chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Hypersensitivity, Nausea, Pallor, Pyrexia, Rash
Clinical narrative: Patient went to hospital (911) call within 3 hours after shot. Patient vomited violently, severe abdominal pain, headache, nausea, loss of appetite, rashes on chest, couldn't breathe, fever, paleness, dizzy, severe allergic reaction to shot.  9/25/09 Medical records received for service date 8/24/09: Seen in ER for N/V dizziness, abdominal pain, fatigue.  D/C DX: N/V, post vaccination, abd pain.  ICD-9 Codes: 789.03, 250.01, 999.5.
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Vomiting
Clinical narrative: Patient went to hospital (911) call within 3 hours after shot. Patient vomited violently, severe abdominal pain, headache, nausea, loss of appetite, rashes on chest, couldn't breathe, fever, paleness, dizzy, severe allergic reaction to shot.  9/25/09 Medical records received for service date 8/24/09: Seen in ER for N/V dizziness, abdominal pain, fatigue.  D/C DX: N/V, post vaccination, abd pain.  ICD-9 Codes: 789.03, 250.01, 999.5.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Asthenia, Blood culture negative, CSF culture negative, Crying, Culture urine negative
Clinical narrative: Pt developed fever with vaccines, then admitted to hospital 2 days later with fever, weakness (weak cry), tachypnea, + decreased perfusion (mottled appearance).  All labs (Blood cult, CSF culture, urine cult, Influenza + RSV) negative.  Of note, another child admitted with similar Sx, same lot#.  9/24/09 ED records received service date 9/5/09. Assessment: None Provided - Labs only.  12/3/09 Discharge summary and medical records received for DOS 9/5-9/8.  Final DX: Vial illness C/O fever and fussiness. Decreased PO. S/P 2 month immunizations. Congestion. Tachypnea, grunting. Mucousy stools. Decreased cap refill.Flecks of blood in stool. D/C to home.  12/3/09 Discharge summary, hospital records received, service dates 9/5/09 to 9/8/09. Assessment: Viral illness. Presented by parents with concerns regarding fever, fussiness, and decreased oral intake. Congestion of 2 weeks duration, tachypnea, grunting cry. Lethargic. Stools mucosy. Blood flecks in stool. Gassy. Abdoment distended. Hyperactive bowel sounds. Bowel dysmotility.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Hypoperfusion, Influenza serology negative, Livedo reticularis, Pyrexia, Respiratory syncytial virus test negative
Clinical narrative: Pt developed fever with vaccines, then admitted to hospital 2 days later with fever, weakness (weak cry), tachypnea, + decreased perfusion (mottled appearance).  All labs (Blood cult, CSF culture, urine cult, Influenza + RSV) negative.  Of note, another child admitted with similar Sx, same lot#.  9/24/09 ED records received service date 9/5/09. Assessment: None Provided - Labs only.  12/3/09 Discharge summary and medical records received for DOS 9/5-9/8.  Final DX: Vial illness C/O fever and fussiness. Decreased PO. S/P 2 month immunizations. Congestion. Tachypnea, grunting. Mucousy stools. Decreased cap refill.Flecks of blood in stool. D/C to home.  12/3/09 Discharge summary, hospital records received, service dates 9/5/09 to 9/8/09. Assessment: Viral illness. Presented by parents with concerns regarding fever, fussiness, and decreased oral intake. Congestion of 2 weeks duration, tachypnea, grunting cry. Lethargic. Stools mucosy. Blood flecks in stool. Gassy. Abdoment distended. Hyperactive bowel sounds. Bowel dysmotility.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5
Symptoms: Tachypnoea
Clinical narrative: Pt developed fever with vaccines, then admitted to hospital 2 days later with fever, weakness (weak cry), tachypnea, + decreased perfusion (mottled appearance).  All labs (Blood cult, CSF culture, urine cult, Influenza + RSV) negative.  Of note, another child admitted with similar Sx, same lot#.  9/24/09 ED records received service date 9/5/09. Assessment: None Provided - Labs only.  12/3/09 Discharge summary and medical records received for DOS 9/5-9/8.  Final DX: Vial illness C/O fever and fussiness. Decreased PO. S/P 2 month immunizations. Congestion. Tachypnea, grunting. Mucousy stools. Decreased cap refill.Flecks of blood in stool. D/C to home.  12/3/09 Discharge summary, hospital records received, service dates 9/5/09 to 9/8/09. Assessment: Viral illness. Presented by parents with concerns regarding fever, fussiness, and decreased oral intake. Congestion of 2 weeks duration, tachypnea, grunting cry. Lethargic. Stools mucosy. Blood flecks in stool. Gassy. Abdoment distended. Hyperactive bowel sounds. Bowel dysmotility.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Hypersensitivity, Pruritus, Rash
Clinical narrative: Hands and feet itching and broke out in bumps underneath skin all over hands and feet. Patient was evaluated by a dermatologist, who told pt. it was an allergic reaction to AFLURIA. Started on PREDNISONE pack and fluocinonide cream.
Age: 55.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Cough, Eye pruritus, Respiratory tract congestion, Rhinorrhoea, Throat tightness
Clinical narrative: Employee indicates within 15 minutes of receiving FLU vaccine she developed itchy eyes, runny nose, mild airway tightness, congestion and cough, used prescribed as amacort in haler and by mouth CLARITIN (per employee takes ibuprofen prophylactically, prior to injections for injection site erythema).
Age: 55.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Chest discomfort, Cough, Dyspnoea
Clinical narrative: Employee indicates within 15 minutes of receiving FLU vaccine she developed itchy eyes, runny nose, mild airway tightness, congestion and cough, used prescribed as amacort in haler and by mouth CLARITIN (per employee takes ibuprofen prophylactically, prior to injections for injection site erythema).
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: R deltoid swelling w/ redness.
Age: 49.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Cough, Dizziness, Dysphonia, Injection site erythema, Injection site pain
Clinical narrative: Swelling, hot, itchy where shot was given, fever, dizzy, heart racing, pale, horse voice, dry cough, swelling of throat, light headed, itchy face, head and legs. Still experiencing itchy symptoms, swelling in hands feet and shot area. Swelling, hot, red and raised where the shot was given. Hives at times, shot area still red and sore. Hoarse voice, cough at times, swollen hands and feet. Itchy in various places, eyes head, arms, chin, mostly face.
Age: 49.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injection site pruritus, Injection site swelling, Injection site warmth, Oedema peripheral, Pallor
Clinical narrative: Swelling, hot, itchy where shot was given, fever, dizzy, heart racing, pale, horse voice, dry cough, swelling of throat, light headed, itchy face, head and legs. Still experiencing itchy symptoms, swelling in hands feet and shot area. Swelling, hot, red and raised where the shot was given. Hives at times, shot area still red and sore. Hoarse voice, cough at times, swollen hands and feet. Itchy in various places, eyes head, arms, chin, mostly face.
Age: 49.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Palpitations, Pharyngeal oedema, Pruritus, Pyrexia, Urticaria
Clinical narrative: Swelling, hot, itchy where shot was given, fever, dizzy, heart racing, pale, horse voice, dry cough, swelling of throat, light headed, itchy face, head and legs. Still experiencing itchy symptoms, swelling in hands feet and shot area. Swelling, hot, red and raised where the shot was given. Hives at times, shot area still red and sore. Hoarse voice, cough at times, swollen hands and feet. Itchy in various places, eyes head, arms, chin, mostly face.
Age: 49.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Cough, Injection site erythema, Injection site swelling, Pruritus, Throat irritation
Clinical narrative: Swelling, hot, itchy where shot was given, fever, dizzy, heart racing, pale, horse voice, dry cough, swelling of throat, light headed, itchy face, head and legs. Still experiencing itchy symptoms, swelling in hands feet and shot area. Swelling, hot, red and raised where the shot was given. Hives at times, shot area still red and sore. Hoarse voice, cough at times, swollen hands and feet. Itchy in various places, eyes head, arms, chin, mostly face.
Age: 49.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Tremor
Clinical narrative: Swelling, hot, itchy where shot was given, fever, dizzy, heart racing, pale, horse voice, dry cough, swelling of throat, light headed, itchy face, head and legs. Still experiencing itchy symptoms, swelling in hands feet and shot area. Swelling, hot, red and raised where the shot was given. Hives at times, shot area still red and sore. Hoarse voice, cough at times, swollen hands and feet. Itchy in various places, eyes head, arms, chin, mostly face.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal pain, Neck pain, Pain in extremity
Clinical narrative: FLULAVAL .5 cc's given on 9-18-09 in R deltoid. Pt c/o R arm, shoulder and neck pain on 9-23-09. States pain increased a few days after shot given, was not immediate.
Age: 34.0
Sex: M
Vaccine: FLU3
Symptoms: Dysphagia, Dysphonia, Hot flush, Pharyngeal oedema, Urticaria
Clinical narrative: Vaccine administered around 7:30 AM, pt. felt a welt forming on left side and within 2 hrs. had hives all over. Pt. was instructed to go to ER for evaluation. By time pt. arrived to ER pt. displayed; hot flashes, modling of neck area, hoarseness, swelling of throat, difficulty swallowing. In ER given Epinephrine, BENADRYL and sent home with prednisone prescription.
Sex: U
Vaccine: VARZOS
Symptoms: Injection site rash, Pruritus, Rash macular, Rash papular
Clinical narrative: Developed macular papular rash with pruritis on left arm near injection site 4 days after receiving ZOSTAVAX, spread over entire body in 24 hrs.  I saw her 48 hrs after rash onset.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Rash erythematous, Rash generalised, Rash pruritic
Clinical narrative: Pt. developed erythematous, raised, pruritic, generalized rash on 9/22/09.  No change in diet, soap, meds can explain this.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Induration, Local reaction
Clinical narrative: Pt had localized reaction with induration 3.5cm x 5cm, erythema 7.5cm x 9.5cm - gradually resolved.
Age: 21.0
Sex: M
Vaccine: FLU3
Symptoms: Hyperhidrosis, Loss of consciousness, Nausea, Pallor, Vomiting
Clinical narrative: Paleness, sweating, loss of consciousness few seconds, nausea, vomiting. Last about 5 min total.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling, Pruritus, Vasculitic rash
Clinical narrative: Markedly swollen area at site of injection almost immediately, then next AM woke up with vascular patches on extremities/face, ears. Very, very itchy-worsening.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chest pain, Pain, Pain in extremity
Clinical narrative: Received flu shot in right deltoid and PNEUMOVAX in left deltoid. Approx. 5 min. after receiving vaccines, she developed severe right arm pain, radiated then to chest and then down whole right side. Pain resolved within 5-10 minutes. Sent to E.D. via ambulance for further evaluation.
Age: 9.0
Sex: M
Vaccine: FLU3, HEPA, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Vaccines administered right deltoid 9/11/09. 9/12/09 developed red indurated area. Office visit on 9/14/09-induration approx. 3 cm in diameter, skin pink, no infection.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Dizziness, Dyspepsia, Fatigue, Headache
Clinical narrative: Headache, dizziness, naseua, fever, food stayed in stomach for 24 hours, chills, hot flashed, muscle aches, fatigue no reactions prior to 2007. However 2007, 2008, 2009 same reaction-2007 worse, 2008 not as bad, 2009 moderate.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Hot flush, Myalgia, Nausea, Pyrexia, Vaccine positive rechallenge
Clinical narrative: Headache, dizziness, naseua, fever, food stayed in stomach for 24 hours, chills, hot flashed, muscle aches, fatigue no reactions prior to 2007. However 2007, 2008, 2009 same reaction-2007 worse, 2008 not as bad, 2009 moderate.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Asthma
Clinical narrative: Vaccine given 11 am, had exacerbation of asthma at 4pm requiring rescue inhaler, resolved after 30-60 min. No other problems
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Local swelling, Lymphadenopathy, Oropharyngeal pain, Swollen tongue
Clinical narrative: Swelling tongue-sore throat-swollen glands-neck began about 20 hours after shot-lasted 5 days.
Age: 0.21
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC, RV5
Symptoms: Vomiting
Clinical narrative: Patient given vaccinations morning of 9/15/09. At 8 PM following day patient starte vomiting. This continued through the next day. Parents called clinic where vaccinations given. Family instructed to go immediately to urgent care.
Age: 13.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Influenza serology negative, Oropharyngeal pain, Pyrexia
Clinical narrative: Subsequent to vaccination, patient had fever, sore throat arthralgias.  She was taken to the Emergency Room & tested negative for flu A, B, H, N.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Bone pain, Headache, Myalgia, Nausea, Pain
Clinical narrative: Nausea, headache, aching muscles and bones, sleepiness, slight fever.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Somnolence
Clinical narrative: Nausea, headache, aching muscles and bones, sleepiness, slight fever.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Injection site pain, Pain
Clinical narrative: Day after injection general body aches and injection site pain. 2nd day after injection severe bilat. knee pain and general joint aches and mild pain of general joints. 8 days after injection pain still persists.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Muscle spasms, Pyrexia
Clinical narrative: Evening of, after receiving ADACEL had fever, chills, and cramping.
Age: 12.0
Sex: F
Vaccine: FLUN3
Symptoms: Chest X-ray, Chest pain, Laboratory test
Clinical narrative: Student complained with chest pains 2 hours after receiving FLUMIST at school based flu clinic.
Age: 85.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Hyperhidrosis, Visual impairment
Clinical narrative: Pt had dizziness, sweating, vision problems the day after the flu shot was administered (09/10/09). Pt was perfectly ok on the day they called (09/15/09). Asked pt to see the doctor.
Age: 88.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Dyspnoea
Clinical narrative: Patient received FLUVIRIN at 14:15 on 9/17/09. Called on 9/18/09 to report she had dizziness and shortness of breath. Told her son to take her to see physician.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: No itching, burning @ injection site. Site is red & swollen, warm to touch, pt worked out in yard all day, day after receiving vaccine.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Dry skin, Loss of consciousness, Skin warm
Clinical narrative: After R administration - MENACTRA, loss of consciousness, returned with feet elevation no distress. Respirations none labored. AO x 3, pulse strong 80, R - 16, BP 110/70. Skin warm and dry.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia, Pruritus generalised, Rash
Clinical narrative: 4:00 pm 9/17 pt calls and described a rash on left arm, tingling in both hands and feet, and generalized itching. Advised pt to take 50 mg BENADRYL. Seek help at ER if not better or worse. MD was called early morning, did not hear back as of 4:00pm 9/17.
Age: 15.0
Sex: F
Vaccine: FLU3, HEPA, HPV4
Symptoms: Back pain, Chest pain, Computerised tomogram thorax abnormal, Pulmonary embolism
Clinical narrative: Information has been received from a medical assistant concerning a 16 year old female patient with pertinent medical history reported as none and drug reactions or allergies reported as none who on 02-JUN-2008 was vaccinated with a first dose of GARDASIL. On 31-JUL-2008 she received a second dose of GARDASIL (lot #660553/0070X). On 11-DEC-2008 she received third dose of GARDASIL (lot #660553/0070X). Concomitant therapy included hormonal contraceptives (unspecified). On 18-JUN-2009, the patient went to the emergency room with a pulmonary embolism and was admitted to the hospital. The patient had been placed on COUMADIN. On an unspecified date the patient recovered from the pulmonary embolism (PE). Follow up information has been received via telephone call from a licensed practical nurse who reported that on an unspecified date, the patient was placed on oral contraceptive (name not available) for heavy menses. On 02-JUN-2008 the patient received HAVRIX (unspecified) (lot # AHAVB264CA) and MENACTRA (lot # U2623AA) in addition to first dose of GARDASIL. On 31-JUL-2008 no other vaccines were given. On 11-DEC-2008 she received HAVRIX (unspecified) (lot # AHAVB291CA) and FLUZONE (lot # U2083AA) in addition to third dose of GARDASIL. On 18-JUN-2009 the patient presented to the emergency room with chest and back pain. Chest computed axial tomography showed multiple PEs in both lower lobes and the patient was hospitalized. The patient was started on heparin drip, oral contraceptive was discontinued ( patient told never to resume it again); switched from heparin to LOVENOX injections. On 22-JUN-2009 the patient was discharged, the patient was placed on oral COUMADIN. At the time of discharge the patient was able to resume all previous activities. Chart did not show if the event was considered life threatening. No further information is available.  9/29/09 ER records received DOS 6/18/09. Assessment: R/O Pulmonary Embolism. Patient presents with sharp pains (L) rib area midside up to (L) shoulder. Worsens with deep breath, movement. Birth control pills. Transfer to higher level facility recommended. 12/10/09 DC summary and Hospital records received for DOS 06/19/09-06-22/09. Pt presented with constant chest pain at rest . Consult  with pediatric hematology: treated with Heparin protocol then transitioned to Lovenox in order to intitiate Coumadin after discharge. All birth control pills stopped. Discharged home stable. DC DX: pulmonary emboli
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Abdominal pain upper, Arthralgia, Contusion, Headache, Laboratory test
Clinical narrative: Information has been received from a registered nurse and an office administrator concerning the nurse's 16 year old daughter with no pertinent history who on 01-JUL-2009 was vaccinated with the first dose of GARDASIL (Lot # 658271/0558X). Concomitant therapy include HAVRIX (unspecified) (lot# AHAVB238AA) with the first dose of GARDASIL. On 05-JUL-2009 the patient went to the emergency room with nausea, vomiting, fever, severe stomach pains and headaches. On 08-JUL-2009 the consumer called the office complaining of joint pain and ibuprofen was recommended. On 09-JUL-2009 the the consumer called the office again with complaint of increased joint pain It was reported that the patient could still eat food, but on 18-JUL-2009 the patient went to the emergency room since what she was experiencing was not getting better. The registered nurse also reported that the patient was admitted to hospital. At the hospital the patient was given fluids in case it was her kidney and also drew blood. The patient was also given SEPTRA which caused her to have tiny bruises on top of her two thighs. The registered reported that the patient was in the hospital for four days and was doing better after that. Then on 05-SEP-2009, the patient received her second dose of GARDASIL (Lot# 662404/0312Y) and then on 15-SEP-2009 (also reported as 11-SEP-2009) the patient started to experience severe stomach pains, nausea, vomiting, fever and headaches. No complaints of joint pain at that time. Therapy with GARDASIL was discontinued. The results of blood work were unknown. The registered nurse reported that they had called her physician, but the patient had not yet recovered. This is one of several reports from the same source. Additional information has been requested.   9/30/09 Hospital records, DC summary, received DOS 7/5/09 to 7/8/09. Assessment: Febrile illness, purpuric rash, maculopapular rash. Patient presents with a 3 day history of crampy abdominal pain aggravated by urination. Dysuria, vomiting, and hematuria. Red rash abdomen and left thigh. Pulse 108 bpm (H).  ICD-9 Codes: 287.0 Allergic Purpura, 780.60 Fever NOS.  9/30/09 PCP medical records received DOS 7/1/09 to 7/8/09. Assessment: Drug reaction to Septra. Patient presented with petechia on thighs and feet. Fever, emesis. Joint pain in ankles, knees, wrists feet.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV4
Symptoms: Nausea, Pyrexia, Vaccine positive rechallenge, Vomiting
Clinical narrative: Information has been received from a registered nurse and an office administrator concerning the nurse's 16 year old daughter with no pertinent history who on 01-JUL-2009 was vaccinated with the first dose of GARDASIL (Lot # 658271/0558X). Concomitant therapy include HAVRIX (unspecified) (lot# AHAVB238AA) with the first dose of GARDASIL. On 05-JUL-2009 the patient went to the emergency room with nausea, vomiting, fever, severe stomach pains and headaches. On 08-JUL-2009 the consumer called the office complaining of joint pain and ibuprofen was recommended. On 09-JUL-2009 the the consumer called the office again with complaint of increased joint pain It was reported that the patient could still eat food, but on 18-JUL-2009 the patient went to the emergency room since what she was experiencing was not getting better. The registered nurse also reported that the patient was admitted to hospital. At the hospital the patient was given fluids in case it was her kidney and also drew blood. The patient was also given SEPTRA which caused her to have tiny bruises on top of her two thighs. The registered reported that the patient was in the hospital for four days and was doing better after that. Then on 05-SEP-2009, the patient received her second dose of GARDASIL (Lot# 662404/0312Y) and then on 15-SEP-2009 (also reported as 11-SEP-2009) the patient started to experience severe stomach pains, nausea, vomiting, fever and headaches. No complaints of joint pain at that time. Therapy with GARDASIL was discontinued. The results of blood work were unknown. The registered nurse reported that they had called her physician, but the patient had not yet recovered. This is one of several reports from the same source. Additional information has been requested.   9/30/09 Hospital records, DC summary, received DOS 7/5/09 to 7/8/09. Assessment: Febrile illness, purpuric rash, maculopapular rash. Patient presents with a 3 day history of crampy abdominal pain aggravated by urination. Dysuria, vomiting, and hematuria. Red rash abdomen and left thigh. Pulse 108 bpm (H).  ICD-9 Codes: 287.0 Allergic Purpura, 780.60 Fever NOS.  9/30/09 PCP medical records received DOS 7/1/09 to 7/8/09. Assessment: Drug reaction to Septra. Patient presented with petechia on thighs and feet. Fever, emesis. Joint pain in ankles, knees, wrists feet.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Convulsion
Clinical narrative: Information has been received from a nurse practitioner concerning a 14 year old female patient who on 17-JAN-2007 was vaccinated intramuscularly with the first 0.5 mL dose of GARDASIL (Lot# was unknown). On 16-MAR-2007 the patient was vaccinated intramuscularly with the second 0.5 mL dose of GARDASIL (Lot# was unknown) and on 11-JUL-2007 the patient was vaccinated intramuscularly with the third 0.5 mL dose of GARDASIL (Lot# was unknown). In February 2009, the patient started developing a seizure disorder. The patient sought medical attention by specialist visit. At the time of the report, the patient's seizure disorder persisted. Upon internal review, seizure disorder was determined to be an other important medical event. Additional information has been requested.
Age: 67.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injected limb mobility decreased, Nausea, Pain in extremity, Paraesthesia
Clinical narrative: Information has been received from a Registered nurse, concerning a 67 year old female with no known drug allergies, who on 16-SEP-2009 was vaccinated with a 0.5 mL dose of PNEUMOVAX 23 (lot# 662842/1296X) intramuscularly into the left arm. Concomitant therapy included a dose of influenza virus vaccine (unspecified). On the same day, the patient experienced fingers tingling, on the left arm and then pain that went up to elbow and moved up to the whole arm. The patient's pain scale was 10 out of 10. The patient was unable to use the left arm. They also had nausea. The patient went to an unspecified walk in clinic in the morning. The patient was given IV REGLAN, DILAUDID and a 3rd unspecified medication that was considered by the nurse to be intervention to prevent serious criteria. At the time of reporting the patient had not recovered. Fingers tingling, pain that went up to the elbow and nausea were considered to be disabling by the reporting nurse because the patient could not move her arm. Upon internal review the fingers tingling, pain that went up to the elbow and nausea were determined to be other important medical events. This is one of several reports from the same source. Additional information has been requested.
Sex: U
Vaccine: PPV
Symptoms: Mobility decreased, Nausea, Pain in extremity, Paraesthesia
Clinical narrative: Information has been received from a Registered nurse, who was told by a patient's husband there was an unspecified number of patients who had walked into the clinic with the same symptoms as his wife (WAES 0909USA02373) after receiving a dose of PNEUMOVAX. The wife's symptoms included: Fingers tingling, pain that went up to the elbow and nausea. The nurse had considered the symptoms to be were considered to be disabling because the patient could not move her arm. Attempts are being made to obtain additional identifying information to distinguish the individual patients mentioned in this report. Additional information will be provided if available. This is one of several reports from the same source. Additional information has been requested.
Sex: F
Vaccine: FLUX
Symptoms: Abdominal pain, Colectomy, Colitis ulcerative, Condition aggravated, Diarrhoea haemorrhagic
Clinical narrative: A female patient, with a history of ulcerative Proctitis diagnosed at age 52, received a subcutaneous injection of Influenza vaccine (manufacturer and lot number not reported). She was taking Sulfasalazine, Mercaptopurine, and intermittent steroids concomitantly, and her ulcerative Proctitis has been in remission for approximately nine months. Within hours of vaccination, the patient developed bloody diarrhoea and abdominal pain. She had very active ulcerative colitis with ulceration, friability and exudate, and recurrent bilateral uveitis. She was hospitalized, and treated with corticotrophin and tapering PREDNISONE. Symptoms improved, but did not resolve. Mercaptopurine and steroid doses were increased. One year after diagnosis, the patient underwent a total colectomy with ileoanal pouch anastamosis. She experienced intermittent pouchitis for one year before her pouch and ileum appeared normal. The patient noted that she had experienced a milder exacerbation of ulcerative colitis in the past following receipt of Influenza vaccine.
Sex: F
Vaccine: FLUX
Symptoms: Incorrect route of drug administration, Intestinal anastomosis, Pouchitis, Uveitis
Clinical narrative: A female patient, with a history of ulcerative Proctitis diagnosed at age 52, received a subcutaneous injection of Influenza vaccine (manufacturer and lot number not reported). She was taking Sulfasalazine, Mercaptopurine, and intermittent steroids concomitantly, and her ulcerative Proctitis has been in remission for approximately nine months. Within hours of vaccination, the patient developed bloody diarrhoea and abdominal pain. She had very active ulcerative colitis with ulceration, friability and exudate, and recurrent bilateral uveitis. She was hospitalized, and treated with corticotrophin and tapering PREDNISONE. Symptoms improved, but did not resolve. Mercaptopurine and steroid doses were increased. One year after diagnosis, the patient underwent a total colectomy with ileoanal pouch anastamosis. She experienced intermittent pouchitis for one year before her pouch and ileum appeared normal. The patient noted that she had experienced a milder exacerbation of ulcerative colitis in the past following receipt of Influenza vaccine.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Laryngospasm
Clinical narrative: Moderately severe Laryngospasm 1 hr after vaccination.  Rx with EPI in ER.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Immediate post-injection reaction
Clinical narrative: Immediately after shot, got lightheaded and dizzy.
Age: 5.0
Sex: F
Vaccine: FLUN3
Symptoms: No adverse event
Clinical narrative: No adverse event.
Age: 14.0
Sex: M
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: Patient was given AFLURIA preservative free vaccine that only indicated for 18 years or older.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pruritus, Injection site rash, Throat irritation, Throat tightness
Clinical narrative: Site of injection; itchy, rash, spreading 5 minutes after injection ( flu) - Throat itchy, feeling  starting to close approx 1/2 hr after injection - Epinephrine 0.3 sc given (R) arm at 9:40 AM
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Nausea, Oropharyngeal blistering, Pyrexia, Vomiting
Clinical narrative: The day after receiving GARDASIL patient experienced fever of 103 degrees F for three days. Nausea, vomiting, blisters on tongue.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia, Pyrexia, Sluggishness
Clinical narrative: Fever 103.1, felt "sluggish", myalgias symptoms + 2 days.  Treatment - OTC TYLENOL.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Pain
Clinical narrative: Pain. Had trouble lifting arm and started right away. Came back to pharmacy 2nd day of pain. Has not gone away.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Rash erythematous, Rash papular
Clinical narrative: Red bumps underside of fingers of both hands that were itchy. Noticed the symptoms the night of 9/18/2009 - Flu vaccine was administered 9/17/09
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site cellulitis
Clinical narrative: -ER visit. 9/23/9. Diagnosis: cellulitis @ injection site. Prescribed BACTRIM with KEFLEX.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: No reaction on previous exposure to drug, Paraesthesia, Paraesthesia oral
Clinical narrative: Patient had tingling in fingers, arm, and lips after receiving FLUVIRIN. Came back off and on for about a day and a half. Patient received shot on a Saturday 12:00 and by Monday morning was feeling much better and symptoms were gone. States she has had the flu shot before but never had these side effects.
Age: 34.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cow's milk intolerance, Injection site erythema, Injection site oedema
Clinical narrative: Erythema & edema of upper arm, left. Onset within hours of injection.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Pt received I.M. injection L deltoid - had immediate itching, swelling, erythema.
Age: 15.0
Sex: F
Vaccine: FLUN3, HPV4
Symptoms: Dyspnoea
Clinical narrative: Thursday, Sept. 24, 2009 at or about 1:20 p.m. a telephone call was received at clinic from the mother of patient stating the patient was complaining of difficulty breathing since FluMist administration.  Instructed parent to take patient to the nearest emergency room for further evaluation.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site haematoma, Pain in extremity
Clinical narrative: Sore arm and bruised slightly at the site of injection.
Age: 32.0
Sex: M
Vaccine: ANTH
Symptoms: Pain, Tenderness
Clinical narrative: Tenderness of Right Shoulder on Palpation, Pain with movement
Age: 35.0
Sex: U
Vaccine: FLU3
Symptoms: Arthralgia, Cough, Dizziness, Dyspnoea, Ocular hyperaemia
Clinical narrative: Started with a cough within an hour and a half after the vaccine. Felt as if my throat was closing and became a little difficult to breathe. Next day woke up to bloodshot eyes, and body aches. No more throat issues though. Two days later - better one hip joint still hurts - feel a little light headed but otherwise ok
Age: 35.0
Sex: U
Vaccine: FLU3
Symptoms: Pain, Throat tightness
Clinical narrative: Started with a cough within an hour and a half after the vaccine. Felt as if my throat was closing and became a little difficult to breathe. Next day woke up to bloodshot eyes, and body aches. No more throat issues though. Two days later - better one hip joint still hurts - feel a little light headed but otherwise ok
Age: 58.0
Sex: F
Vaccine: DTAP
Symptoms: No adverse event
Clinical narrative: NO ADVERSE EFFECTS
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Headache, Influenza like illness, Nausea
Clinical narrative: Tired, HA, nauseated, felt like I was coming down with the flu.  Resolved within 24 hours.  OTC Tylenol.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Mobility decreased, Pain
Clinical narrative: Received vaccine 9/18/09 at 11:30am At 7pm she reported significant bodyaches on on left side (vaccine was given left deltoid) from neck to knee. 10/10 pain, weakness. Seen 9/22/09 pain persists 7/10 diffucult to turn neck pain to touch over left side of back. Exan WNL with noted pain. TX NSSAIDS
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Axillary pain, Fatigue, Lymph node pain, Nausea
Clinical narrative: Tired, nauseated,desire to sleep, under arm lymph nodes tender, could not function for 3 days. OTC Rx and rest
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Somnolence
Clinical narrative: Tired, nauseated,desire to sleep, under arm lymph nodes tender, could not function for 3 days. OTC Rx and rest
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Soreness, redness 4.5x7cm, warmth at injection site.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature decreased, Feeling cold, Headache, Hyperhidrosis, Injection site erythema
Clinical narrative: Vaccine received at approximately 1000 hrs on 09/22/2009.  Arm ached initially (muscle type ache)with slight redness at injection site.  On 09/23/2009 at approximately 0945 hrs, severe sensation of total body ice cold, antecubital and behind neck felt extremely hot, moderate nausea.  At 1145 shaking with mild diaphoresis but temperature not taken - still nauseated.  Two Ibuprophen taken.  Headache began.  Rested until 1400 hrs.  Shaking stopped, headache persisted. Fever approximately 99.4F at 1500 hrs.  Gradually, symptoms subsided with all but a mild headache by 0900 hrs. on 09/24/2009.  No urticaria, itching or neurological signs i.e. numbness or loss of function.  Did not seek medical care.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia, Nausea, Pain in extremity, Pyrexia, Skin warm
Clinical narrative: Vaccine received at approximately 1000 hrs on 09/22/2009.  Arm ached initially (muscle type ache)with slight redness at injection site.  On 09/23/2009 at approximately 0945 hrs, severe sensation of total body ice cold, antecubital and behind neck felt extremely hot, moderate nausea.  At 1145 shaking with mild diaphoresis but temperature not taken - still nauseated.  Two Ibuprophen taken.  Headache began.  Rested until 1400 hrs.  Shaking stopped, headache persisted. Fever approximately 99.4F at 1500 hrs.  Gradually, symptoms subsided with all but a mild headache by 0900 hrs. on 09/24/2009.  No urticaria, itching or neurological signs i.e. numbness or loss of function.  Did not seek medical care.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Tremor
Clinical narrative: Vaccine received at approximately 1000 hrs on 09/22/2009.  Arm ached initially (muscle type ache)with slight redness at injection site.  On 09/23/2009 at approximately 0945 hrs, severe sensation of total body ice cold, antecubital and behind neck felt extremely hot, moderate nausea.  At 1145 shaking with mild diaphoresis but temperature not taken - still nauseated.  Two Ibuprophen taken.  Headache began.  Rested until 1400 hrs.  Shaking stopped, headache persisted. Fever approximately 99.4F at 1500 hrs.  Gradually, symptoms subsided with all but a mild headache by 0900 hrs. on 09/24/2009.  No urticaria, itching or neurological signs i.e. numbness or loss of function.  Did not seek medical care.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Oedema peripheral, Swelling face
Clinical narrative: FACIAL SWELLING, HANDS, GIVEN FLU VACCINE ON 9/23/09 10:00 A.M.  WILL BE 23 OBSERVATION AT HOSPITAL FOR TREATMENT.  9/29/09 ED/Hospital records received DOS 9/24/09 to 9/25/09. Assessment Angioedema, Adverse reaction to influenza vaccine. Patient presents with swelling of face, lips and hands. Swelling of cheeks, lips, eyes.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: pt broke outwith severe hives. Benedryl for treatment.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Nodule
Clinical narrative: A month ago a nodule appeared located on the left mid collarbone.  One big one and one little one.
Age: 42.0
Sex: M
Vaccine: ANTH
Symptoms: Nodule on extremity
Clinical narrative: Small nodule appeared on wrist.
Age: 50.0
Sex: F
Vaccine: DTP
Symptoms: Arthralgia, Erythema, Malaise, Myalgia, Pyrexia
Clinical narrative: Local redness, swelling and tenderness x 8 cm, fever, myalgias, arthralgias all lasting over 48 hours following vaccine, still feels sick
Age: 50.0
Sex: F
Vaccine: DTP
Symptoms: Swelling, Tenderness
Clinical narrative: Local redness, swelling and tenderness x 8 cm, fever, myalgias, arthralgias all lasting over 48 hours following vaccine, still feels sick
Age: 86.0
Sex: M
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Erythema, Induration, Oedema peripheral, Pain in extremity, Syncope
Clinical narrative: Veteran received Pneumococcal about 9:30 AM on 9-16-09 in right arm and Influenza in the left arm.  He awoke from sleep at 2:30 AM on 9-17-09 and his arm was red, swollen, hard, and painful to touch.  He later fainted.  He was taken to hospital by ambulance where he was treated and released.
Age: 86.0
Sex: M
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Erythema, Inappropriate schedule of drug administration, Induration, Oedema peripheral, Pain in extremity
Clinical narrative: Veteran received Pneumococcal about 9:30 AM on 9-16-09 in right arm and Influenza in the left arm.  He awoke from sleep at 2:30 AM on 9-17-09 and his arm was red, swollen, hard, and painful to touch.  He later fainted.  He was taken to hospital by ambulance where he was treated and released.
Age: 86.0
Sex: M
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Syncope
Clinical narrative: Veteran received Pneumococcal about 9:30 AM on 9-16-09 in right arm and Influenza in the left arm.  He awoke from sleep at 2:30 AM on 9-17-09 and his arm was red, swollen, hard, and painful to touch.  He later fainted.  He was taken to hospital by ambulance where he was treated and released.
Age: 15.0
Sex: F
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: UPON DOUBLE CHECKING PRESCRIPTIONS PER PHARMACY POLICY I DISCOVER THAT AFLURIA WAS GIVEN TO A 15 YEARS OLD CHILD. AFLURIA IS INDICATED FOR 18 YEARS AND ABOVE. PATIENT DID NOT COMPLAIN ABOUT ANY THING FOR THE 20 MINUTES SHE WAITED AFTER THE SHOT. BUT I AM REPORTING AS REQUIRED.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia oral, Paraesthesia
Clinical narrative: Pt began to have numbness in throat and gums.  Tingling of extremities.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Dyspnoea, Pyrexia, Rash, Serum sickness
Clinical narrative: Pt received vaccine 09/10/09 from employee health. On 09/14/09 pt developed diffuse arthralgias, rash, fever and SOB. She presented to her PCP where medrol dose pak was prescribed with some relief. On 09/21/09 she was unable to get out of bed on her own power due to severe arthralgias. She reported to her PCP who diagnosed her with serum sickness.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Feeling hot, Pruritus
Clinical narrative: localized area of redness, warmth, and itching
Age: 59.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Arthralgia, Injection site swelling, Myalgia
Clinical narrative: Pt received vaccine 09/18/09, that night pt reports very swollen inj site along w/ arthralgias along with myalgias. Pt took ibuprofen w/o any resolution of sx. Pt then reported to emloyee health and recieved medrol dose pak with resolution of systems.
Age: 59.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Myalgia
Clinical narrative: Pt received vaccine 09/18/09, that night pt reports very swollen inj site along w/ arthralgias along with myalgias. Pt took ibuprofen w/o any resolution of sx. Pt then reported to emloyee health and recieved medrol dose pak with resolution of systems.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Injection site pain, Muscular weakness, Paraesthesia
Clinical narrative: Patient complained of tingling/numbness/weakness of right arm, stated could not feel fingers or arm very well. Onset of symptoms approximately 3-5 minutes after administration of vaccine. Ice pack applied to right arm at site of injection, assessed and compared strength of hand grips bilaterally. Patient started feeling relief of symptoms after 10 minutes. Strength increased of right arm. Spoke with patient 9-24-09, states numbness and weakness gone, arm is just sore at site. Described soreness as normal reaction.
Age: 42.0
Sex: M
Vaccine: HEP, MMR, TD
Symptoms: Blood test, Myalgia, Pain, Pyrexia, Viral infection
Clinical narrative: Pt reports developing a fever and muscle and body aches within 1 day of vaccine administration. Fever lasted from 9/4/09 through 9/9/22/09 when pt's wife called the Health Dept to report the event. This PHN spoke with wife, encouraged her to have pt seek medical attention for a three-week fever, and also called Vaccine Mgt, who stated that three weeks of fever from a vaccine is highly unlikely. Pt was then seen at Health Services, was diagnosed with a viral illness and had blood drawn. He returns to Health Services on 10/2/09 for follow-up. He is a student and has continued to attend school despite ongoing fever.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain, Wrong drug administered
Clinical narrative: Pt receivied the Afluria Adult Influenza vaccine at approximately 1000 on 23 Sep 2009. Pt has had no adverse reactions. Mom states soreness at the site. Tylenol given.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Chest discomfort, Dizziness, Dysphagia, Hypoaesthesia oral
Clinical narrative: CLIENT RECEIVED VACCINATION ON 9/17/09 AT 10AM. ON THE SAME DATE AT 10:15AM CLIENT STARTED HAVING BLURRED VISION. AT 10:20AM CLIENT FELT TONGUE WAS SWELLING AND NUMB. AT 10:30AM CLIENT FELT DIZZY. AT 10:40AM CLIENT WAS IN THE EMERGENCY ROOM. CLIENT RECEIEVED A DOSE OF THE EPI PEN, IV BENADRYL AND IV STERIODS. ON 9/18/09 AT 3PM CLIENT FELT FACE AND NECK BURNING, TONGUE CONTINUED TO BE NUMB AND CLIENT FOUND IT HARD TO SWALLOW AND ALSO HAD CHEST TIGHTNESS. CLIENT IS NOW UNDER AN ALLERGIST'S CARE. CLIENT STATES THAT SHE CONTINUES TO HAVE SYMPTOMS THAT APPEAR TO BECOME LESSER DAILY.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Swollen tongue, Vision blurred
Clinical narrative: CLIENT RECEIVED VACCINATION ON 9/17/09 AT 10AM. ON THE SAME DATE AT 10:15AM CLIENT STARTED HAVING BLURRED VISION. AT 10:20AM CLIENT FELT TONGUE WAS SWELLING AND NUMB. AT 10:30AM CLIENT FELT DIZZY. AT 10:40AM CLIENT WAS IN THE EMERGENCY ROOM. CLIENT RECEIEVED A DOSE OF THE EPI PEN, IV BENADRYL AND IV STERIODS. ON 9/18/09 AT 3PM CLIENT FELT FACE AND NECK BURNING, TONGUE CONTINUED TO BE NUMB AND CLIENT FOUND IT HARD TO SWALLOW AND ALSO HAD CHEST TIGHTNESS. CLIENT IS NOW UNDER AN ALLERGIST'S CARE. CLIENT STATES THAT SHE CONTINUES TO HAVE SYMPTOMS THAT APPEAR TO BECOME LESSER DAILY.
Age: 1.0
Sex: M
Vaccine: DTAPIPVHIB, HEPA, MMR, PNC, VARCEL
Symptoms: Body temperature increased, Pain, Rash erythematous, Rash generalised
Clinical narrative: Mother stated that day after shots child had a temp of 101.5, then 8 days after shots child broke out in red rash all over body. Rash not raised, child not complaining of any pain.
Age: 2.0
Sex: M
Vaccine: IPV, TDAP, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: PATIENT WAS GIVEN TDAP INSTEAD OF DTAP
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Muscle spasms, Pain in extremity
Clinical narrative: Approximately one half hour after immunization patient felt pain , muscle spasm and some numbness to left arm. Was seen next day (9/22/09) by PCP who ordered somma for muscle relaxant, Ibuprofen for discomfort, and a sling to limit movement. Returned next day to PCP who ordered continuation of treatment as well as a topical steroid cream. Patient states much relief from treatment but still uncomfortable.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Culture stool, Diarrhoea, Faeces discoloured, Rotavirus test, Stool analysis
Clinical narrative: since 2mo rotavirus, diarrhea (water green stool) once day or every other day for 2 months now, nonbloody
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU3, MMR, VARCEL
Symptoms: Agitation, Cyanosis, Drooling, Hypotension, Intensive care
Clinical narrative: - approx 5 minutes after administration of the vaccines, patient had abrupt onset of facial and lip swelling, lethargy, paleness with perioral cyanosis, and tachypnea - epinephrine was administered SQ immediately and she was placed on 100% O2 by facemask and EMS was called - EMS arrived within 7 minutes and transported her to hospital; prior to arrival to EMS, patient was pale, and lethargic with occasional outbursts of agitation - she had impressive lip swelling, pale appearance and hives noted on upper thighs; she was drooling but there was no stridor - she had clear breath sounds - tachypnea and mild retractions were also noted; she was also tachycardic but this was noted approx 3 min after the administration of SQ epinephrine. - contact by ER - patient received another dose of epi in ER along with Benadryl and steroids - stable and doing well - BP a little low - considering PICU vs IMC admission.  10/1/09 ED records received DOS 9/24/09 to 9/25/09. Assessment: Acute Anaphylaxis. Patient developed immediate oral swelling, lip edema, and emesis. Presents with general weakness, decreased level of consciousness, lightheadedness, rapid respirations, coughing, wheezing. Pale, tired. Erythematous splotches legs. Observe overnight.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU3, MMR, VARCEL
Symptoms: Lethargy, Lip swelling, Pallor, Swelling face, Tachycardia
Clinical narrative: - approx 5 minutes after administration of the vaccines, patient had abrupt onset of facial and lip swelling, lethargy, paleness with perioral cyanosis, and tachypnea - epinephrine was administered SQ immediately and she was placed on 100% O2 by facemask and EMS was called - EMS arrived within 7 minutes and transported her to hospital; prior to arrival to EMS, patient was pale, and lethargic with occasional outbursts of agitation - she had impressive lip swelling, pale appearance and hives noted on upper thighs; she was drooling but there was no stridor - she had clear breath sounds - tachypnea and mild retractions were also noted; she was also tachycardic but this was noted approx 3 min after the administration of SQ epinephrine. - contact by ER - patient received another dose of epi in ER along with Benadryl and steroids - stable and doing well - BP a little low - considering PICU vs IMC admission.  10/1/09 ED records received DOS 9/24/09 to 9/25/09. Assessment: Acute Anaphylaxis. Patient developed immediate oral swelling, lip edema, and emesis. Presents with general weakness, decreased level of consciousness, lightheadedness, rapid respirations, coughing, wheezing. Pale, tired. Erythematous splotches legs. Observe overnight.