chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Hypokinesia, Oedema, Pain, Tenderness
Clinical narrative: Patient received Anthrax on 2 mar 04 Subsequently after .5cc (Bioport FAV 082) LA (Tricep area) Pt came into Immunization Dept 4 Mar 04 at 13:15. Complained of left upper very erythemic, edematous, tender to touch- unable to straighten out fully without greater pain. Stated he took 1 Motrin 800 on 3 Mar 04- but pain swelling greater as this was 1st time it happened with his Anthrax. Referred to PCM examined. Treatment Motrin 800 mg orally as needed every 8 hours for 72 hours. Ice pack to affected area. Avoid heavy lifting and use left arm for 72 hours- Return to clinic whenever necessary. Pt returned to duty.
Age: 1.25
Sex: F
Vaccine: FLU3, HIBV, MMR
Symptoms: Pyrexia, Rash papular
Clinical narrative: Fever 102 degrees F noted 2 weeks after vaccine for a week to present. Pink papules noted 3/3/04 and 3/4/04 (face and trunk). Diagnosis made 3/4/04.
Age: 31.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Cellulitis, Erythema, Feeling hot, Injection site oedema, Injection site pain
Clinical narrative: Redness. Edema and pain centered on elbow and upper arm near inject site. Warm to touch. Assessment: Cellulitis secondary to anthrax vac.
Age: 5.0
Sex: F
Vaccine: HEPA, MMR
Symptoms: Swelling, Tenderness
Clinical narrative: Mild swelling over right cheek/jaw- Parotid gland with mild tenderness. No cervical lymphadenopathy. Afebrile. No swelling nor erythema gums.
Age: 16.0
Sex: F
Vaccine: TTOX
Symptoms: Abscess, Feeling hot, Injection site erythema, Injection site hypersensitivity, Injection site induration
Clinical narrative: Developed swelling, redness and tenderness at injection site, got more swollen, red, warm with itching over the next several days. Induration measured 5cm x 4 cm, treatment for abscess on 9th day with Cephalexin 250 mg four times a day. Told to use moist warm compresses and take Ibuprofen 600 mg every 6 hours as needed pain.
Age: 16.0
Sex: F
Vaccine: TTOX
Symptoms: Injection site oedema, Pruritus, Tenderness
Clinical narrative: Developed swelling, redness and tenderness at injection site, got more swollen, red, warm with itching over the next several days. Induration measured 5cm x 4 cm, treatment for abscess on 9th day with Cephalexin 250 mg four times a day. Told to use moist warm compresses and take Ibuprofen 600 mg every 6 hours as needed pain.
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: 4 x 6 red, warm swollen area on LD. Symptoms of pt. resolved in 48 hrs.
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Urticaria
Clinical narrative: Hives- Benadryl given.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Injection site erythema, Injection site induration, Irritability
Clinical narrative: 1 1/2 inch diameter hard red area at injection site rt upper thigh- child irritable with above. Not tender CMS good irritability.
Age: 0.5
Sex: F
Vaccine: HEP, HIBV, IPV, PNC
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: At 48 hours erythema and induration reaction at site of immunization on LLE resolved at 72 hours.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Pyrexia
Clinical narrative: Pt had fever of 103. Fever was only symptom symptom. Fever was resolved 24-48 hours. Mom took patient to ER.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Dermatitis bullous, Drug ineffective, Headache, Infection, Pyrexia
Clinical narrative: Child vaccinated with Varicella vaccine 08/31/1998.  Mother called 12/27/02 to report child has not broken out with full chickenpox case.  States face, scalp, chest and back covered with lesions. Temperature 99-100 degrees F and headache.
Age: 0.6
Sex: F
Vaccine: DTAP
Symptoms: Dyskinesia, Infantile spasms
Clinical narrative: 6 month immunization given (DTAP) on 02/02/04.  Mom started noticing jerky movements within a couple of days of getting immunization. Diagnosed with infantile spasm/follow up neurology.
Age: 14.0
Sex: F
Vaccine: HEP
Symptoms: Dyspnoea, Feeling hot, Hypoaesthesia, Nausea, Rash
Clinical narrative: School nurse stated pt came to office complaining of feeling hot and nauseated, had rash on chest.  Complained of mouth feeling numb and trouble breathing.  Lasted about 30 minutes, sat in nurses office only.  School nurse viewed this episode as an attempt to leave school!!
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Pt given shot 01/20/04.  Came to clinic 1/21/04, with left arm red, swollen-referred to MD.  Telephone call from MD, reported localized reaction on left upper arm.  No other complaints.  MD thought reaction to DTAP, reported to pediatrics.
Age: 3.5
Sex: M
Vaccine: DTAP
Symptoms: Hypokinesia, Injection site erythema, Injection site oedema
Clinical narrative: Pt has extensive swelling to right upper arm and extending to scapula area with redness.  Pt has difficulty raising arm-has no MD, sent to ER for evaluation.  12/01/03: Attempted numerous times to contact mother per pager # given by her.  No response.  Unable to locate for follow up on ER visit.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Redness and swelling in right arm to elbow area.
Age: 2.9
Sex: M
Vaccine: DTAP
Symptoms: Injection site inflammation, Injection site oedema, Injection site warmth, Pyrexia
Clinical narrative: 12 hours after injection, arm swelled, inflammed and hot to touch.  Pt developed fever 103.2 04/26/03.  Swelling and inflammation and fever for 3 days and then symptoms resolved and returned to normal.
Age: 40.0
Sex: F
Vaccine: MMR
Symptoms: Abscess, Injection site mass, Injection site oedema
Clinical narrative: Approximately 14 days after shot, pt found marble size tender spot on right arm.  Saw PCP on 08/01/03, instructed to take Ibuprofen and apply heat to site.  PCP diagnosis sterile abscess at injection site.  Took augmentin for 7 days 08/12/03.  Swelling has gone down.  Recovered well.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site warmth
Clinical narrative: 2 days after injection, clients mother called to report child's arm red, hot and hard and swollen almost down to elbow.  Mother also reports she did place ice on the arm just 24 hours after injection and moist heat 2nd 24 hours after injection.  Client referred to PMD.  PMD reported 9.5x10cm area of redness and swelling and heat.  Supportive care recommended.
Age: 36.0
Sex: M
Vaccine: FLU3
Symptoms: Abdominal pain upper, Anorexia, Confusional state, Depression, Encephalopathy
Clinical narrative: 10/25/03 got stomach pains and eating problems, went to ER on 10/26/03. Admitted for couple days, d/c went back to work; 1-2 nights later was out getting food and got confused and almost unable to get home, called dad, dad arrived at pt home next day. Contact Dr, MRI done a couple weeks later; unable to work or be alone. Disabled diagnosed with ADEM-Acute disseminated encephomyopathy by Dr who said may recover in 6-9 months. Dr referred pt to neurologist, neurologist referred also to another doctor and an endocronologist. Also seeing a psychiatrist. Dr referred pt to a gastroenterologist. Dad said he is preparing to move soon with him. I saw pt-he sat in passenger's side of vehicle. I told pt "sign here" and pointed to signature area and pt said "who me"-he did this same thing two times-while signing and releases. Meds now are Prozac for depression, clonopine for depression, Protonex for stomach/ gas. In the past was on Rimeron and Zoloft-was on for 1 year and stopped about 6 mo before 10/9/03.This is a 36 year old male who presents to the ER saying that he has had nausea and vomiting 5-8 days with a stomach ache in mid abdomen. He reports that he hasn't eaten in the last two days any food. Pt tells the ER physician that he duobled on his Cortef the last two days but did not take that morning upon arrival to the ER. Pt reports this is similar to when he has had asthma crisis but it is also similar to when he has been really depressed. Noted in the ER record, pt says he has a new job at work. He saying that his nausea and vomiting always gets better when he has Valium because that puts him to sleep and multiple bizarre comments as noted in the ER record. Pt actually was seen in my office for the first time on Monday, October 20, at which time he was seen because he called the office he couldn't hold together anymore is what he told the office. He didn't have a pt appointment until the middle of November but per request of my staff, I saw him earlier to make sure he wasn't suicidal. At that time, I re-started his Prozac which he had ran out of. Pt was requesting Valium at that time in leu of his Klonopin which I explained I would not do until I got medical records and further assessed him .pt then called my office back on Friday requesting Valium because he needed ti to get him through this spell. He said the Prozac wasn't working. At that time, he did not tell anybody in the office that he had some nausea or vomiting. He actually was at work when he called. He spoke to two of my nurses who assessed that he did not report any illness what so ever. Information from Annual Follow-up report states last I heard, pt died - due to Addison complications and not a Rx to flu vaccine.
Age: 36.0
Sex: M
Vaccine: FLU3
Symptoms: Nausea, Vomiting
Clinical narrative: 10/25/03 got stomach pains and eating problems, went to ER on 10/26/03. Admitted for couple days, d/c went back to work; 1-2 nights later was out getting food and got confused and almost unable to get home, called dad, dad arrived at pt home next day. Contact Dr, MRI done a couple weeks later; unable to work or be alone. Disabled diagnosed with ADEM-Acute disseminated encephomyopathy by Dr who said may recover in 6-9 months. Dr referred pt to neurologist, neurologist referred also to another doctor and an endocronologist. Also seeing a psychiatrist. Dr referred pt to a gastroenterologist. Dad said he is preparing to move soon with him. I saw pt-he sat in passenger's side of vehicle. I told pt "sign here" and pointed to signature area and pt said "who me"-he did this same thing two times-while signing and releases. Meds now are Prozac for depression, clonopine for depression, Protonex for stomach/ gas. In the past was on Rimeron and Zoloft-was on for 1 year and stopped about 6 mo before 10/9/03.This is a 36 year old male who presents to the ER saying that he has had nausea and vomiting 5-8 days with a stomach ache in mid abdomen. He reports that he hasn't eaten in the last two days any food. Pt tells the ER physician that he duobled on his Cortef the last two days but did not take that morning upon arrival to the ER. Pt reports this is similar to when he has had asthma crisis but it is also similar to when he has been really depressed. Noted in the ER record, pt says he has a new job at work. He saying that his nausea and vomiting always gets better when he has Valium because that puts him to sleep and multiple bizarre comments as noted in the ER record. Pt actually was seen in my office for the first time on Monday, October 20, at which time he was seen because he called the office he couldn't hold together anymore is what he told the office. He didn't have a pt appointment until the middle of November but per request of my staff, I saw him earlier to make sure he wasn't suicidal. At that time, I re-started his Prozac which he had ran out of. Pt was requesting Valium at that time in leu of his Klonopin which I explained I would not do until I got medical records and further assessed him .pt then called my office back on Friday requesting Valium because he needed ti to get him through this spell. He said the Prozac wasn't working. At that time, he did not tell anybody in the office that he had some nausea or vomiting. He actually was at work when he called. He spoke to two of my nurses who assessed that he did not report any illness what so ever. Information from Annual Follow-up report states last I heard, pt died - due to Addison complications and not a Rx to flu vaccine.
Sex: M
Vaccine: DTAPH, MMR
Symptoms: Febrile convulsion
Clinical narrative: Febrile seizure 02/18/04
Age: 40.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia
Clinical narrative: One week after receiving MMR shot, client experienced severe joint pain in arms and legs.  Client saw MD at clinic and was prescribed Vioxx which she took for 1 week and then switched to Aspirin and Ibuprofen and ice.  At this time, symptoms are getting better.
Age: 1.0
Sex: M
Vaccine: DTAP, IPV, PNC
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Urticaria
Clinical narrative: The morning after receiving immunizations, pt awoke with erythematous, raised area at site on right thigh, also with hives on trunks, arms, legs.  ER visit then seen in our office on same day.  We saw 3x3 inch indurated, erythematous area on right thigh with erythematous, urticarial lesions on trunk, face, lower back, some on arms and neck.  Did well on Benadryl. Resolved by 2 days later.
Age: 60.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Swollen, red left arm from shoulder to elbow.  Painful.  Revac done do to storage too cold within on 09/10/03.
Age: 17.0
Sex: F
Vaccine: HEPA, TD
Symptoms: Injection site abscess, Injection site erythema, Injection site oedema, Rash
Clinical narrative: Vaccine given 02/10/04.  On 02/12/04, pt noted arm was swollen, erythematous.  On 02/24/04, shot site burst open and drained brown secretions and blood.  Site is now open hole.  Appointment made for surgery clinic on 02/27/04.  Keflex 500mg per mouth 3 times a day for 10 days prescribed.
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Pharyngolaryngeal pain, Pyrexia, Vaccine positive rechallenge
Clinical narrative: 10/24 PM: Developed fever to 103 and lasted till 10/25.  10/26, developed a sore throat which resolved by 10/28.
Age: 28.0
Sex: F
Vaccine: HEP
Symptoms: Dry throat, Dysphonia, Dyspnoea, Fatigue, Palpitations
Clinical narrative: Pt states at about 5-6PM on 12/17/03, she got hives on the top and back of both arms, states her throat was hoarse.  States shortness of breath, declining tired and heart palpitations.  States she took 2 Benadryl with some relief.  States she called ER and MD with both stating she should wait and see if it goes away and to call if symptoms worsening.  States taking Benadryl about every 4 hours for 3 days with symptoms improving.  States on 01/13/04 her heartrate is a 32 for 44 BPM at times and that she is still tired and hoarse.  Plans to see MD on 01/15/04 for these symptoms.
Age: 28.0
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Pt states at about 5-6PM on 12/17/03, she got hives on the top and back of both arms, states her throat was hoarse.  States shortness of breath, declining tired and heart palpitations.  States she took 2 Benadryl with some relief.  States she called ER and MD with both stating she should wait and see if it goes away and to call if symptoms worsening.  States taking Benadryl about every 4 hours for 3 days with symptoms improving.  States on 01/13/04 her heartrate is a 32 for 44 BPM at times and that she is still tired and hoarse.  Plans to see MD on 01/15/04 for these symptoms.
Age: 1.2
Sex: M
Vaccine: HBHEPB, VARCEL
Symptoms: Abscess, Ecchymosis, Injection site mass
Clinical narrative: Pt with eccymosis right outer thigh since receiving injections, mom found hard lump. Diagnosis with sterile abscess. Treatment: warm soaks.
Age: 7.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Has clinical case of chicken pox.  Diagnosed by MD on 02/27/04.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site mass, Injection site pain
Clinical narrative: 02/18/04: Administered at clinic.  02/20/04: Presented to clinic complaining of tenderness, redness and a lump to left deltoid.  States symptoms began yesterday and has gotten worse today.  Since 02/19/04 when arm started getting red.  No complaints of temp. child moving arm in full motion, eating/drinking and playing as usual.  Will follow up with mother at 2:45pm today 02/20/04.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Redness, swelling and pain occurred in groin area on left side where 2 shots was given.  This occurred on 02/21/04, shots given 02/20/04.  Reported to MD on Sat 02/21, symptoms worsened by Sunday 02/22, area of swelling, redness, and pain got bigger and worsened.  This continued till 02/24, took her to hospital on 02/22 was told to give Motrin and Cold compresses until gone.  If it worsens, come back.  To whom it may concern: This was a scary thing fur us and my daughter.  By reporting this, I hope other parents will learn this can happen. But, I am also concerned with the future-will this reaction cause further problems?
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Swollen left leg, erythema, left anterior thigh and knee, hot to touch, non-tender.  Diagnosis: cellulitis.
Age: 4.0
Sex: U
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Mom called, stated left leg swollen and red, sore took to MD.  Better today.  MD's office states no cellulitis, just red and swollen.
Age: 9.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Dermatitis bullous, Rash pruritic
Clinical narrative: "Bumps" on legs, then trunk, itchy for 2 days.  LGT increased 100.  About 30 lesions, scalp, legs, trunk-papules, vesicles, scabbed.
Age: 6.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash erythematous, Rash maculo-papular, Rash pruritic, Rash vesicular
Clinical narrative: Exposed to 2 girls in school with recent chickenpox.  Now 1-2 days with progressive scattered erythematous maculopapular rash with one small vesicle on back.  Pruritic, no fever.  Return to school when lesions are crusted.
Age: 26.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Vitiligo
Clinical narrative: Patches of vitiligo on skin overlying radius bone on same side of immunization, started about one to two weeks after vaccine administered.
Age: 19.0
Sex: M
Vaccine: HEPAB, MMR, TYP, YF
Symptoms: Eye irritation, Eyelid oedema, Injection site oedema, Injection site warmth, Throat tightness
Clinical narrative: Pt report states while driving back to city from another city, started with itching eyes.  When at home eyes were swollen and right arm started feeling hot and swollen as well as some throat tightening.  Went to the medical center and received Benadryl injection.  This information was given per MD report.
Age: 49.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Fatigue, Feeling hot, Influenza like illness, Pain, Pyrexia
Clinical narrative: LARGE PAINFUL RASH SWELLING TO THE SIZE OF A SOFBALL WHICH WAS VERY HOT TO TOUCH AND HURT WHEN TOUCHED. FEVER OF 101 DEGREE, FATIGUE, FLU LIKE SYMPTOMS, LARGE KNOT UNDER STHE SKIN. SYMPTOMS LASTING NOW 4 DAYS AND GETTING WORSE EVERY DAY. TREATMENT WAS MOTRIN,THEN TYLENOL 3, ICE SWELLING. SAME EVENTS HAPPENED IN ALL FOUR PREVIOUS DOSES SINCE 1999.
Age: 49.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Rash, Subcutaneous nodule, Swelling, Vaccine positive rechallenge
Clinical narrative: LARGE PAINFUL RASH SWELLING TO THE SIZE OF A SOFBALL WHICH WAS VERY HOT TO TOUCH AND HURT WHEN TOUCHED. FEVER OF 101 DEGREE, FATIGUE, FLU LIKE SYMPTOMS, LARGE KNOT UNDER STHE SKIN. SYMPTOMS LASTING NOW 4 DAYS AND GETTING WORSE EVERY DAY. TREATMENT WAS MOTRIN,THEN TYLENOL 3, ICE SWELLING. SAME EVENTS HAPPENED IN ALL FOUR PREVIOUS DOSES SINCE 1999.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: 2" X 3" SWELLING, REDNESS OF LEFT UPPER ARM NOTICED AT BATHTIME.  SWELLING DOWN BUT STILL RED AT CLINIC VISIT 3/6/04, 10:30AM.
Age: 22.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Rash
Clinical narrative: On March 1st, (day10) he noticed several bumps and thought it was a "break-out". However, when he awoke the following morning and was preparing to shower he noticed that there were more bumps. Most of these appeared to be ingrown hairs, small and red. He reports that several appeared to be pimple-like with small "heads". There were probably a total of 2-dozen and they were confined to his left thigh, upper groin, upper chest, upper back, and left shoulder blade area
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Coma, Sudden infant death syndrome
Clinical narrative: Baby found by mother in am, nonresponsive. Nurse follow up on 05/18/04 states: SIDS.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Sudden infant death syndrome
Clinical narrative: Baby found by mother in am, nonresponsive. Nurse follow up on 05/18/04 states: SIDS.
Age: 0.0
Sex: M
Vaccine: DT, HBPV, HEP, IPV
Symptoms: Convulsion, Injury, Irritability, Pyrexia, Respiratory arrest
Clinical narrative: Within 14 days child had fussiness,fever,vomiting ,Seizures,  respiratory arrest. Child passed on  August 10,2000.Caregiver charged with  infants death. Case being appealed. Per autopsy report, cause of death was shaken baby syndrome.
Age: 0.0
Sex: M
Vaccine: DT, HBPV, HEP, IPV
Symptoms: Vomiting
Clinical narrative: Within 14 days child had fussiness,fever,vomiting ,Seizures,  respiratory arrest. Child passed on  August 10,2000.Caregiver charged with  infants death. Case being appealed. Per autopsy report, cause of death was shaken baby syndrome.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Coma, Convulsion, Haemorrhage intracranial, Respiratory arrest, Retinal haemorrhage
Clinical narrative: Child went unresponsive in caregivers home . Respiratory arrest. Seizures. Caregiver was charged with abuse due to this incident  because was last person alone with child. The discharge summary received on 3/22/04 states bilateral retinal hemorrhage, subdural hemorrhage, subarachnoid hemorrhage and suspected child abuse.
Age: 0.3
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Subarachnoid haemorrhage, Subdural haematoma
Clinical narrative: Child went unresponsive in caregivers home . Respiratory arrest. Seizures. Caregiver was charged with abuse due to this incident  because was last person alone with child. The discharge summary received on 3/22/04 states bilateral retinal hemorrhage, subdural hemorrhage, subarachnoid hemorrhage and suspected child abuse.
Age: 0.0
Sex: F
Vaccine: HIBV, MMR, PNC
Symptoms: Abasia, Coma, Oral intake reduced, Pyrexia, Speech disorder
Clinical narrative: Patient developed a high fever of 104 14 hours post vaccination .Was in low responsive state .Would not walk talk or eat for several hours.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: 6" X 3" RED,TENDER,SWOLLEN AREA LEFT UPPER ARM
Age: 43.0
Sex: F
Vaccine: HEP
Symptoms: Injection site pain, Myalgia
Clinical narrative: Information has been received from a RN concerning a 43 year old female pt with no pertinent medical history and no known allergies who on 1/2/03 in the AM was vaccinated IM in the right deltoid with a third dose of hep B vaccine (642004/1570L). Concomitant medications included the "birth control pill." There was no illness at the time of vaccination. On 1/2/03, the pt experienced an "achy site and deep muscle pain since vaccination." On 1/27/03, the achy site and deep muscle pain continued. Unspecified medical attention was sought. Follow up info indicated that the pt experienced soreness/ achiness at the injection site upon movement and palpation. The soreness/ achiness was described as deep and not on the surface. it was noted that the site bothered her when she raised her arm or moved it back when it was at shoulder height. It did not bother her when she moved it just backwards. Follow up info received from a RN indicated that on 1/13/03 in the AM the pt noticed soreness deep in the muscle below the injection site on the right deltoid whenever she was working out with weights. It was noted that it still aches when she lifts her right arm to shoulder height and moves it up and backward. It was also noted that it hurt to push on the site. No achiness was noted when she moved her arm forward. No limitation in the range of motion was noted. No fever, no redness or discoloration at the site, and no malformation of the muscle was noted. The pt was concerned if the achiness would ever go away. No treatment was sought as yet. The pt continues to work out with weights. Additional follow up info received on 3/25/03 indicated that the pt "still has deep muscle pain." It was reported that the pt "had to give up lifting weights at gym." Additional info has been requested.
Age: 15.0
Sex: M
Vaccine: HEP, TD, HEP, TD
Symptoms: Chest pain
Clinical narrative: CHEST PAIN. Information has been received from a registered nurse concerning a 15 year old male high school student with no allergies, a history of vaccinations with no adverse events and no other past medical history who on 30-OCT-2003 in the AM was vaccinated intramuscularly in the right arm with a first dose of 0.5cc dose of hepatitis B virus vaccine rHBsAg (yeast) (lot 645844/0374N). Concomitant vaccination on 30-OCT-2003 in the Am included an intramuscular dose in the left arm of diptheria toxoid (+) tentanus toxoid (lot U0839AA). Prior vaccinations included five doses of diptheria toxoid (+) pertussis vaccine (unspecified) (+) tentanus toxoid. There was no illness at the time of vaccination. Approximately ten to fifteen minutes post vaccination, on 30-OCT-2003 in the AM, the patient complained of a "squeezing type" of chest pain on the way to school. The mother reported this to the physician's office and the physician requested that the school nurse evaluate the patient. It was noted that medical attention was not sought. laboratory tests were not performed and prescription drug treatment was not required. The chest pain did not last very long and the child played in physical education class that day. It was noted that the patient recovered. On 04-NOV-2003, the medical office called the mother to recommend that she take the patient to the family physician. A product quality complaint was not involved. Additional information is not expected.
Sex: M
Vaccine: OPV
Symptoms: Cardio-respiratory arrest, Dyspnoea, Lung disorder, Neoplasm malignant
Clinical narrative: Information regarding poliovirus vaccine live oral trivalent solution was received from an attorney regarding a male pt who experienced mesothelioma and cardiopulmonary arrest. The pt received a dose of polio vaccine in the "1980s." On or about December 1997, the decedent was diagnosed with mesothelioma. The decedent's history includes exposure to asbestos and asbestos-containing products. The legal complaint states that the "descendent's exposure to asbestos, asbestos-containing products, and the SV40 virus caused severe and permanent injury to the descendent including, but not limited to breathing difficulties, asbestosis, lung and/or other cancer, mesothelioma, and/or other lung damage." On 3/25/01, he died. The death certificate indicates mesothelioma and cardiopulmonary arrest as the cause of death.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Apnoea, Cardiac arrest, Electroencephalogram abnormal, Febrile convulsion, Respiratory syncytial virus infection
Clinical narrative: Pt presented with < 102 deg Fever, convulsions and apnea. Pt's heart and breathing stopped, CPR was done, pt responded quickly, four rounds of CPR done, estimated seizure time of 4 mins total. Pt transported to ER per ambulance at that time. The discharge summary received on 3/23/04 states febrile seizure and RSV (+).
Age: 2.0
Sex: M
Vaccine: PNC
Symptoms: Convulsion, Otitis media, Pneumonia, Sepsis
Clinical narrative: Hospitalized from 2/5/04-2/9/04, with pneumonia. Blood culture and for streptococcus pneumoniae. The discharge summary states bilateral otitis media and new onset seizures.
Age: 9.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain upper, Erythema, Eyelid oedema
Clinical narrative: Received telephone call from pt's mom 11:20am on 01/28/04.  She states her son has puffy eyes and redness under both and around his cheeks.  No fever.  Complained of stomach ache.  Was informed by MD that this was a reaction from the flu vaccine.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Hypokinesia, Injection site pain
Clinical narrative: Client states within 2 hours after receiving her flu shot, she had pain halfway up her upper left arm and was unable to move her arm.  Client went to physician on 12/30/03 and was examined.  The physician gave the client a cortisol injection.  Client states she is now able to lift her arm but is still unable to move it from side to side.
Age: 20.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Vaginal haemorrhage
Clinical narrative: Uterine/vaginal spotting (blood) within 24 hours of receiving 2 Anthrax vaccines 1-2 weeks apart.  No previous history.
Age: 1.3
Sex: M
Vaccine: DTAPH, MMR, PNC, VARCEL
Symptoms: Erythema, Rash maculo-papular
Clinical narrative: Multiple erythematosis.  Macular papular rash on face, back, head and extremities.
Age: 51.0
Sex: F
Vaccine: HEP
Symptoms: Back pain, Laboratory test abnormal, Pain
Clinical narrative: On AM of 03/02/04 developed with left arm pain that radiated across back and to right arm and eventually down to toes.  She was seen in clinic on 03/02/04 and sent to ED for further testing.  She was seen in clinic on 03/03/04.  Sed rate ordered.  She was seen in clinic on 03/04/04: UA done.  Seen in clinic on 03/05/04 and also by MD on 03/05/04.  She was started on steroids by FMD.
Age: 14.0
Sex: F
Vaccine: HEP, IPV, MMR
Symptoms: Dermatitis bullous
Clinical narrative: Pox marks
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Pruritus
Clinical narrative: Softball size area of erythema and itching around sites of immunizations in right leg on 02/27/2004.
Age: 40.0
Sex: M
Vaccine: HEP
Symptoms: Erythema, Eye inflammation, Pruritus, Wheezing
Clinical narrative: Within 2 hours-burning eyes.  Then red, itchy face and forehead.  6-8 hours later slight wheeze.  Tapering at 72 hours.
Age: 33.0
Sex: F
Vaccine: TD
Symptoms: Arthralgia, Nausea, Pain, Pyrexia
Clinical narrative: Body and joint aches all over within 1 hour of injection.  Also with nausea. Increased temperature 100 degrees F.  No respiratory symptoms.
Age: 1.2
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Developed redness at injection site (left thigh) about 3 cm diameter with induration about 1.5cm diameter at 24 hours after administration of vaccine.  No fever.  Treated with ice, cool packs.
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Injection site erythema
Clinical narrative: Erythema surrounding injection site on right thigh.
Age: 20.0
Sex: F
Vaccine: TD
Symptoms: Hypoaesthesia, Injection site pain, Pyrexia
Clinical narrative: Per mother: client developed fever of 103.6 and arm numbness 2 days after administration.  Declined going to MD ER, has no insurance.  Took Tylenol only.  On third day no fever and moderate soreness in arm going about normal daily activities.
Age: 47.0
Sex: F
Vaccine: HEPA, IPV, MMR, TD, TYP
Symptoms: Erythema, Hypoaesthesia, Pruritus
Clinical narrative: Pt described that left side of nose from bridge to nose became itching, turn red, then numb on Wed 2/11. Had had cold 1 1/2 wks before. No redness or itching after 1 day. Nose still numb. Saw doctor 2/12. Asked to call district health.
Sex: F
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: None- Vaccinated twice- same dose and Lot # for both doses.
Age: 18.0
Sex: F
Vaccine: HEPA
Symptoms: Depersonalisation, Dizziness, Malaise
Clinical narrative: Father reported to public health nurse at 0820 am 2/19/04 patient is complaining of feeling dizzy and just wants to stay in bed. Unable to get up and go to school which isn't like her. Instructed to go to primary medical doctor for evaluation this A.M.
Age: 1.33
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Large swelling, redness and heat entire thigh- left thigh. No systemic signs or symptoms.
Age: 0.17
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Cyanosis, Grunting, Heart rate increased, Muscle spasms, Tremor
Clinical narrative: Shaking and grunting onset 30 mins. Cyanotic coloring head, hands, feet, lips and tongue. Heart rate too rapid to count. Audible respirations. Tremors with some spastic movements. Grabs fingers with good grip O2 at 2L blowby color began to pink up- good copillary refill 911 call ER.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Feeling hot, Inflammation, Injury, Oedema
Clinical narrative: Child had MMR vac. on 1-26-04 at which time child twisted and turned to avoid the injection. Now upper arm is warm, swollen and inflammed.
Age: 0.92
Sex: F
Vaccine: DTAP, HBHEPB, IPV
Symptoms: Dyskinesia, High-pitched crying, Pyrexia, Tremor
Clinical narrative: Mother called 1/13/2004 with questions re. further vaccinations. Reported that child had about 12 hour reaction from vaccinations 9/25/03 - fever (undocumented) shaking, jerking and high pitched scream or cry. Was fine in AM.
Age: 1.17
Sex: F
Vaccine: DTAP, HBHEPB
Symptoms: Gait disturbance, Lethargy, Pyrexia, Tremor, Vomiting
Clinical narrative: 1:30 pm mom stated she brought baby in on 1/28/04 to get DTaP #4 and HBV/Hib. Symptoms after shots, child had 104 degrees Ax temp at 3 am. Mom stated baby seemed lethargic, tugging on collar, trembling and grasping hands accompanied with vomiting. Children's Advil given per mom.  advised mom to have child take some syrup from fruit can in 1 hour and call back to see if child improves. Mom stated she gave child Pedialyte 1/2 hour ago. Public health nurse called mom on 2-4-04 and stated symptoms resolved on Fri 11/30, but returned on Sat 1/31/04. Mom stated over the weekend child was walking on tip toes and fever returned 102.7 (F). Public health nurse referred mom to call doctor today and make an appt. Mom receptive.
Age: 12.0
Sex: M
Vaccine: HEP, PPV, TD
Symptoms: Medication error, Oedema, Pain, Rash erythematous
Clinical narrative: Red, raised, painful right deltoid swollen. Revaccination due to storage of vaccine to cold.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Entire left upper arm red, swollen, increase temp to touch.
Age: 45.0
Sex: M
Vaccine: SMALL
Symptoms: Skin ulcer
Clinical narrative: Developed a small lesion right anterior cervical region and 2 lesions just under the right eyebrow.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Face oedema, Pharyngeal oedema, Urticaria
Clinical narrative: 2:15-2:30 Varicella inj. given. 3:00-3:15 To doctor office, throat swollen, hives all over, face swollen, Given Epinephrine 0.15 ml- Subq. Benadryl 200 mg-IM. 3:30 Hives gone.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, PNC
Symptoms: Crying, Cyanosis, Heart rate irregular, Hypotonia, Infection
Clinical narrative: Patient received Pediarix and Prevnar at about 4:45 Tues. afternoon. At about 4 am the next day baby woke with a shrill horrible cry. Mom picked her up and she was unusually heavy and limp. Then she gave another piercing cry. Mom put her down straight in her arms and she was limp, pale and very cyanotic around the mouth. She screamed to her husband to come and talked to baby and rubbed and lightly shook her and took her stethescope (she is an LPN) to listen to heart and it slowed to about 75 and was very threatly. When head was thrown back it was worse so told her husband to lift head slightly. She wasn't sure about time but this lasted possible 3-5 min and then cyanosis left, pulse returned to about 120 and she seemed normal and took a bottle in about 10 min. Has been fine ever since. She took her to pediatrician that day after dinner. She called another Physician who said this was a pertussis reaction in early a.m.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, PNC
Symptoms: Pallor
Clinical narrative: Patient received Pediarix and Prevnar at about 4:45 Tues. afternoon. At about 4 am the next day baby woke with a shrill horrible cry. Mom picked her up and she was unusually heavy and limp. Then she gave another piercing cry. Mom put her down straight in her arms and she was limp, pale and very cyanotic around the mouth. She screamed to her husband to come and talked to baby and rubbed and lightly shook her and took her stethescope (she is an LPN) to listen to heart and it slowed to about 75 and was very threatly. When head was thrown back it was worse so told her husband to lift head slightly. She wasn't sure about time but this lasted possible 3-5 min and then cyanosis left, pulse returned to about 120 and she seemed normal and took a bottle in about 10 min. Has been fine ever since. She took her to pediatrician that day after dinner. She called another Physician who said this was a pertussis reaction in early a.m.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Erythema, Pyrexia
Clinical narrative: Fever to 100 degrees. Erythema of arm around site 150 mm x 200 mm not extending below the elbow.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Coma, Depersonalisation, Erythema, Nervous system disorder, Screaming
Clinical narrative: Received Pedirix, Pneumococcal and possible IPV Polio doctor said Hib approximate time 5:00 pm. cried off and on since injection whole leg turned red and one side of face at 5:01 pm at 7:00 pm at home confused, unresponsive state for approx. 5 min then screamed crying continuous until 9:00 pm went to sleep till 9:20. Cried 9:20 to 12:30 excessively without stopping. Sleeping habits have changed and personality. Follow Up: Mother left message that child had a CT scan that identified brain damage. She will file a claim with Vaccine Injury Compensation.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Sleep disorder
Clinical narrative: Received Pedirix, Pneumococcal and possible IPV Polio doctor said Hib approximate time 5:00 pm. cried off and on since injection whole leg turned red and one side of face at 5:01 pm at 7:00 pm at home confused, unresponsive state for approx. 5 min then screamed crying continuous until 9:00 pm went to sleep till 9:20. Cried 9:20 to 12:30 excessively without stopping. Sleeping habits have changed and personality. Follow Up: Mother left message that child had a CT scan that identified brain damage. She will file a claim with Vaccine Injury Compensation.
Age: 28.0
Sex: M
Vaccine: MMR
Symptoms: Fatigue, Pain, Pruritus, Pyrexia, Rash papular
Clinical narrative: MMR 2/18/2004. Body aches, fever 8 days later some fatigue for 2 days. No URI symptoms. Rash 1 degree of  face/neck papular and confluent. No vesicles began on 2/28/04 with increased confluence of 3/1/04. Mild itch only feels well by 2/28/04 except for rash.
Age: 17.0
Sex: F
Vaccine: HEP, TTOX
Symptoms: Pruritus, Rash
Clinical narrative: Client went to school after vaccination and reported to school nurse around lunch time - complaints of itching and rash bilateral arms and back. School nurse suggested Benadryl and contacted mother. No mediation was given and rash and itchiness subsided by mid-afternoon same day. Client reports no other problems. Went to work that afternoon.
Age: 4.0
Sex: M
Vaccine: DTAPH, IPV, MMR, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Pt. diagnosed with chicken pox 2-24-04. Received varicella vaccine 5-16-01.
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Rash
Clinical narrative: Rash (sparse) on chest occurring approximately 12 hours after vaccines.
Age: 0.25
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Agitation, Cough, Irritability, Rhinorrhoea, Screaming
Clinical narrative: Child developed irritability with difficulty consoling scream, yell, fuss and moan 1 1/2 days after vaccines. Had rhinorrhea and cough develop at same time. Quieted after 4 hours but restarted next am and lasted all day- seen at urg. care evaluated and told non focal exam. Irritable that night- seen by us next day.
Age: 0.5
Sex: F
Vaccine: DTAP, DTAPHEPBIP
Symptoms: Cough, Infection, Otitis media, Pyrexia, Respiratory syncytial virus infection
Clinical narrative: Visit to ER on Jan 30, 2004 with cough and fever. Nasopharyngeal culture positive for B. Pertussis by PCR. Amoxicillin prescription for 10 days also Albuterol MDI 3-4 times a day. Diagnosis: RSV/Pertussis/ Bilateral otitis media.
Age: 1.0
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Pruritus, Rash
Clinical narrative: Mother of child reported rash covering child's body accompanied by itching.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: 2 weeks after shot developed red rash.
Age: 41.0
Sex: F
Vaccine: HEP
Symptoms: Chills, Erythema, Fatigue, Pain, Pyrexia
Clinical narrative: Fatigue- within an hour and lasted for 2 days. Fever- within an hour and lasted for two days, 101.8, took aspirin. Rash- red welts on upper chest and neck, lasted 2 days. Chills- within 8 hours and lasted 2 days. Stiff pain-within 24 hours in left shoulder and neck, improving sleep disturbances.
Age: 41.0
Sex: F
Vaccine: HEP
Symptoms: Rash, Urticaria
Clinical narrative: Fatigue- within an hour and lasted for 2 days. Fever- within an hour and lasted for two days, 101.8, took aspirin. Rash- red welts on upper chest and neck, lasted 2 days. Chills- within 8 hours and lasted 2 days. Stiff pain-within 24 hours in left shoulder and neck, improving sleep disturbances.
Age: 3.0
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Gait disturbance, Oedema
Clinical narrative: Pt woke up next am with swollen leg where DTaP was given. Limping on leg. Mom put cold packs and gave Tylenol. After 1 hour pt was playing- walking okay swelling decreased.
Age: 34.0
Sex: M
Vaccine: UNK
Symptoms: Headache, Injection site oedema, Pruritus
Clinical narrative: Headaches, swelling in area where shot was administered, severe itching in area where shot was admin.
Age: 10.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Drug ineffective, Infection, Pruritus, Rash papular
Clinical narrative: Pt was seen in our office on 2-27-04 with itchy rash on abdomen, chest, neck and face that was diagnosed as varicella. Rash consisted of less that 30 light red papulo-vesicular lesions. Rash broke out on 2-26-04. Child had exposure to varicella at school. Afebrile.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Oedema
Clinical narrative: Marked swelling of entire upper arm extending down to mind lower arm (L) and up to distal clavicle. Prescribed Benadryl, Clautar, cool compresses.
Age: 32.0
Sex: F
Vaccine: HEP
Symptoms: Chills, Dizziness, Dyspnoea, Fatigue, Nausea
Clinical narrative: 3 hours after injection feet fatigue, 4 hours after injection temp 99 degrees, 5 1/2 hours after injection chills temp 100 degrees, 7 hours after injection temp 101.5, stiff neck, labored breathing, dizzy, nausea, fatigue. Symptoms continue 4 days later.
Age: 32.0
Sex: F
Vaccine: HEP
Symptoms: Nuchal rigidity, Pyrexia
Clinical narrative: 3 hours after injection feet fatigue, 4 hours after injection temp 99 degrees, 5 1/2 hours after injection chills temp 100 degrees, 7 hours after injection temp 101.5, stiff neck, labored breathing, dizzy, nausea, fatigue. Symptoms continue 4 days later.
Age: 5.92
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Erythema, Oedema, Pruritus, Urticaria
Clinical narrative: Hives- Sunday- total body itching left arm red swollen Saturday no fever. No respiratory distress Discrete pustules as well.
Age: 12.0
Sex: F
Vaccine: HEP, MMR, TD
Symptoms: Anaphylactic reaction, Chest discomfort, Dysarthria, Dyskinesia, Dysphagia
Clinical narrative: Anaphylactic reaction within a few minutes of receiving three vaccines. I began giving immunizations at approximately 10:20am. I started wiht Td, then hep B & MMR. Immediately after giving final immunization, the pt's eyes rolled back and her head dropped forward. When ask if she was okay, then she stated, "No." I was attempting to help her lay down when she began to have convulsive like movements of jerking arms and sever arching of the back. She then collapsed in my arms. I placed her on the floor in a supine position with her feet elevated. She complained of chest and throat tightness with difficulty breathing. She displayed both raspy and stridor breathing patterns. When asked to swallow, she was able to complete the task, but it appears to require great effort. Her speech was slurred, and her skin became very pale. heart rate was was assessed at 82 and her pulse was thready. Our staff attempted to get a blood pressure but was unable to get a reading. 911 was called and pt was given one dose of 'Epi Jr.' (0.15mg epinephrine) at 10:25am. After Epi injection pt began to feel relief. She stated her breathing had improved and her throat and chest tightness had decreased. The color returned to her face. The ambulance arrived at approximately 10:30am and transported her to the ER. I called the pt's mom at 1pm. Mom stated the pt was home from the hospital now. While at the ER then she was given Benadryl and some other medication that mom was unable to remember the name of. Mom stated pt is now sleeping.
Age: 12.0
Sex: F
Vaccine: HEP, MMR, TD
Symptoms: Dyspnoea, Eye movement disorder, Opisthotonus, Pallor, Throat tightness
Clinical narrative: Anaphylactic reaction within a few minutes of receiving three vaccines. I began giving immunizations at approximately 10:20am. I started wiht Td, then hep B & MMR. Immediately after giving final immunization, the pt's eyes rolled back and her head dropped forward. When ask if she was okay, then she stated, "No." I was attempting to help her lay down when she began to have convulsive like movements of jerking arms and sever arching of the back. She then collapsed in my arms. I placed her on the floor in a supine position with her feet elevated. She complained of chest and throat tightness with difficulty breathing. She displayed both raspy and stridor breathing patterns. When asked to swallow, she was able to complete the task, but it appears to require great effort. Her speech was slurred, and her skin became very pale. heart rate was was assessed at 82 and her pulse was thready. Our staff attempted to get a blood pressure but was unable to get a reading. 911 was called and pt was given one dose of 'Epi Jr.' (0.15mg epinephrine) at 10:25am. After Epi injection pt began to feel relief. She stated her breathing had improved and her throat and chest tightness had decreased. The color returned to her face. The ambulance arrived at approximately 10:30am and transported her to the ER. I called the pt's mom at 1pm. Mom stated the pt was home from the hospital now. While at the ER then she was given Benadryl and some other medication that mom was unable to remember the name of. Mom stated pt is now sleeping.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pyrexia
Clinical narrative: That day she ran a fever, the next day she was fine, today mom noticed red in left arm, felt very hot and hard. No return p/c from mom x 3 attempted msg left at home.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Pyrexia, Rash macular
Clinical narrative: Mom took child to bed, child c/o underarm hurting L arm where shots were given was blotchy red and swollen. Mom states it looked like a "water balloon." Approx 1/2 size tennis ball. Mom took child to MD, who suggested Benadryl prn and follow up if symptoms persist. States he still has a fever "better" (2/19/04).
Age: 56.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Oedema
Clinical narrative: Redness, swelling, hot to touch, hard. Redness covering 4" x 4" area of arm.
Age: 79.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 10 x 12cm area of redness and induration R upper arm surrounding inj site.