chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: LYME
Symptoms: Sensation of heaviness, Sensory loss
Clinical narrative: This case was reported by a lawyer via a statement of injuries and described the occurrence of neck pain in a female subject of unspecified age who was vaccinated with LYMERIX (GlaxoSmithKline). A physician or other health care professional has not verified this report. On an unspecified date the subject received unspecified dose of LYMERIX (unknown). At an unspecified time after vaccination with LYMERIX, the subject experienced neck pain, back pain, stiff back, joint pain (knee, elbow, shoulder, and right ankle), scapula pain, thigh pain, severe headaches including migraines, leg heaviness, loss of balance, fatigue, "mottling in her eyes", and numbness/tingling in her toes, legs, back, arms, face, and fingers. The statement of injuries further alleged that the events "negatively impacted on her activities of daily living and enjoyment of life". At the time of reporting the outcome of the events were was unspecified. Follow-up information was received on 27 July 2009 via medical records. The subject was evaluated on 27 November 2001 for her headaches. She reportedly had a history of headaches for many years. Following exam, it was believed that the subject was suffering from either tension headaches versus migraines. She described a constant pulling feeling in the back of her head suggestive of a tension headache. However, migraine headaches can sometimes be associated with constant occipital pain. She has a family history of migraine. Her exam was unremarkable. The subject was seen again for headaches on 29 January 2002. It was remarked that it was not clear whether the subject suffered from tension headache versus atypical migraine. She was placed on Amitriptyline. The subject was evaluated for headache through 28 January 2003 and continued to do well on Amitriptyline. On 20 May 2003, it was reported that the subject was experiencing frequent headaches. The headaches were described as migraines. She was taking Amitriptyline, ACTONEL and ELAVIL. She was switched to TOPAMAX at this visit. In follow-up on 26 August 2003, it was reported that headaches were better and resolved after she stopped drinking coffee. At this visit, the subject reported right shoulder pain and pain at the tip of the right shoulder blade. She received chiropractic treatment and shortly afterwards started to experience numbness in the right second toe and occasional numbness in the left foot. Once she reported numbness in her fingertips bilaterally, but it resolved. Impression was believed to be cervical spondylosis. She was referred for physical therapy. The subject's second problem was numbness in the toes which was associated with decreased vibratory sensation on examination. This was suggestive of possible early polyneuropathy; the etiology was not clear. Additional testing was suggested. On 13 October 2003, the subject was seen in follow-up with new complaints of low back pain and spasms in the lower back. She was still having symptoms in both lower extremities. She had tightness in the calf muscles bilaterally and numbness in the toes. The
Age: 20.0
Sex: F
Vaccine: PPV
Symptoms: Burning sensation, Full blood count normal, Pyrexia
Clinical narrative: Severe erythema, warmth, tenderness, slightly raised- "like skin was burning off", Fever.  8/27/08 Hospital records received DOS 8/5/09 8/6/09. Assessment: Localized inflammatory reaction/vaccine reaction. Patient presents with area of erythema, pain, and induration at vaccine in the left shoulder. Fever/Chills. Anxious  ICD-9 Codes; 999.9 Compic Med Care NEC/NOS, 999.39 Infection Follow Oth Infusion, Inject, Transfusion, or Vacc, 311 Depressive Disorder NEC, 710.0 Syst Lupus Erythematosis, E948.8 Adv Eff Bact Vac NEC/NOS  9/3/09 Received ER medical records of 8/3/2009. FINAL DX: cellulitis, fever Records reveal patient experienced: fever of 102.1; myalgias; pneumovax injection site redness, warmth & swelling x 1 day.  Tx w/oral antibiotics & d/c to home w/PCP followup.
Age: 18.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Axillary pain, Pain in extremity
Clinical narrative: Pain left arm, armpit, down side from armpit.  0 swelling.  0 fever.  Pain started in arm - spread over the last couple of days.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Influenza like illness, Rash papular, Skin lesion
Clinical narrative: 20 y/o AA male ADSM/Specialist is referred to FBVHC by SRC physician for smallpox vaccine inoculation site concerns.  R/O satellite lesions versus autoinoculation.  Symptoms:  Flu-like symptoms<96 hours, lesions, papule.
Age: 19.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Erythema, Tenderness
Clinical narrative: 08/09/2009 Mild, other. Redness. 3 inch diameter, tender to touch.
Age: 0.4
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Injection site erythema, Injection site oedema, Injection site swelling, Injection site warmth, Irritability
Clinical narrative: Inj. site top R thigh covered by bandaid, red area (also raised) 39mm x 23mm @ widest point above and medial to inject. site. Inj. site sl. red (11x11 mm). Mild edema and increase warmth in area, mom reported no fever, mild irritability. Exam per ARNP. Inst. to apply ice with protective layer for 1-3 min. q6hrs. Referred to MD.
Age: 20.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Blood glucose, Bradycardia, Electrocardiogram, Oxygen saturation, Syncope
Clinical narrative: Syncope. Bradycardia - pulse < 40. Given oxygen.
Age: 0.34
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC, RV5
Symptoms: Culture stool negative, Haematochezia
Clinical narrative: Vaccines given 7/20 including ROTAVIRUS.  On 7/21 called about blood in the stool.  Seemed well otherwise.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pain
Clinical narrative: On 8/5/09 pt rec'd KINRIX on L arm and VAX/MMR R side SQ, pt RTC for PPD reading 8/7/09 mother showed me L arm stated "It was worse, starting to get better".  Pt's L upper deltoid area had 4" length x 2" wide red & warm to touch raised bump.  Provider saw patient advised cold compresses to swelling & TYLENOL for pain.  ER precautions given.  RTC if not better.  Doing better per mom.
Age: 19.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Culture tissue specimen positive, HIV test negative, Herpes simplex serology negative, Herpes simplex serology positive, Hypersensitivity
Clinical narrative: Per clinical notes: 19 y/o male who developed mildly pruritic skin lesions over bilateral hands, primarily knuckles & right palm, & bilateral elbows approximately 15-16 days following receipt SPV (1/30), AVA#! (1/29) & typhoid (1/29) vaccines. On initial medical exam by PCM 2/15, lesions described as maculopapular on erythematous base w/o discharge or ecchymosis. By 2/19, similar lesions also noted over both knees; there were no systemic symptoms; initial working diagnosis was inflammatory psoriasis & he was prescribed MEDROL dose pack & antihistamines. Per consult 2/20, punch bx taken from right elbow & oral steroids increased to pulse, with addition to topical steroid: working diagnosis changed to hypersensitivity reaction to SPV. By 3/2 all lesions resolved. IZ record indicated past positive titer VZV.
Age: 19.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Lymphocytic infiltration, Psoriasis, Rash erythematous, Rash maculo-papular, Rash pruritic
Clinical narrative: Per clinical notes: 19 y/o male who developed mildly pruritic skin lesions over bilateral hands, primarily knuckles & right palm, & bilateral elbows approximately 15-16 days following receipt SPV (1/30), AVA#! (1/29) & typhoid (1/29) vaccines. On initial medical exam by PCM 2/15, lesions described as maculopapular on erythematous base w/o discharge or ecchymosis. By 2/19, similar lesions also noted over both knees; there were no systemic symptoms; initial working diagnosis was inflammatory psoriasis & he was prescribed MEDROL dose pack & antihistamines. Per consult 2/20, punch bx taken from right elbow & oral steroids increased to pulse, with addition to topical steroid: working diagnosis changed to hypersensitivity reaction to SPV. By 3/2 all lesions resolved. IZ record indicated past positive titer VZV.
Age: 19.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Varicella zoster virus serology positive
Clinical narrative: Per clinical notes: 19 y/o male who developed mildly pruritic skin lesions over bilateral hands, primarily knuckles & right palm, & bilateral elbows approximately 15-16 days following receipt SPV (1/30), AVA#! (1/29) & typhoid (1/29) vaccines. On initial medical exam by PCM 2/15, lesions described as maculopapular on erythematous base w/o discharge or ecchymosis. By 2/19, similar lesions also noted over both knees; there were no systemic symptoms; initial working diagnosis was inflammatory psoriasis & he was prescribed MEDROL dose pack & antihistamines. Per consult 2/20, punch bx taken from right elbow & oral steroids increased to pulse, with addition to topical steroid: working diagnosis changed to hypersensitivity reaction to SPV. By 3/2 all lesions resolved. IZ record indicated past positive titer VZV.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, VARCEL
Symptoms: Haematuria, Henoch-Schonlein purpura, Purpura
Clinical narrative: 5 yo with onset of LE and buttock purpura on 8/5/09. Pt has developed subsequent hematuria. Pt hs been diagnosed with HENOCH SCHONLEIN Purpura
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Gave pt vaccine in R DM.  approximately 5 mins later pts inj. site turned red and had a dime size induration.  Pt was then seen by Dr.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Approx dime sized induration, quarter sized redness to R arm injection site, no dyspnea, no SOB or swelling to other sites.
Age: 4.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site induration, Urticaria
Clinical narrative: Local red indurated area @ site of vaccination left thigh.  Hives/ urticaria on 8/6/09.
Age: 65.0
Sex: F
Vaccine: TD
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: 10 days post vaccine increase itchy rash red.  No evidence infection 30 cm diameter circular. No rash other area.  No joint pain.
Age: 1.95
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Mother described red swollen extremity in R leg where vaccines were administered, pt had 4th DTaP and Hep A #2 in R LE. Mother first reported to public health on 7/6/09.
Age: 1.95
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Contusion, Dysphonia, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Red, warm, swollen extremity where 4th dtap given, also fever and a hoarse cough (per mother) for one night.  The redness, swelling lasted several weeks and a bruised are remains.  These clients were 23 mon. old twin brothers.  The childrens mother called public health because of lasting redness, swelling pain @ injection site.  The mother reported that her brother had a dtap reaction as a child.  The mother was instructed to follow up with PCP and determine with PCP if further vaccination  with dtap should be deferred.
Age: 1.95
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site warmth, Pyrexia
Clinical narrative: Red, warm, swollen extremity where 4th dtap given, also fever and a hoarse cough (per mother) for one night.  The redness, swelling lasted several weeks and a bruised are remains.  These clients were 23 mon. old twin brothers.  The childrens mother called public health because of lasting redness, swelling pain @ injection site.  The mother reported that her brother had a dtap reaction as a child.  The mother was instructed to follow up with PCP and determine with PCP if further vaccination  with dtap should be deferred.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Headache, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site vesicles
Clinical narrative: Had HA and was nauseated 7/29 eve. Continued with HA 7/30 and not feeling well. Pt had 2" red, swollen area at injection site with itching and vesicle the size of pencil eraser at site. Tx BENADRYL every 6-8 and TYLENOL every 4-6 hours PRN. F/u call on 7/31 much better, no HA today, redness and swelling gone and blister, now small scab.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Malaise, Nausea, Scab
Clinical narrative: Had HA and was nauseated 7/29 eve. Continued with HA 7/30 and not feeling well. Pt had 2" red, swollen area at injection site with itching and vesicle the size of pencil eraser at site. Tx BENADRYL every 6-8 and TYLENOL every 4-6 hours PRN. F/u call on 7/31 much better, no HA today, redness and swelling gone and blister, now small scab.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Diarrhoea, Injection site erythema, Lethargy, Nausea, Pain in extremity
Clinical narrative: Received pneumococcal vaccine in office on 5/15/09. Calls office on 5/17/09 and is seen in Urgent Care. Experiencing redness Lt deltoid, warmth reported with pain L shoulder to hand, (+) nausea, lethargy, dry heaves diarrhea.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Retching, Skin warm
Clinical narrative: Received pneumococcal vaccine in office on 5/15/09. Calls office on 5/17/09 and is seen in Urgent Care. Experiencing redness Lt deltoid, warmth reported with pain L shoulder to hand, (+) nausea, lethargy, dry heaves diarrhea.
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Lip swelling, Urticaria
Clinical narrative: 6-10-09 at 5 PM lips started swelling.  Called hospital at 5:30 had to leave message.  6:10 PM.  Hospital nurse called treatments.  Take 1.50 mg BENADRYL every 4 to 6 hrs.  6:45 Dr. from hospital called.  6-11-09 at 6:30 AM hives on finger half way below and above knees, lips started swelling called hospital took patient to see doctor about 9 AM.  Symptoms was gone 6-13-09.
Age: 7.0
Sex: M
Vaccine: HEPA
Symptoms: Erythema, Urticaria
Clinical narrative: Pt had urticaria, and extreme erythema full body 1 day after Hep A immunization. Pt had no other abnl po intake.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Mom reports swelling & redness in right shoulder within an hour.  HEP A given there.  Had low grade fever, next day 102, went to school, come in 2 days later.  No fever, 6 X 7 1/2 cm erythema around shot site.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Erythema, Rash, Skin warm
Clinical narrative: An 18 cm X 14 cm red, warm to touch rash developed 24 hrs after injection to HIB & DTAP.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Abdominal pain upper, Blood pressure increased, Dizziness, Fall, Headache
Clinical narrative: Varicella vaccine administered with 5/8" needle to left upper arm @ approx 11:10 AM. Pt left exam room @ approx 11:20 AM and used bathroom. Pt reported feeling lightheaded and her father caught her as she began to fall after exiting bathroom. Pt was yelling and kicking her feet as her father held her. Pt was put in supine position by HD staff with feet elevated. BP 101/55 P69 @ 11:10 AM. Pt c/o stomach ache and frontal HA. Cool cloth applied to forehead. Color pale. At 11:30AM pt left walking after reporting feeling better. Stomach ache gone color returned to normal BP 100/60. Cont to c/o Frontal HA. Suggested hearty lunch, increase fluids, no caffeine. Indoor quiet activity for 24 hours. TYLENOL for HA. Report to ER if condition worsens or does not improve.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Heart rate, Pallor, Screaming
Clinical narrative: Varicella vaccine administered with 5/8" needle to left upper arm @ approx 11:10 AM. Pt left exam room @ approx 11:20 AM and used bathroom. Pt reported feeling lightheaded and her father caught her as she began to fall after exiting bathroom. Pt was yelling and kicking her feet as her father held her. Pt was put in supine position by HD staff with feet elevated. BP 101/55 P69 @ 11:10 AM. Pt c/o stomach ache and frontal HA. Cool cloth applied to forehead. Color pale. At 11:30AM pt left walking after reporting feeling better. Stomach ache gone color returned to normal BP 100/60. Cont to c/o Frontal HA. Suggested hearty lunch, increase fluids, no caffeine. Indoor quiet activity for 24 hours. TYLENOL for HA. Report to ER if condition worsens or does not improve.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Nasal oedema, Pruritus, Swelling face
Clinical narrative: Facial and nasal swelling, throat clearing, pruritus
Age: 39.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Pruritus
Clinical narrative: Very painful. States on 7/2 her Lt. arm (deltoid) was twice as large as other arm, very red, very itchy. Came to Employee Health 7/3 - we were closed, took Ibuprofen. States pain, swelling and itching lasted for 2 weeks. Today 8/5 states her left shoulder/deltoid is fine no problems. States with 1st dose Hep B had had some itching and redness, nothing with 2nd dose.
Age: 7.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Within 24 hours the pt. developed erythema at the site of injection- (R) tigh. The erythema increased in size to 12x10cm with small area of induration at the center. Antibiotics were given for possible secondary infection and cool compresses were instructed to be applied.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, redness, warmth @ site of VARICELLA - pt denies tenderness - warm compress applied per mom
Sex: F
Vaccine: VARZOS
Symptoms: Blindness unilateral, Visual acuity tests abnormal
Clinical narrative: Information has been received from a consumer regarding a case in litigation concerning herself (a female patient of unknown age) with no drug allergies and herpes viral infection in her eye and glaucoma who on unspecified date was vaccinated with a dose of ZOSTAVAX (Merck). Concomitant therapy included acyclovir, dorzolamide hydrochloride (+) timolol maleate and prednisolone. It was reported that "for about 6 year the patient had a herpes viral infection in her left eye which she was getting treated for, but then she received ZOSTAVAX (Merck) and about 6 to 8 weeks later she lost total vision in her left eye. The consumer reported that she saw the eye doctor who did a vision test and was told she has no vision in her left eye." The patient had not recovered. Upon internal review, lost total vision was determined to be an other important medical event. No further information is available.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Completed suicide
Clinical narrative: Pt. committed suicide on 8-3-09. 9/25/09 Autopsy report received - DOD 8/3/09 Asphyxiation due to hanging.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA, IPV, VARCEL
Symptoms: Ear infection, Wheezing
Clinical narrative: Wheezing - admitted 7/31/09 for 24 hour ear infection. Treated with oxygen, albuterol, atrovent, steroids and amoxicillin.   9/8/09 Hospital records received DOS 7/31/09 to 8/1/09. Assessment: Reactive airway disease. Acute otitis media.  Patient presented with a one day history of wheezing, congestion, and cough. Mild respiratory distress. Nasal congestion, bilateral tympanic membranes red and boggy. Bilateral diffuse expiratory wheezes, mild subcostal retraction. Eczematous erythematous plaques on knees. Supplemental O2 via BNC.
Age: 1.65
Sex: M
Vaccine: DTAP, HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Pyrexia, Rash, Vaccination complication
Clinical narrative: 5/15/9 - MMR given with Hep A, Hib, DTaP, PCV-7, VZV - 5/28/09 - Rash after fever - 6/02/09 - Vaccine reaction noted with rash, fever.
Age: 26.0
Sex: F
Vaccine: HEPA, TYP, YF
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Pt had taken an MMR vaccine 2 days prior to being administered Yellow Fever. No adverse s/s. Will do Yellow Fever titer in 30 days (one month) when pt returns to clinic.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: A LU arm slightly red and tender.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, VARCEL
Symptoms: Chills, Pyrexia, Tremor
Clinical narrative: Fever and shaking chills X 16-17 hrs after vaccinations given.
Age: 0.35
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Pt. had vaccine on 7/31/09 in late afternoon. Pt. then started with fever and had febrile seizure early 8/1/2009.  9/4/09 Received ER records of 8/1/2009. FINAL DX: seizure following immunizations Records reveal patient experienced irritability & fever 100.3.  Had tonic-clonic seizure activity x 5 min followed by crying & normal behavior.  Tx w/antipyretics & d/c to home w/PCP f/u.  Tx w/phenobarbital per labs done 8/30/09.  9/17/09 Hospital records received DOS 8/9/09 to 8/11/09. Assesment: Partial Seizures with secondary generalization. Patient presented after having 3 seizures today. Arm curled up, twitching, eyes, fixed, eyelids twitching. Unresponsive. Flexed tonic posturing. Clonic jerking of extremities. Discharged, had another seizure and brought back to hospital. Shoulder hypotonia. Tachycardia  ICD-9 Codes: 345.50 Localization related epilepsy and epileptic syndrome with simple partial seizures without intractable epilepsy.  9/18/09 Neurological consult DOS 8/29/09. Assessment: Focal and secondary generalized seizures. Neurological exam - normal.
Age: 0.35
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5, DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Atypical benign partial epilepsy, Electroencephalogram abnormal, Febrile convulsion, Grand mal convulsion, Nuclear magnetic resonance imaging normal
Clinical narrative: Pt. had vaccine on 7/31/09 in late afternoon. Pt. then started with fever and had febrile seizure early 8/1/2009.  9/4/09 Received ER records of 8/1/2009. FINAL DX: seizure following immunizations Records reveal patient experienced irritability & fever 100.3.  Had tonic-clonic seizure activity x 5 min followed by crying & normal behavior.  Tx w/antipyretics & d/c to home w/PCP f/u.  Tx w/phenobarbital per labs done 8/30/09.  9/17/09 Hospital records received DOS 8/9/09 to 8/11/09. Assesment: Partial Seizures with secondary generalization. Patient presented after having 3 seizures today. Arm curled up, twitching, eyes, fixed, eyelids twitching. Unresponsive. Flexed tonic posturing. Clonic jerking of extremities. Discharged, had another seizure and brought back to hospital. Shoulder hypotonia. Tachycardia  ICD-9 Codes: 345.50 Localization related epilepsy and epileptic syndrome with simple partial seizures without intractable epilepsy.  9/18/09 Neurological consult DOS 8/29/09. Assessment: Focal and secondary generalized seizures. Neurological exam - normal.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site swelling, Skin tightness
Clinical narrative: Left arm swollen, tight 24 hours.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Syncope
Clinical narrative: C/o fainting
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Eye swelling, Swelling face, Urticaria
Clinical narrative: 20 minutes post immunizations pt.'s face and eyes began swelling.  Hives on chest.  Taken to ER.  Given IV fluids.  Prescribed PREDNISONE & BENADRYL.
Age: 59.0
Sex: M
Vaccine: TDAP
Symptoms: Chills, Gait disturbance, Hot flush, Influenza like illness, Injection site pain
Clinical narrative: Servere left hip pain at injection site which restricted ability to walk for 4 days then moderated.  Chills, hot flashes for 7 days.  Did not experience fever.  Flu type symptoms for 7 days.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site haematoma, Injection site swelling, Injection site warmth
Clinical narrative: reddened area (4 cm X 6 cm) below needle site (left upper arm) - Slight bruising (1 X2 cm) beneath needle site warm to touch, slight swelling of red area.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness and slight swelling below area of injection (not warm to touch) "slightly painful", says Pt.
Age: 22.0
Sex: F
Vaccine: SMALL
Symptoms: Headache, Rash generalised, Rash papular
Clinical narrative: Seen @ Sick call with headache after Small Pox Vaccine 4 wks ago and papular rash all over body x 6 days. No fever / chills. Ibuprofen for headache, BENADRYL for rash. Spoke with patient @ approx. 1355 7/30/09 and was informed that pt removed bandage per advisement from co-worker who told her to remove it.
Age: 15.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Muscle tightness, Musculoskeletal stiffness, Syncope
Clinical narrative: Left health department, in car-driven by sister and their way home. Pt stated didn't feel good, sister noted body stiffened - muscle became tight and syncope followed. 911 called pt started to arouse - No tx given. Parents called and release in their care.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Computerised tomogram normal, Convulsion
Clinical narrative: Seizure within 2-3 minutes after given vaccine, observed here for 60 minutes the sent to E.R.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Head injury, Syncope
Clinical narrative: On 08/04/09 approx 10:10 AM vaccines administered tolerated well - nurse assisted client and mother to supply room to receive health information materials, from nurse. Nurse called to room and nurse observed client on floor, fainted and hit back of head onto wall. Client alert, oriented, assisted to chair, VS taken B/P 104 to HR = 88 - R=20, no swelling to head noted - ice pack applied. Referred to PCP - Treated with MOTRIN.
Age: 13.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Arthropod bite, Erythema, Lyme disease, Pruritus, Rash papular
Clinical narrative: Developed "tiny red bumps" on arms, legs - None on back or stomach - itching - Unknown fever - to ER 7-25-09 - Rx Amox. 500mg tid x 21d.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Cardiac murmur, Echocardiogram, Electrocardiogram, Loss of consciousness, Pallor
Clinical narrative: Syncope, vomiting, grey skin tone. Syncope lasted ~20 sec, patient came to and combative, then began vomiting intermittently and skin tone grey X 30min. VSS called squad and transported to Hospital. Patient continued to throw up in ambulance. Observed in ER. Specific testing not done due to patient's strong history of syncope. In the past patient had tilt table test for diagnosis of vasodepressor syncope. Recently (2/09) pt had EKG and Echo for innocent murmur before nasal surgery. Patient passed out every time in ENT's office when painful stimulus per mom.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Syncope, Vomiting
Clinical narrative: Syncope, vomiting, grey skin tone. Syncope lasted ~20 sec, patient came to and combative, then began vomiting intermittently and skin tone grey X 30min. VSS called squad and transported to Hospital. Patient continued to throw up in ambulance. Observed in ER. Specific testing not done due to patient's strong history of syncope. In the past patient had tilt table test for diagnosis of vasodepressor syncope. Recently (2/09) pt had EKG and Echo for innocent murmur before nasal surgery. Patient passed out every time in ENT's office when painful stimulus per mom.
Age: 19.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Fever to 101 degrees F, myalgias, chills, headache, and arthralgias
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Cellulitis, Erythema, Oedema peripheral, Pruritus, Skin warm
Clinical narrative: About 24 hrs after receiving vaccine (R) upper arm became swollen, warm, red, and itchy. It continued to progress and pt returned to MD to evaluated on 8-1-09.  Area of redness measured 5x3 inches. Pt was started on BACTRIM for potential secondary cellulitis.
Age: 12.0
Sex: F
Vaccine: HEP, IPV, MNQ, TDAP
Symptoms: Arthralgia, Full blood count normal, Myalgia, Pyrexia, Rash
Clinical narrative: Polyarthralgias, rash 24 hours post injection.  Tx'd with PREDNISONE - developed fever & myalgias - After 1 wk resolved except left wrist pain.
Age: 12.0
Sex: F
Vaccine: HEP, IPV, MNQ, TDAP
Symptoms: Red blood cell sedimentation rate increased
Clinical narrative: Polyarthralgias, rash 24 hours post injection.  Tx'd with PREDNISONE - developed fever & myalgias - After 1 wk resolved except left wrist pain.
Age: 15.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt developed marked redness and swelling at injection site (about 10cm X 5 cm)
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Cheilitis, Fatigue, Gingivitis, Lip swelling, Lymphadenopathy
Clinical narrative: Body aches, fatigue, blisters inside mouth, swollen glands, sores on lips and gums, swollen lips.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Oropharyngeal blistering, Pain, Stomatitis
Clinical narrative: Body aches, fatigue, blisters inside mouth, swollen glands, sores on lips and gums, swollen lips.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: R arm swollen, red, hot over entire arm;  developed within 24 hours after vaccine.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Feeling abnormal, Headache, Pyrexia, Rash
Clinical narrative: Received MENACTRA 7/24/09. Felt bad the next A.M, with headache. -Progressing to HA - with fever 103.0 degrees F orally. Went to ER on 7/26/09 with HA fever and rash - was treated with TYLENOL, BENADRYL and 1% hydrocortisone cream.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal pain, Borrelia burgdorferi serology, Diarrhoea, Fatigue, Full blood count
Clinical narrative: Severe diarrhea w/in 48 hrs. of 3rd vaccine, vomiting, chronic fatigue, headache, abdominal pain, heart palpitations, sensitivity to light & noise. All except vomiting have continued. Low grade fever of "unknown origin".  8/14/2009 PCP records rec'd dated 7/20-8/3/2009 with dx:  Headache. Fatigue. Abdominal Pain. Pt initially presented 7/20/09 with 2 week hx of headaches and abdomminal pain. Nausea associated with abd pain.  Parent reports reduced activity level.   F/U 8/1/09. Tenderness to palpation in RUQ. Returned 8/3/09 with worsening sx. MD notes sx began following HPV and TDaP vax in June. Reports need frequent breaks with activity, spending days in bed 2' to fatigue, dizziness, lightheadedness, seeing spots, epigastric pain, several episodes of syncope with myoclonic movements.  Referred to cardiology and neurology.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Headache, Mononucleosis heterophile test, Palpitations, Phonophobia, Photophobia
Clinical narrative: Severe diarrhea w/in 48 hrs. of 3rd vaccine, vomiting, chronic fatigue, headache, abdominal pain, heart palpitations, sensitivity to light & noise. All except vomiting have continued. Low grade fever of "unknown origin".  8/14/2009 PCP records rec'd dated 7/20-8/3/2009 with dx:  Headache. Fatigue. Abdominal Pain. Pt initially presented 7/20/09 with 2 week hx of headaches and abdomminal pain. Nausea associated with abd pain.  Parent reports reduced activity level.   F/U 8/1/09. Tenderness to palpation in RUQ. Returned 8/3/09 with worsening sx. MD notes sx began following HPV and TDaP vax in June. Reports need frequent breaks with activity, spending days in bed 2' to fatigue, dizziness, lightheadedness, seeing spots, epigastric pain, several episodes of syncope with myoclonic movements.  Referred to cardiology and neurology.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Pyrexia, Red blood cell sedimentation rate, Ultrasound abdomen, Vomiting
Clinical narrative: Severe diarrhea w/in 48 hrs. of 3rd vaccine, vomiting, chronic fatigue, headache, abdominal pain, heart palpitations, sensitivity to light & noise. All except vomiting have continued. Low grade fever of "unknown origin".  8/14/2009 PCP records rec'd dated 7/20-8/3/2009 with dx:  Headache. Fatigue. Abdominal Pain. Pt initially presented 7/20/09 with 2 week hx of headaches and abdomminal pain. Nausea associated with abd pain.  Parent reports reduced activity level.   F/U 8/1/09. Tenderness to palpation in RUQ. Returned 8/3/09 with worsening sx. MD notes sx began following HPV and TDaP vax in June. Reports need frequent breaks with activity, spending days in bed 2' to fatigue, dizziness, lightheadedness, seeing spots, epigastric pain, several episodes of syncope with myoclonic movements.  Referred to cardiology and neurology.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Abdominal pain, Blood amylase normal, Blood thyroid stimulating hormone normal, Borrelia burgdorferi serology negative, Condition aggravated
Clinical narrative: Severe diarrhea w/in 48 hrs. of 3rd vaccine, vomiting, chronic fatigue, headache, abdominal pain, heart palpitations, sensitivity to light & noise. All except vomiting have continued. Low grade fever of "unknown origin".  8/14/2009 PCP records rec'd dated 7/20-8/3/2009 with dx:  Headache. Fatigue. Abdominal Pain. Pt initially presented 7/20/09 with 2 week hx of headaches and abdomminal pain. Nausea associated with abd pain.  Parent reports reduced activity level.   F/U 8/1/09. Tenderness to palpation in RUQ. Returned 8/3/09 with worsening sx. MD notes sx began following HPV and TDaP vax in June. Reports need frequent breaks with activity, spending days in bed 2' to fatigue, dizziness, lightheadedness, seeing spots, epigastric pain, several episodes of syncope with myoclonic movements.  Referred to cardiology and neurology.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Diarrhoea, Epstein-Barr virus test negative, Fatigue, Full blood count normal, Headache
Clinical narrative: Severe diarrhea w/in 48 hrs. of 3rd vaccine, vomiting, chronic fatigue, headache, abdominal pain, heart palpitations, sensitivity to light & noise. All except vomiting have continued. Low grade fever of "unknown origin".  8/14/2009 PCP records rec'd dated 7/20-8/3/2009 with dx:  Headache. Fatigue. Abdominal Pain. Pt initially presented 7/20/09 with 2 week hx of headaches and abdomminal pain. Nausea associated with abd pain.  Parent reports reduced activity level.   F/U 8/1/09. Tenderness to palpation in RUQ. Returned 8/3/09 with worsening sx. MD notes sx began following HPV and TDaP vax in June. Reports need frequent breaks with activity, spending days in bed 2' to fatigue, dizziness, lightheadedness, seeing spots, epigastric pain, several episodes of syncope with myoclonic movements.  Referred to cardiology and neurology.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Heart rate increased, Lipase normal, Metabolic function test normal, Nausea, Oropharyngeal pain
Clinical narrative: Severe diarrhea w/in 48 hrs. of 3rd vaccine, vomiting, chronic fatigue, headache, abdominal pain, heart palpitations, sensitivity to light & noise. All except vomiting have continued. Low grade fever of "unknown origin".  8/14/2009 PCP records rec'd dated 7/20-8/3/2009 with dx:  Headache. Fatigue. Abdominal Pain. Pt initially presented 7/20/09 with 2 week hx of headaches and abdomminal pain. Nausea associated with abd pain.  Parent reports reduced activity level.   F/U 8/1/09. Tenderness to palpation in RUQ. Returned 8/3/09 with worsening sx. MD notes sx began following HPV and TDaP vax in June. Reports need frequent breaks with activity, spending days in bed 2' to fatigue, dizziness, lightheadedness, seeing spots, epigastric pain, several episodes of syncope with myoclonic movements.  Referred to cardiology and neurology.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Pain, Pyrexia, Red blood cell sedimentation rate normal, Streptococcal identification test negative, Tonsillectomy
Clinical narrative: Severe diarrhea w/in 48 hrs. of 3rd vaccine, vomiting, chronic fatigue, headache, abdominal pain, heart palpitations, sensitivity to light & noise. All except vomiting have continued. Low grade fever of "unknown origin".  8/14/2009 PCP records rec'd dated 7/20-8/3/2009 with dx:  Headache. Fatigue. Abdominal Pain. Pt initially presented 7/20/09 with 2 week hx of headaches and abdomminal pain. Nausea associated with abd pain.  Parent reports reduced activity level.   F/U 8/1/09. Tenderness to palpation in RUQ. Returned 8/3/09 with worsening sx. MD notes sx began following HPV and TDaP vax in June. Reports need frequent breaks with activity, spending days in bed 2' to fatigue, dizziness, lightheadedness, seeing spots, epigastric pain, several episodes of syncope with myoclonic movements.  Referred to cardiology and neurology.
Age: 18.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Ultrasound abdomen normal, Vaccine positive rechallenge
Clinical narrative: Severe diarrhea w/in 48 hrs. of 3rd vaccine, vomiting, chronic fatigue, headache, abdominal pain, heart palpitations, sensitivity to light & noise. All except vomiting have continued. Low grade fever of "unknown origin".  8/14/2009 PCP records rec'd dated 7/20-8/3/2009 with dx:  Headache. Fatigue. Abdominal Pain. Pt initially presented 7/20/09 with 2 week hx of headaches and abdomminal pain. Nausea associated with abd pain.  Parent reports reduced activity level.   F/U 8/1/09. Tenderness to palpation in RUQ. Returned 8/3/09 with worsening sx. MD notes sx began following HPV and TDaP vax in June. Reports need frequent breaks with activity, spending days in bed 2' to fatigue, dizziness, lightheadedness, seeing spots, epigastric pain, several episodes of syncope with myoclonic movements.  Referred to cardiology and neurology.
Age: 10.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site urticaria
Clinical narrative: Pt received HEP A & VARIVAX on 7-29-09.  On 7-30-09 Pt went to ER for a 5 X 2 cm wheal where VARIVAX was given.  Pt was afebrile.  It resolved the next day.
Age: 73.0
Sex: F
Vaccine: TTOX
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: On 7/27/09, Pt. was administered tetanus tox. 0.5ml to (R) deltoid tolerate well. Pt. RTZ on 8-3-09 with c/o inj. site was swollen, red, tender. Noted 9cm induration and redness to (R) deltoid. Pt. currently on KEFLEX 250mg 1 po TID
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Edema & mild erythema of injection site left upper arm (6 cm X 6 cm).  No fever.  Very tender.  Suspect edema closer to injection site of DTAP.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Arthropod bite, Oedema
Clinical narrative: Pt presented to clinic today one day post PPD plant and varicella vaccine, with multiple large area of edema that appeared to be mosquito bites, possible adverse reaction to shots or bite when pt playing football outside or from ingredients in chinese food.  No resp symptom, no fever or other acute symptoms.  Prescription give benadryl 1 1/2 teap Tid x3 days.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema
Clinical narrative: Pt. developed large red area around injection site -MOC describes as the size of a tennis ball.
Age: 1.0
Sex: M
Vaccine: HEPA, PNC, VARCEL
Symptoms: Blood culture negative, Body temperature increased, Convulsion, Dyskinesia, Pyrexia
Clinical narrative: 5/24 developed fever 103.4  given AX TYLENOL + a bath + noticed jerking spell x 2 lasting 2-3 seconds.  Taken to ER w/ temp 103.4 in ER had a seizure x2 minutes.  given TYLENOL x2, ROZEPHIN.  At 0135 Temp 99.4 Pt nl & P/c'd to home.  Had a rash c/o chickenpox on 5/26 when seen in office, fever gone.
Age: 1.0
Sex: M
Vaccine: HEPA, PNC, VARCEL
Symptoms: Rash, White blood cell count
Clinical narrative: 5/24 developed fever 103.4  given AX TYLENOL + a bath + noticed jerking spell x 2 lasting 2-3 seconds.  Taken to ER w/ temp 103.4 in ER had a seizure x2 minutes.  given TYLENOL x2, ROZEPHIN.  At 0135 Temp 99.4 Pt nl & P/c'd to home.  Had a rash c/o chickenpox on 5/26 when seen in office, fever gone.
Age: 36.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Fatigue, Injection site erythema, Injection site mass, Injection site pruritus, Injection site swelling
Clinical narrative: (Left arm) swelling, redness, itching in arm.  Just above injection site to the elbow, inside of arm is very itchy.  Mild fever & very tired.  Slept for 12 hours straight, the next night.  Large lump at injection site.
Age: 36.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Pyrexia
Clinical narrative: (Left arm) swelling, redness, itching in arm.  Just above injection site to the elbow, inside of arm is very itchy.  Mild fever & very tired.  Slept for 12 hours straight, the next night.  Large lump at injection site.
Age: 4.0
Sex: F
Vaccine: UNK
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Redness around injection site. Swelling. Probable cellulitis. Rx: KEFLEX 250 /5ml one tsp po TID #105.
Age: 3.0
Sex: F
Vaccine: DTAP, HEP, HEPA, IPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: On 8/6/09, Pt was brought in by her mother.  Pt had a red & swollen arm.  L arm.  She had her immunizations on 8/4/09.
Age: 29.0
Sex: F
Vaccine: HEPA
Symptoms: Cold sweat, Dizziness, Hypokinesia, Pallor, Paraesthesia
Clinical narrative: 1115 immediately c/o light headedness and tingling of both hands. Became semi responsive. BP 70/50, O2 applied, clammy and pale. 1135 was to walk across hall to lay down. More alert and responsive. BP 104/70.
Age: 25.0
Sex: U
Vaccine: ANTH
Symptoms: Burning sensation, Discomfort, Immediate post-injection reaction, Injection site mass, Pain
Clinical narrative: Anthrax vaccine administered Friday, July 31st, 2009 normal burning sensation, discomfort experienced immediately. Next day, Saturday AUG 1st, noticed mosquito bite sized mark, still burning sensation. As of Monday, AUG 03, burning, pain, and large rash, lump at injection site.
Age: 25.0
Sex: U
Vaccine: ANTH
Symptoms: Rash
Clinical narrative: Anthrax vaccine administered Friday, July 31st, 2009 normal burning sensation, discomfort experienced immediately. Next day, Saturday AUG 1st, noticed mosquito bite sized mark, still burning sensation. As of Monday, AUG 03, burning, pain, and large rash, lump at injection site.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Dyspnoea, Hypoventilation, Oropharyngeal pain, Pallor, Pulse abnormal
Clinical narrative: About 10-15 minutes after receiving vaccines child told mother, thet had already left the clinic, that her throat huet and she was having trouble breathing. Mother returned to clinic, they were still in parking lot, and reported this to the nurses. We went with mother to child who was sitting in the buggy. Child was pale, pulse was weak and thready and respriration shallow. But she was alert and responding to questions. She was able to swallow 25mg[2 tsp] of Benadryl. BP 98/42 color improved and pulse strong and steady. Had child try to drink a juice box which she did without problem.After monitoring her for a few more minutes child stated she felt fine and was able to go home with her family.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Pulse pressure decreased
Clinical narrative: About 10-15 minutes after receiving vaccines child told mother, thet had already left the clinic, that her throat huet and she was having trouble breathing. Mother returned to clinic, they were still in parking lot, and reported this to the nurses. We went with mother to child who was sitting in the buggy. Child was pale, pulse was weak and thready and respriration shallow. But she was alert and responding to questions. She was able to swallow 25mg[2 tsp] of Benadryl. BP 98/42 color improved and pulse strong and steady. Had child try to drink a juice box which she did without problem.After monitoring her for a few more minutes child stated she felt fine and was able to go home with her family.
Age: 69.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site warmth
Clinical narrative: 11x11" R deltoid, 7x7" distal, increase heat at injection site, central area large.  Tx: Benadryl spray, claritin 10 mg oral, ice to area
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Swollen, hot and red on anterior left thigh approx. 5" x 3" in diameter. Seen at ER, given Benadryl and Bactrim.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Mother noted redness, swelling, and itching of child's right upper arm a day after receiving vaccinations. Called MD. Instucted to put ice on area and give age appriopriate dose of benadryl. Mother notes improvement.  10/6/09 PCP medical records, neurology consult, service dates 2/10/02 to 9/09/09. Assessment: Intractable epilepsy and static encephalopathy. Child presents with hx of generalized tonic-clonic convulsion in setting of high fever in Feb 01 dx febrile seizure. In Feb 02 was found limp and unresponsive, vomited twice, and slept for a period of time. convulsive seizure March 02 when ill with otitis media. Tonic stiffening, loss of consciousness, drooling, clonic movements. Similar seizures have continued to occur. Child has been agitated, agressive with hitting and biting, hyperactive, mood lability. Sometimes prodrome or aura. Chewing movements, c/o knees hurt, behavioral arrest, blank stare, stiffen and fall to floor. Bilaterally syncronous and symmetric clonic movements. Eyes roll up. Perioral cyanosis. Postictal confusion. Cognitively impaired. Limited speech. Not eating or sleeping as usual. Sore throat. Diarrhea. Bends back while walking.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, PNC
Symptoms: Full blood count normal, Muscle twitching, Pyrexia, Streptococcal identification test negative, Urine analysis normal
Clinical narrative: Patient was given vaccines in AM and later in evening developed fever to 104.9.  Also had some abnormal "twitching" of body that was able to be suppresed with pressure
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Hypoaesthesia, Inappropriate schedule of drug administration, Lymphocyte percentage decreased, Neutrophil percentage increased, Paraesthesia
Clinical narrative: had 2 episodes of numbness and tingling of left arm and leg unrelated to the site of administration. this shot was given in the right arm.  It was her 4 th shot. Other dates of shots were 3/23/07; 5/23/07;11/26/07 and 8/07/09.  the last shot was given in error.
Age: 0.21
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Erythema, Pyrexia, Rash generalised, Rash macular, Rash maculo-papular
Clinical narrative: 7/29/09  - 2Pm Shots.  Fever - mid. of night (not extreme acc. to Mom). Total of 4 doses tylenol from shots til morning of 7/30/09.  Then did not need any.  7/30/09 12 noon - blotchy red unraised rash all over body acc. to Mom. No other complaints.  7/30/09 To ER at 5:30 PM (Generalized macular papular rash acc. to ER -Told Mom it wasn't really hives. T. 96.3 - Rect.  7/31/09 Rash cleared.  Mom said had only had 1 dose of tylenol previously since born.
Age: 2.0
Sex: M
Vaccine: HEP, HIBV
Symptoms: Flushing, Pyrexia, Tachycardia
Clinical narrative: Fever to 103, tachycardia, flushing of face within 1 hour of vaccine administration.  No hives, wheezing, angioedema, vomiting, or hypotension.  Treated with benadryl, tylenol, ibuprofen.  No progression of symptoms. 08/12/2009 After I filed the report the child had a febrile seizure and was seen in the emergency department. On follow-up this morning he has oral ulcerations consistent with herpangina on exam.
Age: 24.0
Sex: F
Vaccine: MMR
Symptoms: Pruritus, Rash, Rash erythematous
Clinical narrative: C/o itching on arms and legs. Fine red rash seen on tops of arms.
Age: 51.0
Sex: M
Vaccine: TDAP
Symptoms: Body temperature increased, Pain
Clinical narrative: Generalized body aches, elevated temp of 102 to 102.5 began @ 2am after receiving tdap; 1 gm Tylenol initially brought temp down to 101.0; pt then called later same day @ 3:30pm to inform MD office that temp was up to 106.0. Bk
Age: 26.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Pyrexia
Clinical narrative: Induration and erythema at the injection site beginning within 24 hours after the injection and subsiding 4 days after the injection, though still present.  Low-grade fever to 100.7 from 24-48 hours after the injection, resolved 4 days post-injection.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Fevers to 104.8 starting ~36 hours after vaccine administration, febrile seizure ~48 hours after vaccine administration.