chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Warmth, Swelling, redness at site. No fevers, no signs of anaphylaxis.
Sex: F
Vaccine: DTAP, FLU3, HIBV, PNC
Symptoms: Rash erythematous
Clinical narrative: 04/08/2005-PC from father-stated that red raised rash started earyl this morning, no fever and eating ok. Felt warm but did not check temp, playing without problems. PC to father as follow up 04/18/05 states rash increased on 04/08/05 so taken to DR in evening, "ran tests" related that DR did not feel that rash was related to shots. Given Benadryl x2 days and rash gone.
Age: 1.56
Sex: M
Vaccine: DTAP, HIBV, PNC, VARCEL
Symptoms: Angioneurotic oedema, Convulsion, Electroencephalogram abnormal, Pyrexia
Clinical narrative: 4 hours after vaccines, Pt developed high fever up to 104 degrees, the following day some angioedema admitted to Hospital for consult-management at office. Then re-admitted with possible seizure.
Age: 6.0
Sex: M
Vaccine: DT, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Tenderness
Clinical narrative: Next day after vaccination, Mom noted redness, warmth, swelling of right arm where PPD was given. Saw Pt on 04/21/2005 area of redness was 9x10cm no swelling, minimal tenderness.
Age: 11.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Dyspnoea, Periorbital oedema, Stridor
Clinical narrative: Shortness of breath. Stridor, could not breath. Swelling around both eyes.
Age: 21.0
Sex: M
Vaccine: MMR
Symptoms: Urticaria
Clinical narrative: Developed hives 30-60 minutes after injection Benadryl 25mg PO liquid given x 1.
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Contusion, Injection site mass
Clinical narrative: Mother very concerned about bilateral 1" bruising with quarter sized knots noted on thighs where vaccines were given. Instructed to see PMD ASAP. Child was seen by MD same day. Meds administered and child fully recovered.
Age: 1.25
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Body temperature increased, Erythema, Injection site mass, Injection site oedema, Nonspecific reaction
Clinical narrative: Mom called on 3/15 stating child had reaction to "shot in left arm". Left arm swelled at shoulder, armpit and down to elbow. Had redness with a hard knot from 03/11-03/14. Had mild temperature x 2 days. Child had no problems today. Didn't take to MD. Fully recovered.
Age: 1.25
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Oedema peripheral
Clinical narrative: Mom called on 3/15 stating child had reaction to "shot in left arm". Left arm swelled at shoulder, armpit and down to elbow. Had redness with a hard knot from 03/11-03/14. Had mild temperature x 2 days. Child had no problems today. Didn't take to MD. Fully recovered.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Headache, Musculoskeletal stiffness, Photophobia
Clinical narrative: Headaches- main complaint x 5 days. Neck stiffness- improved, Photophobia now resolved No treatment.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site pain, Oedema peripheral
Clinical narrative: 6 hours after VZV, pt had pain at site right deltoid, became swollen and red approximately 30 hours later doubling in size 2-3 hours before office visit. Fever, red streaks up arm. warm compresses and Augmentin.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth, Pruritus, Tenderness
Clinical narrative: Swelling and erythema at vaccination site within 24 hours, hot, tender, and itchy. Treatment with Benadryl and resolved within 72 hours.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Abnormal behaviour, Anxiety, Coma, Convulsion, Crying
Clinical narrative: 04/20/2005 T/c from grandmother. Pt had DTaP 4, IPV 4, MMR 1, on 04/13/2005 grandmother reports that on 04/13/2005 pt was a little drowsy in PM but no fever. 04/14/05 pt cranky no fever. 04/15/05- Pt behavior changed running in circles, kicking, screaming, biting younger sister, using baby talk, and his speech was harder to understand. Grandmother states that pt has a little speech problem anyway but this was worse. No fever. 04/16/05- Pt behavior worse yet. He was very - would not listen, violent, throwing things, having "anger attacks" yelling "I hate you" "I don't want to be good" Body and hand in constant motion. Cries when sleeping, Very agitated and irritable. No fever.  Seen on 04/17/2005, Pt continues to be very hyperactive with poor language skills. He wont listen, continued about. They took him to church where later on in the morning he had an episode where he started shaking and he said he was frightened, his eyes rolled back in his head, his body briefly stiffened. GMother thinks he may have had a seizure. After this event, he was drowsy no fever. 04/18/2005 pt went to school, at home acted out, was hyperactive throwing things. 04/19/2005 Pt went to school, his teacher told grandmother that he was not listening and acting out at school. He fell asleep on the bus on the way home from school at about 3:00 PM, they took him off the bus and he slept until 5:00 PM when his mother had trouble arousing him from sleep, when he awoke he screamed and cried, was panicked. Temp was 102.7. He was taken to ER and given Tylenol. The ER MD told the family the fever was due to the vaccines and there was nothing they could do for him. Child was listless, while in the ER according to grandmother. 04/20/2005- child sent to school today pt not as irritable, his behavior has improved but he is not back to normal. Grandmother states that pt is not on medication and was diagnosed with ADD. However she stated that he may have it this family doesn't have a family doctor. VAERS form filled out and faxed to DO
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Irritability, Listless, Pyrexia, Screaming, Somnolence
Clinical narrative: 04/20/2005 T/c from grandmother. Pt had DTaP 4, IPV 4, MMR 1, on 04/13/2005 grandmother reports that on 04/13/2005 pt was a little drowsy in PM but no fever. 04/14/05 pt cranky no fever. 04/15/05- Pt behavior changed running in circles, kicking, screaming, biting younger sister, using baby talk, and his speech was harder to understand. Grandmother states that pt has a little speech problem anyway but this was worse. No fever. 04/16/05- Pt behavior worse yet. He was very - would not listen, violent, throwing things, having "anger attacks" yelling "I hate you" "I don't want to be good" Body and hand in constant motion. Cries when sleeping, Very agitated and irritable. No fever.  Seen on 04/17/2005, Pt continues to be very hyperactive with poor language skills. He wont listen, continued about. They took him to church where later on in the morning he had an episode where he started shaking and he said he was frightened, his eyes rolled back in his head, his body briefly stiffened. GMother thinks he may have had a seizure. After this event, he was drowsy no fever. 04/18/2005 pt went to school, at home acted out, was hyperactive throwing things. 04/19/2005 Pt went to school, his teacher told grandmother that he was not listening and acting out at school. He fell asleep on the bus on the way home from school at about 3:00 PM, they took him off the bus and he slept until 5:00 PM when his mother had trouble arousing him from sleep, when he awoke he screamed and cried, was panicked. Temp was 102.7. He was taken to ER and given Tylenol. The ER MD told the family the fever was due to the vaccines and there was nothing they could do for him. Child was listless, while in the ER according to grandmother. 04/20/2005- child sent to school today pt not as irritable, his behavior has improved but he is not back to normal. Grandmother states that pt is not on medication and was diagnosed with ADD. However she stated that he may have it this family doesn't have a family doctor. VAERS form filled out and faxed to DO
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Speech disorder
Clinical narrative: 04/20/2005 T/c from grandmother. Pt had DTaP 4, IPV 4, MMR 1, on 04/13/2005 grandmother reports that on 04/13/2005 pt was a little drowsy in PM but no fever. 04/14/05 pt cranky no fever. 04/15/05- Pt behavior changed running in circles, kicking, screaming, biting younger sister, using baby talk, and his speech was harder to understand. Grandmother states that pt has a little speech problem anyway but this was worse. No fever. 04/16/05- Pt behavior worse yet. He was very - would not listen, violent, throwing things, having "anger attacks" yelling "I hate you" "I don't want to be good" Body and hand in constant motion. Cries when sleeping, Very agitated and irritable. No fever.  Seen on 04/17/2005, Pt continues to be very hyperactive with poor language skills. He wont listen, continued about. They took him to church where later on in the morning he had an episode where he started shaking and he said he was frightened, his eyes rolled back in his head, his body briefly stiffened. GMother thinks he may have had a seizure. After this event, he was drowsy no fever. 04/18/2005 pt went to school, at home acted out, was hyperactive throwing things. 04/19/2005 Pt went to school, his teacher told grandmother that he was not listening and acting out at school. He fell asleep on the bus on the way home from school at about 3:00 PM, they took him off the bus and he slept until 5:00 PM when his mother had trouble arousing him from sleep, when he awoke he screamed and cried, was panicked. Temp was 102.7. He was taken to ER and given Tylenol. The ER MD told the family the fever was due to the vaccines and there was nothing they could do for him. Child was listless, while in the ER according to grandmother. 04/20/2005- child sent to school today pt not as irritable, his behavior has improved but he is not back to normal. Grandmother states that pt is not on medication and was diagnosed with ADD. However she stated that he may have it this family doesn't have a family doctor. VAERS form filled out and faxed to DO
Age: 6.0
Sex: M
Vaccine: DTAPHEPBIP, MMR
Symptoms: Coma, Convulsion, Eye movement disorder
Clinical narrative: Pt was at a special annual immunization event. Clinic was helping at the event. Pt is not out pt and unsure of primary MD. Pt had suspected synovial seizure- to the floor had brief seizure x 15 seconds, eyes rolling and unresponsive. crying, recovered. Parents took pt to ER.
Age: 50.0
Sex: M
Vaccine: PPV
Symptoms: Face oedema, Rash
Clinical narrative: Rash on arms bilaterally with facial swelling and rash.
Age: 16.0
Sex: F
Vaccine: HEP, IPV, MMR, TD, VARCEL
Symptoms: Hypersensitivity, Urticaria
Clinical narrative: Allergic wheal and flare reaction at injection site lasting approximately 30 minutes. No systemic symptoms.
Age: 18.0
Sex: F
Vaccine: DT
Symptoms: Contusion, Injection site erythema, Injection site swelling, Injection site urticaria, Injection site warmth
Clinical narrative: menactra administered 04/12/05 on 04/16/05 pt developed redness, swelling, itching at the injection site. 04/17/05 bruising and itching noted warm to touch no fever. 04/19/05 site reaction resolved.
Age: 1.01
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash erythematous, Rash vesicular
Clinical narrative: Fever, Few small red elevated dots on face and trunk no blister no vomiting, no cough, started 10 days after varivax given.
Age: 15.0
Sex: F
Vaccine: TD
Symptoms: Dizziness
Clinical narrative: Pt received Td lower left Deltoid, pt felt dizzy, lightheaded decreased BP. Observered x 30 minutes.
Sex: M
Vaccine: DTAP
Symptoms: Cellulitis, Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: 4cm diameter firm, red, warm, swelling bump on left thigh, 7 cm diameter erythema around bump. Duracef 200 mg BID x 48 hour to rule out cellulitis vs DTaP reaction. Follow up visit 04/14/05- no change. Dx DTaP reaction. Motrin for pain, ice to site, encouraged walking.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, PNC
Symptoms: Pharyngitis, Pyrexia, Rash, Rhinitis
Clinical narrative: Seen 4/5/05 for check up and received Pediarix and PCV7, reported by mother T 107 ax with digital thermometer on 4/6/05. Also developed cold symptoms, a viral rash 4/6 fever has ranged 102-103.
Age: 1.57
Sex: M
Vaccine: DTAP, PNC
Symptoms: Febrile convulsion
Clinical narrative: 2 seizures within first 72 hrs of vaccines, was febrile.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Feeling hot, Injection site erythema, Injection site reaction
Clinical narrative: Pt came 3 days after vaccine complaining of having mild redness on site of Dtap vaccine also warm to the touch.
Age: 1.49
Sex: F
Vaccine: DTAP, PNC
Symptoms: Rash erythematous, Rash macular, Rash papular, Urticaria
Clinical narrative: Pt received Dtap and Prevnar and within 1/2 mom noted pt had red ear. 4 hrs later had red rash throughout body. Dr put pt on Rondec. Next morning, pt had erythematous macular, papular rash throughout her body resembling hives. Saw Dr, was given Benadryl and Solumedrol IM and placed on Orapred and oral Benadryl.
Age: 1.28
Sex: M
Vaccine: DTP
Symptoms: Blister, Viral infection
Clinical narrative: Pt had varicella immunization on 08/08/1997. He broke out on 04/07/05 with blisters. Came to doctor 04/08/2005 for verification. Diagnosed with varicella.
Age: 13.0
Sex: F
Vaccine: MMR
Symptoms: Dyspnoea, Erythema, Eyelid oedema, Pharyngeal oedema, Pyrexia
Clinical narrative: 4/19 throat swelling, SOB, went to personal MD cheeks red, eyelids swelled, shot of cortisone, dose of Benadryl. T-102, went to 103.
Age: 22.0
Sex: M
Vaccine: TD
Symptoms: Feeling hot, Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: Left deltoid redness, hot to touch, soreness to touch, c/o fever. Treated with OTC Benadryl/Ice packs.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: No temp, no pain, no changes in behavior. Redness and swelling Left arm 2cm larger than Right arm. No nodes swollen or tender.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Redness, swelling, pain (7x6cm) to deltoid. (Part of cluster of pt's with reaction to same vaccine lot).
Age: 3.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site mass, Tenderness
Clinical narrative: At site of Dtap 12cm warmth and redness, 7cm induration, mild tenderness.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Left upper arm from shoulder to elbow swollen and red. Hot and painful. Pt was given Tylenol by family.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: One day after vaccine pink area around injection site L thigh. Pink localized rxn, nontender, slightly warmth, no fever 10x12cm.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site oedema, Injection site pain
Clinical narrative: Left thigh swollen/warm to touch (twice the size of other thigh) and pain. No redness locally at either injection site
Age: 0.91
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Medication error
Clinical narrative: Acthib was reconstituted with MMR/VZV diluent instead of diluent that comes with Acthib and administered to pt.
Age: 0.21
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Crying, Screaming
Clinical narrative: Inconsolable crying
Age: 1.31
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Medication error
Clinical narrative: Act hib was reconstituted with MMR/VZV diluent instead of diluent that is packaged with Acthib and administered to pt. As per annual follow up report No adverse reaction. Med error.
Age: 23.0
Sex: F
Vaccine: TD
Symptoms: Arthralgia, Injection site pain, Pyrexia
Clinical narrative: Fever, severe shoulder pain (injection site) arthralgies.
Age: 22.0
Sex: F
Vaccine: HEPA, TD
Symptoms: Eyelid oedema, Face oedema, Feeling hot, Flushing, Injection site oedema
Clinical narrative: Awakened at 9AM 4/15/05 with swollen cheeks (face) and eyelids. T:99.3. Cheeks flushed and warm. No erythema, itchiness or rash. No swelling of mucous membranes. Given 50mg PO Benadryl with improvement. Placed on Medrol dose pak with resolution of symptoms. Injection site of Td also swollen.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Left upper anterior arm with 6cm x 7cm area erythema and edema surrounding immunization site. Treatment Benadryl 1 1/2 tsp PO 2 Motrin 1 1/2 tsp PO.
Sex: F
Vaccine: DT, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: MMR administered 6:15 PM 04/19/05 to pt in the left upper outer portion of the arm SQ, no previous allergies reported. The site reddened approximately 3-4 cm with no induration. Benadryl 1 1.2 tsp ordered stat by MD and given by RN Pt discharged 6:40 PM with no decrease in swelling. Spoke with mother this AM and reports no swelling no induration.
Age: 0.34
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Oedema peripheral
Clinical narrative: Mom called office 3:50 PM left thigh very swollen, warm to touch. Seen in office, erythema 1x 1.5 cm. Induration 3 cm. Temp 98.6, no problem with first shots. Appears to be a local reaction to Hib. HR 20, RR 24-28.
Age: 23.0
Sex: F
Vaccine: HEP, HEPA, TD
Symptoms: Hypokinesia, Injection site erythema, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: Day after got vaccine, Td, arm where vaccine was given right arm c/o very painful, difficulty moving arm, area red and swollen, hard, next day arm was improving.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash
Clinical narrative: Pt was covered head to toe with red spots. She was not feverish and did not seem bothered by it. It took 3 days for patient to recover fully and the spots to go away.
Sex: F
Vaccine: IPV, PNC, VARCEL
Symptoms: Oedema peripheral, Urticaria
Clinical narrative: Both arms swollen/red at vaccine sites, pt had been scratching so skin was also scabbed. Had a few scabbed sores- possible pox near varicella site.
Age: 1.08
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: 50 raised, red, fluid-filled bumps (papulomacular) on trunk. Rash also on face, right ear  posterior to.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema
Clinical narrative: MMR administered 6:15PM 04/19/2005 to pt in left upper outer portion of the arm SQ. No previous allergies reported. Site reddened approximately 4cm with no induration. Benadryl ordered 1tsp STAT per MD and given by RN. Pt discharged home at 6:40 PM with a decrease in redness noted to the area. Spoke with mother this AM and she reports no swelling an no induration.
Age: 23.0
Sex: M
Vaccine: JEV
Symptoms: Coma, Dizziness, Hypotonia, Nausea, Vomiting
Clinical narrative: Pt Received Japanese Encephalitis Shot. Pt stated that he felt dizzy and nauseated. Pt became limp and lost responsiveness. Pt was put in Trendelenberg position and immediately gained responsiveness. Ten minutes later he began vomiting. PT had vitals taken.
Age: 1.07
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MMR, PNC
Symptoms: Diarrhoea, Pyrexia, Rash
Clinical narrative: Patient had immunization (MMR) on 4-13-05.  Child DEveloped a rash on Friday (4-22-05) Had fever on Friday 22 and Saturday the 23rd, also had diarrhea on these days.  Was seen in the office on the 26th, still has rash, but no fever or diarrhea.  Physician determined to be a Blueberry muffin rash
Age: 1.48
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MMR
Symptoms: Convulsion, Eye movement disorder, Muscle twitching, Pyrexia, Tremor
Clinical narrative: 04/24/05 7am During diaper change, Mom observed child twitch, shake & child's eyes rolled back. Temp. had been elevated night before but not recorded. Taken to local ER by ambulance. No further seizure activity noted. Temp 101.6 ax Tylenol supp. given. Child alert. Sent home. To Pediatrician 04/25/05
Age: 1.3
Sex: M
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: CHICKENPOX OUTBREAK
Age: 1.3
Sex: M
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Rash, Skin ulcer
Clinical narrative: CHICKENPOX OUTBREAK
Age: 52.0
Sex: F
Vaccine: HEP
Symptoms: Chest discomfort, Throat tightness
Clinical narrative: c/o tightness in chest and throat. ( took Tylenol sines with ibuprofen when got home, did chores, Noticed the tightness in throat. Took Claritan, Called DR and went to ER.
Age: 21.0
Sex: F
Vaccine: HEPAB
Symptoms: Arthralgia, Chills, Eye irritation, Headache, Heart rate irregular
Clinical narrative: HA, Nausea, vomiting, wheezing (short duration) irregular heart beat, fever, chills, eyes burning, cough, sensitivity to light, bones aching and sore neck.
Age: 21.0
Sex: F
Vaccine: HEPAB
Symptoms: Nausea, Neck pain, Photosensitivity reaction, Pyrexia, Vomiting
Clinical narrative: HA, Nausea, vomiting, wheezing (short duration) irregular heart beat, fever, chills, eyes burning, cough, sensitivity to light, bones aching and sore neck.
Age: 21.0
Sex: F
Vaccine: HEPAB
Symptoms: Wheezing
Clinical narrative: HA, Nausea, vomiting, wheezing (short duration) irregular heart beat, fever, chills, eyes burning, cough, sensitivity to light, bones aching and sore neck.
Age: 1.38
Sex: M
Vaccine: IPV, PNC
Symptoms: Agitation, Bronchitis, Crying, Diarrhoea, Pyrexia
Clinical narrative: high fever 102, crying to the point that lost breath, unable to stand or crawl. Tylenol given. 12 hours later, vomiting and diarrhea began. By 03/23/05- still crying. When at DR office by 4:00PM Tests done, WBC, Culture. Fever was still at 102, given Pedialyte, took home and monitored constantly. Diarrhea and bronchitis began, still going on. Unconsolable crying for 5 days with increased fever.
Age: 1.38
Sex: M
Vaccine: IPV, PNC
Symptoms: Screaming, Vomiting
Clinical narrative: high fever 102, crying to the point that lost breath, unable to stand or crawl. Tylenol given. 12 hours later, vomiting and diarrhea began. By 03/23/05- still crying. When at DR office by 4:00PM Tests done, WBC, Culture. Fever was still at 102, given Pedialyte, took home and monitored constantly. Diarrhea and bronchitis began, still going on. Unconsolable crying for 5 days with increased fever.
Age: 1.01
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash
Clinical narrative: Pt developed a rash 11 days past injection. Rash started with 2 red bumps at injection site. Now red bumps on belly. Pt was on Amoxicillin for R Otitis Media. DR changed to Omnicef.
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: Fever 101 degrees, redness and pain to right thigh at site of injection.
Age: 1.0
Sex: M
Vaccine: HBHEPB, PNC, VARCEL
Symptoms: Diarrhoea, Irritability, Pyrexia, Vomiting
Clinical narrative: Fever 102, vomiting and diarrhea, and cranky.
Age: 0.18
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Crying, Screaming
Clinical narrative: screaming started 2 hours after vaccine. Non stop. PE before, all normal, PE after all normal. Continued for 2 hours without cause.
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Crying, Injection site erythema, Injection site oedema, Injection site warmth, Screaming
Clinical narrative: Pt received vaccine, child was given Tylenol by mom. Pt slept approximately 3 hours. Awoke and began crying uncontrolled. Right leg was very red and warm and edematous. Pt was brought back to our office. Cool compress applied, Benadryl given. Child cried approximately 3 hours. Child stopped crying 3 hours later. Redness subsided.
Age: 55.0
Sex: F
Vaccine: HEPA, TD
Symptoms: Injection site pain, Neck pain, Pain
Clinical narrative: Constant pain right upper arm spreading to shoulder and right neck.
Age: 50.0
Sex: M
Vaccine: TYP
Symptoms: Pruritus, Rash
Clinical narrative: 04/26/2005 Employee presents with a round circular at site of injection. Appears to be same size as round adhesive band aid placed over site of injection. Administered diphenhydramine 25mg to relieve itching. Event: On 04/20/05 employee received a business travel related injectable vaccine and a circular band aid was placed at the site of vaccination. On 04/24/2005, employee removed the band aid and found a circular shape rash had developed. 04/26/2005: Reported to medical. Skin rash on left upper arm possibly due to sensitivity to adhesive bandaid. Administered OTC medication for relief of itching, no restriction, no lost time.
Age: 0.42
Sex: M
Vaccine: DTAPHEPBIP, HIBV, IPV
Symptoms: Medication error
Clinical narrative: Pt received Pediarix and Hib, then was inadvertently given IPOL all in one visit on 04/20/2005.
Sex: U
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Tenderness
Clinical narrative: Red swollen, tender area around injection site.
Age: 44.0
Sex: F
Vaccine: HEP
Symptoms: Electrocardiogram abnormal, Hypertension, Medication error, Overdose, Palpitations
Clinical narrative: Information has been received from a nurse practitioner concerning a female who in Dec 2004, was vaccinated IM with the first dose (10mcg) of hep B virus vaccine rHBsAg (yeast) (lot unk). In Dec 2004, after the first dose the pt experienced kidney failure, 75% loss of function. Hospitalization was noted. She recovered spontaneously. After missing the normal dosing schedule, she went back to get her second dose in 2005 and received 20 mcg instead of 10mcg (overdose). The pt then experienced high blood pressure, heart palpitations and irregular EKG and was hospitalized for a second time. An EKG was performed. IV nitro was given in the hospital. Therapy was discontinued after reaction. The pt status was reported as recovered, shortly after the second dose. Medical attention was sought. No product complaint was involved. Additional information has been requested.
Age: 44.0
Sex: F
Vaccine: HEP
Symptoms: Renal failure, Similar reaction on previous exposure to drug
Clinical narrative: Information has been received from a nurse practitioner concerning a female who in Dec 2004, was vaccinated IM with the first dose (10mcg) of hep B virus vaccine rHBsAg (yeast) (lot unk). In Dec 2004, after the first dose the pt experienced kidney failure, 75% loss of function. Hospitalization was noted. She recovered spontaneously. After missing the normal dosing schedule, she went back to get her second dose in 2005 and received 20 mcg instead of 10mcg (overdose). The pt then experienced high blood pressure, heart palpitations and irregular EKG and was hospitalized for a second time. An EKG was performed. IV nitro was given in the hospital. Therapy was discontinued after reaction. The pt status was reported as recovered, shortly after the second dose. Medical attention was sought. No product complaint was involved. Additional information has been requested.
Age: 11.0
Sex: U
Vaccine: PPV
Symptoms: Erythema, Swelling
Clinical narrative: Information has been received from a registered nurse concerning an approximately 11 year old patient who was deficient in pneumococcal antibodies and on approximately 4/5/05 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (lot # 649912/0529P). Subsequently, the patient developed swelling and erythema. Unspecified medical attention was sought. The patient was treated with unspecified oral antibiotics. The patient was hospitalized and treated with unspecified IV antibiotics. The patient was reported to be recovering. No product quality complaint was involved. Additional information has been requested. It was also reported that another child was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (lot # 649912/0529P; same lot number but different vial) and developed adverse events (WAES0504USA01899).
Age: 1.22
Sex: F
Vaccine: MMR
Symptoms: Abortion spontaneous, Drug ineffective, Pneumonia, Pyrexia, Rash
Clinical narrative: Information has been received from a consumer (also reported as mother of patient and office manager), and a physician, concerning the consumer's daughter, who at the age of 15 months, in approximately December 1983, was vaccinated with a dose of MMR (the physician could not provide lot #). Subsequently, the patient developed fever of 104F, total body rash, and pneumonia after vaccination. The mother reported that her daughter was taken to the emergency room and was treated with acetaminophen. The physician confirmed that the patient's experience was neither life threatening nor disabling and that the patient was not hospitalized following vaccination with MMR. It was also noted that as an adult, she became pregnant and miscarried. A rubella titer was then done and came back low. There was no product quality complaint involved. Upon internal review, the patient's miscarriage was considered to be an important medical event (OMIC). Additional information has been requested.
Sex: M
Vaccine: PPV
Symptoms: Arrhythmia, Palpitations
Clinical narrative: I received immunization of pneumococcal vaccine and two weeks later I noticed palpations and irregular heart beat. Two weeks later, I began testing for this irregularity. I'm still being tested.
Age: 5.0
Sex: M
Vaccine: HEPA
Symptoms: Cerebellar ataxia, Coordination abnormal, Headache, Laboratory test abnormal, Vomiting
Clinical narrative: Febrile illness 3-6 days prior to onset of ataxia. Hepatitis A vaccine 2 days prior to onset of ataxia. Cerebellar ataxia with headache and vomiting 3/14/05. Decadron for 5 days. Improved about 3/19; ongoing. Able to ambulate independently 3.22 with minor ataxia. Follow up on 06/30/05: Please contact primary medical doctor. I have not reassessed.
Age: 0.16
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Respiratory distress
Clinical narrative: Infant developed an acute respiratory life threatening event within 1 hour of vaccine administration. Infant taken to ER and transferred here for further work up at parent's request.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site warmth, Tenderness
Clinical narrative: At site of DTaP/IPV (left thigh) mild red, flush 5 cm:not indurated. Slightly warm, mildly tender. RX: cool compresses and ibuprofen.
Age: 4.0
Sex: M
Vaccine: DT
Symptoms: Erythema
Clinical narrative: Mild erythema at right arm.
Age: 26.0
Sex: F
Vaccine: TD
Symptoms: Asthenia, Chills, Influenza like illness, Pain
Clinical narrative: Flu like symptoms- Chills, whole body ached, severe weakness.
Age: 6.0
Sex: M
Vaccine: DT, IPV, MMR
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: Redness and warmth to right deltoid. Erythema site, diameter 15 x 11cm. Mild induration, without tenderness, streaking or lymphadenopathy.
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site erythema
Clinical narrative: TC from mother- states 2mm area of redness on right thigh at area of injection. Advised can try cool compresses PRN to right thigh. Mom is already giving infant Tylenol. Advised if redness does not subside in a few days or if areas of redness increase consult with PMD. 04/20/05- RTC to mom areas of redness subsided in a few days. No other problems.
Age: 2.0
Sex: M
Vaccine: PNC
Symptoms: Injection site erythema, Injection site mass, Injection site oedema
Clinical narrative: Redness 24 hours after injection site, Nickel sized. 48 hours later, Signifigantly swollen, redan and hard in the middle.
Age: 1.01
Sex: M
Vaccine: HIBV, PNC, VARCEL
Symptoms: Drug effect decreased, Medication error
Clinical narrative: Pt received Varicella vaccine mixed with Prevnar rather than sterile diluent. * reported to county health dept. Re- dosing of varicella is required.
Age: 0.2
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Abnormal behaviour, Agitation, Irritability, Screaming, Somnolence
Clinical narrative: Cried unconsolable for 7-8 hours. Seen in the ER, follow up with clinic. Fussy, sleepy, and altered behavior for 72 hours.
Age: 42.0
Sex: F
Vaccine: HEPAB
Symptoms: Abdominal pain, Fatigue, Flatulence, Headache, Injection site pain
Clinical narrative: Within 24 hr. of twinrix 2nd dose,the first thing that happened was a tachy heart rate along with extreme soreness at the site of injection, I had fever, fatigue, N/V headache, gas and cramping, aches short period of resp. depression, very sleepy. It has only been 48 hours and I fear what other symptoms may come......very scared from this experience to have the last dose, box 8 does not apply to me YET!!!
Age: 42.0
Sex: F
Vaccine: HEPAB
Symptoms: Nausea, Pain, Pyrexia, Respiratory depression, Tachycardia
Clinical narrative: Within 24 hr. of twinrix 2nd dose,the first thing that happened was a tachy heart rate along with extreme soreness at the site of injection, I had fever, fatigue, N/V headache, gas and cramping, aches short period of resp. depression, very sleepy. It has only been 48 hours and I fear what other symptoms may come......very scared from this experience to have the last dose, box 8 does not apply to me YET!!!
Age: 42.0
Sex: F
Vaccine: HEPAB
Symptoms: Vomiting
Clinical narrative: Within 24 hr. of twinrix 2nd dose,the first thing that happened was a tachy heart rate along with extreme soreness at the site of injection, I had fever, fatigue, N/V headache, gas and cramping, aches short period of resp. depression, very sleepy. It has only been 48 hours and I fear what other symptoms may come......very scared from this experience to have the last dose, box 8 does not apply to me YET!!!
Age: 83.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain, Sleep disorder, Swelling
Clinical narrative: Patient noted very red area on enitre upper arm. Patient stated arm was very swollen and she could not sleep on it for days. Also, states that arm hurt quite badly.
Age: 71.0
Sex: M
Vaccine: PPV, TD
Symptoms: Erythema, Swelling
Clinical narrative: Very red and swollen arm.
Age: 72.0
Sex: F
Vaccine: PPV, TD
Symptoms: Injection site erythema, Injection site reaction, Pyrexia
Clinical narrative: Localized reaction. Large (4x6inch) erythematous area around injection site. Low grade temp of 99.8.
Age: 39.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Arthralgia, Blood cholesterol increased, Blood glucose increased, Blood sodium increased, Dry skin
Clinical narrative: Anal itching, inflammation between rectum and scrotum, dry itchy peeling skin on skin folds of scrotum since third Anthrax injection 9 June 2000 (Suspected).  Since fourth Anthrax injection 21 June 2004 have soreness, swelling, and tender joints in feet, hands, wrists, knuckles, shoulders, elbows and toes.  20 April or approx was diagnosed with Rheumatoid Arthritis with RF Titer of 1:2560.  Taking Piroxicam and seeing Rheumatologist for treatment and changing diet and developing a holistic view for treatment.  Praying and meditating and changing diet to make body more alkaline vs acid based and hopefully to eradicate the toxins which caused this disease.  This injection has changed my life and unable to exercise (run, golf) due to soreness in joints or perform the most simple tasks without pain.
Age: 39.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Injection site inflammation, Joint swelling, Pruritus, Rheumatoid arthritis, Similar reaction on previous exposure to drug
Clinical narrative: Anal itching, inflammation between rectum and scrotum, dry itchy peeling skin on skin folds of scrotum since third Anthrax injection 9 June 2000 (Suspected).  Since fourth Anthrax injection 21 June 2004 have soreness, swelling, and tender joints in feet, hands, wrists, knuckles, shoulders, elbows and toes.  20 April or approx was diagnosed with Rheumatoid Arthritis with RF Titer of 1:2560.  Taking Piroxicam and seeing Rheumatologist for treatment and changing diet and developing a holistic view for treatment.  Praying and meditating and changing diet to make body more alkaline vs acid based and hopefully to eradicate the toxins which caused this disease.  This injection has changed my life and unable to exercise (run, golf) due to soreness in joints or perform the most simple tasks without pain.
Age: 39.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Skin exfoliation
Clinical narrative: Anal itching, inflammation between rectum and scrotum, dry itchy peeling skin on skin folds of scrotum since third Anthrax injection 9 June 2000 (Suspected).  Since fourth Anthrax injection 21 June 2004 have soreness, swelling, and tender joints in feet, hands, wrists, knuckles, shoulders, elbows and toes.  20 April or approx was diagnosed with Rheumatoid Arthritis with RF Titer of 1:2560.  Taking Piroxicam and seeing Rheumatologist for treatment and changing diet and developing a holistic view for treatment.  Praying and meditating and changing diet to make body more alkaline vs acid based and hopefully to eradicate the toxins which caused this disease.  This injection has changed my life and unable to exercise (run, golf) due to soreness in joints or perform the most simple tasks without pain.
Age: 67.0
Sex: M
Vaccine: YF
Symptoms: Arthralgia
Clinical narrative: This is a 67 year old man who had received YEL on 3/31. No other vaccines but did start oral typhoid on about 4/3. Scheduled to get HepA and HepB but never received. Prior to YEL had diffuse arthralgia involving shoulders and right elbow and myalgiae in both arms. One week after YEL, developed pain in left elbow (described as deep aching); now going on for nearly 20 days. No fever. No chills. No jaundice. No RUQ pain. No dark urine. No symptoms of hemorrhage. Physician talked with patient this morning but has not seen him.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis, Erythema, Feeling hot, Pruritus, Swelling
Clinical narrative: Left arm became red, itchy, swollen and "hot" the following day after administration around 4pm.  Taken to pediatrician and told it is cellulitis and prescribed Augmentin.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 11cm x 9cm erythema and induration at left arm injection site. No complaints of pain. No functional impairment.
Age: 37.0
Sex: M
Vaccine: FLU3, HEP, MMR, OPV, PPV, TYP
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: CELLULITIS RIGHT DELTOID. LOCAL REACTION. TX. NSAIDS.
Age: 1.05
Sex: F
Vaccine: PNC, VARCEL
Symptoms: Rash papular
Clinical narrative: About a dozen scattered papulovesicular lesions over body first appeared 2 days ago.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, HIBV, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Erythema, Edema, Warmth to left arm deltoid readiating distally to left forearm.  Benadryl, Tylenol given. Ice packs to area RTC 3 days for F/U.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Pain, Swelling
Clinical narrative: Swollen and painful 12x10cm Treatment with ibuprofen.
Age: 1.02
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site oedema, Pyrexia
Clinical narrative: 04/18/05 given MMR 1, developed leg swelling on thigh around injection site. Fever to 101.0 degrees Fahrenheit.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Tenderness
Clinical narrative: P. C. from N.P. - who reports patient has an 8 ½ x 7 cm area of cellulitis right deltoid area.  She is starting child on Keflex.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, DTAP, IPV, MMR
Symptoms: Cellulitis, Injection site reaction
Clinical narrative: P. C. from N.P. - who reports patient has an 8 ½ x 7 cm area of cellulitis right deltoid area.  She is starting child on Keflex.
Age: 1.3
Sex: M
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Drug ineffective, Viral infection
Clinical narrative: SKIN RASH ALL OVER, SOME LESIONS NONE INFECTED. LESIONS FOR 4 DAYS NOW.
Age: 1.3
Sex: M
Vaccine: MMR, VARCEL, MMR, VARCEL
Symptoms: Rash, Skin ulcer
Clinical narrative: SKIN RASH ALL OVER, SOME LESIONS NONE INFECTED. LESIONS FOR 4 DAYS NOW.
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Milk allergy, Pallor, Rash, Somnolence
Clinical narrative: Baby given vaccines and then put in infant carrier. Became quiet, still and pale. Aroused within seconds and crying, moving legs and arms, pulse strong and regular. EMS called (911). Color improved and fine rash noted on legs and abdomen (flat and light colored). EMS stated acute reaction. Mother and father took immediately to pediatrician. Had another episode on the way to doctor and sent to ER and admitted to hospital. 3/25/05 Client discharged after 24 hour admission and testing. Referred to pediatrician for follow up. Follow-up: 8/24/05-TC to mother who states child is doing well and she has continued visits to the Pediatrician. They plan to resume vaccine when pt is 9 mon-1 yr of age and will probably "space them" rather than receiving at one time. At this time the parents just want to wait". Baby is healthy otherwise. 12/31/09 (9/21/06) Mother states child is to receive vaccine at private MD office at spaced intervals rather than simultaneously and "is nearly caught up for her age." Dr. had diagnosed incident as a vasovagal response-but no further symptoms as inital situation has occurred.
Age: 0.24
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Anorexia, Cardio-respiratory arrest, Depressed level of consciousness, High-pitched crying, Somnolence
Clinical narrative: Slept a lot, harsh screaming, not alert, not playful, loss of appetite, staring off. Received medical records from PCP. Received ER medical records which states that patient arrived in full arrest & was unable to be resuscitated. Autopsy Report received which stated that patient experienced SIDS.
Age: 0.24
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Staring, Sudden infant death syndrome
Clinical narrative: Slept a lot, harsh screaming, not alert, not playful, loss of appetite, staring off. Received medical records from PCP. Received ER medical records which states that patient arrived in full arrest & was unable to be resuscitated. Autopsy Report received which stated that patient experienced SIDS.
Age: 36.0
Sex: F
Vaccine: HEP
Symptoms: Face oedema, Hypoaesthesia oral, Tongue oedema
Clinical narrative: Client reports for appointment of second dose of Engerix B. Prior to vaccination, she states that right after (minutes), she began experienced numb and swollen lips and tongue. She says she took PO Benadryl every 4 hours for 24 hours and that decreased the swelling some but did not resolve completely for about 48 hours.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Cellulitis, Erythema, Injection site warmth, Oedema
Clinical narrative: Right deltoid edematous, erythematous, warm to touch. DX: Cellulitis- RX with warm soaks and Keflex TID x 7 days.
Age: 1.26
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Rash, Urticaria
Clinical narrative: Rash to chest, abdomen, face and back. Legs, hives.
Age: 1.03
Sex: F
Vaccine: HIBV, VARCEL
Symptoms: Injection site erythema, Urticaria
Clinical narrative: varivax 1 administered left thigh SQ on 04/23/2005. Immediate redness, hives at site. Benadryl PO administered and  recheck of site 30 minutes later shows reaciton resolved.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, PPV
Symptoms: Erythema, Oedema
Clinical narrative: Left thigh erythematous and swollen.
Age: 44.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site oedema, Injection site pain
Clinical narrative: Began with pain at injection site then splotchy redness- by day 2 a lot of pain to touch, swelling some which began at bicep then moved down and setteled at elbow. By day 3 swelling, and redness had greatly improved.
Age: 1.1
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MMR, PNC, VARCEL
Symptoms: Anorexia, Erythema, Lethargy, Pharyngolaryngeal pain
Clinical narrative: Mom phoned on 04/08/05 in AM to report child was lethargic, not eating. Was instructed by nurse to take child to MD for evaluation. This nurse called to f/u and mom was not home. When mom returned she called the clinic. I answered and spoke with mom. MD evaluated child " she checked her ears, nose, and throat, and noticed that her throat was red and swollen" MD RX for Amoxicillin and Motrin. F/U appt for 4/11/05. Mom stated DR said it had nothing to do with the shots. Mom also advised to increase fluids for child and monitor output.
Age: 1.14
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Rash erythematous, Rash maculo-papular, Rash papular, Rash vesicular
Clinical narrative: Small red raised "pimples" x 10 on upper back, between shoulder blades. Now larger in size ( papular) Now also with 2 papules/ vesicles on back of right hand between finger and thumb and 1 papule between eyes. 1 Papule/ vesicle on abdomen. States appears pruritic and "looks like chicken pox" no fever or other systemic s/s.
Age: 1.04
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash macular
Clinical narrative: Rash on torso starting 04/24/2005. No other signs or symptoms. No TX reassured , rash macular.
Age: 1.03
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash papular
Clinical narrative: Fever up to 102 x 1 day. Rash around injection site where varicella was given. Aslo scattered papular rash over
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site urticaria, Oedema peripheral
Clinical narrative: Shots on 04/06/05. Mother stated 8P on 04/07/05 right upper arm (elbow to shoulder) swollen, warm, red, and itched. No complaints of pain. 04/08/05 To DR and was instructed to treat with hydrocortisone OTC. Parent stated 04/09/05 at 8P all redness and swelling was gone, no temp.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Crying
Clinical narrative: Inconsolable crying beginning 7:30PM day of immunizations. Continued intermittently through next day. Treatment with Tylenol, Motrin, Benadryl and comfort measures.
Age: 6.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Oedema peripheral
Clinical narrative: Redness and swelling around upper arm where injection was given. Persistant as of 04/23/05. Examination: swelling and redness entire upper arm.
Age: 13.0
Sex: M
Vaccine: HEP
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Itchy, red , rash on right arm, back, and chest. Treated with Benadryl PRN. No fever, NO SOB, No swelling. No further Hep  B shots.
Age: 1.05
Sex: F
Vaccine: IPV, PNC, VARCEL
Symptoms: Body temperature increased, Rash papular, Skin ulcer, Urticaria
Clinical narrative: Papulo, vesicular lesions- 25. Low grade fever, and itching.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Hypersensitivity, Injection site oedema, Injection site reaction
Clinical narrative: 7x8cm Redness, mild swelling and non tender. Impression, vaccine reaction-local allergic. Probably DTaP
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site warmth, Oedema peripheral
Clinical narrative: Right arm swollen, red and hot.
Age: 12.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth, Oedema peripheral
Clinical narrative: 2 days ago, received Td 03/23/2005. 1 day later, felt right deltoid area painful and hot. Today more swollen and red. Right deltoid has area of 2x2cm  edema and erythema. No RX.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Cellulitis
Clinical narrative: Cellulitis- Seen at ER 04/23/2005- Given Antibiotics.
Age: 2.0
Sex: F
Vaccine: PPV
Symptoms: Aplastic anaemia, Condition aggravated, Hypokinesia, Injection site erythema, Injection site pain
Clinical narrative: 2 hours after vaccine administration parents noted that pt. complained of injection site pain and refusal to use that extremity (Right Leg).  Site became red and markedly swollen despite treatment with Ibuprofen and cold compresses.  Pt then became febrile and because of her diagnosis of sickle cell disease was directed to seek care in the Emergency Department, and subsequently admitted.  Pt. developed aplastic crisis (hgb of 6.6 and 0% reticulocyte ct.) and required PRBC transfusion.  Had increased WBC (24,000) and was began on IV Vancomycin as a recommendation by our Infectious Disease team.  At the time of this report pt is still inpatient at hospital.