chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Loss of consciousness, Pallor
Clinical narrative: Shortly after receiving vaccine, while sitting on table she became ashes in color, used ammonia inhaler but she passed out to lying down position on table. Ice was applied to neck and forehead. Mother was present. I was forewarned as pt. fainted with 1st HPV vaccine. About 20 minutes later pt. stated she was ok, left with family to go eat.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site pain, Injection site rash, Injection site warmth
Clinical narrative: Rash developed to the medical area of left deltoid. Began this am area is the size of 1/2 dollar, warm to touch. Painful. No swelling. Will treat with BENADRYL and OMNICEF.
Age: 0.4
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5, DTAPIPVHIB, PNC, RV1
Symptoms: Pyrexia
Clinical narrative: Foster-mother reports that approx. 13 hours after receiving vaccines that the patient developed a fever of 105.  She was evaluated by the ER, No treatment other than Tylenol.  8/13/09 Hospital records received DOS 8/5/09 to 8/6/09. Assessment: Nonepileptic spells, developmental delay, tubular sclerosis.  Child was observed to have 5 clusters or bilateral arm extension, each lasting a second with change in facial demeanor and post event fussiness, one time per day. Events have continued a clusters of head dropping and arm extension spells. Patient was admitted with tubular sclerosis and mild developmental delay and concerns regarding head drop, arm extension, and possible infantile spasms.  2 spells were detected and established not to be epileptic seizures.  8/13/09 ICD-9 Codes received: 784.99 Symptoms involving head and neck,  780.39 Convulsions,  759.5 Tuberous sclerosis,  783.40 Lack of normal physiological development unspecified.
Age: 0.4
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5, DTAPIPVHIB, PNC, RV1
Symptoms: Convulsion, Full blood count, Nuclear magnetic resonance imaging, Pyrexia
Clinical narrative: Foster-mother reports that approx. 13 hours after receiving vaccines that the patient developed a fever of 105.  She was evaluated by the ER, No treatment other than Tylenol.  8/13/09 Hospital records received DOS 8/5/09 to 8/6/09. Assessment: Nonepileptic spells, developmental delay, tubular sclerosis.  Child was observed to have 5 clusters or bilateral arm extension, each lasting a second with change in facial demeanor and post event fussiness, one time per day. Events have continued a clusters of head dropping and arm extension spells. Patient was admitted with tubular sclerosis and mild developmental delay and concerns regarding head drop, arm extension, and possible infantile spasms.  2 spells were detected and established not to be epileptic seizures.  8/13/09 ICD-9 Codes received: 784.99 Symptoms involving head and neck,  780.39 Convulsions,  759.5 Tuberous sclerosis,  783.40 Lack of normal physiological development unspecified.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Rash macular
Clinical narrative: On right arm: (cm) 11x9 erythematous slight raised macule.
Age: 69.0
Sex: U
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site pustule, Injection site swelling
Clinical narrative: Vaccine administered to upper L arm on 7-16-09 area 7" X 5".  Became hot, dark red, swollen with 1 pustule in center.  Pain level 7 by evening of 7-17 with deep itching.  Area has faded by 7/25 except for original site.
Age: 69.0
Sex: U
Vaccine: VARZOS
Symptoms: Injection site warmth
Clinical narrative: Vaccine administered to upper L arm on 7-16-09 area 7" X 5".  Became hot, dark red, swollen with 1 pustule in center.  Pain level 7 by evening of 7-17 with deep itching.  Area has faded by 7/25 except for original site.
Age: 5.0
Sex: M
Vaccine: TDAP
Symptoms: Wrong drug administered
Clinical narrative: Client was given a TDAP and should have received DTPLAP.
Age: 18.0
Sex: F
Vaccine: VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Client received VARIVAX 17 days after MMR and the interval should have been 28 days.
Age: 2.0
Sex: M
Vaccine: IPV
Symptoms: Oral candidiasis
Clinical narrative: Thrush on lips and tongue Dr. prescribed Mycostatin  (7/14) 2ml 4x day. He is improving. (never had thrush before!)
Age: 20.0
Sex: M
Vaccine: ANTH, YF
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Member was recieving a routine series of vaccinations while on a military deployment. A corpsman administered a 0.5 cc dose of anthrax vaccine, but did not record the administration. He directed the patient into another corpsman's station to get yellow fever vaccine, even though this was not the breifed procedure (he had access to the vaccine at his station). The receiving corpsman revieved the vaccination record, on which the anthrax dose was NOT recorded as administered. He proceded to give a second dose of anthrax, whereapon the patient commented that he had already received the dose. The event was investigated and a report filed through the medical chain of command ( in this case the HSS of the II MEF(FWD)assigned to MNF-West.The member had no ill effects at the time of the injection and in follow-up has remained well and asymptomatic. Reporting via VAERS recommended by force preventative medicine officer.
Age: 11.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Convulsion, Hypotension, Unresponsive to stimuli
Clinical narrative: Seizure lasting thirty seconds, followed by unresponsiveness lasting for thirty seconds.  He was also hypotensive for about five minutes.  He was treated by lying him down and elevating his legs until his blood pressure normalized.
Age: 31.0
Sex: F
Vaccine: HEPAB
Symptoms: No reaction on previous exposure to drug, Pruritus, Rash macular, Rash papular, Skin lesion
Clinical narrative: CLIENT RETURNED TO ADULT CLINIC FOR PPD READ ON 7/30/09 (IMPLANTED ON 7/28/09) WITH C/O OF ROUND MACULAR PAPULAR RASH ON FACE, NECK, BACK AND CHEST.  LESIONS NOTED TO APPEAR WITH CRUST-LIKE TOP AND STATED TO BE ITCHING.  CLIENT STATED SX STARTED ON 7/18/09 AFTER ADMINISTRATION OF TWINRIX SECOND DOSE ON 7/15/09. CLIENTS ALSO REPORTED TO HAVE EXCESSIVE SUN EXPOSURE PRIOR TO OUTBREAK OF RASH. CLIENT REPORTS NO ADVERSE RX ON FIRST DOSE ON 6/10/09.  NO RESPIRATORY SYMPTOMS. CLIENT INSTRUCTED TO CONSULT WITH HER PRIMARY CARE PHYSICIAN FOR EVALUATION OF SYMPTOMS.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Induration, Pruritus, Swelling
Clinical narrative: redness, swelling, itching, hardness
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Blood pressure decreased, Dizziness, Feeling hot, Immediate post-injection reaction, Pallor
Clinical narrative: Immediately following administration of vaccines, client became pale, hot, and dizzy. BP 74/40. Had client place head between knees, cold pack applied to back of neck, juice given. 10 minutes later BP 90/72, HR 62. Client escorted by RN to another room to rest and have another juice. Health aid remained with client. BP 118/78 15 minutes later. Client felt fine, color back in face, no longer hot or dizzy. Client driven home by her friend.
Age: 2.0
Sex: M
Vaccine: HEPA, PPV
Symptoms: Crying, Injection site pain, Sleep disorder
Clinical narrative: Injection site pain to the point where he refuses to walk or move at all without being held.  He wouldn't even sleep by himself, he had to sleep on my chest with his legs hanging off to the side.  he would cry if i brushed up against his left leg and he was also very sensitive in his right leg.
Age: 14.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Syncope
Clinical narrative: Came in for Gardisil #3. Layed down before shot administered to right arm. After 5 mins patient experienced syncope episode while laying on table. Feet were elevated, cool compress to head and back of neck. Kept and monitered for approx 30 mins.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Confusional state, Nausea, Pallor, Syncope, Vomiting
Clinical narrative: Patient recedived vaccines.  While patient was leaving the building she fainted.  Patient quickly awakened, but was confused for a short time.  Patient then had nausea/vomiting for a short time.  Patient was given a cool wash cloth and door opened for fresh air.  Blood pressure obtained 98/62.  Patient's pink color started to return.  Patient given sprite and peanut butter crackers after nausea and vomiting gone. Patient said she was feeling better.  She then was stood up after approximately 15 minutes adn sat in a chair and recovered fully before leaving with her mom.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Patient recieved DTaP, MMR, IPV in the left deltoid on 7/28/09 and developed redness, swelling and tenderness from the AC joint to the area just proximal to the elbow.  He had a fever to 102.3 the day following the immunizations.  There were no vesicles. He presented to clinic 7/30 for evaluation. The recommendation was ibuprofen for pain or fever.
Age: 3.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Arthralgia, Ataxia
Clinical narrative: Patient c/o knee pain x 1 week then went to ER and dx w/ ataxia at Medical Center.  Seen by Peds ID.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Dizziness, Syncope
Clinical narrative: Pt. with syncope x 2 events.  Syncopal events separated by ~5 minutes.  Pt. complained of severe dizziness for ~40 minutes after immunizations.
Age: 71.0
Sex: M
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Employee was given Tdap by me (MN, RN) on 07/22/2009.  At the time of vaccine administration, I did not realize that he was beyond the age recommended for this vaccine.  He is 71 years old.  He reported no adverse event following vaccine administration.
Sex: U
Vaccine: VARCEL
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Patient received her 2nd Varivax on 7/27/09.  Mother call on 7/29/09 to report that a red area the size of a ping pong ball had developed.  Tx was for Tylenol or Ibuprofen as needed for pain, ice to site and Benadryl.
Age: 45.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: CLIENT RETURNED TO CLINIC FOR PPD READ (IMPLANT ON 7/28/09) WITH C/O OF LDT PAINFUL SWOLLEN MESURING 50MM DIAMETER; HARD RED COLORED VARICELLA INJECTION SITE (INJ DONE ON 7/28/09). REPORTS NO SUN EXPOSURE, MEDICATIONS OR FEBRILE CONDITIONS.  CLIENT INSTRUCTED TO PLACE COLD COMPRESS ON LDT.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Drug exposure during pregnancy
Clinical narrative: PATIENT RECEIVED VZV ON 7-21-09 AND DISCOVERED SHE WAS PREGNANT ON 7-30-09.
Age: 35.0
Sex: F
Vaccine: MMR
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Rash
Clinical narrative: AFTER RECEIVING MMR INJECTION ON 7/17/09, PT DEVELOPED REDNESS,SWELLING, PAIN AT AND AROUND THE INJECTION SITE 7 DAYS AFTER MMR INJECTION. PT RETURNED TO CLINIC 7/30/09 LEFT UPPER ARM CONTINUE TO BE REDDEN, SWOLLEN, AND PAINFUL.REFER TO MD AND TREATED WITH ANTIBIOTIC AND HEAT TO THE AREA, AND IBUPROFEN PRN
Age: 73.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Back pain, Cold sweat, Dyspnoea
Clinical narrative: Client did not state on the screening tool that she was asthmatic was immunized with Zoster and Pneuomococcal -23  and left the clinic for about five minutes. Returned to the clinic with her sister-in-law. Client was experiencing shortness of breath,skin clammy,right side lower back pain. Called 911 for assistance. 911 arrived within 7 minutes , in the mean time vital signs were assessed every five minutes, 150/88 initial, 84 pulse and 20 respirations. 911 assessed her and client left with family members. She refused to go to the hospital.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, VARCEL
Symptoms: Lip swelling, Wheezing
Clinical narrative: Patient had wheezing, swelling of lips, albuterol nebs, epinephrine 1:1000 0.15 cc, and decadron 6 mg IM given, patient transported to hospital in stable condition via ambulance
Age: 51.0
Sex: F
Vaccine: MMR
Symptoms: Erythema, Hyperhidrosis, Measles, Pyrexia, Swelling
Clinical narrative: Initially an area of erythema of about 37mm presented with in 15 min of administration.  Three seperate raised areas were noted with in the area of erythema.  Provider advised client to take Benadryl.  07/29/09 Client reported having had a fever 2 days after the vaccination of 101 degrees with fever and "sweats" off and on there after and hives that covered body starting 07/29/09.  Consulted her provider who diagnosed as "Atypical Measles".  Client stated provider treated her with Benadryl injection and advised her to take oral Benadryl at home.
Age: 51.0
Sex: F
Vaccine: MMR
Symptoms: Urticaria
Clinical narrative: Initially an area of erythema of about 37mm presented with in 15 min of administration.  Three seperate raised areas were noted with in the area of erythema.  Provider advised client to take Benadryl.  07/29/09 Client reported having had a fever 2 days after the vaccination of 101 degrees with fever and "sweats" off and on there after and hives that covered body starting 07/29/09.  Consulted her provider who diagnosed as "Atypical Measles".  Client stated provider treated her with Benadryl injection and advised her to take oral Benadryl at home.
Age: 15.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Burning sensation, Pain, Pruritus
Clinical narrative: Less than 8 hours later right leg itching, burning and pain
Age: 6.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: LEFT ARM SWOLLEN, REDDNESS AND COPLAINS OF PAIN.  PATIENT WAS TREATED WITH ANTIBIOTICS CLINDAYCIN 150 MG.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Inflammation, Neuralgia, Pain in extremity, Tenderness
Clinical narrative: Patient reported to our facility on 4/6/09 that she has been experiencing pain to Right Upper Extremity since Zostavax injection given on 1/30/09. Patient was seen in our office on 7/21/09 and still states pain is constant, worse in certain positions. She has palpable MS tenderness in upper arm deltoid area shoulder FROM. Patient was put on Lidoderm patch to see if it helps with the pain.
Age: 18.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Back pain, Headache, Injection site erythema, Injection site swelling, Oedema peripheral
Clinical narrative: Pt was administered Tdap and Menactra in left deltoid with separate syringes on 7/29/09 without apparent difficulty.  Pt returned to Clinic on 7/30/09 with c/o headache/backache and pain and swelling to left upper arm.  On exam, pt noted to have raised red area at injection site approximately quarter-sized.  Also large localized swelling to upper arm.  Pt was treated with Tylenol 1000 mg at clinic and instructed to continue q 4 hours for 24 hours.  Pt also given icepack and ace wrap with instructions to use for 24 hours for twenty minutes at a time with rest in between.  Pt was prescribed a Medrol dosepack and atarax 25 mg to take  q 8 hours when not driving.  Pt was instructed to go to Emergency Department if symptoms worsened and to return for follow-up visit on August 3, 2009
Age: 18.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Pain in extremity
Clinical narrative: Pt was administered Tdap and Menactra in left deltoid with separate syringes on 7/29/09 without apparent difficulty.  Pt returned to Clinic on 7/30/09 with c/o headache/backache and pain and swelling to left upper arm.  On exam, pt noted to have raised red area at injection site approximately quarter-sized.  Also large localized swelling to upper arm.  Pt was treated with Tylenol 1000 mg at clinic and instructed to continue q 4 hours for 24 hours.  Pt also given icepack and ace wrap with instructions to use for 24 hours for twenty minutes at a time with rest in between.  Pt was prescribed a Medrol dosepack and atarax 25 mg to take  q 8 hours when not driving.  Pt was instructed to go to Emergency Department if symptoms worsened and to return for follow-up visit on August 3, 2009
Age: 46.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Muscle tightness, Nausea, Pyrexia
Clinical narrative: RECEIVED PHONE CALL FROM PATIENT. PATIENT COMPLAINED OF FEVER AND NAUSEA 6 DAYS AFTER VACCINATION. PT ALSO, COMPLAINED OF REDNESS AND TIGHTNESS OF MUSCLE AT SIGHT. EXAMINATION OF INJECTION SITE BY NURSE APPEARED NORMAL. PATIENT TREATED WITH ORAL NSAIDS AND BENADRYL. ADVISED TO GO TO ER IF ANY ORAL, FACIAL SWELLING, DIFFICULTY BREATHING, TWITCHING. PATIENT STATED SYMPTOMS ABATED LATER SAME DAY.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Local reaction
Clinical narrative: Patient went into his Primary Care Physician the day after the vaccines were adminstered when the Nurse Practioner was told by the parent about the swelling in the left deltoid. The Nurse Practioner described the reaction as a large local reaction that was red and warm. The Nurse Practioner mentioned that she measured and marked it. It measured 12 by 11 cm. The following day the patient retured to the doctor's office where upon they stated that it was healing and decreasing in size. Patient was assured that this type of reaction can occur with the 5th Dtap.
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Full blood count abnormal, White blood cell count increased
Clinical narrative: location reaction,cellulitis L arm, pt. treated with Keflex
Age: 37.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Abasia, Anorexia, Asthenia, Dizziness, Headache
Clinical narrative: Fever of 102.7, extreme weakness to the point of barely being able to walk or talk.  Extreme Swelling & pain on a scale 1-10 at 10 on the arm of the injection site. Loss of appetite and when I eat I am feel woozy. Severe headache and body aches.  Very swollen lymph gland under the area of the injection site.  Unable to sleep the night the shot and for 2 subsequent nights after the shot was given due to swelling and pain.  Fever started next evening around 3:00pm and continued to steadily rise after taking Ibuprofen.  Fever rose to 102.1 around 7pm and then went as high as 102.7 around 8:30 when taken to the ER.  Fluids were administered and I could feel the medicine in the arm release and the swelling started going down.  I have continued to struggle even as long as today with weakness and continued loss of appetite. The day after the shot was given I had my son at a baby sitter and went to get him struggling just to drive there and when I got there I could not drive home until after I had laid down for at least an hour because of the severe weakness I was dealing with. Doctor gave me Oxycodone for pain and Naproxen for swelling.
Age: 37.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Injection site pain, Injection site swelling, Insomnia, Lymphadenopathy, Pain
Clinical narrative: Fever of 102.7, extreme weakness to the point of barely being able to walk or talk.  Extreme Swelling & pain on a scale 1-10 at 10 on the arm of the injection site. Loss of appetite and when I eat I am feel woozy. Severe headache and body aches.  Very swollen lymph gland under the area of the injection site.  Unable to sleep the night the shot and for 2 subsequent nights after the shot was given due to swelling and pain.  Fever started next evening around 3:00pm and continued to steadily rise after taking Ibuprofen.  Fever rose to 102.1 around 7pm and then went as high as 102.7 around 8:30 when taken to the ER.  Fluids were administered and I could feel the medicine in the arm release and the swelling started going down.  I have continued to struggle even as long as today with weakness and continued loss of appetite. The day after the shot was given I had my son at a baby sitter and went to get him struggling just to drive there and when I got there I could not drive home until after I had laid down for at least an hour because of the severe weakness I was dealing with. Doctor gave me Oxycodone for pain and Naproxen for swelling.
Age: 37.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Pyrexia, Speech disorder
Clinical narrative: Fever of 102.7, extreme weakness to the point of barely being able to walk or talk.  Extreme Swelling & pain on a scale 1-10 at 10 on the arm of the injection site. Loss of appetite and when I eat I am feel woozy. Severe headache and body aches.  Very swollen lymph gland under the area of the injection site.  Unable to sleep the night the shot and for 2 subsequent nights after the shot was given due to swelling and pain.  Fever started next evening around 3:00pm and continued to steadily rise after taking Ibuprofen.  Fever rose to 102.1 around 7pm and then went as high as 102.7 around 8:30 when taken to the ER.  Fluids were administered and I could feel the medicine in the arm release and the swelling started going down.  I have continued to struggle even as long as today with weakness and continued loss of appetite. The day after the shot was given I had my son at a baby sitter and went to get him struggling just to drive there and when I got there I could not drive home until after I had laid down for at least an hour because of the severe weakness I was dealing with. Doctor gave me Oxycodone for pain and Naproxen for swelling.
Age: 5.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Cough, Pruritus, Urticaria, Wheezing
Clinical narrative: Within 15 minutes of administration pt has itching of face and neck and dry cough. Whelps on body with hive reaction (2 on neck and 4 on body) Given 2mg DECADRON IM, Epinephrine 0.1 ml SQ - 20 min later wheezing on auscultation. XOPENEX Neb tx and hospitalized for observation and support. 9/4/09-records received date of service 7/29-7/30/09-DC DX: anaphylatic reaction to vaccine about 20-30 minutes after injection.  Hives.  ICD-9 code 995.0  8/10/09 ICD-9 Code: 995.0 anaphylaxis,  E941.1 Adverse effects of drugs affecting the autonomic nervous system, parasympathetics (anticholinergics, antimuscarinics), spasmolytics.
Age: 1.5
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Progressive vesicular eruptions on trunk and abdomen.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Red, swollen, itchy, hot to touch.  Lt deltoid.  7/30 only minimal tenderness, no itch.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Nodule, Pain
Clinical narrative: Pain, redness, raised semi solid knot X 1 week. Area 10mm rechecked  7/30/09. Much improved LE pain
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Skin nodule, Tenderness
Clinical narrative: Subdermal nodule, pain L axilla x 3-4 days. 7/30 no edema, no redness, slight tender when palpated.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Pt came to doctors office on 7/25/09 with a 2 inch X 2 inch area of red, raised and warm area @ site of VARICELLA vaccine - posterior upper right arm.  Had VARICELLA dose 1/5/99.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Biopsy bone marrow normal, Blood test normal, Scan, Urine analysis normal, Urticaria chronic
Clinical narrative: 10 days after injection, chronic urticaria. For date... one year, 8 mo.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Right arm, began to become red/swollen. Slight itch, 2 1/2 round swollen area.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Swelling
Clinical narrative: 3 - 5 cm raised red area. Pt treated with Diphenhydramine 25mg Hydrocortisone 1% cream.
Age: 1.7
Sex: F
Vaccine: DTAPIPVHIB, HEP, MMR, MNQ, PNC, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: MENACTRA given from Lot #U2867AA Exp 3-5-10. Doctor notified no new orders. Local Health Dept staff notified. Follow up call made to parent at 1930 PM same night. Denied any signs or symptoms of adverse reaction
Age: 13.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Presyncope
Clinical narrative: Patient almost fainted.
Age: 18.0
Sex: F
Vaccine: HEP, HEPA, HPV4, MNQ, TDAP
Symptoms: Drug exposure during pregnancy
Clinical narrative: HPV vaccine given, no adverse events but patient returned for 2nd injection & said was pregnant when got 1st dose
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Urticaria
Clinical narrative: Hives on upper chest.  BENADRYL a few times
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Injection site reaction, Injection site swelling, Swelling
Clinical narrative: Shot was given on 07/23/09 at clinic - Pt was seen in office for WCC on 7/29/09 and told us about the reaction. Pt's (R) arm was swollen from shoulder to elbow (Per grandma).
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Skin warm, Swelling, Tenderness
Clinical narrative: Redness, swelling, warmth, tenderness onset 7-29-09 applied warm compress TYLENOL given - tenderness, warmth.  Worsened 7-30-09 gave BENADRYL 20mg three times a day.
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Oedema peripheral, Rash, Skin warm
Clinical narrative: Mother states when client woke up 7/29/09 @ 8:30 AM, the back of her (L) arm was red with rash + swollen the size of 1/2 dollar.  Reports putting cold compress to area.  States AM of 7/30/09, client's (L) arm (back of arm) is red, hot to touch, + swollen the size of a fist.
Age: 1.5
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Severe swelling and redness at injection site, cellulitis.  The day after injection given.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Headache
Clinical narrative: SM developed HA approx 4 hrs after receiving a booster dose of anthrax on 7/13/09.  Went to bed with the HA and woke up with the HA.  No N&V or photophobia with HA.  Denied any previous h/o HA.
Age: 30.0
Sex: U
Vaccine: ANTH
Symptoms: Headache
Clinical narrative: Approx 5 hrs after receiving his most recent AVA vaccine, SM developed a HA, unlike any other HA he's ever had.  On the date of his phone interview on 07/15/09, he was still having the HA.  It was responding to the use of EXCEDRIN, but SM states never had a headache that kept returning like this one.  No FMH of migraines or other types of HA.
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site pain, Injection site swelling
Clinical narrative: SM developed redness, swelling, pain, induration at site of ANTHRAX injection.  Symptoms resolved within 72 hrs.  Symptoms: Erythema, Edema @ injection site 30-50 mm, Swelling, Pain.
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Information has been received from a physician concerning her father who on 10-NOV-2008 was vaccinated with a dose of PNEUMOVAC. Later that night the patient developed swelling redness at the injection site. The swelling and redness extended down the arm to the wrist. The patient sought medical attention via telephone. At the time of report the patient had not recovered. No further information is available.
Age: 45.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Fatigue, Rash generalised, Rash papular, Scab, Skin lesion
Clinical narrative: Diffuse papular rash erupted 6/17/09 after receiving varicella vaccination on 5/29/09. No fever. All areas crusted over by 6/25/09.
Age: 45.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Rash papular, Scab
Clinical narrative: Diffuse papular rash erupted 6/17/09 after receiving varicella vaccination on 5/29/09. No fever. All areas crusted over by 6/25/09.
Age: 39.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Feeling drunk, Motor dysfunction
Clinical narrative: Extreme red skin color, loss of motor coordination, feeling of drunkness
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Alanine aminotransferase, Anion gap, Areflexia, Aspartate aminotransferase, Back pain
Clinical narrative: 1/14-8/3/09. Large local reaction lasting 2 weeks, sick 2 1/2 weeks with N+V, temp 99-100.8, terrible H/A, back pain. This was followed by polyneuralgia both feet. Seen by neurologist, Podiatrist, pain management. Lower body reflexes now absent. Episodes severe body pain and migraines. 7/31/09-records received with VAERS report-neurology consult 6/15/09-Painful paresthesias affecting both feet. Status post foot injections without relief. Electrical sensations in both feet especially the great toes. Balance is poor.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood albumin, Blood alkaline phosphatase, Blood bilirubin, Blood calcium, Blood chloride
Clinical narrative: 1/14-8/3/09. Large local reaction lasting 2 weeks, sick 2 1/2 weeks with N+V, temp 99-100.8, terrible H/A, back pain. This was followed by polyneuralgia both feet. Seen by neurologist, Podiatrist, pain management. Lower body reflexes now absent. Episodes severe body pain and migraines. 7/31/09-records received with VAERS report-neurology consult 6/15/09-Painful paresthesias affecting both feet. Status post foot injections without relief. Electrical sensations in both feet especially the great toes. Balance is poor.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood copper, Blood creatinine, Blood folate, Blood potassium, Blood sodium
Clinical narrative: 1/14-8/3/09. Large local reaction lasting 2 weeks, sick 2 1/2 weeks with N+V, temp 99-100.8, terrible H/A, back pain. This was followed by polyneuralgia both feet. Seen by neurologist, Podiatrist, pain management. Lower body reflexes now absent. Episodes severe body pain and migraines. 7/31/09-records received with VAERS report-neurology consult 6/15/09-Painful paresthesias affecting both feet. Status post foot injections without relief. Electrical sensations in both feet especially the great toes. Balance is poor.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood thyroid stimulating hormone, Blood urea, Body temperature increased, Carbon dioxide, Full blood count
Clinical narrative: 1/14-8/3/09. Large local reaction lasting 2 weeks, sick 2 1/2 weeks with N+V, temp 99-100.8, terrible H/A, back pain. This was followed by polyneuralgia both feet. Seen by neurologist, Podiatrist, pain management. Lower body reflexes now absent. Episodes severe body pain and migraines. 7/31/09-records received with VAERS report-neurology consult 6/15/09-Painful paresthesias affecting both feet. Status post foot injections without relief. Electrical sensations in both feet especially the great toes. Balance is poor.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Glomerular filtration rate, Headache, Lipids, Local reaction, Malaise
Clinical narrative: 1/14-8/3/09. Large local reaction lasting 2 weeks, sick 2 1/2 weeks with N+V, temp 99-100.8, terrible H/A, back pain. This was followed by polyneuralgia both feet. Seen by neurologist, Podiatrist, pain management. Lower body reflexes now absent. Episodes severe body pain and migraines. 7/31/09-records received with VAERS report-neurology consult 6/15/09-Painful paresthesias affecting both feet. Status post foot injections without relief. Electrical sensations in both feet especially the great toes. Balance is poor.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Migraine, Nausea, Neuralgia, Nuclear magnetic resonance imaging, Pain
Clinical narrative: 1/14-8/3/09. Large local reaction lasting 2 weeks, sick 2 1/2 weeks with N+V, temp 99-100.8, terrible H/A, back pain. This was followed by polyneuralgia both feet. Seen by neurologist, Podiatrist, pain management. Lower body reflexes now absent. Episodes severe body pain and migraines. 7/31/09-records received with VAERS report-neurology consult 6/15/09-Painful paresthesias affecting both feet. Status post foot injections without relief. Electrical sensations in both feet especially the great toes. Balance is poor.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Red blood cell sedimentation rate, Vitamin B12, Vitamin D, Vomiting
Clinical narrative: 1/14-8/3/09. Large local reaction lasting 2 weeks, sick 2 1/2 weeks with N+V, temp 99-100.8, terrible H/A, back pain. This was followed by polyneuralgia both feet. Seen by neurologist, Podiatrist, pain management. Lower body reflexes now absent. Episodes severe body pain and migraines. 7/31/09-records received with VAERS report-neurology consult 6/15/09-Painful paresthesias affecting both feet. Status post foot injections without relief. Electrical sensations in both feet especially the great toes. Balance is poor.
Age: 20.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal discomfort, Dysarthria, Dyspnoea, Eating disorder, Malaise
Clinical narrative: The following day my throat was swollen making it hard to speak, breath, and eat.  My speech was a little slurred and I felt sick to my stomach.  I threw up twice.  I still feel sick.
Age: 20.0
Sex: F
Vaccine: TDAP
Symptoms: Pharyngeal oedema, Vomiting
Clinical narrative: The following day my throat was swollen making it hard to speak, breath, and eat.  My speech was a little slurred and I felt sick to my stomach.  I threw up twice.  I still feel sick.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC, VARCEL
Symptoms: Pruritus, Pyrexia, Rash generalised
Clinical narrative: Rash all over body x 6 days. Fever off and on. Treatment - Benadryl for rash / itching. Supportive care Tylenol / Motrin for fever.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash, Piloerection, Pruritus
Clinical narrative: Rash around injection site - size of 50 cent piece, itching of arms + lower legs for days. Arms had goose bumps, raised patches. It seems 3 weeks now patches are still there but they are not itchy. Band aid anti-itch gel used for 4 days.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site urticaria, Injection site warmth
Clinical narrative: Pt received Tdap in Rt deltoid on 7/24/09. I received a call from his mom on 7/27/09 stating that over the weekend around the inj. site it became red, swollen, warm and appeared to have hives around the site. After giving him BENADRYL, his symptoms went away.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: C/O redness and slight swelling on both arms (deltoid area).
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV1
Symptoms: Rash erythematous, Rash papular, Similar reaction on previous exposure to drug
Clinical narrative: Patient developed multiple pruritic erythematous 1-2mm papules on (R) lateral thigh 1 day after immunizations. Seen by MD and prescribed hydrocortisone ointment. Rash resolved within 2 weeks. Patient had similar episode of rash after 2nd set of immunizations (same med) not reported by mom, t/c MD.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness, Suture insertion, Syncope
Clinical narrative: 18 year old female became dizzy and fainted after administering GARDASIL vaccine was taken to the hospital where she got staples on her head.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site warmth
Clinical narrative: Erythematous Edematous and firm area on left upper arm from shoulder to lower 1/3 of humerus, warm to touch.
Age: 57.0
Sex: F
Vaccine: TDAP, TYP
Symptoms: Erythema, Oedema peripheral, Skin warm, Tenderness
Clinical narrative: Noted red, warm sore area on Lt. deltoid (upper arm). Swollen, tender.
Age: 47.0
Sex: F
Vaccine: HEP, HEPA, IPV, TYP
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Nausea, vomiting, dizziness.
Age: 50.0
Sex: M
Vaccine: TDAP
Symptoms: Axillary pain
Clinical narrative: Tetanus (L) arm 6 d ago. Next AM noted disc (L) axillary this AM with discomfort about medical episode/ (L) elbow. No erythema - No fever - No systemic Sx - No neuro scan. Not taking any meds.
Age: 18.0
Sex: M
Vaccine: TYP, TYP
Symptoms: Erythema, Rash
Clinical narrative: Red rash on neck and legs.
Age: 18.0
Sex: M
Vaccine: TYP, TYP
Symptoms: Erythema, Rash
Clinical narrative: Red rash, neck and legs
Age: 1.0
Sex: M
Vaccine: MMR, PNC
Symptoms: Irritability, Pyrexia
Clinical narrative: - Pt began to have fever 8 days after - Imm of MMR II fever was 104.5 rectal - irritable
Sex: U
Vaccine: MMR
Symptoms: Death
Clinical narrative: Information has been received from a consumer concerning a fried of the physician's daughter, who on an unspecified date was vaccinated with a dose of MMR II. Subsequently the patient died. The cause of death was unknown. Attempts are being made to verify the existence of an identifiable patient. This is one of two reports from the same source. No further information is available.
Age: 1.5
Sex: F
Vaccine: DTAP, HEPA, PNC
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Swelling and redness from elbow to shoulder of arm in which vaccines were administered; DTaP and PCV7 were administered to left deltoid which is the extremity that experienced swelling.
Age: 1.4
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Body temperature increased, Injection site erythema
Clinical narrative: Temp. 98.8, redness at the site of immunization shot given anterolateral thigh.
Age: 1.6
Sex: M
Vaccine: DTAP, HEPA, HIBV
Symptoms: Bruxism, Crying, Disturbance in attention, Dyskinesia, Dyspnoea
Clinical narrative: Per mother - 7/25/09 A.M. had fever 101 with jerky movements in sleep, breathing labored. Clenched teeth when trying to give TYLENOL, crying, eyes rolling, wouldn't make eye contact. Difficult to get in car seat due to stiff body. Seen at hosp. ED with temp 103. Dx with simple febrile seizure. Hospital reported to PCP.
Age: 1.6
Sex: M
Vaccine: DTAP, HEPA, HIBV
Symptoms: Eye rolling, Febrile convulsion, Musculoskeletal stiffness, Pyrexia
Clinical narrative: Per mother - 7/25/09 A.M. had fever 101 with jerky movements in sleep, breathing labored. Clenched teeth when trying to give TYLENOL, crying, eyes rolling, wouldn't make eye contact. Difficult to get in car seat due to stiff body. Seen at hosp. ED with temp 103. Dx with simple febrile seizure. Hospital reported to PCP.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, TD
Symptoms: Pancreatitis
Clinical narrative: Information has been received from a medical assistant concerning a female patient who was vaccinated with GARDASIL (vaccination date, dose number and lot number not reported). The patient developed pancreatitis after vaccination (date unspecified). Medical attention was sought by office visit. It was unknown if there were lab studies performed. At the time of the report, the patient not recovered. Upon internal review, pancreatitis was determined to be an other important medical event. Additional information has been requested.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Large red circle where vaccine was given. Severe itching.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Herpes zoster, Rash, Rash erythematous, Scab
Clinical narrative: 07/20/2009 PATIENT RCD VARICELLA IMMUNIZATION.  24 HOURS LATER HE BEGAN TO BREAK OUT IN A RASH.  AFTER 7 DAYS OF NOT CLEARING UP, MOM BROUGHT PT INTO THE OFFICE WHERE HE WAS DIAGNOSED WITH HERPES ZOSTER.  PT HAD DRIED CRUSTED LESIONS CONSISTENT WITH SHINGLES.  RASH WAS DESCRIBED AS: angry coalesed red dots and some with crust and some new tiny blisters along the enitre T7-8 dermatome along the bottom of the ribcage left side. midline back to midline front
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Joint range of motion decreased, Musculoskeletal pain, X-ray normal
Clinical narrative: Shoulder pain, lack of back range motion; treatment, PT which didn't work; seeking further medical treatment.  Have had this pain since Dec. 2008
Age: 5.0
Sex: F
Vaccine: HEPA
Symptoms: Pyrexia
Clinical narrative: Started a low grade fever yesterday, but it has gone up since then.  Fever is now about 102.  Has been on Motrin, but fever went up even on the Motrin, so I am alternating between Tylenol and Motrin every 3-4 hours.
Age: 0.5
Sex: F
Vaccine: DTPPHIB, HEP, PNC, RV5
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: on 07/28/09 patient was brought in my mother with lower extremities on left thigh with palpable mass with 1.5 cm erythema on the higher injection site; with 2 injection sites. Treatment given was Hydroxyzine susp (10 mg/5ml), and Cutivate cream 0.05%
Age: 8.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Erythema, Induration, Skin warm
Clinical narrative: Clt. was administered Varicella vaccine to left arm subcutaneous on 7/28/2009, without adverse event. Clt returned to facility on 7/29/2009 with onset of hardened, red area that measured approximately 2.5 by 2.5 inches. Area warm to touch denied pain to area and states symptoms started morning of 7/29/2009. Clt denied swelling or trouble breathing. No treatment taken. Clt and gaurdian educated that if worsens and swelling and trouble breathing occur to go to E.R, clt. and guardian verbalizes understanding.
Age: 12.0
Sex: F
Vaccine: HPV4, VARCEL
Symptoms: Cyanosis, Loss of consciousness, Pallor, Vomiting
Clinical narrative: Incident occured 7-30-09. After administration of HPV and Varicella vaccine,client was escorted to a chair to be obserbed for 15 min. While seated in the chair, mother obserbed that the client was pale, lips cyanotic. Client proceeded to lose conciousness briefly (30 sec) vomited repeatedly approximately 5x.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Client at clinic for kindergarten immunizations with DTAP #5 administered to right deltoid.  Mother reports no symptoms or complaints to site till 2 days post vaccination.  Mother reports swelling, redness, and heat to site where DTAP was administered.  Mother states no relief to symptoms with use of pain meds and other comfort measures.  No other symptoms present per mother.  Encouraged to follow up with child's primary physician.  Mother states follow up done with primary physician with order to continue comfort measures.  No other orders from child's doctor for follow up per Mother.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, PNC, RV1
Symptoms: Erythema multiforme, Pyrexia, Rash erythematous, Viral rash
Clinical narrative: Vaccines given 7/22/09. Child developed erythemic, annular rash day after shots were given, 7/23/09. Mother reports child had low-grade fever. Exact temperature unknown. Child taken to ER on 7/25/09, diagnosed with viral exanthem and told to take benadryl 12.5 mg/5 ml 1/2 tsp every 6 hours as needed. Mother also advised to follow-up on 7/27/09 with child's PCP. Child seen in our clinic on 7/27/09. Rash still present, but better than on 7/25/09. Nurse practitioner advised to continue benadryl and tylenol. Nurse Practitioner felt child had erythema multiforme from immunizations, suspect from DTaP. Mother contacted on 7/31/09 to inquire how child is doing. Mother reports rash was completely gone by 7/29/09. No further rash, fever, or other symptoms.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypersensitivity, Pruritus, Rash
Clinical narrative: HAD LOCAL RASH, AS WELL AS RASH ON LEGS, & WAIST - DESCRIBED AS A ALLERGIC REACTION. NO BRUISING OR PAIN, JUST ITCHING.
Age: 12.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Wrong technique in drug usage process
Clinical narrative: Patient received hpv vaccine on 7/29/09 on right arm.  Reaction on 7/30/09 about 24 hours after vaccine was administered.  Area has swelling, is red and warm to touch. Redness is about 2 inches in diameter and 4 inch in length. Nurse documented vaccine given IM, client's mother states vaccine was given sub Q.  Reaction is in the back part of the right arm.
Age: 13.0
Sex: F
Vaccine: DTAP, HPVX
Symptoms: Discomfort, Erythema, Urticaria
Clinical narrative: Broke out in hives all over her body around 7:45pm the day of the shot given..about 4 hours after...took patient to ER around 9:15 pm due to being all red in color and having hives all over.  She was very uncomfortable.  At the ER they gave her an IV and then some drugs to counteract the reaction.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Swollen tongue, Urticaria
Clinical narrative: Patient received Gardasil immunization at approximately 12:15 pm. Stayed at doctor's office for 20 minutes following the immunization. At approximately 1:30 pm received call from patient's mother stating she was having a swollen tongue and hives on the right side of her face. Patient has history of significant allergies. Requested that mom give patient benadryl and to monitor for changes. Patient's mom was instructed to use epi-pen and call 911 if the patient's symptoms did not improve after benadryl.
Age: 35.0
Sex: F
Vaccine: FLUX, TDAP
Symptoms: Feeling hot, Hypoaesthesia, Injected limb mobility decreased, Paraesthesia
Clinical narrative: Received the injections in my left arm and had symptoms for over 3 months after the injection. I could not lift my left arm above my shoulder, had numbness and tingling down my arm, fingers and my left leg down to my toes. The left side of my back felt hot to the touch. All these symtoms lastest the entire 3 months.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling, warm to touch, pain at left upper arm. Ice put on site, tylenol, mortin.Pt seen in office told to do warm compress, benadryl and call back if developes sign of infection.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Redness, swelling, warm to touch, pain at left upper arm. Ice put on site, tylenol, mortin.Pt seen in office told to do warm compress, benadryl and call back if developes sign of infection.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Erythema, Skin warm
Clinical narrative: 3" x 3" erythema muscle hot to touch x 2 days after vaccine injection.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Asthenia, Blood glucose increased, Dizziness, Syncope
Clinical narrative: Approximately 5-10 minutes after injection, pt. felt weak, faint, had syncopal episode in car in parking lot. Returned to exam room and monitored for >1 hour.
Age: 0.39
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV1
Symptoms: Enema administration, Intussusception, Urinary system X-ray
Clinical narrative: intussusception 11/18/2009 ED record for 7/30-7/31/2009. DC DX Intussusception Patient with c/o's irritability, vomiting. Xrays + for intussusception which was reduced per air enema. F/up xrays noted resolution. . ICD-9 code 560.0
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: Patient came down with Varicella 8 days after receiving Varivax.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Induration, Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: 24 hours after vaccination pt noticed that area around vaccination site became red, swollen, hard and itchy.  This spread down her arm to her wrist and there was some pain.  It took a week for it to go away.  Pt. decided it was in line with side effects on VARS sheet so did not contact Dr. or pharmacy
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Joint swelling, Oedema peripheral, Pain in extremity, Pruritus
Clinical narrative: 24 hours after vaccination pt noticed that area around vaccination site became red, swollen, hard and itchy.  This spread down her arm to her wrist and there was some pain.  It took a week for it to go away.  Pt. decided it was in line with side effects on VARS sheet so did not contact Dr. or pharmacy
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus, Rash, Skin reaction
Clinical narrative: Patient did not have any initial problems following vaccine administration.  Two days following the vaccine administration patient presented to pharmacy with a mild skin reaction that was red and itching.  Patient stated no other problems.  Was instructed to note size of reaction with a pen and take Benadryl by mouth or as a cream.  The following day (3 days post-administration) patient said rash had not gotten better.  Patient was instructed to see physician for possible cellulitis.  Patient then proceeded to an immediate care center where she recieved prescriptions for Cephalexin 500mg QID for 10 days and Prednisone 40mg QD for 5 days.  Patient also getting Benadryl OTC.  No other treatment needed at this time.