chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.5
Sex: F
Vaccine: RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Received dose Rotateq at 5 months of age.       Informed mother to watch for increased temperature, vomitting or diarrhea and to notify baby's doctor if any of the above for the next 7 days.  Dr. notified of the vaccine administration of Rotateq.
Age: 28.0
Sex: F
Vaccine: JEV
Symptoms: Dyspnoea, Headache, Malaise, Pain, Rash
Clinical narrative: Patient got 2nd Je-Vax dose on 7/3/08 and on 7/7/08 had a prickly, painful rash around neck lasting 24 hours and off and on for about 2 days. Patient also had a headache, malaise, and difficulty breathing lasting about 1 day. Patient took rapid acting diphenhydramine and otc loratadine for 24 hours. She also got prescription for triamcinolone cream for the rash.
Age: 18.0
Sex: M
Vaccine: TYP
Symptoms: Abdominal discomfort, Abdominal pain, Condition aggravated, Diarrhoea, Food poisoning
Clinical narrative: PATIENT DEVELOPED MILD ABD. DISCOMFORT AFTER 1ST & 2ND DOSES WHICH PROGRESSED AFTER TEH 3RD DOSE TO SEVER ABD. PAIN, DIARRHEA, BLOODY VOMITUS AND MILF FEVER. WENT HOAG ER. WAS TOLD FOOD POISONING. GIVEN PROTNIX, METOCLOPROPAMIDE AND PANTOPREZOLE. SYMPTOMS STOPPED WITHIN 6 HRS. AFTER ER VISIT
Age: 18.0
Sex: M
Vaccine: TYP
Symptoms: Haematemesis, Pyrexia, Vaccine positive rechallenge
Clinical narrative: PATIENT DEVELOPED MILD ABD. DISCOMFORT AFTER 1ST & 2ND DOSES WHICH PROGRESSED AFTER TEH 3RD DOSE TO SEVER ABD. PAIN, DIARRHEA, BLOODY VOMITUS AND MILF FEVER. WENT HOAG ER. WAS TOLD FOOD POISONING. GIVEN PROTNIX, METOCLOPROPAMIDE AND PANTOPREZOLE. SYMPTOMS STOPPED WITHIN 6 HRS. AFTER ER VISIT
Age: 68.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Asthenia, Culture negative, Erythema, Hypotension, Inflammation
Clinical narrative: On 7/5/08, patient was admitted with weakness and hypotension. He received fluids intravenously and his blood pressure responded initially. In the evening of 7/5/08, he was assessed by the registered nurse per the Executive Committee of the Medical Staff approved "Pneumococcal Opt-out Protocol" and the vaccine was administered. On 7/7/08, upon examination it was noted that the patient's left upper arm (deltoid) was warm, reddened and tender to touch. The patient developed a temperature with an elevated WBC of 12. Infectious Disease was consulted and an MRI of the left arm was obtained. The MRI revealed inflammation of fascia. A surgical consult was obtained and the patient underwent a fasciotomy on 7/7/08. The fascia and muscle appeared healthy with a couple of purulent pockets. The site was debrided and cleaned. The patient was started on broad spectrum antibiotics. The wound culture was negative for bacterial growth. On 7/11/08, the patient was discharged to the rehabilitation center in stable condition. On 7/23/08, the rehabilitation facility stated that the wound was healing well. 8/6/08-records received for DOS 7/5-7/11/08-DC DX: fasciitis. Four days prior to admission episode of vomiting, on day of admission diet refusal, became withdrawn, diaphoretic and systolic blood pressure in 70s. Day 2 of admission C/O pain in left shoulder area, re-evaluated evidence of infection with erythema, induration. ID revealed fascitis.
Age: 68.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Nuclear magnetic resonance imaging abnormal, Pyrexia, Skin warm, Tenderness, White blood cell count increased
Clinical narrative: On 7/5/08, patient was admitted with weakness and hypotension. He received fluids intravenously and his blood pressure responded initially. In the evening of 7/5/08, he was assessed by the registered nurse per the Executive Committee of the Medical Staff approved "Pneumococcal Opt-out Protocol" and the vaccine was administered. On 7/7/08, upon examination it was noted that the patient's left upper arm (deltoid) was warm, reddened and tender to touch. The patient developed a temperature with an elevated WBC of 12. Infectious Disease was consulted and an MRI of the left arm was obtained. The MRI revealed inflammation of fascia. A surgical consult was obtained and the patient underwent a fasciotomy on 7/7/08. The fascia and muscle appeared healthy with a couple of purulent pockets. The site was debrided and cleaned. The patient was started on broad spectrum antibiotics. The wound culture was negative for bacterial growth. On 7/11/08, the patient was discharged to the rehabilitation center in stable condition. On 7/23/08, the rehabilitation facility stated that the wound was healing well. 8/6/08-records received for DOS 7/5-7/11/08-DC DX: fasciitis. Four days prior to admission episode of vomiting, on day of admission diet refusal, became withdrawn, diaphoretic and systolic blood pressure in 70s. Day 2 of admission C/O pain in left shoulder area, re-evaluated evidence of infection with erythema, induration. ID revealed fascitis.
Age: 68.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Debridement, Drug screen, Laboratory test, Myositis, Necrotising fasciitis
Clinical narrative: On 7/5/08, patient was admitted with weakness and hypotension. He received fluids intravenously and his blood pressure responded initially. In the evening of 7/5/08, he was assessed by the registered nurse per the Executive Committee of the Medical Staff approved "Pneumococcal Opt-out Protocol" and the vaccine was administered. On 7/7/08, upon examination it was noted that the patient's left upper arm (deltoid) was warm, reddened and tender to touch. The patient developed a temperature with an elevated WBC of 12. Infectious Disease was consulted and an MRI of the left arm was obtained. The MRI revealed inflammation of fascia. A surgical consult was obtained and the patient underwent a fasciotomy on 7/7/08. The fascia and muscle appeared healthy with a couple of purulent pockets. The site was debrided and cleaned. The patient was started on broad spectrum antibiotics. The wound culture was negative for bacterial growth. On 7/11/08, the patient was discharged to the rehabilitation center in stable condition. On 7/23/08, the rehabilitation facility stated that the wound was healing well. 8/6/08-records received for DOS 7/5-7/11/08-DC DX: fasciitis. Four days prior to admission episode of vomiting, on day of admission diet refusal, became withdrawn, diaphoretic and systolic blood pressure in 70s. Day 2 of admission C/O pain in left shoulder area, re-evaluated evidence of infection with erythema, induration. ID revealed fascitis.
Age: 68.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Swelling
Clinical narrative: On 7/5/08, patient was admitted with weakness and hypotension. He received fluids intravenously and his blood pressure responded initially. In the evening of 7/5/08, he was assessed by the registered nurse per the Executive Committee of the Medical Staff approved "Pneumococcal Opt-out Protocol" and the vaccine was administered. On 7/7/08, upon examination it was noted that the patient's left upper arm (deltoid) was warm, reddened and tender to touch. The patient developed a temperature with an elevated WBC of 12. Infectious Disease was consulted and an MRI of the left arm was obtained. The MRI revealed inflammation of fascia. A surgical consult was obtained and the patient underwent a fasciotomy on 7/7/08. The fascia and muscle appeared healthy with a couple of purulent pockets. The site was debrided and cleaned. The patient was started on broad spectrum antibiotics. The wound culture was negative for bacterial growth. On 7/11/08, the patient was discharged to the rehabilitation center in stable condition. On 7/23/08, the rehabilitation facility stated that the wound was healing well. 8/6/08-records received for DOS 7/5-7/11/08-DC DX: fasciitis. Four days prior to admission episode of vomiting, on day of admission diet refusal, became withdrawn, diaphoretic and systolic blood pressure in 70s. Day 2 of admission C/O pain in left shoulder area, re-evaluated evidence of infection with erythema, induration. ID revealed fascitis.
Age: 1.01
Sex: F
Vaccine: HEPA, HIBV, MMRV, PPV
Symptoms: Inappropriate schedule of drug administration, Pyrexia, Rash
Clinical narrative: Fever and rash began on 7/21/08 after MMRRV given on 7/15/08.  Rash got worse and covered entire body except face in the following days.  Fever finally broke on Wed. 7/23/08.  Rash subsided on 7/23/08 and came back worse on Friday 7/25/08.  Took baby back to Hospital on Friday 7/25/08.  Asked Dr. to file report with you all and he indicated that this was a "normal" reaction to this vaccine and you all would not accept a report. As of today the severity is subsiding but it is still present.
Age: 9.0
Sex: F
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration, Pertussis identification test positive
Clinical narrative: Patient received Tdap (ADACEL) 0.5ml IM for + pertussis. Patient should have received pediatric dose since ADACEL is for persons between the ages of 11-64 years.
Age: 17.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: About 18 hours after Varicella #1 immunization, Pt felt/saw a sore & red spot the size of a quarter. Later in the day, her hands & wrists started itching and she had a rash there which she treated with over the counter Benandryl. At 67 hours after vaccination, there was no rash and approx. 10cm X 7cm wide red, tender, warm, & slightly swollen area where vaccine administrated.  Pt. has Hx of allergy to walnuts & cashews.
Age: 17.0
Sex: F
Vaccine: VARCEL
Symptoms: Pain, Pruritus, Rash
Clinical narrative: About 18 hours after Varicella #1 immunization, Pt felt/saw a sore & red spot the size of a quarter. Later in the day, her hands & wrists started itching and she had a rash there which she treated with over the counter Benandryl. At 67 hours after vaccination, there was no rash and approx. 10cm X 7cm wide red, tender, warm, & slightly swollen area where vaccine administrated.  Pt. has Hx of allergy to walnuts & cashews.
Age: 64.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness and swelling to injection site. Very warm to the touch. Pt was given prednisone and Keflex.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4, VARCEL
Symptoms: Syncope
Clinical narrative: Patient had a Brief syncopal episode that lasted approximately 5-10 seconds. Patient was layed done and after approximately 3-5 min patient felt better and went home with parents. It was also a very hot day and warm in the store.
Age: 14.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Blood pressure decreased, Fall, Laceration, Syncope
Clinical narrative: Pt received vaccines (MCV4 & Gardasil) at 1250 at our satellite clinic, waited for copy of immunization record and experienced syncopal episode when walking out of clinic door at approximately 1300. Pt slowly collapsed, and fell approximately 2 feet to the ground from a concrete ramp. Sister was walking in front of pt. when incident occurred.  Two 3" superficial scrapes noted on L lower arm. Sister states she believes pt. hit head on ramp railing and on the ground. Head examined; No hematoma noted; denied head or neck pain. Blood pressure 80/50 @ 1301. Cool cloths to face & neck. Placed in flat position. Opened eyes immediately.  Walked with assist of 2 nurses up ramp and into the office, placed in chair with feet elevated and cool cloths placed on neck & face.  Drank soft drink without nausea or vomiting. Alert & oriented to time, place & person. Moves all extremities without difficulty.  Left office @ 1330 with mother & sister. B/P 110/60.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Breath odour, Cough, Injection site erythema, Injection site warmth, Pyrexia
Clinical narrative: I was on the computer looking for info about the varicella vaccine and saw this reporting.  I don't plan to take my son to the dr. unless symptons don't get better.  About 45 hrs. after his 2nd varicella vaccine (which was given yrs. after the 1st dose at his Dr.'s request) the injection site was very red and very hot to the touch - like a fever in his arm.  His oral temp was 102.5 and his arm, back, and neck were very hot.  He is a very healthy, active boy and had no signs of any sickness before the vaccine.  He also has come down with a cough and the fever continues, but comes right down with ibuprofen which I am giving him every 6-7 hours.  His fever today was 104.5.  He is eating and drinking well and playing video games and watching TV and reading, but has a bit of a cough and his breath smells sick.  I will probably call the dr. in the next day or so if he doesn't improve.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Skin warm
Clinical narrative: I was on the computer looking for info about the varicella vaccine and saw this reporting.  I don't plan to take my son to the dr. unless symptons don't get better.  About 45 hrs. after his 2nd varicella vaccine (which was given yrs. after the 1st dose at his Dr.'s request) the injection site was very red and very hot to the touch - like a fever in his arm.  His oral temp was 102.5 and his arm, back, and neck were very hot.  He is a very healthy, active boy and had no signs of any sickness before the vaccine.  He also has come down with a cough and the fever continues, but comes right down with ibuprofen which I am giving him every 6-7 hours.  His fever today was 104.5.  He is eating and drinking well and playing video games and watching TV and reading, but has a bit of a cough and his breath smells sick.  I will probably call the dr. in the next day or so if he doesn't improve.
Age: 29.0
Sex: M
Vaccine: HEP
Symptoms: Erythema, Injection site pain
Clinical narrative: Pt states that he has had soreness in the area of the vaccine starting the day it was administered. Also some redness underneath the arm.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Oedema peripheral
Clinical narrative: Seen in our office on 7/22/08 for 4 year old well check up.  Woke up on 7/24/08 with red & swollen arm. Seen again in our office diagnosed with vaccine reaction/early cellulitis.  Treated with augmentin
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site mass, Injection site pain
Clinical narrative: Redness and soreness at site of injection. A lump formed and has not subsided since innoculation approximately 1 1/2 years ago.
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site rash
Clinical narrative: VACCINATED ON JULY 25TH WITH 4MO SHOTS DTAP, IPV, HIB, PCV AND ROTATEQ, CAME IN ON MONDAY JULY 28TH WITH RASH BOTH LEGS  RAISED BUMPS STARTING AT INJECTION SITE  DOWN TO KNEE
Age: 0.2
Sex: F
Vaccine: HIBV, PNC, RV5, TDAP
Symptoms: Wrong drug administered
Clinical narrative: Administered Tdap inadvertently instead of Pediarix.  Called Health Department Kitsap who recommended defer Pediarix for 2-4 weeks, then begin.  Mom in agreement plan.  Advised no adverse events ef
Age: 1.25
Sex: F
Vaccine: MMR
Symptoms: Anaemia, Febrile convulsion, Haemoglobin normal, Leukopenia, Pyrexia
Clinical narrative: Had high fevers up to 102 F and above night after vaccine administration. See in the ER for febrile seizures. Only MMR vaccine was administered at the patient's 15 month physical on June 10 2008. Has not had reactions with other vaccinations.
Age: 1.25
Sex: F
Vaccine: MMR
Symptoms: White blood cell count decreased
Clinical narrative: Had high fevers up to 102 F and above night after vaccine administration. See in the ER for febrile seizures. Only MMR vaccine was administered at the patient's 15 month physical on June 10 2008. Has not had reactions with other vaccinations.
Age: 0.38
Sex: F
Vaccine: RV5
Symptoms: Abdominal rigidity, Abnormal faeces, Faeces discoloured, Haematochezia, Inappropriate schedule of drug administration
Clinical narrative: Pt had diarrhea, dark brown with "highlighter yellow" color streaks and streaks of blood. Odor, hard stomach. Also sees doctor for GI problems. 8/28/08-records received for DOS 7/14-7/17/08-DC DX: Abdominal distention. Guaiac-positive stools. Dehydration. Two days prior to admission abdomen distended, slightly looser stool and decreased urine output.
Age: 17.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Malaise, Pyrexia, Splenomegaly, Syncope, Ultrasound scan abnormal
Clinical narrative: 3 days after shots did not feel well. Then following day fever developed, next day she fainted in the shower (5/13/08). In the ER she had low WBC - platelet count and admitted for work up - in w/u splenomegaly. 8/4/08-records received for DOS 5/13-5/15/08-DC DX: Syncopal episode. leukopenia. Thrombocytopenia. Splenomegaly. C/O nausea, chills and leg pain on 5/11/08, followed by not feeling well, temperature 100.8. Fainting with loss of consciousness and hit elbow now swollen and tender.  Developed rash on back.
Age: 17.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: White blood cell count decreased
Clinical narrative: 3 days after shots did not feel well. Then following day fever developed, next day she fainted in the shower (5/13/08). In the ER she had low WBC - platelet count and admitted for work up - in w/u splenomegaly. 8/4/08-records received for DOS 5/13-5/15/08-DC DX: Syncopal episode. leukopenia. Thrombocytopenia. Splenomegaly. C/O nausea, chills and leg pain on 5/11/08, followed by not feeling well, temperature 100.8. Fainting with loss of consciousness and hit elbow now swollen and tender.  Developed rash on back.
Age: 78.0
Sex: M
Vaccine: PPV
Symptoms: Blood culture negative, Cellulitis, Culture urine negative, Injection site pain, Injection site swelling
Clinical narrative: Pt received PNEUMOVAX to Rt upper arm on 4/29/08. The next day, woke up with swelling and tender of injection site. Symptoms progressed and migrated down to his Rt hand and fingers, on 5/1/2008 and admitted to another hospital that day.  9/02/2008 MR received for DOS 5/1-3/2008 with D/C Dx: Cellulits of the R upper extremity. Pt presented with fever, chills, pain, redness and swelling of the RUE Pneumovax injection site. PE (+) for swelling and erythema from shoulder to wrist. Dx with cellulitis after DVT r/o. Started on abx.  Redness and swelling decreased and pt d/c on po abx.
Age: 78.0
Sex: M
Vaccine: PPV
Symptoms: Oedema peripheral, Tenderness
Clinical narrative: Pt received PNEUMOVAX to Rt upper arm on 4/29/08. The next day, woke up with swelling and tender of injection site. Symptoms progressed and migrated down to his Rt hand and fingers, on 5/1/2008 and admitted to another hospital that day.  9/02/2008 MR received for DOS 5/1-3/2008 with D/C Dx: Cellulits of the R upper extremity. Pt presented with fever, chills, pain, redness and swelling of the RUE Pneumovax injection site. PE (+) for swelling and erythema from shoulder to wrist. Dx with cellulitis after DVT r/o. Started on abx.  Redness and swelling decreased and pt d/c on po abx.
Age: 51.0
Sex: M
Vaccine: PPV
Symptoms: Angioedema, Cellulitis, Erythema, Lower respiratory tract infection, Night sweats
Clinical narrative: Standard title-emergency dept note date of note-Feb 24. 2008@ 22-29-19 Entry date-Feb 24, 2008@22-29-19. Chief Complaint-left arm pain. Present illness-This is a 51 yo. MALE, came to ER with-pain to the left arm where he got a pneu vaccine a few days, has redness and severe tenderness, no fever or chills. Allergies-SEAFOOD, TOMATOES, PINEAPPLES Physical exam-Extremities-No edema, left arm there is tenderness swelling and erythema. Assessment-cellulitis. Plan-ROCEPHIN 1 gm IV now. I liter normal saline. SEPTRA DS. Final disposition-Discharge. STANDARD TITLE-PHYSICIAN ASSISTANT NOTE DATE OF NOTE-MAR 19. 2008@12-11 ENTRY DATE-MAR 19, 2000@12-11-08 AUTHOR Present illness-This is a 51yo, MALE came to ER with-left arm pain since cellulitis, dx here in ER on 2/25. Pt with some night sweats, but is receiving amoxicillin for thorax infection that was dx. Pt with no further swelling of site, no further erythema, just pain. Pt with some stiffness in extremity, but normal sensation. Pt tx. ony with moist heat. STANDARD TITLE-PRIMARY CARE PHYSICIAN NOTE DATE OF NOTE-MAR 25. 2008@ 13-15 ENTRY DATE-MAR 25, 2008 @ 13-15-04 AUTHOR. He is still having some localized left upper arm tenderness following his significant reaction to the PNEUMOVAX injections. Symptoms: Symptoms:1. Angioedema 2. Skin Rash 3. Erythema Multiform. Treatment Drugs Used: 1-CEFTRIAXONE Dose:1 Units: GM Freq: ONCE Route: IV. 2-SODIUM CHLORIDE Dose: 1000 Units: ML Freq. ONCE Route, IV 3-SULFAMETHOXAZOLE/TRIMETHOPRIM Dose: 1 Units: TAB Freq: BID Route: PO. Follow-up Information 27-OCT-2008: Swelling of arm, fever, erythema.
Age: 51.0
Sex: M
Vaccine: PPV
Symptoms: Oedema peripheral, Pain in extremity, Pyrexia, Rash, Tenderness
Clinical narrative: Standard title-emergency dept note date of note-Feb 24. 2008@ 22-29-19 Entry date-Feb 24, 2008@22-29-19. Chief Complaint-left arm pain. Present illness-This is a 51 yo. MALE, came to ER with-pain to the left arm where he got a pneu vaccine a few days, has redness and severe tenderness, no fever or chills. Allergies-SEAFOOD, TOMATOES, PINEAPPLES Physical exam-Extremities-No edema, left arm there is tenderness swelling and erythema. Assessment-cellulitis. Plan-ROCEPHIN 1 gm IV now. I liter normal saline. SEPTRA DS. Final disposition-Discharge. STANDARD TITLE-PHYSICIAN ASSISTANT NOTE DATE OF NOTE-MAR 19. 2008@12-11 ENTRY DATE-MAR 19, 2000@12-11-08 AUTHOR Present illness-This is a 51yo, MALE came to ER with-left arm pain since cellulitis, dx here in ER on 2/25. Pt with some night sweats, but is receiving amoxicillin for thorax infection that was dx. Pt with no further swelling of site, no further erythema, just pain. Pt with some stiffness in extremity, but normal sensation. Pt tx. ony with moist heat. STANDARD TITLE-PRIMARY CARE PHYSICIAN NOTE DATE OF NOTE-MAR 25. 2008@ 13-15 ENTRY DATE-MAR 25, 2008 @ 13-15-04 AUTHOR. He is still having some localized left upper arm tenderness following his significant reaction to the PNEUMOVAX injections. Symptoms: Symptoms:1. Angioedema 2. Skin Rash 3. Erythema Multiform. Treatment Drugs Used: 1-CEFTRIAXONE Dose:1 Units: GM Freq: ONCE Route: IV. 2-SODIUM CHLORIDE Dose: 1000 Units: ML Freq. ONCE Route, IV 3-SULFAMETHOXAZOLE/TRIMETHOPRIM Dose: 1 Units: TAB Freq: BID Route: PO. Follow-up Information 27-OCT-2008: Swelling of arm, fever, erythema.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Pruritus, Swelling face
Clinical narrative: Mom states child received vaccines around 3:30 pm, had some facial swelling and itching.  Called on call doctor, advised Benadryl 50 mg and all symptoms were gone in 2 hours.
Age: 13.0
Sex: M
Vaccine: MNQ, VARCEL
Symptoms: Medication error
Clinical narrative: Vaccine given, then discovered a power outage had occurred for unknown amount of time while clinic closed.
Age: 73.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Asthenia, Blister, Diarrhoea, Nausea, Oropharyngeal blistering
Clinical narrative: Severely broke out (just days after getting vaccine) with blisters in mouth, throat & GI tract all the way to the rectum, along with nausea & vomiting & diarrhea x1 week.  Since then 2 more episodes less severe each lasting a week.  C/o still recuperating on last episode - very weak from it - no more N/V, but still getting blisters in mouth.  Referred pt to her PMP for f/u tx & recommendations.
Age: 73.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Vomiting
Clinical narrative: Severely broke out (just days after getting vaccine) with blisters in mouth, throat & GI tract all the way to the rectum, along with nausea & vomiting & diarrhea x1 week.  Since then 2 more episodes less severe each lasting a week.  C/o still recuperating on last episode - very weak from it - no more N/V, but still getting blisters in mouth.  Referred pt to her PMP for f/u tx & recommendations.
Age: 73.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Chills, Diarrhoea, Hypotension, Lip blister, Lymphadenopathy
Clinical narrative: Severely broke out (just days after getting vaccine) with blisters in mouth, throat & GI tract all the way to the rectum, along with nausea & vomiting & diarrhea x1 week.  Since then 2 more episodes less severe each lasting a week.  C/o still recuperating on last episode - very weak from it - no more N/V, but still getting blisters in mouth.  Referred pt to her PMP for f/u tx & recommendations.
Age: 73.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Nausea, Oropharyngeal blistering, Oropharyngeal pain, Pyrexia, Vomiting
Clinical narrative: Severely broke out (just days after getting vaccine) with blisters in mouth, throat & GI tract all the way to the rectum, along with nausea & vomiting & diarrhea x1 week.  Since then 2 more episodes less severe each lasting a week.  C/o still recuperating on last episode - very weak from it - no more N/V, but still getting blisters in mouth.  Referred pt to her PMP for f/u tx & recommendations.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Varicella
Clinical narrative: Chicken pox after getting the varicella injection (ZOSTAVAX).
Age: 76.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash vesicular
Clinical narrative: Developed varicella-like rash left arm, both legs.
Age: 29.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Medication error
Clinical narrative: Patient received vaccines that were in a refrigerator at the time of a power outage for unknown amt. of time.  Vaccines were deemed "spoiled" after patient's visit.
Age: 9.0
Sex: F
Vaccine: HPV4
Symptoms: Blood pressure, Communication disorder, Crying, Headache, Heart rate normal
Clinical narrative: Immediately after vaccination started crying, sweating and not communicating well.  Complained of headaches.  Symptoms continued for 30 minutes until transported to ED.
Age: 9.0
Sex: F
Vaccine: HPV4
Symptoms: Hyperhidrosis, Oxygen saturation normal
Clinical narrative: Immediately after vaccination started crying, sweating and not communicating well.  Complained of headaches.  Symptoms continued for 30 minutes until transported to ED.
Age: 36.0
Sex: F
Vaccine: HEP, MMR, TDAP
Symptoms: Cellulitis, Injection site erythema, Injection site warmth
Clinical narrative: Patient seen at urgent care center with complaints of redness and hot at injection site.  Left arm only.  Started on antibiotic for cellulitis.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Injection site erythema, Injection site swelling, Myalgia, Pyrexia
Clinical narrative: Fever of 102 degrees - achy muscles - chills, swelling and redness at site of the injection.
Age: 13.0
Sex: F
Vaccine: HPV4, TYP
Symptoms: Cardiac flutter, Convulsion, Electroencephalogram normal, Tachycardia
Clinical narrative: Had 2 seizures subsequently (new onset, no prior history), and has sensations of "fluttering" heart rhythm, associated with mild tachycardia (approx. 100 bpm) seen on cardiac monitoring. 8/11/08 Neuro consult received dated 7/21/2008. Exam WNL. EEG(-).  9/08/2008 Cardiology consult received dated 7/31/2008 for eval of dizziness and lightheadedness with racing heart sx.  Pt previously seen for eval of syncope in which a rhythm disturbance was r/o. Sinus tach found on event monitering but does not explain dizziness, syncope. Likely neuro-cardiogenic events. Orthostatic BPs showed orthostatic tachycardia syndrome. to increase fluids, salt and add leg strengthening exercises.
Age: 11.0
Sex: F
Vaccine: HEP, MNQ
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling & redness from injection site to shoulder, almost to elbow, almost around arm; advised to give BENADRYL & MOTRIN.
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Induration
Clinical narrative: Patient developed an 3 inch induration on left arm.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Depressed level of consciousness, Diarrhoea, Hypotonia, Irritability, Lethargy
Clinical narrative: Per patient's mother: excessive sleepiness for 1 week after vaccines - slept x5 hrs after vaccines & took 10 minutes to arouse, was fussy, limp, pale, lethargic x1-2 days.  Had vomiting & diarrhea intermittently x3 days.  Fever 5/5 - 5/6/08.
Age: 0.2
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Pallor, Pyrexia, Somnolence, Vomiting
Clinical narrative: Per patient's mother: excessive sleepiness for 1 week after vaccines - slept x5 hrs after vaccines & took 10 minutes to arouse, was fussy, limp, pale, lethargic x1-2 days.  Had vomiting & diarrhea intermittently x3 days.  Fever 5/5 - 5/6/08.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Erythema, Induration, Lymph node pain, Oedema peripheral
Clinical narrative: Nearly entire L arm swollen and red and indurated tender 1 cm at node.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness/swelling to site of injection (Lt arm) 6 x 6cm to left arm.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Blood pressure decreased, Dizziness, Gaze palsy, Loss of consciousness, Pallor
Clinical narrative: Pt received 2nd dose of GARDASIL and TB skin test became pale, eyes rolled upwards and was briefly unconscious but responded quickly, BP decreased 42/10 but gradually became WNL. Last BP 100/58. She also c/o dizziness. Color gradually returned and pt remained responsive.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Reaction to previous exposure to any vaccine
Clinical narrative: I just know a "possible" reaction.  Above child's "friend" came to clinic today.  She stated that above child had a reaction to HPV vaccine.  Nurse called mother, mother said child was fine.  Then when nurse questioned further, mother stated child had a facial problem after HPV #2.  Nurse then asked mother if that had happened with vaccine #2 why didn't the mother tell us before vaccine #3 on 5-6-08.  There is a question sheet initialed by nurse that child had no reactions to vaccines before.  I spoke to mother today, she said she will come tomorrow at 9AM and I hope to get the complete story at that time.  I then plan to report about on a VAERS form and to notify all supervisors, PBH and the county.  (See above note written today in slot 10-29-07).  I obtained lot # from computer for HPV #1, lot was (1425F).  It was given 10-30-07.  I was off.  Nurse was covering clinic.  I initialed nurse's initials with MMC.  After on that dates line RN.  7-24-08 Mother did not come to clinic on 7-24-08 therefore I called VAERS and completed attached form.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Induration, Pain, Pruritus, Skin mass
Clinical narrative: Large, hard, red knot in loose flesh under arm directly below where shot was given. Larger than golf ball. Hurt and itched slightly. Used ice - 3 days. Reduced but still noticeable week later.
Age: 14.0
Sex: M
Vaccine: DTAP, MNQ
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: none
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Lethargy, Local swelling, Lymphadenopathy, Pain
Clinical narrative: Pt. given Tdap LA on 7/9/08 - noted swelling lymph nodes in axilla, supra clavicular area - neck also felt swollen.  Noted sx. 3 d after getting ADACEL.  All sx. on L side - no sx. at inj. site.  Lethargy, temp. 100.2, sore all over - temp. x24 hours - sx. gone by 7/14/08.
Age: 40.0
Sex: M
Vaccine: FLUX
Symptoms: Angiotensin converting enzyme, Auricular swelling, Blood test normal, Blood thyroid stimulating hormone, Borrelia burgdorferi serology negative
Clinical narrative: Patient had 'cold' for 1.5 weeks, then right ear and head pain for which he was given Septra.  Approximately 2 days later, he awakened with partial right facial weakness (on 10 Nov 2007).  Also had right hyperacusis, tinnitus and decreased hearing on right.  No taste changes, but had drooling from right side of mouth.  No extremity weakness/numbness, although he had the sensation of pain from right face down right anterior chest and right shoulder.  He reported to an ER that evening, where blood work and a head CT were normal.  He was given a prednisone taper dose over 10 days and Vicodin for pain.  Approximately 3 days later, he developed right ear pustules, erythema and swelling, and was given Valtrex for 7 days.  His symptoms improved until 1.5 weeks later when the pain again increased, and he was given a second prednisone taper, this time for 5 days.  He again improved until approximately 1 week ago, when his right facial pain worsened and he was given a combination of Tylenol #3 and Motrin 800mg tid.  Currently, he estimates his pain level to be 50% improved compared to when it was at its worse.  His facial weakness is mildly better, as he can now more fully close his right eye.  He used a patch for 4 days initially, and continues to use eye drops during the day.  He also initially had mild veritgo, which now only occurs rarely, for short durations.  Later diagnosed as Ramsay-Hunt Syndrome. 9/18/08-records received-Office visit 11/13/07-Seen in ER for right sided Bells' palsy, symptoms began on 11/10/07. Dry cough and right ear pain for 5 days.  Office visit 12/7/07-symptoms improved and not returned including ear pain. Right ear pustules, erythem and swelling. 12/9/07- resolving sinusitis.
Age: 40.0
Sex: M
Vaccine: FLUX
Symptoms: Computerised tomogram normal, Drooling, Ear pain, Erythema, Facial pain
Clinical narrative: Patient had 'cold' for 1.5 weeks, then right ear and head pain for which he was given Septra.  Approximately 2 days later, he awakened with partial right facial weakness (on 10 Nov 2007).  Also had right hyperacusis, tinnitus and decreased hearing on right.  No taste changes, but had drooling from right side of mouth.  No extremity weakness/numbness, although he had the sensation of pain from right face down right anterior chest and right shoulder.  He reported to an ER that evening, where blood work and a head CT were normal.  He was given a prednisone taper dose over 10 days and Vicodin for pain.  Approximately 3 days later, he developed right ear pustules, erythema and swelling, and was given Valtrex for 7 days.  His symptoms improved until 1.5 weeks later when the pain again increased, and he was given a second prednisone taper, this time for 5 days.  He again improved until approximately 1 week ago, when his right facial pain worsened and he was given a combination of Tylenol #3 and Motrin 800mg tid.  Currently, he estimates his pain level to be 50% improved compared to when it was at its worse.  His facial weakness is mildly better, as he can now more fully close his right eye.  He used a patch for 4 days initially, and continues to use eye drops during the day.  He also initially had mild veritgo, which now only occurs rarely, for short durations.  Later diagnosed as Ramsay-Hunt Syndrome. 9/18/08-records received-Office visit 11/13/07-Seen in ER for right sided Bells' palsy, symptoms began on 11/10/07. Dry cough and right ear pain for 5 days.  Office visit 12/7/07-symptoms improved and not returned including ear pain. Right ear pustules, erythem and swelling. 12/9/07- resolving sinusitis.
Age: 40.0
Sex: M
Vaccine: FLUX
Symptoms: Facial paresis, Headache, Herpes zoster oticus, Hyperacusis, Hypoacusis
Clinical narrative: Patient had 'cold' for 1.5 weeks, then right ear and head pain for which he was given Septra.  Approximately 2 days later, he awakened with partial right facial weakness (on 10 Nov 2007).  Also had right hyperacusis, tinnitus and decreased hearing on right.  No taste changes, but had drooling from right side of mouth.  No extremity weakness/numbness, although he had the sensation of pain from right face down right anterior chest and right shoulder.  He reported to an ER that evening, where blood work and a head CT were normal.  He was given a prednisone taper dose over 10 days and Vicodin for pain.  Approximately 3 days later, he developed right ear pustules, erythema and swelling, and was given Valtrex for 7 days.  His symptoms improved until 1.5 weeks later when the pain again increased, and he was given a second prednisone taper, this time for 5 days.  He again improved until approximately 1 week ago, when his right facial pain worsened and he was given a combination of Tylenol #3 and Motrin 800mg tid.  Currently, he estimates his pain level to be 50% improved compared to when it was at its worse.  His facial weakness is mildly better, as he can now more fully close his right eye.  He used a patch for 4 days initially, and continues to use eye drops during the day.  He also initially had mild veritgo, which now only occurs rarely, for short durations.  Later diagnosed as Ramsay-Hunt Syndrome. 9/18/08-records received-Office visit 11/13/07-Seen in ER for right sided Bells' palsy, symptoms began on 11/10/07. Dry cough and right ear pain for 5 days.  Office visit 12/7/07-symptoms improved and not returned including ear pain. Right ear pustules, erythem and swelling. 12/9/07- resolving sinusitis.
Age: 40.0
Sex: M
Vaccine: FLUX
Symptoms: Musculoskeletal pain, Nasopharyngitis, Non-cardiac chest pain, Pain, Rash pustular
Clinical narrative: Patient had 'cold' for 1.5 weeks, then right ear and head pain for which he was given Septra.  Approximately 2 days later, he awakened with partial right facial weakness (on 10 Nov 2007).  Also had right hyperacusis, tinnitus and decreased hearing on right.  No taste changes, but had drooling from right side of mouth.  No extremity weakness/numbness, although he had the sensation of pain from right face down right anterior chest and right shoulder.  He reported to an ER that evening, where blood work and a head CT were normal.  He was given a prednisone taper dose over 10 days and Vicodin for pain.  Approximately 3 days later, he developed right ear pustules, erythema and swelling, and was given Valtrex for 7 days.  His symptoms improved until 1.5 weeks later when the pain again increased, and he was given a second prednisone taper, this time for 5 days.  He again improved until approximately 1 week ago, when his right facial pain worsened and he was given a combination of Tylenol #3 and Motrin 800mg tid.  Currently, he estimates his pain level to be 50% improved compared to when it was at its worse.  His facial weakness is mildly better, as he can now more fully close his right eye.  He used a patch for 4 days initially, and continues to use eye drops during the day.  He also initially had mild veritgo, which now only occurs rarely, for short durations.  Later diagnosed as Ramsay-Hunt Syndrome. 9/18/08-records received-Office visit 11/13/07-Seen in ER for right sided Bells' palsy, symptoms began on 11/10/07. Dry cough and right ear pain for 5 days.  Office visit 12/7/07-symptoms improved and not returned including ear pain. Right ear pustules, erythem and swelling. 12/9/07- resolving sinusitis.
Age: 40.0
Sex: M
Vaccine: FLUX
Symptoms: Red blood cell sedimentation rate increased, Swelling, Tinnitus, Vertigo
Clinical narrative: Patient had 'cold' for 1.5 weeks, then right ear and head pain for which he was given Septra.  Approximately 2 days later, he awakened with partial right facial weakness (on 10 Nov 2007).  Also had right hyperacusis, tinnitus and decreased hearing on right.  No taste changes, but had drooling from right side of mouth.  No extremity weakness/numbness, although he had the sensation of pain from right face down right anterior chest and right shoulder.  He reported to an ER that evening, where blood work and a head CT were normal.  He was given a prednisone taper dose over 10 days and Vicodin for pain.  Approximately 3 days later, he developed right ear pustules, erythema and swelling, and was given Valtrex for 7 days.  His symptoms improved until 1.5 weeks later when the pain again increased, and he was given a second prednisone taper, this time for 5 days.  He again improved until approximately 1 week ago, when his right facial pain worsened and he was given a combination of Tylenol #3 and Motrin 800mg tid.  Currently, he estimates his pain level to be 50% improved compared to when it was at its worse.  His facial weakness is mildly better, as he can now more fully close his right eye.  He used a patch for 4 days initially, and continues to use eye drops during the day.  He also initially had mild veritgo, which now only occurs rarely, for short durations.  Later diagnosed as Ramsay-Hunt Syndrome. 9/18/08-records received-Office visit 11/13/07-Seen in ER for right sided Bells' palsy, symptoms began on 11/10/07. Dry cough and right ear pain for 5 days.  Office visit 12/7/07-symptoms improved and not returned including ear pain. Right ear pustules, erythem and swelling. 12/9/07- resolving sinusitis.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Body temperature increased
Clinical narrative: Pt. got a 102 temp on 7-24-08 & 7-25-08 called the paramedics and was evaluated.  Pt today still running low grade temp.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Ear, nose and throat examination, Headache, Immediate post-injection reaction, Nuclear magnetic resonance imaging brain
Clinical narrative: Pt experienced syncope immed after vaccine on 1/18.  On 2/4, pt developed dizziness, vertigo, vomiting.  Dizziness, vertigo, headaches continue to persist.  She has had - MRI.  Normal visual exam.  - ENT eval.  Continues to be symptomatic.  8/13/2008 Office records received. Pt fainted following HPV4 vax on 1/18/2008. Returned 2/7/2008 with several day hx of vomiting and diarrhea with syncopal episode that am. Assessment: vomiting and fainting probably due to viral infection. To increase fluids. Seen again 2/12/08 with dizziness reported since 2/4/08 (worse on change of position and/or on feet) and 2 syncopal episodes. PE (+) for ataxia and (+) Romberg and mild horizontal nystagmus. DX:  Labyrithitis. Seen again 2/28/08 with same sx slightly improved with Antivert. DX Labyrithitis. Vertigo. 3/13/08 seen for vertigo. 3/26/08 HPV #2. Seen 6/25/08 with dx diplopia, 7/21 with vertigo and 7/25 with plantar warts and cystic breast mass.
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Ophthalmological examination normal, Syncope, Vertigo, Vomiting
Clinical narrative: Pt experienced syncope immed after vaccine on 1/18.  On 2/4, pt developed dizziness, vertigo, vomiting.  Dizziness, vertigo, headaches continue to persist.  She has had - MRI.  Normal visual exam.  - ENT eval.  Continues to be symptomatic.  8/13/2008 Office records received. Pt fainted following HPV4 vax on 1/18/2008. Returned 2/7/2008 with several day hx of vomiting and diarrhea with syncopal episode that am. Assessment: vomiting and fainting probably due to viral infection. To increase fluids. Seen again 2/12/08 with dizziness reported since 2/4/08 (worse on change of position and/or on feet) and 2 syncopal episodes. PE (+) for ataxia and (+) Romberg and mild horizontal nystagmus. DX:  Labyrithitis. Seen again 2/28/08 with same sx slightly improved with Antivert. DX Labyrithitis. Vertigo. 3/13/08 seen for vertigo. 3/26/08 HPV #2. Seen 6/25/08 with dx diplopia, 7/21 with vertigo and 7/25 with plantar warts and cystic breast mass.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Dizziness, Erythema, Feeling hot, Induration, Injected limb mobility decreased
Clinical narrative: Right arm became swollen, red, hard, hot to touch, size of .50 cent piece.  Under right arm very tender, hard to lift up arm, nausea and dizzy.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Nausea, Oedema peripheral, Tenderness
Clinical narrative: Right arm became swollen, red, hard, hot to touch, size of .50 cent piece.  Under right arm very tender, hard to lift up arm, nausea and dizzy.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Oedema peripheral, Pain in extremity, Pyrexia, Rash
Clinical narrative: 2 hours after PNEUMOVAX developed sore, swollen, painful RUA.  Arm rash.  Temp 101.9.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, RV5
Symptoms: Pyrexia
Clinical narrative: Temp to 103! Axillary within 12 hrs of immunizations
Age: 18.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Fall, Gaze palsy, Heart rate decreased, Hypotension, Pallor
Clinical narrative: 7-18-08 Here a clinic for vaccines. Father sat out in hallway. 9:30 am while pt received vaccines. After last injection gave he went to stand up and fell to ground, face down. He was slouched over slightly, while sitting in chair before he was able to stand up, he fell forward on to a cushioned mat. Skin color was ashy. Body shook, eyes began to roll back, for approximately 15-20 seconds. Pt stopped shaking and was rolled over onto back and feet elevated on chair. Father came in when he heard nurse calling out for assistance for the immunization coordinator. BP-82/42, P 52, R=14. Eyes open and answering questions correctly, but slowly. BP=94/44, P=56, R=16. Skin color pale, resp easy. Reports ate cereal for breakfast and was not previously feeling ill, father reports pt had stayed up late, until 3 AM this morning. Watching movies. Prior to fall, immunization coordinator reports (L) eye toward bottom
Age: 18.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Respiratory rate decreased, Tremor
Clinical narrative: 7-18-08 Here a clinic for vaccines. Father sat out in hallway. 9:30 am while pt received vaccines. After last injection gave he went to stand up and fell to ground, face down. He was slouched over slightly, while sitting in chair before he was able to stand up, he fell forward on to a cushioned mat. Skin color was ashy. Body shook, eyes began to roll back, for approximately 15-20 seconds. Pt stopped shaking and was rolled over onto back and feet elevated on chair. Father came in when he heard nurse calling out for assistance for the immunization coordinator. BP-82/42, P 52, R=14. Eyes open and answering questions correctly, but slowly. BP=94/44, P=56, R=16. Skin color pale, resp easy. Reports ate cereal for breakfast and was not previously feeling ill, father reports pt had stayed up late, until 3 AM this morning. Watching movies. Prior to fall, immunization coordinator reports (L) eye toward bottom
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Cellulitis
Clinical narrative: Possible cellulitis to site of Varicella (left arm).  Possible transmission of chicken pox to sibling.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP
Symptoms: Chest X-ray, Electrocardiogram, Pallor
Clinical narrative: Patient was noted to become pale and limp 5-10 minutes following administration of DTAP IM.  8/19/08 Reviewed hospital medical records of 7/24/08 FINAL DX:None provided.  Admit dx: adverse reaction to DTaP Records reveal patient experienced pale & hypotonia.  Admitted for observation.  No further episodes & d/c to home.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Oedema peripheral, Tension
Clinical narrative: ~24 hours after DTaP, generalized arm swelling down to wrist.  Was tense 3 days after shot, arm still swollen, but not red, not hot, no localized lump.
Age: 0.4
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying
Clinical narrative: Infant exhibited high pitched cry lasting 10-12 hours.
Age: 10.0
Sex: U
Vaccine: VARCEL
Symptoms: Hypersensitivity, Injection site erythema
Clinical narrative: Redness & erythema around the vaccination site.
Age: 1.19
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MMR, PNC, VARCEL
Symptoms: Pyrexia
Clinical narrative: Mom called-states increased temp for 2-3 days following injections, 101 deg- but continues to have low grade fever now since receiving. As of 7/24/08 100.1 deg.
Age: 23.0
Sex: M
Vaccine: MMR
Symptoms: Blood immunoglobulin G normal, Blood immunoglobulin M normal, Parotid gland enlargement
Clinical narrative: Bilateral parotid gland enlargement.
Age: 45.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Erythema, Injected limb mobility decreased, Malaise, Oedema peripheral
Clinical narrative: (R) arm became swollen, slightly red, painful with difficulty using arm. Experienced chills, malaise.
Age: 45.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity
Clinical narrative: (R) arm became swollen, slightly red, painful with difficulty using arm. Experienced chills, malaise.
Age: 4.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Cough, Erythema, Rash, Swelling face, Wheezing
Clinical narrative: Started with mild cough and progressed over 30-45 minutes to worsening cough, wheeze, rash/erythema of face and mom thought face looked swollen.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness, Headache, Lethargy, Sleep terror, Vomiting
Clinical narrative: Onset of headache, lethargy, dizziness ~6 hrs post vaccination.  Sx's continued with few episodes of vomiting x24-36 hrs with 2 episodes of night terror ~48 hrs. post vaccination.  Sx's gradually resolved over 3 days with obvious residual.