke up feeling fine.
Age: 7.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: Syncope - occur approximately 5 min after getting the vaccine below
Age: 7.0
Sex: M
Vaccine: FLUN3, HEPA, VARCEL
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives covering body with pruritus for 2 days. Treated with Benadryl. No shortness of breath.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Pallor, Tremor
Clinical narrative: Pale, Tremors, SOB
Age: 0.6
Sex: M
Vaccine: FLU3
Symptoms: Blood culture, Culture urine, Full blood count, Pyrexia, Rash
Clinical narrative: Fever and rash approximately 5 hrs after injection. Treated fever with Tylenol, skin reaction with oral Benadryl.
Age: 2.0
Sex: F
Vaccine: VARCEL
Symptoms: Wrong drug administered
Clinical narrative: Vaccine given outside of CDC recommendation for administration. Rcvd VARIVAX #1 on 3/17/08: the received VARIVAX #2 on 10/8/08. Patient experienced no known adverse effects. Error found on random chart audit.
Age: 85.0
Sex: F
Vaccine: UNK
Symptoms: Injection site urticaria
Clinical narrative: Large hive- 24 X 10 cm on afflicted arm consistent with injection site.
Age: 22.0
Sex: F
Vaccine: UNK
Symptoms: Rash
Clinical narrative: Seen per Dr. 11-5-08 @ 1000 AM Rash on abdomen, & legs. Rx given for Medrol Pak 4mg or tabs & Benadryl 25mg tabs. Claritin 10 mg.
Sex: U
Vaccine: FLU3, HEPA, VARCEL
Symptoms: Rash
Clinical narrative: mild rash
Age: 34.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Body temperature increased, Pyrexia
Clinical narrative: This case was reported by a healthcare professional and described the occurrence of fever in a female subject aged between 40 and 49 years old who was vaccinated with influenza vaccine TRIVALENT (FLULAVAL, GlaxoSmithKline), pneumococcal vaccine, unspecified (Pneumovax, Merck) and tetanus and diphtheria toxoids adsorbed (Tetanus diphteria vaccine, Sanofi Pasteur) for prophylaxis. On an unspecified date in September 2008, the subject received an unspecified dose of FLULAVAL (.5 unknown, unknown), an unspecified dose of Pneumovax (unknown), and an unspecified dose of Tetanus diphteria vaccine (unknown). At an unspecified time after vaccination with Flulaval, Pneumovax and Tetanus diphteria vaccine, the subject experienced fevers of over 102 degrees Fahrenheit during the next five days. The subject treated her symptoms at home, but was seen in the physician's office for a follow-up. At the time of reporting, the event was improved. Follow-up information received on 07 October 2009 indicated that the subject was 34 years old at the time of event. Onset of fever was 13 September 2008 and on an unspecified date, the event resolved. The subject never received Tetanus diphteria vaccine, it was recorded in error, and Flulaval and Pneumovax were given in the same unknown arm.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Abortion spontaneous, Blood human chorionic gonadotropin, Drug exposure during pregnancy
Clinical narrative: Information has been received from a nurse for the Pregnancy Registry for GARDASIL concerning an 18 year old female who on 13-DEC-2007 was intramuscularly vaccinated with her first dose of GARDASIL (lot # 658554/0928U) and later found out she was pregnant.  On 27-Dec-2007, the patient sought unspecified medical treatment with an office visit.  A pregnancy test was performed and determined she was about 5-6 weeks pregnant (LMP approximately 11/17/07).  No adverse events were reported.  Follow-up information was received on 03-NOV-2008 from a physician indicating that the patient is a female with 0 previous pregnancies.  The patient had no significant past medical history or concurrent medical conditions.  In early January 2008, 7-8 weeks from her LMP, the patient had an spontaneous abortion.  The products of conception were not examined.  It was unknown if the fetus was normal.  Upon internal review, the spontaneous abortion was determined to be an other important medical event.  Additional information has been requested.
Age: 21.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Foetal disorder, Uterine haemorrhage
Clinical narrative: Information has been received from a 22 year old female with no pertinent medical history or drug allergies, for the Pregnancy Registry for GARDASIL, concerning herself who was vaccinated with the first (0.5ml) and second (dose not reported) dose of GARDASIL on 29-JUL-2008 and 19-SEP-2008 respectively.  There was no concomitant medication.  She became pregnant after getting the GARDASIL vaccine.  She also stated that her baby is sinking and she was having internal abnormal bleeding around her baby.  The patient's LMP was 25-OCT-2008.  The patient had a blood test.  The patient sought medical attention.  Upon internal review the internal abnormal bleeding around the baby was determined to be an other important medical event.  Additional information received indicated that the office had no knowledge of this patient having GARDASIL.  Additional information has been requested.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Anaphylactic reaction, Dyspnoea, Throat tightness
Clinical narrative: Information has been received from a physician concerning a 15 or 16 years old female patient who was vaccinated with the second dose of GARDASIL 0.5ml IM (therapy date, site unknown. Subsequently after the second dose, "In July or August, 2008", the patient experienced anaphylactic reaction. "Her throat started closing and she couldn't breathe." The patient was given BENADRYL and steroids (unspecified). The patient recovered that day. The doctor did not say if there was an AE with the first injection. Because of these events, the patient will not be completing the series. Upon internal review, the throat tightness and dyspnea were considered to be other important medical events. Additional information has been requested.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Fall, Haemorrhage intracranial, Head injury, Headache, Intensive care
Clinical narrative: Information has been received from a registered nurse (R.N.) concerning a 16 or 17 year old female who on an unspecified date was vaccinated with her first dose of GARDASIL. Subsequently, "somewhere in 2007", the patient fainted and literally fell on her head and had front and back cranial bleeding. The patient was brought to the hospital and was placed in the intensive care. The patient also had 27 stitches on her head. The nurse reported that the patient complained that she was still having headaches all the time. The outcomes of other events were not reported. The reporter considered the patient's adverse events to be disabling and immediately life-threatening. Additional information is not expected.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Suture insertion, Syncope
Clinical narrative: Information has been received from a registered nurse (R.N.) concerning a 16 or 17 year old female who on an unspecified date was vaccinated with her first dose of GARDASIL. Subsequently, "somewhere in 2007", the patient fainted and literally fell on her head and had front and back cranial bleeding. The patient was brought to the hospital and was placed in the intensive care. The patient also had 27 stitches on her head. The nurse reported that the patient complained that she was still having headaches all the time. The outcomes of other events were not reported. The reporter considered the patient's adverse events to be disabling and immediately life-threatening. Additional information is not expected.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Drug administered at inappropriate site, Mobility decreased, Pain, Rash erythematous, Rash papular
Clinical narrative: Information has been received from a physician concerning a 26 year old female with penicillin allergy and no relevant medical history who on 25-AUG-2008 was vaccinated intramuscularly with a first dose of GARDASIL in the left arm (lot number not reported).  At time of administration, the patient experienced pain.  The pain became severe and impaired lifting the arm.  The patient self-treated with unspecified non-steroidal anti-inflammatory medications and the pain resolved in 3 weeks.  On 27-OCT-2008, the patient was vaccinated intramuscularly with a second dose of GARDASIL in the gluteus muscle (lot number not reported).  Concomitant therapy included YASMIN.  Within a few hours, the patient developed a red, raised, itchy rash on her torso and both arms.  The patient self-treated with BENADRYL.  The patient contacted the physician's office by phone the next day to inform them of the reaction and at that time, the rash was improved.  According to the physician, the patient's events were considered to be disabling.  Additional information has been requested.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Rash pruritic
Clinical narrative: Information has been received from a physician concerning a 26 year old female with penicillin allergy and no relevant medical history who on 25-AUG-2008 was vaccinated intramuscularly with a first dose of GARDASIL in the left arm (lot number not reported).  At time of administration, the patient experienced pain.  The pain became severe and impaired lifting the arm.  The patient self-treated with unspecified non-steroidal anti-inflammatory medications and the pain resolved in 3 weeks.  On 27-OCT-2008, the patient was vaccinated intramuscularly with a second dose of GARDASIL in the gluteus muscle (lot number not reported).  Concomitant therapy included YASMIN.  Within a few hours, the patient developed a red, raised, itchy rash on her torso and both arms.  The patient self-treated with BENADRYL.  The patient contacted the physician's office by phone the next day to inform them of the reaction and at that time, the rash was improved.  According to the physician, the patient's events were considered to be disabling.  Additional information has been requested.
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion, Dizziness, Gaze palsy, Syncope vasovagal
Clinical narrative: Information has been received regarding a case in litigation from a administrative assistant concerning a 26 year old female with no relevant medical history or allergies who on 15-APR-2008 was vaccinated intramuscularly with a first 0.5 ml dose of GARDASIL (lot number and injection site not reported).  On 17-JUN-2008, the patient was vaccinated intramuscularly with a second 0.5 ml dose of GARDASIL (lot number 660553/0070X) (injection site not reported).  Concomitant therapy included birth control pills (unspecified brand).  After the vaccination, the patient became lightheaded.  Her eye rolled back and she seemed to have a severe vasovagal response.  According to the reporter, it seemed like the patient was going to have a seizure.  The patient was sent to the emergency room.  The patient was observed there and released on the same day fully recovered.  Upon internal review, seizure was considered to be an other important medical event.  Additional information has been requested.
Age: 1.5
Sex: F
Vaccine: MMR
Symptoms: Autism, Developmental delay, Social avoidant behaviour, Stereotypy
Clinical narrative: Information has been received from a consumer concerning his 35 month old daughter with no pertinent medical history or allergies who in May 2007, was vaccinated with a first dose of MMR II. There was no concomitant medication. Subsequently the patient began displaying autistic traits. She lost eye contact and she began lining up objects. She made an office visit to seek medical attention. No laboratory or diagnostic tests were performed. She was currently in intensive therapy for developmental issues. At the time of this report, 30-OCT-2008, the patient was recovering. Upon internal review it was determined that "displaying autistic traits" was an other important medical event. Additional information has been requested.
Age: 3.0
Sex: M
Vaccine: MMR
Symptoms: Autism spectrum disorder, Congenital anomaly, Convulsion, Fragile X syndrome
Clinical narrative: Information has been received from a consumer concerning her approximately 3 year old son who on 05-NOV-2003 was vaccinated with a dose of MMR II. Concomitant suspect vaccinations included a dose of COMVAX (MSD) (lot #643186/0584M) on 19-AUG-2002 and another dose of COMVAX (MSD) (lot #645698/0286N) on 09-JUN-2003, and VARIVAX on 09-MAY-2003. Other concomitant vaccinations, on unspecified dates included poliovirus vaccine (manufacturer unknown), DTaP (manufacturer unknown), PREVNAR and influenza virus vaccine (unspecified) (manufacturer unknown). The mother reported that her son was diagnosed with autism spectrum disorder at age 3 (approximately 2005). He also was later diagnosed with fragile X syndrome (date unspecified). The patient also suffered several seizures, one of which required hospitalization. No further information was available. Upon internal review, the patient's autism spectrum disorder was considered to be an other important medical event, and fragile X syndrome was considered to be a congenital anomaly. Additional information is not expected.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Death, Upper respiratory tract infection
Clinical narrative: Course of illness prior to death unknown.  Aware she did have URI and could not attend school.  1/27/09 Autopsy report states COD as acute bronchopneumonia due to acute intoxication by hydrocodone.  Also states additional anatomic dx: mod hepatocellular fatty metamorphosis & early postmortem decomposition.  11/11/08 Reviewed PCP medical records of 10/27/2008. FINAL DX:COPD, cough, acute rhinitis, chronic sinusitis Records reveal patient experienced cough & body pain, no fever.  Dx w/COPD & acute bronchitis.  Tx w/antibiotics & cough med.
Age: 6.0
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Large local reaction - Red, swollen, warm area involving entire R anterior thigh from just below hip to just above knee. Treated with cool compresses and BENADRYL, resolved approximately in 72 hours. All began approximately 2-3 hr after receiving flu vaccine at that location.
Age: 5.0
Sex: F
Vaccine: FLUN3
Symptoms: Pruritus, Urticaria, Vomiting
Clinical narrative: Vomiting, hives itching
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Myalgia, Skin burning sensation
Clinical narrative: Severe muscle pain entire body described as feeling like fire neck, arms & legs.
Age: 64.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site mass, Injection site pain
Clinical narrative: Redness, painful hard lump with Pneumovax. Slowly improving over 1 wk.
Age: 3.0
Sex: M
Vaccine: FLUN3
Symptoms: Cough, Erythema, Eye pain, Eye swelling, Rash erythematous
Clinical narrative: No symptoms until 9:00 PM. Left cheek broke out into red/white, thick and bumpy hives. He complained that his left eye hurt. At 9:15 the hives quickly spread to his forehead, the right side of his face, and both eyelids. We took him to the hospital at 10:30 (arrived there). The hives became worse and his left eye was completely swelled shut. There were tiny red dots on his arms and back, some on front of neck. My son also had a cough along with all of this. After he was given a steroid shot and Benadryl, the hives went away within the hour and his swelling went down some. The swelling was not gone until Sat. afternoon. The swelling covered his entire face, not just his eyes. When we got home, we gave him Benadryl every 6 hrs. Prednisolone 2 times a day and eye ointment 4x day.
Age: 3.0
Sex: M
Vaccine: FLUN3
Symptoms: Swelling face, Urticaria
Clinical narrative: No symptoms until 9:00 PM. Left cheek broke out into red/white, thick and bumpy hives. He complained that his left eye hurt. At 9:15 the hives quickly spread to his forehead, the right side of his face, and both eyelids. We took him to the hospital at 10:30 (arrived there). The hives became worse and his left eye was completely swelled shut. There were tiny red dots on his arms and back, some on front of neck. My son also had a cough along with all of this. After he was given a steroid shot and Benadryl, the hives went away within the hour and his swelling went down some. The swelling was not gone until Sat. afternoon. The swelling covered his entire face, not just his eyes. When we got home, we gave him Benadryl every 6 hrs. Prednisolone 2 times a day and eye ointment 4x day.
Age: 9.0
Sex: F
Vaccine: FLUN3
Symptoms: Dyspnoea, Nausea, Vomiting
Clinical narrative: Nausea and vomiting following administration approx. 30 mins after the administration S/SX started. Lasted approx 2 hrs. During the first 30 mins she also c/o difficulty breathing. No action taken by Mom for this.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus, Skin warm, Swelling, Tenderness
Clinical narrative: Localized  swelling, redness, heat, tenderness up 4 3/4 " diameter by 10/25/08 before going away.  Used ice + BENADRYL on 10/23- 10/25/2008.  Cleared up by 10/29/08.  No body fever- some itching.
Age: 2.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Full blood count normal, Rash generalised, Urticaria
Clinical narrative: Generalized urticarial rash. BENADRYL, PRELONE, ZANTAC, and ALLEGRA. Spoke to mother today 10/31/08 who states that child is better.
Age: 66.0
Sex: M
Vaccine: FLUX
Symptoms: Abasia, Back pain, Depression, Walking aid user
Clinical narrative: One day after flu shot I became very depressed not even being able to respond to any questions my wife asked me. This lasted most of that day. Two days after shot, I was nearly unable to walk for several days due to severe back pain. I had to walk with two canes.
Age: 12.0
Sex: M
Vaccine: DTAP, FLUN3, TDAP, VARCEL
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: RN inadvertently administered DTaP instead of Hep A #1. RN- 1) Notified Medicine Director 2) Client's Physician 3) Parents of child  11/3/08 No adverse events reported by mother.
Age: 61.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injected limb mobility decreased, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Pt. complains of pain, unable to lift arm, redness swelling warm to the touch.  Started later that day and last 3 days.  No treatment given.
Age: 61.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Swelling
Clinical narrative: Pt. complains of pain, unable to lift arm, redness swelling warm to the touch.  Started later that day and last 3 days.  No treatment given.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pt complained of redness, swelling, warm to the touch and pain in the arm where injection was given for about 3 days. No treatment given.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Culture stool, Diarrhoea, Listless, Ultrasound scan normal, Vomiting
Clinical narrative: Received vaccines 10/30/2008 Sudden onset continuous vomiting & 1 liquid stool & listlessness.
Age: 48.0
Sex: M
Vaccine: FLUX
Symptoms: Hypoaesthesia, Sleep disorder
Clinical narrative: Left arm feels numb like asleep, lasts for minutes 10-12 times a day.  dorsal arm, multiple denuatunes treatments wait & watch
Age: 69.0
Sex: F
Vaccine: TDAP
Symptoms: Pruritus, Rash generalised, Urticaria
Clinical narrative: Pt. came back in the morning (10-30-08) c/o rash all over body, including face.  Pt. said after leaving office on 10-29-08 30 min. after getting home, itching started, by 1 am rash, whelps all over.  10-30-08 we administered DEPO-MEDROL 160 mg.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Redness and induration and warmth at injection site. > 8 cm
Age: 0.7
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Child presented to clinic 4 days after getting flu vaccine with hives 4 hours after vaccine was administered. Nurse practitioner gave child Zyrtec and Zantac and told to take until hives go away.
Age: 36.0
Sex: U
Vaccine: FLU3, PPV
Symptoms: Body temperature increased, Rash, Skin warm
Clinical narrative: Received flu vac received 10/28/08 1912 L deltoid T max 38.5 red, warm to touch, rash that came to expand x 24 hours. PO keflex d\c, then Vancomycin x 2 doses then Bactrim DS.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: None- vaccine given 2 wks prior to scheduled dosing time.
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Eye swelling, Injection site urticaria, Urticaria
Clinical narrative: Within a couple of hours welted at site the size of a plum, then an orange, to grapefruit to a cantalope.  Took BENADRYL and ice packs.  Next day returned to doctor and read packet that phenol was the preservative in vac.  48 hrs later had welts on my face swelling my R eye closed.  Took ZYRTEC.  Got relief.  To date and still having welts on my face periodically.
Age: 0.3
Sex: M
Vaccine: HIBV, IPV, PNC
Symptoms: C-reactive protein increased, Full blood count normal, Injected limb mobility decreased, Weight bearing difficulty
Clinical narrative: Decreased movement R arm and leg 24 hrs after 1 vaccines in L leg,  2 vaccines in R leg (Hib, IPV, PCV).  Refusal to bear weight R leg.  Fully recovered within 48 h.  Pt had nl reflexes throughout.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Crying, Erythema, Irritability, Pyrexia
Clinical narrative: Mother called office at 5:00 pm.  Patient crying non-stop for 3 hrs. with fever of 100.6.  Office visit at 5:30 pm: Fever of 101, fussy, no unusual local reactions to injection site.  Only mild redness.  Patient nursed well in office.  Rec. Acetaminophen for fever.  Mother was contacted at 10:00 am the next morning and reports child to be well, happy, smiling, no fever or rash.
Age: 64.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Injected limb mobility decreased, Nerve injury, Pain in extremity
Clinical narrative: Next day arm red sore, upper arm red + hot- went to doctor- started on antibiotics + steroid cream- went to doctor again 2 days later.  X-Rays done  conts on Z-PACK- Doctor feels cellulitis nicked a nerve- Now still has difficulty moving arm.
Age: 64.0
Sex: M
Vaccine: PPV
Symptoms: Skin warm, X-ray
Clinical narrative: Next day arm red sore, upper arm red + hot- went to doctor- started on antibiotics + steroid cream- went to doctor again 2 days later.  X-Rays done  conts on Z-PACK- Doctor feels cellulitis nicked a nerve- Now still has difficulty moving arm.
Age: 87.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Induration, Muscular weakness, Pain in extremity
Clinical narrative: 7 am entire arm from left axillary to shoulder hard red & extremely weak very painful afebrile 97.7- 97.9.  Resp fine- lungs clear- went to ER per her physician Dr. - Ampicillin vasutech cause hives taking BENADRYL.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Breath sounds abnormal, Crying
Clinical narrative: Pt was seen in ER in 08/29/08 and was admitted for observation-Mom states child was breathing "funny" and cried alot after injection was given.  11/07/2008 VAERS report received with MR attached. Infant in for 2mon WCC and vax on 8/29/08. About 2 hrs later began having grunting spells and was evaluated in ER. PE WNL. Grunting episodes continued until 1 am then resolved. D/C home.