chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Asthenia, Chest pain, Dizziness, Dyspnoea, Electrocardiogram ST segment elevation
Clinical narrative: "I ache all over. They said that anthrax vaccine can settle in your joints", 33 year old ADANG currently followed by HC for suspected post/small pox vaccine myopericarditis. During 6-12 week cardiac update in July, pt had new complaint of joint and muscle pain. In June, 2003, pt noted new onset pain in multiple joints and muscles. Joint pain began in bilateral knees and elbows and later affected ankles, shoulders, wrists, hips, neck and fingers. Describes joint pain as "aching". Myalgias experienced in lower back, calves and biceps. Describes pain "like muscles are tight after excerise". Rates intensity of pain as 5-7 on pain scale of 0-10. Pain is intermittent and migrates without specific pattern. Pain increases with weight bearing and upper extremity use; hand especially hurt after driving long distances. Gets some relief with 3-4 Tylenol and with Ben Gay rub. Denies redness or warmth at joints. Occasionally has mild edema of hands. Currently experiencing dull, generalized headaches approximately 1 x week. Date of onset of cardiac-related symptoms: 4/27/03. Developed substernal chest pain with mild shortness of breath that lasted approx. 1 hour before resolving spontaneously. The following morning, experienced recurrence of shortness of breath and chest pain that radiated to his jaw and down his left arm. Also, complained of left arm of numbness, generalized weakness, diaphoresis and dizziness when walking. His evaluation at that time showed diffuse ST elevations and positive troponins. Currently, pt reports no cardiac-related symptoms. During June and July, 2003, pt experienced some dyspnea on exertion and  decreased exercise tolerance. He participated in a cardiac rehab. program for 3 weeks with improvement of symptoms. Now, back to baseline. Pt may take Propanolol and Immitrex (no cardiac contraindication). Stop smoking!
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Headache, Hyperhidrosis, Hypoaesthesia, Laboratory test abnormal, Myocarditis
Clinical narrative: "I ache all over. They said that anthrax vaccine can settle in your joints", 33 year old ADANG currently followed by HC for suspected post/small pox vaccine myopericarditis. During 6-12 week cardiac update in July, pt had new complaint of joint and muscle pain. In June, 2003, pt noted new onset pain in multiple joints and muscles. Joint pain began in bilateral knees and elbows and later affected ankles, shoulders, wrists, hips, neck and fingers. Describes joint pain as "aching". Myalgias experienced in lower back, calves and biceps. Describes pain "like muscles are tight after excerise". Rates intensity of pain as 5-7 on pain scale of 0-10. Pain is intermittent and migrates without specific pattern. Pain increases with weight bearing and upper extremity use; hand especially hurt after driving long distances. Gets some relief with 3-4 Tylenol and with Ben Gay rub. Denies redness or warmth at joints. Occasionally has mild edema of hands. Currently experiencing dull, generalized headaches approximately 1 x week. Date of onset of cardiac-related symptoms: 4/27/03. Developed substernal chest pain with mild shortness of breath that lasted approx. 1 hour before resolving spontaneously. The following morning, experienced recurrence of shortness of breath and chest pain that radiated to his jaw and down his left arm. Also, complained of left arm of numbness, generalized weakness, diaphoresis and dizziness when walking. His evaluation at that time showed diffuse ST elevations and positive troponins. Currently, pt reports no cardiac-related symptoms. During June and July, 2003, pt experienced some dyspnea on exertion and  decreased exercise tolerance. He participated in a cardiac rehab. program for 3 weeks with improvement of symptoms. Now, back to baseline. Pt may take Propanolol and Immitrex (no cardiac contraindication). Stop smoking!
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Oedema peripheral, Pain, Pain in jaw
Clinical narrative: "I ache all over. They said that anthrax vaccine can settle in your joints", 33 year old ADANG currently followed by HC for suspected post/small pox vaccine myopericarditis. During 6-12 week cardiac update in July, pt had new complaint of joint and muscle pain. In June, 2003, pt noted new onset pain in multiple joints and muscles. Joint pain began in bilateral knees and elbows and later affected ankles, shoulders, wrists, hips, neck and fingers. Describes joint pain as "aching". Myalgias experienced in lower back, calves and biceps. Describes pain "like muscles are tight after excerise". Rates intensity of pain as 5-7 on pain scale of 0-10. Pain is intermittent and migrates without specific pattern. Pain increases with weight bearing and upper extremity use; hand especially hurt after driving long distances. Gets some relief with 3-4 Tylenol and with Ben Gay rub. Denies redness or warmth at joints. Occasionally has mild edema of hands. Currently experiencing dull, generalized headaches approximately 1 x week. Date of onset of cardiac-related symptoms: 4/27/03. Developed substernal chest pain with mild shortness of breath that lasted approx. 1 hour before resolving spontaneously. The following morning, experienced recurrence of shortness of breath and chest pain that radiated to his jaw and down his left arm. Also, complained of left arm of numbness, generalized weakness, diaphoresis and dizziness when walking. His evaluation at that time showed diffuse ST elevations and positive troponins. Currently, pt reports no cardiac-related symptoms. During June and July, 2003, pt experienced some dyspnea on exertion and  decreased exercise tolerance. He participated in a cardiac rehab. program for 3 weeks with improvement of symptoms. Now, back to baseline. Pt may take Propanolol and Immitrex (no cardiac contraindication). Stop smoking!
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Hypoaesthesia, Injection site pain, Injection site reaction
Clinical narrative: 1 hour after injection given complained of pain at site. Arm felt asleep; pain down arm; numbness from site of injection down to hand. Still with numbness.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Back pain, Difficulty in walking, Headache, Neck pain, Pyrexia
Clinical narrative: Within 12 hours of receiving Menactra, pt developed headache, neck pain, spine pain, chills, subjective fever, difficulty standing and walking secondary to pain. Recommended fluids and Ibuprofen. Observed at office visit. Symptoms resolved in 24-48 hours.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, TD
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Movement disorder
Clinical narrative: Pt with erythema, edema, pain RUE with paresthesia and temporary immobility in all 20 phalanges. Tx: Motrin, Warm compresses.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Dizziness, Headache, Injection site erythema, Injection site induration, Pyrexia
Clinical narrative: Localized erythema and induration  R deltoid. Dizziness, fever, HA within 24 hours of admin. Treated wth Benadryl, Motrin and rest.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Blister
Clinical narrative: Developed an erythematous patch with a few pin point blisters linear on the patch and another blister 3cm away to the side.
Age: 64.0
Sex: F
Vaccine: IPV
Symptoms: Urticaria
Clinical narrative: Pt states had IPV vaccine on Thursday 6/16/05 and she broke out with "hives" on 6/17/05 on stomach, back, buttocks, pubic area and legs. Stated they were little blisters. Had been using Benadryl and cortisone cream OTC. Nurse called and talked with pt on 6/27/05. On 6/20/05 she went to physician due to continued hives on stomach, back, buttocks, public area and lower extremities. Dr gave her a sample of Zyrtec 10mg po to take 1 tab po daily. Steted hives subsiding by 6/20/05. Nurse called Dr's office on 6/20/05 for reports of her office visit. Dr diagnosed scattered urticarial lesions primarily on the back.
Age: 1.09
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash papular
Clinical narrative: Received MMR/Varivax on 7/8/05. Rash began on 7/19/05 evolving quickly with papular over entire trunk and extremities.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Eyelid oedema, Hypersensitivity, Pruritus, Urticaria
Clinical narrative: 6/29, allergic reaction to immun. IPV or DTAP 16:30 returned to clinic with itching, swelling around eyes, hives 16:40. Benadryl, IM given, 16:50 Epi .2 1:000, SC. 6/30, returned for follow-up and left deltoid with 7cm x 4cm erythematous patch, 7/01-no erythema per pt.
Age: 0.36
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Crying, Irritability, Pyrexia
Clinical narrative: High fever 3 hours after giving the vaccination. Went up to 104.6F. Also crying and fussiness. Child was referred to hospital.
Age: 1.55
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Erythema, Injection site oedema
Clinical narrative: Pt had red and swelling in the area the shot was given.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site mass, Pruritus, Tenderness
Clinical narrative: 7.5cm x 8.0cm area of induration and erythema with mild tenderness and itching. Developed this after administration on right thigh area.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site mass
Clinical narrative: 9.5 x 10.0 cm area of erythema and mild induration. No significant tenderness. No decreased in mobility.
Age: 1.26
Sex: F
Vaccine: HIBV, PNC
Symptoms: Listless, Pyrexia
Clinical narrative: Less than 24 hours after receiving vaccine, child became listless and febrile up to 104.7F.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Coma, Hypotonia, Irritability
Clinical narrative: Pt became fussy after shot and while mom consoling infant, she went limp in arms and unable to wake infant. Infant to Dr's office at 6PM and mom status Dr state infant had reaction to Dtap and not to be vaccinated with it again. 10PM baby unable to Dr awakened again to ER awake to OK at 5AM.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Feeling hot, Injection site mass, Injection site oedema, Urticaria
Clinical narrative: R arm swollen 10cm x 8cm, red, indurated, and warm to touch. Large local reaction, few transient hives on abdomen.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site mass, Injection site oedema, Rash macular
Clinical narrative: Child received vaccination of Dtap on 7/7/05 at public health. 7/8/05 Mother called child's rgt thigh red, swollen, hard, blotchy red called MD. Instructed to give Tylenol and cold compresses to area. 7/9/05 Mother reported swelling along with redness and hardness feeling better MD worried.
Age: 56.0
Sex: F
Vaccine: HEP
Symptoms: Blister, Cold sweat, Headache, Hyperhidrosis, Hypertension
Clinical narrative: Called to assist pt after hep B injection (in left deltoid at 14:40) at 16:10 c/o pounding headache. L frontal, s radiation, eligibly diaphoretic, moist skin, blistered arms warm ( ie Reynauld's disease). Right arm BP 160/70, 72 R radial pulse regular/strong. LA 180/90, radial pulse 72 reg, 5 minutes later headache not pounding, just throbbing, somewhat subsiding. At 16:20 BP R 150/82, L 140/88. Status: she hasn't had a headache in over a year.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site mass, Injection site oedema
Clinical narrative: The night of shot, it got hot, swollen, hard. 1 hr, night of administration.
Age: 1.25
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Pruritus
Clinical narrative: Developed red swollen quarter-sized area with mild pruritus or left thigh (where Dtap was given) beginning 1-2 days after vaccination and lasting 9 days.
Age: 33.0
Sex: F
Vaccine: RAB
Symptoms: Arthralgia, Pyrexia
Clinical narrative: Pt reports fever up to 101.5 and severe joint pain lasting approx 48 hrs. No treatment. Resolved.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site rash
Clinical narrative: Pt has a red rash around injection site, R arm. Instructed mom to put cool compress on the rash.
Age: 6.0
Sex: F
Vaccine: DTAP
Symptoms: Crying, Nausea, Syncope
Clinical narrative: The pt was given her 5th DTAP. She was very afraid and crying uncontrollable. She was sitting on her grandmother's lap as she held her while the shot was administered. Immediately after, the pt threw herself back and seemed to faint. She was out for not more than 3 seconds. When she came to, she was nauseous but alert.
Age: 18.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Abdominal pain, Diarrhoea, Dizziness, Headache, Nausea
Clinical narrative: Mother said pt started having symptoms of abdominal cramps, nausea and diarrhea on 7/5/05 while water skiing. Symptoms lasted for one hour. No further symptoms until 48 hours later. The pt had symptoms of a severe headache, dizziness and increased fever of 102F. An appointment with her private physician was completed on 7/12/05. According to mother, she was dx'd with illness of a viral infection.
Age: 18.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Pyrexia, Viral infection
Clinical narrative: Mother said pt started having symptoms of abdominal cramps, nausea and diarrhea on 7/5/05 while water skiing. Symptoms lasted for one hour. No further symptoms until 48 hours later. The pt had symptoms of a severe headache, dizziness and increased fever of 102F. An appointment with her private physician was completed on 7/12/05. According to mother, she was dx'd with illness of a viral infection.
Age: 0.32
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Urticaria
Clinical narrative: Hives-Generalized urticarial rash. Benadryl 1/2 tsp po (q4h) at 16:00.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site vesicles
Clinical narrative: Few vesicles on R shoulder where vaccine was given. Pt was unaware when reaction started.
Age: 0.98
Sex: M
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Blister, Infection
Clinical narrative: Onset of about 50 vesicles, 3 weeks after Varicella vaccine. Lesions were culture positive for varicella.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site reaction, Injection site warmth
Clinical narrative: 6 1/2 x 6 1/2 cm, R deltoid-hot to touch. Noticed 7/12/05/.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Urticaria
Clinical narrative: Red, swelling area on Rt deltoid after shots received 7/8/05. Seen in Express Care on 7/9/05 at 13:59. Dx: urticarial reaction to immunization. Symptoms resolved by 7/11/05 17:00.
Age: 6.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: A few days after immunization 7/5/05, 4-5" round, red area L deltoid at site of injection (DPAT and HEP A)
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 7/13/05; R arm 15 x 10cm red , swollen and tender.
Age: 0.26
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Anaemia, Apnoea, Cough, Cyanosis, Cystic fibrosis lung
Clinical narrative: Seen 6/13/05 cough/nasal congestion x 4d, hx of prematurity. On apnea monitor, started having increase in alarms in AM o f6/14. At 10AM alarm sounded, acrocyanosis, 911 notified, brought to ER/arrested.  No additional terms from discharge summary rec'd 11/09/2005/sr 9/20/05 Received autopsy report which revealed COD as bronchopneumonia w/pneumothoraces as contributing factor.
Age: 0.26
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Hyperbilirubinaemia, Nasal congestion, Neonatal respiratory distress syndrome, Pneumonia, Pneumothorax
Clinical narrative: Seen 6/13/05 cough/nasal congestion x 4d, hx of prematurity. On apnea monitor, started having increase in alarms in AM o f6/14. At 10AM alarm sounded, acrocyanosis, 911 notified, brought to ER/arrested.  No additional terms from discharge summary rec'd 11/09/2005/sr 9/20/05 Received autopsy report which revealed COD as bronchopneumonia w/pneumothoraces as contributing factor.
Age: 0.26
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Premature baby, Respiratory arrest, Sepsis
Clinical narrative: Seen 6/13/05 cough/nasal congestion x 4d, hx of prematurity. On apnea monitor, started having increase in alarms in AM o f6/14. At 10AM alarm sounded, acrocyanosis, 911 notified, brought to ER/arrested.  No additional terms from discharge summary rec'd 11/09/2005/sr 9/20/05 Received autopsy report which revealed COD as bronchopneumonia w/pneumothoraces as contributing factor.
Age: 50.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Blood urine, Urinary tract infection
Clinical narrative: This case was reported by a nurse and described the occurrence of a urinary tract infection in a 49 year old male subject who was vaccinated with hepatitis A vaccine inactivated plus a separate injection of hepatitis B vaccine recombinant for prophylaxis. On 6/2/05, the subject received the first dose of Havrix in the right arm and the first dose of Engerix B in the left arm. On 6/6/05, 4 days after vaccination with Engerix B and Havrix, the subject experienced blood in his urine and was hospitalized. The subject was subsequently diagnosed on 6/6/05 with urinary tract infection. The outcome of the events was not reported.
Age: 1.52
Sex: F
Vaccine: HIBV, IPV, MMR, PNC, VARCEL
Symptoms: Pyrexia, Similar reaction on previous exposure to drug
Clinical narrative: History of adverse event after first administration at 2 months. No further doses of DtaP have been given. 1 year shots were given, except for DtaP. Mom reported that the next day, the child had temperature of 103+ axillary which has been continuing every day. She took child to doctor 7/19/2005. No signs of other illness. Temp today 104.3 rectal. Continues to treat with acetameniphen. Temp spikes when sleeping, down during awake time.
Age: 1.49
Sex: F
Vaccine: HEP, PNC
Symptoms: Injection site induration
Clinical narrative: Per office-documented 3 and 1/2" x 2" red, indurated area on left thigh on 7-7-05 @12:20pm.  Also states patient seen at local ER on 7-6-05 and treated with Keflex.
Age: 3.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Inflammation, Oedema
Clinical narrative: Left arm became red and inflammed, also hot to touch. Redness extended down to elbow. According to dad arm was so swollen that so much elbow was not visible. No fever. Called Pharmacy and spoke to pharmacist. Was advised by pharmacist to give Benadryl and watch patient.
Age: 63.0
Sex: M
Vaccine: HEPA, TD, TYP, YF
Symptoms: Arthralgia, Rash erythematous
Clinical narrative: Red, raised patches noted on upper arm and complains of joint pain in shoulder and upper arm, neck. Denies itching or respiratory difficulties. First noticed symptoms Friday July 15,2005. Symptoms have not resolved or worsened since. Has not sought out any medical help or taken any medicines. Reports he has previously reacted to penicillin with a red rash on his chest.
Age: 69.0
Sex: F
Vaccine: MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: extreme swelling around injection site  --size of  tennis ball--- pain  ---redness  and feverish commencing on  july 19th in pm  continuing all night. at this time -july 20--some sweeling aleiviated  but area very hot and painful
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Cardiac arrest, Cleft lip and palate, Coronary artery disease, Sudden infant death syndrome
Clinical narrative: sudden death 36 hrs after administration... classified a a sids by medical examiner... no history or evidence at autopsy of any site reaction, symptoms or fever reported by parent. no evidence of encephelopathy or inflamatiobn of brain at autopsy. pt. had bilat cleft of lip and and cleft palate, muscular vsd. evaluated by ped cardiology and ent at 2 wks of age.. vsd felt to not be significant. Autopsy Report received which stated patient experienced sudden cardiac death and acute angle of origin of coronary artery.
Age: 1.33
Sex: M
Vaccine: DTAPH, MMR
Symptoms: Ecchymosis, Platelet count increased, Thrombocytopenic purpura
Clinical narrative: Idiopathic Thrombocytopenic Purpura 6 weeks after the immunization. Multiple ecchymosis over upper and lower extremities, back, abdomen and head.   Treated with one dose of IVIG which increased the platelet count from 16ooo to 45ooo. Sent home with follow up with PMD.
Age: 1.34
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Anorexia, Diarrhoea, Feeling hot, Rash erythematous, Rash morbilliform
Clinical narrative: Had immunizations on 7/18/05--DTap, Hib, Prevnar--developed a widespread fine papular erythematous rash (on 7/19) on trunk & neck not the arms or legs. No itch, fever (though did feel warm on 7/19), sore throat, otalgia, or irritability.  Some diarrhea (yellow, watery, no blood, no mucus) X 2 today only.  Some loss of appetite.  Seen today (7/20) diagnosed with a morbiliform rash ? cause ? viral ? allergic.
Age: 1.34
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Rash papular
Clinical narrative: Had immunizations on 7/18/05--DTap, Hib, Prevnar--developed a widespread fine papular erythematous rash (on 7/19) on trunk & neck not the arms or legs. No itch, fever (though did feel warm on 7/19), sore throat, otalgia, or irritability.  Some diarrhea (yellow, watery, no blood, no mucus) X 2 today only.  Some loss of appetite.  Seen today (7/20) diagnosed with a morbiliform rash ? cause ? viral ? allergic.
Age: 60.0
Sex: F
Vaccine: PPV
Symptoms: Dyspnoea, Injection site erythema, Injection site swelling, Peripheral coldness, Pyrexia
Clinical narrative: In the late evening: redness & swelling of upper rt arm; fever; extremities cold; shaking; mild difficulty breathing; wheezing. Condition persisted for 6 hours. Tylenol taken.
Age: 60.0
Sex: F
Vaccine: PPV
Symptoms: Tremor, Wheezing
Clinical narrative: In the late evening: redness & swelling of upper rt arm; fever; extremities cold; shaking; mild difficulty breathing; wheezing. Condition persisted for 6 hours. Tylenol taken.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Rash, Serum sickness
Clinical narrative: late onset serum sickness appearing rash at 2.5 cm diameter. U shaped rash surrounding but seperate from fading local reaction. (5.0 cm diameter) Onset at 4 days after DTAP
Age: 0.19
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Depressed level of consciousness, Lethargy, Somnolence
Clinical narrative: She slept for 16 hours straight. Did not wake up to feed. Was extremely lethargic when trying to arouse. Mother states daughter returned to normal about 4 weeks after vaccination.
Age: 1.04
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Agitation, Anorexia, High-pitched crying, Personality disorder
Clinical narrative: Drastic change in personality for 2 weeks following immunization.  High pitched screaming, no appetite, not easily consolable.
Age: 1.03
Sex: M
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Pyrexia, Urticaria
Clinical narrative: He broke out into hives and also ran a temperature of 101 a week after the MMR shot.
Age: 0.44
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Convulsion, Irritability, Musculoskeletal stiffness, Pyrexia, Sepsis
Clinical narrative: 11:00 PM Fussy, irritable, fever 101.6, seizures - stiffening of limbs and vacant look (witnessed by ER doctor ). Admitted to ICU on anticonvulsant therapy and monitored. Blood culture positive. Treated with Rocephin.
Age: 0.44
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Staring
Clinical narrative: 11:00 PM Fussy, irritable, fever 101.6, seizures - stiffening of limbs and vacant look (witnessed by ER doctor ). Admitted to ICU on anticonvulsant therapy and monitored. Blood culture positive. Treated with Rocephin.
Age: 35.0
Sex: F
Vaccine: TD
Symptoms: Nausea, Rash, Skin burning sensation
Clinical narrative: Non-pruritic diffuse blanched rash of whole body, nausea, paresthesia (burning sensation), gradually worsening within a few hours of injection. Seen next day. Benadryl and ibuprofen. Pending recovery.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site reaction, Rash maculo-papular
Clinical narrative: Injection site reaction-Injection given 7/8/05 with addition maculopapular lesions (4) at site, occurring one wk after injection 7/15/05 and persisting as of 7/20/05.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Shot given on 7/12/05 and by 7/15/05, child was covered in hives all over body. Child was seen in office on 7/19/05.
Age: 1.11
Sex: F
Vaccine: DTAP, HBHEPB, PNC
Symptoms: Pyrexia
Clinical narrative: High temp of 105.1F after vaccine was given. (Rectal temp)
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 7cm red, non-warm, hard area on R hip area. 24 hr after given vaccine. Use Tylenol and cool compresses. Temp. 96.9F.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling at injection site, redness at injection site; Amoxil 800mg given and Benadryl 18.5mg given.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, MMR, DTAP, IPV, MMR
Symptoms: Cough, Dyspnoea, Urticaria, Vomiting, Wheezing
Clinical narrative: Information has been received from a nurse concerning a 5 year old male with an egg allergy shown several years before in the form of a rash, who on 6/21/05 was vaccinated with a dose of MMR (lot # 649509/0773P). On 6/21/05, the patient experienced a severe reaction with difficulty breathing. The patient was taken to the ER and was treated with oxygen, diphenhydramine hydrochloride and epinephrine. On 6/22/05, the patient was seen in the doctor's office with swelling of the face. The patient was treated with diphenhydramine hydrochloride again and a script for epinephrine. Subsequently, the patient recovered. No product quality complaint was involved. Upon internal review, severe reaction and difficulty breathing were considered to be other important medical events (OMIC). Additional information has been requested.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, MMR, DTAP, IPV, MMR
Symptoms: Dyspnoea, Face oedema, Rash
Clinical narrative: Information has been received from a nurse concerning a 5 year old male with an egg allergy shown several years before in the form of a rash, who on 6/21/05 was vaccinated with a dose of MMR (lot # 649509/0773P). On 6/21/05, the patient experienced a severe reaction with difficulty breathing. The patient was taken to the ER and was treated with oxygen, diphenhydramine hydrochloride and epinephrine. On 6/22/05, the patient was seen in the doctor's office with swelling of the face. The patient was treated with diphenhydramine hydrochloride again and a script for epinephrine. Subsequently, the patient recovered. No product quality complaint was involved. Upon internal review, severe reaction and difficulty breathing were considered to be other important medical events (OMIC). Additional information has been requested.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, MMR, DTAP, IPV, MMR
Symptoms: Cough, Dyspnoea, Face oedema, Rash, Urticaria
Clinical narrative: Information has been received from a nurse concerning a 5 year old male with an egg allergy shown several years before in the form of a rash, who on 6/21/05 was vaccinated with a dose of MMR (lot # 649509/0773P). On 6/21/05, the patient experienced a severe reaction with difficulty breathing. The patient was taken to the ER and was treated with oxygen, diphenhydramine hydrochloride and epinephrine. On 6/22/05, the patient was seen in the doctor's office with swelling of the face. The patient was treated with diphenhydramine hydrochloride again and a script for epinephrine. Subsequently, the patient recovered. No product quality complaint was involved. Upon internal review, severe reaction and difficulty breathing were considered to be other important medical events (OMIC). Additional information has been requested.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, MMR, DTAP, IPV, MMR
Symptoms: Vomiting, Wheezing
Clinical narrative: Information has been received from a nurse concerning a 5 year old male with an egg allergy shown several years before in the form of a rash, who on 6/21/05 was vaccinated with a dose of MMR (lot # 649509/0773P). On 6/21/05, the patient experienced a severe reaction with difficulty breathing. The patient was taken to the ER and was treated with oxygen, diphenhydramine hydrochloride and epinephrine. On 6/22/05, the patient was seen in the doctor's office with swelling of the face. The patient was treated with diphenhydramine hydrochloride again and a script for epinephrine. Subsequently, the patient recovered. No product quality complaint was involved. Upon internal review, severe reaction and difficulty breathing were considered to be other important medical events (OMIC). Additional information has been requested.
Age: 44.0
Sex: F
Vaccine: YF
Symptoms: Bradyphrenia, Cold sweat, Dizziness, Nausea
Clinical narrative: 7/19/05-Called and stated was at work 06:30 and started feeling dizzy, nausea, clammy and couldn't think clearly; Co-Provider kept her laying down and took vital signs x 1 hour. Felt better and was driven home.
Age: 14.0
Sex: M
Vaccine: TD
Symptoms: Hypersensitivity, Pyrexia
Clinical narrative: The pt has several bug bites on arms and hands. He had a TD booster yesterday and it's in same arm. He reacts a lot to insect bites. He has a fever of 101F.
Age: 0.07
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Apnoea, Irritability, Screaming, Tachypnoea
Clinical narrative: This 7-6/7 week old neonate infant is brought in by parents. She has been fussy today since having received her first set of immunizations and her AB monitor went off. Mom reports that while she has been screaming and crying her heart rate monitor will go off because it is high; however, she had an episode with a heart rate where her apnea monitor went off because she had stopped breathing. She did not have any cyanosis associated with this and with stimulation she began to breathe again. Parents report she has had screaming of greater than 3 hours duration since having received her immunizations earlier today. This infant was born to 33-0/7 weeks gestational mother with gestational diabetes who had undergone ovarian cyst surgery at 18 weeks into the pregnancy as well. The infant had a prolonged hospitalization stay. Her due date originally was 6/29/05. WNWD infant female, was noted to be tachypenic when she first checked in but apparently she was screaming at that time and I see the child and she is calmed down. Assessment: Irritability after immunizations in a premature infant who is on AB monitor. Plan: Tylenol every 4 hours at home while awake, and if AB monitor goes off again during the night, go to the hospital.
Age: 72.0
Sex: M
Vaccine: HEP
Symptoms: Drug ineffective, Hepatitis, Renal failure, Viral infection
Clinical narrative: Information has been received from a registered nurse concerning a male dialysis patient with a long medical history who had completed a hepatitis B virus vaccine series in the past who on 2/13/03, 5/18/04, 6/18/04 was vaccinated IM with a 0.5ml dialysis formulation booster doses of hepatitis B virus vaccine. Concomitant medications were noted, however, the list was unknown. It was noted that since he was a dialysis patient, he got his antibody titer drawn regularly. The patient had surgery and received a blood transfusion. On 7/8/04, he was given an additional dose of hepatitis B virus vaccine. When his antibody levels were tested after that, he came back positive for hepatitis B infection. The infection progressed, renal failure occurred, and the patient expired. There was no product quality complaint involved. The reporter indicated that hepatitis B virus vaccine was not the cause of any adverse experiences. Additional information has been requested.
Age: 0.99
Sex: M
Vaccine: HBHEPB
Symptoms: Autism
Clinical narrative: Information has been received from a health professional concerning an approximately 15 month old male who in October 2001 was vaccinated with hepatitis B virus vaccine (+) HIB conjugate vaccine. In January 2002, the patient experienced autism. Upon internal review autism was considered to be an other medical event (OMIC). Additional information has been requested.
Age: 8.0
Sex: M
Vaccine: HEP
Symptoms: Autism
Clinical narrative: Information has been received from a healthcare worker concerning an 8 year old male with no pertinent medical history or allergies who in 1996 was vaccinated with a dose of hepatitis B virus vaccine live. There was no concomitant medication. In 1998 or four years ago (in 2001) the patient was diagnosed with autism. Unspecified medical attention was sought. It was reported that the patient had not recovered. No product quality complaint was involved. Upon internal review, autism was determined to be an other important medical event (OMIC). No further information is available.
Age: 2.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash, Viral infection
Clinical narrative: Information has been received from a physician concerning an 8 year old male who on 12/6/00 was vaccinated with a first dose of varicella virus vaccine live (lot # 635451/1143K). Subsequently, the patient developed a rash on the back and abdomen to which his father, an immune compromise organ transplant patient, was exposed (WAES0505USA00034). Additional information was received from a physician who indicated that on 3/24/05,. the patient developed break through varicella zoster virus illness after exposure to a child at elementary school with either vaccine type or wild type varicella rash. It was noted that the patient was seen by the physician or in the emergency room and was hospitalized. Subsequently, the patient recovered on an unspecified date. Additional information was received from a physician from a physician who reported that the patient had been vaccinated years before and had contracted a break through infection. The physician confirmed that the patient's case was non-serious. The reporter ntoed that there were five to six previously vaccinated children at the patient's school who had break through chicken pox. No further information is expected.
Age: 57.0
Sex: F
Vaccine: HEP, HEPA, IPV, MEN, MMR, RAB, TD, TYP, YF
Symptoms: Pruritus, Pyrexia, Rash, Skin ulcer
Clinical narrative: June 17th-fever; June 18th-rash, itching started on thighs. Pt counted 25 lesions spreading to her Dr. over the phone and started using Hydrocortisone cream and Benadryl every 6 hours; 7/18/05-still reports lesions.
Age: 19.0
Sex: M
Vaccine: MNQ
Symptoms: Malaise, Photosensitivity reaction, Pyrexia, Rash, Urticaria
Clinical narrative: Dr had called health dept to report that pt had low grade fever (100.9); feeling of malaise, faint rash, urticaria, photosensitivity.
Age: 15.0
Sex: M
Vaccine: MNQ, UNK
Symptoms: Convulsion
Clinical narrative: Seizure on 7/9/05 transported to ER, seen by neurologist, EEG done.
Age: 50.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site mass, Injection site pain
Clinical narrative: Left upper arm pain/redness at upper arm with 4 x 4 cm indurated erythematous area. T 98.4.
Age: 1.25
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site oedema, Rash papular
Clinical narrative: Crusted papular rash at left deltoid with mild swelling, began approx 5 days after immunization. (with Dtap and Poliovax 6/13/05) Similar rxn in twin sister.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Injection site oedema, Rash pustular
Clinical narrative: Rash pustular at left deltoid with swelling rising, began 5 days after immunization (with Dtap or Pedvax HIB) or Varicella). Similar reaction in twin sister.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site oedema, Injection site pain
Clinical narrative: c/o right arm swelling/pain 6/29/05.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Cellulitis, Injection site oedema
Clinical narrative: Dad called 6/28/05 right arm swelling no fever. Cold compress with Motrin and RTC 6/29/05. 6/30/05 12P per dad, child doing better.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema, Injection site pain, Pruritus
Clinical narrative: Swollen tender, left deltoid, awoke this AM with sxs of sore itching.
Age: 56.0
Sex: F
Vaccine: PPV, TD
Symptoms: Feeling hot, Injection site erythema, Rash macular
Clinical narrative: Large erythematous blotchy/patch localized. Reaction warm to touch but no signs of infection.
Age: 1.09
Sex: M
Vaccine: DTAP
Symptoms: Injection site oedema, Tenderness
Clinical narrative: Local swelling, some tenderness, no redness, no heat, no fever.
Age: 16.0
Sex: U
Vaccine: TD
Symptoms: Asthenia, Hypotension, Nausea
Clinical narrative: Pt felt nauseated and weak, sit down on floor. VS 90/50, R 16, P 64, Rev 10 minutes later 100/60 R 18 P 84.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Gaze palsy, Irritability, Pallor
Clinical narrative: Fussy, alert, good color now, said to be irritable, staring, poor color in past 24 hrs. No seizure noted. P.E is essentially negative.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site oedema, Pruritus
Clinical narrative: Child c/o itch at site of vaccine. Later that eve, mom noted swelling in same area. Advised ice TID to QID. Benadryl prn itch. RTC if increased swelling or decreased use of arm.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Left thigh swollen to knee 48 hrs after injection with redness. Eval'd per MD approx 72 hrs after injection. Decreased swelling, no limping, no pain.
Age: 1.17
Sex: M
Vaccine: DTAPH, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Rash starting on 7/16/05 covering belly, back, small amount on arms and legs; fever 7/14/05 only.
Age: 52.0
Sex: F
Vaccine: TD
Symptoms: Contusion, Headache, Hypokinesia, Injection site oedema, Injection site swelling
Clinical narrative: On 7/8/05 received Td booster. Next afternoon noticed bruise at imm site (left arm). The following day swelling occurred in a band laterally 1/2" below bruise. Band is 7"x3" today. Pt states swelling was more raised before, better now. Also had difficulty raising arm, and headaches continuing til today.
Age: 1.4
Sex: M
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Blister, Dry skin, Rash papular
Clinical narrative: Fine papular rash B arms and legs, few vesicles, some scales.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Right arm hot to touch, red, swollen (15x11cm). Benadryl and Tylenol.
Age: 1.61
Sex: M
Vaccine: DTAP, MMR
Symptoms: Rash
Clinical narrative: Received Dtap and MMR on 7/12/05 3 1/2 days later broke out in rash all over. On 7/18/05, rash still present.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site oedema, Pyrexia
Clinical narrative: Redness, swelling, fever, injection site.
Age: 1.04
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous, Drug ineffective
Clinical narrative: Varicella bumps on feet, back, neck, knees, thighs, belly, legs, and ankles.
Age: 18.0
Sex: M
Vaccine: HEP
Symptoms: Dizziness, Muscle twitching
Clinical narrative: Had Hep B immunization - left clinic with Mom, was driving about 6 minutes when patients head started twitching towards left side, left arm started twitching - then patient passed out.  Mom pulled car off road, touched his head for response, seconds later he opened eyes, and asked what happened.  Felt lightheaded for 10-15 seconds, no complaint of headache.  Mom brought patient back to clinic - no complaint of head discomfort.  Seems okay at present.  Stayed at clinic 15 minutes, reviewed activity of day and eating.  Called Mom next day, said he was fine, stated he had a bee sting Tuesday evening, same arm as shot on Wednesday.
Age: 0.35
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Fever approximately 102 4 hours after vaccine given.
Age: 19.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Erythema, Lymphadenopathy, Pyrexia, Rash
Clinical narrative: red rash noted to trunk area, swollen lymph nodes behind both ears, on 7/16/05 temperature of 102.6
Sex: F
Vaccine: DT
Symptoms: Brain stem auditory evoked response abnormal, Deafness, Deafness neurosensory, Deafness permanent, Tympanometry
Clinical narrative: I, MOTHER OF PATIENT WAS BIT BY A DOG ON 10-20-01 WHEN I WAS 18 WEEKS PREGNANT.  MY GYNOCOLOGIST WAS NOTIFIED AND GAVE INSTRUCTIONS TO HAVE MY FAMILY DOCTOR ADMINISTOR A TETANUS SHOT.  I RECEIVED DIPHTHERIA TETANUS (DT 0.5) ON 10-23-01.  I GAVE BIRTH TO PATIENT AT THAT TIME SHE DID NOT PASS ANY HEARING TESTS ADMINISTERED BY HOSPITAL. SHE HAD REPEATED HEARING TESTS ADMINISTORED THE FIRST TWO YEARS OF HER LIFE WITH THE SAME RESULTS.  HEARING AIDS WERE PURCHASED IN MAY OF 2004.  TEST RESULTS SHOW PT HAS SEVERE SENSORINEURAL HEARING LOSS IN BOTH EARS.  THERE IS NO FAMILY HISTORY OF HEARING LOSS ON EITHER SIDE.  WE BELEIVE THE CAUSE OF HER HEARING LOSS WAS DUE TO MOTHER RECEIVING TETANUS SHOT WHILE PREGNANT WITH PATIENT RESULTING IN A NEUROLOGIC CONDITION = HEARING LOSS.  Per follow up report Permanent severe hearing loss.
Age: 19.0
Sex: M
Vaccine: MNQ, TD
Symptoms: Chills, Headache, Injection site erythema, Nausea, Pyrexia
Clinical narrative: Received Menactra IM right arm approximately 1:00 PM on 7/18/2005.  Woke at 4:00 AM 7/19/05 with fever chills, headache and slight nausea.  Fever relieved by Tylenol but returned as it wore off.  Slight redness @ site.  Received Td at left deltoid also, at same visit.  Upon return call to client on 7/20/05, signs and symptoms resolved.
Age: 36.0
Sex: F
Vaccine: TTOX
Symptoms: Dysphagia, Face oedema
Clinical narrative: Donor returned to donate on 077/19/05, donor was asked about reaction from Immunization. Donor stated her throat felt like uvula was longer than normal, hanging down into her throat getting caught when she swollows. Along with her right side of her face swollen, she stated to me this begun on the morning after her immunization.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Patient received Menactra and PPD on 7/19/05.  Patient reports itching began evening of 7/19/05, around waist line with progression to rash and hives on neck, stomach and groin the following morning.  No respiratory difficulties reported.  Hives and itching increased in severity during the day.  She saw the nurse practitioner at approximately 3 p.m. and received Decadron 8 mg IM, a Medrol dose pack and Zyrtec p.r.n.  The client's mother reports this morning that the itching and hives are improving but not totally resolved. Patient also received tuberculosis skin test at the same time.
Age: 1.29
Sex: M
Vaccine: DTAP, PNC
Symptoms: Apnoea, Convulsion, Cyanosis, Eye movement disorder, Feeling hot
Clinical narrative: 3:30pm - child feels warm 4:30pm - child still warm -gave 1/2 of 81mg ASA          child fell asleep, when awakens eats          & drinks fluids 5-6pm  - temp taken 101.9 axillary, child          cranky, uses cool cloth to for-          head 7:30pm - temp 102.8 axillary,           applies cool cloth to           head and chest 7:50pm - had seizure ("eyes roll back and          body shaking") 7:55pm - child transported to ER via           private vehicle - "lips blue          stopped breathing, grandfather          attempted CPR" 8pm    - arrive ER - temp 103.5 rectal          breathing at that point 10:30pm  - discharged from ER to home-Will follow up with private MD at 3pm 7-21-05
Age: 1.29
Sex: M
Vaccine: DTAP, PNC
Symptoms: Irritability, Pyrexia, Tremor
Clinical narrative: 3:30pm - child feels warm 4:30pm - child still warm -gave 1/2 of 81mg ASA          child fell asleep, when awakens eats          & drinks fluids 5-6pm  - temp taken 101.9 axillary, child          cranky, uses cool cloth to for-          head 7:30pm - temp 102.8 axillary,           applies cool cloth to           head and chest 7:50pm - had seizure ("eyes roll back and          body shaking") 7:55pm - child transported to ER via           private vehicle - "lips blue          stopped breathing, grandfather          attempted CPR" 8pm    - arrive ER - temp 103.5 rectal          breathing at that point 10:30pm  - discharged from ER to home-Will follow up with private MD at 3pm 7-21-05
Age: 60.0
Sex: F
Vaccine: TD
Symptoms: Hypokinesia, Pain, Pyrexia
Clinical narrative: Severe right arm pain where tetanus injection was administered.  Pain with movement of deltoid in any direction.  No redness, swelling, drainage.  Injection given 7/14/05.  Temp 99.3 po.  Ibuprofen 800mg tid with meals #20 given.  Return if redness or increase in temp.  Recheck 07/25/05.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Pain
Clinical narrative: Mother reported two inch redness around injection site on 07/20/2005 in the morning. Injection was given around 3:30 pm on 07/19/2005. Redness increased in size to include below shoulder and one to two inches above elbow on 07/21/2005. No elevated temp, No N/V, mother reports he is swimming on 07/21/2005 and using arm without difficulty. Mother reports arm might be a little sore but no raised area noted. Instructed mother to apply cool compress and notify physician. Instructed mother to report to Health Department report of physician.
Age: 12.0
Sex: F
Vaccine: DT
Symptoms: Medication error
Clinical narrative: patient given Pediatric Td instead of the ordered Boostrix. parent notified. no adverse reactions or symptoms at this time.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Fatigue, Feeling hot, Irritability, Pyrexia, Sleep disorder
Clinical narrative: FUSSY, TIRED, YET NOT SLEEPING, HOT TO TOUCH,  9AM PREMEDICATED WITH TYLENOL LIQUID 0.8 ML 2PM HAS NOT NAPPED(USUALLY TAKES 2 ONE HOUR NAPS) 2PM TYLENOL THE SAME DOSE 0330PM TEMP 102.0 F RECTALLY - MOTRIN 0.8 ML 0430PM TEMP 101.7 F RECTALLY 0500PM      100.7 0530PM      101.5
Age: 0.22
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Feeling hot, Hypotonia, Listless, Pallor, Pyrexia
Clinical narrative: Pt was administered IPV, DTaP, Hib/HepB, and PCV7 on 7/20/05 at around 3:00 p.m.  Pt was given Tylenol at the clinic and every 4-6 hrs at home.  At around 6:00 a.m., pt was noted to feel warm.  At 7:00 a.m. she was noted to have a temp of 102 and over the next hour she became "listless, grey, and limp."  She was brought the the Ped E.R. at around 7:045 a.m.  Parents deny any previous symptomology or sick contacts.  At the E.R. her vitals were: BP 85/57, p 130, rr 32, t 37.6.  Physical exam was unremarkable.  A blood Cx was drawn and noted to be neg after 24 hrs.  WBC 18.3, Hct 30.8, plts 328.  The family refused both a lumbar puncture and urethral catheterization for UA and urine cx.  Pt was given Ceftriaxone 100 mg/kg IV.  Upon d/c her temp was noted to be 38.5, and she was given Tylenol 15 mg/kg.    During a follow-up clinic visit on 7/21 the parents reported that she had remained afebrile, and asymptomatic.  Her vitals were T 98.4 F, HR 150, RR 36 and her physical exam was unremarkable.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: R. arm (deltoid area) swollen, hard, warm to touch. Swollen/hard area 13x15 cm @ 1400.  Guardian reported that PMD prescribed Keflex x 7 days in AM of 07/21/05.
Age: 1.04
Sex: F
Vaccine: MMR
Symptoms: Erythema, Pyrexia, Rash
Clinical narrative: About 1 week after she was giving the MMR she developed a low grade fever which lasted a couple days.  She then developed a red rash which started on her back and spread all over body and face.
Age: 30.0
Sex: M
Vaccine: ANTH, YF
Symptoms: Injection site erythema, Oedema, Paraesthesia, Pharyngitis, Tachycardia
Clinical narrative: DIFFUSE ERYTHEMA SCLERAL INJECTION DIFFUSE CONFLUENT URTICARIA GLOSSAL EDEMA PERIORAL PARASTHESIAS PHARYNGEAL EDEMA TACHYCARDIA  Patient treated with Benadryl 50 mg IM, with resolution of symptoms within 30 minutes.
Age: 30.0
Sex: M
Vaccine: ANTH, YF
Symptoms: Urticaria
Clinical narrative: DIFFUSE ERYTHEMA SCLERAL INJECTION DIFFUSE CONFLUENT URTICARIA GLOSSAL EDEMA PERIORAL PARASTHESIAS PHARYNGEAL EDEMA TACHYCARDIA  Patient treated with Benadryl 50 mg IM, with resolution of symptoms within 30 minutes.
Age: 13.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Convulsion, Hypertonia, Hypotonia, Pyrexia
Clinical narrative: One week after immunizations patient had a brief (3 minutes) generalized tonic-clonic seizure.  Had low grade fever for several days prior to that.  History of one previous seizure last year.