chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.1
Sex: M
Vaccine: RV5
Symptoms: Blood immunoglobulin G decreased, Crying, Eczema, Failure to thrive, Hypogammaglobulinaemia
Clinical narrative: Information has been received from a physician concerning a infant male with no medical history who in January 2007, was vaccinated with a dose of Rotateq. There was no concomitant medication. Within one week of vaccination, in January 2007, the patient started to have "a lot of eczema". He was then switched over to formula. The infant had been breastfeeding for 11 weeks prior to formula switch. "All of the sudden" the infant was up all night crying. The formula was change three times. The infant was seen by the physician on 16-MAR-2007 and had a number of blood tests done. An IgG showed 35, and the patient was diagnosed with hypogammaglobulinemia. The infant also was diagnosed with lymphocytosis. The patient's mother was tested to see if the condition was genetically related. The mother's test were normal. The infant requires infusion of gamma globulin. The infant was hospitalized. It was reported that failure to thrive was considered to be disabling. There was no product quality complaint involved.
Age: 0.1
Sex: M
Vaccine: RV5
Symptoms: Lymphocytosis, Poliovirus serology
Clinical narrative: Information has been received from a physician concerning a infant male with no medical history who in January 2007, was vaccinated with a dose of Rotateq. There was no concomitant medication. Within one week of vaccination, in January 2007, the patient started to have "a lot of eczema". He was then switched over to formula. The infant had been breastfeeding for 11 weeks prior to formula switch. "All of the sudden" the infant was up all night crying. The formula was change three times. The infant was seen by the physician on 16-MAR-2007 and had a number of blood tests done. An IgG showed 35, and the patient was diagnosed with hypogammaglobulinemia. The infant also was diagnosed with lymphocytosis. The patient's mother was tested to see if the condition was genetically related. The mother's test were normal. The infant requires infusion of gamma globulin. The infant was hospitalized. It was reported that failure to thrive was considered to be disabling. There was no product quality complaint involved.
Sex: U
Vaccine: RV5
Symptoms: Diarrhoea, Haematochezia
Clinical narrative: Information has been received from a health professional concerning an infant patient who was vaccinated with a first oral dose of Rotateq. Subsequently the patient experienced diarrhea and a little blood in the stool. Unspecified medical attention was sought. No product quality complaint was involved. No other information was provided. The patient's blood in the stool was considered to be an other important medical event. Additional information has been requested.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site swelling, Injection site warmth, Local reaction
Clinical narrative: Information has been received from a licensed practical nurse concerning a 10 year old male with amoxicillin allergy who on 27-APR-1998 was vaccinated with a 0.5 mL SC first and second dose of Varivax on 27-APR-1998 (lot # 625128/0062H) and 30-APR-2007 (lot # 654527/1043F in left arm). There was no concomitant medication. There were no development of symptoms after the first dose. On 01-MAY-2007 the patient experienced a significant local reaction with symptoms described as red, swollen left arm which was "hot to the touch". The patient could not raise his arm, Ibuprofen and warm soaks were ordered for the symptoms. The patients reaction was considered to be disabling. There was no product quality complaint involved. A lot check was requested. Additional information has been requested.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Oedema peripheral, Rash generalised, Swelling face
Clinical narrative: Facial swelling, leg swelling, rash all over 6/20/07-records received from facility for DOS 4/25-4/26/07-DC DX: Allergic Reaction.  Seen in ER temp 99.5. Swelling on legs started around 8 p.m. 4/25/07-PE red papules on trunk. Edema legs. Injection site sore.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Blood culture, Chest X-ray, Culture urine, Full blood count, Pyrexia
Clinical narrative: Fever to 102.9 the next day 05/16/07-records received from facility for DOS-5/1-5/2/07-DC DX: Fever, GERD. Otitis Media. Fever 101.9 and grunting. Not eating well. In office appeared to be in respiratory distress. PE: right tympanic membrane erythematous and bulging.
Age: 22.0
Sex: M
Vaccine: ANTH, HEP
Symptoms: Condition aggravated, Headache, Hypertension, Injection site pain
Clinical narrative: Tenderness that comes and goes at the injection site, headache and high blood pressure that never leaves. 6/21/07-records received-DX:Myofascial pain syndrome. L5-S1 postmedial broad disc bulge. Chronic low back pain, essential hypertension. allergic rhinitis. dermatitis, atopic.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Anorexia, Blood culture, C-reactive protein, C-reactive protein increased, Full blood count
Clinical narrative: High fever for 1 week after shots - reached 105.4, loss of appetite, resulted in hospitalization for 4 days. She was given antibiotics by IV until cultures reported negative. Did have CRP test elevated to 3.5 (increase inflammation). 05/29/07-records received for DOS 4/27-5/1/07-DX:Fever. Presumed sepsis. Nasal Congestion. Four day history of fevers 99-100.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Metabolic function test, Pyrexia
Clinical narrative: High fever for 1 week after shots - reached 105.4, loss of appetite, resulted in hospitalization for 4 days. She was given antibiotics by IV until cultures reported negative. Did have CRP test elevated to 3.5 (increase inflammation). 05/29/07-records received for DOS 4/27-5/1/07-DX:Fever. Presumed sepsis. Nasal Congestion. Four day history of fevers 99-100.
Age: 0.83
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Barium double contrast, Dehydration, Intussusception, Vomiting
Clinical narrative: Vomiting, dehydration, had intussusception reduced with air enema. 06/20/07-records received for DOS 4/28-4/29/07-Impression:Ileocolic Intussusception status post air enema reduction. Complaint of vomiting for 7 hours and has vomited 4 times day of admission. No diarrhea. No abdominal pain. Returned to ER with 2 days of vomiting and decreased PO intake. Sleepy, decreased response level.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Cough, Dyspnoea, Feeling hot, Hypersensitivity, Muscle tightness
Clinical narrative: Patient had Tdap approximately 7am. 5 Minutes after she experienced tightness of her neck; warm feeling; started to cough; had SOB took prednisone; Zyrtec; Combivent inhaler brought to E.R. Admitted overnight.  05/17/2007 MR received for an o/n admission for c/o lip swelling following her DPT vax. She was treated for an allergic reaction and the pt. developed PVCs and acute vertigo.  Pt was unable to walk after that due to vertigo and was admitted. Pt. reports fatigue and "room spinning"  PE: Somnolent.  Horizontal nystagmus to the right.  Ataxic gait. DX: Anaphylaxis.  Acute on Chronic Vertigo
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Dyspnoea, Erythema, Headache, Throat irritation, Urticaria
Clinical narrative: Patient had Varivax, DTaP, IPV 11:30 Mom came out 5 minutes later stated patient with hives, head pain, hard time breathing. Epi-pen given left thigh, I.V. placed normal saline fluid given. Vital signs taken - per order doctor. Patient transported to hospital via ambulance. Stable at time of d/c to hospital.  06/04/2007 ER record received for chief c/o shock.  Child received 5 yr vax and within minutes he developed scratching in his throat sneezing, and a rash over his entire body.  Epipen was administered in the PCP's office and he was transported via EMS to hospital for further tx.  PE notable for generalized erythderma over the entire body. Anaphylaxis protocol was initiated. Assessment: Anaphylaxis.  Immunization reaction.
Age: 1.1
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Herpes zoster disseminated, Polymerase chain reaction, Pyrexia, Rash, Vaccination failure
Clinical narrative: Never had varicella, but developed disseminated cutaneous zoster in February 2007. Rash resolved on Acyclovir, as did fever.  07/11/2007 MR record rec'd including D/C summary of hospitalization of 2/25-28/2007 for a disseminated zoster infection.  Child developed "bug bite" appearing rash which was itchy and burned. Initially thought to be a contact dermatitis however did not respond to steroids or antihistamines. Exam by consulting MD noted vesicles appearing in the mid portion of rash, thought to be disseminated zoster covering several dermatomes.  Then tx'd with Acyclovir and Benadryl.  Office F/U 3/5/07: rash resolving.
Age: 1.1
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Viral DNA test positive
Clinical narrative: Never had varicella, but developed disseminated cutaneous zoster in February 2007. Rash resolved on Acyclovir, as did fever.  07/11/2007 MR record rec'd including D/C summary of hospitalization of 2/25-28/2007 for a disseminated zoster infection.  Child developed "bug bite" appearing rash which was itchy and burned. Initially thought to be a contact dermatitis however did not respond to steroids or antihistamines. Exam by consulting MD noted vesicles appearing in the mid portion of rash, thought to be disseminated zoster covering several dermatomes.  Then tx'd with Acyclovir and Benadryl.  Office F/U 3/5/07: rash resolving.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site erythema, Urticaria
Clinical narrative: Welt on Left thigh, redness
Age: 2.0
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MMRV
Symptoms: Cold compress therapy, Inappropriate schedule of drug administration, Injection site erythema, Injection site swelling
Clinical narrative: After Proquad given leg became swollen and red, given Benadryl 25 mg  every 4 hours and use ice
Age: 25.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Mouth ulceration
Clinical narrative: Developed 2 Ulcers in mouth. one on top of the tongue. Second on right side of tongue
Age: 25.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Tongue ulceration
Clinical narrative: Developed 2 Ulcers in mouth. one on top of the tongue. Second on right side of tongue
Age: 26.0
Sex: F
Vaccine: HPV4
Symptoms: Blood creatine phosphokinase normal, Full blood count, Injected limb mobility decreased, Injection site pain, Pain in extremity
Clinical narrative: Injection given IN (R) Deltoid on 3/20/07. 4/9/07 Pt. phoned with c/o sore arm. Unable to Raise it above her head. Sent to ER for eval
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Induration, Skin warm
Clinical narrative: Red Raised warm area 16 cx x 18 cm. Indurated
Age: 21.0
Sex: M
Vaccine: FLU3, HEP, HEPA, FLU3, HEP, HEPA
Symptoms: Urticaria
Clinical narrative: 07May07 Body covered with hives. Went to ER. received steroids, Benadryl at 2200 released at 0500 08May07. Member still has hives and was given script for Prednisone
Age: 21.0
Sex: M
Vaccine: FLU3, HEP, HEPA, FLU3, HEP, HEPA
Symptoms: Pruritus, Urticaria
Clinical narrative: 07May07 Body covered with hives. Went to ER. received steroids, Benadryl at 2200 released at 0500 08May07. Member still has hives and was given script for Prednisone
Age: 12.0
Sex: M
Vaccine: HEPA, TDAP, VARCEL
Symptoms: Injection site rash, Pain in extremity, Pyrexia
Clinical narrative: Arm started getting sore within 24 hrs. then ran temp up to 103 for the next 2 days. He developed a rash at the site of the injection. He was seen in the ER 5-4-07 and given Benadryl. It is almost gone, except for at the sorearm 1,5627
Age: 18.0
Sex: M
Vaccine: HEP, MNQ, TDAP
Symptoms: Oedema peripheral, Rash, Swelling face
Clinical narrative: Received call from father 5/10/07 at 9:20 am. Patient has facial swelling, hand swelling, and rash. No redness or swelling at injection sites. Referred to Emergency Room after speaking with his primary MD.
Age: 28.0
Sex: M
Vaccine: TDAP
Symptoms: Body temperature increased
Clinical narrative: Patient states approx 14 hrs after receiving Tdap started running temp of 103. Has been taking Motrin for fever. No localized reaction
Age: 48.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Injection site discomfort, Injection site erythema, Injection site pain
Clinical narrative: Received Tdap immunization 10/25/06. Seen by infection control nurse on 10/26/06 and referred to occupational vaccine clinic. c/o redness, tenderness and discomfort at injection site. Severe reaction to immunization (cellulitis rt deltoid). Keflex 500 mg x 28: 8mg once QID ordered/taken by emz Resolved by 11/1/06
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Joint swelling, Rash macular, Skin warm
Clinical narrative: After thigh with blotchy rash, swelling into knee and warmth
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Induration, Rash erythematous, Skin lesion, Skin warm
Clinical narrative: Dark erythematons triangle type lesion on right upper leg surrounded by some pink erythema hot to the touch, non tender to palpitation. Slightly indurated
Age: 38.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Axillary pain, Pain
Clinical narrative: Tdap given 5-4-07; onset 5-5-07 a.m. of armpit pain left side, on 5-6-07 noted pain continued in left armpit but spread across left breast, no swelling, hardness, redness noted. Today still sore across left upper breast and armpit.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Cellulitis, Erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: 3 x 4" Redness, swelling, (fever 101), warm to the touch at injection sites. Went to hospital ER 5-4-07 Dx: Cellulitis both legs. Rx of Augmentin 600mg - given.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Cold compress therapy, Dizziness, Dyskinesia, Fall, Head injury
Clinical narrative: Pt received vaccine at an in-school clinic and returned to class. Within 10 mins of receiving vaccine. Pt was sitting at desk when he reported feeling light headed and believes that he passed out. Pt fell to floor from sitting position and the teacher reported that he quickly recovered and could report what had taken place. Event was over within minutes. Teacher reported that pt. slightly jerkes/twitched just before falling from desk has bump on (L) side of pt head treated and cool pack. Pt rested for one hour, then went home. Pt reported feeling fine.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Loss of consciousness, Muscle twitching
Clinical narrative: Pt received vaccine at an in-school clinic and returned to class. Within 10 mins of receiving vaccine. Pt was sitting at desk when he reported feeling light headed and believes that he passed out. Pt fell to floor from sitting position and the teacher reported that he quickly recovered and could report what had taken place. Event was over within minutes. Teacher reported that pt. slightly jerkes/twitched just before falling from desk has bump on (L) side of pt head treated and cool pack. Pt rested for one hour, then went home. Pt reported feeling fine.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Loss of consciousness, Pallor
Clinical narrative: After injection of Gardasil vaccine 0.5 ml, Pt was sitting talking to her mother. She became pale and passed out for a few minutes. She was revived and walked to exam table. After lying down for 15-20 min.-left the office doing well.
Age: 59.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Full blood count, Red blood cell sedimentation rate normal
Clinical narrative: Joint Pain-> Shoulders, Hips and Knees began 4/26/07
Age: 14.0
Sex: M
Vaccine: HEPA, TDAP
Symptoms: Rash, Urticaria
Clinical narrative: received Tdap and Hepatitis A vaccine on 5-1-07 at approximately 1:00 p.m. at 3:00 p.m. on 5-1-07, he started breaking out with a rash on his face which whelped up all over the body by 5-3-07; referred to ER; received Prednisone and took Benadryl.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV, DTP, IPV, MMRV
Symptoms: Asthenia, Diarrhoea, Injection site swelling, Metabolic disorder, Pallor
Clinical narrative: Fever localized swelling with site on RT arm, vomiting, weakness, pallor, involuntary jaw slamming per mom. Small hives + on back of legs.  6/8/07 Received medical records from PCP which reveal  patient experienced viral gastroenteritis 9/06 & again 11/06, croup 12/06, pneumonia 12/06 & again 3/07.  On 5/11, day after vax, seen in office for vomiting, fever, rash & decreased urine output.  Dx w/local reaction at ProQuad site, vomiting & dehydration.  Attempted to provide IVF in office but was unable & admitted to hospital overnight for hydration.  To f/u in metabolic clinc at UNC. Labs submitted are from 3/07.  7/17/07 Received hospital medical records which reveal patient experienced painful injection sites, stomach pain, vomiting, lethargy, decreased appetite & urine output & cried all night.  Exam revealed red edematous area over DTaP site on left arm & pain over other vaccine sites.  Admitted 5/11-5/12/07 for IVF.  Improved & d/c to home. FINAL DX: Vomiting, dehydration, vaccine reaction.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV, DTP, IPV, MMRV
Symptoms: Pyrexia, Trismus, Urticaria, Vomiting
Clinical narrative: Fever localized swelling with site on RT arm, vomiting, weakness, pallor, involuntary jaw slamming per mom. Small hives + on back of legs.  6/8/07 Received medical records from PCP which reveal  patient experienced viral gastroenteritis 9/06 & again 11/06, croup 12/06, pneumonia 12/06 & again 3/07.  On 5/11, day after vax, seen in office for vomiting, fever, rash & decreased urine output.  Dx w/local reaction at ProQuad site, vomiting & dehydration.  Attempted to provide IVF in office but was unable & admitted to hospital overnight for hydration.  To f/u in metabolic clinc at UNC. Labs submitted are from 3/07.  7/17/07 Received hospital medical records which reveal patient experienced painful injection sites, stomach pain, vomiting, lethargy, decreased appetite & urine output & cried all night.  Exam revealed red edematous area over DTaP site on left arm & pain over other vaccine sites.  Admitted 5/11-5/12/07 for IVF.  Improved & d/c to home. FINAL DX: Vomiting, dehydration, vaccine reaction.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV, DTP, IPV, MMRV
Symptoms: Dehydration, Fluid replacement, Injection site pain, Pyrexia, Rash
Clinical narrative: Fever localized swelling with site on RT arm, vomiting, weakness, pallor, involuntary jaw slamming per mom. Small hives + on back of legs.  6/8/07 Received medical records from PCP which reveal  patient experienced viral gastroenteritis 9/06 & again 11/06, croup 12/06, pneumonia 12/06 & again 3/07.  On 5/11, day after vax, seen in office for vomiting, fever, rash & decreased urine output.  Dx w/local reaction at ProQuad site, vomiting & dehydration.  Attempted to provide IVF in office but was unable & admitted to hospital overnight for hydration.  To f/u in metabolic clinc at UNC. Labs submitted are from 3/07.  7/17/07 Received hospital medical records which reveal patient experienced painful injection sites, stomach pain, vomiting, lethargy, decreased appetite & urine output & cried all night.  Exam revealed red edematous area over DTaP site on left arm & pain over other vaccine sites.  Admitted 5/11-5/12/07 for IVF.  Improved & d/c to home. FINAL DX: Vomiting, dehydration, vaccine reaction.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV, DTP, IPV, MMRV
Symptoms: Vomiting
Clinical narrative: Fever localized swelling with site on RT arm, vomiting, weakness, pallor, involuntary jaw slamming per mom. Small hives + on back of legs.  6/8/07 Received medical records from PCP which reveal  patient experienced viral gastroenteritis 9/06 & again 11/06, croup 12/06, pneumonia 12/06 & again 3/07.  On 5/11, day after vax, seen in office for vomiting, fever, rash & decreased urine output.  Dx w/local reaction at ProQuad site, vomiting & dehydration.  Attempted to provide IVF in office but was unable & admitted to hospital overnight for hydration.  To f/u in metabolic clinc at UNC. Labs submitted are from 3/07.  7/17/07 Received hospital medical records which reveal patient experienced painful injection sites, stomach pain, vomiting, lethargy, decreased appetite & urine output & cried all night.  Exam revealed red edematous area over DTaP site on left arm & pain over other vaccine sites.  Admitted 5/11-5/12/07 for IVF.  Improved & d/c to home. FINAL DX: Vomiting, dehydration, vaccine reaction.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Electroencephalogram normal, Pallor, Unresponsive to stimuli, White blood cell count increased
Clinical narrative: Several hours after receiving vaccine,s patient had a prolonged episode of pallor and diminished response.  06/18/2007 MR received for o/n admission for observation after developing multiple episodes of vomiting followed by pallor and lethargy several hours after vax.  Initially appeared quite ill upon arrival in the ER, but became alert, awake and smiling after IV hydration. No further episodes during admission. Impression: Vomiting, altered mental status 2' immunizations.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV, VARCEL, DTP, MMRV
Symptoms: Pyrexia, Urticaria, Vomiting
Clinical narrative: vomiting; fever to 103, uricaria
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV, VARCEL, DTP, MMRV
Symptoms: Lethargy, Pyrexia, Rash, Vomiting
Clinical narrative: vomiting; fever to 103, uricaria
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Full blood count, Injection site erythema, Injection site nodule, Irritability, White blood cell count increased
Clinical narrative: Baby fussy at night 4-18-07, know Right upper thigh 2 cm x 1 cm red, knot left upper leg 1.1/2 cm x 1 cm red
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site cellulitis, Injection site swelling, Local reaction
Clinical narrative: DTAP given on 5-1-07. Patient returned at 1610 to clinic on 5-4-07 at 1445 with right leg swelling. Diagnosis was local reaction versus R leg cellulitis.
Age: 17.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Haematoma
Clinical narrative: 5 1/2 x 7cm raised area (hematoma vs cellulitis) treatments Keflex 500mg and Tylenol #3 prescribed by treating physician.
Age: 16.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 5" x 5 1/2" red, warm area on left upper arm where Varivax #2 was given.
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Erythema, Pain in extremity
Clinical narrative: Back part of upper arm got red and sore.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Cold compress therapy, Injection site reaction
Clinical narrative: 50 Cent piece sized area under area where Varivax was given, left deltoid - 5/7/07. May be reaction to circular bandaid - which was removed. This all reported by school nurse via PC today. Denies pain, ice pack applied to area.
Sex: F
Vaccine: IPV, PNC
Symptoms: Fatigue, Pain in extremity, Pyrexia, Vomiting
Clinical narrative: Some arm, tired, developed vomiting and fever 102 deg. later next day.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site reaction
Clinical narrative: Large Local rxn L thigh
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site urticaria, Injection site warmth
Clinical narrative: Patient leg broke out with hive like pattern. Warm to touch. Right leg
Age: 1.5
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Large 10cm x 5cm area of erythema on right thigh swollen and tender one day following immunization.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema
Clinical narrative: Red area injection site
Sex: M
Vaccine: ANTH
Symptoms: Haemoptysis, Lower respiratory tract infection, Pain, Pyrexia, Sneezing
Clinical narrative: Member c/o body aches and fever - 24 hours post vaccination actual temperature  unknown. Patient c/o sudden onset of a chest cold and c/o he is sneezing blood tinged secretion. Did not seek treatment at this time.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia
Clinical narrative: Patient with fever (102 - 103 deg. F), decrease with Tylenol approximately 9 - 10 days after immunization. ? x 1 day, no rash - all signs and symptoms resolved in 48 hours.
Age: 21.0
Sex: F
Vaccine: JEV
Symptoms: Chest discomfort, Dysphagia, Hypoaesthesia, Paraesthesia, Peripheral coldness
Clinical narrative: Approximately 25 minutes after JE Vax given, patient reported tightness in chest followed by tightness in throat and difficulty swallowing, denied shortness of breath; VS and O2 Sat good about 10 minutes after onset of symptoms, patient given Benadryl 50 mg IM in left deltoid and observed symptoms did not resolve. Approximately 10 minutes after Benadryl, patient reported numbness/ tingling in left arm that did not resolve with position change, also reported fingers feeling cold though color good, warm to touch, and nailbeds blanched and recovered well. Ambulance summoned and transported to ER. 5-2-07 Patient reported spending 3 hours in ER but feeling "fine" on this day. Patient came to clinic to give info was given Dexamethasone and Pepcid in ER, slept for 3 hours and woke up feeling "good." Discharged from ER with Rx Benadryl and Rx Prednisone 4 days. Has completed meds and resumed normal activities. No more JE Vax to be given. Additional note - patient is allergic to latex; syringes and needles used were latex free.
Age: 21.0
Sex: F
Vaccine: JEV
Symptoms: Skin warm, Throat tightness
Clinical narrative: Approximately 25 minutes after JE Vax given, patient reported tightness in chest followed by tightness in throat and difficulty swallowing, denied shortness of breath; VS and O2 Sat good about 10 minutes after onset of symptoms, patient given Benadryl 50 mg IM in left deltoid and observed symptoms did not resolve. Approximately 10 minutes after Benadryl, patient reported numbness/ tingling in left arm that did not resolve with position change, also reported fingers feeling cold though color good, warm to touch, and nailbeds blanched and recovered well. Ambulance summoned and transported to ER. 5-2-07 Patient reported spending 3 hours in ER but feeling "fine" on this day. Patient came to clinic to give info was given Dexamethasone and Pepcid in ER, slept for 3 hours and woke up feeling "good." Discharged from ER with Rx Benadryl and Rx Prednisone 4 days. Has completed meds and resumed normal activities. No more JE Vax to be given. Additional note - patient is allergic to latex; syringes and needles used were latex free.
Age: 12.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 3.5cm Erythematous swollen area surrounding injection site right deltoid.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Rash generalised
Clinical narrative: Developed rash on trunks, neck, forearms and feet on evening of 2/21/07. Went to physician 2/22/07. Doctor states that she wasn't sure if the reaction was from the Hep B vaccine or something else. Patient was given Methylprednisone and Hydroxyzine HCl, which helped improve the rash recommended as stated by the patient.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: 9 x 8cm area of slightly tender erythema, LA deltoid area.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Left arm redness, swelling, warm to touch, tender treated with Medrol dose pak.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, VARCEL
Symptoms: Cold compress therapy, Erythema, Oedema peripheral
Clinical narrative: 3cm x 3cm area of redness and swelling left upper arm. Treatment with cold compresses and Motrin.
Age: 17.0
Sex: M
Vaccine: DTAP
Symptoms: Inappropriate schedule of drug administration, Wrong drug administered
Clinical narrative: Patient was given Dtap instead of Adacel, doctor ordered Adacel.
Sex: F
Vaccine: TD
Symptoms: Blood glucose normal, Body temperature, Body temperature increased, Dizziness, Dysphonia
Clinical narrative: Dizziness, feels shaky, hoarseness, headache, muscle twitching within 2 hours of injection. Patient had T-100.4 prior to injection and recent closed head injury approximately 19 hours prior.
Sex: F
Vaccine: TD
Symptoms: Headache, Muscle twitching
Clinical narrative: Dizziness, feels shaky, hoarseness, headache, muscle twitching within 2 hours of injection. Patient had T-100.4 prior to injection and recent closed head injury approximately 19 hours prior.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Cold compress therapy, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient seen 4 days post vaccination (r) arm with 3.5" x 4" redness noted surrounding injection site with approximately 1.5" x 1.5" area of soft swelling, no tenderness noted today. Patient states was very tender x 2 days, mild warmth to touch. Patient well appearing. Lump clear, no lip/tongue swelling advised cold compress/Ibuprofen PRN.
Age: 1.0
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Febrile convulsion
Clinical narrative: Febrile seizure within 24 hours of receiving vaccine.
Age: 51.0
Sex: F
Vaccine: MMR
Symptoms: Chills, Contusion, Lymphadenopathy, Malaise, Pain
Clinical narrative: Malaise, aches and pains, chills (questionable fever) swelling glands (axillary,neck) Rash 0chest and above perhaps abdomen, upper torso. Bruising on L arm 25 cent size. Tested for Lyme disease 05/01/07. Rash began approximately 12 days after vaccination. Had malaise/aches prior + chills
Age: 51.0
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Rash
Clinical narrative: Malaise, aches and pains, chills (questionable fever) swelling glands (axillary,neck) Rash 0chest and above perhaps abdomen, upper torso. Bruising on L arm 25 cent size. Tested for Lyme disease 05/01/07. Rash began approximately 12 days after vaccination. Had malaise/aches prior + chills
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Swelling, erythema of upper left arm, 6cm x 7cm in size, induration, no fever.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Given Varivax 5-7-07 L del SQ redness and swelling around inj site. Seen three days after vaccine - size of redness 11x9 cm with 3x2 182 cm induration in center of redness
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Induration, Skin warm
Clinical narrative: 8x7 cm area of induration with redness - infection with warmth. Advil/Heat/Benadryl
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Skin tightness, Skin warm, Tenderness
Clinical narrative: L arm erythematous 13x11.5 cm dia, warm tight, tender 23.25 circumference, R arm 20.5 cm circumference, RX Atarax, Ibuprofen/Tylenol Keflex.
Age: 43.0
Sex: M
Vaccine: UNK
Symptoms: Asthma, Diabetes mellitus, Dyspnoea, Fatigue, Hypertension
Clinical narrative: On duty 1990-1991. Short of breathing, drinking much water, lot of urine.
Age: 43.0
Sex: M
Vaccine: UNK
Symptoms: Pollakiuria, Thirst
Clinical narrative: On duty 1990-1991. Short of breathing, drinking much water, lot of urine.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Cellulitis, Skin lesion, Varicella
Clinical narrative: Varicella Rash >100 Lesions, cellulitis face - treated with oral antibiotics
Age: 1.4
Sex: M
Vaccine: DTAP
Symptoms: Injection site induration, Injection site swelling, Joint swelling, Oedema peripheral, Rash
Clinical narrative: Rec'd vaccine on 5/11/07. 5/12/07 - call to clinic as pt had rash on bilateral feet/ankles (2:11 PM), 5/12/07 - call to clinic, c/o lg rd bump at injection site, swelling (4:52PM), 5/13/07 - call to clinic c/o larger lump at injection site, worsened rash, feet/ankles swollen.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site pain, No reaction on previous exposure to drug, Pain in extremity
Clinical narrative: My left arm where vaccine was administered was sore for the first three to four days as expected.  However, it has now been 8 days and my arm continues to have a dull ache and throbbing.  I did not expierence this with the first shot of the series.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient called on Monday (5/14/2007) and stated that redness at the injection site had developed over the weekend unresolved by 1 dose on Benadryl OTC on Sunday (5/13/07).  Area doubled in size and was warm to the touch upon waking on Monday morning.  Patient was advised the patient to visit a nearby minor care center where she was given prescriptions for a Cephalexin 500mg and Allegra 60mg.  Prescriptions were filled and patient was further counseled regarding the 10 day treatment prescribed. Patient also states she has not felt ill nor has she experienced any pain related to this event.
Age: 5.0
Sex: M
Vaccine: DTP, HEPA, VARCEL
Symptoms: Erythema, Injection site swelling, Oedema peripheral
Clinical narrative: Large amount of swelling from shoulder to elbow, with redness within 24 hours of injection.  Swelling only noted at site of Hep A injection.  All symptoms cleared by 4 days post injection.  No treatment needed.
Age: 6.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site swelling
Clinical narrative: Swelling and redness and pain at Hep A injection site. Swelling began within 24 hous of injection and cleared by day 4 post injection.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: LEFT UPPER ARM WITH 3 1/2 BY 2 INCH AREA OF ERYTHEMA AND SWELLING.
Age: 10.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: Swelling, redness and rash located at Hep A injection site, increasing in size and spreading down to elbow.  Reaction began 24 hours after injection.  Was seen in Immediate Care 3 days after injection.  Symptoms continue today and she will be seen in the office for further evaluation.
Age: 1.0
Sex: M
Vaccine: HEP, HIBV, MMR, PPV
Symptoms: Chest X-ray, Ear infection, Pain, Pyrexia, Scan brain
Clinical narrative: Mild to moderate fevers for four weeks, approx. eight days after the vaccines.  Ear infection 2 weeks later.  Rolling around in pain most of the day and night.  High blood count, but no diagnosis.
Age: 1.0
Sex: M
Vaccine: HEP, HIBV, MMR, PPV
Symptoms: White blood cell count increased
Clinical narrative: Mild to moderate fevers for four weeks, approx. eight days after the vaccines.  Ear infection 2 weeks later.  Rolling around in pain most of the day and night.  High blood count, but no diagnosis.
Age: 7.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Crying, Erythema, Haematoma, Petechiae, Skin warm
Clinical narrative: Petichia, erythem, increased crying, hematoma, tender, warm
Age: 7.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Tenderness
Clinical narrative: Petichia, erythem, increased crying, hematoma, tender, warm
Age: 49.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong drug administered
Clinical narrative: Patient was given 1 dose of Dtap instead of 1 dose of Td vaccine.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and redness at site of injection. 5cm by 4 cm in size, no tenderness, less then 24 hours after injection. treatment is motrin and benedryl.
Age: 1.08
Sex: M
Vaccine: MMR
Symptoms: Measles, Vaccination failure
Clinical narrative: Patient developed a questionable atypical measles after MMR
Age: 71.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pain, redness, swelling at site of injection
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Erythema, Oedema peripheral, Pain, Skin warm
Clinical narrative: 5/15/2007 Mother reports that Shantel's arm is red, swollen and warm to touch. Denies any fever. States school nurse put cool compress on it 5/14/2007 and Shantel complained that it hurt worse.Instr to try a warm compress and take tylnol or motrin for the pain and swelling. Also instr to f/u with MD. Question if it may have been a bite of some sort. Mother unsure.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Blood pressure, Full blood count, Henoch-Schonlein purpura, Physical examination
Clinical narrative: HPV administered on 3/1/07. Abdominal pain and rash started 4/27/07. Diagnosed with HSP on 5/2/07.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Rash, Urine analysis
Clinical narrative: HPV administered on 3/1/07. Abdominal pain and rash started 4/27/07. Diagnosed with HSP on 5/2/07.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMRV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: REDNESS  AND SWELLING @ INJECTION SITE NO  FEVER
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Erythema, Hypersensitivity, Rash
Clinical narrative: patient had seen pmd. dx. with allergic reaction gave benedryl and prednizone. came to HD and the rash was jagged circular red areas on lower 1/2 of body. no itching temp 98. had mmv combination 12 days prior.encouraged to see ER if respiratory problems arise.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema
Clinical narrative: 3"X4" INCH RED FIRM REACTION SITE
Age: 87.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Lip blister, Oral mucosal blistering
Clinical narrative: Vaccine was given on 5/14/07 @ 10am. Pt. reports she noticed a blister inside her mouth @8:30pm. Today, 5/15/07, she reports blisters on her lips and the inside of her mouth feels "burned", she states she has never had fever blister before now.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Blood culture negative, CSF culture negative, CSF test normal, Computerised tomogram normal, Culture urine negative
Clinical narrative: Lethargy, listlessness, high fever (103+) and tense fontanelle.  This also happened after 4 months imms (same shots given then) leading to admission for rule out meningitis and concern for increased ICP.  Essentially all testing was negative that time, so illness was attributed to otitis or viral illness at the time. When similar reaction occured after next imms series, it was decided to report to VAERs. He was admitted again for observation at the 7 month incident, but released the next day. 06/11/07-records received for DOS 5/11-5/12/07-DC DX:fever and full fontanelle following immunizations. Second episode. Chronic serious otitis. Fever to 103.7 at home. Probable reaction to immunization as this is second similar reaction.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Fontanelle bulging, Gram stain negative, Herpes simplex serology negative, Laboratory test normal, Lethargy
Clinical narrative: Lethargy, listlessness, high fever (103+) and tense fontanelle.  This also happened after 4 months imms (same shots given then) leading to admission for rule out meningitis and concern for increased ICP.  Essentially all testing was negative that time, so illness was attributed to otitis or viral illness at the time. When similar reaction occured after next imms series, it was decided to report to VAERs. He was admitted again for observation at the 7 month incident, but released the next day. 06/11/07-records received for DOS 5/11-5/12/07-DC DX:fever and full fontanelle following immunizations. Second episode. Chronic serious otitis. Fever to 103.7 at home. Probable reaction to immunization as this is second similar reaction.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Listless, Polymerase chain reaction, Pyrexia, Urine analysis normal, White blood cell count increased
Clinical narrative: Lethargy, listlessness, high fever (103+) and tense fontanelle.  This also happened after 4 months imms (same shots given then) leading to admission for rule out meningitis and concern for increased ICP.  Essentially all testing was negative that time, so illness was attributed to otitis or viral illness at the time. When similar reaction occured after next imms series, it was decided to report to VAERs. He was admitted again for observation at the 7 month incident, but released the next day. 06/11/07-records received for DOS 5/11-5/12/07-DC DX:fever and full fontanelle following immunizations. Second episode. Chronic serious otitis. Fever to 103.7 at home. Probable reaction to immunization as this is second similar reaction.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: White blood cell count normal
Clinical narrative: Lethargy, listlessness, high fever (103+) and tense fontanelle.  This also happened after 4 months imms (same shots given then) leading to admission for rule out meningitis and concern for increased ICP.  Essentially all testing was negative that time, so illness was attributed to otitis or viral illness at the time. When similar reaction occured after next imms series, it was decided to report to VAERs. He was admitted again for observation at the 7 month incident, but released the next day. 06/11/07-records received for DOS 5/11-5/12/07-DC DX:fever and full fontanelle following immunizations. Second episode. Chronic serious otitis. Fever to 103.7 at home. Probable reaction to immunization as this is second similar reaction.
Age: 41.0
Sex: M
Vaccine: HEPA
Symptoms: Computerised tomogram, Convulsion, Dyspnoea, Headache, Laboratory test
Clinical narrative: Hepatitis A administered 04/03/07.  Pt developed shortness of Breath, and Headache 04/04/07. Experienced a seizure 04/05/07 taken by ambulance to hospital, and was observed for several hours and discharged after 6 pm
Age: 1.0
Sex: F
Vaccine: MMR, PNC
Symptoms: Varicella
Clinical narrative: BREAK THROUGH CHICKEN POX.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: Broke out with hives 3 days after vaccination which lasted for approximately 3 weeks
Age: 1.08
Sex: M
Vaccine: HEPA, IPV, PNC, VARCEL
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Mom describes fever for 36 hours post immunizations.  Mom noted bilatanterior thighs were swollen warm and tender to touch after immunizations.  However changes in right thigh resolved, Mom is not certain but believes redness and swelling in Left thigh did not resolve and since 5-11-07 she noted area of redness and warmth gradually larger, denies fever after 1st 36 hours.
Age: 12.0
Sex: F
Vaccine: DTAP, HPV4, MNQ
Symptoms: Diarrhoea, Fatigue, Headache, Malaise, Nausea
Clinical narrative: ILLNESS WITH HEADACHE, NAUSEA, VOMITING DIARRHEA AND FATIGUE FROM 4/8/07 - 4/13/07; RECEIVED GARDASIL VACCINATION ON 3/13/07; NO TREATMENT
Age: 12.0
Sex: F
Vaccine: DTAP, HPV4, MNQ
Symptoms: Vomiting, Wrong drug administered
Clinical narrative: ILLNESS WITH HEADACHE, NAUSEA, VOMITING DIARRHEA AND FATIGUE FROM 4/8/07 - 4/13/07; RECEIVED GARDASIL VACCINATION ON 3/13/07; NO TREATMENT
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, MMR
Symptoms: Injection site erythema, Injection site papule, Injection site urticaria
Clinical narrative: Developed redness initially, at the vaccine site, right upper arm.  Then developed papules over the upper arm, (within 24-36hrs), with some red papules/urticarial like on the thighs.  No fever or systemic effects.  Appetite normal, activity normal, no respiratory effects.  Only treatment topical corticosteroid for mild itching.
Age: 1.75
Sex: M
Vaccine: HEPA, HIBV
Symptoms: Rash
Clinical narrative: Child developed a rash with in 24 hours after receiving vaccines.  Rash started on the trunk with no other accompanying signs and ssymptoms.  Instructed per doctor's orders for parent to give Benadryl 1 3/4 to 2 tsp TID for 5 days. Call clinic or go to ER if symptoms worsens.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Musculoskeletal stiffness
Clinical narrative: Anthrax vaccine on 9 May and next day when sneezed both arms tightened up and felt stiff for 3-5 minutes.  This continues as recent as last night.  No treatment.  Vaccine given in left subdeltoid region.
Age: 42.0
Sex: M
Vaccine: DPP, HEPAB, IPV, HEPAB, IPV, TD, DT, HEPAB, IPV, HEPAB, IPV, TD, HEPAB, IPV, TD
Symptoms: Acoustic stimulation tests, Deafness, Vertigo
Clinical narrative: About 24 hours after recieving Hep A/B, Polio Booster, Tetnas and Diptheria, patient expericenced severe vertigo and loss of hearing in left ear.  Is being treated with Prednisone
Age: 42.0
Sex: M
Vaccine: DPP, HEPAB, IPV, HEPAB, IPV, TD, DT, HEPAB, IPV, HEPAB, IPV, TD, HEPAB, IPV, TD
Symptoms: Blood test, Body temperature increased, Nausea, Nuclear magnetic resonance imaging normal, Sudden hearing loss
Clinical narrative: About 24 hours after recieving Hep A/B, Polio Booster, Tetnas and Diptheria, patient expericenced severe vertigo and loss of hearing in left ear.  Is being treated with Prednisone
Age: 42.0
Sex: M
Vaccine: DPP, HEPAB, IPV, HEPAB, IPV, TD, DT, HEPAB, IPV, HEPAB, IPV, TD, HEPAB, IPV, TD
Symptoms: Vertigo, White blood cell count increased
Clinical narrative: About 24 hours after recieving Hep A/B, Polio Booster, Tetnas and Diptheria, patient expericenced severe vertigo and loss of hearing in left ear.  Is being treated with Prednisone
Age: 42.0
Sex: M
Vaccine: DPP, HEPAB, IPV, HEPAB, IPV, TD, DT, HEPAB, IPV, HEPAB, IPV, TD, HEPAB, IPV, TD
Symptoms: Blood test, Nausea, Nuclear magnetic resonance imaging normal, Pyrexia, Sudden hearing loss
Clinical narrative: About 24 hours after recieving Hep A/B, Polio Booster, Tetnas and Diptheria, patient expericenced severe vertigo and loss of hearing in left ear.  Is being treated with Prednisone
Age: 42.0
Sex: M
Vaccine: DPP, HEPAB, IPV, HEPAB, IPV, TD, DT, HEPAB, IPV, HEPAB, IPV, TD, HEPAB, IPV, TD
Symptoms: Deafness
Clinical narrative: About 24 hours after recieving Hep A/B, Polio Booster, Tetnas and Diptheria, patient expericenced severe vertigo and loss of hearing in left ear.  Is being treated with Prednisone
Age: 42.0
Sex: M
Vaccine: DPP, HEPAB, IPV, HEPAB, IPV, TD, DT, HEPAB, IPV, HEPAB, IPV, TD, HEPAB, IPV, TD
Symptoms: Blood test, Deafness, Deafness unilateral, Nausea, Nuclear magnetic resonance imaging
Clinical narrative: About 24 hours after recieving Hep A/B, Polio Booster, Tetnas and Diptheria, patient expericenced severe vertigo and loss of hearing in left ear.  Is being treated with Prednisone
Age: 42.0
Sex: M
Vaccine: DPP, HEPAB, IPV, HEPAB, IPV, TD, DT, HEPAB, IPV, HEPAB, IPV, TD, HEPAB, IPV, TD
Symptoms: Pyrexia, Sudden hearing loss, Vertigo
Clinical narrative: About 24 hours after recieving Hep A/B, Polio Booster, Tetnas and Diptheria, patient expericenced severe vertigo and loss of hearing in left ear.  Is being treated with Prednisone
Age: 7.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Dyspnoea, Pharyngolaryngeal pain, Skin discolouration, Swelling
Clinical narrative: Throat hurts, shortness of breath, turned purple, all swollen. Admitted @ hospital for children for 1 day. Rx for Epi-pen injection.  05/24/2007 MR received for o/n admit (5/11-12/2007) for c/o anaphylactic event 5 minutes after receiving vax.  Pt. had swelling of eyes, (+) difficulty breathing, sore throat. PE: Swollen eyelids. Facial swelling. Facial urticaria. Txd with Epi, Albuterol, Benadryl, and Solumedrol. Discharge DX: Anaphylaxis.
Age: 1.0
Sex: M
Vaccine: MMRV, PNC
Symptoms: Febrile convulsion
Clinical narrative: 21 days after below immunizations had febrile seizure x2 seen at local ER sent home. Later had second seizure and admitted to hospital. See attached.  Child admitted 5/5-8/2007 for c/o seizure activity.  On the day prior to admission child had a 3-4 minute generalized tonic-clonic seizure.  Seen in ER and DXd with pneumonia and DCd after 12 hours.  Fever spiked that pm and child seized again lasting ~8 min. during which he developed circumoral cyanosis.  Mom gave rescue breaths, but child remained very sleepy in post-ictal state. He was admitted directly after 2nd seizure. PE:  WNL. Assessment:  Febrile Seizures with fever of unknown source.
Age: 0.4
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Rash generalised
Clinical narrative: Per Dr office the child was vaccinated on 05/07/07. Mother noticed the child developing a rash from head to toe on 05/08/07. Child was evaluated by DR on 05/09/07, no medications were given the patient was put on observation and evaluated again on 05/11/07. Dr indicated child doing well and rash resolving.