chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: F
Vaccine: VARCEL
Symptoms: Infection, Malaise, Pain, Vomiting
Clinical narrative: Information has been received through the pregnancy registry from a physician concerning a 26 year old pt with a second dose of varicella virus vaccine live. On approximately 9/23/02, hte pt found out she was 7 weeks pregnant. On 9/27/02, the pt's boyfriend reported that the pt was in the hospital because she was "very sick, cannot stop vomiting and her ulcer hurts" and that a few days ago he noticed she had the chickenpox. On 9/27/02 the physician saw the pt in the hospital and reported that she was hospitalized with hyperemesis that she was experiencing with her pregnancy. The physician also reported that the pt was in isolation for a chickenpox rash, but that she did not have any lesions on her. The physician has requested clarification from the internal medicine physician regarding the pt's chickenpox. The reporting physician was waiting to see if the pt had an increase in her IgM and IgG and has requested a perinatal consult. Additional info has been requested. A 15-day follow up report received 9/17/2003 adds: Follow-up info was received frmo a registered nurse. On 05/09/2003, the pt delivered a male infant via vaginal delivery and as far as the reporting nurse knew, the infant was fine (the reporter stated, "(they) are not the pediatrician"). Additional info has been requested.
Age: 1.3
Sex: F
Vaccine: MMR
Symptoms: Autism, Nasopharyngitis
Clinical narrative: Information has been received from a licensed visiting nurse concerning a 16 month old female with no significant past medical historyn and no known allergies who on 09/10/98 was vaccinated with a first dose of MMR II *in the left arm SC*. There was no concomitant medication. *The PT's mother reported that her daughter progressed typically w/out any prob's, "achieving all her milestones, sitting, crawling, walking, etc, early," The PT was breast fed until approx 13 mts of age, and was reportedly always of good health and weight. The mother described photos that "show her getting ready for her one yr b-day party, wearing a ballerina tutu w/lots of netting and rollers in her hair... in the photos she is smiling and twirling for us. She did not have sensory issues at all at that point." The info received on 12/9/02 reported that "of course now, she will not allow anything to be placed in her hair or anything but very soft cotton to touch her skin." The mother reported that she can not say when her daughter began to regress as it was a slow but steady process. From photos, the mother reportedly saw a "difference in eye contact and in her presence in Christmas Eve pic of 98." The PT had a very bad cold then and reportedly did not seem to be herself. She was described as "withdrawn and not playful or excited for X-mas." The PT's mother assumed that it was due to her sickness. In pictures from Spring 99, the mother described her daughter covering her ears. The PT's mother also noticed a mispronunciation of words. The PT's mother also reported SXs of w/drawal and lack of eye contact, difficulty sleeping, and self injurious behaviors, "(head banging, throwing herself down in tantrums if her blocks would not balance, etc) grew from there".* It was reported that at the age of 32 months, the child's speech has regressed, and the child was not doing well in social situations. In 09/2000, the patient was sent to a specialist and was diagnosed with autism. On 1/7/02, it was recorded that the child "is in school and is continuing to recive speech therapy." It was noted that the patient's mother had a normal pregnancy and delievery. The patient sought unspecified medical attention. *It was noted that the PT did not receive a 2nd dose. It was also noted that the PT's mother is "very allergic to metals."* Upon review, autism was considered to be an other important medical event (OMIC). Additional information has been requested.
Age: 51.0
Sex: M
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome, Paralysis
Clinical narrative: Flu shot. 10-11 days later GBS. Hospitalized for 3 months. Total paralysis-only could move eyes many complications since.
Age: 2.5
Sex: F
Vaccine: HIBV
Symptoms: Platelet count decreased, Purpura
Clinical narrative: One week after 1st dose of HIB vaccine, patient got ITP (Ideopathic purpura). She required an emergency dose of immunoglobulin as her blood count went down to 3,000 platelets.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Fatigue, Irritability, Pyrexia, Rash, Vomiting
Clinical narrative: Vomiting - lasted a week; Fever - lasted a week; Rash - lasted one week; Tired - lasted two weeks; Fussy - four days.  Follow up: note urgent care chart on 09/11 indicates healthy child with no problems.  Office chart of 09/12 likewise documents.  Any rash, fever, vomiting or marked irritability-normal child.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Nystagmus, Pyrexia
Clinical narrative: Fever 100 - 101.9, Nystagmus. Resolved mother states.
Age: 1.3
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Convulsion, Dyskinesia, Laboratory test abnormal, Musculoskeletal stiffness, Pyrexia
Clinical narrative: High fever, seizure like activity caused by fever, stiff arms/legs, jerking and staring, visit to ER and given Tylenol and Motrin. Blood and Urine work done.  Follow up: seizure like.
Age: 1.3
Sex: M
Vaccine: PNC, VARCEL
Symptoms: Staring
Clinical narrative: High fever, seizure like activity caused by fever, stiff arms/legs, jerking and staring, visit to ER and given Tylenol and Motrin. Blood and Urine work done.  Follow up: seizure like.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Feeling hot, Injection site inflammation
Clinical narrative: After receiving flu shot, arm got red, inflamed, hot to touch. Size measured 3.5x2.5. n Follow up: prescribed: antibiotic, decongestant.
Age: 0.5
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Convulsion, Pyrexia
Clinical narrative: 103 degrees fever, seizures, As per mom, patient was  brought to ER, Urine test done, T= 101 degrees F & sent home. Patient on Tylenol.  Follow up: no site reaction.
Age: 5.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Unevaluable event
Clinical narrative: Incomplete medical history and documentation resulted in giving immunization comprised of a dose of MMR. No adverse reaction. Immunization given at agency. 12/02/2002 Update. There is no adverse event onset date because no adverse event actually occurred. The event of the immunization (MMR) given to an 5 yr old was 05/25/2002. But, fortunately, she tolerated the immunization without contacting the measles virus. She was taking chemo Rxs at time of immunization but this wasn't communicated (language) to ER giving the MMR. The VAERS report was originally sent to you because vaccine (MMR)- containdicated for CA pts, was mis taken given to a child. Incomplete medical history and documentation resulted in giving immuno compromised due a dose of MMR- no adverse reaction- immunization given at head start agencies. No adverse reaction.
Age: 0.4
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Erythema, Feeling hot, Pyrexia
Clinical narrative: Per parents report, patient screamed more than he ever has. Left leg very red and was brought in. Rectal temperature 99.9. Baby asleep upon arrival. Left thigh warm, erythematous. Benadryl 6.25mg given. Instructed to take to ER if worsens. Area covered both polio and HIB sites.
Age: 1.5
Sex: M
Vaccine: HIBV
Symptoms: Injection site vesicles, Pyrexia, Rash papular
Clinical narrative: 08/2/02 10:45 AM, mom called health department states child has a rash with little bubbles which appeared late yesterday. Started on both arms and later on legs. Child remains active. No breathing problems. Lives near a private clinic. Take child there if not better after pediatric dose of Benadryl. Has had reaction to vaccines in the past. The follow up received on 1/23/03 states 12/2/02 update mom took son to PMD following 8/1/02 Hib #2 because he had a few blisters around imm. site. Dr. felt they were water blister. His fever was controlled with Tylenol. No other treatment recommended. Blisters gradually went away. 8/2/02 10:45pm mo called H.D. states child has "rash with little buffles" which appeared later yesterday. Started on both arms and later on legs. No breathing problems. Has had reaction to vaccination in the past 3 and 5pm called and left message. 12/02/2002 Update: Mom took son to PMD following 08/01/2002 HiB #2 because he had a few blisters around immunization site. MD felt they were water blisters. His fever was controlled with Tylenol. No other treatment recommended.
Age: 14.0
Sex: F
Vaccine: MMR, TD
Symptoms: Injection site hypersensitivity, Injection site swelling, Pruritus, Rash
Clinical narrative: Pt has slight swelling/rash @ site the day of vaccine within hours of vaccine. Then pt was sent to summer camp. Pt returned home on 08/02/2002 from summer camp and left shoulder has become increasingly more swollen, the size of a tennis bball. Pt states she has itching.
Age: 50.0
Sex: F
Vaccine: TD
Symptoms: Rash erythematous
Clinical narrative: 3 hours after shot, had rash on cheeks. On 7/23/02, rash was on forehead and arms. Rash red, raised; took Benadryl evening of 7/22/02. MD prescribed Allegra and Cortisone cream. Rash resolved.
Age: 48.0
Sex: F
Vaccine: TD
Symptoms: Lethargy, Muscular weakness, Pyrexia
Clinical narrative: Fever 100 degrees evening of injection lethargic even warmer in later evening, felt hot at night, Notices fever comes and goes every day, Feel weak- arms hands, leg (Hasn't being checking temp. Feels like its hard to do work work or exercise (She will see an MD).
Age: 61.0
Sex: M
Vaccine: TD
Symptoms: Oedema peripheral, Pyrexia, Rheumatoid arthritis, Serum sickness
Clinical narrative: Td on 07/26/2002; On 07/28/02 pm  s/s = Fever, chills, swelling in legs and feet, ER called it "serum sickness"
Age: 4.2
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site warmth
Clinical narrative: Red, swollen, hot, hard L arm.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Swelling, erythema right arm at injection site. No temperature. Denies signs or symptoms of other distress.
Age: 29.0
Sex: M
Vaccine: TD
Symptoms: Injection site reaction, Skin discolouration
Clinical narrative: Pt admitted that  a purple like area found at injection site on 08/18/2002. He lanced it and put topical antibiotic on it. The night of 8/22/02, he went  to a medical facility's urgent care. The site looked good but they gave him a course of antibiotics.
Age: 1.25
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, MMR, VARCEL
Symptoms: Rash, Urticaria
Clinical narrative: Mother called 2 1/2 hrs post immunization, stating pt developing red rash on trunk. Described with like hives.
Age: 27.0
Sex: F
Vaccine: TD
Symptoms: Hypokinesia, Injection site pain, Joint range of motion decreased, Pain, Paraesthesia
Clinical narrative: Pt received tetanus shot in L deltoid on 9/10/02. Pt states she has had soreness and a tingling sensation (live nerve) in deltoid. Pt states she is unable to abduct her arm or lift anything. Her grasp is equal. Sensation in hands are equal.  Pt states sharp shooting pain from deltoid to wrist.
Age: 12.0
Sex: F
Vaccine: TD
Symptoms: Convulsion, Dizziness, Syncope
Clinical narrative: Pt became light headed following immunization, fainted, had some seizures posturing lasting= 3 seconds, Then raised up head and asked "what had happened?", O2 by mask was applied @ B-10 / mea, Client offered O.J and cheese. BP taken q 5 mins ranging from 108/60 to 90/60. Left HD @ 11:58 am with mother
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site oedema, Pruritus
Clinical narrative: 9/25/02 parent report: 24 hrs after receiving immunizations on 9/12/02. Child's right upper arm became "red, swollen and itched." No fever. Child was given Advil. Parent reported child's symptoms to his physician's office the same day. Parent states she was told to continue Advil and apply warm/moist compresses to child's arm. Parent states symptoms were gone in 4 days.
Age: 15.0
Sex: M
Vaccine: MMR, TD
Symptoms: Coma, Malaise, Petit mal epilepsy
Clinical narrative: Td given Ld, MMR RA-5 mins later c/o feeling sick-slumped in chair, had petit mal seizure (3-4 sec) then to floor-unresponsive-O2 started at 2/L min mask Epi given SQ RA 103/60-60-28-ambulance arrived 10 min later-saw ER MD-stable. DG: vasal vagal response.
Age: 17.0
Sex: M
Vaccine: HEP, HEPA, TD
Symptoms: Injection site oedema, Injection site pain
Clinical narrative: Client reports that post he had Td shot on 8/8/02-he developed severe swelling from deltoid to axilla lasting 2 days and soreness unrelieved by Tylenol.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site oedema
Clinical narrative: Pt received vaccinations on 8/27/02 at approx. 1520 swelling was noticed by mother on the left deltoid on 8/28/02 at 1330. She administered Tylenol and applied. There no other s/sx of a reaction. No SOB itching or generalized rash. Swelling increased by 1600 on 8/29/02 and pt was brought into health dept. take evaluation. On 8/30/02 mother reports swelling disappeared and pt feeling fine.
Age: 53.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: R arm sore and feels heavy (arm of Td inj). R arm 1/2" larger in circumference than the L arm. Sl. redness and sl. warmth noted mid R deltoid to above R elbow. She did see branches with the L arm the day after the Td injection. She used a cool compress and took an OTC analgesic.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Delirium, Pyrexia
Clinical narrative: Evening following vaccine administration, mom reports child developed high fever greater than or equal to 103 and became "delerious" crawling all over floor.
Age: 46.0
Sex: F
Vaccine: TD
Symptoms: Chills, Injection site oedema, Injection site pain, Pyrexia, Tinnitus
Clinical narrative: Swollen, painful arm at area of site (left deltoid). Had fever and chills. Saw MD in office on 10/3/02.
Age: 74.0
Sex: F
Vaccine: TD
Symptoms: Dermatitis
Clinical narrative: Dermatitis developed on L upper arm around site of injection-saw MD in office after 6 days.
Age: 33.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Redness, warm at site, below injection site.
Age: 9.0
Sex: F
Vaccine: HEPA
Symptoms: Pyrexia
Clinical narrative: 103.1 F temperature within 90 minutes following administration of vaccine lasting approximately 8-9 hrs. Spontaneous recovery with no known sequelae. Gave Tylenol to bring fever down.
Age: 10.0
Sex: F
Vaccine: HEPA
Symptoms: Headache, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Fever 101.9 degrees, sore throat and headache 0300 10/4/02.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Urticaria
Clinical narrative: Hives-start 10/5/02 treated with po Atarax at 4pm.
Age: 1.08
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Varicelliform rash at site of vaccination onset ~ 12 days after vaccine administrations.
Age: 1.3
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Local reaction to DTaP-large area of swelling and erythema.
Age: 12.0
Sex: F
Vaccine: MMR
Symptoms: Dizziness, Nausea
Clinical narrative: 9:20 MMR injection given client felt faint and nauseous no emesis noted. Laid client on floor with feet elevated, cool cloth to forehead. P 96 BP 94/58. 9:35 states I feel better. Up to chair P 88, BP 99/50. Taking sips of juice. 9:45 feels back to normal BP 98/50. Went home with grandmother.
Age: 6.0
Sex: M
Vaccine: DTAP
Symptoms: Pyrexia, Vomiting
Clinical narrative: Fever to 105 degrees for 2 days vomited x1.
Age: 12.0
Sex: F
Vaccine: MMR
Symptoms: Hypertension, Nausea
Clinical narrative: 9:50 client c/o nausea after vaccine. Placed on floor BP 169/100. client states I have high BP  high BS school nurse to follow up with monitoring BP and BS. Client did not have breakfast. Peanut crackers and juice given to client states I feel better. Returned to class.
Age: 1.5
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 7cm x 6.5cm erythematous raised lesion around vaccine injection site. Arthus type 3 suspected.
Age: 49.0
Sex: F
Vaccine: LYME
Symptoms: Arthritis
Clinical narrative: Early arthritis in shoulders, legs, hands.
Sex: M
Vaccine: UNK
Symptoms: Erythema
Clinical narrative: Erythema ~ 9cm L leg.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site reaction, Pyrexia
Clinical narrative: Pt experienced a fever of < 24h duration 1 day post administration on day 4 post administration pt presented to office with local redness, swelling and pain. Pt afebrile, no discharge. Pt advised to treat discomfort and swelling with cool compresses reaction limited to L leg.
Sex: U
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site reaction
Clinical narrative: Information has been received from an investigator regarding a patient enrolled in a trial. The subject received Infanrix as a control for pneumococcal 7-valent conjugate vaccine and subsequently developed a grade 3 injection site reaction characterized by erythema and induration. Grade 3 reactions were considered serious per protocal. The investigator felt the erythema and induration were definately related to Infanrix administration.
Age: 11.0
Sex: M
Vaccine: HEP
Symptoms: Cellulitis, Contusion, Injection site oedema, Injection site pain, Injection site reaction
Clinical narrative: Report A0371232A describes the occurrence of injection site cellulitis in an eleven year old male who received hep B vaccine recombinant (Engerix B). This report was received from a nurse practitioner. The subject has no known drug allergies, relevant medical history, concurrent conditions or concomitant medications. The subject had no adverse experiences following receipt of the first injection of Engerix B. On 5/28/02, the subject received his second injection of Engerix B in the right deltoid. Post-vaccination, the subject developed an injection site reaction characterized by mild bruising, swelling the size of a baseball, and pain. Additionally, the subject experienced decreased mobility of his right arm. Onset of these events was initially reported to have started the next day, however on follow-up the events were noted to have started the same day of the injection. On 5/30/02, two days post-vaccination, the subject was seen by a nurse practitioner and was diagnosed with injection site cellulitis. Treatment included Augmentin 400mg twice daily by mouth for 10 days, ice to be applied four times daily and Tylenol or ibuprofen for pain and swelling. The events resolved in June 2002. The reporter considered the events to be related to the second injection of Engerix B. On 8/15/02, a hep B surface antibody titer was drawn which reflected a "positive" result. It was reported that "no additional hep B vaccine needed." This case is considered serious as the reporter stated that the pt was jeopardized or required intervention.
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Erythema, Pyrexia, Rash
Clinical narrative: Presented to hospital with a history of 3 days fever. Developed a red rash which started on face and spread within 5-6 weeks to all the body.
Age: 1.9
Sex: M
Vaccine: FLU3
Symptoms: Chills, Pyrexia, Rash
Clinical narrative: Started out with Chills as 7 PM, then she had a fever of about 101 degrees.  This lastest for 4 days.  The fever ranged from 101-104.  She had 104.5 on Wednesday night.  The doctor said this was probably a virus and had nothing to do with the flu shot because he's never seen anyone have a reaction to a flu shot.  There were no other signs of a virus though, i.e. no running nose or cough.  Then on Saturday 10/12, pt had a full body rash, spots all over her.  The spots have subsided by Monday.  Pt was taken to another doctor on Friday and she agreed it was most likely caused by the flu shot.  Pt only received half of the flu shot.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Blister
Clinical narrative: Blister formation on R toe (5th) w/in 2 hours after vaccine administration.
Age: 0.25
Sex: F
Vaccine: PNC
Symptoms: Cough, Injection site erythema, Injection site rash, Injection site warmth, Petechiae
Clinical narrative: R lower leg rash-potential appearance began 10/1/02. Began red, warm-then patechial. Also runny nose, cough, ? x 1.
Age: 0.25
Sex: F
Vaccine: PNC
Symptoms: Rhinorrhoea
Clinical narrative: R lower leg rash-potential appearance began 10/1/02. Began red, warm-then patechial. Also runny nose, cough, ? x 1.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dyspnoea, Pain
Clinical narrative: Ached very very badly. Skin hurt. Shortness of breath and very weak. No physician evaluation recorded with fluids received; heating pad for 5 days.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: 10/4 at 8p-small, discreet rash first on face-hours later on neck-hrs later on legs. On 10/5 afternoon rash (small, red, rough) all over body: T 101 deg F. Tx Tylenol/Calamine fluctuates-low or during day and normal at night. Sun and Mon. no other s/s. Normal behavior/playing. As of 10/11, rash is slowly resolving; fewer spots now lighter.
Age: 58.0
Sex: M
Vaccine: TD
Symptoms: Injection site pain
Clinical narrative: Arm pain in upper muscle rt arm since vaccine was given. Did not have redness or swelling. No nodes noted. Point tenderness on deltoid area. Radiology report-no radiographic, abnormality rt humerlis. Treatment-Ibuprofen 400-600mg tid with food 1 month.
Age: 1.2
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Lethargy, Pyrexia, Somnolence
Clinical narrative: Fever 102.6, sleepy, lethargic, not responding to Tylenol. On Augmentin. Inspected ear/throat.
Age: 1.08
Sex: M
Vaccine: MMR, PNC
Symptoms: Pyrexia
Clinical narrative: Febrile. Follow up: no prescription.
Age: 87.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site oedema, Injection site pain, Pruritus
Clinical narrative: Pt describes swelling and redness, pain and itching one hour post vaccine given at the site of injection. Area on exam 26x18cm of edema, erythema and temp. Per acknowledgement letter, unable to provide the manufact. and lot number for vaccine as pt was not vaccinated at thier facility.
Age: 87.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Pt describes swelling and redness, pain and itching one hour post vaccine given at the site of injection. Area on exam 26x18cm of edema, erythema and temp. Per acknowledgement letter, unable to provide the manufact. and lot number for vaccine as pt was not vaccinated at thier facility.
Age: 1.3
Sex: F
Vaccine: DTAP
Symptoms: Injection site rash, Pyrexia, Rash
Clinical narrative: Rash at site of injection with spread to whole body. Fever X 24 hrs.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Pyrexia, Rash, Rash erythematous
Clinical narrative: Fever 103 on 10/9/02, raise, red rash over body 10/9/02, Tylenol for fever, resolved 10/10/02.
Age: 41.0
Sex: M
Vaccine: FLU3, TD
Symptoms: Headache, Hyperhidrosis, Insomnia, Myalgia, Pollakiuria
Clinical narrative: Within 16 hrs of receiving Flu shot severe muscle ache began and has lasted 6 Days. Within 28 hours High Fever estimated in excess of 102 degrees (Estimate due to hallucinogenic period) accompanied by severe headache, cold sweat, sleeplessness, frequent urination and thirst, duration approx 48 hours. Treatment was unavailable due to out of country on vacation, remained bedridden two days barely able to move due to muscle and joint pain. Doctor scene immediately upon return to military base however, symptoms were dramatically improved by this point. (*) Hospitalization is estimated at two days if one was available. (*) Would have been life threatening if my health wasn't as good as it is. (* Personal Opinion).  Still suffering from muscle and joint pain which improves with continues movement throughout the day. Doctor suggested reporting via this form.
Age: 41.0
Sex: M
Vaccine: FLU3, TD
Symptoms: Pyrexia, Thirst
Clinical narrative: Within 16 hrs of receiving Flu shot severe muscle ache began and has lasted 6 Days. Within 28 hours High Fever estimated in excess of 102 degrees (Estimate due to hallucinogenic period) accompanied by severe headache, cold sweat, sleeplessness, frequent urination and thirst, duration approx 48 hours. Treatment was unavailable due to out of country on vacation, remained bedridden two days barely able to move due to muscle and joint pain. Doctor scene immediately upon return to military base however, symptoms were dramatically improved by this point. (*) Hospitalization is estimated at two days if one was available. (*) Would have been life threatening if my health wasn't as good as it is. (* Personal Opinion).  Still suffering from muscle and joint pain which improves with continues movement throughout the day. Doctor suggested reporting via this form.
Age: 32.0
Sex: M
Vaccine: PPV
Symptoms: Condition aggravated, Diplopia, Hemiparesis, Multiple sclerosis
Clinical narrative: Patient has relapsing / remitting multiple sclerosis and has had several exacerbations in past 2 years.  Had flu vaccine and tetanus at another facility approx 4 days prior to pneumovax at our facility.  The following day he began to have new right hemiparesis and worsening of diplopia that had previously been improving. NOTE:  MULTIPLE VACCINATIONS ON TWO DIFFERENT DAYS!!! This happened just last week.
Age: 0.6
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Unevaluable event
Clinical narrative: Child was only seen 1 time. Child was a twin. Immunization office found out child died from the mother of child. MOC received our letter advising of 2nd set of shots due 9/6/02 and came in to tell us child had died. Per medical records, ME requested copies of medical records to help with cause of death. Death certificate coy to be sent as soon as received at vital statistics.
Sex: F
Vaccine: DTAP, HBHEPB, IPV, MMR, VARCEL
Symptoms: Diarrhoea, Eye disorder, Infection, Insomnia, Pyrexia
Clinical narrative: Vaccine administered 7/17/02. Nurse informed of IgA deficiency disorder at the interview prior to receiving vaccine per mom's statement. Verbal permission given by unknown source. 7/27 pt ran temp and diarrhea appeared. Pt still has infection (respiratory and with eyes) and chicken pox and is not sleeping. Treated in ER and by physician according to mom's statement.  Follow up on 11/05/2003: "Vaccine recipient is unknown about recovering from adverse event."
Sex: F
Vaccine: DTAP, HBHEPB, IPV, MMR, VARCEL
Symptoms: Respiratory tract infection
Clinical narrative: Vaccine administered 7/17/02. Nurse informed of IgA deficiency disorder at the interview prior to receiving vaccine per mom's statement. Verbal permission given by unknown source. 7/27 pt ran temp and diarrhea appeared. Pt still has infection (respiratory and with eyes) and chicken pox and is not sleeping. Treated in ER and by physician according to mom's statement.  Follow up on 11/05/2003: "Vaccine recipient is unknown about recovering from adverse event."
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, HBHEPB
Symptoms: Arthritis, Injection site swelling, Myositis
Clinical narrative: Reduced movement in right leg for 10 days. Slight swelling above right knee; no fever. Rx Tylenol and cool compresses. Admitted to hospital for evaluation day #7--CBC NL, Sedimentary Rate 24. MRI--myositis and small right knee effusion(reactive arthritis). Rx Ancet.
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, HBHEPB
Symptoms: Joint effusion, Monarthritis, Myositis, Oedema peripheral
Clinical narrative: Reduced movement in right leg for 10 days. Slight swelling above right knee; no fever. Rx Tylenol and cool compresses. Admitted to hospital for evaluation day #7--CBC NL, Sedimentary Rate 24. MRI--myositis and small right knee effusion(reactive arthritis). Rx Ancet.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: Cellulitis left arm. Admitted to hospital after one day. Given IV oxocillin as precautionary measure.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Alanine aminotransferase increased, Anaemia, Aspartate aminotransferase increased, Contusion, Convulsion
Clinical narrative: One day after hep A vaccination, pt developed vomiting and had four afebrile seizures within 3 days. Also had culture-negative, diarrhea. After treatment with phenobarbital for 2 weeks, she developed rash, fever adenopathy and hepatitis/hepatic dysfunction persistinf for 2 1/2 weeks. Now improving. All infectious workup was negative. Had lymphocytosis, mild anemia, elevated AST/ALT (up to 500's), low albumin. On date of vaccination, 8/26/02, the child fell in the yard and sustained a broken tooch and a swollen, bruised lip.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Diarrhoea, Face oedema, Liver disorder, Lymphadenopathy, Lymphocytosis
Clinical narrative: One day after hep A vaccination, pt developed vomiting and had four afebrile seizures within 3 days. Also had culture-negative, diarrhea. After treatment with phenobarbital for 2 weeks, she developed rash, fever adenopathy and hepatitis/hepatic dysfunction persistinf for 2 1/2 weeks. Now improving. All infectious workup was negative. Had lymphocytosis, mild anemia, elevated AST/ALT (up to 500's), low albumin. On date of vaccination, 8/26/02, the child fell in the yard and sustained a broken tooch and a swollen, bruised lip.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Pyrexia, Rash, Vomiting
Clinical narrative: One day after hep A vaccination, pt developed vomiting and had four afebrile seizures within 3 days. Also had culture-negative, diarrhea. After treatment with phenobarbital for 2 weeks, she developed rash, fever adenopathy and hepatitis/hepatic dysfunction persistinf for 2 1/2 weeks. Now improving. All infectious workup was negative. Had lymphocytosis, mild anemia, elevated AST/ALT (up to 500's), low albumin. On date of vaccination, 8/26/02, the child fell in the yard and sustained a broken tooch and a swollen, bruised lip.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Electroencephalogram abnormal, Gastrointestinal disorder, Infantile spasms, Localised oedema, Strabismus
Clinical narrative: The pt came to the office 8/1/01 with onset of episodic repetitive eye deviation to the right which developed the day after her immunizations. Parents had videotaped these-they had the appearance of seizures. She was hospitalized 8/4/01-8/7/01 and diagnosed with infantile spasm. This was terated with a couple months of injectable ACTH. SEizures recurred 12/01 but not since a 2nd course of ACTH. However, she has a significant development delay following the development of infantile spasm. Follow up report states " Significant developmental delay (both motor skills & speech).Pt is still working with PT/OT to help her strethen leg muscles to learn to stand.Just learned how to sit;just starting to armycrawl with arms.she doesn't make more than 1-2 sounds.Still workingon correctly swallowing solid foods. All of these residual symptoms are a result of the developmental regression (and now delay) following the onset of infantile spasms, a rare seizure disorder, which started the day following receipt of immunizations. Follow up on 11/05/2003: "Vaccine recipient did not recover from the adverse event.  The patient developed infantile spasm (seizure disorder).  Associated with encephalopathy and developmental regression.  She has been seizure free now for over 1.5 year but at age 2.5, she has gross motor skills of a 10-11 month old and speech of a 4-6 month old.  She does continue to make progress."  Nurse follow up on 06/30/04 states: "No new information."
Age: 4.0
Sex: M
Vaccine: DTP, IPV, MMR
Symptoms: Asthenia, Difficulty in walking, Eye movement disorder, Fall, Rash
Clinical narrative: Little rash immediately after shot. Brought him to hospital at 4pm. Tongue was hanging out, was weak, couldn't walk, was falling all over the place. Eyes were rolling and staring.
Age: 4.0
Sex: M
Vaccine: DTP, IPV, MMR
Symptoms: Staring, Tongue disorder
Clinical narrative: Little rash immediately after shot. Brought him to hospital at 4pm. Tongue was hanging out, was weak, couldn't walk, was falling all over the place. Eyes were rolling and staring.
Age: 1.0
Sex: F
Vaccine: DTAP, PNC
Symptoms: Febrile convulsion
Clinical narrative: Pt had a febrile seizure on 8/7/02.
Age: 0.7
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Convulsion, Laboratory test abnormal, Pyrexia
Clinical narrative: Pt had fever to 102.8 and resultant seizure. ER visit revealed cath. u/a growing and ecoli (>20,000).
Age: 0.3
Sex: M
Vaccine: PNC
Symptoms: Urticaria
Clinical narrative: Hives around eyes and mouth, neck, chest, per phone call from mother. Advised Benadryl 1/2 tsp q 6 hours. Complete recovery. No site reaction. Not seen; telephone contact only.
Age: 1.5
Sex: U
Vaccine: DTAP, IPV, PNC
Symptoms: Urticaria
Clinical narrative: Pt broke out in hives treated with Benadryl. No site reaction. No more contact. Presumed recovered.
Age: 0.5
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Crying, Otitis media, Pyrexia
Clinical narrative: Mother came to HD on 10/01/02 for child vaccine. Mother state child ran temp 100 -102 degrees F 2-3 days post last vaccine given on  07/29/01.State within 24 hours of vaccine, child stated crying nonstop for 2 days. Mother did not seek treatment for child. Child seen by MD on 08/03/02 and treated for ear infection.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Urticaria
Clinical narrative: Hives on face, trunks,external genitalia, No respiratory symptoms
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Joint range of motion decreased
Clinical narrative: My arm was sore for a long time, then got a sudden pain up left arm and shoulder, Difficult to move shoulder arm and neck, Shot on left arm
Age: 48.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Malaise, Pain, Pyrexia
Clinical narrative: Fever, aches, not feeling well, Had not consulted physician for 3 day since shot. Recommended patient consult with physician.
Age: 3.5
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Pt was well before Fluzone injection was given. Within 1-2 hours, the pt developed urticaria. There were no other new exposures, allergens or any viral symptoms. The hives have continued for one day at this point. There was no mucous membrane involvement and no airway compromise.
Age: 54.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Headache, Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: Pt's R arm became red, swollen, feverish. Pt had sx of N/D/V, HA. Adv. pt to use ice packs, force fluids, rotate Tylenol and Motrin q 4 h.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Back pain, Chest discomfort, Dizziness, Dyspnoea, Hot flush
Clinical narrative: PHN was talking with pt ~ 5 mins post inj. of pneu. and flu. pt stated felt "lightheaded" pt face was flushed eased to chair. Nurse called for assistance from aide. Pt then grabbed lower R back area described pain as "grabbing and releasing" also stated chest felt heavy with slight SOB. BP 120/90 phoned local MD. Pt felt better pain eased, no further c/p or SOB. Pt taken to MD office per pt vehicle per nurse. Rec'd call from RN. EKG-wnl, pt was sent home in good condition. Phoned pt-states she is "doing okay" no further probs or sx-dx per MD-near syncopal episode.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Fatigue, Influenza like illness, Pain
Clinical narrative: On 10/9/02 employee came to my office with flu like symptoms since vaccine was given on 10/1/02. Achy, chest hurting, fatigue.
Age: 2.0
Sex: F
Vaccine: DTAP, FLU3, HEPA
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Progressive cutaneous warmth/swelling/redness initially 15cm circonference at 24 hrs post vaccine then expanding across chest/arms and  concern for cellulitis no fever. Treated with antibiotics (Keflex). Site is right deltoid.
Age: 12.0
Sex: F
Vaccine: HEP
Symptoms: Rash maculo-papular
Clinical narrative: 1st Hep B mild rash on arm and side of neck, 2nd Hep B burning at injection site with macular papular, rash local, then spread spread.
Age: 13.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Injection site pain, Pyrexia, Tonsillitis
Clinical narrative: 09/27/02 @ 8:00 am-temp. 102 (O). took Tylenol 1000 mg, 09/27/02 @ 12:30 PM, Assessed by RN, Pulse 64/reg, Lungs clear, Temp. 99 (Ax), No S/s of URI; throat, red, but, no exudate or drainage noted. Does not complain if sore throat, but was on "Z Pak" 2 weeks ago for Tonsillitis. Took Tylenol 1000 mg again @ 1:00 pm ,Slept most of day & asymptomatic/febrile by 5:00 pm. Remained symptomatic with exception of soreness @ injection site X 2 days.
Age: 7.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Eye swelling, Nasal congestion, Swelling face
Clinical narrative: Within 15 minutes after receipt of 1st Varicella and 2nd MMR, patient returned to nurse with eyes swollen, lips swollen, and congestion beginning. Called 911, administered 0.3ml Epinephrine and patient transported to ER.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Blister, Injection site erythema
Clinical narrative: Given Varicella vaccine on 9/27/02. Vesicles noted on back and right ankle on 10/11/02. Also erythema at injection site.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Rash
Clinical narrative: 9/25/02 Grandmother called to say patient had full body rash, infant brought to local clinic and confirmed rash by FNP. Appointment made for following day with MD. FNP gave patient oral Benadryl. 9/25/02 Infant taken to walk in clinic that provider advised the continued use of oral Benadryl. Family cancelled appointment with MD.
Age: 3.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Redness and mild swelling around injection site on night after injection. Fever to 102, dramatic swelling and induration, redness and increased warmth of left deltoid, shoulder, left pectoral, left scapular area on day 2 after immunization.
Age: 36.0
Sex: F
Vaccine: MMR, TD
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling
Clinical narrative: 9/30/02 Patient received Td and MMR in left arm. On 10/5/02, local reaction began upper left arm deltoid, with swelling and redness measuring approximately 5"x5". Advised Benadryl, ice packs and Tylenol per clinic physician.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 10/8/02 DTaP left deltoid given, MMR given in left arm SC given also. The next day, upper left arm (deltoid) became swollen and red measuring 2"x2". Per clinic physician, advised Tylenol, ice pack and Benadryl.
Age: 2.0
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Crying, Decreased appetite, Diarrhoea, Lethargy, Pyrexia
Clinical narrative: Temp of 104 day after vaccination, continues to run temp of 102+ if not kept on Tylenol/Ibuprofen. 1 week after shot, lethargic with temp, normal when controlled. Decreased appetite and diarrhea, whining and crying more.
Age: 16.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Chest discomfort, Dyspnoea, Pruritus, Rash, Throat tightness
Clinical narrative: Patient given pediatric Hepatitis B and Hepatitis A vaccine in 2 separate injections on 8/12/02. On 8/19/02, his mother called to report he started having hive-like rash on 8/16 on arms, legs, feet. Very itchy, welt like especially when scratched. Occasional SOB, tightness in chest and throat. Rash especially bad under arms and groin area.
Age: 16.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Urticaria
Clinical narrative: Patient given pediatric Hepatitis B and Hepatitis A vaccine in 2 separate injections on 8/12/02. On 8/19/02, his mother called to report he started having hive-like rash on 8/16 on arms, legs, feet. Very itchy, welt like especially when scratched. Occasional SOB, tightness in chest and throat. Rash especially bad under arms and groin area.
Age: 2.0
Sex: F
Vaccine: DTAP, HBHEPB, HEPA, IPV
Symptoms: Difficulty in walking, Musculoskeletal stiffness
Clinical narrative: Aunt called in on 9/27/02 at 3:15PM stating patient's legs were stiff and sore. Child doesn't want to walk or move legs as they are very sore from shots today. Child stated complaining after she got up from nap at 2:00PM today. A dose of Tylenol was given at 10:00AM today and none since. Advised to give another dose of Tylenol and every 4 hours as needed, warm compresses might be helpful to sore areas. Aunt to call back if symptoms don't resolve in a day or two. Aunt reports patient recovered after 1 day of soreness and is fine now.
Age: 13.0
Sex: F
Vaccine: HEP, TD
Symptoms: Back pain, Pain, Pyrexia
Clinical narrative: Patient telephoned our office on 10/1/02 with report both arms aching; backache; neck ache, overall achiness and febrile 100-101F for 12 hours. Patient had received Hepatitis B in right deltoid and Td in left deltoid on 9/30/02 our offiice Patient sent to hospital 10/1/02.
Age: 1.6
Sex: M
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: In our office, administered DTaP IM right thigh and IPV IM left thigh on 10/03/02. Phone call call reporting right thigh very swollen, red & warm to touch on 10/04/02. Patient seen in office 10/05/02 presented with local reaction right thigh vs cellulitis
Age: 50.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Injection site erythema, Injection site vesicles, Pyrexia
Clinical narrative: Fever, Reddened area around right arm, Blistered all in the area of shot, Cellulitis, Md said no to take Td anymore
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema multiforme, Pruritus, Urticaria
Clinical narrative: Pt developed generalized itching and hives, onset approx. 2 hours post vaccine given. Seen next AM with hives, mild erythema multiforme. No PH allergies. Pt also on day 9 of amoxicillin at time of vaccine.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Drooling, Face oedema
Clinical narrative: Received a call from pt's father. On the way home, the pt had facial swelling, lip swelling, drooling, and said his "throat felt funny." Pt sent to local hospital E. There he received Epinephrine, Benadryl and oral steroids.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site vesicles
Clinical narrative: 10/2 L arm redness and swelling some local pain x 2 days. 10/3 no pain but more swollen around the elbow with some blisters. Rx Keflex 250mg TID on 10/2. 10/3/02 Omcif/gm in.
Age: 4.0
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: R arm red-circled upper arm except for 1: area. Swollen R axillary nodes started 9/20/02. Treated with Keflex 250/5 tsp tid x 10d.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site reaction, Rash
Clinical narrative: Local reaction/red/swollen area where shot given x 1 wk. pain under axillary area. Given Benadryl. Got rash al over body on 10/5/02 for 2 d red/bumpy.
Age: 49.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Swelling and redness at injection site. Swelling of deltoid muscle on L arm. Sent to ER for evaluation.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema, Vomiting
Clinical narrative: Local swelling R antero-lateral thigh. Emesis x 2 today.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Feeling hot, Injection site erythema, Injection site inflammation, Injection site swelling
Clinical narrative: Left anterior thigh at upper proximal thigh 4cmX7cm area of erythema and warmth with swelling/firm and inflamed; non-tender. Immunization given 9/23/02 AM developed reaction 9/24/02.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: MD states redness developed ~8 places L deltoid. ?
Age: 5.0
Sex: F
Vaccine: DTAP, HEP, MMR
Symptoms: Feeling hot, Injection site induration, Swelling
Clinical narrative: Swelling, warmth, induration, no pain.
Age: 47.0
Sex: F
Vaccine: PPV
Symptoms: Urticaria
Clinical narrative: Hives on arms and legs 16 hrs after vaccine administration.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Injection site inflammation
Clinical narrative: Extensive inflammatory reaction 2" distal from injection site marked by induration, erythema, high warmth left lower half upper arm.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Urticaria
Clinical narrative: Local redness to L upper arm near site of DTaP and IPV injection began within 3 hr after vaccines received. L shoulder area and L upper arm became increasingly erythematous, swollen, and warm over the next two days. On 9/11/02, dorsi at foot had erythematous small clustered spots and back had urticaria. Site of DTaP needle entry had small papule which gradualy recovered and disappeared 9/17/02 visit. By 9/15/02 very improved. By 9/17/02 only slight swelling L arm.
Age: 1.0
Sex: M
Vaccine: HBHEPB, IPV, MMR, VARCEL
Symptoms: Rash vesicular, Skin ulcer
Clinical narrative: Varicella like eruption at site of injection and over torso/back 50-80 lesions; Abdomen 70 to 100 lesions.
Age: 46.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Employee received Td booster IM on 10/01/2002. There was no immediate reaction. On 10/07/02, she started having pruritis on left deltoid (Td injection site) and noted erythema and swelling today (10/8/02).
Age: 17.0
Sex: F
Vaccine: HEP
Symptoms: Rash
Clinical narrative: Rash right arm covering deltoid area.
Age: 3.9
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Swelling around site; erythema. Induration 10x15cm area. No fever; no anaphylaxis, no LOM on left arm at DTaP site.
Age: 9.0
Sex: F
Vaccine: HEPA
Symptoms: Dizziness, Hyperhidrosis, Miosis, Pallor
Clinical narrative: Child became weak, dizzy, cold sweat, pale, almost fainted, pupils pin point. B/P 84/50. Treated with ammonia inhalent, cold clothes, fluids. Recovered slowly over five minutes. Pupils remained pinpoint but B/P 90/58. No failt.dizzy.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Redness swollen R arm.
Age: 11.0
Sex: F
Vaccine: HEP, TD
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Pain, Tenderness
Clinical narrative: Nine hours after immunization, mom reported that patient complained of tenderness of left deltoid area; was red about 4cm diameter. The morning of 9/28/02, area about 6-7cm diameter, red, hard, warm. Measured today 9/30/02 by school nurse: 3"x2.5", erythema and induration. Pain on palpitation. Afebrile.
Age: 8.0
Sex: M
Vaccine: MMR
Symptoms: Hypersensitivity, Pruritus, Rash erythematous, Urticaria
Clinical narrative: 9/23/02 4:45, mother came to clinic to get MMR. Child screaming and crying not wanting shot. Mother held him down on restraint and covered child's mouth to keep him from crying. This was time before vaccine given. MMR given Lt A SQ. Noticed child itching red and had raised whelps and rash on his whole body. She reports gave him some Benadryl and took him to see PMD. MD dx: MMR reaction. PE no fever no resp problem. Fine urticaria rash total body. Pla: Beandryl OTC q 6 hours. RTC PRN. 9/24/02 mother in clinic today to report MMR reaction and report he is find today. The whelps she states "was gone by that night." Reports child OK today. Instructed mother he will not need any more MMR's. Complete or vaccine until Td booster in 10 years. Contact clinic if any problem. Just redness from mother holding his arm. Mother reports by 5:10pm.
Age: 4.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL
Symptoms: Feeling hot, Injection site swelling, Rash
Clinical narrative: Call on 9/24/02 from relative stated left arm swollen, rash and warm to touch. 9/25/02 Mom grought child in left arm swelling from shoulder to elbow. Asked if she had put ice on it; No. Showed on VIS stat which was given to him where it states it can involve whole limbs for 1-7 days. Called 9/26/02, Arm is a little less swollen.