chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 82.0
Sex: F
Vaccine: TD
Symptoms: Hypokinesia, Myalgia, Pain
Clinical narrative: 3-4 days after shot, developed aching and pain inner aspect both upper arms and has never let up. She saw local Dr. on 12/23/02. He thought pain might be d/t Lipitor, which he had her d/c. This did not help. 4/2/03 T.C. from pt, some pain continued to present. She said she is aware of pain constantly but has learned to live with it. She takes Tylenol at hs about 1-2 x week. On Tues. Dec. 1/, 2002. I went to the health dept to receive a tetanus shot. In speaking with a registered nurse, I came to the conclusion that at my age (82 yrs), I would never have had the initial or a booster shot. Therefore, we started the first shot of the series. I did not experience any soreness in my left arm. By the time I had an appointment to see my family doctor on Mon 12/23/02 I was experiencing painful muscles in my upper arms, across my shoulders, and back of my thighs. I mentioned this to my doctor and he told me to stop taking my Lipitor since that is one of the side effects of it. I have seen no help from doing this. I have an appointment to see my doctor for a 1 mo. follow up session on Tues. 1/21/03 which is also the day I am to go back for my second tetanus when I left the health office. One was a list of for returning for future shots, one was for me to fill out and bring back when I returned to the health office, and a third one of info concerning tetanus shot reactions. Today 1/18/03 I read through the 3 sheets to see if I had everything ready for 1/21/03 and discovered info on the third sheet regarding reactions that might occur after receiving the tetanus shot the lady at the health office had said I might get a sore arm where the shot was given. It is difficult dressing, combing my hair, lifting my body from a sitting to a standing position, and putting on or taking off a coat.
Age: 27.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Oedema, Tenderness
Clinical narrative: Redness, tenderness, swelling 13 x 15 1/2 cm. Augmentin 875 mg, twice a day for 10 days
Age: 33.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Injection site erythema
Clinical narrative: Redness in area of anthrax, injection about baseball size
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Amnesia, Arthralgia, Fatigue, Insomnia, Myalgia
Clinical narrative: Patient complains of multiple joint and muscle pains (arms, wrists, shoulders, knees, ankles, and feet): Extreme fatigue with problems sleeping at night and problems with his memory. Additionally, since Nov 2001 he has "developed claustrophobia:. He just recently thought that his problems might be related to the anthrax series when during a briefing this March, he heard another service member who had also received anthrax vaccine, list "the same symptoms that I have". He has received a total of six injections beginning Nov 1998 in conjunction with OPV, TD, Influenza and PPD. He was not ill at the time and notes the following symptoms: "feeling of warmth shooting through my arm" at the injection site for a few minutes after receiving the shot and a little redness that lasted 1-2 days. Denies any nodule or edema. Follow up: continues to have joint pain, arthralgia, difficulty sleeping, myalgias, fatigue and functional impairment.
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Phobia
Clinical narrative: Patient complains of multiple joint and muscle pains (arms, wrists, shoulders, knees, ankles, and feet): Extreme fatigue with problems sleeping at night and problems with his memory. Additionally, since Nov 2001 he has "developed claustrophobia:. He just recently thought that his problems might be related to the anthrax series when during a briefing this March, he heard another service member who had also received anthrax vaccine, list "the same symptoms that I have". He has received a total of six injections beginning Nov 1998 in conjunction with OPV, TD, Influenza and PPD. He was not ill at the time and notes the following symptoms: "feeling of warmth shooting through my arm" at the injection site for a few minutes after receiving the shot and a little redness that lasted 1-2 days. Denies any nodule or edema. Follow up: continues to have joint pain, arthralgia, difficulty sleeping, myalgias, fatigue and functional impairment.
Age: 6.0
Sex: M
Vaccine: MMR
Symptoms: Bacterial infection
Clinical narrative: Chicken pox diagnosed 06/10/2003
Age: 1.0
Sex: F
Vaccine: UNK
Symptoms: Rash
Clinical narrative: Rash over whole body/face ER MD put patient on Pediapred
Age: 1.25
Sex: M
Vaccine: MMR, PNC
Symptoms: Erythema, Irritability, Vomiting
Clinical narrative: Observed patient vomiting with copious amts of saliva, crying, skin red all over at our "check out" window. Pt brought immediately, back to exam room and MD notified. RR 36 P 80. patient observed in office x 50 mins. PO Benadryl. Hsp given & oral meds  15mg 15ml, 1 tsp given. Both administered by mom .
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Irritability
Clinical narrative: Patient with 5 days of irritability/fussy. No fever, rash, redness (not sure where to give shot)
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site oedema
Clinical narrative: Reaction- local swelling in right arm (BPAT). Swelling from elbow to shoulder. Seen in ER 05/04/2003. Placed on Augmentin, Vaccine given 05/03/2003
Age: 1.5
Sex: M
Vaccine: PNC
Symptoms: Erythema, Feeling hot, Injection site induration, Oedema
Clinical narrative: The morning after the shot (May 28, 2003) thigh was red/purple, swollen, radiating heat, and had a hard knot at the injection site. The area was 2 1/2 x 1 in. MD was told to give Advil. That afternoon the babysitter contacted me starting the area seemed to be getting larger. Pt's was picked up at 5:30 pm and the site was 4 1/2 x 2 1/2 in. It was still red/purple, swollen, hard, and radiating heat. Pt was taken to urgent care facility. The pediatrician stated that although the reaction looked somewhat serious it was still with in the limits of a normal site reaction. We were told to give pt Advil every 6 hours for the next 48 hours (even to wake him through the night for a dose). Within 24 hours of the urgent care visit the site seemed to improve. By 48hours there was just a faint mark on his leg.
Age: 0.3
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Urticaria
Clinical narrative: Broke out in generalized hives 2 days after receiving shots. No local reaction . Hives lasted 3 weeks
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Injection site induration, Pyrexia
Clinical narrative: Mom reported today that after he received his 15 month shots (DTaP + HIB), he had a high fever (over 103 -temp taken with an ear thermometer). She thought he had diarrhea, also, but not real sure. The fever broke on the 3rd day. He also had a small knot at site of injection. Mom reported this to us today 06/10/2003
Age: 1.75
Sex: F
Vaccine: MMR
Symptoms: Erythema multiforme, Irritability, Pyrexia, Rash erythematous
Clinical narrative: Low grade fever 06/08/2003, erythematous rash abdomen, slightly fussy, rash spread all over body 06/09/2003 until seen 06/11/2003. Diagnosis. Erythemamultiforme and old patch on abdomen.
Age: 0.4
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site reaction, Pyrexia
Clinical narrative: Local reaction and fever (102F)
Age: 5.6
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 6cm x 3cm reddened area at site of injection (localized): right deltoid.  Warm to touch, no pain.
Age: 13.0
Sex: M
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Presented in emergency room with hives on arms/back.  No facial swelling.  Prescribed antihistamine.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site induration, Injection site pain
Clinical narrative: Large area of indurated erythema at injection site covering almost the whole lateral aspect of left arm (all deltoid area and below).  Tenderness at indurated area.  Patient immunized yesterday at ~ 10:30 and erythema noted today at 09:00.
Age: 84.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site pain, Injection site warmth
Clinical narrative: 06/04/2003: Received pneumonia X IM RD; 06/06/2003: Presented in office with right arm red, hot and sore; 4in below et above elbow (and around).  None at site of vaccine; Patient: Hotpacks, US (R) Trapezius, Keflex 25mg three times a day x 10 days.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Erythema, Irritability, Rash
Clinical narrative: Onset round pink-red flat rash-started clusters on trunk, then to arms and legs in 48 hours.  fussy.  Treatment: supportive
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Erythema, Feeling hot, Oedema peripheral
Clinical narrative: Per mom both legs were very swollen 3in in diameter.  Left leg worse, very bright red and warm to touch.  Lasted 4 days.  On 4th day continues to have minimal swelling in left leg.
Age: 1.6
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Body temperature increased, Crying, Erythema, Feeling hot, Injection site erythema
Clinical narrative: Patient woke up crying early am.  Next day, right (where DTaP and HIB were mixed), whole thigh red (bright) warm to touch, "itchy".  2 days later was white where injection was given then 3in circle was red.  Left thigh 2in red-raised area.  Temperature 99.8, local reaction lasted x 3 days on this date, still looks "sherry or like it was burned." "Peeling."
Age: 1.6
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Pruritus, Rash erythematous, Skin exfoliation
Clinical narrative: Patient woke up crying early am.  Next day, right (where DTaP and HIB were mixed), whole thigh red (bright) warm to touch, "itchy".  2 days later was white where injection was given then 3in circle was red.  Left thigh 2in red-raised area.  Temperature 99.8, local reaction lasted x 3 days on this date, still looks "sherry or like it was burned." "Peeling."
Age: 1.6
Sex: M
Vaccine: DTAP
Symptoms: Hypersensitivity
Clinical narrative: Localized reaction to dtap 10x12 in wide.
Age: 4.4
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Feeling hot, Oedema
Clinical narrative: Left swelling (+) erythema (+) warmth.  Treated for cellulitis.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Patient developed tense erythematous warm, swollen left arm from shoulder to elbow after pneumovax injection 06/11/2003 AM.  Reaction developed quickly, over 12-24 hours.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Decreased appetite, Insomnia, Irritability, Screaming
Clinical narrative: Agitation (^), irritability/limp alternate., screaming/crying/unconsolable, (down)oral intake, (down) sleep...x 5 days.
Age: 10.3
Sex: M
Vaccine: DTAP, HEP, HIBV
Symptoms: Urticaria
Clinical narrative: 06/05/2003: Per mom, appt time 14:45.  24:00 - 9 hours later, child was presented in ER: hives over entire body and throat swollen.  Given Benadryl and steroids in ER.  No reaction at injection site.
Age: 1.3
Sex: M
Vaccine: DTAP, MMR, PNC
Symptoms: Injection site erythema, Injection site oedema, Irritability
Clinical narrative: 4-6 hours after injection, left thigh (^) redness and swelling area, approximately 15cm x 10cm.  Baby was noticeable more fussy and irritable the last 2 days parents call 06/13/2003 @ 10:30 to report findings.  Advised ibuprofen, cool packs to area child is using limb.
Age: 6.0
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Injection site induration
Clinical narrative: 3cm erythematous area with firm area in center of red lesion.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 3 x 2 cm pink area around injection site, slight swelling.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient developed reddness and swelling at the site of DTaP.  Left deltoid.  Reportedly tender erythema on of arm.  Diagnosis: Adverse reaction to Immunization obersevance.  Advil prn if no inflammation.
Age: 4.11
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site pain
Clinical narrative: Onset of erythema noted by mom 24 hours after vaccine administration.  Erythema site is 14cm x 12cm.  Child reports it is tender.  Child is active, no other complaints, stable.  Zyrtec orally 1 tsp.  Conservative monitor.
Age: 2.0
Sex: M
Vaccine: DTAP, HIBV, PNC, VARCEL
Symptoms: Viral infection
Clinical narrative: Chicken pox more than 50.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Received DTaP and IPV in right deltoid on 05/29/2003.  Developed erythema, swelling, tenderness and warthm of right deltoid measuring 11 x 14cm.  Seen on 05/30/2003: no fever but suspicious cellulitis.  Placed on 7 day course of Augmentin.
Age: 1.25
Sex: F
Vaccine: HIBV, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site urticaria, Urticaria
Clinical narrative: Whelts developed within 4 minutes of vaccine administration. Whelts concentrated on R thigh with exception of one whelt on L cheek; whelts closest to varicella site-only site to also have edema/erythema. Benadryl 10mg IM 24 minutes after vaccinations; Benadyrl 12.5mg po q 6h prn whelts.
Age: 23.0
Sex: F
Vaccine: MMR
Symptoms: Rash, Throat tightness
Clinical narrative: Approximately 2 hrs after receiving vaccination she broke out in a fire rash on her neck, face and arms. Says rash is similar to the one she gets with erythromycin. She reported that her throat felt tight. Instructed to take Benadryl which helped symptoms.
Age: 1.25
Sex: M
Vaccine: DTAP
Symptoms: Abasia, Injection site erythema, Injection site swelling
Clinical narrative: Mother states child's left thigh is red and swollen. He doesn't want to walk on leg.
Age: 10.0
Sex: M
Vaccine: PNC
Symptoms: Pyrexia, Rash
Clinical narrative: Mother states child began to run a fever of 103.5 x 4 days. Mother relates they were out of town. They left that evening post child was immunized. The fever began in the evening same day that immunization was given. She took child to ED. On the 5th day post the immunization was given the child had a rash x 3-4 days. She returned home with child and was seen at clinic by Dr. He told her to report to health dept. Dr. related that it could have been a reaction to Prevnar.
Age: 32.0
Sex: F
Vaccine: HEP, TD
Symptoms: Dyspnoea, Pain, Pyrexia, Wheezing
Clinical narrative: Wheezing and shortness of breath 24 hrs after placement of PPD-ER visit. Fever and L deltoid pain 48 hrs after Td. The follow up received on 7/1/03 states 24 hrs after all 3 immunizations given pt developed fevers, L deltoid pain. CPK negative.
Age: 1.5
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site warmth, Lethargy
Clinical narrative: Approximately 24 hrs after child received her 4th DTaP, mom noticed redness at shot site (R deltoid). The following am 6/11/03 she noted more redness and now "lethargy." I examined child, not lethargic. T 100 deg F. 6x6cm area of erythema, warmth, induration around shot site. I felt it was more consistent, cellulitis and treated with Cephalexu.
Age: 1.5
Sex: F
Vaccine: DTAP, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Approximately 24 hrs after child received her 4th DTaP, mom noticed redness at shot site (R deltoid). The following am 6/11/03 she noted more redness and now "lethargy." I examined child, not lethargic. T 100 deg F. 6x6cm area of erythema, warmth, induration around shot site. I felt it was more consistent, cellulitis and treated with Cephalexu.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Vaccine given R delt. developed red, swollen to elbow warm to touch slightly, (7cm x 9cm) indurate edge. 5 reaction was reported 5d-after inj. pt came into office for what was thought as a spider bite.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: Agitation, Injection site erythema, Injection site warmth
Clinical narrative: Per office visit assessment, vaccine reaction lt thigh, most of thigh area red warm to touch, cries when leg moved.
Age: 4.4
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Oedema, Tenderness
Clinical narrative: Left arm-swollen from shoulder into hand. No erythema no bruising at injection site. Vaque tenderness to palpation all over. Full supperation, promation, extension, and flexion.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Pruritus
Clinical narrative: On 3/28/03 pt with erythema and induration with edema from L shoulder almost to elbow. Child did not complain but post observing him scratching he admitted to itching. Advised heat or warm compresses, Tylenol and dipk enhydroamine. If no improvement return or seek Dr's care. 3/31/03-p.c. from mother edema continued to include entire shoulder and some of back. Dr. visit dx. cellulitis. 4/1/02 p.c. to parents child improving.
Age: 3.3
Sex: F
Vaccine: DTAP, IPV
Symptoms: Abnormal behaviour, Agitation, Rash
Clinical narrative: 5/2/03 mother called to let us know child had reaction to shots given 4/2/03. Child had "transparent rash" on arms and backs of hand and was "acting strange." "When I talked with her she acted like she didn't hear me." She also had a "fear" cry. She spoke with her MD about child. Child was never evaluated by physician.
Age: 1.7
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Agitation, Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Friday 4/4/03 OK. Saturday 4/5/03 left thigh swollen red and hot and painful. Giving Tylenol and warm ? Called ? Sunday 1am 4/6/03 awoke screaming-evaluated at emergency dept hospital. Soft tissue involvement only Monday 4/7/03 symptoms resolving.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Hypersensitivity, Oedema, Skin nodule
Clinical narrative: Started with bump "knot" 4/16/03 about 6in and then 4/17/03-4/18/03 right arm very red hard swollen from elbow to shoulder not running fine but giving Motrin. Advised to call MD with appointment 11:45am 5/18803-giving Motrin 2 x day. T.C. 4/24/03 to mom-doctor treated as "allergic reaction-systemic" Zyrtec po x 3 days and Motrin pretty much "fine now."
Age: 49.0
Sex: F
Vaccine: DT
Symptoms: Hypoaesthesia, Injection site pain, Paraesthesia
Clinical narrative: L arm numbness and tingling when arm in certain position. Still with local pain.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Blister, Feeling hot, Hypersensitivity, Oedema
Clinical narrative: 5/16/03 Friday evening noted R arm swelling and hot with blisters 3-4" diameter. Went to ED. Advised Motrin and heat pad. Sat. morning worse, swelling elbow to shoulder. Returned to ED. Advised ice compresses and Benadryl, probable allergic reaction. To follow up with Dr. Mon AM improving. Advised to consult with family doctor about future vaccine doses. Will test before next Td due.
Age: 41.0
Sex: M
Vaccine: PPV
Symptoms: Injection site oedema, Rash
Clinical narrative: Within 3 hrs swelling c/o site and shoulder. Approximately 48 hrs later had hive-like rash to torso that resolved with one dose of Benadryl.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site urticaria, Pruritus, Urticaria
Clinical narrative: One week after injection, developed large red, itchy hive at injection site. Hives spread on entire body. Reports hives lasted 3 months. Rx-4 rounds of steroids. Besides seeing family MD, was referred to dermatologist. Both Md's attribute to hep B vaccine.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Skin ulcer
Clinical narrative: No fever prior to outbreak. Abd, hairline, face outbreak 5/15/03. About 25-30 lesions.
Age: 51.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Swelling, redness, pain and heat at injection site. Relieved by Alleve. No systemic symptoms. Local symptoms improved in AM of 5/30/03.
Age: 0.7
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Diarrhoea, Pyrexia, Vomiting
Clinical narrative: Parent noted on immunization questionaire that child threw up 1 hour after received, and proceded to throw up an hour x 18 hours, also had diarrhea.  Also has fever of 102.  3rd shot of immunizations defected as dr office notified.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Feeling hot, Injection site oedema
Clinical narrative: After 5 doses of DTAP with significant erythema, warmth, and swelling at site.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema
Clinical narrative: Significant erythema of left deltoid area and shoulder 5/8in needle used for injection.  He had several bug bits on arm at the time of injection.
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Oedema peripheral, Pain, Pyrexia, Stomach discomfort
Clinical narrative: Phone call from patient 06/09/2003 reporting after getting shot 06/06, she has had fever 99.3 to 100.3 since.  Reports being achy, dizzy to upset stomach.  Also reports swelling in hands and feet.  No problems at injection site.  06/10/2003: took some Vioxx per md prescribed and okay now.
Age: 27.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Pericarditis, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Pt reported to clinic in on 10 June with 102.9 degree fever, sore throat, and chest pain (5 out of 10).  He received the vaccinia virus 11 days prior.  Given the probable viremia and chest pain the pt was medevaced to a medical center.  He was placed in the ICU under observation by Cardiology.  Serologic markers indicated that he had a myo-pericarditis presumably from the vaccinia he received.  He stayed in the ICU for 4 days, and on the ward for 2 days.  When his troponin levels returned to normal he was released.  He was sent home on convalescent leave for 6 weeks. He is to receive follow-up Cardiology care.  We hope to have him back to full duty in 2-3 months.
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Hypersensitivity, Oedema, Rash
Clinical narrative: 2 days following IM injection of 0.5 ml pneumococcal vaccine in the right deltoid muscle, patient returned to clinic with c/o rash to upper chest area and erythema and swelling in lower right arm.  Examined by MD and treated as allergic reaction with po Benadryl.  Follow up appointment scheduled in 2 weeks.
Age: 0.3
Sex: F
Vaccine: DTAP, HIBV, IPV
Symptoms: Agitation, Anorexia, Irritability
Clinical narrative: crying, irritable, not nursing or eating.  inconsolable despite being held by mom x2days
Age: 21.0
Sex: M
Vaccine: SMALL
Symptoms: Headache, Migraine, Nausea, Photophobia
Clinical narrative: UNILATERAL HEADACHE, PHOTOPHOBIA, NAUSEA, MIGRAINS. PT HAD LAST MIGRAIN SYMPTOMS AT AGE 15.
Age: 50.0
Sex: F
Vaccine: SMALL
Symptoms: Alopecia, Arthralgia, Atelectasis, Bacterial infection, Candidiasis
Clinical narrative: Vaccine on 1-14-03; Adverse events: 1-19-03,01-20-03 sore throat, swollen lymph nodes, malaise, 01-27-03 viral throat ulcers; 01-27-03 malaise and fever, took Tylenol and prescribed lido/vsc; 02-03-03 sore throat, 02-5-03 left vaccine arm very sore unable to raise arm over head, node between left thumb & index finger sore; 02-07-03 scab fell off, temp of 100.2, malaise took Tylenol; 0208/ 02-09-03 joint pain, malaise, diagnosed w/ bacterial throat infection, 02-10-03 sore throat, neck, joints, chills dry cough, and temp 101.02 prescribed endocet. 02-11-03 thru 2-13-03 fevers between 102.7 to 103.01, cough joint pain, chills vomiting; on 02-13-03 addmitted to Hospital for bi-pneumonia, antibiotics and steroids administerd; had steroid induced diabetes which went away after stopped steroids; discharged 02-18-03; 02-21-03 sore throat and thrush; fevers 02-24-03, sore throat 02-25-03, fever and left knee, and hip swollen 02-26-03 thru 02-26-03; relapse 03-07-03 readmitted to hosp w/bi-pneumonia; discharged 03-19-03 no fever; but fevers resumed 04-07-03 thru 04-10-03; referred to Lung Specialist, put on Prednisone 10mg to control fevers, ana up, sed rate up, crp up, fluid on lungs; fevers again 05-22-03 thru 05-24-03 Prednisone upped to 20mg, developed shortness of breath upon exertion; fluid cleared 05-22-03; bottom part of lungs have stopped expanding; Referred to rheumatologist, ana negative but other tests positive, vaccine seems to have triggered lupus; will need lung biopsy to verify; (WILL BE scheduled in late June) Unable to work Prednisone increased to 40mg then 60mg daily, lower bases of lungs hurt; have had 2 lung infections in 5-03, re-occurring Pleurisy, shortness of breath increasing, hair shedding, aches, malaise.
Age: 50.0
Sex: F
Vaccine: SMALL
Symptoms: Chills, Cough, Dyspnoea, Joint range of motion decreased, Laboratory test abnormal
Clinical narrative: Vaccine on 1-14-03; Adverse events: 1-19-03,01-20-03 sore throat, swollen lymph nodes, malaise, 01-27-03 viral throat ulcers; 01-27-03 malaise and fever, took Tylenol and prescribed lido/vsc; 02-03-03 sore throat, 02-5-03 left vaccine arm very sore unable to raise arm over head, node between left thumb & index finger sore; 02-07-03 scab fell off, temp of 100.2, malaise took Tylenol; 0208/ 02-09-03 joint pain, malaise, diagnosed w/ bacterial throat infection, 02-10-03 sore throat, neck, joints, chills dry cough, and temp 101.02 prescribed endocet. 02-11-03 thru 2-13-03 fevers between 102.7 to 103.01, cough joint pain, chills vomiting; on 02-13-03 addmitted to Hospital for bi-pneumonia, antibiotics and steroids administerd; had steroid induced diabetes which went away after stopped steroids; discharged 02-18-03; 02-21-03 sore throat and thrush; fevers 02-24-03, sore throat 02-25-03, fever and left knee, and hip swollen 02-26-03 thru 02-26-03; relapse 03-07-03 readmitted to hosp w/bi-pneumonia; discharged 03-19-03 no fever; but fevers resumed 04-07-03 thru 04-10-03; referred to Lung Specialist, put on Prednisone 10mg to control fevers, ana up, sed rate up, crp up, fluid on lungs; fevers again 05-22-03 thru 05-24-03 Prednisone upped to 20mg, developed shortness of breath upon exertion; fluid cleared 05-22-03; bottom part of lungs have stopped expanding; Referred to rheumatologist, ana negative but other tests positive, vaccine seems to have triggered lupus; will need lung biopsy to verify; (WILL BE scheduled in late June) Unable to work Prednisone increased to 40mg then 60mg daily, lower bases of lungs hurt; have had 2 lung infections in 5-03, re-occurring Pleurisy, shortness of breath increasing, hair shedding, aches, malaise.
Age: 50.0
Sex: F
Vaccine: SMALL
Symptoms: Lung disorder, Lymphadenopathy, Malaise, Neck pain, Pain
Clinical narrative: Vaccine on 1-14-03; Adverse events: 1-19-03,01-20-03 sore throat, swollen lymph nodes, malaise, 01-27-03 viral throat ulcers; 01-27-03 malaise and fever, took Tylenol and prescribed lido/vsc; 02-03-03 sore throat, 02-5-03 left vaccine arm very sore unable to raise arm over head, node between left thumb & index finger sore; 02-07-03 scab fell off, temp of 100.2, malaise took Tylenol; 0208/ 02-09-03 joint pain, malaise, diagnosed w/ bacterial throat infection, 02-10-03 sore throat, neck, joints, chills dry cough, and temp 101.02 prescribed endocet. 02-11-03 thru 2-13-03 fevers between 102.7 to 103.01, cough joint pain, chills vomiting; on 02-13-03 addmitted to Hospital for bi-pneumonia, antibiotics and steroids administerd; had steroid induced diabetes which went away after stopped steroids; discharged 02-18-03; 02-21-03 sore throat and thrush; fevers 02-24-03, sore throat 02-25-03, fever and left knee, and hip swollen 02-26-03 thru 02-26-03; relapse 03-07-03 readmitted to hosp w/bi-pneumonia; discharged 03-19-03 no fever; but fevers resumed 04-07-03 thru 04-10-03; referred to Lung Specialist, put on Prednisone 10mg to control fevers, ana up, sed rate up, crp up, fluid on lungs; fevers again 05-22-03 thru 05-24-03 Prednisone upped to 20mg, developed shortness of breath upon exertion; fluid cleared 05-22-03; bottom part of lungs have stopped expanding; Referred to rheumatologist, ana negative but other tests positive, vaccine seems to have triggered lupus; will need lung biopsy to verify; (WILL BE scheduled in late June) Unable to work Prednisone increased to 40mg then 60mg daily, lower bases of lungs hurt; have had 2 lung infections in 5-03, re-occurring Pleurisy, shortness of breath increasing, hair shedding, aches, malaise.
Age: 50.0
Sex: F
Vaccine: SMALL
Symptoms: Pharyngolaryngeal pain, Pleurisy, Pneumonia, Pyrexia, Systemic lupus erythematosus
Clinical narrative: Vaccine on 1-14-03; Adverse events: 1-19-03,01-20-03 sore throat, swollen lymph nodes, malaise, 01-27-03 viral throat ulcers; 01-27-03 malaise and fever, took Tylenol and prescribed lido/vsc; 02-03-03 sore throat, 02-5-03 left vaccine arm very sore unable to raise arm over head, node between left thumb & index finger sore; 02-07-03 scab fell off, temp of 100.2, malaise took Tylenol; 0208/ 02-09-03 joint pain, malaise, diagnosed w/ bacterial throat infection, 02-10-03 sore throat, neck, joints, chills dry cough, and temp 101.02 prescribed endocet. 02-11-03 thru 2-13-03 fevers between 102.7 to 103.01, cough joint pain, chills vomiting; on 02-13-03 addmitted to Hospital for bi-pneumonia, antibiotics and steroids administerd; had steroid induced diabetes which went away after stopped steroids; discharged 02-18-03; 02-21-03 sore throat and thrush; fevers 02-24-03, sore throat 02-25-03, fever and left knee, and hip swollen 02-26-03 thru 02-26-03; relapse 03-07-03 readmitted to hosp w/bi-pneumonia; discharged 03-19-03 no fever; but fevers resumed 04-07-03 thru 04-10-03; referred to Lung Specialist, put on Prednisone 10mg to control fevers, ana up, sed rate up, crp up, fluid on lungs; fevers again 05-22-03 thru 05-24-03 Prednisone upped to 20mg, developed shortness of breath upon exertion; fluid cleared 05-22-03; bottom part of lungs have stopped expanding; Referred to rheumatologist, ana negative but other tests positive, vaccine seems to have triggered lupus; will need lung biopsy to verify; (WILL BE scheduled in late June) Unable to work Prednisone increased to 40mg then 60mg daily, lower bases of lungs hurt; have had 2 lung infections in 5-03, re-occurring Pleurisy, shortness of breath increasing, hair shedding, aches, malaise.
Age: 50.0
Sex: F
Vaccine: SMALL
Symptoms: Vomiting
Clinical narrative: Vaccine on 1-14-03; Adverse events: 1-19-03,01-20-03 sore throat, swollen lymph nodes, malaise, 01-27-03 viral throat ulcers; 01-27-03 malaise and fever, took Tylenol and prescribed lido/vsc; 02-03-03 sore throat, 02-5-03 left vaccine arm very sore unable to raise arm over head, node between left thumb & index finger sore; 02-07-03 scab fell off, temp of 100.2, malaise took Tylenol; 0208/ 02-09-03 joint pain, malaise, diagnosed w/ bacterial throat infection, 02-10-03 sore throat, neck, joints, chills dry cough, and temp 101.02 prescribed endocet. 02-11-03 thru 2-13-03 fevers between 102.7 to 103.01, cough joint pain, chills vomiting; on 02-13-03 addmitted to Hospital for bi-pneumonia, antibiotics and steroids administerd; had steroid induced diabetes which went away after stopped steroids; discharged 02-18-03; 02-21-03 sore throat and thrush; fevers 02-24-03, sore throat 02-25-03, fever and left knee, and hip swollen 02-26-03 thru 02-26-03; relapse 03-07-03 readmitted to hosp w/bi-pneumonia; discharged 03-19-03 no fever; but fevers resumed 04-07-03 thru 04-10-03; referred to Lung Specialist, put on Prednisone 10mg to control fevers, ana up, sed rate up, crp up, fluid on lungs; fevers again 05-22-03 thru 05-24-03 Prednisone upped to 20mg, developed shortness of breath upon exertion; fluid cleared 05-22-03; bottom part of lungs have stopped expanding; Referred to rheumatologist, ana negative but other tests positive, vaccine seems to have triggered lupus; will need lung biopsy to verify; (WILL BE scheduled in late June) Unable to work Prednisone increased to 40mg then 60mg daily, lower bases of lungs hurt; have had 2 lung infections in 5-03, re-occurring Pleurisy, shortness of breath increasing, hair shedding, aches, malaise.
Age: 3.0
Sex: M
Vaccine: PNC
Symptoms: Bacterial infection, Lethargy, Meningitis, Otitis media, Pyrexia
Clinical narrative: A physician reported that a 3 year old male received a dose of Prevnar vaccine on 7/31/02 at the county health department. On 10/4/02, he received a dose of Pneumovax vaccine in the reporting physician's office. Medical history included a cochlear implant in the left ear. On 4/21/03, the child developed a fever, vomiting and lethargy. He was seen in the emergency room, and diagnosed with a left otitis media. He had a white blood cell count of -28,000-30,000 with -16%-18% bands and a blood culture that was subsequently positive for pneumococcus. The child was given intramuscular ceftriaxone, a prescription for Zithromax, and sent home. Two days later, he presented to the pediatrician and was hospitalized when his condition had not improved. Blood culture results from the emergency room visit were positive for Streptococcus pneumoniae, serotype 19F. A CSF specimen taken was positive for WBC's. The diagnosis was meningitis. Treatment included intravenous Rocephin and vancomycin. The results of serum antibody titers are pending. As of 6/6/03, the child had survived and was doing well as per the reporting physician.  Follow up received on 08/22/2003: "Follow up information received on 08/08/2003 reported the event as life threatening, and provided patient and vaccine details including laboratory results.  A physician reported that a 3-year old male received his first dose of Prevnar vaccine on 07/31/2002 at the county health department.  On 10/04/2002, he received a dose of Pneumovax vaccine in the reporting physician's office.  Medical history included a cochlear implant in the left ear.  On 04/21/2003, the child developed a fever, vomiting and lethargy.  He was seen in the ER and diagnosed with a left OM.  He had a white blood cell count of -28,000-30,000 with -16-18% bands and a blood culture that was subsequently positive for pneumococcus. The child was given IM ceftriaxone a prescription for zithromax, and sent home.  Two days later, he presented to the pediatrician and was hospitalized when his condition had not improved.  The reporter also considered the event to be life threatening.  Blood culture results from the ER visit were positive for Streptococcus pneumoniae, serotype 19F.  A CSF specimen taken was positive for WBC's.  The diagnosis was meningitis.  Treatment included IV Rocephin and vancomycin.  Serum antibody titers obtained on 05/27/2003 showed serotype 19F - 0.67 ug/mL.  As of 08/08/2003, the child recovered and was doing well as per the reporting physician. A 15-day follow up report received 9/30/2003 adds no new info.
Age: 3.0
Sex: M
Vaccine: PNC
Symptoms: Sepsis, Vomiting, White blood cell count increased
Clinical narrative: A physician reported that a 3 year old male received a dose of Prevnar vaccine on 7/31/02 at the county health department. On 10/4/02, he received a dose of Pneumovax vaccine in the reporting physician's office. Medical history included a cochlear implant in the left ear. On 4/21/03, the child developed a fever, vomiting and lethargy. He was seen in the emergency room, and diagnosed with a left otitis media. He had a white blood cell count of -28,000-30,000 with -16%-18% bands and a blood culture that was subsequently positive for pneumococcus. The child was given intramuscular ceftriaxone, a prescription for Zithromax, and sent home. Two days later, he presented to the pediatrician and was hospitalized when his condition had not improved. Blood culture results from the emergency room visit were positive for Streptococcus pneumoniae, serotype 19F. A CSF specimen taken was positive for WBC's. The diagnosis was meningitis. Treatment included intravenous Rocephin and vancomycin. The results of serum antibody titers are pending. As of 6/6/03, the child had survived and was doing well as per the reporting physician.  Follow up received on 08/22/2003: "Follow up information received on 08/08/2003 reported the event as life threatening, and provided patient and vaccine details including laboratory results.  A physician reported that a 3-year old male received his first dose of Prevnar vaccine on 07/31/2002 at the county health department.  On 10/04/2002, he received a dose of Pneumovax vaccine in the reporting physician's office.  Medical history included a cochlear implant in the left ear.  On 04/21/2003, the child developed a fever, vomiting and lethargy.  He was seen in the ER and diagnosed with a left OM.  He had a white blood cell count of -28,000-30,000 with -16-18% bands and a blood culture that was subsequently positive for pneumococcus. The child was given IM ceftriaxone a prescription for zithromax, and sent home.  Two days later, he presented to the pediatrician and was hospitalized when his condition had not improved.  The reporter also considered the event to be life threatening.  Blood culture results from the ER visit were positive for Streptococcus pneumoniae, serotype 19F.  A CSF specimen taken was positive for WBC's.  The diagnosis was meningitis.  Treatment included IV Rocephin and vancomycin.  Serum antibody titers obtained on 05/27/2003 showed serotype 19F - 0.67 ug/mL.  As of 08/08/2003, the child recovered and was doing well as per the reporting physician. A 15-day follow up report received 9/30/2003 adds no new info.
Sex: M
Vaccine: HIBV
Symptoms: Autism, Drug toxicity, Nervous system disorder
Clinical narrative: A legal complaint was received from an attorney concerning a 5 year old male child who received HibTiter vaccine and Tripedia vaccine in or about 1999, when he was approximately 2 years old. It is alleged that as a result of cumulative doses of mercury in the thimerosal containing vaccine, the child developed "toxic neurological effects of mercury poisoning including but not limited to autism." Mercury poisoning was considered medically important (OMIC).
Sex: M
Vaccine: HIBV
Symptoms: Autism, Drug toxicity, Nervous system disorder
Clinical narrative: A legal complaint was received from an attorney concerning a male child who reportedly received HibTiter, Tripedia and Engerix B vaccines during the time frame from 1997 through 1998. The legal complaint states "as a result of the mercury in the thimerosal-containing vaccinations," the child "suffers, and in the future will continue to suffer, from the toxic effects of mercury poisoning, including but not limited to autism." Mercury poisoning and autism were considered medically important (OMIC).
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Autism, Drug toxicity, Nervous system disorder
Clinical narrative: Follow up information received on 6/4/03 provided medical history and vaccination dates. A legal complaint was received from an attorney concerning a male child who reportedly received Haemophilus influenzae B vaccine, DTaP vaccine, IPV, hepatitis B vaccine, and Synagis from 12/27/98 through 4/14/99. The child's medical history included premature birth (27 weeks), respiratory distress requiring mechanical ventilation, hyperbilirubinemia, anemia due to prematurity, patent ductus arteriosus, and anisocoria. The legal complaint states that the child subsequently developed toxic neurological effects of mercury poisoning as a result of receiving vaccinations containing thimerosal. The legal complaint states that the child experienced neurological injuries including but not limited to disintegrative autism. Mercury poisoning and autism were considered medically important (OMIC).
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Apnoea, Convulsion, Irritability, Muscle rigidity, Pyrexia
Clinical narrative: Vaccines given 1800 5/12/03, pt fussy. Approximately 0600 5/13-pt rigid, not breathing, no cyanotic, post 30 sec spontaneoulsy took breath-ER, released. 1030am-tonic-clinic seizure x 60-70 sec.-ER, T100-LP, admit 48 hrs with IV abx. CT nl. EEG-decreased amplitude L side probably normal.
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Respiratory disorder
Clinical narrative: Vaccines given 1800 5/12/03, pt fussy. Approximately 0600 5/13-pt rigid, not breathing, no cyanotic, post 30 sec spontaneoulsy took breath-ER, released. 1030am-tonic-clinic seizure x 60-70 sec.-ER, T100-LP, admit 48 hrs with IV abx. CT nl. EEG-decreased amplitude L side probably normal.
Age: 3.0
Sex: M
Vaccine: DTAP, HBHEPB, MMR, VARCEL
Symptoms: Unevaluable event
Clinical narrative: Mother got shots at Dr office using 2 different last names of the child. She provided 1 copy that did show the need for a 4th set of immunizations. Immunizations were given. 2 days later, another copy of shots from Dr office were received showing the 4th series of immunizations with the other last name. This resulted in an extra series of immunizations that could have been avoided.
Sex: M
Vaccine: TD
Symptoms: Unevaluable event
Clinical narrative: Nurse used Diptheria/Tetanus for Tubersol for PPD for skin testing.
Age: 26.0
Sex: F
Vaccine: TD
Symptoms: Pain
Clinical narrative: Achiness and pain in left arm after TD given Tues 5/13/03. No fever, no redness, no swelling. Pain became worse Sun night 5/18/03. Saw Nurse Practioner Fri 5/23/03 because still had achiness and throbbing in left arm, but not as bad as Sunday. (Moved to new home beginning of May). Using Aleve or Advil. Did not apply cold pack until Mon 5/19/03. Was tense when vaccine was administered. Only very slight stiffness during night 5/27/03.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: 5/9/03: Nurse notified DPH of possible reaction to vaccine. Pt was noted to have large amount of swelling and redness of right upper arm/shoulder on 5/8/03. Ice pack applied. Was arranged for pt to go to MD. Saw MD. Area measured 2" x 3". MD monitoring.
Age: 24.0
Sex: M
Vaccine: HEP
Symptoms: Injection site erythema
Clinical narrative: At injection site of left deltoid, an oval shaped area (23 mm x 13 mm) dark pink to pale red area. No swelling, heat, drainage noted. Denies discomfort or itching.
Age: 4.0
Sex: F
Vaccine: DT, IPV, MMR
Symptoms: Dry mouth, Eyelid oedema, Pain, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: 6:50 PM child developed 104 degrees fever and eye lids swelled. 1:50 PM child complained that back, legs, neck and left arm hurt - given 1 1/2 tsp Tylenol elixir - developed dry mouth and sore throat - Tylenol every 4 hours - saw MD 9:10 AM on 6/12/03.
Age: 10.0
Sex: M
Vaccine: HEPA
Symptoms: Abdominal pain upper, Dizziness, Nausea, Somnolence
Clinical narrative: Moments after receiving Hep A #2 dizziness, nausea, stomachache. Very drowsy. Pt lying down, vitals every 5 minutes, stable. Tongue tingling a little after 1 hour which improved over next 20-30 minutes. 25 mg Benadryl given. Pt felt better. Stomachache and nausea gone, dizziness improved.
Age: 48.0
Sex: F
Vaccine: TD
Symptoms: Chest pain, Injection site oedema, Myalgia, Pruritus
Clinical narrative: 24 hours after vaccine reported muscle pains in jaw, neck, arm, chest and abdomen. Pain in chest severe enough to prevent wanting to take days break. Injection site swollen, itchy. Several days later aid with Naprosyn, Benadryl, resolved.
Age: 54.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pain
Clinical narrative: Awoke 6/10 AM with swelling and pain at dT site left deltoid; better today with improved shoulder ROM; initial pain at site 6/2 when shot given but no symptoms thereafter until 6/10 AM; 15 x 7cm red, warm patch left deltoid with palpable spasm. Improving.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: 9 cm redness, swelling locally started shortly after receiving injections. Seen by Dr 06/12/03. Treated with Benadryl.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR, OPV
Symptoms: Infection, Rash
Clinical narrative: Rashh 6/2/03, present 3 days, consistent with mild varicella.
Age: 43.0
Sex: M
Vaccine: UNK
Symptoms: Hypoaesthesia
Clinical narrative: 6/10/03 Pt presented to us as a new pt with complaints of numbness right arm; on exam he had no brachio-radiolis reflex on right or tricep reflex on right arm.
Age: 0.3
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Screaming
Clinical narrative: Excessive crying for more than 3 hours. Had vaccine at 2:30 PM. Started to scream at 5 PM, continued all through night.
Age: 5.0
Sex: F
Vaccine: DTAP, HEP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Pain
Clinical narrative: Increased erythema/swelling right upper arm, significant pain, treated initially cold compresses, Tylenol and Benadryl
Age: 14.0
Sex: M
Vaccine: TD, VARCEL
Symptoms: Coma
Clinical narrative: Pt became unresponsive for a few seconds while sitting in chair. When pt was placed on back on floor, immediately after not responding, his level of consciousness returned to normal immediately vs. 110/70/HR-70. Pt provided water and food after 15 minutes of lying flat. Slowly pt returned to sitting and standing after 1/2 hour OK.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Tenderness
Clinical narrative: Right arm - almost whole upper arm, dorsal aspect: red, indurated, with mild tenderness. Redness and swelling ofright upper arm resolved 3 - 4 days later per mom.
Age: 0.3
Sex: F
Vaccine: DTAP, HBPV, IPV, PNC
Symptoms: Agitation, Convulsion, Irritability, Pyrexia
Clinical narrative: Low grade temp day of vaccination and 2 days following - very fussy, crying and not sleeping well. On Day 6 following vax pt had seizure involving whole body - legs stiffened, arms flexed, tonic-clonic movement of head, torso and arms. Lasted 20 sec. During early sleep. Pt continues to have episodes sporadically.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Pruritus
Clinical narrative: Left arm swelled, red, warm, itchy - between shoulders, elbow.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Tenderness
Clinical narrative: Redness and swelling noted from shoulder down arm 6". Warm and tender to touch. Afebrile.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash papular
Clinical narrative: Few papules that are non-vesicular, non-pruritic, non-petchaical on the extremities including hands and feet. Rash most prominent on the trunk with some around hairline and eyes.
Age: 21.0
Sex: M
Vaccine: TTOX
Symptoms: Oedema, Pain
Clinical narrative: Had mild swelling and pain in deltoid muscle. No evidence of color or ecchymosis.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Discomfort, Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Swelling, redness and warmth at site. Cool compresses and Tylenol for discomfort. Area approx 8 cm x 8 cm.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: Area of redness, extending from shoulder deltoid down to left elbow. Not especially warm or swollen but definitely red.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Left deltoid, swollen, reddened approx 8cm diameter, non-painful
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site induration, Injection site inflammation
Clinical narrative: 15 x 16 slightly indurated mildly to moderately inflamed area of left upper arm surrounding immunization site -  no odenitis, not tender, no fever, no systemic symptoms (pt not concerned).
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Erythema, Feeling hot, Oedema, Pain, Pharyngitis
Clinical narrative: Redness, swelling, warm and pain to L leg x 1d per mom. Seen 5/16/03. Admitted on 5/16/03 to hospital. Discharge 5/18/03. Seen f/u 5/21/03 on po antibiotics. The hospital discharge summary states pharyngitis, viral syndrome and URI.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, IPV
Symptoms: Urinary tract infection, Viral infection
Clinical narrative: Redness, swelling, warm and pain to L leg x 1d per mom. Seen 5/16/03. Admitted on 5/16/03 to hospital. Discharge 5/18/03. Seen f/u 5/21/03 on po antibiotics. The hospital discharge summary states pharyngitis, viral syndrome and URI.