chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 12.0
Sex: F
Vaccine: HEPA
Symptoms: Pain
Clinical narrative: Soreness and weakness until first seizure exactly 1 year later.  Has had 3 since and is currently on Keppra, which make her a tired and non-functioning.  All MRIs, blood test, EEG's normal.  Nurtritionalist believe the vaccine damaged her nervous system which is going completely wacky during puberty.    Question #21 below does not  work properly.  The vaccine is Gardasil, my daughter had all three shots, last one on July 13th, 2007.
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Dizziness, Heart rate increased, Injection site haemorrhage, Joint stiffness
Clinical narrative: Received TDAP vaccine in right arm on 7 JUN 2008 and experienced the following adverse events: squirting blood from injection site which lasted 2-3 minutes in duration, dizziness, and rapid heart beat; followed by joint pain and stiffness that is still present as of 2 Aug 2008.
Age: 12.0
Sex: M
Vaccine: DTAP, MEN
Symptoms: Urticaria
Clinical narrative: Hives on his chest, back and arms.Given benadryl.  Shot was given my Health Department.  Do not have manufacturer or lot number.
Age: 42.0
Sex: F
Vaccine: RAB
Symptoms: Urticaria
Clinical narrative: Hives the day of each vaccine, hives returned worse 4 days after 2nd vaccine and had to go to emergency room.  medication administered and medication sent home, missed work for 2 days. Still taking medication (Prednisone, Atarax, Pepcid, EpiPen Auto Injector as needed)
Age: 47.0
Sex: F
Vaccine: FLUN3
Symptoms: Ageusia, Anosmia
Clinical narrative: MBR STATES THAT HE HAS LOST ALL SENSE OF TASTE AND SMELL
Age: 6.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Induration, Tenderness
Clinical narrative: Erythema of 4.5 cm by 3.8 cm in left arm. Mild tenderness and mild induration.
Age: 62.0
Sex: M
Vaccine: TDAP
Symptoms: Guillain-Barre syndrome
Clinical narrative: Patient developed Guillian Barré syndrome 3 weeks postvaccination  9/19/08  Reviewed hospital medical records of 5/2-5/6/2008. FINAL DX: Miller Fisher variant GBS; asymtomatic nonsustained v-tach; constipation. Records reveal patient seen in neurologist office on day of admit for EMG which was abnormal & sent to hospital for IVIG x 5 days.  Patient experienced paresthesia, tingling, numbness, facial weakness, extremity weakness, diffuse areflexia.  Neuro & cardio consults done.  Improved & d/c to home w/neuro, cardio & PCP f/u.  8/22/08 Reviewed hospital medical records of 4/27-4/28/2008 FINAL DX: None provided.  Admit dx: headache, transient expressive aphasia Records reveal patient experienced HA, abdominal discomfort & generalized muscle soreness x 5 days then mouth feeling abnormal, weakness of tongue, decreased sensation of skin, difficulty sleeping & difficulty forming words.  Facial weakness noted in ER.  23-hour admission for observation & Neuro consult obtained.  D/C to home on antiviral meds & steroid taper to f/u w/Neuro as outpatient. .
Age: 1.5
Sex: M
Vaccine: DTAP, IPV
Symptoms: Convulsion, Pyrexia
Clinical narrative: Son spiked a fever and went into a seizure.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Headache, Pruritus, Pyrexia, Stomach discomfort, Varicella
Clinical narrative: Patient recieved the Varicella vaccine on July 22 2008, and then she started to break out with chicken pox on August 2 2008. She was running a fever, had a headache, and was complaining of a upset stomach for aprox. 3 days prior to the break out of the rash. All the info i have read about the vaccine states that if it does cause a breakout, it wont be severe. Well let me tell you she has them everywhere, all over her face, stomach,back, legs, arms, inside mouth. I have been treating the fever with tylenol and motrin and giving her benadryl for itch, also caladryl clear for the itch. The fever wasnt steady, it was off and on a couple days befor she had the breakout of the rash, and it has pretty much subsided since she has broken out with the rash, she still says her stomach doesnt feel good, and she hasnt had a headach for a couple days. Just wanted to let you know about this reaction from the vaccine. Also you should warn people that a severe case of the chicked pox can come from getting this vaccine. We are only a day into this so im not sure what the outcome is going to be yet. Will be taking her to her doctor tomorow to get checked out.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Cellulitis, Erythema, Induration, Pyrexia
Clinical narrative: 2 days after vaccination patient presented with erthymetous, indurated patch upper arm 5x6 cm itchy, h/o fever 101.7 overnight. Treated for cellulitis with keflex. Patient had a concurrent otitis media. Patient had a previous reaction, mom cant remember details though thinks she was about 4 years old.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Enema administration, Intussusception, X-ray abnormal
Clinical narrative: This report was identified from a line listing obtained on request by the Company from the FDA under the Freedom of Information Act. A 6 month old female who on 14-FEB-2008 was vaccinated with the third dose of ROTATEQ (Lot # 657671/0902U, oral administration). Concomitant therapy included PREVNAR (Lot # B54015D) in her left leg. ACTHIB (Lot # UF328AA) in her left leg and PEDIARIX (Lot # ACZIBI37AA) IM in her right leg. On 25-FEB-2008 the patient experienced intussusception and was hospitalized. Intussusception was reduced with enema administration (air contrast b.e.) same day. Intussusception was considered to be immediately life-threatening. An ER visit was required. The original reporter was not provided. A standard lot check investigation was performed. All in-process quality checks for the lot # 657671/0902U were satisfactory. In addition, an expanded lot check investigation was performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the Center for Biologics Evaluation and Research and was released. No further information is available.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Barium double contrast, Intussusception, X-ray abnormal
Clinical narrative: This report was identified from a line listing obtained on request by the Company from the FDA under the Freedom of Information Act. A 6 month old female who on 14-FEB-2008 was vaccinated with the third dose of ROTATEQ (Lot # 657671/0902U, oral administration). Concomitant therapy included PREVNAR (Lot # B54015D) in her left leg. ACTHIB (Lot # UF328AA) in her left leg and PEDIARIX (Lot # ACZIBI37AA) IM in her right leg. On 25-FEB-2008 the patient experienced intussusception and was hospitalized. Intussusception was reduced with enema administration (air contrast b.e.) same day. Intussusception was considered to be immediately life-threatening. An ER visit was required. The original reporter was not provided. A standard lot check investigation was performed. All in-process quality checks for the lot # 657671/0902U were satisfactory. In addition, an expanded lot check investigation was performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the Center for Biologics Evaluation and Research and was released. No further information is available.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Blood pressure decreased, Disorientation, Erythema, Fatigue, Loss of consciousness
Clinical narrative: One hour after meningitis and GARDASIL vaccines administered pt vomited and BP dropped, she passed out.  (5/23/08)  No redness for either site, no difficulty breathing.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Nausea, Pallor, Rash macular, Vomiting
Clinical narrative: One hour after meningitis and GARDASIL vaccines administered pt vomited and BP dropped, she passed out.  (5/23/08)  No redness for either site, no difficulty breathing.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ, HPV4, MNQ
Symptoms: Blood pressure decreased, Loss of consciousness, Vomiting
Clinical narrative: One hour after meningitis and GARDASIL vaccines administered pt vomited and BP dropped, she passed out.  (5/23/08)  No redness for either site, no difficulty breathing.
Age: 73.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Brain stem infarction, Dizziness, Left atrial dilatation, Left ventricular dysfunction, Nausea
Clinical narrative: Dizzy, double vision, loss of speech, could not open eyes, sweating, vomiting, could not walk, lasted 3 days, given ANTIVERT and KLONOPPIN IV's, physical therapy.
Age: 73.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Vertigo, Vestibular neuronitis
Clinical narrative: Dizzy, double vision, loss of speech, could not open eyes, sweating, vomiting, could not walk, lasted 3 days, given ANTIVERT and KLONOPPIN IV's, physical therapy.
Age: 73.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Abasia, Aphasia, Blood test, Computerised tomogram normal, Diplopia
Clinical narrative: Dizzy, double vision, loss of speech, could not open eyes, sweating, vomiting, could not walk, lasted 3 days, given ANTIVERT and KLONOPPIN IV's, physical therapy.
Age: 73.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Dizziness, Eye movement disorder, Hyperhidrosis, Nuclear magnetic resonance imaging normal, Vomiting
Clinical narrative: Dizzy, double vision, loss of speech, could not open eyes, sweating, vomiting, could not walk, lasted 3 days, given ANTIVERT and KLONOPPIN IV's, physical therapy.
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Muscle spasms, Oedema peripheral
Clinical narrative: Information has been received from a mother concerning her daughter, with no pertinent medical history and no drug reactions/allergies who on an unspecified date was vaccinated with the first dose of GARDASIL and on 27-JUN-2008 was vaccinated with the second dose of GARDASIL. There was no concomitant medication. The mother reported that the same night (on 27-JUN-2008) her daughter received the second dose of GARDASIL she began to develop leg pain. By 02-JUL-2008 the pain worsened and her daughter was screaming and could not move her legs. She was taken to the office of the Physician Assistant. Unknown blood work was done and she was diagnosed as having a "blood bacterial infection". she was given 2 double strength TORADOL for pain. Blood tests revealed that she had mononucleosis which had not been reported previously recognized with an enlarged spleen. She was taken to the ER and then admitted to the hospital where she received potassium and unspecified antibiotics. She was discharged on 03-JUL-2008 and prescribed MOTRIN and antibiotics. At the time of the reporting she was recovering. Additional information has been requested.
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Bacterial infection, Blood test abnormal, Infectious mononucleosis, Mononucleosis heterophile test positive, Movement disorder
Clinical narrative: Information has been received from a mother concerning her daughter, with no pertinent medical history and no drug reactions/allergies who on an unspecified date was vaccinated with the first dose of GARDASIL and on 27-JUN-2008 was vaccinated with the second dose of GARDASIL. There was no concomitant medication. The mother reported that the same night (on 27-JUN-2008) her daughter received the second dose of GARDASIL she began to develop leg pain. By 02-JUL-2008 the pain worsened and her daughter was screaming and could not move her legs. She was taken to the office of the Physician Assistant. Unknown blood work was done and she was diagnosed as having a "blood bacterial infection". she was given 2 double strength TORADOL for pain. Blood tests revealed that she had mononucleosis which had not been reported previously recognized with an enlarged spleen. She was taken to the ER and then admitted to the hospital where she received potassium and unspecified antibiotics. She was discharged on 03-JUL-2008 and prescribed MOTRIN and antibiotics. At the time of the reporting she was recovering. Additional information has been requested.
Age: 11.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Pain in extremity, Screaming, Splenomegaly
Clinical narrative: Information has been received from a mother concerning her daughter, with no pertinent medical history and no drug reactions/allergies who on an unspecified date was vaccinated with the first dose of GARDASIL and on 27-JUN-2008 was vaccinated with the second dose of GARDASIL. There was no concomitant medication. The mother reported that the same night (on 27-JUN-2008) her daughter received the second dose of GARDASIL she began to develop leg pain. By 02-JUL-2008 the pain worsened and her daughter was screaming and could not move her legs. She was taken to the office of the Physician Assistant. Unknown blood work was done and she was diagnosed as having a "blood bacterial infection". she was given 2 double strength TORADOL for pain. Blood tests revealed that she had mononucleosis which had not been reported previously recognized with an enlarged spleen. She was taken to the ER and then admitted to the hospital where she received potassium and unspecified antibiotics. She was discharged on 03-JUL-2008 and prescribed MOTRIN and antibiotics. At the time of the reporting she was recovering. Additional information has been requested.
Age: 40.0
Sex: M
Vaccine: TDAP
Symptoms: Nausea, Night sweats, Vomiting
Clinical narrative: Nausea, night sweats, and vomiting.  No treatment.
Age: 26.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Injection site discomfort, Injection site erythema, Injection site nodule, Injection site pruritus
Clinical narrative: 30 year old (currently, 26 at time of vaccine) white female. Tolerated past immunizations without difficulty except for local reactions worsening with each subsequent dose of anthrax vaccine. Most recent anthrax vaccine (6) was given in August 2004. Describes pain swelling, redness, heat in the left upper arm. Symptoms began within 2-4 hours, worsening over 24-48 hour, and resolving within 5 days. Denies significant systemic symptoms. Pain at vaccine site described as "discomfort" and its peak, pain intensity rated as 2/10 using pain scale of 0 ("no pain) to 10 (=worst pain ever experienced). Pain limited to vaccine site and surrounding area. Pain did not decrease functional capacity. Service member did not seek evaluation of pain or self treat pain. Pruritis localized to area of exposure (Vaccine site). Redness surrounding vaccination site extending approx 3 inches (about the diameter of a baseball). No red streaking going up a limb. A single nodule - pruritic subcutaneous nodule at vaccine site (about the size of a marble) which lasted about 2 weeks. Symptoms: Edema @ injection site 50-120mm, Erythema, Tenderness, Nodule, subcutaneous, Pruritus.
Age: 26.0
Sex: F
Vaccine: ANTH
Symptoms: Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: 30 year old (currently, 26 at time of vaccine) white female. Tolerated past immunizations without difficulty except for local reactions worsening with each subsequent dose of anthrax vaccine. Most recent anthrax vaccine (6) was given in August 2004. Describes pain swelling, redness, heat in the left upper arm. Symptoms began within 2-4 hours, worsening over 24-48 hour, and resolving within 5 days. Denies significant systemic symptoms. Pain at vaccine site described as "discomfort" and its peak, pain intensity rated as 2/10 using pain scale of 0 ("no pain) to 10 (=worst pain ever experienced). Pain limited to vaccine site and surrounding area. Pain did not decrease functional capacity. Service member did not seek evaluation of pain or self treat pain. Pruritis localized to area of exposure (Vaccine site). Redness surrounding vaccination site extending approx 3 inches (about the diameter of a baseball). No red streaking going up a limb. A single nodule - pruritic subcutaneous nodule at vaccine site (about the size of a marble) which lasted about 2 weeks. Symptoms: Edema @ injection site 50-120mm, Erythema, Tenderness, Nodule, subcutaneous, Pruritus.
Age: 60.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Cellulitis, Chills, Erythema, Fatigue, Headache
Clinical narrative: Reports receipt of vaccines on 7/23/08 (both vaccines in left arm). Early a.m. on 7/25/08 awoke with fever (temp 102.4), shaking, and chills.  Later on 7/25/08, she noted her arm was red, swollen, tender and there was streaking between injection sites and elbow.  She also noted headache, fatigue, and generalized body aches.  She went to ER on Saturday and was diagnosed with "cellulitis" and started on Z-PACK.  On 7/28/08, vaccine site and surrounding area still tender, but streaking, redness and swelling significantly decreased.  She was afebrile and denied systemic symptoms.  Evaluation on 7/29/08 noted induration at vaccine site about 30 x 50 cm.  Minimal redness.  Afebrile.
Age: 60.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Injection site pain, Injection site streaking, Nervousness, Oedema peripheral, Pain
Clinical narrative: Reports receipt of vaccines on 7/23/08 (both vaccines in left arm). Early a.m. on 7/25/08 awoke with fever (temp 102.4), shaking, and chills.  Later on 7/25/08, she noted her arm was red, swollen, tender and there was streaking between injection sites and elbow.  She also noted headache, fatigue, and generalized body aches.  She went to ER on Saturday and was diagnosed with "cellulitis" and started on Z-PACK.  On 7/28/08, vaccine site and surrounding area still tender, but streaking, redness and swelling significantly decreased.  She was afebrile and denied systemic symptoms.  Evaluation on 7/29/08 noted induration at vaccine site about 30 x 50 cm.  Minimal redness.  Afebrile.
Age: 60.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Pyrexia, Tenderness
Clinical narrative: Reports receipt of vaccines on 7/23/08 (both vaccines in left arm). Early a.m. on 7/25/08 awoke with fever (temp 102.4), shaking, and chills.  Later on 7/25/08, she noted her arm was red, swollen, tender and there was streaking between injection sites and elbow.  She also noted headache, fatigue, and generalized body aches.  She went to ER on Saturday and was diagnosed with "cellulitis" and started on Z-PACK.  On 7/28/08, vaccine site and surrounding area still tender, but streaking, redness and swelling significantly decreased.  She was afebrile and denied systemic symptoms.  Evaluation on 7/29/08 noted induration at vaccine site about 30 x 50 cm.  Minimal redness.  Afebrile.
Sex: F
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from a physician concerning a female (age unknown), who was vaccinated with a dose of GARDASIL.  Subsequently, the patient experienced seizure like symptoms.  The patient sought unspecified medical attention from the physician.  The physician reported that the patient was not going to continue the rest of the series.  The patient recovered on an unspecified date.  The physician considered the seizure like symptoms to be disabling.  Additional information has been requested.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Paralysis
Clinical narrative: Information has been received from a physician concerning a 13 year old female, the daughter of a friend, who on an unspecified date was vaccinated with a first dose of GARDASIL (route and administration site not reported).  Subsequently the patient developed intermittent paralysis.  The patient was recovering from the intermittent paralysis.  The patient was seen by her physician.  Upon internal review the intermittent paralysis was considered to be an other important medical event.  Additional information has been requested.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Headache, Injection site reaction, Myalgia, Nausea
Clinical narrative: Onset Temp > 102 with nausea, myalgias, headache. Local reaction injection site.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Alveolitis allergic, Arthralgia, Biopsy skin abnormal, Cough, Culture negative
Clinical narrative: 67 y/o M with a hx of NHL (stable) received varicella zoster vaccine 0.65 ml on 3/10/08.  2 days after having received the vaccine, pt started developing a rash along with redness and itching on feet.  This later progressed to his legs, abdomen and his arms.  3/24-pt had swelling in R armpit, achiness in joints, SOB but no cough/congestion.  3/26-pt admitted with cough.  All cultures came back (-).  Pt had prolonged hosp. for resp. failure secondary hypersensitivity pneumonitis reaction.  09/19/2008 MR received for DOS 3/26-4/17/2008 with D/C DX:  Hypersensitivity rash-resolving.  Diffuse pulmonary opacities, pneumonia vs hypersensitivity pneumonitis.  Hx of low grade lymphoproliferative d/o, hx of non-hodgkins lymphoma, benign prostatic hypertrophy, hyperlipidemia.  Pt presented with worsening ascending rash beginning on March 12, 08, 2 days s/p Zostavax . Rash was pruritic and started on the dorsum of the feet and progressed upwards to the torso and upper extremities. Vesicular appearance on violaceous papules and plaques. Pt also developed joint pain in the hands, knees and elbows, which were sensitive to touch. Pt further progressed to develop a dry, non-productive cough and SOB at which point he was admitted. Etiology of sx unknown. Rheum consult for transient arthralgias ? vasculitis. Derm consult with assessment: likely vaccine induced EM.  Respiratory status declined, and pt placed on NC O2, then BiPAP. Transfered to ICU in unstable and guarded condition for possible intubation.  Developed a LLL infiltrate and dx with pneumonia.  TX with abx, antivirals and ultimately steroids. Extubated 4/14/08. Tranfered to SNF on 4/17/08 for further rehab.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Dyspnoea, Erythema, Pneumonitis, Pruritus, Rash
Clinical narrative: 67 y/o M with a hx of NHL (stable) received varicella zoster vaccine 0.65 ml on 3/10/08.  2 days after having received the vaccine, pt started developing a rash along with redness and itching on feet.  This later progressed to his legs, abdomen and his arms.  3/24-pt had swelling in R armpit, achiness in joints, SOB but no cough/congestion.  3/26-pt admitted with cough.  All cultures came back (-).  Pt had prolonged hosp. for resp. failure secondary hypersensitivity pneumonitis reaction.  09/19/2008 MR received for DOS 3/26-4/17/2008 with D/C DX:  Hypersensitivity rash-resolving.  Diffuse pulmonary opacities, pneumonia vs hypersensitivity pneumonitis.  Hx of low grade lymphoproliferative d/o, hx of non-hodgkins lymphoma, benign prostatic hypertrophy, hyperlipidemia.  Pt presented with worsening ascending rash beginning on March 12, 08, 2 days s/p Zostavax . Rash was pruritic and started on the dorsum of the feet and progressed upwards to the torso and upper extremities. Vesicular appearance on violaceous papules and plaques. Pt also developed joint pain in the hands, knees and elbows, which were sensitive to touch. Pt further progressed to develop a dry, non-productive cough and SOB at which point he was admitted. Etiology of sx unknown. Rheum consult for transient arthralgias ? vasculitis. Derm consult with assessment: likely vaccine induced EM.  Respiratory status declined, and pt placed on NC O2, then BiPAP. Transfered to ICU in unstable and guarded condition for possible intubation.  Developed a LLL infiltrate and dx with pneumonia.  TX with abx, antivirals and ultimately steroids. Extubated 4/14/08. Tranfered to SNF on 4/17/08 for further rehab.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Respiratory failure, Swelling
Clinical narrative: 67 y/o M with a hx of NHL (stable) received varicella zoster vaccine 0.65 ml on 3/10/08.  2 days after having received the vaccine, pt started developing a rash along with redness and itching on feet.  This later progressed to his legs, abdomen and his arms.  3/24-pt had swelling in R armpit, achiness in joints, SOB but no cough/congestion.  3/26-pt admitted with cough.  All cultures came back (-).  Pt had prolonged hosp. for resp. failure secondary hypersensitivity pneumonitis reaction.  09/19/2008 MR received for DOS 3/26-4/17/2008 with D/C DX:  Hypersensitivity rash-resolving.  Diffuse pulmonary opacities, pneumonia vs hypersensitivity pneumonitis.  Hx of low grade lymphoproliferative d/o, hx of non-hodgkins lymphoma, benign prostatic hypertrophy, hyperlipidemia.  Pt presented with worsening ascending rash beginning on March 12, 08, 2 days s/p Zostavax . Rash was pruritic and started on the dorsum of the feet and progressed upwards to the torso and upper extremities. Vesicular appearance on violaceous papules and plaques. Pt also developed joint pain in the hands, knees and elbows, which were sensitive to touch. Pt further progressed to develop a dry, non-productive cough and SOB at which point he was admitted. Etiology of sx unknown. Rheum consult for transient arthralgias ? vasculitis. Derm consult with assessment: likely vaccine induced EM.  Respiratory status declined, and pt placed on NC O2, then BiPAP. Transfered to ICU in unstable and guarded condition for possible intubation.  Developed a LLL infiltrate and dx with pneumonia.  TX with abx, antivirals and ultimately steroids. Extubated 4/14/08. Tranfered to SNF on 4/17/08 for further rehab.
Age: 32.0
Sex: M
Vaccine: PPV
Symptoms: Body temperature increased, Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Patient admitted with chief complaint of abdominal pain for 5 days. Pneumococcal injection was given 07/15/2008 at 0900 in left arm. Patient now has fever, redness near injection site with pain and swelling. Tenderness and redness located in left upper arm in area where injection was given and distal from that. Ice was applied. Blood cultures were drawn. Vancomycin and Levaquin antibiotics ordered and administered. Received orthopedic consult on 7/16/2008. Per ortho musculature is compressible and has zero evidence of compartment syndrome. They see mostly superficial swelling and musculature tenderness. Attending MD insisted on reporting this due to how quickly this occurred after injection and the size of the swelling and pt's pain after injection.  09/02/2008 MR received for DOS 7/14-17/2008 with D/C DX:  Sickle Cell Crisis.  Painful hemolytic crisis.  Left arm swelling, reaction to pneumococcal vaccine.  Tobacco abuse.  Pneumonia.  Pt admitted for sickle cell crisis related abdominal pain. Given Pneumovax in hospital and subsequently developed L arm pain and swelling. Compartment syndrome r/o. By d/c pain and swelling much improved.
Age: 32.0
Sex: M
Vaccine: PPV
Symptoms: Ultrasound scan normal, White blood cell count increased
Clinical narrative: Patient admitted with chief complaint of abdominal pain for 5 days. Pneumococcal injection was given 07/15/2008 at 0900 in left arm. Patient now has fever, redness near injection site with pain and swelling. Tenderness and redness located in left upper arm in area where injection was given and distal from that. Ice was applied. Blood cultures were drawn. Vancomycin and Levaquin antibiotics ordered and administered. Received orthopedic consult on 7/16/2008. Per ortho musculature is compressible and has zero evidence of compartment syndrome. They see mostly superficial swelling and musculature tenderness. Attending MD insisted on reporting this due to how quickly this occurred after injection and the size of the swelling and pt's pain after injection.  09/02/2008 MR received for DOS 7/14-17/2008 with D/C DX:  Sickle Cell Crisis.  Painful hemolytic crisis.  Left arm swelling, reaction to pneumococcal vaccine.  Tobacco abuse.  Pneumonia.  Pt admitted for sickle cell crisis related abdominal pain. Given Pneumovax in hospital and subsequently developed L arm pain and swelling. Compartment syndrome r/o. By d/c pain and swelling much improved.
Age: 78.0
Sex: M
Vaccine: PPV
Symptoms: Blood culture negative, Cellulitis, Culture urine negative, Injection site pain, Injection site swelling
Clinical narrative: Pt received PNEUMOVAX to Rt upper arm on 4/29/08.  The next day, woke up with swelling & tender of injection site.  Symptoms progressed & migrated down to his Rt hand & fingers, on 5/1/2008 and admitted to another hospital that day.  Had the following diagnostics - Blood & Urine C&S-no growth.  Diagnosis was post-PNEUMOVAX cellulitis.  Pt received IV ANCEF followed by 7 days of oral antibiotics with resolution of cellulitis.  Symptoms: 1. cellulitis and swelling of arm.  Treatment Drugs Used: 1 - CEFAZOLIN Dose: Units: Freq: Route:
Age: 78.0
Sex: M
Vaccine: PPV
Symptoms: Oedema peripheral, Tenderness
Clinical narrative: Pt received PNEUMOVAX to Rt upper arm on 4/29/08.  The next day, woke up with swelling & tender of injection site.  Symptoms progressed & migrated down to his Rt hand & fingers, on 5/1/2008 and admitted to another hospital that day.  Had the following diagnostics - Blood & Urine C&S-no growth.  Diagnosis was post-PNEUMOVAX cellulitis.  Pt received IV ANCEF followed by 7 days of oral antibiotics with resolution of cellulitis.  Symptoms: 1. cellulitis and swelling of arm.  Treatment Drugs Used: 1 - CEFAZOLIN Dose: Units: Freq: Route:
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Migraine, Neurological examination
Clinical narrative: Since having all three GARDASIL shots my daughter has suffered from severe migraines and had to a neurologist to get them under control and now has to take daily medication.
Age: 10.0
Sex: F
Vaccine: HPV4
Symptoms: Blood test, Migraine, Pain
Clinical narrative: My daughter was given the final GARDASIL shot, for a month or so after she suffered from migraines and body aches.  8/12/08 Reviewed PCP medical records of 10/9/2007- 4/25/2008. FINAL DX: none provided. Records reveal pt c/o of cough, sore throat & possible dyslexia on 10/9/2007. Dx w/URI.  Had right ankle sprain 11/2007.  Dx w/URI on 12/13/2007.  HA & cough 1/2008, injured wrist at school & went to ER 2/08 where dx w/wrist sprain, continued w/intermittent but almost daily HA & stomach ache, allergies.  On 4/18/08 dx w/HA & allergies.  Referred to Neuro & Ophtho, both exams (-).  Developed cough & nosebleeds w/sneezing.  Dx w/sinusitis. VAX: HPV #3, lot #1968U given IM LA on 4/18/2008; HPV #2, lot #1062U given on 12/13/2007 IM LA; HPV #1, lot # 0522U given on 10/9/2007 IM LA; & Fluzone #2437AA given 10/9/2007 IM RA.
Age: 12.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Induration
Clinical narrative: L arm redness & induration-beginning within hours after shot-worst at 24 hours-improving by 48 hours measuring 5" x 5" - treated with ice, TYLENOL, BENADRYL.
Age: 13.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Headache, Nausea, Oedema peripheral, Pain, Pyrexia
Clinical narrative: Nausea/vomiting, swelling of R arm and up into neck.  Fever up to 105.2, shaking, headaches, severe body aches.
Age: 13.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Tremor, Vomiting
Clinical narrative: Nausea/vomiting, swelling of R arm and up into neck.  Fever up to 105.2, shaking, headaches, severe body aches.
Age: 12.0
Sex: M
Vaccine: HEPA
Symptoms: Convulsion, Urinary incontinence
Clinical narrative: 30 sec seizure reactivity with urinary incontinence. 911 called. Took vital signs and gave ice pack in back of neck.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Blood pressure normal, Dyskinesia, Heart rate normal, Hyperhidrosis, Oxygen saturation normal
Clinical narrative: After HPV, pt. had fainting episode with brief jerking generalized lasted for a few seconds.  Laid down.  Diaphoretic.  Responded to voice, flat voice, but sleepy. O2 sat OK.  P 66, BP WNL, +c/o pain with light touch.  Postictal x10 min.  Then alert to date, day events.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Pain, Postictal state, Somnolence, Syncope
Clinical narrative: After HPV, pt. had fainting episode with brief jerking generalized lasted for a few seconds.  Laid down.  Diaphoretic.  Responded to voice, flat voice, but sleepy. O2 sat OK.  P 66, BP WNL, +c/o pain with light touch.  Postictal x10 min.  Then alert to date, day events.
Age: 9.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema
Clinical narrative: 8x11 cm reddness around injection site (L) posterior upper arm.
Age: 4.0
Sex: U
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling, erythema, tenderness at injection site L deltoid.
Age: 16.0
Sex: M
Vaccine: TDAP
Symptoms: Fear of needles, Head injury, Joint injury, Nausea, Syncope
Clinical narrative: Pt. received Tdap at appx 11:45 am-At approx 11:50am Pt. was in lobby with his father. He said he was "quizy" and fainted. He hit his (l) elbow on counter also struck head on employee who was standing next to him. Pt. was out about 1 minute. When he came to he had no c/o pain and stated he "didn't do needles well." He (Pt) was examined by Dr. BP 118/42- P60 at 12 noon.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Arthralgia, Body temperature increased, Chest discomfort, Headache, Lymph node pain
Clinical narrative: Increased temp. 101.5 degrees --> 102 degrees orally, chest heaviness.  Severe muscle & joint pain, tender lymph nodes, sore throat, headache.
Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Myalgia, Pharyngolaryngeal pain
Clinical narrative: Increased temp. 101.5 degrees --> 102 degrees orally, chest heaviness.  Severe muscle & joint pain, tender lymph nodes, sore throat, headache.
Age: 18.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Syncope, Tonic clonic movements
Clinical narrative: syncopal episode after 2nd shot approx about 1 minute after shot - tonic/clonic movements approx 2 minutes. stopped on their own
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Pruritus generalised, Urticaria
Clinical narrative: Patient seen back in office 2 hours after shots given in office. Patient returned with whelps and itching all over. Seen by Dr. and given dose of BENADRYL.
Age: 16.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Headache
Clinical narrative: headache
Age: 52.0
Sex: F
Vaccine: HEPA
Symptoms: Headache, Impaired work ability
Clinical narrative: Headache - called in sick at work. Severe
Age: 21.0
Sex: F
Vaccine: HEPA
Symptoms: Headache
Clinical narrative: headache
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Culture stool negative, Diarrhoea, Rotavirus test negative
Clinical narrative: Patient began to have "looser than usual" stool during the first few days after administration of ROTATEQ dose #3. Seven days after administration, stool frequency increased to 4 per day and was liquid. Symptoms finally resolved 3 weeks later.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5, DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Culture stool negative, Diarrhoea, Haematochezia, Rotavirus test negative
Clinical narrative: Patient began to have "looser than usual" stool during the first few days after administration of ROTATEQ dose #3. Seven days after administration, stool frequency increased to 4 per day and was liquid. Symptoms finally resolved 3 weeks later.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP, VARCEL
Symptoms: Syncope
Clinical narrative: Patient received her vaccines and did not wait the recommended 15 minutes at the office.  At ~10:30 upon reaching the parking lot patient suffered brief syncopal episode per mom's report.  No fall or injuries sustained.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: warmth and erythema 4x5 cm around area of vaccination from 2 days ago. We drew a borderline around rash with sharpie marker. Rec. ice application. F/U if fever or increased redness out of boundary of marker.
Age: 26.0
Sex: M
Vaccine: HEP
Symptoms: Arthralgia, Joint swelling, Walking disability
Clinical narrative: Received 1st Hepatitis B on 6/25/08. Developed right knee pain with swelling, so tender unable to walk. Developed symptom within 1st 24 hours of vaccine, no fever or other symptoms. Lasted 2 days. Did not seek treatment.
Age: 0.4
Sex: M
Vaccine: DTAP
Symptoms: Pallor
Clinical narrative: As per mother, the child became slightly pale around his mouth, 2-3 hours after vaccinations.  It lasted only for a very short time.  He got better by sprinkling cold water on his face.
Age: 0.2
Sex: M
Vaccine: DTAP, IPV, PNC, RV5
Symptoms: Pallor, Somnolence
Clinical narrative: As per mother, child became very pale and sleepy, 2-3 hours after vaccinations were given. It lasted for 20-25 minutes. She took him to E.R. at hospital.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Erythema, Headache, Oedema peripheral
Clinical narrative: Started with occipital headache 20 minutes post injection.  Arm became red, swollen with "sore joint" 6-9 hours post injection.  TYLENOL for headache-continues-helping.  No fever.  "Redness improving"-getting smaller.  Currently 7/30/08 11AM 25x40 mm.
Age: 13.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Dizziness, Feeling hot, Headache, Vision blurred
Clinical narrative: Patient complained of dizziness, headache, blurred vision, and body feeling warm 5 min after administering vaccines. BP taken - WNL. Patient sat down and drank a glass of water for 15 min. She then stated she was feeling a lot better and all symptoms were gone.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Pruritus
Clinical narrative: Onset vesicle type blisters evening of 7/28/08.  Symptoms itchy.  Afebrile-patient not in distress.  Vesicles clustered on neck, shoulder and abdomen.
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Hot, red, swollen, itchy.  R deltoid.  ATARAX.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site oedema
Clinical narrative: Injection site edema 9x6 right arm.  Given BENADRYL po at office & q 8 hours PRN.
Age: 0.8
Sex: M
Vaccine: HIBV
Symptoms: Urticaria
Clinical narrative: Onset of hives day after received Hib vaccine. No wheeze, no stridor, no emesis; was in daycare and with babysitter - denied exposures, foods (new) or recent symptoms illness, but unable as certain exactly the exposures of the day
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Arthralgia, Erythema, Injection site swelling, Local reaction, Malaise
Clinical narrative: Arthralgia, malaise, localized redness, swelling L deltoid rash on upper body.  Patient took diclofenac 75mg q 12 hrs x3 days, TYLENOL PRN.
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Rash
Clinical narrative: Arthralgia, malaise, localized redness, swelling L deltoid rash on upper body.  Patient took diclofenac 75mg q 12 hrs x3 days, TYLENOL PRN.
Age: 51.0
Sex: F
Vaccine: MMR, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site vesicles, Injection site warmth
Clinical narrative: 7-21-08 client came in to have PPD read.  Lt. arm from elbow to about 4 inches from shoulder was red and warm.  No rash, blisters or any peeling.  Could identify injection mark.  7-24-08 redness resolved.  Sm. blister at injection site.
Age: 12.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Induration, Tenderness
Clinical narrative: Erythema (1 1/2 x 2 1/2 cm) with induration (1 x 1 1/2 cm) and mild tenderness with palpation --> recommend cool compresses and ibuprofen prn.
Age: 2.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Alopecia, Full blood count, Haematocrit normal, Haemoglobin normal, Platelet count
Clinical narrative: 1 High fever (>106!) x4-5 days, followed, within 1 week, by hair loss (diffuse).  CBC, WBC 7170, HgB 10.2, HCT 30.7, platelet count 8.8.  ESR=57.
Age: 2.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Pyrexia, Red blood cell sedimentation rate increased, White blood cell count normal
Clinical narrative: 1 High fever (>106!) x4-5 days, followed, within 1 week, by hair loss (diffuse).  CBC, WBC 7170, HgB 10.2, HCT 30.7, platelet count 8.8.  ESR=57.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Headache, Muscle twitching, Pain in extremity, Paraesthesia, Pyrexia
Clinical narrative: Today when secretary called mother to remind her of child's appt 8-4-08 for GARDASIL #3. Mother told secretary that child had left arm pain after vaccine on same day and "tingling of fingers" on left hand. That night child had fever. The next day child had a very bad headache and "muscle twitches" in back. Patient refused next GARDASIL vaccine.
Age: 0.2
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Breath sounds abnormal, Injection site swelling, Oxygen saturation
Clinical narrative: 7/18/08 Noted to be breathing "funny" at home by parent- almost stops breathing-no color change; staring at times but no seizure spells. Injection site markedly swollen. Both parents reported that similar events happened to them as infants after DTaP shot.
Age: 1.1
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Vaccination failure, Varicella
Clinical narrative: Varicella rash
Age: 12.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Abdominal pain upper, Activities of daily living impaired, Dizziness, Fatigue, Pyrexia
Clinical narrative: Pt had severe fatigue, fever, stomach aches, dizziness. She missed 20 days of school in 2007/2008 during her 3 series of shots. In March 2008, she was diagnosed with Juvenile Rheumatoid Arthritis, which can be set off by a live virus. She had symptoms through all 3 shots until March of 2008.  8/15/08 Reviewed PCP medical records of 9/1994-5/2008. FINAL DX: polyarticular juvenile inflammatory arthritis. Records reveal patient experienced usual state of good health on 7/23/2007.  Next office note is for 3/6/08 for bilateral hand pain she had for 4-5 mo.  Had been seeing podiatrist for ankle pain that patient experienced for several months.  Exam at that time revealed diffuse fusiform swelling symetrically of both hands esp in PIP joints of fingers.  Referred to rheumatologist & consultant records included.  Symptoms at that time included pain & stiffness in multiple joints incl hands, wrists & ankles w/stiffness esp bad in mornings.  Started on methotrexate.  Referred for second opinion which is also included.  Missed 20 days of school due to current symptoms.  Agreed w/diagnosis.  Increased meds & referred to PT/OT.  Returned to initial rheumatologist for continued f/u.  Minimal improvement & started Humira & serial labs.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: 4" x 3" area of red, warm, firm at site of MMR injection.
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: 5x3 cm vertical area, warm raised mildly tender induration over (L) deltoid. treatment: Ibuprofen prn
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Blood pressure, Cold sweat, Dizziness, Eye rolling, Flushing
Clinical narrative: Patient received at 4:45 pm HPV #1. Immediately she stiffened and eyes rolled back. This lasted one minute. Patient could not respond. On exam had face with extreme palor and BP 100/64. Patient laying down. Patient was always on exam table. Then became flushed but skin was cool and clammy. Patient then could talk and said she "felt very faint". Heart rate was normal throughout. Benadryl 12.5/5 10 ml PO given by mouth. Patient aware of surroundings color improved, flushing resolved. Repeat BP was106/70. Current time is 5:12 pm. Event lasted about 22 minutes. Patient is able to drink a soda. Is sitting up and talking. Last BP was 100/60 sitting up. End time is 5:17. Repeat BP - this time standing up at 5:20 BP 100/60. Patient alert - says feels fine. Patient will go home.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV4, MNQ
Symptoms: Heart rate normal, Immediate post-injection reaction, Musculoskeletal stiffness, Pallor, Unresponsive to stimuli
Clinical narrative: Patient received at 4:45 pm HPV #1. Immediately she stiffened and eyes rolled back. This lasted one minute. Patient could not respond. On exam had face with extreme palor and BP 100/64. Patient laying down. Patient was always on exam table. Then became flushed but skin was cool and clammy. Patient then could talk and said she "felt very faint". Heart rate was normal throughout. Benadryl 12.5/5 10 ml PO given by mouth. Patient aware of surroundings color improved, flushing resolved. Repeat BP was106/70. Current time is 5:12 pm. Event lasted about 22 minutes. Patient is able to drink a soda. Is sitting up and talking. Last BP was 100/60 sitting up. End time is 5:17. Repeat BP - this time standing up at 5:20 BP 100/60. Patient alert - says feels fine. Patient will go home.
Sex: M
Vaccine: DTP, HEP, IPV, MMR
Symptoms: Immune system disorder, Intestinal functional disorder, Sensory disturbance, Walking disability
Clinical narrative: After the vaccine my son began to walk in a feet's tip and he began to present serious sensory problems. He have after the vaccine serious and grave problems in his intestine and immunology like a candida albicans. he have special diets now.
Age: 25.0
Sex: F
Vaccine: YF
Symptoms: Injection site pain, Pruritus, Urticaria
Clinical narrative: Patient received yellow fever vaccine 7/10/08. She had a little tenderness at injection site at the time, but no other symptoms. About 10 days later she began to develop hives. These would fade, then new ones would occur up to several days later. Very itchy, but not painful. advised benadryl. No other issues, no other symptoms. Client cannot identify any other new medications, foods, or exposures other than the yellow fever vaccine that could have led to the hives. She has a sulfa allergy only, tolerates all other antibiotics so far. No history of egg allergy.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Dizziness
Clinical narrative: Pt. was checking out after vaccine given and became faint. Skin dry, no pallor noted. BP 100/52. After remianing in office for an additional 15 minutes, felt fine and left office, Will return in 4 months for last injection.
Age: 15.0
Sex: M
Vaccine: MNQ
Symptoms: Arthralgia, Oedema peripheral, Pruritus, Stevens-Johnson syndrome, Urticaria
Clinical narrative: Generalized urticaria and arthralgias, Swelling and itching to all extremities, Dx Stevens Johnson Syndrome  695.1  8/15/08 Reviewed PCP office records of 7/29/08. FINAL DX: erythema multiforme Records reveal patient experienced progressive rash x 4 days.  Rash raised & red, initially on arms then spreading to back & legs w/itching.  Started 2 days s/p vaccination.  Appetite decreased, felt chilled, itchy, difficulty breathing, joint & muscle pain.  Exam at that time revealed generalized wheals w/edema of both legs.  Tx w/steroids & close f/u.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema
Clinical narrative: Notified of redness to injection site five minute after varicella vaccination ( 11 am on 08/02/08). On examination left upper arm 4x5cm area erythematous. No itching, no wheezing, no shortness of breath noted. lungs were clear on asultation.Benadryl 25 mg p.o given at 11.05. Applied ice pack on left upper arm . No  further reaction noticed , patient was dismmed  to home with parents at 12 p.m.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Approximately 52 hours after administering VZV and DTAP in patient's Right arm, Patient's Mother returned patient to clinic to have arm checked.  Redness, edema, warmth to the site and pain were reported by the patient.  The changes were noted by Mother when removing bandaids applied to sites upon administration approximately 30 minutes to 1 hour before returning to the clinic.  Affected area was approximately 10cm round near the location of VZV injection. Patient also received IPV, MMR, and HAV in Left arm at the same time the other vaccines were administered.  No changes noted to Left arm.  Mother was told to give Benadryl as tolerated, apply Neosporin to area and apply warm moist heat.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left upper thigh area red, swollen, warm to touch
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient was given pediatric/adolescent Hep B vaccine for the adult strength Hep B vaccine.  Patient experienced no problems and was revaccinated with the correct vaccine ASAP.  She will continue with series per protocol.